bluuebunny/crossref_metadata_2025_split huggingface dataset:
Integrated Data Systems in the US: a National Survey of State and Local Governments and their University Partners
Authors: Jenkins Adelia , Culhane Dennis 
Published: November 2019

Background Actionable Intelligence for Social Policy (AISP) is an initiative of the University of Pennsylvania that focuses on the development, use, and innovation of integrated data systems (IDS). We convene a network of IDS across the United States and provide technical assistance to support developing sites as they build the technical and human capacity to integrate and use administrative data across agencies.
Main AimIn late 2018 and early 2019, AISP conducted a national survey of integrated data efforts to better understand the landscape and how it’s changed since the last national scan was completed in 2013. The survey also served to document who is leading data sharing efforts, what data they are linking, and how linked data are currently being used. This information was used to create a centralized data matrix and contact list in order to support cross-site learning and facilitate future projects and analyses.
Methods/ApproachThe survey was disseminated to AISP Network Sites, Learning Community sites, and others by AISP staff and partner organizations, including the National Neighborhood Indicators Partnership Network and Arnold Policy Labs initiative. Survey responses were analyzed by AISP in spring 2019.
ResultsThe survey yielded 39 responses from state and local governments and their research partners. The most common uses of integrated data among those surveyed are informing policy, program evaluation, and research. Integrated case management and resource allocation are also increasingly informed by integrated data. The most commonly integrated data sources are early childhood, child welfare, and K-12 education. Medicaid, TANF, SNAP, and UI Wage Records have also been integrated by over 50% of sites surveyed. The most common lingering challenges reported by sites related to sustainability.
ConclusionSurvey results document the purposes and sources of data currently integrated by jurisdictions across the US and have major implications for the field both nationally and internationally.
Implications of socio-demographic change in place of death in Scotland 2001-2011: an analysis of linked census and death registration data
Authors: Atherton Iain , Schneider Anna 
Published: November 2019

Background with rationaleCare in the final stages of life care constitutes a marked component of all health and social care expenditure. Whether people die at home or in an institutional setting is influenced by a range of social and demographic factors. Understanding the implications of socio-demographic trends for people die can contribute to planning services.
Main AimTo describe changes in place of death 2001-2011 and to ascertain the extent to which these might be explained by social or demographic trends.
Methods/ApproachData from the Care in the Last Days of Life Study was drawn on. This dataset linked census to death registration and hospital admissions data for all deaths occurring in the 12 months following the 2001 and 2011 censuses. Deaths in these two time periods were compared and contrasted using logistic regression.
Results and DiscussionExcluding deaths for which no census record could be linked, a total of 56,766 people died in the year following the 2001 census and 53,517 following in the same period after the 2011 census. A slight decline was apparent in the period proportion of deaths in hospital (52.3% of all deaths in 2011-12 against 56.9% in 2001-02) with a concomitant increase in deaths in care homes and hospices. Deaths at home were virtually unchanged. Age at death increased markedly with 31.4% occurring to people aged 85+ years in the latter compared to 26.6% in the earlier period. Further analysis to be presented will explore the extent to which these changes can be explained by an ageing population, shifting causes of death, changes in hospital discharge policies, or social composition of the Scottish population between these two timepoints. Implications of findings for policy will be considered.
How complete, representative and accurate is recording of child BMI in electronic general practice records? A record linkage study
Authors: Firman Nicola , Robson John , Ahmed Zaheer , Boomla Kambiz , Dezateux Carol 
Published: November 2019

