bluuebunny/crossref_metadata_2025_split huggingface dataset:
ASSOCIATION OF HYPERURICEMIA WITH THE PRESENCE AND SEVERITY OF CORONARY ARTERY DISEASE IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY
Authors: Akhtar Ammar , Zaffar Muhammad Zubair , Minhas Rashid , Saeed Hadi Yousuf , Niazi Gul Zaman Khan 
Published: June 2021

Objectives: To determine the association of hyperuricemia with the presence and severity of coronary artery disease in patients undergoing coronary angiography.
Methodology: This case control study was carried out in the Department of Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan for six months. Total number of 292 patients (146 cases with coronary artery disease and 146 controls with normal coronary arteries) having age 40-60 years of both genders were included in this study. Coronary angiography was performed using standard angiographic techniques. After undergoing coronary angiography, patients with 50% luminal stenosis or more in any one of the coronary arteries were labeled case group. Patients with normal coronaries or less than 50% luminal stenosis in any one of the coronary vessels were taken as control group. Serum uric acid was advised and value was noted along with the basic demographic data and established risk factors of coronary artery disease.
Results: Mean age was 50.79±6.08 years. Mean serum uric acid was 7.54±3.60 mg/dl. Hyperuricemia was diagnosed in 94 (64.40%) patients with significant CAD (case group) and in only 59 (40.40%) in control group. The odds ratio was 2.66 (95% CI 1.66 to 7.28) with p-value of <0.001. Triple vessel disease was diagnosed in 66.7% patients with hyperuricemia and in only 33.3% patients without hyperuricemia [OR 4.0 (2.09-7.64), p-value <0.001].
Conclusion: There is a significant association between the presence and severity of coronary artery disease with hyperuricemia.
ECHOGENIC MASS ATTACHED TO TRICUSPID VALVE
Authors: Hameed Imran 
Published: June 2021

SUMMARY
A 5-day old female child with complaints of tachypnea, had TTE which revealed an echogenic mass on septal leaflet of Tricuspid valve. Based on echocardiographic features, it was diagnosed as Papillary fibroelastoma.
CASE DESCRIPTION
A 5-day old female child was referred for transthoracic echocardiographic study due to respiratory difficulty. The child was afebrile and had a respiratory rate of 60/min, heart rate 130 bpm, and blood pressure 80/50 mmHg. No murmur or added sound heard on CVS examination. TTE revealed a dense mass (Figure 1) attached to right atrial side of septal leaflet of Tricuspid valve by a small pedicle. The mass was mobile, prolapsing into right ventricle during diastole (Clips) without causing obstruction with size of 0.8 X 0.74 cm. Intracardiac masses attached to valves are usually Papillary fibroelastomas. Other possible differential diagnoses could be myxoma, vegetation, Lambl’s excrescence or secondary tumors etc. Based on the location and echo features of the mass (mobility, attachment to downstream side of valve, and frond like speckled appearance) the diagnosis of Papillary fibroelastoma was made.
LEARNING POINTS

Cardiac tumors are rare and mostly benign.
The three most common primary tumors of heart, in order of frequency, are myxomas, lipomas and papillary fibroelastomas respectively. PFE constitute 7% - 9% of all.1
PFE usually arise from valves of the heart and are mostly left-sided.2
They are mobile, range from 0.5 – 2 cm in size and have a frond-like appearance. On echo, they are dense with a speckled interior and shimmering surface.3
Being prone to embolization and thrombosis, their clinical course may not be benign, especially left sided.

Clips

Subcostal Clip: https://youtu.be/_xTZmx--WcA
PS SAX View: https://youtu.be/lLh6D9Vn4Fw
A4C View: https://youtu.be/_xZZvTIh0S8
A4C RV Directed View: https://youtu.be/vJRyHrevftA

QUESTIONS WITH ANSWERS

Question 1: What is the most common complication of papillary fibroelastoma?
Question 2: The behavior of right and left sided papillary fibroelastomas could be markedly different, Y/N?
Question 3: What is the most important feature of papillary fibroelastoma for embolization?
Question 4: PFE preferentially affects females, Y/N?

