bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Value of New Fields in the Medical Record for Quality Improvement
Authors: Poufos Theodore , Rigakos Georgios , Labropoulos Stefanos , Stathaki Kalliopi , Theodorakopoulou Ioanna , Hadjiyassemi Lina , Vlachou Effrosyni , Spyri Olympia , Prasini Ioanna , Razis Evangelia 
Published: April 2021

ABSTRACT

Introduction
Quality in healthcare delivery is important for the safety and experience of patients with cancer. Effective documentation is an integral component of quality improvment, and accurate documentation can be affected by prompts in the medical record, potentially improving quality of services.

Methods
The Contemporary Oncology Team (COT) is a Greek private oncology practice that participated in the American Society of Clinical Oncology's (ASCO's) Quality in Oncology Practice Initiative (QOPI). Between 2014 and 2019, COT implemented changes in its paper patient medical record, in order to improve quality of care and documentation. Fields regarding pain, emotional well-being and psychosocial assessment, discussions with the patient and consent about treatment and disease, medication details and cumulative dose, treatment goals, side-effect grading, pregnancy screening, treatment adherence and anticipated duration were added. In this report, we present the association of these improvements with COT performance in QOPI.

Results
Pain and emotional well-being assessment and documentation were significantly improved by the development of a structured patient follow-up form. In contrast, the assessment of fertility issues, tobacco use, and the documentation of treatment plan and intent did not present a drastic change, because COT performance was already above QOPI average.

Conclusion
A thorough reform of COT paper medical record according to QOPI standards improved QOPI scores, but more importantly effected a shift in the team's culture to safer and more standardized quality based care.
Some aspects of the legislative activity of the President of the Republic of Azerbaijan in ensuring the implementation of the administrative-legal status of refugees and internally displaced persons
Authors: Najafguliyev Rafig 
Published: April 2021

In the article examines the theoretical and practical issues of the rule-making activities of the head of state in ensuring the implementation of the administrative-legal status of refugees and internally displaced persons in the Republic of Azerbaijan. Considerable attention is given to the structure and legal nature of the rule-making activities of the head of state.
The study argued that in the content of the Decrees of the President of the Republic of Azerbaijan on the administrative-legal status of refugees and internally displaced persons it is mainly possible to meet rulemaking. According to the author, it is through him that the daily executive and administrative activities of executive authorities are organized in order to exercise the rights and obligations that are an element of the administrative-legal status of refugees and internally displaced persons in the Republic of Azerbaijan.
PENGARUH KUALITAS LAYANAN TERHADAP LOYALITAS PELANGGAN DENGAN KEPUASAN PELANGGAN SEBAGAI VARIABEL INTERVENING PADA HANA RAMEN KARAWANG
Authors: Nurul Fatimah  
Published: April 2021

Penelitian ini bertujuan untuk mengetahui bukti empiris mengenai Pengaruh Kualitas Layanan Terhadap Kepuasan Pelanggan melalui Loyalitas Pelanggan sebagai variable intervening di Hana Ramen Karawang. Penelitian dilakukan dengan menggunakan metode deskriptif dan verifikatif. Pengambilan sampel dilakukan dengan metode insidental sampling dengan jumlah sampel 285 responden dari populasi sebanyak 995 orang. Teknik analisis data yang digunakan adalah teknik Scale Range Analysis dan Path Analysis dengan bantuan Methode Successive Intervals (MSI), program komputer Microsoft Excel 2007 dan SPSS versi 17. Dari analisis data penelitian, diperoleh beberapa kesimpulan sebagai berikut: Kualitas Layanan Hana Ramen Karawang berada pada kriteria baik, Kepuasan Pelanggan Hana Ramen Karawang adalah kriteria Puas, Loyalitas Pelanggan Hana Ramen Karawang saat ini pada kriteria setia.
Kata Kunci : Kulitas Layanan, Kepuasan Pelanggan, Loyalitas Pelanggan.

