bluuebunny/crossref_metadata_2025_split huggingface dataset:
Structural Equation Model on Factors Affecting Students Satisfaction towards University Library: A Case Study
Authors: Md Yusof Zahayu , Misiran Masnita , Sapiri Hasimah , Mahmuddin Massudi 
Published: November 2021

Library in the university is known as the centre of knowledge. University library offers learning support, research requirement and also teaching materials. The objective of this study is to identify the most (and least) factors that contribute to students satisfaction towards university library. A case study on selected respondents consist of 266 undergraduate students was conducted. Their opinion on the library services has been recorded. Questionnaires were distributed to the respondents. Structural Equation Model was developed to display their responses. The finding concluded that online services and collections have significant relationship with the overall satisfaction towards the library, whereas facilities and library staffs do not have significant contribution to the satisfaction. As a suggestion, the library management should improve their service quality by upgrading the online services such as wireless access, library website service, and online book renewal process to mentioned a few, which might be effective in improving the students’ satisfaction towards the library.
Aktivitas olahraga terhadap kelincahan
Authors: Zakaria Dhani Agusni , Juditya Silvy , Gunawan Gugun 
Published: November 2021

Tujuan dalam penelitian ini adalah meningkatkan kelincahan siswi di SMK Tunas Bangsa dengan penerapan olahraga tradisional hadang dan olahraga modern handball. Metode penelitian yang digunakan adalah Experimen dengan desain penelitian yaitu the modified group pre-test post-test design. Populasi yang diambil adalah siswa kelas XI, sedangkan sampel yang diambil adalah siswi kelas XI Akuntansi 2 yang berjumlah 28 orang. Pembagian kelompok menggunakan teknik Ordinal Pairing (ABBA). Instrumen yang digunakan berupa tes shuttle Run (Tes lari bolak-balik). Data memperlihatkan hasil tes awal dan tes akhir kelincahan untuk kelompok olahraga tradisional mengalami peningkatan sebesar 0,86. Karena, t hitung < t tabel pada taraf signifikan 5% (-0,53 < 2,16), sehingga terdapat peningkatan yang signifikan pada kelincahan siswi kelompok olahraga tradisional. Kemudian pada olahraga handball mengalami peningkatan sebesar 0,13. Oleh karena, t hitung < t tabel pada taraf signifikan 5% (-1,12 < 2,16) sehingga terdapat peningkatan yang signifikan pada kelincahan siswi kelompok olahraga modern. Sehingga dapat disimpulkan bahwa jenis penerapan olahraga tradisional lebih memberikan peningkatan pada kelincahan.
PERENCANAAN PENINGKATAN MUTU GURU MADRASAH SALAFIYAH WUSTHA DESA BATU MADINDING KECAMATAN BATANG NATAL KABUPATEN MANDAILING
Authors: Hawa Hawa 
Published: November 2021

Penelitian ini bertujuan untuk mengetahui perencanaan guru di Madrasah Salafiyah Wustha Batu Madinding Kecamatan Batang Natal Kabupaten Mandailing Natal, dengan menggunakan metode penelitian kualitatif.Subjek dalam penelitian ini adalah 1 orang kepala sekolah, dan 5 orang guru sebagai sample dalam penelitian, sedangkan teknik pengumpulan data dilakukan dengan teknik wawancara, observasi dan studi dokumen, untuk menganalisis data digunakan reduksi data, penyajian data dan verifikasi data (kesimpulan). Hasil penelitian mengungkapkan temuan bahwa perencanaan peningkatan mutu guru di Madrasah Salafiyah Wustha Batu Madinding dilaksanakan dengan rapat melibatkan seluruh komponen madrasah seperti kepala madrasah, wakil kepala madrasah, staf dan guru-guru.Seluruh komponen ini saling bekerjasama dalam merencanakan program kerja yang akan dilaksanakan guna meningkatkan mutu guru
A Population-based Study of Grade 12 Academic Performance in Adolescents With Childhood-onset Chronic Rheumatic Diseases
Authors: Lim Lily S.H. , Ekuma Okekchukwu , Marrie Ruth Ann , Brownell Marni , Peschken Christine A. , Hitchon Carol A. , Gerhold Kerstin , Lix Lisa Marie 
Published: November 2021

