bluuebunny/crossref_metadata_2025_split huggingface dataset:
La producción investigativa en recreación en la USTA. Retrospectiva y desafíos
Authors: Ruiz-González Lady Johanna , Piratova Diego Andres , Fonseca Zamora Francisco Javier 
Published: October 2021

Objetivo.El siguiente artículo tiene como fin dar cuenta de la revisión documental de la producción académica e investigativa que se ha llevado a cabo en la Universidad Santo Tomás desde el año 1999 hasta la fecha enfocado al campo de la Recreación. Metodología.La revisión se inicia con la búsqueda en las bases de datos de la Universidad indagando acerca de documentos asociados a la temática mencionada, dicha información recolectada en un formato de RAE permitió un ordenamiento basado en tres categorías: 1. Conceptualización 2. Historia y 3. Tendencias asociadas a la Recreación. La investigación de tipo cualitativo con un enfoque descriptivo.Resultado.21 documentos analizados de diferente tipo, explícitos en los siguientes apartados.Conclusión.El reto frente a la promoción en la comunidad académica sobre repensar, reflexionar y escribir acerca de las manifestaciones que ha tenido la Recreación a través del tiempo, es decir, sobre la historia, así como conceptualizar internamente a partir de conocimientos y experiencias propias de la comunidad Tomasina y desde como las tendencias de la recreación son escenarios de acción para los futuros profesionales.
PREDICTORES DE LA EFICACIA DE RECEPCIÓN EN VOLEIBOL MUNDIAL MASCULINO U-21 Y ABSOLUTO
Authors: González-Silva J. , Fernández-Echeverría C. , Conejero M. , Moreno M.P. 
Published: October 2021

El objetivo de la investigación fue conocer las variables de recepción que predecían su eficacia, en diferentes niveles de juego (U-21, absoluto) en voleibol masculino. La muestra del estudio estuvo compuesta 3442 acciones de recepción, de las cuales 1894 corresponden a categoría U-21 (U-21 Men´s World Championship) y 1548 a categoría absoluta (Absolute Men´s World Championship). Las variables del estudio fueron: función del receptor, desplazamiento previo del receptor, tipo de recepción, posición del receptor, técnica de recepción, zona de recepción, eficacia de recepción. El análisis de regresión logística multinomial mostró que, el desplazamiento previo del receptor y la técnica de recepción fueron predictoras en ambas categorías, U-21 y absoluta; el tipo de recepción y zona de recepción fueron predictoras únicamente en U-21; la posición del receptor fue predictora únicamente en absoluta. Dicha información puede ayudar al proceso de entrenamiento favoreciendo el diseño de tareas concretas para cada nivel de juego.
TRATAMIENTO DE LA LATERALIDAD EN GIMNASIA RÍTMICA: ESTUDIO CENTRADO EN ENTRENADORAS Y ENTRENADORES
Authors: Estrada-Marcén N. , Redondo-Laencina P. , Casterad-Seral J. , Cid-Yagüe L. 
Published: October 2021

Durante muchos años se han estudiado los factores de los que depende la lateralidad humana, no habiéndose podido establecer ningún resultado concluyente hasta el momento. El deporte es un ámbito en el que frecuentemente se pretenden realizar cambios en la lateralidad. Encontramos estudios que afirman que la dominancia lateral se puede cambiar mediante el entrenamiento y la aplicación de técnicas de modificación de la conducta motriz (Bilbao & Oña, 2006). Pretendemos obtener una visión general del tratamiento de la lateralidad en el entrenamiento de la Gimnasia Rítmica, basado en las opiniones y experiencias de entrenadoras y entrenadores. Para la recogida de información se diseñó un cuestionario, participando 83 personas. El análisis permitió describir el tratamiento que en el entrenamiento de Gimnasia Rítmica se da a la lateralidad. El uso de los miembros contralaterales propiciado en el entrenamiento es relativamente frecuente (60%), pero no suele producir cambios en el lado hábil.
PORTERÍA VACÍA: SU INFLUENCIA EN EL CAMPEONATO MUNDIAL DE BALONMANO MASCULINO 2019
Authors: Flores-Rodríguez J. , Ramírez-Macías G. 
Published: October 2021

