bluuebunny/crossref_metadata_2025_split huggingface dataset:
Addressing Transition to Practice: Assessing Perceived Effectiveness of a Competency Based Change to On-Call Responsibilities of Senior Cardiology Residents
Authors: Caddell Andrew James , Bamwoya Edwin Moses , Moeller Andrew Donald 
Published: October 2021

Abstract
Background

There has been a paradigm shift in residency training over the last several years wherein Competency by Design (CBD) is being integrated to replace more traditional time-based models of training. The Residency Program Committee (RPC) for the Cardiology training program at Dalhousie University in Halifax, Canada addressed the Transition to Practice stage by approving a trial of adjusting the resident call responsibilities to reflect the transition to CBD curriculum. The goal of this adjustment was three-fold: i. Gradually increase accountability of the senior cardiology resident as they transition to practice; ii. Address a gap in training that allows the senior resident to have a gradual transition to the role of a practicing cardiologist while on call; iii. Allows further evolution of skills and abilities.
Methods

A survey was administered to the practitioners involved in this competency-based change to the call responsibilities. Surveys were distributed to the final year Cardiology Residents, Staff Cardiologists, and Senior Internal Medicine residents to assess their experience and opinions of the current, competency-based change of the on-call curriculum. The survey consisted of eleven questions, of which, four were assessed on a Likert scale and 3 were yes/no questions.
Results

Four PGY6 cardiology residents, five senior internal medicine residents and eleven staff cardiologists completed the survey. Amongst those who completed the survey there was agreement that the change to the on-call responsibilities improved cardiology residents’ skills, accountability and preparedness to practice. All groups felt the changes were useful for the cardiology training program. There was mild negative effect of perceived accountability by the internal medicine residents.
Conclusion

Overall the change in call structure led to improved perceived preparedness to practice amongst the cardiology residents and addressed a gap in the Transition to Practice phase of CBD training. This study provides some evidence to the potential benefit of CBD and specifically in the benefits towards transitioning to practice.
Determinants of Optimal Antenatal Care Visit Among Pregnant Women in Ethiopia: a Multilevel Analysis of Ethiopian Mini Demographic Health Survey 2019 Data
Authors: Yehualashet Delelegn Emwodew , Seboka Binyam Tariku , Tesfa Getanew Aschalew , Mamo Tizalegn Tesfaye , Seid Elias 
Published: October 2021

Abstract
Background: Optimal antenatal care (ANC4 +) needs to be used throughout pregnancy to reduce pregnancy complications and maternal mortality. The World Health Organization (WHO) recommends eight ANC contacts, while Ethiopia has the lowest coverage of at least four ANC visits. Therefore, this study aimed to identify factors associated with optimal ANC visits among pregnant women in Ethiopia. Methods: This study is a secondary data analysis of the 2019 Ethiopian Mini Demographic and Health Survey (EMDHS). A multilevel logistic regression model is set up to identify factors associated with optimal ANC visits. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were calculated to estimate the strength of the association between the outcome and the predictor variables. Results: Overall, 43% of women had optimal ANC visits during their last pregnancy. Higher educated women are 3.99 times more likely (AOR = 3.99; 95% CI: 2.62-6.02) to have optimal ANC visits than women with no formal education. The wealthiest women are 2.09 times more likely (AOR = 2.09; 95% CI: 1.56-2.82) to have optimal ANC visits than women in the poorest quintile. The odds of optimal ANC visit is 42 percent lower in rural women (AOR = 0.58, 95% CI: 0.41-0.83) compared to women living in urban areas. Conclusion: Women's educational status, wealth status, mass media exposure, place of residence and region are factors that are significantly associated with optimal ANC visit. These findings help health care programmers and policymakers to introduce appropriate policies and programs to ensure optimal ANC coverage. Priority should be given to addressing economic and educational interventions.
The Performance of the HATCH Score for Predicting New-Onset Atrial Fibrillation in An Elderly Hospital-Based Chinese Population
Authors: Wu Haiyun , Dai Ruozhu , Wang Min , Chen Chengbo 
Published: October 2021

