bluuebunny/crossref_metadata_2025_split huggingface dataset:
IMPLEMENTASI KEBIJAKAN PROGRAM PAMSIMAS (PENYEDIAN AIR MINUM DAN SANITASI BERBASIS MASYARAKAT)
Authors: Rofiana Vifin 
Published: June 2021

ABSTRAK Air merupakan kebutuhan dasar bagi manusia, tetapi kenyataannya tetap bahwa tidak semua orang memiliki akses ke air bersih dan sehat memadai, sesuai dengan kebutuhannya. Masalah air dan sanitasi yang buruk di Indonesia menelurkan Program Pamsimas. Tujuan Program Pamsimas adalah untuk meningkatkan akses air minum dan sanitasi bagi masyarakat miskin di pedesaan dan pinggiran kota, serta meningkatkan nilai dan perilaku hidup sehat dengan membangun / menyediakan prasarana dan sarana air minum dan sanitasi berbasis masyarakat yang berkelanjutan dan dapat diadopsi oleh orang-orang untuk mencapai MDGs sasaran. Atas dasar ini, perlu untuk memeriksa pelaksanaan Air Bersih dan Sanitasi Berbasis Masyarakat. Kata Kunci: Implementasi, PAMSIMAS, Pengembangan, Sanitasi.
Functional Dyspepsia and Gastroparesis: A spectrum of the same disease?
Authors: Haydek John , Malik Zubair , Grover Madhusudan 
Published: June 2021

We summarize the @GIJournal discussion held on May 19, 2021 that covered the manuscript by Pasricha et al., titled “Functional Dyspepsia and Gastroparesis in Tertiary Care are Interchangeable Syndromes with Common Clinical and Pathologic Features.” During the discussion, our expert Dr. Madhusudan Grover (MG) reviewed key findings and Dr. Zubair Malik (ZM) moderated the session.
TREE PLANTING TO ENCOURAGE ECOTOURISM CONCEPT IN KOPENG VILLAGE
Authors: Setiawan Avi Budi , Karsinah Karsinah , Rachmaningtyas Wisudani 
Published: June 2021

Kopeng Village is one of the Vocational Villages in the Getasan Subdistrict. The problems faced by Kopeng Village include the reduction of water catchment areas due to the transfer of land functions into settlements. This is because the tourism sector began to develop and encouraged high physical development such as homestays, housing, and supporting infrastructure. Agricultural activities also tend to change the hue of nature. Many trees that are located in the fields must be cut down not to block the sunlight. As a result, rainwater also cannot be absorbed into the ground but flows to the surface. Also, Kopeng is vulnerable to landslides. This is because the village's location is in the highlands, and the amount of critical land scattered. Also, the critical land is not covered with plant vegetation, so it is prone to landslides in the rainy season. Many critical lands are located very close to residential areas and are instead used as agricultural land. This condition is undoubtedly dangerous for the safety of residents. Moreover, Kopeng village becomes one of the tourist villages, so disaster mitigation should always take precedence. A lot of vacant lands are also untapped. Whereas if used, adding coverage of green areas is also beneficial for the community's welfare through the results of the tree. Therefore, the greening movement in Kopeng village needs to be one of the urgent programs to be carried out immediately. So that later indirectly will support the existing role as a vocational village and tourist village. The planted plant is a type of annual perennial, considering the fruit commodity is not so good when planted in the highlands. Other than that, the perennial has a solid rooting system and the ability to instigate oxygen. Some commodities that can be planted include fir, red shoots, Dutch teak, and acacia. The selection of perennials is expected to produce wood in the next few years and supply oxygen to strengthen kopeng village as an ecotourism area
Patient Goal-directed Care in an Orthopaedic Spine Specialty Clinic
Authors: Turcotte Justin , Kelly McKayla , Lynch Kerry , Pipkin Karen , Patton Chad 
Published: June 2021

Introduction:
Using health-related goals to direct care could improve quality and reduce cost of medical care; however, the effect of these goals for patients with spinal pathologies is not well understood. The purpose of this study was to describe patient-reported goals by provider type and to evaluate the effect of patient-provider goal awareness on patient satisfaction and treatment pathway.

