bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical and prognostic association of total atrial conduction time in patients with heart failure: a report from Studies Investigating Co-morbidities Aggravating Heart Failure
Authors: Nuzzi Vincenzo , Pellicori Pierpaolo , Nikolaidou Theodora , Kallvikbacka-Bennett Anna , Torromeo Concetta , Barilla’ Francesco , Salekin Damien , Kaur Kuldeep , Monzo Luca , Cleland John G.F. , Clark Andrew L. 
Published: April 2019

Background
The total atrial conduction time can be measured as the time from the onset of the P wave on the ECG to the peak of the A wave recorded at the mitral annulus using tissue Doppler imaging (A′; P-A′tdi); when prolonged, it might predict incident atrial fibrillation.

Methods
We measured P-A′tdi in outpatients with heart failure and sinus rhythm enrolled in the SICA-HF programme.

Results
P-A′tdi measured at the lateral mitral annulus was longer in patients with HF with reduced [LVEF<50%, N = 141; 126 (112–146) ms; P = 0.005] or preserved left ventricular ejection fraction [LVEF>50% and NT-proBNP > 125 ng/l, N = 71; 128 (108–145) ms; P = 0.026] compared to controls [N = 117; 120 (106–135) ms]. Increasing age, left atrial volume and PR interval were independently associated with prolonged P-A′tdi. During a median follow-up of 1251 (956–1602) days, 73 patients with heart failure died (N = 42) or developed atrial fibrillation (N = 31). In univariable analysis, P-A′tdi was associated with an increased risk of the composite outcome of death or atrial fibrillation, but only increasing log [NT-proBNP], age and more severe symptoms (NYHA III vs. I/II) were independently related to this outcome. Patients in whom both P-A′tdi and left atrial volume were above the median (127 ms and 64 ml, respectively) had the highest incidence of atrial fibrillation (hazard ratio 6.61, 95% CI 2.27–19.31; P < 0.001 compared with those with both P-A′tdi and LA volume below the median).

Conclusion
Measuring P-A′tdi interval identifies patients with chronic heart failure at higher risk of dying or developing atrial fibrillation during follow-up.
ECG in dilated cardiomyopathy: specific findings and long-term prognostic significance
Authors: Merlo Marco , Zaffalon Denise , Stolfo Davide , Altinier Alessandro , Barbati Giulia , Zecchin Massimo , Bardari Stefano , Sinagra Gianfranco 
Published: April 2019

Objective
The objective was to provide an exhaustive characterization of ECG features in a large cohort of dilated cardiomyopathies (DCMs) and then investigate their possible prognostic role in the long term.

Background
ECG is an accessible, reproducible, low-cost diagnostic and prognostic tool. However, an extensive description of ECG features and their long-term prognostic role in a large cohort of DCM is lacking.

Methods
All available baseline ECGs of DCM patients enrolled from 1992 to 2013 were systematically analysed. Patients underwent to a complete clinical-laboratory evaluation. The study outcome measures were death or heart transplant (D/HT) and sudden death or malignant ventricular arrhythmias (SD/MVA).

Results
Four hundred and fourteen DCM patients were enrolled. During a median follow-up of 125 months, 55 and 57 patients experienced D/HT and SD/MVA, respectively. At multivariate analysis, left ventricular hypertrophy (P = 0.017), heart rate (HR, P = 0.005) and anterolateral T-wave inversion (P = 0.041) predicted D/HT. Regarding SD/MVA, S wave amplitude in V2 (P = 0.008), R wave amplitude in DIII (P = 0.007), anterolateral T-wave inversion (P = 0.017) emerged as predictors. At receiver-operating curve analyses, the addition of ECG models to the clinical-laboratory evaluation significantly increased the area under the curve both for D/HT (from 0.68 to 0.74, P = 0.042) and SD/MVA (from 0.70 to 0.77, P = 0.048).

