bluuebunny/crossref_metadata_2025_split huggingface dataset:
Trends of Nontraumatic Lower-Extremity Amputation in End-Stage Renal Disease and Diabetes: United States, 2000–2015
Authors: Harding Jessica L. , Pavkov Meda E. , Gregg Edward W. , Burrows Nilka R. 
Published: May 2019

OBJECTIVE
Nontraumatic lower-extremity amputation (NLEA) is a complication of end-stage renal disease (ESRD) and diabetes. Although recent data show that NLEA rates in the U.S. ESRD population are declining overall, trends in diabetes and diabetes subgroups remain unclear.

RESEARCH DESIGN AND METHODS
We estimated annual rates of NLEA hospitalizations during 2000–2015 among &gt;2 million adults (≥18 years) with ESRD from the U.S. Renal Data System. Age, sex, and race-adjusted NLEA rates were stratified by diabetes status, age, sex, race, and level of amputation (toe, foot, below the knee, and above the knee). Time trends were assessed using Joinpoint regression with annual percent changes (APC) reported.

RESULTS
Among adults with diabetes, NLEA rates declined 43.8% between 2000 and 2013 (from 7.5 to 4.2 per 100 person-years; APC −4.9, P &lt; 0.001) and then stabilized. Among adults without diabetes, rates of total NLEAs declined 25.5% between 2000 and 2013 (from 1.6 to 1.1; APC −3.0, P &lt; 0.001) and then stabilized. These trends appear to be driven by a slowing or stagnation in declines of minor NLEAs (toe and foot) in more recent years, while major NLEAs (above the knee) continue to decline.

CONCLUSIONS
Despite an initial period of decline, this analysis documents a stall in progress in NLEA trends in recent years in a high-risk population with both ESRD and diabetes. Increased attention to preventive foot care in the ESRD population should be considered, particularly for those with diabetes.
Analysis of Systems Ensuring the Acquisition of Real-Time Cartographic Navigation Information
Authors: Goreļikovs Dmitrijs , Urbaha Margarita , Nedelko Dmitry , Stankunas Jonas 
Published: May 2019

Abstract
Electronic Chart Display and Information Systems (ECDIS), which are used on vessels and can replace paper charts, allow to obtain and display on electronic charts information from basic and additional data sources. For the certified use of ECDIS instead of paper charts, it is necessary to ensure constant updating of Electronic Navigation Chart (ENC) data provided to vessels for use. The known visual and satellite observation systems intended for cartographic information update are costly, have low accuracy and do not allow to quickly update navigational charts in real-time mode. The stand-alone use of remotely piloted aircraft (RPA) will make it possible not only to substantially reduce costs and increase the accuracy of monitoring, but also to provide information in real-time mode.
Justiça e Educação:
Authors: Terra Cilene Silvia , Rodrigues Maria Raimunda Chagas Vargas 
Published: May 2019

Este artigo relata uma experiência vivenciada pela equipe técnica de Serviço Social,iniciada em 2006, no Tribunal de Justiça do Estado de São Paulo, mais especificamente no Fórum das Varas Especiais da Infância e Juventude da Capital. Trata-se do projeto de Justiça Restaurativa, uma parceria com a Secretaria de Educação de São Paulo e o Poder Judiciário. Dessa parceria nasceu o projeto-piloto Justiça e Educação em Heliópolis e Guarulhos: parceria para a cidadania.
O projeto intitulado Justiça Restaurativa visa resolver situações de conflitos que acontecem no ambiente escolar, como desacato, injúria, ameaça e outras transgressões equivalentes a baixo potencial ofensivo que acontecem entre professores e alunos, e entre os próprios alunos, objetivando restabelecer o sentido da segurança, o senso de justiça e dignidade, bem como a responsabilização do ofensor pelos danos causados e a consideração com a vítima em suas necessidades desencadeadas pelos conflitos, ou seja, a reparação dos danos.
A inserção do Serviço Social na Política de Educação na perspectiva do Conjunto CFESS/CRESS
Authors: De Serviço Social Conselho Federal 
Published: May 2019

