bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluación del nivel de participación del nutricionista en la prescripción dietética en hospitales públicos y privados de Chile
Authors: Durán Agüero Samuel , Onfray Centonzio Paulina , Correa Yáñez María José , Gamboa Menai Sonia , Cancino López Viviana 
Published: October 2019

Antecedentes: actualmente, Chile tiene un déficit de dietistas clínicos y se desconoce si este déficit está afectando la prescripción de indicaciones dietéticas adecuadas para pacientes hospitalizados. Objetivo: evaluar el nivel de participación del nutricionista clínico en la prescripción dietética en los hospitales públicos y privados del territorio nacional, entre los meses de agosto y octubre del año 2016. Materiales y métodos: estudio exploratorio, descriptivo; se invitaron a participar a 360 nutricionistas, contestaron 110 nutricionistas clínicos. Se aplicó un cuestionario de 21 preguntas, enviado vía correo electrónico. Resultados: las horas diarias dedicadas al servicio clínico presentaron una mediana de 6 horas, el 41,8 % de los encuestados tenía entre 26 y 50 pacientes a su cargo. El 99 % de los nutricionistas puede sugerir cambios en la prescripción dietética; sin embargo, un 45 % de las sugerencias realizadas al médico para modificar regímenes son registradas siempre en la ficha clínica. La participación en la prescripción dietética al inicio del tratamiento corresponde a un 9,1 %, en la evolución es de un 32,7 % y en la prescripción realizada al alta es de un 56,4 %. A más años de experiencia y más horas dedicadas al servicio se presenta un significativo mejor puntaje en la prescripción dietética (p<0,05). Conclusiones: el nivel de participación del nutricionista clínico es medio, los nutricionistas con más años de experiencia y mayor número de horas dedicadas a los pacientes presentan mayor prescripción dietética.
ENDOSCOPIC DIAGNOSIS OF SUSPECTED H. PYLORI INFECTION IN SULAIMANI PEDIATRIC TEACHING HOSPITAL
Authors: Saeed Heersh 
Published: October 2019

Background
Helicobacter pylori is a common cause for chronic gastritis, gastric atrophy, peptic ulcer disease in the pediatric age group. Infection is more common in developing countries; Transmission is fecal-oral, or oral-oral from human-to-human contact. Serology, stool antigen, urea breath test, and endoscopy are used for diagnosis.
Objectives
To evaluate endoscopic finding and biopsy results of those children who underwent upper gastrointestinal endoscopy
Patients and Methods
We conducted this study on 49 children, all suspected of H. pylori infection, different methods were used for diagnosis serology, stool antigen and urea breath test. Every child checked by anesthesiologist before endoscopy, in all children endoscopy done after giving anesthesia, biopsy taken from every child and sent to histopathology.
Results
In our study, the sensitivity of serology was 60%, while the sensitivity of stool antigen test for H. pylori was 80% and the sensitivity of Urea breath test was 92%. Ninety percent of children with endoscopic findings of nodular gastritis were H. pylori positive on biopsy result while 62% of children with gastritis were positive for H. pylori on biopsy result.
Conclusions
Urea breath test is the most accurate test for diagnosis of H. pylori infection, next test is stool for H. pylori antigen while serology is not accurate for diagnosis.
Programming of oblique laparotomy optimal parameters when implementing splenectomy
Authors: Amarantov D. G. , Zarivchatsky M. F. , Alkhamaidkh A. A. , Gudkov O. S. , Zhuravlev O. S. 
Published: October 2019

Aim. To develop the method of prediction of the optimal parameters of oblique laparotomy when implementing splenectomy.
Materials and methods. The newly developed method was used in treatment of 108 patients, who needed splenectomy.
Results. It was detected that the optimal length of laparotomy is 98 % of the revealed with computed tomography distance from the center of splenic portal to the center of laparotomy. The offered method for determining laparotomy sizes was used in 25 open splenectomies.
Conclusions. Introduction of the offered method for determining laparotomy sizes into clinical practice permitted to reduce the sizes of laparotomy by 23 % without any losses in the quality of splenectomy implementation.
Influence of polymorphism of the gene GCLC on antioxidant defense status in healthy children of Omsk region
Authors: Pavlinova E. B. , Kirshina I. A. , Kurmasheva E. I. , Vlasenko N. Yu. , Mingairova A. G. , Savchenko O. A. , Indutnyi A. V. , Novikov D. G. 
Published: October 2019