Background with rationaleGeneral practitioner (GP) electronic health records (EHRs) are a potentially valuable, but unevaluated, source of child BMI measurements to inform clinical practice and research.
Main AimTo assess representativeness and accuracy of child GP-BMI records.
MethodsWe linked school National Child Measurement Programme (NCMP) records from 29,839 five-year-olds (49.1% girls) and 26,660 11-year-olds (49.1% girls) in City & Hackney (2013-17), Newham (2014-17) and Tower Hamlets (2015-17) to GP EHRs using pseudonymised NHS numbers (94.9% and 95.1% linked, respectively) and identified GP-BMI measurements using Read code “22K..”. We estimated adjusted odds ratios (aOR) of at least one GP-BMI by: sex (reference category: male); ethnic background (White); area-level deprivation (most deprived Index of Multiple Deprivation quintile); weight status (healthy weight; clinical UK1990); and long-term condition (none). We estimated mean BMI difference (NCMP-BMI minus GP-BMI kg/m2) and 95% Limits of Agreement (LoA; Bland and Altman method).
ResultsWe identified at least one GP-BMI in 10.5% (2,964/28,330) and 26.0% (6,598/25,365) of 5- and 11-year-olds respectively.
Five-year-old children who were underweight (aOR; 95% CI: 1.70; 1.28,2.25) or obese (1.45; 1.28,1.65), from South Asian backgrounds (1.63; 1.45,1.80) and with long-term conditions (9.58; 8.13,11.28) were more likely, and girls (0.88; 0.81,0.95) and those from less deprived areas (Wald statistic; p-value: 40.06; <0.0001) less likely, to have at least one GP-BMI measurement recorded. Findings among 11-year-olds were similar.
We identified GP-BMI measurements made within one month of NCMP-BMI in 5.4% (160/2,964) of 5-year-olds and 4.0% (263/6,598) of 11-year-olds. There was poor agreement between NCMP-BMI and GP-BMI: mean difference (95% LoA): +0.55 (-2.49,+3.58) and +0.16 (-2.85,+3.18) in five- and 11-year-olds respectively.
ConclusionChild BMI is not comprehensively recorded in UK GP settings. Access to BMI school measurements in GP settings could support discussions about child weight status between children, their families and general practitioners.
A tale of multiple data sources: pathways and outcomes for infants who become looked after in Scotland
Authors: Cusworth Linda , Biehal Nina , Whincup Helen 
Published: November 2019

BackgroundPermanently Progressing? Building secure futures for children in Scotland is the first study in Scotland to investigate decision making, permanence, progress, outcomes and belonging for children who became looked after aged five or under. A significant proportion of these children become looked after away from home in the first few weeks after birth. It is important to understand more about the circumstances in which accommodation occurs, and the pathways and outcomes for these children.
MethodsAnonymised child-level data (Children Looked After Statistics) was provided by the Scottish Government on the total cohort of 1,355 children in all 32 local authorities who started to be looked after away from home in 2012-13 aged five and under. Pathways and timescales to permanence were tracked between 2012-2016 using this administrative data. For a sub-group of 433 children, information on histories, progress and outcomes 3-4 years after they became looked after was gathered from surveys of adoptive parents, foster and kinship carers, and social workers.
Results/conclusion This paper will discuss key findings from the study, in relation to those who became looked after soon after birth. Nearly half of those looked after away from home were under one year old when removed from parents, including 250 (18%) less than seven days old. These younger children were more likely to be looked after on an emergency basis, less likely to be placed with kinship carers, and more likely to have been adopted 3-4 years later, than those looked after when older. The complementary use of survey and administrative data is important. Evidence from the surveys of carers and social workers enhances our understanding of the circumstances around removal (including experience of maltreatment, removal of siblings, and parental substance misuse), and suggests that outcomes (emotional, behavioural and attachment) were generally better for children who were accommodated and placed with carers and adoptive parents at an earlier age and remained there.
Healthcare resource utilisation for critical care survivors in Wales: a population-based data linkage study
Authors: Bailey Rowena , Szakmany Tamas , Pugh Richard , Akbari Ashley , Lyons Ronan 
Published: November 2019

IntroductionMore patients are surviving critical illness, with a growing understanding that transition to survivorship needs to be managed in primary care. In Wales, however, survivors' comprehensive healthcare resource utilisation (HRU) has not been studied in detail.
AimTo investigate the levels and predictors of HRU of critical illness survivors in Wales.
MethodsWe used the SAIL Databank to identify survivors and characterise their HRU. We fitted Poisson models for HRU during one year after intensive care unit (ICU) stay, adjusted for follow-up length within that year, HRU in the previous year, modified Charlson Comorbidity Index (CCI), age group, and gender.
ResultsWe identified 56,722 patients. The median age was 66 years (IQR=52-76), 46.3% were female, and 39.0% had high comorbidity (CCI≥10). More patients lived in the more deprived areas. Patients had medians of 29 (0-51) visits to general practitioners (GP), 5 (2-10) outpatient visits, 17 (5-63) days for length of hospital stay (LOS), and a mean of 0.89 emergency department (ED) attendances. Older patients had more GP visits (incidence rate ratio, IRRs, ranged from 1.1 to 1.2) and outpatient visits (1.1), greater LOS (1.2 to 1.7), but fewer ED visits (0.72 to 0.65). Higher CCI was associated with greater HRU (GP [1.19, 1.20], ED [1.34, 1.42], outpatient [1.50, 1.52], LOS [1.24, 1.6]). Higher socioeconomic deprivation was associated with more ED visits (IRR=1.2 [1.17, 1.25] between the most and the least deprived areas).
ConclusionCritical care survivors use significant primary healthcare resources following their ICU stay. Predictors of long-term mortality [1] also influence HRU. The fewer ED visits in the older patients needs further evaluation.
1. Szakmany T et al. Crit Care Med. 2019 Jan;47(1):15–22.
PENGARUH MODEL PEMBELAJARAN KOOPERATIF TIPE THINK PAIR SHARE (TPS) TERHADAP HASIL BELAJAR MEKANIKA TEKNIK SISWA KELAS X DPIB SMK DHUAFA PADANG
Authors: Sri Yulastri Rina , Silalahi, M.Pd Drs. Juniman 
Published: November 2019

