bluuebunny/crossref_metadata_2025_split huggingface dataset:
EHR-Integrated Monitor Data to Measure Pulse Oximetry Use in Bronchiolitis
Authors: Kern-Goldberger Andrew S. , Rasooly Irit R. , Luo Brooke , Craig Sansanee , Ferro Daria F. , Ruppel Halley , Parthasarathy Padmavathy , Sergay Nathaniel , Solomon Courtney M. , Lucey Kate E. , Muthu Naveen , Bonafide Christopher P. 
Published: October 2021

BACKGROUND AND OBJECTIVESContinuous pulse oximetry (oxygen saturation [Spo2]) monitoring in hospitalized children with bronchiolitis not requiring supplemental oxygen is discouraged by national guidelines, but determining monitoring status accurately requires in-person observation. Our objective was to determine if electronic health record (EHR) data can accurately estimate the extent of actual Spo2 monitoring use in bronchiolitis.METHODSThis repeated cross-sectional study included infants aged 8 weeks through 23 months hospitalized with bronchiolitis. In the validation phase at 3 children’s hospitals, we calculated the test characteristics of the Spo2 monitor data streamed into the EHR each minute when monitoring was active compared with in-person observation of Spo2 monitoring use. In the application phase at 1 children’s hospital, we identified periods when supplemental oxygen was administered using EHR flowsheet documentation and calculated the duration of Spo2 monitoring that occurred in the absence of supplemental oxygen.RESULTSAmong 668 infants at 3 hospitals (validation phase), EHR-integrated Spo2 data from the same minute as in-person observation had a sensitivity of 90%, specificity of 98%, positive predictive value of 88%, and negative predictive value of 98% for actual Spo2 monitoring use. Using EHR-integrated data in a sample of 317 infants at 1 hospital (application phase), infants were monitored in the absence of oxygen supplementation for a median 4.1 hours (interquartile range 1.4–9.4 hours). Those who received supplemental oxygen experienced a median 5.6 hours (interquartile range 3.0–10.6 hours) of monitoring after oxygen was stopped.CONCLUSIONSEHR-integrated monitor data are a valid measure of actual Spo2 monitoring use that may help hospitals more efficiently identify opportunities to deimplement guideline-inconsistent use.
Optimizing Situation Awareness to Reduce Emergency Transfers in Hospitalized Children
Authors: Sosa Tina , Sitterding Mary , Dewan Maya , Coleman Michelle , Seger Brandy , Bedinghaus Katy , Hawkins DeAnna , Maddock Benjamin , Hausfeld Jackie , Falcone Richard , Brady Patrick W. , Simmons Jeffrey , White Christine M. 
Published: October 2021

BACKGROUND AND OBJECTIVES
Interventions to improve care team situation awareness (SA) are associated with reduced rates of unrecognized clinical deterioration in hospitalized children. By addressing themes from recent safety events and emerging corruptors to SA in our system, we aimed to decrease emergency transfers (ETs) to the ICU by 50% over 10 months.

METHODS
An interdisciplinary team of physicians, nurses, respiratory therapists, and families convened to improve the original SA model for clinical deterioration and address communication inadequacies and evolving technology in our inpatient system. The key drivers included the establishment of a shared mental model, psychologically safe escalation, and efficient and effective SA tools. Novel interventions including the intentional inclusion of families and the interdisciplinary team in huddles, a mental model checklist, door signage, and an electronic health record SA navigator were evaluated via a time series analysis. Sequential inpatient-wide testing of the model allowed for iteration and consensus building across care teams and families. The primary outcome measure was ETs, defined as any ICU transfer in which the patient receives intubation, inotropes, or ≥3 fluid boluses within 1 hour.

RESULTS
The rate of ETs per 10 000 patient-days decreased from 1.34 to 0.41 during the study period. This coincided with special cause improvement in process measures, including risk recognition before medical response team activation and the use of tools to facilitate shared SA.

