bluuebunny/crossref_metadata_2025_split huggingface dataset:
Connecting Hospital to Home: Characteristics of and Rehospitalization Rates in Hospitalized Children With Private-Duty Nursing
Authors: Foster Carolyn C. , Kwon Soyang , Whitlow Lesly , Cullen Joan P. , Agrawal Rishi K. , Goodman Denise , Davis Matthew M. 
Published: July 2019

OBJECTIVES:
Children with medical complexity are frequently hospitalized and have extensive health care needs. Private-duty nursing (PDN) is a service on which some children with medical complexity rely to live at home, but little is known about patients discharged with PDN. Our objective for this study was to describe the characteristics and longitudinal outcomes of patients with PDN who are hospitalized.

METHODS:
This study was a 1-year retrospective study of patients receiving PDN who were hospitalized at a quaternary freestanding children’s hospital; there was an additional 2-year follow-up. Patient characteristics, rehospitalization rates, length of stay, mortality, and hospital charges were identified. Descriptive statistics were performed to characterize trends, and a time-to-event analysis was used to characterize unplanned rehospitalization.

RESULTS:
Among 8187 unique patients who were hospitalized in the initial study year (June 1, 2014 to –May 31, 2015), 188 patients (2%) used PDN. Of patients using PDN, 94% used gastrointestinal devices. The median index length of stay was 4 days (interquartile range 2–6). Two-year mortality was 12%. Cumulative all-cause rehospitalization rates were 18% by 30 days, 62% by 365 days, and 87% within 2 years; the median rehospitalization frequency was 3 per patient. The most common reasons for unplanned rehospitalization were infection (41%) and device complication (10%). During the study period, 11% of both rehospitalizations and total hospital days were attributed to patients with PDN. Unplanned rehospitalizations of patients with PDN accounted for $117 million in hospital charges.

CONCLUSIONS:
One in 50 patients hospitalized at a single center were discharged with PDN, which accounted for a disproportionate level of hospital use. Future research should be used to address whether the access and quality of PDN may impact rehospitalization.
Adolescent Mental Health Program Components and Behavior Risk Reduction: A Meta-analysis
Authors: Skeen Sarah , Laurenzi Christina A. , Gordon Sarah L. , du Toit Stefani , Tomlinson Mark , Dua Tarun , Fleischmann Alexandra , Kohl Kid , Ross David , Servili Chiara , Brand Amanda S. , Dowdall Nicholas , Lund Crick , van der Westhuizen Claire , Carvajal-Aguirre Liliana , Eriksson de Carvalho Cristina , Melendez-Torres G.J. 
Published: July 2019

CONTEXT:
Although adolescent mental health interventions are widely implemented, little consensus exists about elements comprising successful models.

OBJECTIVE:
We aimed to identify effective program components of interventions to promote mental health and prevent mental disorders and risk behaviors during adolescence and to match these components across these key health outcomes to inform future multicomponent intervention development.

DATA SOURCES:
A total of 14 600 records were identified, and 158 studies were included.

STUDY SELECTION:
Studies included universally delivered psychosocial interventions administered to adolescents ages 10 to 19. We included studies published between 2000 and 2018, using PubMed, Medline, PsycINFO, Scopus, Embase, and Applied Social Sciences Index Abstracts databases. We included randomized controlled, cluster randomized controlled, factorial, and crossover trials. Outcomes included positive mental health, depressive and anxious symptomatology, violence perpetration and bullying, and alcohol and other substance use.

DATA EXTRACTION:
Data were extracted by 3 researchers who identified core components and relevant outcomes. Interventions were separated by modality; data were analyzed by using a robust variance estimation meta-analysis model, and we estimated a series of single-predictor meta-regression models using random effects.

RESULTS:
Universally delivered interventions can improve adolescent mental health and reduce risk behavior. Of 7 components with consistent signals of effectiveness, 3 had significant effects over multiple outcomes (interpersonal skills, emotional regulation, and alcohol and drug education).

LIMITATIONS:
Most included studies were from high-income settings, limiting the applicability of these findings to low- and middle-income countries. Our sample included only trials.