Abstrak― Penelitian ini dilatarbelakangi oleh belum sesuainya model pembelajaran yang digunakan guru dengan karakteristik mata pelajaran. Tujuan penelitian ini adalah untuk mengungkap pengaruh model pembelajaran Think Pair Share (TPS) terhadap hasil belajar Mekanika Teknik siswa Kelas X DPIB SMK Dhuafa Padang. Jenis penelitian ini adalah Quasi Experiment(eksperimen semu) dengan desain Pretest-Posttest Control Group Design. Populasi penelitian ini adalah siswa Kelas X SMK Dhuafa Padang yangterdaftar pada tahun ajaran 2019/2020 yang terdiri dari kelas X DPIB 1 dan X DPIB 2. Pengujian instrumen dilakukan di sekolah yang sama, pada Kelas XI DPIB yang terdiri dari 30 orang siswa. Pengumpulan data dalam penelitian ini menggunakan tes hasil belajar (pretest dan posttest) berupa soal objektif sebanyak 26 soal. Data dianalisis menggunakan uji perbedaan dua rata-rata (t-test). Berdasarkan hasil penelitian dari perhitungan t-test diperoleh t-hitung lebih besar dari t-tabel. Dengan demikian hipotesis yang dikemukakan dapat diterima pada taraf kepercayaan 95%. Hasil penelitian menunjukkan bahwa terdapat pengaruh model pembelajaran Think Pair Share (TPS) terhadap hasil belajar Mekanika Teknik siswa Kelas X DPIB SMK Dhuafa Padang. Kata Kunci: Model pembelajaran TPS, Hasil Belajar, Mekanika Teknik
Diversity of education systems in the European Union
Authors: Żurawski Andrzej 
Published: November 2019

Abstract
This article explores Bruno Amable’s Diversity of Capitalism approach to analyze educational systems in the European Union (EU28). The main goal is to identify the main clusters of educational systems with regard to their institutional characteristics. Second goal of the analysis is to evaluate the impact of several EU policies and initiatives on the institutional structure of European educational systems. This article identified six clusters in terms of general education and five clusters in terms of higher education systems. The clustering shows, that – with some exceptions (notably the United Kingdom and Ireland) – European education systems have similar structure to other institutional areas, in particular, it confirms the existence of post-communist (in terms of Farkas) or patchwork (in terms of Rapacki et al.) capitalism. The article shows, as well, that subsystem of higher education is much less diverse, what may have a significance for future discussions on the capitalisms in the EU. Results suggests also that there exist significant differences in performance between the clusters, something that may have a crucial importance for an educational policy.
Transient Diabetes Insipidus Following Organophosphorus Poisoning
Authors: Keyal Niraj Kumar , Bhujel Amid 
Published: November 2019

Abstract

Introduction
Organophosphorus poisoning is the most common poison used for suicidal attempt in Nepal. Diabetes insipidus is unusual and rare in this poisoning. This is the second case report of Diabetes insipidus developing in organophosphorus poisoning. Management of diabetes insipidus includes desmopressin and adequate fluid management.