Answers

Question 1: Cerebral embolism
Question 2: Yes
Question 3: Mobility
Question 4: No

References

Bouhzam N, Kurtz B, Doguet F, Eltchaninoff H, Bauer F. Incidental papillary fibroelastoma multimodal: imaging and surgical decisions in 2 patients. Tex Heart Inst J. 2012;39(5):731-5.
Eidem BW, Cetta F, O’ Leary PW. Echocardiography in pediatric and adult congenital heart disease. Lippincott, Williams and Wilkins, Wolters Kluwer. 2010 p 355-361.
Klarich KW, Enriquez-Sarano M, Gura GM, Edwards WD, Tajik AJ, Seward JB. Papillary fibroelastoma: echocardiographic characteristics for diagnosis and pathologic correlation. J Am Coll Cardiol. 1997;30(3):784-90.
Addressing the Opioid Epidemic with a K-12 Drug Prevention Curriculum, Website and Toolkit
Authors: Whitney Elizabeth , Welker Kristen , Herbert Patrick C. , Visker Joe , Cox Carol 
Published: June 2021

Opioid overdose has become a large public health crisis with devastating consequences, particularly for young people. Programs have started to address the impact of prevention and education in approaching the issue, but many lack focus on helping students prevent drug misuse by practicing the skills students need to avoid or reduce risky health behaviors. The purpose of this manuscript is to introduce readers to the process of developing skills-based K - 12 Opioid/Rx Use educational lessons. Procedures: The educational lessons were developed using data-driven practice for the following age level clusters; K-2, 3-5, 6-8, and 9-12. All lessons contain active learning strategies and include a resource bank such that any teacher, administrator, or school personnel can select and deliver a lesson using the online interface.
Provision of Advanced Care Planning Information by Public Institutions of Higher Education in the U.S.
Authors: Chiu Katherine A. , Henry Dayna S. , Klein Michael J. 
Published: June 2021

This study explored how many, and in what form, U.S. public institutions of higher education (IHE; n=1,642) provide information regarding advance care planning (ACP), advance care directives (ACDs), and end-of-life (EOL) care on their official websites. Chi-square analysis was used to examine relationships between the availability of information and three institutional characteristics (size, type, and medical degree offering). Results show that most public IHE (92.1%, n=1,513) do not provide any information regarding ACDs or ACP on their websites. Overall, large, four-year institutions that offer medical degrees were significantly more likely to provide ACP and ACD information on their official websites.
Os direitos humanos no ensino de Psicologia: entre ciência e compromisso político
Authors: Maia Ari Fernando 
Published: June 2021

O artigo discute a necessária articulação, na formação em Psicologia, entre os ideais de fazer prático, científico e o compromisso ético-político, tomando como ponto de partida a contradição expressa no progresso do esclarecimento: todo objeto da cultura e da ciência também contém elementos de barbárie. A formação em Psicologia é destacada porque a grande diversidade de matrizes epistemológicas que a compõe não impediu que a categoria estabelecesse um compromisso por consubstanciar direitos humanos na atuação profissional, reconhecendo o potencial de barbárie da aplicação da ciência psicológica. Procura-se identificar em que sentidos os direitos humanos foram lidos pela categoria dos psicólogos e como isso pode se refletir em estratégias para lidar com as contradições da ciência psicológica em um momento de crise dos valores relacionados aos direitos humanos e à formação.

Human Rights in Psychology Education: between science and political commitment
The article discuss the necessary articulation, in Psychology education, between different ideals of practical, scientific and ethical-political commitment, taking as a starting point the contradiction expressed in the progress of enlightment: every object of culture and science also contains barbaric elements. Psychology training is highlighted because the great diversity of epistemological matrices did not prevent the category from establishing a commitment to consolidate human rights in professional practice, recognizing the barbaric potential of the application of psychological science. It seeks to identify in which senses human rights were read by the category of psychologists and how this can be reflected in strategies to deal with the contradictions of psychological science in a time of crisis of values related to human rights and training.

Keywords: Human rights education. Psychology education. Critical Theory.
Study on printing wastewater treatment by decomposition reaction H<sub>2</sub>O<sub>2</sub> catalyzed of complex between ion Ni<sup>2+</sup> and citric acid
Authors: Nguyen Ngoc Tue  , Nguyen Trong Nghia  , Nghiem Thi Thuong  , Tran Thuong Quang  , Nguyen Duc Trung  
Published: June 2021

In this article, the results of the research on organic pollutant treatment in the wastewater of printing processes on fabric by H2O2 under the catalytic role of the complex between ion Ni2+ and Citric acid (H4L) were presented. The condition of pH, H4L/Ni2+, H2O2, Ni2+ concentration has been explored to get the optimal conditions for improving COD efficient treatment. The results provide the solutions of the homogeneous complex catalysts in the industrial wastewater treatment at room temperature and atmosphere.
Adsorption characteristics of amoxicillin antibiotic on CeO<sub>2</sub>-coated SiO<sub>2</sub> nanomaterials
Authors: Thi Mai Anh Le  , Thi My Quynh Pham  , The Dung Nguyen  , Tien Duc Pham  
Published: June 2021