Abstract
BACKGROUND: The aging population represents high risk in developing new-onset atrial fibrillation (NOAF). Assessing individual risk of NOAF is pivotal for primary prevention. The role of the HATCH score for predicting NOAF in the elderly hospital-based Chinese population has never been evaluated.METHODS: In our center, the development of NOAF was followed among patients aged over 65 years. Incidence of NOAF was calculated. Risk factors for NOAF were investigated using uni- and multivariable Cox regression analysis. The performance of the HATCH score for predicting NOAF was evaluated using Kaplan-Meier curve analysis with DeLong test and C-indexes.RESULTS: A total of 7718 elderly patients were enrolled in the present study, with 421 developed NOAF during 3.18 ± 3.73 years of follow-up with an incidence of 1.71 (95%CI 1.55-1.89) per 100 patient-years. After adjusted with cofounders, only hypertension (hazard ratio [HR] 1.51, 95% confidence interval [CI] 1.23-1.85), COPD (HR 1.86, 95%CI 1.22-2.84) and HF (HR 1.82, 95%CI 1.28-2.59) were independently related to NOAF. The risk of NOAF increased with a higher HATCH score (38% higher risk per 1-point increase). Among those with a HATCH score ≥4, the risk of NOAF was 4.01 (95%CI 3.85-4.16) per 100 patient-years (Log-rank P <0.001). The C-index for the HATCH score was moderate (0.60 [95%CI, 0.57-0.63]), which was better than the single criteria but comparative to other scoring systems.CONCLUSION: In this elderly hospital-based Chinese population, the HATCH score had a moderate predictive ability for NOAF.
The Risk of Newly Diagnosed Cancer in Patients with Rheumatoid Arthritis by TNF Inhibitor Use: A Nationwide Cohort Study
Authors: Choi Boyoon , Park Hyun Jin , Song Yun-Kyoung , Oh Yoon-Jeong , Kim In-Wha , Oh Jung Mi 
Published: October 2021

Abstract
Background

Tumor necrosis factor (TNF) inhibitors use in patients with rheumatoid arthritis (RA) has raised safety concerns about cancer risk, but study results remain controversial. This largest nationwide study to date compared cancer risk in TNF inhibitor users to non-biologic disease-modifying anti-rheumatic drug (nbDMARD) users in Korean patients with RA.
Methods

Data on all the eligible patients diagnosed with RA between 2005 and 2016 were retrieved from the Korean National Health Information Database. The one-to-one matched patients consisted of the matched cohort. The risks for developing all-type and site-specific cancers were estimated using incidence and incidence rate (IR) per 1,000 person-years. Adjusted hazard ratio (HR) and 95% confidence interval (CI) were estimated using a Cox regression model.
Results

Of the 22,851 patients in the before matching cohort, 4,592 patients were included in the matched cohort. Treatment with TNF inhibitors was consistently associated with a lower risk of cancer than in the nbDMARD cohort (IR per 1,000 person-years, 6.5 vs. 15.6; adjusted HR, 0.379; 95% CI, 0.255–0.563). The adjusted HR (95% CI) was significantly lower in the TNF inhibitor cohort than the nbDMARD cohort for gastrointestinal cancer (0.432; 0.235–0.797), breast cancer (0.146; 0.045–0.474), and genitourinary cancer (0.220; 0.059–0.820).
Conclusions

The use of TNF inhibitors was associated with a lower cancer incidence in Korean patients with RA. A further study linking claims and clinical data is needed to confirm our results.
Physical modeling of sand columns application in recharge reservoir to prevent seawater intrusion
Authors: Yusuf Hamzah , Azis Akhmad , Badaruddin Sugiarto , Saiby Andi Muhammad Subhan , Faisal Zulvyah , Saing Zubair 
Published: October 2021

Abstract
This study aims to provide visual evidence by the physical simulation to demonstrate the sand column performance of a recharge reservoir to control seawater encroachment and confirm some previous studies. In this analysis, a two-dimensional sand tank illustrates the sand column's role in overcoming seawater intrusion. Besides using dyes, the sand tank is also fitted with sensors to observe the length of seawater penetration. Furthermore, the simulation using SEAWAT numerical modeling is used as a reference in this analysis. The criteria analyzed were the number of sand columns, the reservoir water level, and the isochlors concentration. The results revealed a reasonably close match between physical and computational modeling. It was also found that the more sand columns and the higher the reservoir water level, resulted in the decrease of seawater penetration length that occurred. Physical and computational modeling findings indicated that the optimal results are derived using three sand columns with an RMSE value of 0.76. The seawater infiltration length decreased to 84.72% relative to sand column-free conditions at a reservoir water level of 15.0 cm.
A study of saltwater intrusion in the Kallada River, southwest coast of Kerala, India
Authors: Chithra S. , Joseph Sabu , Kannan N. 
Published: October 2021

