bluuebunny/crossref_metadata_2025_split huggingface dataset:
Diseño y construcción de equipo de ventilación mecánica automatizada para asistir insuficiencia respiratoria
Authors: Carrillo Gilberto , Gómez Mauricio , Rodas Jaime , Pimentel José 
Published: December 2021

Este documento presenta los requerimientos cumplidos para el diseño, construcción y primera validación de un sistema de ventilación mecánica, para ser utilizado en pacientes con insuficiencia respiratoria, que en el contexto inicial fuera a causa de la pandemia de COVID-19.
El diseño requirió el uso de software de dibujo asistido por computadora (Computer Aided Design) CAD y la construcción necesitó el uso de las capacidades instaladas en manufactura mecánica, electroneumática, electrónica, biomédica y automatización de los institutos y centros de la Universidad Don Bosco. Los trabajos de ajuste, configuración y programación estuvieron a cargo de docentes investigadores especialistas en dichas disciplinas. Los elementos empleados para su construcción estaban disponibles en el mercado salvadoreño, considerando el cierre de las fronteras como medida gubernamental ante la expansión de la pandemia.
Luego de la etapa de diseño, fabricación y puesta en funcionamiento, se realizaron mediciones de las condiciones del aire suministrado con la ayuda de profesionales dedicados al mantenimiento de equipo médico y con el visto bueno de doctores internistas. Los resultados conseguidos son los que se obtienen con equipos paramédicos y con equipos de primera asistencia, por lo cual se ha previsto que el equipo pueda ser probado en una siguiente instancia con el gremio médico certificado.
Создание городской среды: разногласия в множественном объекте
Authors: Тарасов Иван Анатольевич 
Published: December 2021

В начале 2010-х годов в России возрос интерес к городской среде, ее качеству и комфортности. Велись масштабные работы по благоустройству крупнейших городов, в первую очередь Москвы, открывались новые учебные заведения, образовательные программы и общественные организации, сфокусированные на этой тематике. Этот тренд не ограничился центральными городами и к середине десятилетия распространился по территории всей страны, помимо прочего приведя к появлению групп новых городских активистов. В 2016 году в ходе предвыборной кампании в Государственную Думу был разработан и запущен масштабный приоритетный федеральный проект «Формирование комфортной городской среды». В ходе его реализации обнаружились разногласия по поводу способов создания такой среды, ее критериев и в целом необходимости/приоритетности такой среды. В статье эти разногласия анализируются при помощи концепта «множественный объект», который был разработан в Ланкастерской школе акторно-сетевой теории, представленной в основном работами Джона Ло и Аннмари Мол. На примере благоустройства в Архангельской агломерации мы последовательно разберем основные процессы, формирующие реальность обустройства городской среды: реализацию приоритетного федерального проекта, процессное благоустройство и деятельность активистов. Выделив значимых акторов, мы покажем, что сегодня городская среда задействуется как минимум в двух противоречивых гетерогенных сетях отношений.
Clinical profile of sepsis and choice of antimicrobials in babies admitted to special newborn care unit Kalaburagi
Authors: Bhosgi Revanasiddappa , Harwalkar Kirankumar 
Published: December 2021

Background: Sepsis is one of the common clinical conditions seen in neonates. Sepsis being major cause of neonatal morbidity and mortality in neonates, early recognition and treatment with antibiotics remains a mainstay of NICU protocols for neonatologists.Methods: It is a hospital based retrospective study conducted from July 2019 to February 2020 in GIMS, Kalaburagi. Neonates with suspicion of clinical sepsis were investigated for complete blood count (CBC), C-reactive protein (CRP) and blood culture (BC). Antibiotics were started based on CBC and CRP reports, or on high index of clinical suspicion. Based on common organisms isolated in previous 3 months statistics, antibiotics were decided. On confirmation by blood culture, antibiotics were changed as per blood culture report.Results: Out of 100 neonates, CRP was positive in 80 (70%) neonates, BC showed growth among 24 (24%) neonates. Although neonates had clinical sepsis, CRP was negative in 20 (10%), 76 (76%) did not show any kind of growth on BC. Mortality was seen in 04 (5%) neonates with only CRP positive, 02 (08%) neonates with only BC growth, 02 (10%) neonates with both CRP positive and BC growth, 02 (03%) neonates with CRP positive but no growth on BC. Clinical features were from subtle to severe.Conclusions: Although CRP and blood culture confirmation remains one of the main diagnostic parameter in sepsis, as mortality is seen among neonates with negative blood parameters, high index of clinical suspicion is essential to treat sepsis at an early stage.
Values of tepo seliro in Bakri Syahid’s Tafsir al-Huda and Bisri Mustofa’s Tafsir al-Ibriz
Authors: Mubasirun Mubasirun 
Published: December 2021