El objetivo de la presente investigación fue conocer el impacto que ejerce en el desarrollo del juego la nueva norma, que permite la sustitución del portero por un jugador de campo (jugando a portería vacía). Empleando un instrumento de observación ad hoc se registraron todos los ataques realizados en los partidos correspondientes a la fase final del Campeonato Mundial masculino de Balonmano celebrado en 2019. Tras un análisis descriptivo, se aplicó la técnica de coordenadas polares para conocer los patrones de conducta que emergen en una situación de 6 vs. 6, según se utilice o no el recurso de la portería vacía. Los resultados indican que la nueva norma se utiliza primordialmente en inferioridad numérica, provocando diferentes comportamientos en las fases de ataque y repliegue defensivo. Finalmente, hay que destacar que conocer las nuevas tendencias del juego puede ayudar a optimizar los programas de aprendizaje y rendimiento deportivo.
Usefulness of Child HCAHPS Survey Data for Improving Inpatient Pediatric Care Experiences
Authors: Quigley Denise D. , Slaughter Mary Ellen , Gidengil Courtney , Palimaru Alina , Lerner Carlos , Hays Ron D. 
Published: October 2021

OBJECTIVES
Quality improvement (QI) requires data, indicators, and national benchmarks. Knowledge about the usefulness of Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) data are lacking. We examined quality leader and frontline staff perceptions about patient experience measurement and use of Child HCAHPS data for QI.

METHODS
We surveyed children’s hospital leaders and staff about their use of Child HCAHPS for QI, including measures from other studies. We compared scale and item means for leaders and staff and compared means to other studies.

RESULTS
Almost all leaders, but only one-third of staff, received reports with Child HCAHPS data. Leaders found the data more useful for comparisons to other hospitals than did staff. Both agreed on the validity of Child HCAHPS scores and used these data for improving pediatric care experiences. They agreed the data accurately reflect their hospital’s quality of care, provide specific information for QI, and can be used to improve pediatric care experiences. They also agreed on approaches to improve Child HCAHPS scores. Among staff, QI was reported as essential to their daily work and that Child HCAHPS data were integral to QI.

CONCLUSIONS
As uptake of the Child HCAHPS survey increases, our study of one medium-sized, urban children’s hospital revealed that leaders and staff believe Child HCAHPS provides actionable metrics for improvement. Our study fills a gap in research about the use of Child HCAHPS for pediatric QI. A multisite evaluation would provide further information about how the Child HCAHPS survey can improve care.
Parent and Physician Qualitative Perspectives on Reasons for Pediatric Hospital Readmissions
Authors: Hamline Michelle Y. , Sauers-Ford Hadley , Kair Laura R. , Vadlaputi Pranjali , Rosenthal Jennifer L. 
Published: October 2021

OBJECTIVESOne in 5 parents report a problem in their child’s hospital-to-home transition, leading to adverse events, dissatisfaction, and readmissions. Although researchers in several studies have explored parent insights into discharge needs, few have explored perceptions of causes for pediatric readmissions. We sought to investigate factors contributing to pediatric readmissions, from both parent and physician perspectives.METHODSWe conducted a qualitative study using semistructured interviews with parents, discharging and readmitting physicians, and subspecialist consultants of children readmitted within 30 days of initial discharge from the pediatric ward at an urban nonfreestanding children’s hospital. Participants were interviewed during the readmission and asked about care transition experiences during the initial admission and potential causes and preventability of readmission. Data were analyzed iteratively by using a constant-comparative approach. We identified major themes, solicited feedback, and inferred relationships between themes to develop a conceptual model for preventing readmissions.RESULTSWe conducted 53 interviews from 20 patient readmissions, including 20 parents, 20 readmitting physicians, 11 discharging physicians, and 3 consulting subspecialists. Major themes included the following: (1) unclear roles cause lack of ownership in patient care tasks, (2) lack of collaborative communication leads to discordant understanding of care plans, and (3) incomplete hospital-to-home transitions result in ongoing reliance on the hospital.CONCLUSIONSClear definition of team member roles, improved communication among care team members and between care teams and families, and enhanced care coordination to facilitate the hospital-to-home transition were perceived as potential interventions that may help prevent readmissions.
Facilitators and Barriers to Providing Vaccinations During Hospital Visits
Authors: Bryan Mersine A. , Hofstetter Annika M. , Ramos Daniela , Ramirez Magaly , Opel Douglas J. 
Published: October 2021

BACKGROUND
Many children are undervaccinated at the time of hospital admission. Our objective was to explore the facilitators and barriers to vaccinating during hospitalization.