O presente artigo procurou apontar a trajetória histórica do Conselho Federal de Serviço Social (CFESS) em conjunto com os Conselhos Regionais de Serviço Social (CRESS) na busca pela inserção e consolidação do Serviço Social na política de educação brasileira. Embora se tenha informação de experiências de Assistentes Sociais na área da educação desde a origem da profissão (década de 1930) é a partir da década de 1990 que a atuação profissional neste campo, passa a ser mais debatida e socializada por meio de pesquisas e publicações. No Conjunto CFESS/CRESS é a partir dos anos 2000, que passa a compor como agenda de ações desta categoria profissional, de forma continuada, debates, constituição de comissões e grupos de trabalho, produção de cartilhas e textos de apoio, oficinas, encontros e seminários estaduais e regionais, levantamento da inserção de assistentes sociais no Brasil, mapeamento das legislações nos estados e municípios que contam com o profissional nesta política. Em junho de 2012 realizamos o I Seminário Nacional do Serviço Social na Educação com a indicação dos principais desafios atuais da profissão nesta política
Proteção Social à Pessoa com Deficiência no Brasil Pós-Constituinte
Authors: Zucco Luciana 
Published: May 2019

Inicio meus comentários registrando a satisfação em debater o presente texto: “Proteção Social à Pessoa com Deficiência no Brasil Pós Constituinte: elementos para debate”. Este me suscitou um conjunto de reflexões a medida em que Senna, Lobato e Andrade foram demonstrando a complexa relação que compreende a temática deficiência e assistência social. Tal densidade decorre das dimensões conceituais e estruturais, imbricadas pelos múltiplos aspectos (históricos, culturais,jurídicos, macroeconômicos, entre outros), igualmente abordados pelas autoras ao desenvolverem a discussão.
Opressão social e violência sexual contra crianças e adolescentes
Authors: Crochík José Leon 
Published: May 2019

Este texto contém, inicialmente, uma discussão teórica acerca da violência sexual contra crianças e adolescentes à luz de obras de Freud, Adorno e Marcuse. As questões relacionadas aos tabus sexuais, à formação do indivíduo contra a violência e às condições sociais e culturais são formuladas e defendidas como importantes para a compreensão e enfrentamento desse tipo de violência. Na segunda parte, apresentamos alguns dados sobre essa violência na cidade de São Paulo, nos últimos anos, dando ênfase à sua relação com o Índice de Desenvolvimento Humano dos distritos paulistanos onde ocorre esse tipo de violência e com o sexo e a faixa etária das vítimas. Conclui-se que as condições socioeconômicas são um fator importante na determinação da violência sexual contra crianças e adolescentes, mas não o único; sugere-se, além das necessárias mudanças sociais, a possibilidade de formar o indivíduo com sensibilidade para as diferenças e contrário à violência.
Afinidades entre as Conferências da ONU e a agenda internacional de 1968-1978
Authors: Cruvello da Silveira Elisabete Cristina 
Published: May 2019

Este texto analisa as afinidades entre a pauta da agenda internacional da década de setenta e as matérias discursivas das Conferências Mundiais das Nações Unidas de 1968-1978. A tensão entre uma situação real conflituosa e a busca de uma solução supostamente ideal para os problemas do desenvolvimento e as mudanças no contexto mundial, regional e local, via messianismo, molda a configuração da agenda social da ONU. Duas questões sintetizam o artigo: Por que messianismo se insere na história das Conferências da ONU? Como as matérias discutidas nas Conferências Mundiais da ONU de 1968-1978 traduzem os temas de agenda da conjuntura internacional do período em tela? Sustenta-se que a ONU tem uma participação peculiar na construção de respostas aos problemas colocados na agenda da comunidade internacional, especialmente, a partir da organização de suas conferências mundiais. A fundamentação teórica adotada deriva da interseção dos campos das relações internacionais, política pública e política social. Fontes primárias, como os relatórios finais de sete Conferências Mundiais da ONU, serviram para captar os temas da agenda internacional e as recomendações aprovadas para as políticas públicas.
Sürekli Değişken Modele Dayalı Gözetimli Kuantum Makine Öğrenmesi ile Kişilerin Satın Alma Davranışlarının Tespitinin Simulasyonu
Authors: ERYILMAZ Ömer , YILMAZ İhsan 
Published: May 2019