AbstractMunroe Island in Kollam District of Kerala is a typical backwater village situated at the confluence of the Ashtamudi backwater and the Kallada River system. It is an amalgamation of eight small islands with a total area of 13.4 km2. Salinity intrusion has been a serious threat in the downstream areas of Kallada River for more than one and half decades, affecting the groundwater quality of Munroe Island. The present study focuses on the seasonal variation in physico-chemical characteristics of the underground water system of Munroe Island and Kallada River with special reference to saline water intrusion. Physico-chemical analysis of ground water revealed that samples were unsuitable for drinking due to higher content of Na, Ca, and K. Microbiological analysis of island groundwater showed the presence of coliform and E. coli bacteria above the permissible limit. Results indicated a significant correlation between salinity and major anions viz., Cl− and SO42 and cations viz., Mg, Na, Ca, and K of both river surface and island groundwater. In the present study it is clearly evident the occurrence of saltwater intrusion in Kallada River from Ashtamudy Lake and the its severity become higher during premonsoon season. The results also indicated that the salinity increase in Kallada River has a negative impact on island groundwater quality. The paper also suggests suitable management strategies for overcoming the saltwater intrusion thereby upgrading island sustainability.
Henri Roorda, encore méconnu
Authors: Maggetti Daniel 
Published: October 2021

Henri Roorda est à la fois un auteur très apprécié par un cercle d’amateurs, et un écrivain largement méconnu. Ce cahier souhaite donner quelques pistes pour découvrir une oeuvre variée à l’humour souvent décapant.
Keywords: Henri Roorda, chronique, association, Michel Froidevaux, pédagogie.
«Credo che esista solo la letteratura». Conversazione con Olivo Barbieri
Authors: Maggi Marco , Tescari Vega 
Published: October 2021

Conversazione con il fotografo Olivo Barbieri sullo statuto delle immagini e il suo rapporto con la parola e la letteratura. A partire da Flippers (1977- 1978), proseguendo con la partecipazione a Viaggio in Italia (1984) e con le serie Artificial Illuminations (1980-2014), Virtual Truths (1996-2002), site specific_ (2003-2013), Parks (2006-2015), Real Worlds (2008-2013), Olivo Barbieri conduce un’originale riflessione sulla quantità di realtà presente nei sistemi di vita contemporanei e su quanto la nostra percezione sia in grado di assorbirne. Presente con le sue opere nei principali musei e collezioni del mondo, è inoltre attento e appassionato curatore di cataloghi e libri fotografici.
Keywords: Olivo Barbieri, Letteratura e fotografia, Libro fotografico, Fototestualità.
Il languorino
Authors: Falco Giorgio , Ragucci Sabrina 
Published: October 2021

Una digressione sul rapporto tra testo e immagine: dal segno al linguaggio, l’influenza di Atget su Evans, di Evans su Frank, dal modernismo anti-narrativo fino al manifestarsi della scrittura nell’immagine. Gli autori ripercorrono alcuni loro lavori fototestuali.
Keywords: Eugène Atget, Walker Evans, Berenice Abbott, modernismo, Robert Frank, Jean-Luc Godard, Jim Dine, testo-immagine.
Reflexiones metapoéticas en esbozos inéditos de Miguel Hernández
Authors: Alemany Bay Carmen 
Published: October 2021

En las presentes páginas trataremos de analizar una serie de reflexiones metapoéticas que se encuentran entre borradores, todavía inéditos, de Miguel Hernández. Las observaciones sobre el hecho poético se circunscriben a dos etapas. La primera, correspondiente al ciclo de Perito en lunas, y la tercera, que responde al ciclo de la guerra; coincidiendo temporalmente con las reflexiones que de este tipo ya se conocen del poeta. Los razonamientos metapoéticos inéditos, escritos durante la guerra, son menos abundantes y vienen a corroborar lo que de este ciclo sobre el tema ya conocemos. A estas consideraciones de carácter metapoético, se unen otras que remiten a escritores referentes.
Keywords: Miguel Hernández, metapoesía, inéditos, esbozos, proceso de creación.
Laporan Kasus: Anemia pada Anjing Pascaenterektomi
Authors: Merthayasa Julitha Dewitri , Wijayanti Agustina Dwi , Indarjulianto Soedarmanto , . Yanuartono , Nururrozi Alfarisa , Jayanti Putu Devi 
Published: October 2021

