bluuebunny/crossref_metadata_2025_split huggingface dataset:
Using Electronic Health Record Tools to Decrease Antibiotic Exposure in Infant Sepsis Evaluation
Authors: Bauer Sarah Corey , Kaeppler Caitlin , Soung Paula , Porada Kelsey , Bushee Glenn , Havens Peter L. 
Published: September 2021

BACKGROUND
Our internal infant sepsis evaluation clinical practice guideline recommends infants with negative culture results who are undergoing sepsis evaluation receive antibiotics until culture results are negative for a maximum of 36 hours. The aims of our project were to decrease the percentage of patients who received &gt;30 hours of administered antibiotic doses (recognizing effective concentrations last until hour 36) and increase 36-hour phrase documentation by using clinical decision support tools.

METHODS
We used quality improvement methodology to study infants aged ≤60 days with negative culture results. The outcome measures were the percentage of patients who received &gt;30 hours of administered antibiotic doses, the percentage of history and physical (H&P) notes that included a statement of the anticipated 36-hour antibiotic discontinuation time (36-hour phrase), and length of stay. The process measure was the use of an illness-specific H&P template or an influencer smartphrase. Balancing measures were readmissions for positive culture results. Interventions included education, an illness-specific H&P template, a criteria-based rule to default to this H&P template, and editing influencer smartphrases.

RESULTS
Over 33 months, 311 patients were included. Percentage of patients who received &gt;30 hours of administered antibiotic doses decreased from 75.6% to 62%. Percentage of H&P notes documenting the 36-hour phrase increased from 4.9% to 75.6%. Illness-specific H&P template and influencer smartphrase usage increased to a mean of 51.5%; length of stay did not change. No readmissions for positive culture results were reported.

CONCLUSIONS
Clinical decision support techniques and educational interventions popularized the “36-hour phrase” and were associated with a reduction in the antibiotic exposure in infants with negative culture results hospitalized for sepsis evaluation.
Trends and Variation in Length of Stay Among Hospitalized Febrile Infants ≤60 Days Old
Authors: Stephens John R. , Hall Matt , Cotter Jillian M. , Molloy Matthew J. , Tchou Michael J. , Markham Jessica L. , Shah Samir S. , Steiner Michael J. , Aronson Paul L. 
Published: September 2021

OBJECTIVESResearchers in recent studies suggest that hospitalized febrile infants aged ≤60 days may be safely discharged if bacterial cultures are negative after 24–36 hours of incubation. We aimed to describe trends and variation in length of stay (LOS) for hospitalized febrile infants across children’s hospitals.METHODSWe conducted a multicenter retrospective cohort study of febrile infants aged ≤60 days hospitalized from 2016 to 2019 at 39 hospitals in the Pediatric Health Information System database. We excluded infants with complex chronic conditions, bacterial infections, lower respiratory tract viral infections, and those who required ICU admission. The primary outcomes were trends in LOS overall and for individual hospitals, adjusted for patient demographics and clinical characteristics. We also evaluated the hospital-level association between LOS and 30-day readmissions.RESULTSWe identified 11 868 eligible febrile infant encounters. The adjusted mean LOS for the study cohort decreased from 44.0 hours in 2016 to 41.9 hours in 2019 (P &lt; .001). There was substantial variation in adjusted mean LOS across children’s hospitals, range 33.5–77.9 hours in 2016 and 30.4–100.0 hours in 2019. The change from 2016 to 2019 in adjusted mean LOS across individual hospitals also varied widely (−23.9 to +26.7 hours; median change −1.8 hours, interquartile range: −5.4 to 0.3). There was no association between hospital-level LOS and readmission rates (P = .70).CONCLUSIONSThe LOS for hospitalized febrile infants decreased marginally between 2016 and 2019, although overall LOS and change in LOS varied substantially across children’s hospitals. Continued quality improvement efforts are needed to reduce LOS for hospitalized febrile infants.
An Acute Care Sepsis Response System Targeting Improved Antibiotic Administration
Authors: Lockwood Justin M. , Scott Halden F. , Wathen Beth , Rolison Elise , Smith Carter , Bundy Jane , Swanson Angela , Nickels Sarah , Bakel Leigh Anne , Bajaj Lalit 
Published: September 2021

BACKGROUND AND OBJECTIVES
Pediatric sepsis quality improvement in emergency departments has been well described and associated with improved survival. Acute care (non-ICU inpatient) units differ in important ways, and optimal approaches to improving sepsis processes and outcomes in this setting are not yet known. Our objective was to increase the proportion of acute care sepsis cases in our health system with initial antibiotic order-to-administration time ≤60 minutes by 20% from a baseline of 43% to 52% by December 2020.