CONCLUSIONS:
Three program components emerged as consistently effective across different outcomes, providing a basis for developing future multioutcome intervention programs.
APUNTES SOBRE VIEJAS INSTITUCIONES DE BIENESTAR SOCIAL EN COSTA RICA (UNA LECTURA DE LA DÉCADA 1930-1940)
Authors: Mora Carolina , Echandi Marcela 
Published: July 2019

En el presente estudio se describen algunas de las instituciones de salud y bienestar social más emblemáticas de la década de 1930, que contribuyeron de manera determinante en el desarrollo de la salud pública nacional. Fotografías inéditas de esta década tomadas por Federico Alvarez-Feo emigrante venezolano y politólogo, ilustran este texto y a la vez muestran al lector una vista de la arquitecturas social y de salud, asó como de las actividades cotidianas que se llevan a cabo en el creciente espacio urbano y rural de las provincias de San José, Cartago y Alajuela. Instituciones como el Hospital San Juan de Dios, el Asilo Chapuí, el Sanatorio Durán, el Asilo Carlos María Ulloa, el Hospicio de Huérfanos y la Casa del Refugio son capturados por el lente del fotógrafo en detalles muchas veces desapercibidos y olvidados. Asimismo, el comienzo de nuestro Balneario de Ojo de Agua, sitio de esparcimiento y recreo para nacionales y extranjeros, quedan atestiguados para la posteridad en este invaluable legado.
Análisis de edificaciones de interés cultural-arquitectónico del distrito central de Heredia: plan de protección de la zona urbana histórica
Authors: Castro Elizondo Angie 
Published: July 2019

El distrito central de Heredia ha sufrido una gran transformación a nivel urbano en las últimas décadas. Esto se refleja en el creciente desarrollo comercial y habitacional de la zona, ya que tanto la fuerte presión por la disponibilidad del suelo como los intereses de tipo económico y de rentabilidad en este distrito, han llevado a la extinción de inmuebles de interés histórico-arquitectónico aún no declarados como patrimonio por el Estado. Es, por lo tanto, necesario trabajar en un aporte histórico, arquitectónico y urbano orientado al reconocimiento de inmuebles de valor patrimonial y algunos de los elementos que caracterizan la identidad cultural de la zona. Esto permitirá establecer una serie de estrategias urbanas, enfocadas a la preservación del patrimonio, contenidas en un Plan de Protección.
Herradura, su historia
Authors: Garita Arce Jeffrey 
Published: July 2019

Esta narración trata de contar la historia de Herradura, un caserío del Pacífico Central perteneciente al cantón de Garabito, provincia de Puntarenas.
El caserío se fundó a principios del siglo XX con un pequeño grupo de valientes vecinos que al vivir lejos de las comodidades decidieron unir esfuerzos para concretar proyectos en beneficio común, de manera que se consolidará lo que siempre ha sido Herradura, que junto a Jacó son un importante punto turístico del país.
La historia es contada por personas fundadoras y otras con mucho tiempo de habitar en el lugar, en la misma narra la distribución de las primeras familias del lugar, sus viviendas y sus centros de entretenimiento, los oficios religiosos, la importancia que se le dio a la educación primaria, así como las luchas por las primeras obras de infraestructuras, a saber; la costanera, el acueducto, la escuela, la cancha de fútbol, entre otras.
En la obra se destaca las relaciones que el pueblo mantuvo con los caseríos vecinos, así como los efectos positivos que se daban entre ellos conforme cada uno se desarrollaba. No puede faltar el mencionar a personas que si bien no vivieron en Herradura por mucho tiempo aportaron de manera significativa al pueblo, así como algunas anécdotas que permanecieron en lamemoria colectiva.
Última etapa del informalismo en el país con Superviviencia (1971) de Lola Fernández Caballero (1926-)
Authors: Montero Rodríguez Daniel Adolfo 
Published: July 2019

El presente artículo consiste en un estudio semiótico de la pintura costarricense de la década de los setenta de siglo XX, sobre el proceso de finalización de la pintura no-figurativa, concretamente el informalismo de la artista Lola Fernández presente en su obra Supervivencia (1971). Metodológicamente, se acude al análisis semiótico del texto artístico, a través de un proceso gradual de interpretación del signo en tres niveles (sintáctico, semántico y pragmático). Además, como acercamiento teórico, se conceptualiza la noción de "informalismo” y “arte abstracto”. También, se refiere al contexto socio-histórico costarricense de la I Bienal Centroamericana de Pintura (1971). De esta manera, se consigue percibir como el veredicto de dicho certamen tuvo una influencia patente en el proceso de finalización de la no-figuración costarricense, asimismo, se revelan referencialidades no antes observadas, u obviadas por la crítica, en Supervivencia (1971) de esta pintora costarricense.
Recibido: 20-02-2019
Aprobado: 29-03-2019
Inertial reproduction: is the two-child psychology the rule in Costa Rica?
Authors: Blanco Laura Cristina 
Published: July 2019