Anemia adalah terjadinya defisiensi eritrosit atau hemoglobin atau keduanya hingga kemampuan darah mengangkut oksigen berkurang dan sering dijumpai pada anjing. Anjing lokal betina bernama Pogan berumur 1 tahun dengan riwayat enterektomi diperiksa dengan keluhan; lemas, kurus, nafsu makan dan minum menurun. Hasil pemeriksaan fisik; mukosa mulut dan mata anemis, dehidrasi dan kurus. Hasil pemeriksaan hematologi rutin, total protein plasma (TPP) dan albumin menunjukkan bahwa anjing mengalami anemia mikrositik hipokromik, trombositopenia, limfositosis, terjadi penurunan nilai TPP dan hipoalbuminemia. Berdasarkan anamnesa, pemeriksaan fisik dan laboratorik anjing Pogan didiagnosis menderita anemia mikrositik hipokromik yang diakibatkan oleh defisiensi zat besi (Fe). Pengobatan dengan menggunakan preparat Fe dengan dosis 1 ml/5kgbb, subcutan selama 5 hari dan terapi suportif berupa infus serum albumin manusia dengan total volume 128 ml melalui infus intravena selama ±4 jam dan Livron (Vitamin B complex) 1tab/hari, per oral selama 5 hari memberikan hasil yang baik.
Suplemen Calcitriol Dosis Tinggi Mencegah Osteoporosis dan Memicu Urolitiasis pada Tikus Ovariektomi
Authors: Hartiningsih Hartiningsih , Anggraeni Devita 
Published: October 2021

Calcitriol supplementation in ovariectomized rats for 8 weeks reduce osteoporosis risk and safe for kidney depend a proper dose. The objective of the research was to study the efectivity of high dose calcitriol for osteoporosis prevention and safe for kidney in ovariectomized Wistar rats. Fifteen female Wistar rats at 8 weeks of age were randomly divided into three groups of five which were sham operated rats (KN), ovariectomized rats (KOV), and ovariectomized rats+calcitriol supplementation 200ng/day (OVD200). After 8 weeks of treatment, blood samples were taken from plexus orbitalis medialis for estrogen analysis. All rats were then euthanized, left tibia and left kidney were taken for histopathological examination using hematoxylin and eosin stain. Immunohistochemistry using anti TRAP5b monoclonal antibody was also done for left tibia by streptavidin-biotin. The results showed that estradiol level of KOV was significantly decreased compared with KN (P<0.05), meanwhile, estradiol levels of OVD200 were not significantly different compared with KOV. Histopathologic figure of kidney in KOV was not different compared with KN. Glomerulus was surrounded by Bowman‘s capsule, proximal and distal convoluted tubulus were lined with typical cuboidal epithelium. Immunohistochemistry result of proximal tibial epiphysis in KOV were shown more tartrate resistant alkaline phosphatase 5b (TRAP5b) expression in trabecular bone, which was located in bone marrow space, and trabecular speculum surface as well. Meanwhile, proximal tibia epiphysis in OVD200 had less tartrate resistant alkaline phosphatase 5b (TRAP5b) expression compared with KOV. Histopathologic figure of proximal tibia epiphysis in group OVD200 was shown more trabecular bone speculum and less adipocyte in the bone marrow compared with KOV. Histopathologic figure of kidney in OVD200 was showed glomerular hypertrophy and atrophy, as well as protein deposits in proximal convoluted tubules epithelium. In conclusion, calcitriol supplementation 200ng/day in ovariectomized rats for 8 weeks prevented osteoporosis risk but trigger urolithiasis. Key words : : Calcitriol, osteoporosis, ovariectomized rats, urolithiasis
Akumulasi Fibrin dalam Anterior Chamber Pada Kucing Penderita Tripanosomiasis dan Feline Immunodeficiency Virus
Authors: Kurnia Kurnia , Wirapratiwi Dyah Kunthi , Budhi Setyo , Mulyani Guntari Titik , Priyowidodo Dwi 
Published: October 2021