This study aims to determine empirical evidence regarding the effect of service quality on customer satisfaction through customer loyalty as an intervening variable in Hana Ramen Karawang. The research was conducted using descriptive and verification methods. Sampling was done by incidental sampling method with a sample size of 285 respondents from a population of 995 people. The data analysis technique used is the Scale Range Analysis and Path Analysis techniques with the help of the Successive Intervals (MSI) Method, Microsoft Excel 2007 computer program and SPSS version 17. From the analysis of research data, the following conclusions are obtained: Service Quality Hana Ramen Karawang is at good criteria, customer satisfaction Hana Ramen Karawang is satisfied criteria, customer loyalty Hana Ramen Karawang is currently on the criteria of loyalty.
Keywords: Service Quality, Customer Loyality, Customer Satisfaction.
GAMBARAN STRES SISWA SMA MENGHADAPI UJIAN SEKOLAH DARI RUMAH SERTA DAMPAKNYA TERHADAP KESEHATAN REPRODUKSI DI SMAN I MENGWI
Authors: Dina Susanti Ni Luh Putu , Nuartini Ni Nyoman 
Published: April 2021

Latar belakang dan tujuan: Fenomena yang sedang terjadi di kalangan Siswa SMA adalah adanya kecemasan karena akan mengikuti ujian sekolah dari rumah yang sangat menentukan bisa tidaknya seorang siswa melanjutkan ke jenjang pendidikan selanjutnya karena adanya pandemi Covid-19. Keadaan yang berlarut-larut tanpa kepastian dan penanganan yang baik dapat menimbulkan dampak terhadap kesehatan umum, kesehatan reproduksi bahkan gannguan kejiwaan Metode :Rancangan penelitian ini adalah penelitian qualitative. Data dikumpulkan melalui teknik wawancara mendalam terhadap partisipan terkait yang berjumlah 13 orang dan data dianalisis secara tematik yang disajikan dalam bentuk narasi. Hasil dan Pembahasan: Secara umum partisipan pada penelitian ini memiliki persepsi bahwa ujian sekolah dari rumah merupakan langkah yang tepat dilakukan pada masa pandemic Covid-19 ini. Masih ditemukan permasalahan yang menimbulkan stress pada siswa khususnya dampak pada kesehatan reproduksi yang dialami oleh siswa laki-laki adalah penurunan stamina dan pada siswa perempuan adanya gangguan pada menstruasi.Simpulan dan Saran : Siswa SMA mengalami stress menghadapi ujian sekolah yang berdampak pada kesehatan umum dan kesehatan reproduksi. Pihak orangtua/wali siswa dan pihak sekolah sudah berusaha memfasilitasi dan berharap adanya akses internet gratis dari pemerintah dan pandemic ini akan segera berakhir.
Vampiros marca Perú
Authors: Güich Rodríguez José 
Published: April 2021

El presente artículo se propone ofrecer un panorama reciente de la narrativa peruana en torno del vampiro. Luego de un breve recorrido por la historia, destacando el periodo fundacional y la llamada Generación del Cincuenta, el texto se centra en la obra y aporte de tres importantes escritores contemporáneos: Carlos Calderón Fajardo, Fernando Iwasaki y José Donayre Hoefken. Cada uno de ellos desarrolla una mirada particular sobre el personaje y sus figuraciones. Calderón Fajardo y Donayre recrean la figura de Sarah Ellen, un mítico ser que ha generado un imaginario en los sectores populares; por su parte, Iwasaki recurre a las claves de la cultura de masas y de la literatura. Ello demuestra que en el Perú actual, tal narrativa dialoga con las leyendas locales y referencias universales.
Ni mágico ni maravilloso: realismo visceral y fantástico rioplatense en "Llamadas telefónicas"
Authors: Aguilar Paula 
Published: April 2021