CONCLUSIONS
An innovative, proactive, and reliable process to predict, prevent, and respond to clinical deterioration was associated with a nearly 70% reduction in ETs.
Materials genes of heterogeneous catalysis from clean experiments and artificial intelligence
Authors: Foppa Lucas , Ghiringhelli Luca M. , Girgsdies Frank , Hashagen Maike , Kube Pierre , Hävecker Michael , Carey Spencer J. , Tarasov Andrey , Kraus Peter , Rosowski Frank , Schlögl Robert , Trunschke Annette , Scheffler Matthias 
Published: October 2021

Abstract
The performance in heterogeneous catalysis is an example of a complex materials function, governed by an intricate interplay of several processes (e.g., the different surface chemical reactions, and the dynamic restructuring of the catalyst material at reaction conditions). Modeling the full catalytic progression via first-principles statistical mechanics is impractical, if not impossible. Instead, we show here how a tailored artificial-intelligence approach can be applied, even to a small number of materials, to model catalysis and determine the key descriptive parameters (“materials genes”) reflecting the processes that trigger, facilitate, or hinder catalyst performance. We start from a consistent experimental set of “clean data,” containing nine vanadium-based oxidation catalysts. These materials were synthesized, fully characterized, and tested according to standardized protocols. By applying the symbolic-regression SISSO approach, we identify correlations between the few most relevant materials properties and their reactivity. This approach highlights the underlying physicochemical processes, and accelerates catalyst design.

Impact statement
Artificial intelligence (AI) accepts that there are relationships or correlations that cannot be expressed in terms of a closed mathematical form or an easy-to-do numerical simulation. For the function of materials, for example, catalysis, AI may well capture the behavior better than the theory of the past. However, currently the flexibility of AI comes together with a lack of interpretability, and AI can only predict aspects that were included in the training. The approach proposed and demonstrated in this IMPACT article is interpretable. It combines detailed experimental data (called "clean data") and symbolic regression for the identification of the key descriptive parameters (called "materials genes") that are correlated with the materials function. The approach demonstrated here for the catalytic oxidation of propane will accelerate the discovery of improved or novel materials while also enhancing physical understanding.
Characteristics of Dye-doped Silica Nanoparticles- Based Random Lasers in the Air and Water
Authors: Ta Duong Van , Nguyen Tam Trong , Mai Hanh Hong , Nguyen Thau Xuan , Nghiem Lien Thi Ha 
Published: October 2021

Random lasers based on dye-doped silica nanoparticles are attracted for biomedical applications due to their biocompatibility and high brightness. Several laser structures including silica powder and film have been reported. However, the dependence of lasing characteristics including lasing threshold and emission wavelength on the laser size and working environment have not been explored. Here, we demonstrate and compare the lasing characteristics of dye-doped silica random lasers in air and water. These lasers present in thin structures, the so-called microslices, with a thickness of 1 µm and various dimensions from 30 to 300 µm. It is found that the lasing threshold (Ith) decreases with increasing laser size such as for sample in the air and for sample in water, where A the sample surface area. For a similar size, the lasing threshold of the sample in water is about 3-8 times higher than that of the sample in the air. In addition, the lasing peak wavelength exhibits a red-shift with increasing laser size. In the air, a shift of 8 nm is recorded when the sample surface area increases from 21×103 to 169×103 µm2. Furthermore, for a similar size, the lasing wavelength of the sample in the air is also red-shifted (13 nm in average ) compared with that of the sample in water. Our finding provides useful information for the use of silica-based random lasers in bioimaging and biosensing applications.
O trabalho da equipe de enfermagem no centro cirúrgico e os danos relacionados à saúde
Authors: Madrid Bruna Pires , Glanzner Cecília Helena 
Published: October 2021

Objetivos: analisar o trabalho da equipe de enfermagem no centro cirúrgico e os danos físicos, psicológicos e sociais relacionados à saúde do trabalhador.
Métodos: estudo quantitativo realizado de novembro de 2017 a janeiro de 2018 no centro cirúrgico de um hospital universitário. Amostra foi composta por 160 trabalhadores de enfermagem que responderam a Escala de Avaliação de Danos Relacionados ao Trabalho. Os dados foram analisados por meio do teste t de Student, análise de variância One-Way (ANOVA) seguido do teste de qui-quadrado de Pearson.
Resultados: danos psicológicos e sociais foram avaliados pelos trabalhadores como risco baixo por 86,8% (139) e 87,4% (140), respectivamente. Danos físicos apresentaram risco médio por 57,9% (93) da amostra.
Conclusões: os resultados direcionam a atenção dos gestores e serviço de medicina ocupacional para os danos físicos, evitando que se agravem e assim promover melhorias nas condições de trabalho e na saúde do trabalhador.
PENGEMBANGAN ASPEK PARIWISATA SUMBEREJO MELALUI PEMBUATAN DAN PELATIHAN VIDEO PROFIL
Authors: Meiji Nanda Harda Pratama , Fahmi Ridwan Tajul , Purwasih Joan Hesti Gita , Widianto Ahmad Arif 
Published: October 2021