Conclusion
The exhaustive systematic evaluation of ECG has an incremental impact in the prognostication of a large cohort of DCM patients, also regarding the arrhythmic stratification.
Student-centered approach and alternative assessments to improve students’ learning domains during health education sessions
Authors: Zulkifli Ahmad Fahim 
Published: April 2019

Summary

Study aim: The purpose of this study was to evaluate the effects of astudent-centered approach and alternative assessments on students’ learning domains (i.e., cognitive, affective, psychomotor) during health education learning sessions.

Material and methods: Four groups totaling 65 mixed-gender undergraduate students (ages 20–25) of physical and health education participated in this study of alternative assessments’ effects on students’ learning once per week (3 hours) in their respective classrooms for seven weeks at a central Malaysia university. Students’ knowledge on the lesson contents was gathered using a series of quizzes. Students’ self-efficacy was assessed using the modified Traits Sport-Confidence Inventory (TSCI), and students’ levels of physical activity were assessed using a mobile pedometer. Data were analyzed using descriptive statistics and t-tests to evaluate pre/post differences.

Results: The students’ perception and knowledge on health education improve across interventions with greater efficacy (7.64± 0.97) at the post-test compared to the pre-test (7.30± 1.38). Students’ recorded improvement in step counts between week two and week five. A slight reduction during weeks six and seven may be due to the end of the semester and preparation for the final examinations.

Conclusions: This study demonstrated that astudent-centered approach and alternative assessment of learning were effective to engage students with contents and developing whole learning domains within the classroom.
The CAD 3D course improves students’ spatial skills in the technology and design education
Authors: János Katona , Kem Gyula Nagy 
Published: April 2019

Abstract
The nature of 3D ability is deeply considered, but little is known about students’ learning and understandings of technology and about the meaning to become more technologically capable. We considered the spatial intelligence of first-grade engineering students, how much that improved to the effect of 18 times 45 minutes course of computer-aided 3D modeling. We consider the success of our 3D course in spatial intelligence. According to the result of the tests, one-third of the engineer candidates has good spatial intelligence. We introduce some useful problems in 3D education; the presented problems help the students in learning how to solve technology problems, and how to design objects. We offer the intellectual pleasure of problem solving through 3D problems. Our CAD course excellently improves the spatial skills of the middle third of the students. Computer-aided 3D modeling also bridges the gap for students with worse spatial ability. Dealing with students in a more differentiated way about CAD modeling would be advisable.
Left main stenting induced flow disturbances on ascending aorta and aortic arch
Authors: Rigatelli Gianluca , Zuin Marco , Fong Alan , Tai Truyen TTT , Nguyen Thach 
Published: April 2019

Abstract

Background and Objective
Ostial LM stenting potentially induces turbulence in the aortic wall near the LM ostium, which might be correlated with aorta dilation and dissection. We investigated through a computational fluid dynamic analysis (CFD), the presence and potential consequences of flow turbulences both in the ascending aorta and arch after a stenting left main (LM) mid shaft or distal disease.

Methods
The model of the ascending aorta and left coronary artery was reconstructed reviewing both angiographic and echocardiographic measurements of 80 consecutive patients (43 males, mean age 75.1 ± 6.2 years) with significant LM mid shaft or distal disease treated in our institution. For stent simulation, a third-generation everolimus-eluting stent was reconstructed. Two stenting procedures (lesion 1:1 or ostial coverage) were investigated.

Results
The net area averaged WSS of the model resulted higher when the stent covered the lesion 1:1 compared to the ostial coverage (3.68 vs. 2.06 Pa, P=0.01 and 3.97 vs. 1.98 Pa, P < 0.001, respectively). LM ostial coverage generates more turbulences in the LM itself, in the aortic wall at ostium level, and at the sino-tubular junction compared with the stenting of the lesion 1:1. Conversely, in the ascending aorta, the WSS appears lower when stenting the lesion 1:1.