En el presente artículo intentaremos iluminar la propuesta estética del escritor chileno Roberto Bolaño dirigida a discutir y desplazar las tendencias hegemónicas en torno a la década de los 60/70 latinoamericanos a partir de la categoría de realismo visceral propuesta por el mismo autor para explorar sus alcances, reescrituras y transformaciones. Aquella imagen idílica, mágica, maravillosa de América Latina –articulada en parte alrededor de la revolución cubana– que algunos perciben en el macondismo, se quiebra en esta etiqueta del realismo visceral para narrar los restos que dejaron las dictaduras de los setenta, para hurgar en las vísceras de la historia. Así, a partir del análisis de dos cuentos de Llamadas telefónicas postulamos que, frente a la tradición caribeña de lo real maravilloso, Roberto Bolaño elige retomar el fantástico rioplatense de espectros y pesadillas.
"Wasabi", de Alan Pauls. Una lectura alegórica en clave autoficcional
Authors: Vanden Berghe Kristine 
Published: April 2021

Se lee Wasabi (Alan Pauls, 1994, 2005) como una novela neofantástica emparentada con La metamorfosis de Kafka y ciertos cuentos de Cortázar. Asimismo, se procede a una lectura de la novela en clave alegórica, atendiendo a una serie de metáforas (quiste, narcolepsias, wasabi) que aluden a las relaciones entre literatura y vida. En este sentido, se aborda el texto como una alegoría primero de la autoficción y luego de la creación literaria en general. A esta lectura alegórica la apoyan la recurrencia de la cifra siete en la novela así como la relación intertitular que esta tiene con Fils, novela autoficcional que Serge Doubrovsky escribiera en 1977.
La autoficción como dialéctica entre lo histórico y lo biográfico en la obra de Javier Cercas
Authors: Vila Sánchez José Antonio 
Published: April 2021

Desde Relatos reales, la obra de Javier Cercas ha gravitado hacia el concepto de autoficción. En este artículo pretendemos demostrar cómo en efecto estas obras pueden caber en la denominación general de “autoficción”. Para eso nuestro razonamiento se basará en las propuestas teóricas de Manuel Alberca, Phillippe Lejeune y José María Pozuelo Yvancos. Además, por tratar temas del pasado español reciente, los escritos de Cercas son ejemplos también de “metaficción historiográfica”, concepto avanzado por Linda Hutcheon, y utilizado por David K. Herzberger para explicar la narración sobre el pasado de los escritores españoles contemporáneos. Así, Javier Cercas al vincular lo biográfico y lo histórico se inserta en una tradición que es muestra de la narrativa posmoderna en España.
HUBUNGAN SHIFT KERJA DENGAN KELELAHAN KERJA PADA PERAWAT DI BANGSAL RAWAT INAP RUMAH SAKIT ADVENT BANDAR LAMPUNG
Authors: Ginting Nursehan Br , Malinti Evelin 
Published: April 2021