Case presentation
A 34-year-old female patient accompanied by her father presented at the Emergency department with an alleged history of ingestion of unknown amount of chlorpyrifos, cypermethrin and quinalphos. On admission, she had a Glasgow Coma Scale (GCS) of 7/15. Her blood pressure was 110/60 mm Hg, pulse 54/min, respiratory rate 45/min and saturation 35% on room air, pinpoint pupil reactive to light and bilateral crepitations. She was immediately resuscitated with two litres of normal saline and intubated with a 7 mm endotracheal tube. Atropinisation was done, and pralidoxime was started. She developed a urine output of 250-350 ml per hour with rising sodium and serum osmolality. The urine examination showed low sodium and urine specific gravity. A diagnosis of diabetes insipidus was made. There was no immediate improvement in her GCS. She was managed with 5% dextrose and subcutaneous desmopressin and was transferred out of the intensive care unit on the sixth day and was discharged from hospital on the fifteenth day.

Conclusion
Diabetes insipidus is a rare transient complication in organophosphorus poisoning that requires careful observation and early management with desmopressin and adequate fluid balance to improve patient outcome.
Initial Fluid Resuscitation Following Adjusted Body Weight Dosing in Sepsis and Septic Shock
Authors: Antal Oana , Ștefănescu Elena , Mleșnițe Monica , Bălan Andrei Mihai , Hagău Natalia 
Published: November 2019

Abstract

Introduction
Fluid administration is considered a fundamental part of early sepsis treatment. Despite abundant research, fundamental questions about the amount of fluids to be given remain unanswered. Recently, the idea of adjusting the fluid load to the ideal body weight emerged, as obesity rates are increasing, and fluid overload was proven to increase mortality.

Aim of the study
The study aimed to determine whether advanced haemodynamic monitoring supports the adjustment of the initial fluid load to the ideal body weight (IBW).

Methods
Seventy-one patients with sepsis and septic shock were enrolled in the study. The initial fluid resuscitation was performed using local protocols. The haemodynamic status was assessed after the initial fluid load by transpulmonary thermos-dilution technique and the renal outcome recorded at twenty-four hours.

Results
68.6% of the patients included in the study had weight disorders ranging from BMI+20% to morbid obesity. Before IBW adjustment, only 49.3% received the 30 ml/kg fluid load recommended by Surviving Sepsis Campaign Guidelines (2016) (SSC). After IBW adjustment, 70.4% received the recommended fluid dose. The difference in fluid load/kg before and after the bodyweight adjustment was statistically significant (p<0.01). After the initial fluid load, the majority of the macro haemodynamic parameters were in the targeted range. There was no statistically significant difference between the urinary output outcome at 24 hours or the 28 days mortality rates between the patients resuscitated by the SSC and those who received less fluid.

Conclusions
Advanced haemodynamic monitoring was in favour of adjusting the initial fluid load to the IBW. There were no statistically significant differences either in the urinary output outcome at twenty-four hours, or in the twenty-eight-day mortality rates between the patients who received the 30 ml/kg IBW and those who received less than 30 ml/kg IBW.
A Pilot Study on Developing Newsgames in Collaboration between Journalism and Computer Science Students
Authors: Siitonen Marko , Uotila Panu , Uskali Turo , Varsaluoma Jukka , Välisalo Tanja 
Published: November 2019

Abstract
Producing digital and interactive journalistic products offers unique and important new learning opportunities for journalism education. This study analysed the experiences of two pilot courses on so-called ‘newsgames’ in a Finnish university in 2015 and 2017. The data consisted of the newsgames and other materials produced by the students, student feedback concerning the course and observations of teachers throughout the project. Our analysis demonstrates how producing newsgames in the context of higher education may foster project-based learning experiences, something that has been relatively rare in traditional journalism education. Collaboration with media companies also offered valuable feedback for the students throughout the course and provided them with an opportunity to practice selling their expertise. The study highlights how interdisciplinary and project-based cooperation may benefit journalism education.
PEMBERIAN MAKANAN PENDAMPING ASI (MPASI) SESUAI DENGAN USIA BAYI DI DESA BAWANG KECAMATAN PESANTREN KOTA KEDIRI
Authors: Soyanita Elin 
Published: November 2019