METHODS
We conducted qualitative interviews of parents, primary care pediatricians, emergency department (ED) physicians, and pediatric hospitalists. Parents of undervaccinated hospitalized children who were admitted through the ED were invited to participate. We used purposive sampling to identify physician participants. Semistructured interviews querying participants' perspectives on hospital-based vaccination were audiorecorded and transcribed. Parent demographics and physician practice characteristics were collected. Transcripts were analyzed for facilitators and barriers to vaccinating during acute hospital visits by using inductive content analysis. A conceptual framework was developed on the basis of the social ecological model.

RESULTS
Twenty-one parent interviews and 10 physician interviews were conducted. Of parent participants, 86% were female; 76% were white. Physician participants included 3 primary care pediatricians, 3 ED physicians, and 4 hospitalists. Facilitators and barriers fell under 4 major themes: (1) systems-level factors, (2) physician-level factors, (3) parent-provider interactional factors, and (4) parent- and child-level factors. Parent participants reported a willingness to receive vaccines during hospitalizations, which aligned with physician participants' experiences. Another key facilitator identified by parent and physician participants was the availability of shared immunization data. Identified by parent and physician participants included the availability of shared immunization data. Barriers included being unaware that the child was vaccine-eligible, parental beliefs against vaccination, and ED and inpatient physicians’ perceived lack of skills to effectively communicate with vaccine-hesitant parents.

CONCLUSIONS
Parents and physicians identified several key facilitators and barriers to vaccinating during hospitalization. Efforts to provide inpatient vaccines need to address existing barriers.
Improving Communication for Admissions From Urgent Care to Inpatient Using a Structured Handoff
Authors: Nedved Amanda , Berg Kathleen , Lee Brian , Montalbano Amanda 
Published: October 2021

BACKGROUND
Previous studies reveal that ineffective communication contributes to patient-safety events. Structured handoffs improve communication during shift change and transfers from outpatient clinics to emergency departments. We aimed to improve the perceived quality of admission handoffs from a baseline of 22.2% to 50% by the end of the study period through use of a standardized template between urgent care (UC) and inpatient providers.

METHODS
We used quality improvement methodology to identify key themes (clarity in illness severity, organization, completeness, and pace) that contribute to decreased quality communication. A survey to evaluate the perception of communication and key themes between the groups was administered. During the 15-month quality improvement study at a tertiary pediatric institution, we implemented a handoff tool with visual aids. Givers of information received formal training. Participants received iterative performance feedback. A control chart was used to monitor fidelity to the handoff tool. We used statistical analyses to compare changes in perceived communication between provider types before and after implementation of the handoff tool.

RESULTS
Both UC and inpatient providers had an increased rate of positive perceptions in the overall quality of communication after 12 months of using the admission handoff tool (22% vs 67.3%; P = .01). Complete fidelity to the admission handoff tool increased over time. There was no change in mean duration of handoff (4 minutes) after implementing the structured handoff.

CONCLUSIONS
A structured handoff during admission of pediatric patients from an off-site UC to inpatient setting improved the perception of the quality of admission handoff communication.
Using Quality Improvement and Technology to Improve Social Supports for Hospitalized Children
Authors: Fortin Kristine , Vasan Aditi , Wilson-Hall C. Leigh , Brooks Elizabeth , Rubin David , Scribano Philip V. 
Published: October 2021

OBJECTIVES
To develop and test the feasibility of a caregiver self-administered social needs screener, a Web-based searchable community resource map, and a process map for implementation of these tools as part of social needs screening and referral on a pediatric inpatient unit.

METHODS
A multidisciplinary team used quality improvement methodology to develop an electronic social needs screener, resource map Web site, and electronic health record enhancements. A process map for implementation of these tools was refined through plan-do-study-act cycles before full implementation. Weekly measures included the number of eligible caregivers screened, prevalence of reported social needs, and use of social work resources.