Introduction: The hospital ia a health service that operates for 1x24 hours and provides inpatient care for 3 shifts. The workload of nurses is quite high so that the level of nurse fatigue is different for each shift. Objective:To determine the relationship between work shifts and work fatigue of nurses in the inpatient ward of the Bandar Lampung Adventist Hospital. Method: The research method is a descriptive correlation with a cross sectional study approach and the sample is taken using a purposive sampling technique. Collecting data using a work fatigue questionnaire given to inpatient nurses and analyzed with the Chi-Square test. Results: From each shift, the highest number of nurses was found, namely 43 nurses who were not tired. The statistical results show that the value of p=0,683 or p>0,05 means that there is no significant relationship between work shifts and fatigue. Recommendation: The next researcher should compare the level of fatigue across various departments and consider several variales such as age, sex, and marital status. Implication: The existence of this research is expected that the level of fatigue of nurses can be known, as well as a reference for management to pay attention to the fatigue level of nurses.
Keywords: Work fatigue, shift work
Pendahuluan: Rumah sakit merupakan pelayanan kesehatan yang beroperasi selama 1x24 jam dan menyediakan perawatan rawat inap selama 3 shift. Beban kerja perawat cukup tinggi sehingga tingkat kelelahan perawat berbeda-beda setiap shifnya. Tujuan: Untuk mengetahui hubungan antara shift kerja dengan kelelahan kerja perawat di bangsal rawat inap Rumah Sakit Advent Bandar Lampung. Metode: Metode penelitian ialah deskriptif korelasi dengan pendekatan cross sectional study dan pengambilam sampel menggunakan teknik purposive sampling. Pengumpulan data menggunakan kuesioner kelelahan kerja yang diberikan kepada perawat rawat inap dan di analisa dengan Chi-Square test Hasil: Hasil uji Analisa statistik didapati nilai p=0,683 atau p>0,05 berarti tidak ada hubungan yang signifikan antara shift kerja dengan kelelahan. Rekomendasi: Peneliti selanjutnya sebaiknya membandingkan tingkat kelelahan dari berbagai departemen dan perhatikan modiabel variabel seperti usia, jenis kelamin dan status menikah. Implikasi: Adanya penelitian ini diharapkan tingkat kelelahan perawat dapat diketahui, juga menjadi acuan pihak management tetap memperhatikan tingkat kelelahan perawat.
Kata Kunci: Kelelahan kerja, shift kerja
A comparative study between adolescent and adult patients with pilonidal sinus disease
Authors: KATI Ömer , KANDUR Yaşar , KAYA Murat , GÜLER Ahmet Gökhan , DALKIRAN Tahir 
Published: April 2021

Objectives: The main targets of the treatment modalities for pilonidal sinus are to prevent recurrences, and to increase the quality of life. It is unknown whether there is a different treatment trend in pediatric patients as compared with adults. In this study, we aimed to evaluate the surgical methods in pediatric and adult patients with pilonidal sinus.
Material and Methods: This retrospective study was conducted at the Pediatric and General Surgical Department of Necip Fazil City Hospital, Kahramanmaras from 2013 to 2017. A total of 66 pediatric patients and 68 adult patients were enrolled in this study.
Results: The number of pediatric patients was significantly higher than adults in mean of Flap closure (21 (31.8%) vs 2 (2.9%), p=
The effectiveness of percutaneous nephrolithotomy for the treatment of large impacted upper ureteral stones
Authors: SARIKAYA Kubilay , ŞENOCAK Çağri , ÇİFTÇİ Mehmet , İBİŞ Muhammed Arif , BOZKURT Ömer Faruk 
Published: April 2021

Objective: To compare the efficacy of semi-rigid or flexible ureteroscopic surgery and percutaneous nephrolithotomy, which is the standard method for the surgery of ≥2 cm upper ureteral impacted stones .
Materials and Methods: The data of 123 patients who underwent stone surgery for ≥2 cm impacted ureteral stones in the upper ureter in our clinic were retrospectively analyzed. The patients were divided into two groups as ureteroscopic surgery group (URS, n = 59) and percutaneous nephrolithotomy group (PNL, n = 64) according to the type of operation. Patients with stones impacted in the ureter at the level between the L4 vertebra and ureteropelvic junction were included in the study. Preoperative demographic data and postoperative results of the patients in two groups were compared.
Results: Average operation time was similar in both groups (p = 0.147). Mean hospital stay was significantly higher in the PNL group compared to the URS group (3.28 ± 0.57 days vs 1.11 ± 0.32 days, p = 0.001). Mucosal injury was developed in 10 (16.9%) patients in the URS group during the operation, while it was only 3 (4.7%) in the PNL group (p = 0.027). Postoperative urinary tract infection development was found to be similar in URS and PNL groups (8.5% vs 4.7%, p = 0.479). Postoperative stone-free rate was found to be significantly higher in the PNL group compared to the URS group (95.3% vs 79.7%, p = 0.008).
Conclusion: PNL is a very effective and safe procedure in the surgical treatment of stones ≥2 cm in diameter impacted in the upper ureter. The complication rate of PNL is comparable with URS; however, it is seen that the PNL is more advantageous than URS in terms of postoperative total stone-free rate.
Improved Contrast in Images of Exoplanets Using Direct Signal-to-noise Ratio Optimization
Authors: Thompson William , Marois Christian 
Published: April 2021