This paper uses data from National Surveys on Sexual and Reproductive Health to test whether variables related to identity, sexuality and contraceptive knowledge are associated with the preference and demand for children in Costa Rica. Both the preferred and actual number of children are estimated with a double hurdle model. The findings indicate that preferences for children seem to be quite fixed around two children and are mainly associated with religious beliefs and the person’s gender, but they are not found to be associated with human capital. In contrast, the probability of having a child and the number of children are related to investment in human capital and sex education. Hence, human capital might be relevant in bringing a child into the world, but not in the initial preference.
Penerapan Model Induktif Kata Bergambar Dalam Meningkatkan Keterampilan Menulis Bahasa Indonesia Di Madrasah Ibtidaiyah
Authors: Abdurrahim Kurniadi 
Published: July 2019

This research was conducted to know Indonesia language writing skills of students before and after using the inductive model picture and words to find out its application in class II MI Nurul Huda Bandung. This research uses Research Action class that have been implemented over the last two cycles. Based on the results of the data processing, the average value obtained the writing skills of students before using inductive model illustrated 60 words (30%). Application of inductive model illustrated words on cycle I obtained average value of teacher activity 80.75% and students of 68.75% and cycle II obtained average value of teacher activity amounted to 96.15% and 93.75% students. Writing skills of the students after using inductive model illustrated words on cycle I gained an average rating of 74,5 (78%) and in cycle II obtained an average score of 81.6 (100%). This proves that the word inductive model illustrated is able to improve the writing skills of students in the class II MI Nurul Huda Bandung.
MANAJEMEN KEPEMIMPINAN KEPALA SEKOLAH EFEKTIF PADA SEKOLAH INKLUSIF
Authors: Aisyah Siti , Badrudin Badrudin 
Published: July 2019

Kepala sekolah merupakan agen perubahan yang mempunyai peranan aktif dalam peningkatan mutu pendidikan di SMP Al-Biruni Cerdas Mulia Bandung indikator kepemimpinan kepala sekolah efektif bertolak pada pemikiran bahwa kepala sekolah efektif secara umum dapat diamati dari tiga hal pokok, yaitu (1) komitmen terhadap visi sekolah dalam menjalankan tugas dan fungsinya; (2) menjadikan visi sekolah sebagai pedoman dalam mengelola dan memimpin sekolah, dan 3) senantiasa memfokuskan kegiatannya terhadap pembelajaran dan kinerja guru dikelas. Implementasinya dari indikator kepemimpinaan kepala sekolah efektif dalam rencana pengembangan sekolah dengan peran kepala sekolah yang terus mengembangkan visi yang jelas untuk masa yang akan datang, pengelolaan sekolah efektif dengan mengoptimalkan pengelolaan input, proses, dan output, evaluasi yang dilakukan secara continue langsung dilakukan oleh kepala sekolah untuk mengambil keputusan, faktor penunjang yaitu kekuatan Sumber Daya Manusia yang terus dioptimalkan dengan baik, faktor penghambat yaitu presepsi orang tua dan kebijakaan dari luar, keberhasilan yang dicapai manajemen kepemimpinan kepala sekolah efektif di SMP Al-Biruni Cerdas Mulia Bandung dilihat dari tercapainya program kerja dan salah satunya bisa dilihat dari prestasi atau kualitas guru dan peserta didik.
Tasavvuf Düşüncesinde Metafiziksel Bir Eksen Olarak Kudüs Algısı
Authors: GÜNDÜZÖZ Güldane 
Published: July 2019

Kudüs, Mescid-i Aksâ ve
sahre, fizik âlemin bir temsili ve fizik âlem ile metafizik âlem arasında bir
sınırdır. Varoluş dairesinin arzî iki noktası olan Kâbe ve Beytü’l-Makdis ve
bunların arasında Mescid-i Nebî, ontolojik ve epistemolojik bir ideal olarak yer
almaktadır. Medine, Mekke ve Kudüs ekseninde nüzûl ve urûc kavsi oluşmaktadır.
Böylece kutsal çember, bütün koordinatları ile belirlenmektedir. Mihverinde
Nûr-ı Muhammedî ve Hakîkât-i Muhammediyye’nin olduğu bu düşünüş şeklinde sahre
hem ontolojik hem eskatolojik bir öğe ve meteorit bir unsur olarak kevnî
başlangıca işaret eden Dürre-i Beyzâ ile aynileşmektedir. Beytü’l-Makdis ise
ırmak metaforunun yanı sıra, -Kesîb-i Ahmer, Sidre, cennet ve cehennem gibi
metafizik âlemde karşılıkları olan unsurların Kudüs coğrafyasına da izafe
edilmesi suretiyle-, daha çok Sidretü’l-Müntehâ ile eşleşmekte; fakat bir bütün
olarak Sidre, Beytü'l-Maʻmûr, cennet, cehennem, İlliyyûn, Adn, Kesîb, Me’vâ gibi metafizik ulvî unsurları
içeren süflî ve arzî bir model olarak öne çıkmaktadır. Kudüs, bir taraftan
tasavvuf düşüncesinde daha geniş bir âlem tasavvurunun parçası olarak isrâ ve
miracın, -iman, ibadet ve ahlak ekseninde- ortaya koyduğu sistemin sembolik bir
değeri olurken, diğer taraftan Nûr-ı Muhammedî kavramı çerçevesinde,
Kutup-Piran inancı üzerinden özgün ve dinamik bir kozmolojiye bağlanmaktadır
NILAI-NILAI NASIONALISME PERJUANGAN HASSAN BASRY SEBAGAI SUMBER BELAJAR SEJARAH
Authors: Syaharuddin Syaharuddin - 
Published: July 2019