Aim. To study the status of antioxidant defense in healthy children, living in Omsk Region, depending on polymorphism of the gene GCLC.
Materials and methods. There were examined 50 healthy children aged 3 to 17 years, including 54 % of boys. Polymorphism of the gene GCLC 129С/C, 129C/Т, 129T/T and reduced (GSH) and oxidized (GSSG) glutathione concentrations were determined. Statistical analysis was implemented using the programs Statistica 6.0 and DoctorStat1.9.
Results. Polymorphism of the gene GCLC was represented by the genotypes 129C/C (43 children, 86 %) and 129C/T (7 children, 14 %); GSH concentration was within 6.0 [4.4; 7.0] mcmol/l, GSSG concentration 3.0 [2.3; 3.5] mcmol/l, GSH:GSSG ratio was 2:1. Weak direct correlation between the child age and GSH (r = 0.31; р = 0.028) and GSSG (r = 0.31; р = 0.031) content was established; no gender differences were revealed. Among the subjects with the genotype 129C/T, the blood plasma GSH (р = 0.017) and GSSG (р = 0.016) concentrations decreased by 30 %.
Conclusions. Glutathione concentration in children depends on polymorphism of the gene GCLC.
EVALUASI KUALITAS WEBSITE DINAS PENDIDIKAN MENGGUNAKAN KERANGKA KERJA WEBQUAL 4.0 DAN IMPORTANCE PERFORMANCE ANALYSIS (IPA)
Authors: Herlambang Admaja Dwi , Priyangga Rizki Widya , Wardani Niken Hendrakusma 
Published: October 2019

<em>Belum pernah dilakukan evaluasi terhadap website Dinas Pendidikan juga menjadi salah satu permasalahan dalam penelitian ini. Tujuan dilakukan evaluasi adalah untuk mengetahui kualitas </em>usability<em>, </em>information quality<em>, dan </em>service interaction quality<em> pada website Dinas Pendidikan Kabupaten Pasuruan. Sampel yang digunakan sebesar 100 responden dari populasi pengguna </em>website<em>, dengan teknik sampling </em>simple random sampling<em>. Pengumpulan data diperoleh dari penyebaran kuesioner</em><em>, kemudian dianalisis menggunakan statistik deskriptif dan </em>importance performance analysis<em>. Hasil statistik deskriptif bahwa ketiga variabel tersebut masuk dalam kategori tinggi. Hasil nilai </em><em>kesenjangan variabel </em>usability<em> didapatkan -0.35, </em>information quality<em> sebesar -0.32, dan </em>service interaction quality<em> sebesar -0.36. Berdasarkan hal tersebut </em>website<em> belum memenuhi kualitas ideal yang diinginkan pengguna. Indikator yang perlu dilakukan perbaikan adalah desain warna </em>website<em> nyaman dilihat, jenis dan ukuran huruf mudah dibaca, warna </em>background<em> kontras dengan warna huruf, informasi </em>up-to-date<em>, informasi bermanfaat untuk pengguna, kemudahan berkomunikasi dengan organisasi, dan kecepatan merespon dan memberikan tanggapan.</em>
Knowledge and practice among the pediatric post graduate residents regarding the technique of blood culture sampling
Authors: Inamdar Nusrat R. , Wade Minal R. , Mauskar Anupama 
Published: October 2019

Background: Errors in sampling during blood culture, may lead to contaminants or poor yield which result in faulty reports increasing patient's suffering, endanger patient safety and increasing cost of health care. Optimal knowledge about the sampling method for important microbiological test like blood culture translates into appropriate practices. Authors objectives was to assess the knowledge and practice of the Pediatric resident doctors, regarding sterile technique during blood culture collection. The change in the knowledge of the residents during blood culture sampling with regards to maintaining asepsis after watching educational video was evaluated.Methods: A quasi experimental, questionnaire based study with pre–post intervention, involved post graduate resident’s knowledge and practice regarding the sterile technique during blood culture collection. The data analyzed using paired t test and Chi-square Test.Results: 18(60%) participants accepted that they have collected blood culture not maintaining complete asepsis at some time in past. The reasons for the same were lack of knowledge 14 (46.66%), no assistance from staff for the procedure 14 (46.66%), non-availability of sterile gloves 4 (13.33%), non-availability of antiseptic solution 4(13.33%), time consuming 8 (26.66%).Conclusions: Ultimately, blood culture contamination is a complex, challenging problem that requires a multidisciplinary approach. Regular teaching modules for the health personnel and ensuring environment conducive to correct practises would definitely help in improving the sampling practises for aseptic procedures.
Open reduction and internal fixation treatment of distal tibia fracture with Wise lock plate followed by two year follow up
Authors: Kumar Mohit , Rawat Pooja , Gupta Jitendra , Luthra Gaurav 
Published: October 2019

