bluuebunny/crossref_metadata_2025_split huggingface dataset:
PICU Early Mobilization and Impact on Parent Stress
Authors: Colwell Blair R.L. , Olufs Erin , Zuckerman Katharine , Kelly Serena P. , Ibsen Laura M. , Williams Cydni N. 
Published: April 2019

BACKGROUND AND OBJECTIVES:Early mobilization of critically ill children may improve outcomes, but parent refusal of mobilization therapies is an identified barrier. We aimed to evaluate parent stress related to mobilization therapy in the PICU.METHODS:We conducted a cross-sectional survey to measure parent stress and a retrospective chart review of child characteristics. Parents or legal guardians of children admitted for ≥1 night to an academic, tertiary-care PICU who were proficient in English or Spanish were surveyed. Parents were excluded if their child’s death was imminent, child abuse or neglect was suspected, or there was a contraindication to child mobilization.RESULTS:We studied 120 parent-child dyads. Parent mobilization stress was correlated with parent PICU-related stress (rs [119] = 0.489; P ≤ .001) and overall parent stress (rs [110] = 0.272; P = .004). Increased parent mobilization stress was associated with higher levels of parent education, a lower baseline child functional status, more strenuous mobilization activities, and mobilization therapies being conducted by individuals other than the children’s nurses (all P &lt; .05). Parents reported mobilization stress from medical equipment (79%), subjective pain and fragility concerns (75%), and perceived dyspnea (24%). Parent-reported positive aspects of mobilization were clinical improvement of the child (70%), parent participation in care (46%), and increased alertness (38%).CONCLUSIONS:Parent mobilization stress was correlated with other measures of parent stress and was associated with child-, parent-, and therapy-related factors. Parents identified positive and stressful aspects of mobilization therapy that can guide clinical care and educational interventions aimed at reducing parent stress and improving the implementation of mobilization therapies.
Epidemiology of Readmissions After Sepsis Hospitalization in Children
Authors: Prout Andrew J. , Talisa Victor B. , Carcillo Joseph A. , Angus Derek C. , Chang Chung-Chou H. , Yende Sachin 
Published: April 2019

BACKGROUND AND OBJECTIVES:
The decline in hospital mortality in children hospitalized with sepsis has increased the number of survivors. These survivors are at risk for adverse long-term outcomes, including readmission and recurrent or unresolved infections. We described the epidemiology of 90-day readmissions after sepsis hospitalization in children. We tested the hypothesis that a sepsis hospitalization increases odds of 90-day readmissions.

METHODS:
Retrospective cohort analysis of the Nationwide Readmissions Database. We included index unplanned admissions of non-neonatal pediatric patients and described the proportion of readmissions, including those involving infection or sepsis. We performed multivariable analysis to determine the odds of readmission after a sepsis and nonsepsis admission and compared costs of readmission after sepsis and nonsepsis admissions.

RESULTS:
Of 562 817 pediatric admissions, 7634 (1.4%) and 555 183 (98.6%) were discharged alive after admissions with and without sepsis. The rate of 90-day readmission after sepsis was 21.4%: 7.2% and 25.5% in previously healthy and chronically ill patients. The adjusted mean cost during readmission was $7385. Half of readmissions (52.9%) involved recurrent infection or sepsis. Sepsis admissions were associated with higher odds of readmission at 90 days compared with nonsepsis admissions (adjusted odds ratio 1.15, 95% confidence interval 1.08–1.23). The results remained unchanged for 30-day and 6-month readmissions.

CONCLUSIONS:
Readmissions occur after 1 in 5 pediatric sepsis hospitalizations and increase health care costs. Sepsis hospitalization increased odds of readmission and commonly involved recurrent infection or sepsis. Clinicians caring for these patients should consider surveillance for recurrent or unresolved infection, and researchers should explore underlying mechanisms and potential interventions to reduce readmissions.
Readmissions to the ICU Among Children With Tracheostomies Placed After Cardiac Arrest
Authors: Heneghan Julia A. , Shein Steven L. 
Published: April 2019

OBJECTIVE:
Describe clinical outcomes and risk factors for ICU readmissions in a cohort of children who underwent tracheostomy placement after cardiac arrest.