RESULTS
During the 22-week study period, 147 caregivers were screened and 2 declined to participate. Thirty-four percent of caregivers endorsed ≥1 social need. The most common needs identified were depressive symptoms (23%), food insecurity (19%), and need for assistance with utilities (10%). All participants received information about the resource map, and 99% of caregivers with an identified need met with a social worker during their admission.

CONCLUSIONS
Using quality improvement methodology and technology, the team implemented a new standardized process for addressing social needs on an inpatient unit. This led to identification of social needs in more than one-third of caregivers screened and provision of resource map information to all caregivers. These findings reinforce the importance of standardized assessment of social needs in the pediatric inpatient setting. The role of technology, including resource maps and electronic health record enhancements, was highlighted.
Decreasing Unnecessary Antibiotic Usage in Patients Admitted With Bronchiolitis
Authors: Naeem Fouzia , Kuzmic Brenik , Khang Leepao , Osburn T. Shea 
Published: October 2021

BACKGROUND AND OBJECTIVESBronchiolitis is a viral syndrome that occurs in children aged &lt;2 years and is a common reason for admission to children’s hospitals. The American Academy of Pediatrics bronchiolitis guideline discourages routine antibiotic therapy for bronchiolitis. Despite this, there is high use of antibiotics in this patient population.METHODSWe performed a retrospective chart review of all patients aged ≤2 years admitted to our tertiary care center with bronchiolitis during 2 subsequent respiratory seasons. Between the 2 seasons, we provided an intervention to our hospital medicine group, which included a didactic review of American Academy of Pediatrics bronchiolitis guideline followed by subsequent, ongoing reinforcement from antibiotic stewardship weekday rounds.RESULTSWe were able to achieve a 40% decrease in overall antibiotic use between the 2 study periods (25% vs 15%, P &lt; .001).CONCLUSIONSProvider education, along with focused antibiotic stewardship audits with real-time feedback, resulted in decreased use of antibiotics in patients admitted with bronchiolitis.
Integrative analysis of dietary water footprint and dietary quality – Towards the practical application of sustainable nutrition
Authors: Tompa O. , Kanalas O. , Kiss A. , Soós S. , Lakner Z. 
Published: October 2021

AbstractThe contribution of food production to the environmental burden is considerable, therefore, numerous countries have been trying to create a sustainable food supply chain to ensure food and nutrition security. The scope of this study was to analyse the association between water footprint and healthiness based on dietary records. Furthermore, it was aimed to create a classification of integrative dietary indicators of sustainable nutrition. With these methodological aims, the dietary records of 25 healthy adults were assessed. The dietary quality scores and dietary water footprint were calculated and Spearman's rank correlation was tested between them. The indicator nutrients were classified based on their advantageous or disadvantageous health impact and association with water footprint. There was a significant positive correlation between the meat consumption and water footprint, while significant negative correlations were found between the dietary quality score and water footprint and dietary quality score and meat consumption (P< 0.05). Protein, energy, sodium, and saturated fatty acids as integrated indicator nutrients could be identified for both dietary quality and water footprint. The improvement in dietary quality could simultaneously decrease the dietary water footprint. The integration of environmental impact into the analysis of diets could be the future direction in the counseling practice of nutritionists.
Information Technologies of Digital Adaptive Medicine
Authors: Bogomolov Alexey 
Published: October 2021

The article provides a comprehensive description of information technologies of digital adaptive medicine. The emphasis is on the applicability to the development of specialized automated complexes, software models and systems for studying the adaptive capabilities of a person to environmental conditions. Requirements for information technologies to enhance these capabilities are formulated. The features of information technologies are reflected in relation to the implementation of applied systemic studies of life support, preservation of professional health and prolongation of human longevity.
Six basic concepts of adaptive medicine with an emphasis on the features of the mathematical support for information processing are characterized, priorities for improving information technologies used in these concepts are determined.
The information technologies used in the tasks of ensuring the professional performance of a person with an emphasis on the need to use adequate methods for diagnosing the state of a person at all stages of professional activity and the need to develop technologies for digital twins that adequately simulate the adaptation processes and reactions of the body in real conditions are considered.
The characteristics of information technologies for personalized monitoring of health risks are given, which make it possible to objectify the effects of physical factors of the conditions of activity and to implement individual and collective informing of personnel about environmental hazards.
The urgent need to standardize information processing methods in the development of information technologies for digital adaptive medicine in the interests of ensuring physiological adequacy and mathematical correctness of approaches to obtaining and processing information about a person's state is shown.
It is concluded that the priorities for improving information technologies of digital adaptive medicine are associated with the implementation of the achievements of the fourth industrial revolution, including the concept of sociocyberphysical systems.
TREATING WASTE SLUDGE FROM WATER-PURIFICATION PLANTS WITH THE GEOPOLYMERIZATION METHOD
Authors: Minh Do Quang , Dat Thai Tien , Thang Nguyen Hoc , Kien Kieu Do Trung , Kien Pham Trung , Minh Huynh Ngoc , Nhi Nguyen Vu Uyen 
Published: October 2021