Tripanomiasis merupakan penyakit yang disebabkan oleh Tripanosoma sp, protozoa hemoflagellata dari kelas Zoomatigophora dan famili Tripanosomatidae. Tripanosomiasis banyak dijumpai di daerah tropis dan menyerang berbagai hewan domestik seperti kuda, sapi, kerbau, onta, anjing, kucing dan tikus. Feline immunodeficiency virus (FIV) dikenal sebagai feline AIDS adalah spesies virus dalam genus Lentivirus, menyebabkan penurunan sistem imun pada kucing dimana tubuh tidak dapat mengatasi serangan dari berbagai sumber penyakit lain sehingga muncul infeksi tambahan. Umumnya kucing tidak menimbulkan gejala klinis infeksi FIV meskipun telah berlangsung beberapa tahun. Seekor kucing domestik jantan, 3 tahun didiagnosis Tripanosomiasis dan positif FIV. Kedua mata terlihat berwarna keputihan, berawal dari mata kiri, berukuran kecil yang berkembang secara progresif selama 2 minggu, diikuti penurunan nafsu makan serta kondisi badan yang semakin kurus. Kucing berasal dari kucing jalanan, dan gemar memakan tikus maupun burung, serta belum dilakukan vaksinasi. Hasil pemeriksaan klinis menunjukkan mukosa anemik, dehidrasi, oedema di daerah submandibular hingga bahu, BCS 4/9, dan uveitis anterior. Hasil pemeriksaan hematologi dan kimia darah menunjukkan anemia normositik-hipokromik, trombositophenia, normal leukosit total dengan peningkatan relatif monosit, nilai SGPT dan SGOT yang sangat tinggi, peningkatan creatinin dan penurunan total kolesterol. Hasil pemeriksaan rapid test menunjukkan positif antibodi FIV (Feline Immunodeficiency Virus), negatif Feline Leukemia Virus, serta negatif toksoplasma. Pemeriksaan apus darah menunjukkan mild anemia tanpa polikromasia, dan ditemukan flagellata Trypanosoma sp. Akumulasi fibrin di dalam anterior chamber yang bersifat progresif-bilateral disertai dengan aqueous flare dan normal retina merupakan gambaran anterior uveitis sebagai gejala klinis yang menciri dari Tripanosomiasis pada kucing dan infeksi FIV.
Prevalence and risk factors of Cryptosporidium spp. on dairy farms in Bogor
Authors: Nugraha Arifin Budiman , Cahyaningsih Umi , Sudarnika Etih 
Published: October 2021

Cryptosporidial infection is one of the most common causes of diarrhea in humans and livestock worldwide. This study was conducted to estimate the prevalence of Cryptosporidium infection and to identify potential risk factors associated with shedding of oocysts in Bogor. A total of 308 faecal samples were collected from 136 calves less than 6 months, 44 from those 6-12 months and 128 from those than 12 months. Data of factors potentially associated with the likelihood of Cryptosporidium spp. infection were recorded (i.e., enviromental status, size of herd, and herd management). Cryptosporidium spp. oocyst was identified by using modified acid fast (Ziehl Neelsen) staining technique and microscopically examined under 400x magnifition. Results showed that the prevalence of cryptosporidiosis in Bogor was 21.1% (CI 95%; 16.5%-25.6%). The highest prevalence was 29% (CI 95%; 26.8%-31.7%) in cattle aged less than 6 months. The oocysts abundance were around <5 oocysts per microscopy visual area. Data was analyzed using logistic regression models. Statistical analysis showed that there were association between cryptosporidiosis and calves aged less than 6 months with an odds ratio (OR) of 2.7 (CI 95%; 1.5-5.2) times compared with cattle aged more than 12 months.
Quality of Care: Performance Measurement and Quality Improvement in Clinical Practice
Authors: Desai Sonali P. , Kachalia Allen 
Published: October 2021

Attention to the quality of care within the United States health care system has grown tremendously over the past decade. We have witnessed a significant change in how quality improvement and clinical performance measurement are approached. The current focus on quality and safety stems in part from the increasingly clear realization that more services and technological advancement are not automatically equivalent to high-quality care. Much of the discussion about cost and quality in health care is shifting towards the concept of value. Value is defined as health outcomes achieved per dollar spent (in other words, an assessment of the quality of care per cost). This chapter reviews the current state of quality improvement in health care and, because improvement cannot be determined without measurement, reviews several aspects of effective clinical performance measurement. Since many measures are already in place, the chapter describes some of the organizations involved in quality measurement and improvement, as well the approaches they utilize. It looks at the multiple strategies in place to improve quality, from process management to collaboration, from financial incentives to transparency, and reviews newer models of care delivery that may materialize in the near future. Tables list types of quality measures, characteristics to consider when developing a quality measure, and organizations involved in quality improvement and performance measurement. A figure shows strategies used by the federal government to spur performance measurement and quality improvement.

This review contains 1 figure, 3 tables, and 56 references
Keywords: Quality of care, performance measure, quality improvement, clinical practice, sigma six, transparency