Methods:
A pilot program was instituted in which all new or existing patients scheduled with either a single spine surgeon or a nonsurgical spine nurse practitioner were asked to complete a paper survey instrument regarding their goals of care before their visit. The patient goals were then discussed between the provider and the patient. Univariate and multivariate analyses were performed to evaluate relationships between patient goals, provider seen, diagnosis, and treatment recommendations.

Results:
There were 703 respondents to the survey, of whom 416 were included for subgroup analysis. Patient-reported goals varied by provider type. When examining rates of recommended interventions by patient goals, notable differences were observed for 7 of the 13 goal categories. Significant differences in intervention recommendations by provider type existed for physical therapy, medications, MRI, and surgery (all P < 0.001). After controlling for other variables, seeing a surgeon, thoracolumbar pathology, and goals of “return to activity or social events I enjoy,” and “learn about spine surgery” were significant independent predictors of recommendation for surgery (all odds ratio > 3 and P < 0.05). This model generated an area under the curve of 0.923 (95% confidence interval, 0.861 to 0.986), indicating outstanding discrimination in predicting recommendation for surgery. Patient satisfaction scores rose from 91.5% to 92.2%, but this difference was not statistically significant (P = 0.782).

Conclusion:
Specific patient-reported goals vary by provider type and are associated with specific diagnosis and treatment recommendations. Goal-directed care may improve the design of treatment pathways and the overall patient experience.
Results of balloon and surgical valvuloplasty in congenital aortic valve stenosis: A 19-year, single-center, retrospective study
Authors: Yakut Kahraman , Kürşad Tokel Niyazi , Varan Birgül , Erdoğan İlkay , Özkan Murat 
Published: June 2021

Background: This study aims to compare the success, complications, and long-term outcomes of aortic balloon valvuloplasty and surgical aortic valvuloplasty in pediatric patients with congenital aortic valve stenosis.
Methods: Between March 2000 and October 2019, a total of 267 procedures, including 238 balloon valvuloplasties and 29 surgical valvuloplasties, in 198 children (135 males, 63 females; mean age: 57.4±62.6 months; range, 0.03 to 219 months) were retrospectively analyzed. The hospital records, echocardiographic images, catheterization data, angiography images, and operative data were reviewed.
Results: Aortic regurgitation was mild in 73 patients before balloon valvuloplasty, and none of the patients had moderate-to-severe aortic regurgitation. Compared to surgical valvuloplasty, the rate of increase in the aortic regurgitation after balloon valvuloplasty was significantly higher (p=0.012). The patients who underwent balloon valvuloplasty did not need reintervention for a mean period of 46±45.6 months, whereas this period was significantly longer in those who underwent surgical valvuloplasty (mean 80.5±53.9 months) (p=0.018). The overall failure rate was 8%. Moderate-to-severe aortic regurgitation was the most important complication developing due to balloon valvuloplasty in the early period (13%). All surgical valvuloplasties were successful. The mean length of hospitalization after balloon valvuloplasty was significantly shorter than surgical valvuloplasty (p=0.026). During follow-up, a total of 168 patients continued their follow-up, and a reinterventional or surgical intervention was not needed in 78 patients (47%).
Conclusion: Aortic balloon valvuloplasty can be repeated safely and helps to eliminate aortic valve stenosis without needing sternotomy. Surgical valvuloplasty can be successfully performed in patients in whom the expected benefit from aortic balloon valvuloplasty is not achieved.
The relationship between aortic calcification on chest radiograph and neurocognitive impairment after coronary artery bypass grafting
Authors: Özhan Abdulkerim , Baştopcu Murat , Karakaya Canan , Güler Erhan , Şahin Sinan , Erdem Memetoğlu Mehmet , Ketenci Bülend , Murat Demirtaş Mahmut 
Published: June 2021