METHODS:
A retrospective, multicenter cohort analysis of children &lt;18 years old admitted to a Virtual Pediatric Systems, LLC–participating PICU from January 2009 to December 2016 and underwent tracheostomy after cardiac arrest.

RESULTS:
Among 394 index admissions, the median age was 16.8 months (interquartile range [IQR] 5.3–89.3), and Pediatric Risk of Mortality 3 scores (median 9 [IQR 4.75–16]) indicated severe illness. Baseline neurologic function was generally age appropriate (Pediatric Cerebral Performance Category score: median 2 [IQR 1–3]). The most common primary diagnosis categories were respiratory (31.0%), cardiac (21.6%), and injury and/or poisoning (18.3%). Post-tracheostomy mortality during the index admission was 9.3%. Among the 358 patients who survived to discharge, 334 had &gt;180 days of available follow-up data. Two hundred and five (61.4%) patients were readmitted at least once for a total of 643 readmissions (range 0–30; median 1 [IQR 0–2]). We observed 0.54 readmissions per patient-year. The median time to first readmission was 50.3 days (IQR 12.8–173.7). Significant risk factors for readmission included a pre-existing diagnosis of chronic lung disease, congenital heart disease and/or heart failure, prematurity, and new seizures during the index admission. The most common indication for readmission was respiratory illness (46.2%). Mortality (3.3%) and procedural burden during readmission were consistent with general PICU care.

CONCLUSIONS:
ICU readmission among children who undergo postarrest tracheostomy is common, usually due to respiratory causes, and involves outcomes and resource use similar to other ICU admissions. Risk factors for readmission are largely nonmodifiable.
Turismo y calidad de vida: un estudio de autocorrelación espacial aplicado a la ciudad de Mar del Plata, provincia de Buenos Aires, Argentina
Authors: Gordziejczuk Matías Adrián , Lucero Patricia Iris 
Published: April 2019

Los análisis basados en autocorrelación espacial permiten conocer el grado de agrupamiento, dispersión o aleatoriedad entre unidades espaciales vecinas, pudiéndose aplicar en escenarios univariado y bivariado. En este artículo se indaga la existencia de autocorrelación espacial bivariada entre indicadores de turismo y calidad de vida, así como el grado de autocorrelación de cada variable. Las unidades espaciales de análisis son las 76 fracciones censales de Mar del Plata. Los indicadores utilizados son las pernoctaciones hoteleras anuales, la cantidad de viviendas de presunto uso turístico, y un índice de calidad de vida compuesto por cuatro dimensiones y ocho indicadores obtenidos a partir del censo de población argentino del 2010. Los resultados de la investigación muestran la configuración de dos zonas de autocorrelación espacial positiva dentro de la ciudad, lo que valida el supuesto de que existe una relación entre la existencia de equipamientos turísticos y una más alta calidad de vida de los residentes de las zonas dedicadas al turismo.Ideas destacadas: artículo de investigación que explora la relación entre los indicadores de turismo y la calidad de vida, a partir del método de autocorrelación espacial univariada y bivariada aplicado al caso de la ciudad de Mar del Plata, Argentina.
Uso de la técnica Rompecabezas para promover la habilidad de resolución de problemas y el trabajo colaborativo en tareas de expresión oral en inglés
Authors: Quiroga Castillo Cecilia , Sepúlveda Navarro Karin , Díaz Larenas Claudio 
Published: April 2019

El presente artículo describe un estudio cuyo objetivo fue implementar la Técnica de aprendizaje Rompecabezas para desarrollar las habilidades cognitivas de orden superior de resolución de problemas y la habilidad colaborativa en 31 estudiantes de sexto año de educación primaria en la asignatura de inglés. Los aprendices realizaron tareas de expresión oral en inglés en grupos pequeños por dos horas semanales durante siete semanas para la unidad didáctica “En la Ciudad”; a cada uno de los participantes se les invitó a comprometerse e interactuar colaborativamente para lograr la solución de las tareas. La recolección de datos se obtuvo de la aplicación de las mediciones de diagnóstico y de término para los Grupos Rompecabezas, ambas evaluadas mediante una rúbrica analítica de resolución de problemas y una escala de estimación para el trabajo colaborativo. Se concluyó la experiencia con la realización de una encuesta de satisfacción de la Técnica Rompecabezas dirigida a los participantes. Al final, los estudiantes desarrollaron progresivamente la habilidad de resolución de problemas, que demostró, asimismo, mejoras en el trabajo colaborativo.
Palabras clave: Técnica Rompecabezas, habilidades del pensamiento de orden superior, resolución de problemas, trabajo colaborativo, expresión oral.
Sobre la noción de escritura en las enseñanzas de Lacan
Authors: Savio Karina 
Published: April 2019