Pengabdian ini dilakukan di Desa Sumberejo yang terletak di ujung selatan Jember. Dua pantai indah berpasir hitam yang diapit 3 bukit menjadi daya Tarik utama Desa Sumberejo. Memiliki daerah persawahan yang luas dan hasil laut yang besar menjadi penambah potensi desa tersebut. Namun potensi yang ada belum dirasakan secara maksimal oleh masyarakat Desa Sumberejo. Tidak tereskposnya keindahan pantai dan bukit membuat pengunjung yang datang hanya dari kawasan Jember sendiri. Diperlukan penyelesaian masalah berupa pemanfaatan media promosi dan branding desa. Pengabdian masyarakat ini berfokus pada pengembangan potensi yang dimiliki Desa Sumberejo melalui video profil desa dan pelatihan masyarakat pada pembuatan video profil desa. Media video dipilih karena mudah dipublikasikan di berbagai macam platform dan mudah menarik minat masyakat. Media video saat ini tengah mengalami tren yang besar di masyarakat, oleh sebab itu video dipilih menjadi media yang tepat untuk mengenalkan potensi yang dimiliki Desa Sumberejo pada khalayak umum. Keterlibatan masyarakat dalam setiap prosesnya sangat diperhatikan dan dimaksimalkan agar masyarakat tidak teraleniasi dengan perkembangan teknologi media yang hendak digunakan. Tidak hanya membuat, dalam pengabdian ini pemuda desa juga diberikan pengetahuan dan keterampilan dalam pembuatan video. Hal ini dilakukan agar kedepannya mereka mampu membuat video yang menarik untuk mengembangkan potensi desanya.
GREBEG PANCASILA: PERINGATAN LAHIRNYA PANCASILA DAN MAKNA NILAI FILOSOFISNYA
Authors: Novitasari Febriana , Suhadak Ahmad , Anggraini Ayu , Wiradimadja Agung 
Published: October 2021

Kota Blitar memiliki rekam jejak tradisi budaya yang beranekaragam. Grebeg Pancasila merupakan sebuah tradisi budaya Kota Blitar untuk memperingati hari lahirnya Pancasila. Tradisi ini hadir atas gagasan dari para seniman serta para budayawan di Kota Blitar, yang khawatir dikarenakan setiap tanggal 1 Juni tidak diperingati sebagai hari lahir Pancasila. Tradisi Grebeg Pancasila memiliki nilai filosofis yang sangat penting untuk dikaji. Nilai filosofis yang terkandung dalam tradisi ini perlu untuk dipahami dan diamalkan dalam kehidupan sehari-hari. Penelitian ini mencoba untuk mengkaji tradisi Grebeg Pancasila di Kota Blitar dengan metode studi literatur yang disajikan secara kualitatif. Dengan melakukan pengkajian tradisi Grebeg Pancasila secara mendalam akan dapat menemukan makna tersitat yang terkandung dalam prosesi Grebeg Pancasila. Dengan mengetahui filosofi yang dimiliki tradhisi Grebeg Pancasila mampu memberikan wadah literasi kebangsaan kepada masyarakat Indonesia.
Our Experience in Applying the National Polymer Microshunt in Refractory Glaucoma Surgery
Authors: Kolpakova O. A. , Fabrikantov O. L. 
Published: October 2021

Purpose. To analyze the outcomes of the national polymer microshunt implantationin refractory glaucoma surgery and to show its efficacy and safety.Patients and methods. We analyzed the results of treatment of 90 patients (90 eyes) with refractory glaucoma. All patients were divided into two groups: main group and comparison group. The patients in the main group (44 eyes) were implanted with the national polymer microshunt (Reper-NN). The patients in the comparison group (46 eyes) were implanted with Ex-PRESS. Control criteria in the postoperative period included visometry, tonometry by Maklakov, computed perimetry. The examinations were performed preoperatively, at discharge, in a month, in six months and later postoperatively.Results. When implanting the national polymer microshunt we reached the significant decrease in the intraocular pressure in the postoperative period in comparison with the preoperative level. The implantation outcomes of the national polymer microshunt and Ex-PRESS were comparable in efficacy and safety. The easy implantation and special construction of the national polymer microshunt provided with the sufficient efficacy and safety in refractory glaucoma surgery and allowed recommending its further application in the clinical practice.Conclusion. The use of Reper-NN microshunt is effective and safe method of treating refractory glaucoma. The implantation of this shunt may be the method of choice both in primary and secondary refractory glaucoma surgery. The least price of Reper-NN microshunt in comparison with the foreign analogue allows this surgery to be more available for patients with refractory glaucoma.
Morphometric study of adult human gall bladder in a cadaver and its clinical importance
Authors: Parashuram Rajapur , Shivanal Uma 
Published: October 2021