Abstract
Direct imaging of exoplanets is usually limited by quasi-static speckles. These uncorrected aberrations in a star’s point-spread function (PSF) obscure faint companions and limit the sensitivity of high-contrast imaging instruments. Most current approaches to processing differential imaging sequences like angular differential imaging and spectral differential imaging produce a self-calibrating data set that is combined using a linear least-squares solution to minimize the noise. Due to temporal and chromatic evolution of a telescope’s PSF, the best correlated reference images are usually the most contaminated by the planet, leading to self-subtraction and reducing the planet throughput. In this paper, we present an algorithm that directly optimizes the nonlinear equation for planet signal-to-noise ratio (S/N). This new algorithm does not require us to reject adjacent reference images and optimally balances noise reduction with self-subtraction. We then show how this algorithm can be applied to multiple images simultaneously for a further reduction in correlated noise, directly maximizing the S/N of the final combined image. Finally, we demonstrate the technique on an illustrative sequence of HR8799 using the new Julia-based Signal to Noise Analysis Pipeline. We show that S/N optimization can provide up to a 5× improvement in contrast close to the star. Applicable to both new and archival data, this technique will allow for the detection of fainter, lower mass, and closer-in companions, or achieve the same sensitivity with less telescope time.
La tradition suédoise et les chiffres
Authors: Johansson Per Magnus 
Published: April 2021

Ce texte traite de la manière dont s’est articulé le discours autour de la pandémie de la covid 19 entre le 11 mars et le 1 er décembre 2020 en Suède. C’est une tentative de montrer comment un nouveau pouvoir médical, véhiculé par différents acteurs, a vu le jour à la lumière de cette épidémie. Est également abordée la façon dont la stratégie suédoise a été mise en perspective et comparée à d’autres stratégies « plus rigoureuses ».
Irréversible du traumatisme, réversibilité des espaces – Métapsychologie de l’habiter
Authors: Vinot Frédéric 
Published: April 2021

Habiter, loin de se réduire au fait de se loger, suppose une production de l’espace. Cette production, en psychanalyse, est marquée notamment par la position que le sujet entretient vis-à-vis du langage, mais aussi du réel. On traitera ici des variations et des transformations spatiales dont certains sujets témoignent lorsqu’ils rencontrent un événement traumatique. À ce titre, on pourrait poser l’hypothèse d’au moins trois espaces : l’espace bidimensionnel (2D) témoignant du vécu traumatique ; l’espace tridimensionnel (euclidien) dans lequel nous nous représentons habituellement vivre et évoluer (3D) ; enfin l’espace particulier lié à l’expérience de l’art, un espace vertigineux qui pourrait être approché en termes topologiques (4D). Quelles sont les relations entre ces espaces ? Comment participent-ils à la façon dont un sujet habite le monde ?
Entreprise libérée et organisation agile
Authors: Lima Marcos , Dalmas Michel 
Published: April 2021

Au fur et à mesure que les environnements concurrentiels deviennent à la fois plus compétitifs et moins prévisibles, les organisations sont de plus en plus sollicitées pour devenir plus agiles, attirer, motiver et développer des talents innovants et utiliser les technologies de l’information et des communications pour accroître leur compétitivité. Deux approches organisationnelles émergentes se concentrent sur chacun de ces domaines : si les entreprises libérées mettent l’accent sur la motivation des talents par l’autodétermination, les organisations agiles s’appuient sur l’adaptabilité de leurs structures pour produire des résultats plus rapides et plus proches des attentes des consommateurs, tout en utilisant des outils informatiques et des réseaux pour apprendre et gérer les connaissances. Par l’analyse du cas de l’entreprise Inov-On, nous soutenons que les organisations modernes doivent s’inspirer parallèlement de ces deux paradigmes pour accroître leur capacité à innover et à s’adapter, prenant les points forts de chacun des modèles.
Anthropologie
Authors: Sapir Edward 
Published: April 2021