Bu çalışmada kişilerin satın alma
davranışları sürekli-değişken modele dayalı gözetimli kuantum makine öğrenmesi
ile incelenmiştir. Bu bağlamda, örnek veriler bulut ortamından alınmaktadır. Bu
verilerin %75’inin eğitim ve %25’inin test verisi olarak, homojen bir şekilde
ayrılması sağlanmıştır. Ayrılan test verisinin eğitim işleminde
kullanılmamasına, öğrenme işleminin sağlıklı gerçekleştirilmesi için dikkat
edilmiştir. Sonrasında bu verilerdeki bağımsız değişkenler arasındaki uyumun
sağlanması için normalizasyon işlemi gerçekleştirilmiştir. Böylece öğrenme
işlemi için hazır hale gelen veriler,
sürekli değişken modele dayalı varyasyonel devre üzerinde
gerçekleştirilen gözetimli kuantum makine öğrenme algoritmasında
kullanılmıştır. Ayrıca bu veriler klasik destek vektör makine öğrenme algoritması
ile de simüle edilmiştir. Hem kuantum hem de klasik makine öğrenme
algoritmalarına ait çapraz tahmin matrisleri ve alıcı işletim karakteristiği
(AİK) eğrileri elde edilmiştir. Son olarak veri kümesindeki test verisi
haricinde örnek değerler girilerek, sonuçlar metinsel ve görsel olarak
görüntülenmiştir. Elde edilen sonuçların karşılaştırılması sonucunda ise
sürekli değişken modele dayalı kuantum makine öğrenmesinin daha duyarlı sonuç
verdiği tespit edilmiştir. Algoritmalar ile ilgili kaynak kodlar Github’ta
bulunmaktadır.
Designing At-Work-Conversation Based Materials for Diploma III Midwifery Program
Authors: Haryani Surip 
Published: May 2019

The study is aimed to find out the midwifery students’ need for the materials that they can use to learn English that is appropriate with their field as midwifery students, to describe the design of At-Work Conversation based materials for midwifery Students, and to find out the effectiveness of the materials to increase the students’ ability in making conversation in working situation or in improving the students’ communication skill. This is a Research and Development study (R and D). The researcher used theories of ESP material design Proposed by Hutchinson and Waters and John Munby in conducting the research. The procedure of the research consists of 3 steps namely exploring, designing product, and implementation and evaluation stages. In step one, the researcher conducted need analysis and investigating the existing product for the English teaching in Midwifery program of STIKES Muhammadiyah Gombong. In step 2, the researcher designed syllabus and the first draft of the materials based on the need analysis. In step 3, the researcher tried out the materials, and asked evaluation for the first draft of the materials and revised the first draft based on the evaluation results and wrote the final draft of the materials. Before the application of the materials, the researcher conducted the pre and post test to find out the effectiveness of the designed materials to improve the students’ communication skill. Based on the need analysis the researcher found that the midwifery theme based English materials were needed in line with the competence based curriculum applied in the Midwifery Program. The researcher designed the materials based on the communicative competences for midwifery students in 9 (nine) units namely I am a Midwife, Admission in a Private Midwife Clinic, Checking Vital Signs, Antenatal Care (ANC), Assisting Labor/ Childbearing, Dealing with Post partum women, Newborn Care, Family Planning and reproductive health Counseling and Providing Child health care. Each unit consists of four basic elements (sub titles). The effectiveness on the product can be shown from the improvement scores on the post test. The dependent sample T-Test statistic result shows value Sig (2-Tailed) 0.000 or less than 0.05 which means that score improvements of the pre and post test are significant. The results of the optional questioners given to the experts and students indicate positive mean and mode scores which mean that they mostly agreed with the statements on the questioners and agreed with the designed materials. It can be concluded that the materials made by the researcher are suitable for the midwifery students. Keywords: Designing English Material, Midwifery English, R and D
KAJIAN INDUSTRI 4.0 UNTUK PENERAPANNYA DI INDONESIA
Authors: Hadi Suharman , Murti Hari Wisnu 
Published: May 2019