Tafsir al-Huda and Tafsir al-Ibriz are religious narratives containing Javanese cultural values that aspire to live in peace and harmony. One of the means for achieving such aspiration is Tepo Seliro, which embodies values of tolerance, mutual respect, accepting differences, not blaming others, and not imposing one’s will on others. The current study aims to reveal the Javanese cultural values of Tepo Seliro in Tafsir al-Huda and al-Ibriz. The method of analysis used in the present research was content analysis with Gadamer’s hermeneutic approach, which is of the view that the reading and understanding of a text are essentially a dialog between the text, the author, and the world of the readers. The study results indicate that the lofty values inherent within the culture of Tepo Seliro are found in the al-Huda and al-Ibriz Quranic exegeses. Tafsir al-Huda tends to be more contextual in its elaborations of Tepo Seliro values, while Bisri Mustofa in Tafsir al-Ibriz frequently used terminologies that are less precise to indicate their true meanings.
Institutional Ethnography as a Method of Inquiry: A Scoping Review
Authors: Malachowski Cindy , Skorobohacz Christina , Stasiulis Elaine 
Published: December 2021

The purpose of this scoping review is to examine the extent, range, and nature of the use of institutional ethnography (IE) as a method of inquiry in peer-reviewed journal publications. Fifteen databases were searched between the years of 2003 and 2013. Relevant data were extracted from 179 included articles. Findings relate to nine key areas including year of publication, authorship and geography, types of journals, format of resources, authors’ descriptions of how they used IE, approaches used in conjunction with IE, data collection methods, standpoint, and institutional relations. Institutional ethnography was diversely conceptualized as: a (sociological) method of inquiry, methodology, research approach, feminist sociology, theory and methodology, framework, lens, field, perspective, and form of analysis. Inevitably, authors applied IE differently across their research and writing, ranging from direct usage or close adherence to IE in a comprehensive manner; to indirect usage or loose adherence to IE by drawing on it as inspiration, guidance, or influence; or borrowing from a certain facet of IE such as a particular theory, concept, method, tool, or analytic strategy. Additionally, some authors adapted IE to suit a specific purpose, which entailed using modified versions of IE to fit a given context or objective, while others strived to extend existing understandings of IE through critique, explanation, review, elaboration, or reflection. The results from this study are useful to both beginning and experienced institutional ethnographers, as the insights gained provide clarity about the use of IE, identify trends in its application, and raise additional questions.
Pengaruh Imbalan terhadap Keadilan Organisasi pada Guru Tetap Yayasan Karya Andalas Palembang
Authors: Indah Hanipa , Uyun Muhamad , Budiman Budiman 
Published: December 2021

Penelitian ini bertujuan untuk mengetahui apakah ada pengaruh imbalan terhadap keadilan organisasi pada guru tetap yayasan Karya Andalas Palembang. Penelitian ini adalah penelitian kuantitatif dengan analisis regresi sederhana. Adapun jumlah populasi adalah 32 orang Guru Tetap Yayasan Karya Andalas dan sampel yang diambil pada penelitian ini adalah guru tetap yayasan Karya Andalas yang berjumlah 30 orang. Hasil analisis diperoleh bahawa besaran koefisien pengaruh antara variabel imbalan terhadap keadilan organisasi pada guru tetap yayasan Karya Andalas Palembang adalah 0,573 dengan signifikansi 0,001. Sehingga dapat disimpulkan bahawa Ho ditolak dan Ha diterima. Hal ini dikarenakan p < 0,05 maka hal ini berarti ada pengaruh imbalan terhadap keadilan organisasi. r = 0,573 menunjukkan bahwa ada pengaruh imbalan terhadap keadilan organisasi, R Square = 0,328 menunjukkan bahwa variabel imbalan memberikan kontribusi terhadap keadilan organisasi sebesar 32,8% dan sisanya dipengaruhi oleh faktor lain atau variabel lain yang tidak dibahas dalam penelitian ini.
Hubungan antara Employee Engagement dan Komitmet Organisasi pada Karyawan PT. X
Authors: Sailindra Yogi , Yudiani Ema , Despiana Dwi 
Published: December 2021