Conclusion
Extending the stent coverage up to the ostium, when the ostial region is not diseased, might induce unfavorable alterations of flow; not only both at the level of the LM lesion and ostium sites, but also in the ascending aorta and aortic arch, potentially predisposing the aortic wall to long-term damage.
Short course of high-dose steroids for anaphylaxis caused flare up of tuberculosis: A case report
Authors: Patil Shital , Jadhav Anil 
Published: April 2019

Abstract
A 25-year-old male patient received high-dose intravenous steroids for life-threatening anaphylaxis because of bee sting only for 4 days resulted in reactivation of latent tuberculosis infection (LTBI). Clinical presentation is acute form of progressive pulmonary tuberculosis with pleural efusion that can be misdiagnosed as a community-acquired pneumonia. High index of suspicion with adequate evaluation is must in all cases to have satisfactory treatment outcome. Bronchoscopy is crucial in evaluation with histopathology expertise is must while managing such cases.
Balanced Scorecard Implementation in Restaurant Management
Authors: Abdillah Fitri , Wira Diana Ida Bagus  Putu 
Published: April 2019

Balanced scorecard (BSC) is tools that are widely used to measure company performance including in the hospitality industry. It’s widely applied because it’s simple, easy, and effective especially in startup business. The objective of this research is to measure the restaurant performance by using BSC. Data observed by participant observation, unstructured interviews, and documentation that produced three measurement models. This data analyzed by descriptive analysis and simple linear correlation to prove the relationship between each perspective of BSC. This study proposed three correlative models that designed from selected indicator of four BSC perspectives. The results show (i) The first model: employee absentee rate is positively correlated with customer complaints 0.417, customer complaints are positively correlated with labor cost percentage of 0.387, and labor costs are negatively correlated with net profit margin of -0.395; (ii) The second model: the percentage of foodstuff price are negatively correlated with total number of customers -0.607, total number of customers are negatively correlated with food loss -0.916, food loss are negatively correlated with employee trained percentage -0.378; and (iii) The third model: revpash are positively correlated with average check of 0.994, average check are positively correlated with cover per labor hour of 0.800, and cover per labor hour is positively correlated revenue per employee with of 0.837. The all result indicates that BSC models could be implemented to measure restaurant performance by selecting indicator of each perspective. It means that a change in one perspective leads to disruption of other perspectives, so that the restaurant management must consider various factors if it has to make a decision or strategies. The BSC model can help the management in formulating strategies to improve restaurant performance.
Keyword: balanced scorecard, restaurant performance indicator
English Communication Strategies in Tourism
Authors: Sari Angela Bayu Pertama 
Published: April 2019

The advance development in tourism industry is established through interrelated systems. One of which is the online booking platform. Not only for booking, but the online website also becomes the platform for giving reviews that portrays guests’ compliments or even complaints. Those compliments are powerful to give the guests positive image about the accommodation; however, the complaints will do in the contrary way. It may lead the accommodation into negative image. Accordingly, it is necessary for the accommodation providers to handle the complaints by giving the responses or reply of the guests’ reviews. That action will become the effort to turn the guests’ disappointment into satisfaction.
In order to achieve it, several English communication strategies in handling complaints were executed. This research takes the responses of 8 accommodation providers towards the guests’ review as the subject of the research. It is conducted by using content analysis method. The results yields 4 strategies that exists in the responses, namely: attentiveness that correlates with the hospitality in communication appears 100% of the total responses; explanation that presents the clarification and elaboration appears in 79% of the total responses; effort, that is the presentation of the promising action in the future, exists in 46% of the total responses and the least is apology, that is the action of saying sorry, exists in 25% of the total responses.
Development of Tenun Ikat Troso Industrial Center as a Tourist Village in the District of Jepara
Authors: Asshofi Izza Ulumuddin Ahmad , Mukti Artin Bayu 
Published: April 2019