Edward Sapir est incontestablement l’un des plus importants anthropologues du début du XXe siècle. Bien avant que ne se développe l’anthropologie structurale, Sapir formule la philosophie du structuralisme et jette les bases d’une science générale de la conduite. Parce qu’individu et société, culture et personnalité sont indissociables, Sapir fonde une méthode à la croisée de l’ethnologie et de la linguistique qui, combinant les concepts et les méthodes de l’ethnologie et de la psychanalyse, apparaît aujourd’hui comme un programme prophétique des tâches qui incombent à l’anthropologie.Ce spécialiste des langues et cultures amérindiennes n’écrivit de son vivant aucun ouvrage de synthèse, à l’exception d’un volume sur le langage et d’un ensemble de monographies des langues et cultures indiennes d’Amérique du Nord. Son œuvre est éparpillée en de nombreux articles publiés entre 1917 et 1938, dont une partie a été compilée par David Mandelbaum en 1949 sous le titre Selected Writings of Edward Sapir in Language, Culture and Personality, et une sélection traduite en français par Christian Baudelot et Pierre Clinquart, éditée en deux volumes par les Éditions de Minuit en 1967.Le volume que nous proposons aujourd’hui, exclusivement en version numérique, est la réédition de cette sélection française présentée dans l’édition de Minuit par Christian Baudelot. Notre édition propose une traduction entièrement relue, corrigée et annotée par Pierre Clinquart, augmentée d’une préface inédite par l’anthropologue Francis Zimmermann.
Role of Pneumococcal NanC in the Severe Disease of Streptococcus pneumoniae Superinfection with Influenza
Authors: Dutta Avijit , Chen Yi-Yin , Chen Tse-Ching , Chang Chia-Shiang , Huang Yu-Lin , Chen Ting-An , Lin Yung-Chang , Lin Chun-Yen , Hsieh Yu-Chia , Huang Ching-Tai 
Published: April 2021

Abstract
Bacterial superinfection aggravates the disease of influenza. Streptococcus pneumoniae is the most common bacterial pathogen. Synergistic virulence has been demonstrated between influenza neuraminidase and pneumococcal NanA and NanB. NanC, the other pneumococcal neuraminidase infrequently present in clinical isolates, is not well characterized. In this study, we report that superinfection with a NanC-negative pneumococcus strain suppresses anti-influenza immunity and impairs viral clearance with higher TGF-β activation in mice. Bacterial load in the lungs also increases as the host immunity is suppressed. NanC-positive isogenic mutant reverses wild type S. pneumoniae–mediated immune suppression and facilitates virus clearance. However, it causes more severe disease as the augmented inflammation causes collateral damage. Both virus-mediated damage and immune response–mediated inflammation are important for pathogenesis of severe influenza. Inflammation may be more critical than virus-mediated damage in influenza with bacterial superinfection.
Therapeutic drug monitoring of olanzapine
Authors: Junutula Srinivas Pramod , Dubasi Sai Kiran , Padide Sai Geethika Reddy , Miryala Gireesh Kumar , Koppolu Manasa Soumya , Sheshagiri Sharvana Bhava Bandaru , Eggadi Venkateshwarlu 
Published: April 2021

AIM:
The current work establishes an easy, reliable technique for the estimation of serum Olanzapine concentration which correlates it clinically.

SUBJECTS AND METHODS:
The work was agreed in 61 schizophrenic patients who were on olanzapine. Serum drug amount was estimated by normal-phase high-performance liquid chromatography and brief psychiatry rating scale was used to determine disease progression.

RESULTS:
Samples provided 61 patients, 40 were under sub-therapeutic range, 18 were under therapeutic range and 3 were above the therapeutic range.

CONCLUSION:
Therapeutic drug monitoring must be a part of clinical practice in psychiatric hospitals for optimizing the dose of an individual patient along with the correlation of serum concentration with the clinical assessment scales.