Penelitian ini bertujuan untuk mengetahui hubungan employee engagement dengan komitmen organisasi pada karyawan PT. X dengan menggunakan pendekatan kuantitatif korelasional. Hipotesis yang diajukan dalam penelitian ini ialah ada hubungan antara employee engagement dengan komitmen organisasi pada karyawan PT.X. Pada teknik pengambilan sampel penelitian ini menggunakan teknik total sampling. Subjek penelitian ini berjumlah 106 karyawan PT.X. Penelitian ini menggunakan metode analisis data yang digunakan untuk menguji hipotesis peneliti menggunakan teknik pearson product moment. Keseluruhan perhitungan statistik dilakukan dengan menggunakan SPSS versi 25.0 Hasil penelitian ini menyatakan ada hubungan antara employee engagement dengan komitmen organisasi pada karyawan PT. X dengan koefisien korelasi (0,788) dan nilai signifikan (0,000) p< 0,05. maka H0 ditolak dan Ha diterima yang berarti ada hubungan yang positif antara employee engagement dengan komitmen organisasi pada karyawan PT.X. Dengan demikian dapat dinyatakan bahwa hipotesis yang diajukan terbukti diterima.
Low and Moderate Intensity Exercise Decreased Body Fat and Increased Free Fatty Acid in Overweight Women
Authors: Dyaksa Rizky Sota , Liben Paulus , Mintarto Edy 
Published: December 2021

Highlight:Aerobic exercise was reduced body fat and increased free fatty acids.LICT and MICT decreased body fat and increased free fatty acids. Abstract:Overweight is fat imbalances can affect the health. It is one of the problems in many countries, especially Indonesia recorded an increase case in 2007 (8.8%) to 2013 (13.5%). Overweight categorized by 25-30 kg/m2 body mass index in units (Organization 2018). Figures overweight can be pressed to provide some treatments, such as aerobics sports activities. This study aimed to determine the effect of Continuous Low Intensity Training (LICT) and Moderate Intensity Continuous Training (MICT) to decrease body fat content (FM) and increase in free fatty acids (FFA) in overweight women. 18 female subjects completed the study 4X/week exercise LICT or MICT for 5 weeks. LICT and MICT performed for 30 minutes with an additional 5 minutes warm-up and 5 minutes of cooling down with LICT intensity of 60%-70% and MICT 70%-80% of maximum HR where both types of exercise using ergo cycle while measurement FM and FFA were measured before and after practice. LICT occurred decreasing in body fat and increasing in free fatty acids that significant pre and post LICT (p < 0.05). MICT occurred decreasing in body fat and increasing in free fatty acids that significant pre and post MICT (p<0.05). In the second comparison group (LICT and MICT) were decline against body fat and an increased in free fatty acids between workouts Low-Intensity Continuous Training (LICT) greater tendency than Moderate-Intensity Continuous Training (MICT) with delta FM (p = 0.120) and delta FFA (p=0.131) in which the value is >0.05. LICT and MICT was increase while body fat was decreased. The results of a comparison test occur list downward trend in body fat while in free fatty acids was increased.
A Case of Malignant Right Coronary Artery: Frequent Angina in Young Person
Authors: Purwowiyoto Sidhi Laksono , Surya Steven Philips 
Published: December 2021

Highlight:A young adult has activity-triggered atypical chest pain and diagnosed malignant RCA.Congenital anomalies needed to be aware by cardiologists to help clinical practice.Planning a treatment about management of the CAAs condition should be undertaken by the inter-specialist team. Abstract:We presented a case a young adult with activity-triggered atypical chest pain and diagnosed with anomalous origin of right coronary artery (RCA) from the left coronary sinus with an interarterial course between the aorta and the main pulmonary artery that was detected by CT coronary angiography. This anomaly has been called malignant RCA. Coronary artery anomaly is a congenital condition. Most of the cases remain asymptomatic. This condition is also one of the most causes of sudden cardiac death, because the coronary artery examination is not regularly done. Nevertheless, during high intensity activity, it could be symptomatic and might be lethal. Diagnosing coronary artery anomalies might be tricky and cardiologists must be aware of this. The CAAs condition is a rare situation. The CAAs condition is associated with sudden death, especially intense physical activity. There was no rigid guideline for the management of the CAAs condition, so that planning a treatment in the inter-specialist team should be done.
IL-17 and Disease Activity in Spondyloarthitis
Authors: Yuliasih Yuliasih , Lanasakti Yusdeny 
Published: December 2021