METHODS
Employing the Model for Improvement with broad stakeholder engagement, we developed and implemented interventions aimed at effective intervention for sepsis cases on acute care units. We analyzed process and outcome metrics over time using statistical process control charts. We used descriptive statistics to explore differences in antibiotic order-to-administration time and inform ongoing improvement.

RESULTS
We cared for 187 patients with sepsis over the course of our initiative. The proportion within our goal antibiotic order-to-administration time rose from 43% to 64% with evidence of special cause variation after our interventions. Of all patients, 66% experienced ICU transfer and 4% died.

CONCLUSIONS
We successfully decreased antibiotic order-to-administration time. We also introduced a novel model for sepsis response systems that integrates interventions designed for the complexities of acute care settings. We demonstrated impactful local improvements in the acute care setting where quality improvement reports and success have previously been limited.
Comparative Effectiveness of Clinical and Community-Based Approaches to Healthy Weight
Authors: Fiechtner Lauren , Perkins Meghan , Biggs Vincent , Langhans Nancy , Sharifi Mona , Price Sarah , Luo Man , Locascio Joseph J. , Hohman Katherine H. , Hodge Heather , Gortmaker Steven , Torres Shioban , Taveras Elsie M. 
Published: September 2021

OBJECTIVES
The objective was to evaluate if 2 pediatric weight management interventions delivered to Hispanic, low-income children (one in a health center the other in a Young Men’s Christian Association) were effective in reducing BMI. We hypothesized that they would be equally effective.

METHODS
A total 407 children aged 6 to 12 years with BMI ≥ 85th percentile receiving care at 2 health centers were randomly assigned to a healthy weight clinic (HWC) at the health center or to a modified Healthy Weight and Your Child (M-HWYC) intervention delivered in Young Men’s Christian Associations. A total of 4037 children served as the comparison group. We completed a noninferiority test comparing the M-HWYC with the HWC, which was supported if the bounds of the 90% confidence interval (CI) for the difference in percentage of the 95th percentile (%BMIp95) change did not contain what we considered a minimally clinically important difference, on the basis of previous data (0.87). Then, using linear mixed models, we assessed yearly changes in BMI among intervention participants compared with the comparison sites.

RESULTS
The mean difference in %BMIp95 between the M-HWYC and the HWC was 0.75 (90% CI: 0.07 to 1.43), which did not support noninferiority. Compared with the comparison sites, per year, children in the HWC had a −0.23 (95% CI: −0.36 to −0.10) decrease in BMI and a −1.03 (95% CI −1.61 to −0.45) %BMIp95 decrease. There was no BMI effect in the M-HWYC.

CONCLUSIONS
We were unable to establish noninferiority of the M-HWYC. The HWC improved BMI, offering an effective treatment of those disproportionately affected.
Attitudes toward Rubella and Varicella Vaccination during Preconception Care
Authors: Foley Elise , Breit Shelby , Marsh Courtney , Ault Kevin , Lydic Michael 
Published: September 2021