Abstract : The implementation of concept Industry 4.0 in Indonesia has been studied in this paper. The study was motivated after the launcing of Making Indonesia 4.0 by the President of the Republic of Indonesia in April 2018. The study aims to study the concept of IR 4.0 for its implementation in Indonesia. Methods include collecting various references with industry 4.0 keywords, applying information technology, pharmaceutical industry and manufacturing industries. The results of the study concluded that industry 4.0 was an era that empowered the role of manufacturing digitalization and supply networks that involved the integration of digital information from various sources and locations to drive manufacturing and distribution physically. It is found that, There are five main technologies for IR 4.0, namely Artificial Intelligence (AI), Internet of Things (IoT), Wearable Technology (WT), Advanced Robotic (AR) and 3D Printing (3DP). Each component of technology can be used in various industries and manufacturing. The implementation of IR 4.0 would likely provide more benefits and advantages such as increase effieciency and effectivty in manufacturing industries.Keywords: Concept of IR 4.0, application of information technology, manufacturing industry.Abstrak : Telah dilakukan kajian yang mempelajari konsep Industri 4.0 (IR.4.0)untuk penerapannya di Indonesia. Kajian dilatar belakangi oleh dicanangkannya making Industri 4.0 oleh Presiden RI pada bulan April 2018. Kajian bertujuan mempelajari konsep IR 4.0 untuk implementasinya di Indonesia. Metode meliputi pengumpulan berbagai referensi dengan kata kunci industry 4.0, penerapan teknologi informasi, industru farmasi dan industry manufaktur. Selanjutnya referensi tersebut dianalisis dan diskripsi sehingga menghasilkan suatu ringkasan. Hasil kajian menyimpulkan bahwa industry 4.0 merupakan era yang memberdayakan peran digitalisasi manufaktur dan jaringan suplai yang melibatkan integrasi informasi digital dari berbagai sumber dan lokasi untuk menggerakkan manufaktur dan distribusi secara fisik. Terdapat lima teknologi utama IR 4.0, yaitu artificial Intelligence (AI), Internet of Things (IoT), Wearable Technology (WT), Advanced Robotic (AR) dan 3D Printing (3DP). Masing-masing komponen teknologi dapat dimanfaatkan pada berbagai industry dan manufaktur. Pemanfaatan IR 4.0 diyakini akan memberikan manfaat dan keuntunganyang lebih banyak (misalnya kinerja menjadi lebih efektif dan lebih efisien).Kata kunci : Konsep IR 4.0, penerapan teknologi informasi, industry manufaktur.
KLASİK İKTİSADİ DÜŞÜNCE İLE EVRİM TEORİSİNİN ENTELEKTÜEL BERABERLİĞİ
Authors: KÜÇÜKALİ Adnan 
Published: May 2019

Sanayileşme
başta Avrupa ve Amerika’da olmak üzere dönemin gelişmekte olan coğrafyalarında
geniş halk kitlelerinin sosyo-ekonomik beklentilerine cevap verememiştir. 19.
yüzyıl kapitalizmi ise sanayileşmeyi bir sömürü aracı olarak kullanmış, fabrika
sahiplerinin ucuz işgücü ve doğal kaynak taleplerine herhangi bir sınırlama
getirmeksizin ulusal ve uluslararası sömürünün önünü açmıştır. Turgot, Smith, Ricardo ve Malthus gibi ilk dönem iktisatçılarının
teorilerine hâkim olan; ekonomik açıdan güçsüz ve zayıf olanın ortadan kalkması, yalnızca
güçlünün yaşamını devam ettirmesi anlayışı; Darwin tarafından biyolojik
verilerle desteklenmeye çalışılarak “doğal seçilim” mekanizması tanımlamasıyla
evrimin temel dayanak noktası haline getirilmiştir. Nüfusun geometrik bir şekilde çoğalırken, yiyecek arzının aritmetik bir
şekilde artacağını ve bu durumun kitlesel açlığa yol açacağını öngören Klasik
dönem iktisatçısı Thomas Robert Malthus’un nüfus teorisi; çağdaşı
biyolog Darwin’de evrim teorisi olarak karşılık bulmuştur. Çünkü Malthus’un
teorisinde yer alan; mevcut gıda
kaynaklarının yetersizliği nedeniyle fakir, beceriksiz ve güçsüz olanların, bu
kaynaklara diğerleri kadar başarılı bir şekilde erişememesi ve böylece ölerek
elenmeleri, güçlü olanın yaşaması, güçsüzün ise doğal seleksiyona uğraması
anlamını taşımaktadır. Bu
çalışmada 19. yüzyıl kapitalist anlayışının Darwin’in evrim teorisinde karşılık
bulduğu hususu araştırma konusu yapılmıştır.
Correlation of Vitamin D and Body Mass Index in Term Normotensive and Pre -Eclamptic Women
Authors: Gupta Taru , Gupta Nupur , Wadhwa Leena , Arora Sarika , Bagla Jyoti , Wahi Sonika 
Published: May 2019