Highlight:The correlation of IL-17 to disease activity by The Ankylosing Spondylitis Disease Activity Score C-Reactive Protein (ASDAS-CRP) was identified. IL-17 level is strongly correlated to disease activity in SpA patients. Abstract:IL-17 is a new cytokine involved in the pathogenesis of Spondyloarthritis (SpA). Recent studies show that IL-17 level correlates to disease activity, and it is used as a basis in treating SpA patients who do not respond to anti-TNF-α. This study identified the correlation of IL-17 to disease activity measured by The Ankylosing Spondylitis Disease Activity Score C-Reactive Protein (ASDAS-CRP). This study was a cross-sectional study involving SpA patients according to the 2009 ASAS criteria in Dr. Soetomo General Academic Hospital, Surabaya. Disease activity and IL-17 level were analyzed using Spearman correlation test to see the strength of correlation. Forty SpA patients showed mean age of 53.58 ± 9.28 years with a body mass index of 24.36 ± 3.23 kg/m2, ESR of 39.50 ± 18.76 mm/hour, clinically obtained Schober Test of 13.11 ± 1.22 cm, chest extension test of 1.45 ± 0.77 cm, and tragus-to-wall test 13.53 ± 1.99 cm. The median CRP and IL-17 were 0.3 (0.10-5.70) mg/dL and 9.30 (7.70-13.60) pg/dL, respectively. Based on the ASDAS-CRP system, the patients showed disease activities that fall into the category was high (62.5%), moderate (35%), and inactivity (2.5%). IL-17 level is strongly correlated to disease activity in SpA patients (p=0.000, r = 0.711).
COVID-19 Pandemic Impact on the National Health Care Surveys
Authors: Ward Brian W. , Sengupta Manisha , DeFrances Carol J. , Lau Denys T. 
Published: December 2021

While underscoring the need for timely, nationally representative data in ambulatory, hospital, and long-term-care settings, the COVID-19 pandemic posed many challenges to traditional methods and mechanisms of data collection. To continue generating data from health care and long-term-care providers and establishments in the midst of the COVID-19 pandemic, the National Center for Health Statistics had to modify survey operations for several of its provider-based National Health Care Surveys, including quickly adding survey questions that captured the experiences of providing care during the pandemic. With the aim of providing information that may be useful to other health care data collection systems, this article presents some key challenges that affected data collection activities for these national provider surveys, as well as the measures taken to minimize the disruption in data collection and to optimize the likelihood of disseminating quality data in a timely manner. (Am J Public Health. 2021;111(12):2141–2148. https://doi.org/10.2105/AJPH.2021.306514 )
Comparing the COVID-19 Responses in Cuba and the United States
Authors: Powell Mary Anne , Erwin Paul C. , Bermejo Pedro Mas 
Published: December 2021

The purpose of this analytic essay is to contrast the COVID-19 responses in Cuba and the United States, and to understand the differences in outcomes between the 2 nations. With fundamental differences in health systems structure and organization, as well as in political philosophy and culture, it is not surprising that there are major differences in outcomes. The more coordinated, comprehensive response to COVID-19 in Cuba has resulted in significantly better outcomes compared with the United States. Through July 15, 2021, the US cumulative case rate is more than 4 times higher than Cuba’s, while the death rate and excess death rate are both approximately 12 times higher in the United States. In addition to the large differences in cumulative case and death rates between United States and Cuba, the COVID-19 pandemic has unmasked serious underlying health inequities in the United States. The vaccine rollout presents its own set of challenges for both countries, and future studies can examine the comparative successes to identify effective strategies for distribution and administration. (Am J Public Health. 2021;111(12):2186–2193. https://doi.org/10.2105/AJPH.2021.306526 )
The Impacts of the COVID-19 Pandemic on the Medical Expenditure Panel Survey
Authors: Zuvekas Samuel H. , Kashihara David 
Published: December 2021