Introduction. MMR and Varicella vaccines contain live attenuated virus, a contraindication during pregnancy. For this reason, it is important to clinically assess barriers to vaccination during the preconception time period to avoid the known fetal morbidity associated with congenital Rubella or Varicella infection.
Methods. To determine the prevalence of patients with nonimmune status for Rubella and Varicella in the setting of advanced reproductive care. Secondary outcomes of interest included further understanding nonimmune reproductive-aged women's attitudes toward MMR and Varicella vaccination during the preconception time frame. Patient records were with lab orders for Rubella or Varicella immunoglobulin titers, placed at the KU Advanced Reproductive Care clinic between January 2017 and June 2020. A cross-sectional survey was administered to patients with a laboratory reported negative titer result.
Results. Prevalence of nonimmunity within the study population to either Rubella and/or Varicella was 10.7% (n=1,979), to Rubella, 6.0% (n=134) and to Varicella, 3.8% (n=85) out of a total 2,217 patient records reviewed. The women who did not receive recommended vaccines following a nonimmune titer result (n=19) most commonly cited their rationale was to not further delay fertility treatment (n=8).
Conclusions. The prevalence of nonimmune persons in the study population fell within the range recognized to be sufficient for herd immunity. The risk/benefit analysis of postponing fertility treatment to achieve adequate levels of immunity should be a focused discussion when establishing fertility treatment goals with patients in the setting of advanced reproductive care.
Characteristics of Low-Frequency Horizontal Noise of Ocean-Bottom Seismic Data
Authors: An Chao , Cai Chen , Zhou Lei , Yang Ting 
Published: September 2021

AbstractHorizontal records of ocean-bottom seismographs are usually noisy at low frequencies (&lt; 0.1 Hz). The noise source is believed to be associated with ocean-bottom currents that may tilt the instrument. Currently horizontal records are mainly used to remove the coherent noise in vertical records, and there has been little literature that quantitatively discusses the mechanism and characteristics of low-frequency horizontal noise. In this article, we analyze in situ ocean-bottom measurements by rotating the data horizontally and evaluating the coherency between different channels. Results suggest that the horizontal noise consists of two components, random noise and principle noise whose direction barely changes in time. The amplitude and the direction of the latter are possibly related to the intensity and direction of ocean-bottom currents. Rotating the horizontal records to the direction of the principle noise can largely suppress the principle noise in the orthogonal horizontal channel. In addition, the horizontal noise is incoherent with pressure, indicating that the noise source is not ocean surface water waves (infragravity waves). At some stations in shallow waters (&lt;300 m), horizontal noise around 0.07 Hz is found to be linearly proportional to the temporal derivative of pressure, which is explained by forces of added mass due to infragravity waves.
Faktor yang Berhubungan dengan Indeks Populasi Lalat pada Tempat Penampungan Sementara (TPS) Sampah di Pasar Kota Malang dan Kota Batu
Authors: Al-Irsyad Muhammad , Deniati Ema Novita 
Published: September 2021

Abstract: The temporary shelter of garbage in the market is an ideal location for the life of flies. The temperature and humidity of the air in the temporary shelters support the increasing fly population in the market. The increasing population of flies is feared to contaminate food and drinks sold in the market. This is because flies are mechanical vectors for various pathogenic microorganisms that can endanger human health. This study uses a survey method with a cross-sectional approach. Temperature and humidity were measured using an android-based application, while the fly population was measured using a flygrill. The data were analyzed using the Pearson Correlation test to see the correlation between the average temperature and average humidity with the fly population index. The results of this study indicate that there is no correlation between the average temperature and the fly population index. There is a correlation between the average humidity in the afternoon and the Flies Population Index in the morning. The correlation between the two is a strong negative.
Abstrak: Tempat penampungan sementara sampah pasar merupakan lokasi yang ideal bagi kehidupan lalat. Suhu dan kelembaban udara yang ada di tempat penampungan sementara mendukung meningkatnya populasi lalat di pasar. Meningkatnya populasi lalat dikhawatirkan akan mengkontaminasi makanan dan minuman yang dijual di pasar. Hal tersebut dikarenakan lalat merupakan vektor mekanik bagi berbagai mikroorganisme patogen yang dapat membahayakan kesehatan manusia. Penelitian ini menggunakan metode survei dengan pendekatan cross Sectional. Suhu dan kelembaban diukur dengan menggunakan aplikasi berbasis android, sedangkan populasi lalat diukur dengan menggunakan fly grill. Data dianalisis dengan uji Pearson Correlation untuk melihat korelasi antara suhu rata-rata dan kelembaban rata-rata dengan indeks populasi lalat. Hasil penelitian ini menunjukan tidak terdapat korelasi suhu rata-rata dengan indeks populasi lalat. Terdapat korelasi antara kelembaban rata-rata pada waktu sore hari dengan Indeks Populasi Lalat pada waktu pagi hari. Hubungan korelasi di antara keduanya bersifat negatif kuat.
Pengembangan Media Pembelajaran Variasi Permainan Bola Voli Berbasis Aplikasi Articulate Storyline
Authors: Putra Ari Hakiim , Kurniawan Ari Wibowo , Mu’arifin Mu’arifin 
Published: September 2021