INTRODUCTION: Obesity is associated with alteration in the vitamin D levels and has been related to vitamin D status. Lower vitamin D levels in higher BMI individuals may be secondary to an alteration in tissue distribution resulting from an increase in adipose mass. Therefore women with higher BMI need higher vitamin D supplementation as compared to women with BMI within normal range.
MATERIAL AND METHOD: This was a case control study carried out in Department of Obstetrics and Gynaecology, ESIC-PGIMSR, New Delhi from August 2012-April 2014. A total of 100 patients were divided into two equal groups (control and study groups of 50 each). Control group had women with singleton uncomplicated term normotensive pregnant women in labour while the study group comprised of term preeclamptic women in labour.In all the patients their BMI was analysed .Blood samples for vitamin D, serum calcium, serum phosphorus, serum parathormone, serum alkaline phosphatase levels were drawn and subsequently their levels were evaluated in cord blood; correlation studied between vitamin D & BMI.
RESULTS: The mean BMI was relatively higher in the study group (26.34 ± 4.12)kg/m2 than in the control group ( 24.24 ± 3.13)kg/m2. Thus in our study a prevalence of higher BMI was seen in patients of preeclampsia. When all the 100 women are being considered, median vitamin D levels were found to be higher (6.6ng/ml) in normal BMI patients (n=55) as compared to levels (5.6ng/ml) in patients with higher BMI(n=45).
CONCLUSION: Vitamin D levels are related to maternal body mass index. Individuals with higher percentage body fat may require higher vitamin D intake to attain optimal 25(OH) D levels, compared with lean individuals and thereby may prevent pregnancy complications like Pre eclampsia.
HUBUNGAN KECUKUPAN VITAMIN A, VITAMIN C, ZINK DAN KADAR HEMOGLOBIN DENGAN KESEGARAN JASMANI SISWA SMA NEGERI 4 SEMARANG
Authors: Rakhmawati Fitria Nur , Prihatin Setyo , Subandriani Dyah Nur , Ambarwati Ria Ambarwati 
Published: May 2019

Background : Physical fitness is the ability of a person's body to perform daily work tasks without causing significant fatigue. The importance of physical fitness for schoolchildren and adolescents, among others, can increase the ability of the body organs, social emotional, sportsmanship and spirit of composition. One of the factors that affect physical freshness is the hemoglobin level. Adequacy of vitamins and minerals is also a factor that indirectly affects physical fitness.Objectives : Describe the relationship of sufficiency of vitamin A, vitamin C, zinc and hemoglobin levels with physical fitness students in Senior High School 4 Semarang.Method : This research type is analytical descriptive with Cross Sectional design. The number of respondents is 104 students. Respondents were selected by proportional stratified sampling. Dependent variable of this research is physical fitness, independent variable that is vitamin A sufficiency, vitamin C sufficiency, zinc adequacy and hemoglobin level. Data analysis using Rank Spearman test and multiple linear regression test.Results : There is a relationship between hemoglobin (p-value = 0,000) with physical fitness. There was no correlation between vitamin A adequacy (p-value = 0,788), vitamin C adequacy (p-value = 0,203), adequacy of zinc (p-value = 0,257) with physical fitness.Conclusion : Hemoglobin level is the most influential factor on physical fitness of Senior High School 4 Semarang students.
FAKTOR IBU DAN ANAK, POLA MAKAN, ASUPAN ZAT GIZI DAN RIWAYAT INFEKSI PADA ANAK STUNTING USIA 6-23 BULAN DI WILAYAH KERJA PUSKESMAS I WANGON KABUPATEN BANYUMAS
Authors: Yunianingsih Era , Susiloretni Kun Aristiati , Sunarto Sunarto 
Published: May 2019

Background : Toddlers Stunting prevalence in Central Java in 2016 as much as 18.1%. Stunting prevalence in Puskesmas I Wangon in 2016 as much as 27.12%. Factors Mother and Child, Diet, Nutrition and Substance Intake Infection history is an important indicator Stunting cause.Objective : Explain relationship Mother and child factors, diet, nutrient intake and a history of infection the incidence of stunting in children aged 6-23 months working area of Puskesmas I Wangon Wangon District of Banyumas.Method : Including public nutrition research with case control approach. The research sample is Children aged 6-23 months was 50 with the distribution of 25 cases and 25 controls. Retrieval of data including data according to the nutritional status of mother and child factors, Diet, Nutrition and History Intake Infectious Substances.Results: Stunting of children aged 6-23 months with less energy intake of 15 (60%), protein intake is less than 6 (24.0%), calcium intake of less than 17 (68.0%), zinc intake less than 18 (72.0%), iron intake is less than 20 (80%). Based on the history of stunting baduta infection of 8 (32.0%) had diarrhea, and 11 (44.0%) had respiratory infection. Based on the factors Mother and Child, stunting baduta total of 14 (56.0%) had a short Mother, 21 (84.0%) Mother did not work.Conclusion: Statistical analysis showed no relationship between Height Mom (p = 0.015), there was no association between intake of energy, protein, calcium intake, intake of zinc, intake iron, diarrhea, respiratory infections, frequency of consumption, the diversity of food, education, BBL status, Apgar score, gender, occupation Mother and the Family Incomeand.