ObjectiveThe aims of this study were (1) to compare grade 12 standardized test results of patients diagnosed with childhood-onset chronic rheumatic diseases (ChildCRD) and unaffected peers; and (2) to identify factors associated with test results of patients with ChildCRD and unaffected peers.MethodsThis was a population-based retrospective cohort study. All patients with ChildCRD (juvenile arthritis and systemic autoimmune rheumatic diseases) from the only pediatric rheumatology center in Manitoba for birth cohorts January 1979 to December 1998 were linked to the provincial administrative databases containing records of healthcare use and education outcomes. Patients were matched by age, sex, and postal codes to their peers who did not have ChildCRD. The primary outcomes were the grade 12 Language Arts Achievement Index (LAI) and the Math Achievement Index (MAI) scores. ChildCRD, sociodemographic, and mental health factors were tested for their associations with LAI and MAI scores using multivariable linear regression.ResultsFive hundred and forty-one patients with ChildCRD were matched to 2713 unaffected peers. Patients with ChildCRD had lower LAI and MAI scores compared to their peers. More patients with ChildCRD failed or did not take the language arts (51% vs 41%,P< 0.001) and math (61% vs 55%,P= 0.02) tests. On multivariable analysis, ChildCRD, lower socioeconomic status, younger maternal age at first childbirth, family income assistance, involvement with child welfare services, and mental health morbidities (between ChildCRD diagnosis and standardized testing), were associated with worse LAI and MAI results.ConclusionThis population-based study showed that patients with ChildCRD performed less well than their peers on grade 12 standardized testing, independent of sociodemographic and mental health comorbidities.
Attitudes Toward Older Adults and Need for Education Among Nurses and Nursing Assistants
Authors: Cheon YoonRyeong , Han Kihye , Chung Sophia J. 
Published: November 2021

Background:
Attitudes toward older adults and education needs could influence the quality of care provided by nurses and nursing assistants. The goal of this study is to assess attitudes toward older adults and geriatric nursing education needs among nurses and nursing assistants working at long-term care hospitals in Korea.

Method:
Data were collected with a structured self-reported questionnaire. The study included 124 nurses and 145 nursing assistants working at six long-term care hospitals in Korea.

Results:
No statistically significant difference was found between the nurses and nursing assistants in their attitudes toward older adults, with both groups showing neutral attitudes. Both nurses and nursing assistants had a high need for education in health issues affecting older adults.

Conclusion:

To improve nursing quality, a practical and systematic curriculum on older adults and their health issues is needed for nursing staff working in long-term care hospitals.

[
J Contin Educ Nurs
. 2021;52(11):517–524.]
Pepsin A in Tracheal Secretions From Patients Receiving Mechanical Ventilation
Authors: Talbert Steven , Bourgault Annette M. , Rathbun Kimberly Paige , Abomoelak Bassam , Deb Chirajyoti , Mehta Devendra , Sole Mary Lou 
Published: November 2021

Background
In patients in the intensive care unit (ICU) receiving mechanical ventilation, aspiration of gastric contents may lead to ventilator-associated events and other adverse outcomes. Pepsin in pulmonary secretions is a biomarker of microaspiration of gastric contents.

Objectives
To evaluate the association between tracheal pepsin A and clinical outcomes related to ventilator use.

Methods
A subset of 297 patients from a larger clinical trial on aspiration of oral secretions in adults receiving mechanical ventilation consented to have pepsin A measured in their tracheal aspirate samples. A concentration ≥6.25 ng/mL indicated a positive result. Abundant microaspiration was defined as pepsin A in ≥30% of samples. Statistical analyses included analysis of variance, analysis of covariance, and χ2 tests.

Results
Most patients were White men, mean age 59.7 (SD, 18.8) years. Microaspiration was found in 43.8% of patients (n = 130), with abundant microaspiration detected in 17.5% (n = 52). After acuity was controlled for, patients with tracheal pepsin A had a longer mechanical ventilation duration (155 vs 104 hours, P &lt; .001) and ICU stay (9.9 vs 8.2 days, P = .04), but not a longer hospital stay.

Conclusions
Microaspiration of gastric contents occurred in nearly half of patients and was associated with a longer duration of mechanical ventilation and a longer stay in the ICU. Additional preventative interventions beyond backrest elevation, oropharyngeal suctioning, and management of endotracheal tube cuff pressure may be needed. Also, the timing of pepsin measurements to capture all microaspiration events requires additional exploration.
Performance of Automated Telemetry in Diagnosing QT Prolongation in Critically Ill Patients
Authors: Calvo-Ayala Enrique , Procopio Vince , Papukhyan Hayk , Nair Girish B. 
Published: November 2021

Background
QT prolongation increases the risk of ventricular arrhythmia and is common among critically ill patients. The gold standard for QT measurement is electrocardiography. Automated measurement of corrected QT (QTc) by cardiac telemetry has been developed, but this method has not been compared with electrocardiography in critically ill patients.