Background: In this study, we aimed to investigate the possible relationship between aortic calcification as detected by preoperative chest radiography and postoperative neurocognitive impairment in patients undergoing coronary artery bypass grafting.
Methods: A total of 124 patients (101 males, 23 females; mean age: 59.9±8.8 years; range, 34 to 84 years) who underwent coronary artery bypass grafting in our clinic between January 2019 and July 2019 were included. Of these patients, 35 whose preoperative chest radiography revealed aortic calcification in the aortic knuckle were included as the patient group. The control group consisted of 89 patients without aortic calcification. The patients with aortic calcification underwent additional imaging with thoracic computed tomography angiography and ascending aorta and aortic arch calcium scores were calculated. Neurocognitive dysfunction was assessed using the Standardized Mini-Mental State Examination. Postoperative delirium was evaluated by confusion assessment method in the intensive care unit. Both groups were compared for demographic, operative and postoperative data.
Results: Of all patients included in the study, the overall cerebrovascular event incidence was 3.2%. Although not statistically significant, the number of patients with neurocognitive decline was higher in the patient group than the control group (48.6% vs. 34.8%, respectively; p=0.157). Both Standardized Mini-Mental State Examination score decline and percentage decline were significantly higher in the patients with high aortic arch calcium scores (>2,250 AU). Carotid artery stenosis was 3.2 times higher in the patient group. In the patients with carotid artery stenosis, the aortic arch calcium scores were also higher (p=0.042).
Conclusion: Aortic calcification detectable on chest radiography with high calcium scores may be associated with neurocognitive impairment and carotid artery stenosis in patients undergoing coronary artery bypass grafting.
Anesthetic management in lung transplantation: Our single-center experience
Authors: Erkılınç Atakan , Karaca Baysal Pınar , Emre Gürcü Mustafa 
Published: June 2021

Background: In this study, we aimed to discuss our anesthesia management strategies, experiences, and outcomes in patients undergoing lung transplantation.
Methods: Between December 2016 and December 2018, a total of 53 patients (43 males, 10 females; mean age: 46.1±13 years; range, 14 to 64 years) undergoing lung transplantation in our center were included. The anesthesia technique, patients" characteristics, and perioperative clinical and follow-up data were recorded. The stage of lung disease was assessed using the New York Heart Association functional classification.
Results: Two patients underwent single lung transplantation, while 51 patients underwent double lung transplantation. Idiopathic pulmonary fibrosis was the most common indication in 41.5% of the patients. All patients had end-stage lung disease (Class IV) and 79% were oxygen-dependent. The extracorporeal membrane oxygenation support was given to 32 patients.
Conclusion: The anesthetic management of lung transplantation is challenging, either due to the deterioration of the recipient"s physical performance and the complexity of the surgical techniques used. In general, a kind of mechanical support may be needed and extracorporeal membrane oxygenation is the first choice in the majority of patients. A close communication should be maintained between the surgeons, perfusion technicians, and anesthesiologists to ensure an optimal multidisciplinary approach and to achieve successful outcomes.
America's Cup 1974 - An Overview - Organizing to Win
Authors: du Moulin Richard T. 
Published: June 2021

An America's Cup campaign is a total effort that involves challenges of design, construction, sailmaking, steering, tactics, crewwork, tuning, fund raising, and management. Failure in any one of these areas can and usually does handicap an effort, resulting in a certain visit by the Selection Committee to thank the crew for their (unsuccessful) participation. The "Summer of'74" was no exception to this rule. Obstacles arose in every one of these areas at some point for each yacht; in certain cases they were either fatal or at least crippling:
- in design … the failure of MARINER's radical stern configuration resulted in a rebuilding that for all intents and purposes ended her summer…
- in construction …both MARINER and COURAGEOUS were completed behind schedule, resulting in tremendous time pressures relative to INTREPID …
- in steering and tactics …several skipper and afterguard changes were caused in part by a new level of match racing aggressiveness (that also resulted in many protests) …
- in crewwork … everyone watched COURAGEOUS pull her crew together in the nick of time to defeat a well­prepared INTREPID …
- in tuning … experts shuddered to see MARINER depart for her last race with the mast moved as a last ditch ef­fort to attain a racing tune …
- in fund raising … the newspapers covered COURAGEOUS's near death in the height of the fuel crisis when construction was barely beginning …
- and finally, in management ..this past summer demanded an unprecendented number of difficult decisions that had to be made under tremendous pressure, decisions involving all the above issues.
In the remainder of this discussion, I will approach the issues just touched upon by presenting a combination of descriptive compari­sons of the three American twelve meter efforts and my interpretations of that material. Organizing to win, selection of personnel, methods of evaluation, the use of time and money, and the impact of major changes will be explored. Lastly, let me emphasize that the opinions and conclusions drawn within this article are my own, possibly shared by no one else. My experience aboard MARINER (and VALIANT) and later INTREPID gave me a rare opportunity to examine two efforts involving three twelve meters from the inside. Although it is often difficult, I will try to be objective and not abuse 20/20 hindsight.
The validity in performance measures used in hospital planning
Authors: Leotta Antonio , Ruggeri Daniela , Castro Monica 
Published: June 2021