<p class="abstract"><strong>Background:</strong> Distal tibial fractures are high energy injuries with high complication rate. The objective of this study was to reduce the postoperative complications of distal tibial fracture by using indigenously manufactured implants (plates and screws).</p><p class="abstract"><strong>Methods:</strong> This was a prospective study of 10 patients (6 patients had 43-B1 fracture, 4 patients had 43-B2 fracture) with two year follow up period followed by physical exercises after one month of the surgery. The fractures were treated with 3.5 mm Wise lock medial distal tibia plate. X-ray was used to check the union, non-union. Functional outcomes were assessed with visual analog scale (VAS) score.<strong></strong></p><p class="abstract"><strong>Results:</strong> X-ray was showing good results. Average VAS score was 1.5 (90%) 9 patients and 2.5 (10%) in 1 patient. At the end of the first year VAS score is 2 for one patient with 9 others having 1 and at the end of the second year the VAS score is 0 for 9 patients and 1 for one patient.</p><p class="abstract"><strong>Conclusions:</strong> Treatment of distal tibial fracture with 3.5 mm Wise lock medial distal tibia plate shows good outcomes with less complications.</p><p> </p>
Um estudo sobre a estruturação da rede de proteção social voltada à população idosa no município de Vitória.
Authors: Borba Roberta 
Published: October 2019

Propõe analisar a estruturação e a efetividade do sistema de proteção social estabelecido pela Política Nacional de Assistência Social (PNAS), direcionada à população idosa, no que diz respeito à responsabilidade da Semas no município de Vitória/ES. A pesquisa norteia-se pelo método crítico dialético, numa abordagem qualitativa, utilizando revisão literária, entrevistas semi-estruturas e grupo focal com os usuários, tendo em vista as seguintes hipóteses: 1) a PNAS demarca uma nova configuração da proteção social, 2) a política social para atendimento ao idoso em Vitória apresenta avanços, entretanto, não está sendo construída e efetivada de forma intersetorial e 3) a atenção ao processo de apartação familiar é ineficiente e o abrigamento desses idosos fica sobre responsabilidade de Organizações Não Governamentais. Como discussão apreende-se a dinâmica de que a política de Assistência Social se constitui antes de 1988 a partir de práticas filantrópicas, com características circunstanciais e imediatistas, longe de ser garantida como direito. Em 1988, com a Constituição Federal, passa a ser concebida como direito e dever do Estado e a Lei Orgânica da Assistência Social (Loas) em 1993 organiza e regulamenta os pressupostos constitucionais. Além disso, o contingente de idosos tem crescido no país e o envelhecimento populacional é considerado um notável fenômeno mundial. Não obstante, esse crescimento demográfico do segmento idoso é acompanhado por necessidades humanas, sociais, culturais, econômicas e familiares, demandas que nem sempre seguem o mesmo compasso da capacidade provedora dos sujeitos idosos, de suas famílias e do poder público. Como resultados, foram identificados avanços e limitações na estrutura e efetivação da rede de proteção social para os idosos. As respostas políticas são mais expressivas na proteção social básica, as ações de média complexidade estão sendo estruturadas, porém com baixo reconhecimento dos usuários e as ações de alta complexidade que envolve as Instituições de Longa Permanência irão permanecer sob a custódia do Terceiro Setor, pois não há planejamento na Secretaria Municipal de Assistência Social para assumir essa responsabilidade. Identificou-se ainda que a municipalidade se utiliza das formas de co-gestão com as Instituições do Terceiro Setor com a finalidade de gestão dos equipamentos sociais, contratação de profissionais e aquisição de materiais como forma de efetivar o atendimento ao usuário, e essa parceria apresenta diversas fragilidades. Conclui-se, portanto, que as respostas do Estado para atendimento aos desafios do envelhecimento têm avançado, porém com muitas limitações, fato que impede a população idosa exercer o direito à cidadania plena e reafirma o ideário neoliberal no trato da questão social.
Communication Style in Media Struggle, Misbach Communication Style in Early 20th Century
Authors: Arifin Syifaul , Utari Prahastiwi , Hastjarjo Sri 
Published: October 2019