Extrahepatic biliary apparatus comprises of gall bladder, cystic duct, hepatic ducts and common bile duct. Gall Bladder is a pear shaped hollow organ, which are situated in contact with the under surface of right lobe of liver. In adult the length is between 7-10 cm, maximum breadth being 3 cm and with a maximum capacity of 50 ml. The morphological and morphometric variations of gall bladder are common. These variations are well studied and documented by the earlier studies but its precise morphological types and its incidence are utmost important during diagnostic and therapeutic procedures. Hence, comprehensive knowledge of variations of gall bladder will be important to avoid complications during surgical procedures and radiological interventions. The study was carried on 50 liver with Gallbladder specimens obtained from 10% formalin fixed cadavers of age group 50-60 years in the department of Anatomy. The gall bladder was observed, dissected carefully and studied for its parameters i.e. length and breadth using Vernier calipers. The variations in shape, its external morphological features and its position were also noted.52% of the gall bladder specimens had length ranging between 7 – 10cms. 68% of the specimens had transverse diameter ranging between 3 – 5cms. Various shapes observed were Pear shape, Hourglass shape, Retort shape, Cylindrical shape and Flask or Irregular shaped. The commonest shape observed and recorded in this study was Pear shaped in 26 specimens (52%). Folded fundus (Phrygian cap) of gall bladder was found in 2 out of 50 specimens (4%) and Hartmann’s pouch was found in 7 out of 50 specimens (14%).The precise knowledge of the various morphological and morphometric variants of the gall bladder is important for the operating Surgeons and Radiologists. The preoperative diagnosis of these variations helps to reduce the complications like bleeding and biliary leaks.
Study of sympathetic and parasympathetic control of haemodynamics in mid pregnancy by cardiac autonomic neuropathy analyzer
Authors: Kaur Jeewandeep , Batra Arvinder Pal Singh 
Published: October 2021

Pregnancy is associated with substantial changes in cardiovascular system. The action of autonomic nervous system is essential for circulatory adaptations in pregnancy and nourishing growing fetus. The study was conducted to assess the significance of autonomic function tests amongst women of mid pregnancy and non pregnant women. A comparative study was caried out amongst pregnant and non pregnant women in Department of Physiology. A total of 60 women (30 pregnant as study group and 30 non pregnant healthy women as control group) aged between 18- 30 years were included in study. The results indicated that there was statistically significant change in resting heart and highly statistically significant change to deep breathing in mid pregnancy reflecting higher parasympathetic activity in study group (pregnant female) as compared to control group (non pregnant female) while sympathetic activity assessed by isometric hand grip test didn’t show any statistically significant change among pregnant as compared to non pregnant. Our study showed role of parasympathetic activity in controlling haemodynamics in mid pregnancy and it may help to return the arterial pressure to non pregnant level by causing haemodilution, although when the increase in activity is excessive, hypertension may ensue.
Possible Directions of NATO Military Operations Against the Kaliningrad Region of the Russian Federation (Based on Materials from Open Publications)
Authors: Zverev Yury 
Published: October 2021

The article is devoted to the possible directions of NATO military operations against the Kaliningrad region as an anti-access and area denial zone (A2/AD), which interferes with the plans of the North Atlantic Alliance in the Baltic region (based on materials from open publications of winter-spring 2021). Shows the danger and unrealizability of these intentions (including on the basis of the results of the Polish military exercise Zima-20).
SYMPTOMS OF POISONING LYMNAEA (MOLLUSCA, GASTROPODA, LYMNAEIDAE) WITH WATER MEDIUM CHROME SULFATE
Authors: Stadnychenko A. P. , Uvaieva O. I. , Kyrychuk G. Ye. 
Published: October 2021