The present research aims to discuss the theoretical conditions for validity in performance measures used in hospital planning. In doing so, the research draws on a new emerging research paradigm, called Pragmatic Constructivism (Nørreklitet al., 2010). It conceives of accounting as a social reality constructed through the integration of four ontological dimensions: facts, possibilities, values and communication. The conditions for validity in performance measures used in hospital planning are examined drawing on Nørreklit et al. (2007). Specifically we investigate theoretical conditions for validity in accounting performance measurement, analysing the ontological and epistemological nature of accounting data. The theoretical framework is applied to interpret the empirical evidence coming from a case of an Italian hospital located in the south of Italy. The empirical results showed how the theoretical framework helps to better understand the validity in some of the performance measures contained in the hospital plans: the validity of knowledge of past results is examined by verifying the correspondence of performance measures with the past activity of the hospital; while the validity of the estimations of future results is analysed by verifying their coherence and consistency.
Increased microRNA-30a levels in bronchoalveolar lavage fluid as a diagnostic biomarker for lung cancer
Authors: Zhu Wen-Jun , Chen Bo-Jiang , Zhu Ying-Ying , Sun Ling , Zhang Yu-Chen , Liu Huan , Luo Feng-Ming 
Published: June 2021

Background
MicroRNA-30a (miRNA-30a) levels have been shown to increase in the plasma of lung cancer patients. Herein, we evaluated the miRNA-30a levels in the bronchoalveolar lavage fluid (BALF) of lung cancer patients as a potential biomarker for lung cancer diagnosis.

Methods
BALF miRNA-30a expression of 174 subjects was quantified using quantitative real-time reverse transcription-polymerase chain reaction and compared between lung cancer patients and control patients with benign lung diseases. Moreover, its diagnostic value was evaluated by performing receiver operating characteristic (ROC) curve analysis.

Results
The relative BALF miRNA-30a expression was significantly higher in the lung cancer patients than in the controls (0.74 ± 0.55 versus 0.07 ± 0.48, respectively, p < 0.001) as well as in lung cancer patients with stage I–IIA disease than in those with stage IIB–IV disease (0.98 ± 0.64 versus 0.66 ± 0.54, respectively, p < 0.05). Additionally, miRNA-30a distinguished benign lung diseases from lung cancers, with an area under the ROC curve (AUC) of 0.822. ROC analysis also revealed an AUC of 0.875 for the Youden index-based optimal cut-off points for stage I–IIA adenocarcinoma. Thus, increased miRNA-30a levels in BALF may be a useful biomarker for non-small-cell lung cancer diagnosis.
Inflammatory and Immune Biomarkers in Predicting the Severity in COVID-19
Authors: Prasad Shrishti Dhar , Patel Suprava , Behera Ajoy Kumar , Sahu Dibakar , Shah Seema , Nanda Rachita , Mohapatra Eli 
Published: June 2021

Aims: An early diagnosis of severity can be confidently judged by monitoring the serum biomarkers in patients with COVID-19. The study was thus aimed to explore the relationship of the inflammatory and immune biomarkers in predicting the severity of the disease.
Study design: It is a retrospective observational study.
Methodology: The study included 79 confirmed cases of COVID-19 who had complete clinical record for the analytical variables. All cases were assigned a total clinical score as per their clinical manifestations, associated co-morbidities and mortality outcome. Laboratory inflammatory and immune biomarkers at the time of admission were noted.
Results: The mean age of the study population was 55.38 (1.69) years. The percentage of admission for males (67.1%) was twice that of females (32.9%). Serum LDH (p=0.003) and ferritin (0.019) levels were remarkably raised in severe form. Total clinical score denoted a positive correlation with the inflammatory biomarkers (p<0.001). IgM exhibited a significant negative trend with increasing clinical score (p<0.001) and CRP levels (p=0.022) of the patients. The multivariate analysis reflected that the total clinical score was significantly influenced by initial SpO2 values (0.011), serum ferritin (0.027), IgM (0.001) and C3 levels (0.044) in the COVID-19 patients. Lower serum C3 values significantly influenced the hospitalization duration in moderate cases (p=0.034) and total clinical score in severe cases (p=0.01).
Conclusion: The findings of the study signified that besides serum ferritin, a serial and close monitoring of serum IgM with complement factor C3 would aid in early prediction of clinical severity and thus guide physicians to start effective management strategy.
Random Forests for Survival Analysis
Authors: Rytgaard Helene C. , Gerds Thomas A. 
Published: June 2021