ABSTRACT
The growth period of infants and toddlers is the most valuable period. In every step and development parents have the desire to give their best. One of the most important times is when the baby starts eating complementary foods. If the complementary food provided is not suitable, it can cause the baby to be malnourished and can become malnourished if not treated properly. The purpose of this study was to determine the factors associated with complementary feeding according to the age of the baby. This study is an analytical study using a cross sectional approach, the subjects studied were mothers who have children over 6 months of age who came to the posyandu onion village, pesantren district, Kediri district as many as 34 people. Statistical analysis with Chi square test (Chi Square). The results of the study showed that respondents gave complementary foods for ASI at yaitu 6 months, which were 64.7%, respondents received information about complementary foods as much as 76.5%, respondents who had good knowledge were 70.6% and had a positive attitude about giving complementary foods as much as 67.6%. The results of statistical analysis showed that there was no relationship between the source of information with complementary feeding according to age, there was a relationship between knowledge and attitude with supplementary feeding according to age. Health workers can further improve health education or counseling about complementary feeding.
Keyword : Knlowledges, Attitude, sources of information, MP-ASI
Abordaje Puramente Endoscópico Supracerebeloso Infratentorial para Quiste Epidermoide en Tercer Ventrículo
Authors: Rubino Franco , Aguilera Santiago , Campbell Juan Iaconis , Mural Miguel , Salas Eduardo , Cersosimo Tito Adrian 
Published: November 2019

Introducción:
El Quiste Epidermoide como tumor de la región pineal es una patología infrecuente y poco descripta. Su prevalencia en el 3er ventrículo es de 0,0042% de los tumores primarios intracraneales. Para lograr la exeresis macroscópica total se utilizó el abordaje Supracerebeloso Infratentorial con Endoscopio rígido de Base de Cráneo, técnica descripta para abordaje de lesiones de la región pineal. El Objetivo del Trabajo es la presentación de la técnica quirúrgica del abordaje, con la resolución de la patología infrecuente que se presenta.

Materiales y métodos:
Paciente de 16 años de edad con antecedentes de DBT insípida y cefaleas crónicas intermitentes (m-RS 1). RMN de encéfalo evidencia lesión ocupante de espacio hiperintensa T2 e hipointensa en T1 con realce periférico y restricción en la difusión. Presenta refuerzo a nivel del tallo hipofisario. Se plantea diagnóstico de tumor germinal. Marcadores en LCR negativos. Se decide realizar abordaje puramente endoscópico de la región para toma de muestra. Congelación determina quiste epidermoide y se procede a realizar exeresis macroscópica total.

Resultados:
Se realizó exeresis macroscópica total de quiste de epidermoide en tercer ventrículo con abordaje supracerebeloso infratentorial a través de endoscópico rígido de base de cráneo, en paciente de 16 años, cursando postoperatorio tardío sin secuelas y mejoría sintomática con persistencia de DBT insípida (m-RS 1).

Conclusión:
El abordaje puramente endoscópico supracerebeloso infratentorial es una opción segura para el tratamiento quirúrgico de lesiones en el tercer ventrículo, en este caso, un quiste epidermoide.
Assessing trophic relationships between shallow-water black corals (Antipatharia) and their symbionts using stable isotopes
Authors: Terrana Lucas , Lepoint Gilles , Eeckhaut Igor 
Published: November 2019

Shallow-water antipatharians host many symbiotic species, which spend their adult life with their host and/or use them to have access to food. Here we determine the trophic relationships between four common macrosymbionts observed on/in Cirripathes anguina, Cirrhipathes densiflora and Stichopathes maldivensis in SW Madagascar. These include the myzostomid Eenymeenymyzostoma nigrocorallium, the gobiid fish Bryaninops yongei, and two palaemonid shrimps, Pontonides unciger and Periclimenes sp. The first is an endosymbiont living in the digestive tract, while the others are ectosymbionts. The analyses show that most likely (i) none of the symbionts uses the host as a main food source, (ii) nocturnal plankton represents a main part of the diet of antipatharians while the symbionts feed preferentially on diurnal plankton, (iii) the myzostomid has the narrowest trophic niche, (iv) the two shrimps have distinct trophic niches and feed at lower trophic level than do the other symbionts. Concerning the myzostomids, they had the same δ13C values but had significantly higher δ15N values than the hosts. TEFs (Trophic Enrichment Factors) recorded were Δ13C = 0.28 ± 0.25 ‰ and Δ15N = 0.51 ± 0.37 ‰, but these were not high enough to explain a predator-prey relationship. These worms rely on the coral diet but may also ingest host fluids explaining the slight enrichment in heavier nitrogen isotopes. On the other hand, the ectosymbionts use the coral as a pathway to have access to food from the midwater: they feed from the water passing nearby the black corals, but a kleptoparasitic behaviour cannot be excluded.