En este artículo se propone un recorrido por la noción de escritura en las enseñanzas de Jacques Lacan con el fin de identificar el sentido o los sentidos que se alojan en ella. Asimismo, se pretende analizar con qué elementos teóricos se articula, y rescatar su aporte para los estudios del lenguaje. Entre los conceptos que provienen del campo de los estudios del lenguaje, esta noción no ha sido objeto, hasta el momento, de un estudio detallado. Sin embargo, este término persiste a lo largo de los escritos y los seminarios del psicoanalista. Como resultado de este trabajo se ha podido identificar cierta continuidad, pero también ruptura, en los modos en que Lacan concibe la escritura. Mientras que en una primera instancia la escritura es definida como una marca distintiva, lo que le supone un parentesco con el significante, en un segundo momento es entendida como sostén de goce. Podría pensarse que este segundo sentido conlleva la idea de marca; sin embargo, es una marca que ha perdido su valor “distintivo”, que no está ya en línea con el significante, sino que está definida desde el registro real.
Palabras clave: Estudios del lenguaje, psicoanálisis, real, escuela francesa, significante.
Exploring the Regulation of Genetic Testing in Sport
Authors: Patel Seema , Varley Ian 
Published: April 2019

This article investigates the legal implications of the use of genetic testing in sport, that is, the analysis of human DNA to detect particular genetic traits and variations, or susceptibility to conditions. As science makes significant strides in the understanding of our genetic information, the search for the genetic components which separate winners and losers in sport follows. Although the practice of genetic testing in sport is not currently commonplace, there are some examples of genetic information being used by sports clubs and governing bodies to make decisions about an athlete’s capability to perform. This article examines how this practice could disproportionately interfere with an individual’s human rights and result in genetic discrimination if information is used for selection and employment purposes. It reviews some of the hard and soft law measures that regulate genetic testing at an international, regional and domestic level. The position of sport within this regulatory framework is uncertain, given the unique way in which sports regulation functions and interacts with the law. Nevertheless, the article concludes that the tendency of the law to treat discrimination in sport differently to other areas of society could leave athletes vulnerable. Whilst genetic information may be useful for understanding genetic traits and their relationship with athletic performance, going beyond this to select athletes on the basis of genetics is discouraged and the interests of sport should be fairly balanced against the human rights of the athlete.
Leishmaniose Visceral: Características clínico-epidemiológicas de casos e óbitos no estado de Sergipe
Authors: Santos Matheus De Albuquerque , Rodrigues Samuel Lucas Calmon , Nascimento Aécio Lindenberg Figueiredo , Rodrigues Jamylle Souza , Góes Marco Aurélio De Oliveira 
Published: April 2019