Troso is a village that was developed by the government of the district of Jepara to be a tourist village. It has the potential of home-based crafts such as weaving which could be developed into industrial centers. However, not all community members realize the potential. The community members don?t recognize that Troso is going to be developed as a tourist village. On the other hand, the way the community member doing their business is very ineffective. There is no coordination with other businessmen to accommodate and to control the business. Each entrepreneur is working on their tradition to enrich their own business. One entrepreneur to another is a competitor. For these reasons, the village needs to be developed in order to be efficient for the welfare of all people in Troso. Purpose of this research is to understand the existence of Tenun Ikat Troso industrial center and to evaluate development strategy of Tenun Ikat Troso industrial center as a tourist village in the district of Jepara. SWOT. The results show that (i) Strength – Opportunity strategy was focusing on digging deeper of the potency and then wrap them up in a specific brand which will impact on economic sector, (ii) Strength – Threat strategy was focusing on offering the potency of the village to investor to create added value of the village to attract tourists, (iii) Weakness – Opportunity strategy was focusing on building the community awareness of a tourist village plan and the importance of Troso weaving industry association, and (iv). Weakness – Threat strategy was focusing on identifying existing weaknesses of the Troso tourist village and then inviting other stakeholders to get involved in developing the village.
Keywords: development; tenun ikat Troso; tourist village
The Relationship Among Community Based Tourism Application, Community Attitude, Community Empowerment and Community Life Satisfaction
Authors: Piartrini Putu Saroyini 
Published: April 2019

Tourism involves the movement of individuals from one region to another, which are sometimes of different cultures. The interaction between tourists and local communities in tourist destinations is social interaction. The community does not always react positively to the development of certain destinations or attractions. Public attitudes that are not always beneficial to tourism have various causes, such as the well-being differences that appear so starkly between wealthy tourists and poor local communities and conflict over limited resources such as water, land and cultural resources. This condition needs to be addressed because frequent demonstrations at various tourist attractions in Bali may jeopardize the security and comfort of tourists and affect the image of Bali as an international tourist destination. This study aims to: 1) To evaluate local government policies in community empowerment; 2) To measure perceived community-based tourism implemented in the destination areas 3) To measure thelife satisfaction of the people in tourist destinations; 3)To measure individual attitude toward toursm develoment in Destinations. The results of this study are expected to be useful as input in the formulation of regional tourism policies to realize tourism development goals effectively. This study is different from previous tourism studies because it examines the impact of tourism development from an integral perspective of sustainable tourism and community-based tourism.

Keywords: community attitude, community-based tourism, community empowerment, community life satisfaction.
Influence of Achievement Goals and Academic Self-efficacy on Academic Achievement of Thai Undergraduate Students: Across Non Procrastinators and Procrastinators
Authors: Ratsameemonthon Leelie , Ho Robert , Tuicomepee Arunya , Blauw Jon N. 
Published: April 2019

Introduction. Procrastination is a very interesting topic because even if procrastinators could anticipate the negative consequences, they still intentionally do necessary tasks with delay. This may be because some procrastinators receive positive outcomes referred to active procrastinator, but some are not called passive procrastinator. Verifying the motivational belief moderates these two different types of procrastination; therefore, this study evaluates consistency of two different configurations. Model 1 is based on achievement goal theory integrated factors between academic self-efficacy and achievement goal (achievement goals1.->academic self-efficacy->academic achievement). Model 3 is based on social cognitive theory of motivation separated factors between achievement goal and academic self-efficacy (academic self-efficacy, achievement goals1.->academic achievement) across the three groups of procrastinators (non-procrastinators, active-procrastinators, and passive procrastinators). Moreover, this study investigated the different patterns of structural relations (including both direct and indirect relationship) between the achievement goals, academic self-efficacy and academic achievement. Method. The sample consisted of 988 Thai undergraduate students with an average age of 20 (SD = 0.99) ranging from 18 to 27 years. Structure equation model was employed to test the path model and Multi-group path analyses were used to verify differences in the path coefficients across the three types of procrastinators. Results. The finding confirmed that with Model 1there were a higher number of significant relationships that integrated achievement goals and academic self-efficacy pertaining to academic achievement than with the Model 3 which separated achievement goal and academic self-efficacy relative to academic achievement, as well as across the three types of procrastinators. Discussion and Conclusion. There was a substantial result of the importance of integration between academic self-efficacy and achievement goals for passive procrastinators showing in Model 1 that academic self-efficacy mediated relationships between achievement goals and academic achievement for the passive procrastinators but not the active-procrastinator or non-procrastinator groups. The implications of the findings across the three groups of procrastination are discussed.
Analysis of risk factors and postoperative predictors for recurrent lumbar disc herniation
Authors: Dobran M. , Nasi Davide , Paracino R. , Gladi M. , Costanza M. Della , Marini A. , Lattanzi S. , Iacoangeli M. 
Published: April 2019

Background:
This study identified risk factors and postoperative indicators for recurrent lumbar disc herniations (rLDH) following microdiscectomy.