Abstract: This research and development aims to develop application learning media about variations of volleyball games for the KKG PJOK Elementary Schools in Senduro District, Lumajang Regency. The method used is the Research and Development approach with a development research model with the steps (1) needs analysis, (2) doing product design (design), (3) product development (development), (4) implementation or (implementation), and (5) product evaluation (evaluation). The results of the whole product trial involved 22 teachers of KKG PJOK, Senduro District, Lumajang Regency. The results of the study showed the product was included in the very valid category with a percentage of 80.2 percent in small group trials with 8 activity participants and 80 percent in large group trials with 14 activity participants. So it is concluded that the product development of learning media variations of volleyball games based on the articulate storyline application has very valid criteria and is suitable for use in learning activities.
Abstrak: Penelitian dan pengembangan ini bertujuan untuk mengembangkan media pembelajaran aplikasi tentang variasi permainan bola voli untuk KKG PJOK Sekolah Dasar di Kecamatan Senduro Kabupaten Lumajang. Metode yang digunakan yaitu pendekatan Research and Development dengan model penelitian pengembangan dengan langkah-langkah (1) Analisis kebutuhan (analysis), (2) melakukan desain produk (design), (3) pengembangan produk (development), (4) pelaksanaan atau (implementation), dan (5) evaluasi produk (evaluation). Hasil uji coba keseluruhan produk melibatkan 22 guru KKG PJOK Kecamatan Senduro Kabupaten Lumajang. Hasil dari penelitian menunjukan produk termasuk dalam kategori sangat valid dengan hasil persentase 80,2 persen pada uji coba kelompok kecil dengan jumlah 8 peserta kegiatan dan persentase 80 persen pada uji coba kelompok besar dengan jumlah 14 peserta kegiatan. Sehingga disimpulkan bahwa produk pengembangan media pembelajaran variasi permainan bola voli berbasis aplikasi articulate storyline memiliki kriteria sangat valid serta layak dipakai pada kegiatan pembelajaran.
Pengembangan Perangkat Pembelajaran Gerak Dasar Lempar Berbasis Aplikasi Articulate Storyline
Authors: Wintoro Yofandre Putra , Wiguno Lokananta Teguh Hari , Kurniawan Ari Wibowo , Mu’arifin Mu’arifin 
Published: September 2021

Abstract: The purpose of research and development is to develop a basic motion learning tool of throwing in the form of an application articulate storyline for the PJOK Primary School Teacher Working Group (KKG) in Wajak District, Malang Regency so that it becomes one of the new knowledge in developing learning media. The method used is approach Research and Development with a development model that has been developed from the product development. The results obtained in small group trials 86 percent research is stated to help in learning and large group trials 84 percent research is stated to help in learning, so it is concluded that the product development of volleyball learning materials based on the application articulate storyline has very valid criteria and is suitable for use in learning activities.
Abstrak: Tujuan dari penelitian dan pengembangan untuk mengembangkan perangkat pembelajaran gerak dasar lempar berbentuk aplikasi articulate storyline untuk Kelompok Kerja Guru (KKG) PJOK Sekolah Dasar di Kecamatan Wajak Kabupaten Malang sehingga menjadi salah satu pengetahuan baru dalam mengembangkan media pembelajaran. Metode yang digunakan yaitu pendekatan Research and Development dengan model pengembangan yang telah dilakukan dari pengembangan. Produk tersebut memperoleh hasil pada uji coba kelompok kecil 86 persen penelitian dinyatakan membantu dalam pembelajaran dan uji coba kelompok besar 84 persen penelitian dinyatakan membantu dalam pembelajaran, sehingga disimpulkan bahwa produk pengembangan perangkat pembelajaran materi gerak dasar lempar berbasis aplikasi articulate storyline memiliki kriteria sangat valid serta layak dipakai pada kegiatan pembelajaran.
Prestasi Belajar Matakuliah Teori antara Semester Gasal dan Genap
Authors: Mu’minun Rahmadi Amirul , Nurrochmah Siti 
Published: September 2021