Abstract
A random forest for survival analysis is a machine learning method that combines bootstrap aggregation with randomized survival trees for right‐censored time‐to‐event data. The approach does not assume a model and thus provides a flexible alternative to Cox regression. It can be used to predict the risk of an event for individual subjects in the presence or absence of competing risks, and for the discovery of risk factors in low‐ and high‐dimensional settings.
In Situ Generated β‐Yb2Si2O7 Containing Coatings for Steel Protection in Extreme Combustion Environments
Authors: Lenz Leite Mateus , Viard Antoine , Galusek Dušan , Motz Günter 
Published: June 2021

AbstractThe rapid permeation and degradation of silazane‐based coatings by water vapor limit their application in combustion environments. Hence, this work reports on the reaction of the oligosilazane Durazane 1800 with an appropriate Yb‐complex by a molecular approach and its application as protective thin coatings (1.2 µm) for AISI 304 in comparison with the benchmark Durazane 2250 in combustion‐like environments. Fourier transform infrared‐ and nuclear magnetic resonance‐spectroscopy elucidate the reaction mechanism and the chemical structure of the resulting Yb‐modified silazanes, whereas elemental and X‐ray diffractometry analyses confirm the formation of crystalline β‐Yb2Si2O7 and SiO2 after pyrolysis at 1000 °C in air. Energy dispersive spectroscopy and X‐ray photoelectron spectroscopy profile analyses show the enhanced diffusion of Fe, Cr, and Mn from the substrate into the Yb50 coating, which is responsible for a better adhesion (23.7 MPa), scratch tolerance (38 N), and a decreased coefficient of thermal expansion‐mismatch to the substrate, resisting 9 thermal cycles between 1000 and 20 °C. Despite the low Yb‐silicate content (6.8 wt%), only minor damage is caused to the Yb50 coating after wet oxidation in moist flowing air (1000 °C for 15 h), whereas the Durazane 2250 coating spalled‐off. This is a clear indication of the potential of the Yb2Si2O7‐containing coatings to protect metals and ceramics in extreme combustion environments.
A pirate ship sailed into the yacht club: How we built a novel pediatric emergency medicine curriculum for an emergency medicine training program
Authors: Andrada Emily , Danielson Aaron , Magaña Julia , Tzimenatos Leah , Clarke Sam 
Published: June 2021

AbstractBackgroundPediatric emergency medicine (PEM) has seen little progression toward a standardized PEM educational framework. The 2018Academic Emergency MedicineConsensus Conference on Advancing PEM Education addressed this gap in core EM education. Absent elements include a “broad needs assessment to identify and evaluate existing curricula and systems gaps in EM training” and a “clearly defined core PEM curriculum that unifies and drives the learning process.” PEM education innovators were called to construct a “unified foundation in PEM education for all levels of emergency care” and to “promote innovation in teaching and learning strategies in curricula.” We endeavored to meet this challenge at our institution.MethodsThe PEM curriculum design is based on the Kern model of curriculum development and included a needs assessment, development of goals and objectives, educational strategies, implementation, evaluation, and programmatic feedback. We committed to using effective learning strategies and active learning methods in developing our curriculum and conducted a 1‐year pilot within our EM residency’s didactic conference. We used exit surveys to collect feedback for each session as well as midyear focus groups to gauge the program’s effectiveness. At the start and end of the pilot year residents completed the PEM survey regarding the effect of the PEM curriculum on their self‐assessed knowledge, training, and comfort in managing PEM topics.ResultsFeedback regarding the PEM curriculum was positive. Following 1 year of the pilot curriculum, learners in the PGY‐1 and PGY‐3 classes demonstrated statistically significant improvement in their self‐assessed knowledge, training, and comfort with PEM topics. The PGY‐2 class had a similar statistically significant improvement in self‐assessed knowledge in PEM topics.ConclusionsOur novel PEM curriculum was well received and has shown early evidence of improving self‐assessed knowledge and comfort among EM residents.