Justificativa e Objetivos: A Leishmaniose Visceral (LV) é uma antropozoonose endêmica em áreas tropicais que vem demonstrando expansão e aumento global da letalidade. Este estudo objetiva caracterizar aspectos clínicos e epidemiológicos da LV, identificando fatores associados ao óbito. Métodos: Trata-se de um estudo epidemiológico observacional, utilizando-se os dados da base estadual dos casos de LV residentes no estado de Sergipe, notificados entre 2007 e 2016 no SINAN (Sistema de Informação de Agravos de Notificação). Resultados: Foram notificados 577 casos confirmados de LV, havendo concentração na zona urbana (76,1%), com letalidade geral de 12,3%. Houve predomínio no sexo masculino (69,5%), com maior letalidade. A maior concentração de casos ocorreu na primeira década de vida (38,5%). A letalidade aumentou a cada década a partir dos 40 anos, chegando a 39,3% em pessoas com 60 anos ou mais. Em ambos os quinquênios (2007 – 2011 e 2012 – 2016), observou-se que o
coeficiente de incidência médio (CIM) em menores de 10 anos é semelhante entre os dois sexos e a partir daí apresenta-se sempre maior no sexo masculino. As manifestações relacionadas a maior letalidade foram: hemorragias (30,3%), icterícia (28,1%), infecção (26,4%), edemas (25,1%) e a coinfecção com HIV (26,9%). Conclusão: Apesar de ser uma área de transmissão endêmica de LV, tem ocorrido mudanças no padrão epidemiológico com aumento da incidência em faixas da população maior que 40 anos, o que pode refletir no aumento da letalidade. A identificação desse novo cenário e o reconhecimento de sinais de gravidade são muito importantes para seu diagnóstico precoce e tratamento oportuno.
ANALISIS PERBANDINGAN CAPM DENGAN TFMFF DALAM MENGESTIMASI RETURN SAHAM PADA JII PERIODE 2014-2016
Authors: Komara Esi Fitriani , Yulianti Eka 
Published: April 2019

ABSTRACT In investing investors need to estimate returns, it is intended that the desired actual return is in accordance with the expected return. CAPM and TFMFF are models that can estimate stock returns. This study aims to determine whether (1) in the CAPM beta model as market risk affects the return. (2) on TFMFF excess return, firm size and BE / ME have an effect on return. As well as (3) CAPM or TFMFF which can estimate return better. The sample of this research is JII stocks for the period 2014-2016. Data analysis used is simple regression for CAPM and panel data regression for TFMFF. The results of this study state that, (1) beta does not affect return. (2) excess return and firm size affect return while BE / ME does not affect return. (3) TFMFF is better than CAPM in estimating the return of JII for the period 2014-2016.Keywords: CAPM; TFMFF ABSTRAKDalam melakukan investasi investor perlu mengestimasi return, hal tersebut bertujuan agar return aktual yang diinginkan sesuai dengan return yang diharapkan. CAPM dan TFMFF merupakan model yang dapat mengestimasi return saham. Penelitian ini bertujuan untuk mengetahui apakah (1) pada model CAPM beta sebagai risiko pasar berperpengaruh terhadap return. (2) pada TFMFF excess return, firm size dan BE/ME berperpengaruh terhadap return.Serta (3) CAPM atau TFMFF yang dapat mengestimasi return lebih baik.Sampel penelitian ini adalah saham-saham JII periode 2014-2016. Analisis data yang digunakan adalah regresi sederhana untuk CAPM dan regresi data panel untuk TFMFF. Hasil penelitian ini menyatakan bahwa, (1) beta tidak berpengaruh terhadap return. (2) excess return dan firm size berpengaruh terhadap return sedangkan BE/ME tidak berpengaruh terhadap return.(3) TFMFF lebih baik dibandingkan CAPM dalam mengestimasi return JII periode 2014-2016.Kata Kunci: CAPM; TFMFF
Modelagem e Simulação de uma Bancada Emuladora para Sistemas Eólicos
Authors: Santos Bruno Samways dos , Voltolini Hélio , Granza Marcelo Henrique 
Published: April 2019