The COVID-19 pandemic caused substantial disruptions in the field operations of all 3 major components of the Medical Expenditure Panel Survey (MEPS). The MEPS is widely used to study how policy changes and major shocks, such as the COVID-19 pandemic, affect insurance coverage, access, and preventive and other health care utilization and how these relate to population health. We describe how the MEPS program successfully responded to these challenges by reengineering field operations, including survey modes, to complete data collection and maintain data release schedules. The impact of the pandemic on response rates varied considerably across the MEPS. Investigations to date show little effect on the quality of data collected. However, lower response rates may reduce the statistical precision of some estimates. We also describe several enhancements made to the MEPS that will allow researchers to better understand the impact of the pandemic on US residents, employers, and the US health care system. (Am J Public Health. 2021;111(12):2157–2166. https://doi.org/10.2105/AJPH.2021.306534 )
Disparities Among Industry’s Highly Compensated Orthopaedic Surgeons
Authors: Robin Joseph X. , Murali Sudarsan , Paul Kyle D. , Kofskey Alexander M. , Wilson Anthony L. , Almaguer Adam M. , Wills Bradley W. , McGwin Gerald , Momaya Amit M. , Brabston Eugene W. , Ponce Brent A. 
Published: December 2021

Background:
The prosperous financial relationship between physicians and industry remains a highly scrutinized topic. Recently, a publicly available website was developed in conjunction with the U.S. Affordable Care Act to shed light on payments from industry to physicians with the goal of increasing transparency. The purpose of this study was to assess possible relationships between industry payments and orthopaedic surgeon gender, subspecialty training, and practice settings.

Methods:
A retrospective analysis was performed using publicly available information from the Centers for Medicare & Medicaid Services (CMS) to identify the 25 orthopaedic surgeons with the highest compensation from each of the 10 largest orthopaedic companies from 2013 to 2017. Statistical analyses were conducted to investigate the factors that contributed to payment differences.

Results:
Among the 347 highest-compensated orthopaedic surgeons, only 1 woman (0.29%) was identified. Orthopaedic surgeons in the subspecialties of spine (32.9%), adult reconstruction (27.9%), and sports medicine (14.5%) made up a majority of the 25 highest earners. A larger proportion of the physicians in this study worked in private practice (57.6%) compared with an academic setting (42.4%). Orthopaedic surgeons who subspecialize in sports medicine had significantly higher total mean payment amounts when compared with all other specialties. The primary method of compensation was found to be through licensing or royalty payments.

Conclusions:
The large majority of orthopaedic surgeons who are highly compensated from industry are men. Among these, the greatest number specialize in the spine, while sports medicine surgeons receive significantly higher total mean payment amounts. Additional studies are warranted to evaluate the disparities between men and women and encourage policies to promote gender equality.
Association Between Serum Testosterone Levels and Cutibacterium Skin Load in Patients Undergoing Elective Shoulder Arthroplasty
Authors: Schiffman Corey J. , Hsu Jason E. , Khoo Kevin J. , Whitson Anastasia , Yao Jie J. , Wu John C. , Matsen Frederick A. 
Published: December 2021

Background:
Cutibacterium periprosthetic joint infections are important complications of shoulder arthroplasty. Although it is known that these infections are more common among men and that they are more common in patients with high levels of Cutibacterium on the skin, the possible relationship between serum testosterone levels and skin Cutibacterium levels has not been investigated.

Methods:
In 51 patients undergoing shoulder arthroplasties, total serum testosterone, free testosterone, and sex hormone binding globulin levels obtained in the clinic before the surgical procedure were compared with the levels of Cutibacterium on the skin in clinic, on the skin in the operating room prior to the surgical procedure, and on the dermal wound edge of the incised skin during the surgical procedure.

Results:
Clinic skin Cutibacterium loads were strongly associated with both clinic free testosterone levels (tau, 0.569; p < 0.001) and total serum testosterone levels (tau, 0.591; p < 0.001). The prepreparation skin and wound Cutibacterium levels at the time of the surgical procedure were also significantly associated with both the clinic total serum testosterone levels (p < 0.001) and the clinic free testosterone levels (p < 0.03). A multivariate analysis demonstrated that serum testosterone was an independent predictor of high skin Cutibacterium loads, even when age and sex were taken into account. Patients taking supplemental testosterone had higher free testosterone levels and tended to have higher skin Cutibacterium loads. Patients who underwent the ream-and-run procedure had higher total and free testosterone levels and higher skin Cutibacterium loads.

Conclusions:
Testosterone levels are predictive of skin Cutibacterium levels in patients undergoing shoulder arthroplasty. This relationship deserves further investigation both as a risk stratification tool and as a potential area for intervention in reducing shoulder periprosthetic joint infection.

Level of Evidence:
Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.