Problem. Cr (III) ions are dangerously toxic for the hydrobionts of water system of the Dnieper River basin. The ions have not been previously studied in relation to their effect on a number of pond snail species.
Aim. Hence, the aim of this work is to determine the range of concentrations of Cr (III) in aquatic environment that cause each of the subsequent phases of pathological process in pond snails: poisoning by the aforementioned toxicant, and presence of the complexes of symptoms of the pathological or adaptive nature that are typical for each phase.
Methods.The study was conducted in 2018 in the laboratory of zoology of invertebrates of Zhytomyr Ivan Franko State University on 344 individuals of pond snails of the species Lymnaea atra, L. callomphala and L. turricula. The toxicological experiment was performed according to the technique of V. A. Alekseyev, the rate of heartbeat by D. A. Vyskushenko, the rate of branchial respiration by V. I. Zhadin, the mean daily food intake by A. P. Sushkina, the trematode (Trematoda) infection rates and morphological examination by T. A. Ginetsinskaya.
Main results. Cr (III) ions are water-soluble endogenic, highly poisonous toxicant, which locally affects the respiratory branchial epithelium and skin epithelium of pond snails. The depression, and later the termination of aerobic respiration lead to their death from asphyxia. The course of poisoning is five-phase. At 0.5 MPC Cr (III) all vital functions of pond snails are carried out at the normal level (indifference phase). At concentrations of 1-2 MPC, Cr (III) ions cause an increase in their heart rate, intensity of branchial respiration, nutrition and digestion, locomotion (muscle) activity (stimulation phase). At 3 MPC of Cr (III) ions, the depression phase of intoxication develops, with the complex of symptoms including bradycardia, a sharp weakening of respiratory and trophic functions and muscle activity, with increasing degrees of hydremia, pastosity, necrosis of the respiratory epithelium and underlying tissues, and the occurrence of bleeding and hemorrhage (depressive, sublethal and lethal phases).
Conclusions. The studied species of pond snails are highly sensitive to the action of Cr (III) ions and can be suggested for use as test objects in the system of hydroecological monitoring of terrestrial waters of Ukraine.
ВЛИЯНИЕ ТЕХНОЛОГИЧЕСКИХ ПАРАМЕТРОВ НА ТЕРМИЧЕСКИЕ ПРЕВРАЩЕНИЯ БАРЗАССКИХ УГЛЕЙ В РАЗЛИЧНЫХ СРЕДАХ
Authors: Ушаков Константин Юрьевич , Петров Иван Яковлевич , Богомолов Александр Романович 
Published: October 2021

Актуальность исследования связана с перспективами глубокой переработки твердого топлива и необходимостью получения более подробной информации об основных закономерностях термических превращений угля при его ожижении. Разработка и совершенствование технологий прямого ожижения углей в будущем может стать важным источником получения дополнительных ресурсов углеводородов для химической промышленности и энергетики. Цель: изучить влияние технологических параметров (температуры и давления) на процессы ожижения и термические превращения барзасских углей в атмосферах диоксида углерода и водорода с целью установления взаимосвязей между условиями термической обработки угольного сырья и составом и выходами продуктов его конверсии. Объекты: сапромикситы Барзасского месторождения углей (Кемеровская область, Россия) и продукты их термических превращений в углекислотной и водородной средах. Методы: термическая обработка исследуемых углей в лабораторном микроавтоклаве в различных средах (CO2, H2) и анализ продуктов их превращений методами элементного анализа (CHNOS), ИКФП-спектроскопии и масс-спектрометрии. Исследования производились на тарированном и исправном оборудовании. Перечень оборудования и методы, использованные в данной работе, подробно описаны в экспериментальной части этой статьи. Результаты. Были найдены практически аналогичные зависимости (кривые экстремального типа) от температуры и давления для изменений ИК-интенсивностей поглощения алкильных групп и выходов «угольных жидкостей» (суммарного количества мальтенов и асфальтенов) при превращениях барзасских углей в углекислотной и водородной средах. Установлены различия в превращениях двух модификаций барзасских сапромикситов, и выявлен преимущественно парафино-нафтеновый характер функционального состава образующихся «угольных жидкостей». Обнаружена явная взаимосвязь между выходами газообразных продуктов и атомными отношениями H/C в твердых продуктах превращений барзасских сапромикситов. «Угольные жидкости» и газообразные соединения, получаемые в результате термической переработки барзасских углей, могут служить потенциальным сырьем для производства углеводородов и других ценных химических продуктов, а также использоваться в качестве топлива при производстве тепла и электроэнергии.