Objective
To compare the diagnostic performance of QTc values obtained with cardiac telemetry versus electrocardiography.

Methods
This prospective observational study included patients admitted to intensive care who had an electrocardiogram ordered simultaneously with cardiac telemetry. Demographic data and QTc determined by electrocardiography and telemetry were recorded. Bland-Altman analysis was done, and correlation coefficient and receiver operating characteristic (ROC) coefficient were calculated.

Results
Fifty-one data points were obtained from 43 patients (65% men). Bland-Altman analysis revealed poor agreement between telemetry and electrocardiography and evidence of fixed and proportional bias. Area under the ROC curve for QTc determined by telemetry was 0.9 (P &lt; .001) for a definition of prolonged QT as QTc ≥ 450 milliseconds in electrocardiography (sensitivity, 88.89%; specificity, 83.33%; cutoff of 464 milliseconds used). Correlation between the 2 methods was only moderate (r = 0.6, P &lt; .001).

Conclusions
QTc determination by telemetry has poor agreement and moderate correlation with electrocardiography. However, telemetry has an acceptable area under the curve in ROC analysis with tolerable sensitivity and specificity depending on the cutoff used to define prolonged QT. Cardiac telemetry should be used with caution in critically ill patients.
Factors Influencing CAM-ICU Documentation and Inappropriate “Unable to Assess” Responses
Authors: Awan Omar M. , Buhr Russell G. , Kamdar Biren B. 
Published: November 2021

Background
Detecting delirium with standardized assessment tools such as the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is important, but such detection is frequently hampered by poor documentation and inappropriate “unable to assess” responses (in noncomatose patients).

Objective
To identify patient, clinical, and workplace factors that may impede or facilitate appropriate delirium assessment through use of the CAM-ICU, specifically documentation and inappropriate “unable to assess” responses.

Methods
An electronic health record–based data set was used to quantify CAM-ICU documentation and inappropriate “unable to assess” responses during 24 months. Associated patient (eg, age), clinical (eg, diagnosis), and workplace (eg, geographic location within the ICU, shift) factors were evaluated with multivariable regression.

Results
Of 28 586 CAM-ICU documentation opportunities, 66% were documented; 16% of documentations in alert or lightly sedated patients had inappropriate “unable to assess” responses. Night shift was associated with lower CAM-ICU documentation rates (P = .001), whereas physical restraints and location on side B (rather than side A) of the ICU were associated with higher documentation rates (P &lt; .05 for both). Age older than 80 years, non-White race, intubation, and physical restraints were associated with more inappropriate “unable to assess” responses (all P &lt; .05), as was infusion of propofol, midazolam, dexmedetomidine, or fentanyl (all P &lt; .05).

Conclusion
Data from electronic health records can identify patient, clinical, and workplace factors associated with CAM-ICU documentation and inappropriate “unable to assess” responses, which can help target quality improvement efforts related to delirium assessment.
High Prevalence of Asymptomatic Malarial Anemia and Association with Early Conversion from Asymptomatic to Symptomatic Infection in a Plasmodium falciparum Hyperendemic Setting in Cameroon
Authors: Fogang Balotin , Biabi Marie Florence , Megnekou Rosette , Maloba Franklin M. , Essangui Estelle , Donkeu Christiane , Cheteug Glwadys , Kapen Marie , Keumoe Rodrigue , Kemleu Sylvie , Nsango Sandrine , Eboumbou Carole , Lamb Tracey J. , Ayong Lawrence 
Published: November 2021