Abstract: It is important to carry out this research to determine whether the differences in the offline and online learning processes affect the learning achievement outcomes. The purpose of the study was to determine whether there was a difference in the learning achievement of theoretical subjects between odd semesters and even semesters. This study uses a quantitative descriptive method and the type of research is ex-post-facto or causal comparative form. The results of the data analysis of the t test obtained the value of t_hit less than t_tab by testing the hypothesis (α) is 0.05. The results of this study can be concluded that there is no difference in the learning achievement of theoretical subjects between odd and even semesters in the 2018 offering B students for the 2019/2020 academic year of the PJK-FIK-UM Study Program.
Abstrak: Penelitian ini penting dilaksanakan untuk mengetahui apakah perbedaan proses pembelajaran secara luring dan daring berpengaruh terhadap hasil prestasi belajar. Tujuan penelitian untuk mengetahui ada tidaknya perbedaan terhadap prestasi belajar matakuliah teori antara semester gasal dan semester genap. Penelitian ini menggunakan metode deskriptif kuantitatif dan jenis penelitian ex-post-facto atau bentuk causal comparative. Hasil analisis data Uji t diperoleh nilai t_hit kurang dari t_tab dengan pengujian hipotesis (α) adalah 0,05. Hasil penelitian ini dapat disimpulkan bahwa tidak ada perbedaan terhadap prestasi belajar matakuliah teori antara semester gasal dan genap pada mahasiswa angkatan 2018 offering B tahun akademik 2019/2020 Prodi PJK-FIK-UM.
Pembelajaran PJOK Online Siswa Kelas IX SMPN 3 Malang Semester Gasal 2020/2021
Authors: Maulana Akhmad Valda , Winarno M. E. 
Published: September 2021

Abstract: The purpose of this study was to determine the implementation of online PJOK learning at SMPN 3 Malang odd semester 2020/2021.The research method used a descriptive survey method with the research subjects of grade IX students totaling 127 students from four classes. The research instrument used was a questionnaire using content validity, which was validated by the supervisor, the data analysis technique used was the percentage. The results of the analysis of the implementation of online PJOK learning were obtained from two aspects, namely the readiness of a maximum score of 12192 with a score of 9687 and a percentage of 79 percent, the assignment of a maximum score of 4064, a score of 3471 and a percentage of 85 percent. The conclusion of the research on the implementation of online learning at SMPN 3 Malang is in the very good category in PJOK subjects for the delivery of cognitive material or knowledge the percentage is eighty one percent, but for learning motion or skills the implementation of activities has not been able to be controlled in the home environment of each student.
Abstrak: Tujuan dalam penelitian ini adalah untuk mengetahui pelaksanaan pembelajaran PJOK online di SMPN 3 Malang semester gasal 2020/2021.Metode Penelitian menggunakan metode deskriptif survei dengan subjek penelitian siswa kelas IX sejumlah 127 siswa dari empat kelas. Instrumen penelitian yang digunakan berupa angket/kuesioner menggunakan validitas isi, yang divalidasi oleh pembimbing, teknik analisis data yang digunakan adalah persentase. Hasil analisis pelaksanaan pembelajaran PJOK online yang diperoleh dari dua aspek yaitu kesiapan skor maksimal 12192 skor hasil 9687 dan memperoleh persentase 79 persen, penugasan skor maksimal 4064 skor hasil 3471 dan memperoleh persentase 85 persen. Simpulan hasil penelitian pelaksanaan pembelajaran secara online di SMPN 3 Malang masuk dalam kategori sangat baik pada mata pelajaran PJOK untuk penyampaian materi kognitif atau pengetahuan persentase delapan puluh satu persen, namun untuk pembelajaran gerak atau keterampilan belum mampu dikontrol pelaksanaan kegiatannya di lingkungan rumah masing-masing siswa.