The mass media was used as an advocacy and struggle tool in the early 20th century in the Dutch East Indies colony. One figure at that time was Haji Misbach (1876-1926) who used the Medan Moeslimin and Islam Bergerak media to convey thoughts, advocate citizens, to attack political opponents. What is known from Misbach is that he is an Islamic figure with the title of hajj, but he is one of the communist figures. He combines Islam and communism. The communication style used by Misbach, according to Stuart Hall's theory, is a low context that is the direct delivery of the target or purpose of communication.Whereas the Indies community at that time and Asia in general used a high context communication style that was full of ado, not directly to the problem.
DECISION MAKING IN THE ERA OF INFOBESITY: A STUDY ON INTERACTION OF GENDER AND PSYCHOLOGICAL TENDENCIES
Authors: Maidullah Sana , Sharma Ankita 
Published: October 2019

Purpose: This study examines information processing during consumer decision making on online platforms as influenced by gender differences and psychological tendencies. Further exploration is ‘how much information is too much information; leading to infobesity.’
Methodology: The methodology to address the objective included the questionnaires for assessment of psychological tendencies and naturalistic experiments to measure decision making in online conditions. An online marketplace prototype was created for mobile purchase, named ‘mobile bazaar,’ and another for hotel booking, named ‘backpackers.’ The prototype was designed in such a way that the manipulation of information presented to the participant is possible. Participants were recruited with purposive and snowball sampling method depending upon their willingness and familiarity with online market platforms. Final data were collected from Three hundred sixty-eight participants during the period of October 2017- March 2018. The data from questionnaires and the computerized task was scored and analyzed with SPSS version 21 with t-test, chi-square and logistic regression analysis methods.
Main findings: The present study shows the influence of psychological tendencies (i.e., need for closure, exploratory tendencies, and uncertainty avoidance) and gender difference in decision making. Female seems to follow ‘process less to process better’ strategy, whereas, men seem to follow ‘process more to get better’ strategy. The findings also provided input to the debate of information measurement in consumer research.
Implications: Understanding decision making features of Indian consumers can not only contribute to the understanding of the naturalistic decision-making process itself but also can provide inputs to the market researchers, designers, and policymakers.
Novelty /originality of the study: The study was novel in terms of its use of the online marketplace prototype as a naturalistic decision making study method. This method allowed the researchers to examine participants' behavior (of information processing and decision making) in real like scenarios and yet had the luxury of manipulation of presenting information as per research design. Therefore the findings of present study will have more generalizability.
Relevance of the “Immigrant Health Paradox” for the Health of Arab Americans in California
Authors: Abuelezam Nadia N. , El-Sayed Abdulrahman M. , Galea Sandro 
Published: October 2019

Objectives. To assess the validity of the immigrant health paradox among Arab Americans in California. Methods. We used data from the 2003 to 2017 California Health Interview Survey (n = 1425). We used survey-weighted χ2 and logistic regression analyses to compare Arabs by immigrant generation on socioeconomic indicators, health behaviors, and health outcomes. Results. Second-generation Arab Americans had higher odds of binge drinking (adjusted odds ratio [AOR] = 3.26; 95% confidence interval [CI] = 1.53, 6.94) in the past year than did first-generation Arab Americans. Third-generation Arab Americans had greater odds of receiving the influenza vaccine in the past year (AOR = 3.29; 95% CI = 1.09, 9.98) than did second-generation Arab Americans. Third-generation Arab Americans had increased odds of being overweight or obese when compared with first- (AOR = 2.59; 95% CI = 1.02, 6.58) and second-generation Arab Americans (AOR = 3.22; 95% CI = 1.25, 8.29), respectively. Conclusions. Alcohol use increased across immigrant generations, and we observed no differences in health outcomes, other than obesity. The immigrant health paradox does not appear to apply to Arab Americans in California; mechanisms that generate health in this population should be studied further.
Rural–Urban Disparities in Pregnancy Intentions, Births, and Abortions Among US Adolescent and Young Women, 1995–2017
Authors: Sutton April , Lichter Daniel T. , Sassler Sharon 
Published: October 2019