ABSTRACT.
Asymptomatic malarial parasitemia is highly prevalent in Plasmodium falciparum endemic areas and often associated with increased prevalence of mild to moderate anemia. The aim of this study was to assess the prevalence of anemia during asymptomatic malaria parasitemia and its interplay with persistent infection in highly exposed individuals. A household-based longitudinal survey was undertaken in a malaria hyperendemic area in Cameroon using multiplex nested polymerase chain reaction to detect plasmodial infections. Residents with P. falciparum asymptomatic parasitemia were monitored over a 3-week period with the aid of structured questionnaires and weekly measurements of axillary temperatures. Of the 353 individuals included (median age: 26 years, range 2–86 years, male/female sex ratio 0.9), 328 (92.9%) were positive for malaria parasitemia of whom 266 (81.1%) were asymptomatic carriers. The prevalence of anemia in the study population was 38.6%, of which 69.2% were asymptomatic. Multivariate analyses identified high parasitemia (> 327 parasites/µL) and female gender as associated risk factors of asymptomatic malarial anemia in the population. Furthermore, risk analyses revealed female gender and anemia at the time of enrolment as key predictors of early development of febrile illness (< 3 weeks post enrolment) among the asymptomatic individuals. Together, the data reveal an extremely high prevalence of asymptomatic malaria parasitemia and anemia in the study area, unveiling for the first time the association of asymptomatic malarial anemia with early clinical conversion from asymptomatic to symptomatic infection. Furthermore, these findings underscore the negative impact of asymptomatic malaria parasitemia on individual health, necessitating the development of appropriate control and preventive measures.
Melioidosis: Laboratory Investigations and Association with Patient Outcomes
Authors: Gassiep Ian , Ganeshalingam Vibooshini , Chatfield Mark D. , Harris Patrick N. A. , Norton Robert E. 
Published: November 2021

ABSTRACT.
Melioidosis is an infection caused by the bacterium Burkholderia pseudomallei. The most common presentation is bacteremia occurring in 38–73% of all patients, and the mortality rate ranges from 9% to 42%. Although there is abundant data representing risk factors for infection and patient outcomes, there is limited information regarding laboratory investigations associated with bacteremia and mortality. We assessed a range of baseline and diagnostic investigations and their association with patient outcomes in a retrospective cohort study in Townsville, Australia. 124 patients’ medical and laboratory records were reviewed between January 1, 1997 and December 31, 2020. Twenty-seven patients died and 87 patients were bacteremic. The presence of lymphopenia (< 1.5 × 109 cells/L) was the highest risk for bacteremia (relative risk [RR] 2.2; 95% CI: 1.3–3.7, P < 0.001). Factors associated with mortality included lymphopenia, (RR: 1.4; 95% CI: 1.2–1.6, P = 0.004); uremia (RR: 1.7; 95% CI: 1.1–2.5, P = 0.03); and an elevated international normalized ratio (RR: 1.5; 95% CI: 1.2–2.0, P = 0.006). Median incubation to positive blood culture result was 28 hours with 15/82 (18%) positive in ≤ 24 hours. For serological testing during admission only 53/121 (44%) were indirect hemagglutination assay positive, 67/120 (56%) enzyme immunoassay IgG positive, and 23/89 (26%) IgM positive. Simple baseline investigations at time of presentation may be used to stratify patients at high risk for both bacteremia and mortality. This information can be used as a decision aid for early intensive management.
Diarrhea Prevalence and Child Growth Faltering Are Associated with Subsequent Adverse Child Developmental Outcomes in Bangladesh (CHoBI7 Program)
Authors: George Christine Marie , Perin Jamie , Parvin Tahmina , Bhuyian Md Sazzadul Islam , Thomas Elizabeth D. , Monira Shirajum , Zohura Fatema , Hasan M. Tasdik , Alam Munirul , Tofail Fahmida 
Published: November 2021

ABSTRACT.
Millions of young children annually are not meeting their developmental potential in low- and middle-income countries. Previous studies have shown that diarrheal diseases during early life are associated with subsequent malnutrition. This prospective cohort study of 576 children under 5 years was conducted in urban Dhaka, Bangladesh, to investigate the association between diarrhea prevalence, child growth, and child cognitive developmental outcomes. Height and weight were measured at baseline and a 12-month follow-up. Diarrhea prevalence was assessed through monthly surveillance visits. Developmental outcomes were assessed by communication, fine motor, gross motor, personal social, problem-solving, and combined developmental scores measured by the Extended Ages and Stages Questionnaire (EASQ) at the 12-month follow-up visit. To assess the association between diarrhea prevalence, child growth, and child cognitive developmental outcomes, linear regression models were fit using generalized estimating equations to account for clustering at the household level and to approximate 95% CIs. Diarrhea prevalence was negatively associated with change in height-for-age (HAZ) Z-scores from baseline to the 12-month follow-up (coefficient −0.85 [95% CI: −1.42, −0.28]). Diarrhea prevalence was a significant predictor of combined EASQ Z-scores with and without baseline stunting included in the model (−0.89 [95% CI: −1.67, −0.09] [baseline stunting included]) and (−0.88 [95% CI: −1.69, −0.07]). Change in HAZ from baseline to the 12-month follow-up was positively associated with follow-up combined EASQ Z-scores (0.28 [95% CI: 0.15, 0.42]). High diarrhea prevalence and linear growth faltering were associated with negative cognitive developmental outcomes among children residing in urban Dhaka, Bangladesh. Furthermore, high diarrhea prevalence was associated with negative child cognitive developmental outcomes with stunting included in the model, suggesting an effect of diarrhea on cognition independent of stunting.
Case Report: Rotational Thromboelastometry in Taipan Envenomation
Authors: Tacon Catherine L. , Munas Azhar , Little Mark 
Published: November 2021

