bluuebunny/crossref_metadata_2025_split huggingface dataset:
Translating Discharge Instructions for Limited English–Proficient Families: Strategies and Barriers
Authors: Davis Seethalakshmi H. , Rosenberg Julia , Nguyen Jenny , Jimenez Manuel , Lion K. Casey , Jenicek Gabriela , Dallmann Harry , Yun Katherine 
Published: October 2019

BACKGROUND:
Access to written hospital discharge instructions improves caregiver understanding and patient outcomes. However, nearly half of hospitals do not translate discharge instructions, and little is known about why.

OBJECTIVES:
To identify barriers to and potential strategies for translating children’s hospital discharge instructions.

METHODS:
We conducted a mixed-methods, multimodal analysis. Data comprised closed- and open-ended responses to an online survey sent to Children’s Hospital Association language services contacts (n = 31), an online environmental scan of Children’s Hospital Association translation policies (n = 22), and county-level census data. We examined quantitative data using descriptive statistics and analyzed open-ended survey responses and written policies using inductive qualitative content analysis.

RESULTS:
Most survey respondents (81%) reported having a written translation policy at their hospital, and all reported translating a subset of hospital documents, for example, consent forms. Most but not all reported translating discharge instructions (74%). When asked how inpatient staff typically provide translated discharge instructions, most reported use of pretranslated documents (87%) or staff interpreters (81%). Reported barriers included difficulty translating uncommon languages, mismatched discharge and translation time frames, and inconsistent clinical staff use of translation services. Strategies to address barriers included document libraries, pretranslated electronic health record templates, staff-edited machine translations, and sight translation. Institutional policies differed regarding the appropriateness of allowing interpreters to assist with translation. Respondents agreed that machine translation should not be used alone.

CONCLUSIONS:
Children’s hospitals experience similar operational and organizational barriers in providing language-concordant discharge instructions. Current strategies focus on translating standardized documents; collaboration and innovation may encourage provision of personalized documents.
Association of the FilmArray Meningitis/Encephalitis Panel With Clinical Management
Authors: Nabower Aleisha M. , Miller Sydney , Biewen Benjamin , Lyden Elizabeth , Goodrich Nathaniel , Miller Alison , Gollehon Nathan , Skar Gwenn , Snowden Jessica 
Published: October 2019

OBJECTIVES:
To determine the association of the use of the multiplex assay meningitis/encephalitis panel with clinical management of suspected meningitis.

METHODS:
A cross-sectional study was conducted with children 0 to 18 years of age who received a lumbar puncture within 48 hours of admission for an infectious workup. Patient demographic and presenting information, laboratory studies, and medication administration were collected. The primary measure was length of stay (LOS) with secondary measures: time on antibiotics, time to narrowing antibiotics, and acyclovir doses. LOS and antibiotic times were stratified for outcomes occurring before 36 hours. Logistic regression analysis was used to account for potential confounding factors associated with both the primary and secondary outcomes. A value of P &lt; .05 was considered statistically significant.

RESULTS:
Meningitis panel use was associated with a higher likelihood of a patient LOS &lt;36 hours (P = .04; odds ratio = 1.7; 95% confidence interval [CI]: 1.03–2.87), a time to narrowing antibiotics &lt;36 hours (P = .008; odds ratio = 1.89; 95% CI: 1.18–2.87), and doses of acyclovir (P &lt; .001; incidence rate ratio = 0.37; 95% CI: 0.26–0.53). When controlling for potential confounding factors, these associations persisted.

CONCLUSIONS:
Use of the meningitis panel was associated with a decreased LOS, time to narrowing of antibiotics, and fewer acyclovir doses. This likely is a result of the rapid turnaround time as compared with cerebrospinal fluid cultures. Additional studies to examine the outcomes related to this change in management are warranted.
Technique of Informative Features Selection in Geoacoustic Emission Signals
Authors: Senkevich Yuri , Marapulets Yuri , Lukovenkova Olga , Solodchuk Alexandra 
Published: October 2019

Studies of geoacoustic emission in a seismically active region in Kamchatka show that geoacoustic signals produce pronounced pulse anomalies during the earthquake preparation and post-seismic relaxation of the local stresses ﬁeld at the observation point. The qualitative selection of such anomalies is complicated by a strong distortion and weakening of the signal amplitude. A review of existing acoustic emission analysis methods shows that most often researchers turn to the analysis of more accessible to study statistical properties and energy of signals. The distinctive features of the approach proposed by the authors are the extraction of informative features based on the analysis of time and frequency-time structures of geoacoustic signals and the description of various forms of recognizable pulses by a limited pattern set. This study opens up new ideas to develop methods for detecting anomalous behavior of geoacoustic signals, including anomalies before earthquakes.
The paper describes a technique of information extraction from geoacoustic emission pulse streams of sound frequency range. A geoacoustic pulse mathematical model, reﬂecting the signal generation process from a variety of elementary sources, is presented. A solution to the problem of detection of geoacoustic signal informative features is presented by the means of description of signal fragments by the matrixes of local extrema amplitude ratios and of interval ratios between them. The result of applying the developed algorithm to describe automatically the structure of the detected pulses and to form a pattern set is shown. The patterns characterize the features of geoacoustic emission signals observed at IKIR FEB RAS ﬁeld stations. A technique of reduction of the detected pulse set dimensions is presented. It allows us to ﬁnd patterns similar in structure. A solution to the problem of processing of a large data ﬂow by unifying pulses description and their systematization is proposed. A method to identify a geoacoustic emission pulse model using sparse approximation schemes is suggested. An algorithmic solution of the problem of reducing the computational complexity of the matching pursuit method is described. It is to include an iterative reﬁnement algorithm for the solution at each step in the method. The results of the research allowed the authors to create a tool to investigate the dynamic properties of geoacoustic emission signal in order to develop earthquake prediction detectors.
Promoting pre-service EFL teacher reflection: An investigation of reflection levels in Thai context
Authors: Swatevacharkul Rosukhon 
Published: October 2019