Treatment of the sludge from water-purification plants is becoming more and more urgent due to the inability to increase its storage area. To avoid CO2 emissions, the use of non-Portland cement binders is recommended. The application of geopolymerization of waste sludge (WS) from water-purification plants is a novel solution. Curing conditions including high temperature, pressure or microwaves enhance the formation of geopolymer bonds. This paper presents the results of a research on the treatment of the WS of the Thu Duc water-purification plant (Vietnam) with the geopolymerization method. Solid phases were prepared by mixing the WS and fly ash (FA). The FA proportions of the solid phases were (10, 40, 70) w/%. The alkali-activated solution (AAS) was a mixture of a 40 w/% NaOH 6M solution and 60 w/% water glass (WG: Na2O.nSiO2 with n = 1.75 and volumetric density r = 1.40 kg/L). The geopolymer materials were mixtures containing an 80 w/% solid phase and a 20 w/% liquid phase of the AAS. Geopolymer samples were formed in a cylindrical steel mold with a diameter of 10 mm at a high pressure. The samples were cured in a 112 W microwave oven for 30 s or in a dryer at 110 °C for 24 h. The compressive strength and volumetric density of both sample groups were determined and compared to each other. The formation of geopolymer bonds was investigated using XRD, FTIR and SEM.
WARM DEFORMATION BEHAVIOR OF A 65MN SPRING STEEL
Authors: Zhang Peng-fei , Wang De-cheng , Cheng Peng , Shao Chen-xi , Zhou Jun-ying , Huang Ji-hua 
Published: October 2021

The warm deformation behavior of 65Mn spring steel has been carried out by a thermomechanical simulator. The deformation temperatures are in the range of 550 ~ 700℃ and strain rates are in the range of 0.001 ~ 1 s-1. The deformation activation energy is calculated to be 486.829 KJ•mol-1. The strain compensated Arrhenius-type constitutive model was established. The relationship materials constants and strain were fitted with an 8th order polynomial. It was found that the strain has a significant influence on the instability map. At the strain is 0.3, the optimum flow zone may take place with the deformation temperatures higher than 626 ℃ and strain rate in the range of 0.001 ~ 1 s-1.
Contemporary morphological patterns: morphometric analysis of open spaces in different types of urban lots in the city of Uberlândia-MG
Authors: Cocozza Glauco de Paula , Guerra Maria Eliza Alves 
Published: October 2021

The main objective of this study is to explore the influence and reflexes of urban and environmental legislation on the production, configuration, and distribution of urban open spaces. The work is based on the premise that, over the last years, legislation has played an important role in the composition of the urban spatial mosaic, especially regarding the need and obligation of all new lots to reserve, in the lottable land, a minimum percentage of open spaces, understood in this research as the road network, public recreation areas, permanent environmental protection areas, municipal easements and property easements. The object of this observation are the urban lots approved by the city of Uberlândia since 2000, a period in which several factors forced the city to adjust to the new urban development instruments and to the master plan, mainly the city’s rapid growth, also a result of the growth of the Brazilian real estate market. We applied the morphometric methodology, using the QGIS software to quantify open space and analyze measurements and rates of the morphological elements based on the legal parameters. The result was the identification of the way open spaces were designed in the analyzed projects, their spatial relations, morphological typology and distribution patterns, uncovering recurring patterns that characterize the landscape of many medium-sized Brazilian cities.