Methods:
We retrospectively reviewed the 1-year recurrence rate for LDH in 209 consecutive patients undergoing microdiscectomy (2013–2018).

Results:
Utilizing a multivariate analysis, higher body mass index (BMI) and postsurgery Oswestry disability index (ODI) were significantly associated with an increased risk of rLDH.

Conclusion:
Elevated postsurgery ODI and higher BMI were significantly associated with increased risk of rLDH.
Subgaleal and brain abscesses due to Salmonella enteritidis following craniotomy for giant cell glioblastoma multiforme: A case report and literature review
Authors: Akhaddar Ali , Hall Walter , Boucetta Mohammed 
Published: April 2019

Background:
Cranial surgical site infections due to Salmonella species are rarely reported. Only eight cases of Salmonella enteritidis infection following intracranial surgery for brain tumor have been reported to date. We describe a unique case of both subgaleal and brain abscesses caused by S. enteritidis following craniotomy for a parafalcine giant cell glioblastoma multiforme. A literature review of the previously published cases is also provided.

Case Description:
A 36-year-old previously healthy man presented with a posterior parietal parafalcine giant cell glioblastoma multiforme. 5 weeks after craniotomy for tumor resection, the patient presented with worsening headache and painful swelling at the cranial operative site. Head computed tomography and magnetic resonance imaging scans revealed both scalp and brain abscesses in the previous surgical site. He was treated with aspiration of the subgaleal abscess and ciprofloxacin antibiotic therapy; he made a full recovery. Cultures of the aspirate identified S. enteritidis, although the primary site of infection was not detected.

Conclusions:
Although postoperative S. enteritidis infections are rare, the large numbers of patients with malignant brain tumors who require tumor resections and receive corticosteroids are at great risk. Adequate drainage (if possible), early isolation of the pathogens, and control of the infection by antibiotic therapy guided by antimicrobial susceptibility testing are vital components to prevent this potentially fatal condition.
Foramen magnum decompression without bone removal: C1–C2 posterior fixation for Chiari with congenital atlantoaxial dislocation/basilar invagination
Authors: Salunke Pravin , Karthigeyan Madhivanan , Malik Puneet 
Published: April 2019

Background:
Atlantoaxial dislocation (AAD) and basilar invagination (BI) may coexist with Chiari malformations (CM) and a small posterior fossa volume. These are typically treated with craniovertebral junction fusion and foramen magnum decompression (FMD). Here, we evaluated whether C1–C2 posterior reduction and fixation (which possibly opens up the ventral foramen magnum) would effectively treat AAD and CM without additionally performing FMD.

Methods:
This is a retrospective analysis of 38 patients with BI, AAD, and CM who underwent C1–C2 posterior reduction and fusion without FMD. Baseline and follow-up clinical, demographic, and radiological data were evaluated.

Results:
The vast majority of patients (91.9%) improved both clinically and radiographically following C1–C2 fixation alone; none later required direct FMD. Notably, AAD was irreducible in 25 (65.8%) patients. Preoperatively, syringomyelia was present in 28 (73.7%) patients and showed resolution. In 3 (8.1%) patients, resolution of syrinxes did not translate into clinical improvement. Of interest, 5 patients who sustained inadvertent dural lacerations exhibited transient postoperative neurological worsening.

Conclusions:
Posterior C1–C2 distraction and fusion alone effectively treated AAD, BI, accompanied by CM. The procedure sufficiently distracted the dens, reversed dural tenting, and restored the posterior fossa volume while relieving ventral brainstem compression making FMD unnecessary. Surgeons should, however, be aware that inadvertent dural lacerations might contribute to unwanted neurological deterioration.