Nasionalisme Indonesia saat ini sedang mengalami degradasi yang diantaranya ditandai dengan semakin tingginya angka korupsi baik di kalangan pejabat pusat maupun daerah; eksploitasi terhadap alam (SDA) secara massif yang berdampak terhadap kehidupan masyarakat; dan semakin tingginya sikap intoleransi yang mengarah kepada disintegrasi bangsa. Di sisi lain, kurang optimalnya kemampuan guru sejarah dalam memanfaatkan sumber-sumber lokal, seperti peran Hassan Basry dalam mempertahankan kemerdekaan di Kalimantan Selatan yang berimplikasi terhadap rendahnya pengetahuan dan pemahaman peserta didik terhadap sejarah lokalnya. Hassan Basry adalah tokoh pejuang pada periode revolusi fisik (1945-1949) yang memiliki peran penting dalam mempertahankan kemerdekaan di bumi Lambung Mangkurat. Pernyataan “Proklamasi 17 Mei” di Kandangan oleh Hassan Basry, mengandung nilai nasionalisme yang memiliki fungsi strategi terhadap pembentukan karakter bagi peserta didik melalui pembelajaran sejarah. Pernyataan tersebut mengandung nilai-nilai nasionalisme yang sangat penting diinternalisasikan dan ditransformasikan kepada peserta didik sebagai sumber belajar sejarah. Nilai nasionalisme Hassan Basry tidak berhenti pada periode revolusi fisik, tapi berlanjut hingga pascarevolusi fisik, yakni menggagas dan menjadi presiden (rektor) pertama Universitas Lambung Mangkurat (ULM) (1958).
Comparative evaluation of treatment methods of neoadjuvant intra-arterial chemotherapy and chemoembolization by drug-saturated embospheres in II–IVa stages cervical cancer
Authors: Parsyan Sh. G. , Lisyanskaya A. S. , Kukanov M. A. , Smirnova O. A. , Shushaniya M. S. , Manikhas G. M. 
Published: July 2019

Objective: comparative evaluation of treatment methods for neoadjuvant intra-arterial chemotherapy and chemoembolization by drug-saturated microspheres followed by surgical treatment in II–IVa stages cervical cancer.Materials and methods. This study presents the results of complex treatment in 209 patients (average age – 40.57 ± 8 years) with II– IVa stages cervical cancer and 384 endovascular interventions as the first stage of complex treatment in the period from 2010 to 2016. The scheme neoadjuvant intra-arterial chemotherapy was carboplatin (AUC6 intra-arterial) + irinotecan (200 mg/m2 intravenously on day 1) every 21 days. Radical surgical treatment was performed basically after 2 cycles of chemotherapy. Patients who did not respond sufficiently to neoadjuvant intra-arterial chemotherapy underwent a radical course of chemoradiation therapy according to the standard scheme.Results. The overall response to neoadjuvant intra-arterial chemotherapy was 84.8 % and 79 % of patients in groups of chemoinfusion and trans-arterial chemoembolization, respectively (p >0.05). Operability was higher in group of chemoinfusion (69 % versus 46.4 %) (p <0.01), and fewer patients with metastases to regional lymph nodes were revealed in this group (30.2 % versus 42 %), p <0.05. Overall and survival rate is statistically significantly better in group of chemoinfusion – 63.9 % and 61 % versus 43 % and 42 %, respectively, p <0.05. At the same time, statistically significant differences between the groups were revealed only at stages III–IVа cervical cancer. Radically operated patients, as expected, had a better prognosis (p <0.001). The age of patients, tumor differentiation and therapeutic pathomorphosis did not affect the prognosis of life.Conclusions. Neoadjuvant intra-arterial chemoinfusion and chemoembolization using irinotecan + carboplatin scheme are relatively safe treatment methods with acceptable toxicity and have a high cytotoxic effect. Patients in chemoinfusion group have a better prognosis compared with patients in chemoembolization group. Selective chemoembolization with subsequent surgical treatment or radiation therapy may be the treatment of choice for stage II cervical cancer complicated by bleeding.
Availability of Judicial Protection in the Process of Editing the Human Genome
Authors: Fomina O. Yu. 
Published: July 2019