ABSTRACT.
Venom-induced consumption coagulopathy (VICC) is one of the most dangerous syndromes caused by snake envenomation and can be caused by several snake species worldwide, including the Australian coastal taipan. Rotational thromboelastometry (ROTEM) provides real-time point-of-care information on all stages of clot formation; however, it has yet to be formally evaluated in the assessment of VICC. We report three cases of Taipan envenomation causing VICC and the associated ROTEM results. The implications for future use of ROTEM in the assessment, management, and further research of VICC are discussed.
Marine forearc structure of eastern Java and its role in the 1994 Java tsunami earthquake
Authors: Xia Yueyang , Geersen Jacob , Klaeschen Dirk , Ma Bo , Lange Dietrich , Riedel Michael , Schnabel Michael , Kopp Heidrun 
Published: November 2021

Abstract. We resolve a previously unrecognized shallow subducting
seamount from a re-processed multichannel seismic profile crossing the 1994
Mw 7.8 Java tsunami earthquake rupture area. Seamount subduction occurs where
the overriding plate experiences uplift by lateral shortening and vertical
thickening. Pronounced back-thrusting at the landward slope of the forearc
high and the formation of splay faults branching off the landward flank of
the subducting seamount are observed. The location of the seamount in
relation to the 1994 earthquake hypocentre and its co-seismic slip model
suggests that the seamount acted as a seismic barrier to the up-dip
co-seismic rupture propagation of this moderate-size earthquake.
BIMBINGAN KELOMPOK DENGAN MEDIA FILM (STUDI KASUS : PENDIDIKAN SEKS PADA SISWA KELAS X SMAN 15 DI SURABAYA)
Authors: Aufar Ayu Alivia , Wirastania Aniek 
Published: November 2021

Abstact The purpose of this study was to test the effectiveness of cinematherapy techniques in group guidance services for sex education for class X students at SMAN 15 Surabaya. The research design used in this study used a one group pre-test post-test design which was given to 7 students in class X with a low sex education score category. This research method uses quantitative research. The scale used in measuring the instrument is sex education. Seeing the current phenomenon, is the reason for researchers to conduct research on the low level of sex education in our country. Researchers chose SMAN 15 Surabaya as a place of research. Researchers used non-parametric data analysis techniques and the Wilcoxon test. The results of data interpretation using the Wilcoxon test are known as Asymp. Sig (2-tailed) is 0.018. Value 0.018 0.05, it can be concluded that Ho is acceptable. There is a significant influence in group guidance services using cinematherapy techniques on sex education for class X students at SMAN 15 Surabaya. Keywords: Seks Education, Cinematherapy, Group Guidances. AbstrakTujuan melakukan penelitian ini untuk menguji kefektifan teknik cinematherapy di dalam pemberian layanan konseling bimbingan kelompok terhadap pendidikan seks siswa kelas X di SMAN 15 Surabaya. Rancangan penelitian yang digunakan dalam penelitian ini menggunakan one group pre-test post-test design yang diberikan pada 7 siswa kelas X dengan kategori skor pendidikan seks yang rendah. Metode penelitian ini menggunakan metode penelitian kuantitatif. Skala pengukuran yang digunakan didalam pengukuran instrument adalah pendidikan seks. Melihat fenomena yang terjadi saat ini, menjadi alasan peneliti untuk melakukan penelitian tentang rendahnya pendidikan seks yang ada di negara kita. Peneliti memilih SMAN 15 Surabaya sebagai tempat penelitiannya. Peneliti menggunakan teknik analisis data non parametric dan dengan uji Wilcoxon. Hasil interpretasi data yang menggunakan uji Wilcoxon diketahui Asymp. Sig (2-tailed) brnilai 0,018. Nilai 0,018 0,05, maka bisa disimpulkan bahwa Ho dapat diterima. Terdapat pengaruh yang signifikan di dalam layanan bimbingan kelompok dengan menggunakan teknik cinematherapy terhadap pendidikan seks siswa kelas X di SMAN 15 Surabaya. Kata Kunci : Pendidikan Seks, Cinematherapy, Bimbingan Kelompok