This study investigated adsorption of beta-lactam antibiotic Amoxicillin (AMX) on a new material of cerium oxide-coated nanosilica (CeO2-coated SiO2). The CeO2-coated SiO2 based on rice husk, was characterized by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), scanning electron microscopy (SEM), and transmission electron microscopy (TEM). Adsorption behaviors of AMX on CeO2-coated SiO2 at different pH and ionic strength were thoroughly studied. The highest removal of AMX using CeO2-coated SiO2 reached 99.26 % at pH 4 while the maximum adsorption capacity was found to be greater than 11.0 mg/g. Adsorption isotherms of AMX on CeO2-coated SiO2 at different ionic strength were in accordance with Freundlich model. Adsorption of amphoteric AMX species on CeO2-coated SiO2 increased with a decrease of salt concentration indicating that adsorption was controlled by both electrostatic and non-electrostatic interactions.
Hubungan Peran Ketua Tim dengan Kinerja Perawat Pelaksana dalam Pendokumentasian Keperawatan di Rumah Sakit Hikmah Makassar
Authors: Astuti Meliana Puji , Lopak Maria Resky 
Published: June 2021

Perawat merupakan sumber daya manusia terpenting di rumah sakit karena selain jumlahnya yang dominan juga merupakan profesi yang memberikan pelayanan asuhan keperawatan selama 24 jam kepada pasien, oleh karena itu rumah sakit harus memiliki perawat yang berkinerja baik yang menunjang kinerja rumah sakit sehingga dapat tercapai kepuasan pasien. Dokumentasi keperawatan adalah suatu catatan yang memuat seluruh informasi yang dibutuhkan untuk menentukan diagnosis keperawatan, menyusun rencana keperawatan, melaksanakan dan mengevaluasi tindakan keperawatan yang disususn secara benar dan dapat dipertanggung jawabkan secara moral dan hukum. Penelitian ini bertujuan untuk : mengetahui hubungan peran ketua tim dengan kinerja perawat pelaksana dalam pendokumentasian keperawatan. Jenis penelitian adalah Observasional Analitik dengan pendekatan Cross Sectional Study pada 44 perawat yang bekerja di Rumah Sakit Hikmah Makassar. Pengambilan sampel menggunakan metode probability sampling dengan pendekatan total sampling. Instrumen penelitian yang digunakan adalah kuisioner. hasil Uji Statistik Chi Square diperoleh nilai ? = 0,004 dan ? = 0,05 sehingga ? ? ? maka disimpulkan bahwa ada hubungan peran ketua tim dengan kinerja perawat pelaksana dalam pendokumentasian keperawatan di Rumah Sakit Hikmah Makassar. Oleh sebab itu penting bagi ketua tim agar bisa berperan dalam meningkatkan kinerja dari perawat pelaksana dalam mekakukan pendokumentasian dengan benar.
Suposiciones de grandes y densas poblaciones prehistóricas en la Amazonía, evaluadas a partir de las evidencias arqueológicas, etnográficas y ecológicas
Authors: Meggers Betty J. 
Published: June 2021

Un creciente número de antropólogos ha apoyado la idea de la existencia de densas poblaciones sedentarias a través de la Amazonía, basada principalmente en la presencia de manchas de terra preta a lo largo de ríos principales que testifican la existencia de grandes asentamientos permanentes. Esta interpretación es puesta a prueba por los resultados del reconocimiento arqueológico a lo largo de los ríos Tocantins, Xingú, Jamarí y Essequibo. El uso de criterios uniformes para clasificar cerámica procedente de múltiples excavaciones estratigráficas en sitios habitacionales y la creación de secuencias seriadas, proveen detalladas cronologías relativas en cada región que son complementadas por numerosos fechados radiocarbónicos.
PENGARUH TEKNIK RELAKSASI BENSON TERHADAP GULA DARAH PASIEN DM TIPE II
Authors: Rahman Ade 
Published: June 2021