Genetic technologies are rapidly developing, which is not the case for the normative consolidation of scientific achievements and opportunities. The science aimed at improving the quality of life of people is already able to prevent many hereditary disorders by removing the «wrong» gene from the embryo DNA. Editing the human genome is not the future, but the present.It is assumed that legalization in the area of the human genome editing for preventive or therapeutic purposes is more than possible. The article analyzes the issues of the right to go to court on the ground of legal relations that arise when the human embryo genome is edited during the procedure of in-vitro fertilization (IVF) and subsequently a «genetically modified» child is born.Due to the lack of detailed legal regulation of the IVF procedure, scientific research on human embryos and genome editing technology, the author does not exclude situations when successful research can be carried out as well as errors can be committed. In the latter case, it is possible to work upon «healthy» DNA elements instead of or together with «sick» elements, which endangers the life and health of not only the potential person, but also his discendants.Given that the current legislation does not determine the status of a human embryo and establishes the moment of birth as the moment of capacity, while the civil procedural capacity (that is one of the prerequisites for the right to go to a court) of an individual coincides with civil legal capacity, the future human life is deprived of any legal protection. For the same reason, other persons may not go to court in the interests of the unborn child. The article attempts to find a way out of this situation by analyzing Russian and international legislation, as well as the ECHR case law.
Civil Law Regime of Genes as Objects of Civil Rights
Authors: Levushkin A. N. 
Published: July 2019

At the present stage of the formation of the rule of law and developed civil society in the Russian Federation, the possibility of using and protecting genes, genomes and genomic technologies, mainly related to the sphere of private life, becomes particularly relevant. The world has already formed a scientific direction — gene editing. The practice of implementation of such developments is aimed at the implementation of genetic «improvement» of a person, his life and health. Society has existed for a long time in the era of genetic engineering. Currently, quite a large number of scientific studies are being conducted and many practical experiments are being implemented, both medical and socio-legal, aimed at involving genes and genetic structures in the framework of the legal field, in civil circulation.A particularly large number of questions and practical problems arise in determining the possibility of including genes and genomes as objects of legal relations and their definition as objects of civil rights.Debatable is the question of the turnover of genes, genomes, genetic structures and the possibility of making various civil transactions with them, the entry of subjects (participants) of genomic technologies in the binding and proprietary relationships with genes. The possibility of inclusion of genes and genomes in the objects of intellectual property rights and ensure their patent protection, the establishment of legal protective procedures is proved.There is an objective need to qualify and determine the legal nature of genes and genomes as objects of civil rights and the establishment of a special civil regime of genes, genomes and genetic structures. This special civil law regime of genes has a civil law nature. The author’s definition of a special civil-law regime of genes as objects of civil rights is proposed, the features and content of this regime are determined. The possibility of regulatory and legal regulation of genomic studies and the implementation of their results in medical practice is proved.
Área de Proteção Ambiental Estadual das Águas Vertentes: instrumentos de gestão e potencial turístico
Authors: Scalco Raquel Faria , De Souza Daniella Eloi 
Published: July 2019

O conhecimento sobre o potencial turístico de uma unidade de conservação é fundamental para se pensar em estratégias de gestão que orientem o planejamento e as ações para criar alternativas de renda para a comunidade. O presente artigo faz uma análise da oferta turística da Área de Proteção Ambiental Estadual das Águas Vertentes (Apaeav) e de seus instrumentos de gestão, com o objetivo de refletir sobre a realidade e as possibilidades de desenvolvimento da atividade turística. Para alcançar tal proposta, foram utilizados como procedimentos metodológicos: pesquisa bibliográfica; pesquisa de gabinete; análise documental; trabalhos de campo; elaboração de Inventário da Oferta Turística; análise dos dados e elaboração de mapas, tabelas e gráficos. Assim, conclui-se que a principal vocação da Apaeav é para o desenvolvimento do turismo em contato com a natureza, tendo como dificuldades para sua efetiva implementação a precariedade de serviços, equipamentos e infraestrutura. No que se refere à gestão da UC, os maiores desafios estão relacionados à carência de recursos humanos e materiais, bem como o desenvolvimento de ações diferenciadas considerando as características de cada área da APA.