Objectives. To examine rural–suburban–urban disparities in intendedness and resolution of first pregnancies among adolescent and young women (aged 15–19 and 20–24 years) across racial/ethnic backgrounds in the United States. Methods. We used the National Survey of Family Growth and pooled pregnancy files from 2002 through the 2015–2017 surveys. We report baseline rural–suburban–urban disparities in first pregnancy intention and outcomes. We used multinomial logistic regression to estimate these disparities, accounting for sociodemographic background, religious upbringing, and other factors. Results. The first adolescent pregnancies of rural women were more likely to be unintended and end in live birth relative to their urban counterparts. Disparities were most striking among Black adolescents, with about 60% of first adolescent pregnancies among rural Black women being unintended and ending in live birth (urban: 51%). Newly collected state health department data on rural and urban adolescent births and abortions corroborate the findings from the National Survey of Family Growth. Conclusions. Rural–urban differences in the share of first adolescent pregnancies ending in live births are not accounted for by pregnancy intention or confounding individual-level characteristics. Future research should explore the role of structural barriers, including access to family planning and abortion services.
Patients with Type-1 Diabetes Are at Greater Risk of Periprosthetic Joint Infection
Authors: Duensing Ian , Anderson Mike B. , Meeks Huong D. , Curtin Karen , Gililland Jeremy M. 
Published: October 2019

Background:
The effect of diabetes type on the risk of periprosthetic joint infection is not well documented. We hypothesized that patients with diabetes mellitus type 1 would be at greater risk for periprosthetic joint infection than those with diabetes mellitus type 2 and that a history of diabetic complications would be associated with an increased risk of periprosthetic joint infection.

Methods:
We performed a retrospective cohort study, within a statewide database, on all adult patients who underwent hip or knee arthroplasty, with follow-up of ≥2 years, from 1996 to 2013. Of the 75,478 patients included, 1,668 had type-1 diabetes and 18,186 had type-2 diabetes. Risk factors were calculated using Cox regression, adjusting for siblings and stratified by age. Logistic regression was used to analyze the effect of diabetic complications on the risk of periprosthetic joint infection, controlling for other known risks for periprosthetic joint infection.

Results:
There was no difference in age or sex between groups (p > 0.05). The frequency of periprosthetic joint infection in patients without diabetes was 2.6% compared with 4.3% in all patients with diabetes (relative risk, 1.47; p < 0.001). Patients with type-1 diabetes were at a 1.8 times greater risk for periprosthetic joint infection than patients with type-2 diabetes (7% compared with 4%; p < 0.001). The following diabetic complications increased the risk of periprosthetic joint infection: peripheral circulatory disorders (odds ratio [OR], 2.59 [95% confidence interval (CI), 1.70 to 3.94]), ketoacidosis (OR, 2.52 [95% CI, 1.51 to 4.19]), neurological manifestations (OR, 2.33 [95% CI, 1.96 to 2.78]), renal manifestations (OR, 2.15 [95% CI, 1.66 to 2.79]), and ophthalmic manifestations (OR, 1.76 [95% CI, 1.24 to 2.51]). The odds of periprosthetic joint infection increased with each added complication and patients with ≥4 complications were 9 times more likely to have a periprosthetic joint infection than patients with uncomplicated diabetes (OR, 9.47 [95% CI, 4.97 to 18.03]). Overweight and obese patients with type-2 diabetes and underweight patients with type-1 diabetes were at greater risk for periprosthetic joint infection compared with the general population (all p < 0.05).

Conclusions:
Our data showed an increased risk of periprosthetic joint infection in patients with type-1 diabetes compared with those with type-2 diabetes, along with an increasing risk associated with additional diabetic complications. These findings emphasize the need to better understand the medical history of patients with diabetes for more appropriate risk management.

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