Diabetes mellitus adalah gula darah yang melebihi batas normal atau gula darah yang meningkat dalam jangka waktu lama akan menyebabkan kelainan system saraf yang disebut neuropati diabetic dan kelainan pembuluh darah (Helmanu, 2015) yang dapat diobati secara farmakologis (insulin) dan non farmakologis (terapi, contoh ; relaksasi benson). Penelitian ini bertujuan untuk mengidentifikasi pengaruh relaksasi benson terhadap gula darah pasien DM Tipe II. Desain penelitian quasi experiment One Group Pretest-Posttest terhadap 10 orang lansia dengan DM Tipe II yang memenuhi kriteri inklusi. Gula darah diukur menggunakan Glucocheck. Uji statistik yang digunakan adalah uji t berpasangan. Gula darah rata-rata pretest pada lansia adalah 279,5 gr/dL. Setelah diberikan relaksasi Benson selama 3 hari berturut-turut didapatkan gula darah rata-rata post test nya adalah 239,8 gr/dL dan didapatkan ( p = 0,000). Dengan demikian relaksasi benson efektif untuk menurunkan gula darah pada lansia dengan DM Tipe II. Jadi disarankan kepada responden, RS, perawat dan peneliti selanjutnya bahwa kita dapat menggunakan terapi relaksasi benson sebagai cara alternative atau pengobatan nonfarmakologi pada penderita DM Tipe II.
The Potential of the Dutch Corporate Governance Model for Sustainable Governance and Long Term Stakeholder Value
Authors: Lokin Manuel , Veldman Jeroen 
Published: June 2021

The Potential of the Dutch Corporate Governance Model for Sustainable Governance and Long Term Stakeholder Value
This article addresses the question of how the Dutch regulatory and institutional setting enables policy coherence, specifically with regard to safeguarding stakeholders’ interests and promoting sustainable governance. To address this question, we engage with idiosyncratic theoretical notions in the Dutch corporate governance model. We follow the evolution of these notions in statutory company law and case law, their development in the Dutch Corporate Governance Code and their relation to the Enterprise Chamber as a unique institution. We establish how these theoretical views and practical institutions present significant means by which stakeholder concerns may be represented in the operation of company law and corporate governance more broadly and provide a number of ways in which these institutions and their operation can be further developed.
Optimizing of Q-Learning Day/Night Energy Strategy for Solar Harvesting Environmental Wireless Sensor Networks Nodes
Authors: Prauzek Michal , Konecny Jaromir 
Published: June 2021

This research article presents the application of the Q-learning algorithm in the operational duty cycle control of solar-powered environmental wireless sensor network (EWSN) nodes. Those nodes are commonly implemented as embedded devices using low-power and low-cost microcontrollers. Therefore, there is a significant need for an effective and easy way to implement a machine learning (ML) algorithm in terms of computer performance. This approach uses a Q-learning-based policy implementing a sleep/run switching algorithm driven by the state of charge. The presented algorithm is based on two modes: daylight and nighttime, which is a suitable solution for solar-powered systems. The study includes the complete process of design EWSN node strategy with an optimal reward policy. The presented algorithm was tested and verified on an EWSN node model and a 5-year data set of solar irradiance values was used for the learning process and its validation. As part of the study, we are also presenting the validation in terms of Q-learning parameters, which include the learning rate and discount factor. The result section shows that the overall performance of the presented solution is more suitable for solar-powered EWSN then state-of-the-art studies. Both day/night experiments reached 828 203 measurement/transmission cycles, which is 12.7 % more than in the previous studies using the strategy defined by the state of energy storage.
Combine Harvester Cooling Water Temperature Prediction Based on CDAE-LSTM Hybrid Model
Authors: Fu Yining , Xu Baoyan , Ni Xindong , Liu Yehong , Wang Xin 
Published: June 2021

Cooling water temperature of the combine harvester during operations can reflect the changes of its power consumption and even overloads caused by extreme workload. There is an existing problem when extracting water temperature information from harvesters: data redundancy and the loss of time series feature. To solve such problem, a Convolutional denoising autoencoder and Long-Short Term Memory Artificial Neural Network (CDAE-LSTM) hybrid model based on parameter migration is proposed to predict temperature trends. Firstly, the historical data of the combine harvester are taken into account to perform correlation analysis to verify the input rationality of the proposed model. Secondly, pre-training has been performed to determine the model’s initial migration parameters, along with the adoption of CDAE to denoise and reconstruct the input data. Finally, after the migration, the CNN-LSTM hybrid model was trained with a real dataset and was able to predict the cooling water temperature. The accuracy of the model has been verified by field test data gathered in June 2019. Results show that the root mean squared error (RMSE) of the model is 0.0817, and the mean absolute error (MAE) is 0.0989. Compared with the performance of LSTM on the prediction data, the RMSE improvement rate is 2.272 %, and the MAE improvement rate is 20.113 %. It is proven that the adoption of CDAE stabilizes the model, and the CDAE-LSTM hybrid model shows higher accuracy and lower uncertainty for time series prediction.
Acetazolamide-Associated Acute Kidney Injury in Critically Ill Pediatric Patients
Authors: Moffett Brady S. , Kulik Kelli , Khichi Mahmood , Arikan Ayse 
Published: June 2021