As pesquisas acerca da energia renovável têm se de destacado devido às preocupações com a sustentabilidade. Os estudos sobre a energia eólica demandam testes e aprimoramentos sobre a conversão da energia cinética dos ventos para a energia mecânica transferida pelas pás da turbina eólica. O presente trabalho consistiu em realizar uma simulação de uma bancada de sistemas eólicos, realizando o acoplamento entre dois modelos de máquinas elétricas para suprir a necessidade de uma turbina eólica e um gerador. Buscou-se com essa pesquisa observar o sistema eólico substituindo os motores de corrente contínua pelos motores de indução trifásicos, analisando-se as curvas de potência da turbina, entrada e saída do gearbox, do motor de indução e entregue à rede. A modelagem incluiu os acoplamentos mecânicos dos eixos existentes entre cada máquina do sistema, visando a proximidade do modelo proposto com a realidade, observando a influência de atritos, rigidez, amortecimento, inércias, controles e rendimento principalmente. Os resultados foram promissores para a montagem de uma banca emuladora de sistemas eólicos, concluindo que houve uma perda normal de potência no sistema, entregando uma potência total à rede de 3156 W para uma velocidade de vento de 12 m/s, correspondendo a um rendimento de 84,34% do sistema. Palavras-chave: Sistema Eólico. Turbina Eólica. Motor de Indução. Simulação. AbstractThe research on renewable energy has been highlighted due to the concerns about sustainability. Studies about wind energy require tests and improvements on the conversion of kinetic energy of the wind into the mechanical energy transferred by the blades of the wind turbine. The purpose of this research consisted on a simulation of an emulating stand for wind systems, performing the coupling between two models of electric machines to fulfill the need for a wind turbine and a generator. The wind systems were observed by replacing the DC motors used most commonly as emulators for wind turbine by tri-phase induction motors by analyzing the power curve of the turbine inlet and outlet of the gearbox, induction motor and the power delivered to the power grid. The model included the mechanical linkages between each of the axes of the machine system, aiming the similarity of the proposed model with reality, noting the influence of friction, stiffness, damping, inertia, and efficiency. The results were promising for assembly a wind emulator system, concluding that there was a power loss in the system, delivering 3156 W to the power grid for a wind speed of 12 m/s, corresponding to an efficiency of 84.34% of the system.Keywords: Wind System. Wind Turbine. Induction Motor. Simulation.
EDITORIAL
Authors: Bektas Cetin 
Published: April 2019

Dear Readers,
It is the great honour for us to publish ninth volume, first issue of Global Journal of Business, Economics and Management: Current Issues
Global Journal of Business, Economics and Management: Current Issues is an international, multi- disciplinary, peer-refereed journal which aims to provide a global platform for professionals working in the field of business, economics, management, accounting, marketing, banking and finance and scholars and researchers to share their theoretical, empirical and practical knowledge on current issues in the area of business, economics and management.
The topics of the next issue will be different. You can make sure that we will be trying to serve you with our journal to provide a rich knowledge of the field. Different kinds of topics will be discussed in 2018 Volume. A total number of twenty (20) manuscripts were submitted for this issue and each paper has been subjected to double-blind peer review process by the reviewers specialized in the related field. At the end of the review process, a total number of six (6) high quality research papers were selected and accepted for publication.
We present many thanks to all the contributors who helped us to publish this issue.

Best regards,
Prof. Dr.Cetin Bektas
Editorâ€“ in Chief
Health-Related Quality of Life: A Qualitative Exploration of Employment Concerns of Veterans With Post-Traumatic Stress Disorder
Authors: Dillahunt-Aspillaga Christina , Haun Jolie , Lind Jason D. , Patel Nitin , Antinori Nicole , Luther Stephen L. 
Published: April 2019

Background/PurposeMilitary veterans experience post-traumatic stress disorder (PTSD) and increased rates of unemployment compared to civilian populations. Health-related quality of life (HRQOL) is identified as a key outcome of long-term health and well-being. The purpose of this article is to (a) explore how employment concerns of veterans with deployment-related (DR) PTSD are associated with HRQOL outcomes, and (b) discuss implications for rehabilitation research, policy, and education.ObjectiveTo (a) explore how employment concerns of veterans with deployment-related (DR) PTSD are associated with HRQOL outcomes and (b) discuss implications for rehabilitation research, policy and education.SettingThree Veterans Health Administration Centers (VHAs).Design/MethodDescriptive qualitative study examining employment-related domains identified through focus groups.FindingsSample consisted of 58 veterans with DR-PTSD (N = 9). Veterans report that HRQOL is affected by PTSD and unemployment. Specifically, themes emerged in the areas of anger, social roles/relationships, task performance, avoidance/isolation, hypervigilance, control over the environment, violence/aggression, and sleep interference.ConclusionCurrently, there are limited measures of HRQOL and employment in veterans with DR-PTSD. This understanding may contribute to development of a more relevant and sensitive measure of DR-PTSD HRQOL, which may facilitate improved research, program evaluation, and clinical practice. Rehabilitation counselors are well positioned to provide services to veterans, but may lack the educational foundation and training needed to support this unique population. Development of military-specific training and curriculum is needed.