OBJECTIVE Our objective was to determine the incidence and risk factors for intravenous acetazolamide-associated acute kidney injury (AKI).METHODS We utilized a retrospective cohort study including patients &lt;19 years of age initiated on intravenous acetazolamide while admitted to an ICU. Data collection included patient demographics, clinical variables, acetazolamide dosing, and serum creatinine (SCr) values. Incidence of AKI was assessed per Kidney Disease Improving Global Outcomes criteria. Descriptive statistical analysis and ordinal logistic regression analysis were performed to determine the incidence of AKI and variables associated with AKI.RESULTS A total of 868 patients met study criteria (male 55.8%, median age 0.66 years [IQR 0.19, 3.0 years]). Intravenous acetazolamide was administered at 5.1 ± 2.8 mg/kg/dose for a median of 4 doses (IQR 2, 6). Median baseline SCr was 0.28 mg/dL (IQR 0.22, 0.37), corresponding to a creatinine clearance of 115 ± 55 mL/min/1.73 m2. Acute kidney injury occurred in 26.8% (n = 233) of patients (stage I = 20.1%, stage II = 3.7%, stage III 3.1%), and no patients received renal replacement therapy. An ordinal logistic regression model identified an increased odds of AKI with cyclosporine, ethacrynic acid, and piperacillin-tazobactam administration.CONCLUSIONS Acute kidney injury occurs frequently in critically ill pediatric patients receiving intravenous acetazolamide.
Design, Implementation, and Evaluation of Compliance With Pharmacy Workflow During a Pediatric Oncology Computerized Provider Order Entry (CPOE) Launch
Authors: Dinora Devin R. , Elder Joshua J. , Harwood Kyle A. 
Published: June 2021

OBJECTIVE
There is a lack of published literature detailing how computerized physician order entry (CPOE) pharmacy workflow is designed and implemented. The intent of this project was to design, implement, and assess compliance with the pharmacy workflow required for launching CPOE to improve the safety and efficiency of chemotherapy order entry for pediatric patients.

METHODS
This process implementation project took place in 2 phases, which included the design and implementation of pharmacy workflow education, and retrospective chart review of patients who received chemotherapy ordered through CPOE. An anonymous survey was also distributed to pharmacy staff, nurses, and physicians, and an assessment of any CPOE-related safety reports was completed.

RESULTS
Eighty-three patients received intravenous and/or intrathecal chemotherapy ordered via the CPOE software, Beacon, within the electronic medical record system, Epic, in the first 30 days post-launch across both the inpatient and outpatient settings. Overall compliance with the CPOE workflow for entering chemotherapy plans was 77% and &gt;66% compliance with the order preparation process. Pharmacists provided an average of 1.6 interventions per review. The pharmacy was able to prepare chemotherapy within the allotted institutional time benchmarks in most cases. An overall combined multidisciplinary survey response rate of 30.6% was achieved. Twenty-eight Beacon-related patient safety reports were filed in the first 2 weeks post-launch.

CONCLUSIONS
The Beacon launch at this single pediatric institution was successful, and the pharmacy workflow was shown to greatly affect the overall success of the launch of CPOE. The careful prospective design, education, implementation, and retrospective review of the pharmacy workflow is key to process implementation related to chemotherapy CPOE.
Pérez Caballero, Jesús. Her. Personas, máquinas y derecho. Valencia: Tirant lo Blanch, 2019.
Authors: García Cívico Jesús 
Published: June 2021

Reseña a: Pérez Caballero, Jesús. Her. Personas, máquinas y derecho. Valencia: Tirant lo Blanch, 2019.
Quicios Molina, Susana y Álvarez Medina, Silvina. El Derecho frente a la violencia dentro de la familia: Un acercamiento multidisciplinar a la violencia de género y la protección de los hijos menores de edad. Pamplona: Aranzadi, 2019.
Authors: De Miguel Márquez Carolina 
Published: June 2021

Reseña a: Quicios Molina, Susana y Álvarez Medina, Silvina. El Derecho frente a la violencia dentro de la familia: Un acercamiento multidisciplinar a la violencia de género y la protección de los hijos menores de edad. Pamplona: Aranzadi, 2019.
Ferrer Beltrán, Jordi. Prueba sin convicción. Estándares de prueba y debido proceso. Madrid, Marcial Pons, 2021.
Authors: Nieva-Fenoll Jordi 
Published: June 2021

Reseña a: Ferrer Beltrán, Jordi. Prueba sin convicción. Estándares de prueba y debido proceso. Madrid, Marcial Pons, 2021.