Reflection is essential for the teaching practice course since it enhances life-long professional teaching development of the teachers. Capacity to reflect needs to be developed. The objectives of this study were 1) to investigate the levels of learning reflection of pre-service EFL teachers at the end of the teaching practice course, and 2) to explore how reflection contributes to changes of the reflection levels. This study took the form of an embedded experimental mixed methods research design using a close and open-ended questionnaire and semi-structured interview to collect data from 13 international students at an MA ELT program. Data analysis was performed by a t-test and thematic content analysis. The findings revealed that 1) on average, the level of Habitual Action, Understanding, and Critical Reflection at the beginning and the end of the course was not significantly different. However, the level of Reflection was significantly different at the end of the course. Three themes: 1) Revision of past experiences for teaching improvement; 2) Thinking and writing skills development, and 3) Change of beliefs and teaching techniques were generated causing such reflection capacity changes. Recommendations were provided for further research in this area.
Policies on language education in Indonesia
Authors: Hamied Fuad Abdul , Musthafa Bachrudin 
Published: October 2019

This article discusses policies on language education in Indonesia by covering six major sections. The linguistic make-up and history of languages currently spoken in the country are first introduced as the background to the discussion. Then, building on the background factual information on the language education policies once adopted in Indonesia, a review and critical discussion regarding the design, implementation, and evaluation of the language education policies in the country are put forward. This is then followed by an elaboration of how currently adopted language education policies position different languages and what status and roles each language is accorded, and how these statuses and roles compare with English. Afterward, a prediction for the future status and role of the relevant languages under discussion is brought to light. Finally, a conclusion is made, accompanied by suggestions for further reading which will enable enrichment of knowledge-base on relevant aspects of policies on language education in Indonesia.
Peningkatan derajat obstruksi saluran nafas menurunkan kualitas hidup penderita asma
Authors: Pujo Marcellino Satriaman Harrio , Kartini Kartini 
Published: October 2019

LATAR BELAKANGKualitas hidup penderita asma merupakan perasaan seorang penderita asma dalam hidup yang meliputi kenyamanan, keamanan, kemandirian, dan kepuasan dalam hidup. Kualitas hidup pada penderita asma dipengaruhi oleh banyak faktor, antara lain status gizi, tingkat kontrol asma, kepatuhan berobat dan derajat obstruksi saluran napas. Penelitian ini bertujuan mengetahui hubungan derajat obstruksi saluran napas dan karakteristik penderita asma dengan kualitas hidup penderita asma.
METODEPenelitian ini merupakan studi analitik observasional dengan pendekatan cross sectional yang mengikutsertakan 37 penderita asma yang datang ke RSAL Dr Mintoharjo, Jakarta Pusat. Data dikumpulkan dengan cara wawancara menggunakan kuesioner AQLQ dan pengukuran spirometri yang didampingi oleh dokter spesialis paru. Analisis data menggunakan Uji Fisher Exact dengan tingkat kemaknaan p < 0.05.
HASILHasil penelitian dari 37 responden didapatkan bahwa usia lansia adalah yang terbanyak (64.9%), lama menderita asma lebih dari 10 tahun sebanyak 32.4%, derajat obstruksi saluran napas berat sebanyak 51.4% dan penderita asma yang kualitas hidupnya terganggu sebanyak 86.5%. Usia, lama menderita asma, dan derajat obstruksi saluran napas berhubungan dengan kualitas hidup penderita asma (p<0.05), tetapi jenis kelamin tidak berhubungan dengan kualitas hidup penderita asma (p>0.05).
KESIMPULANDerajat obstruksi saluran nafas berhubungan dengan kualitas hidup seorang penderita asma. Semakin berat derajat obstruksi saluran nafas, semakin berat gejala yang ditimbulkannya sehingga menurunkan kualitas hidup.
Límites termodinámicos a la productividad de los destiladores solares pasivos
Authors: Salinas Freire Henry Alberto , Pérez Ones Osney , Rodríguez Muñoz Susana 
Published: October 2019

La desalinización de agua de mar se ha estudiado con interés debido a la escasez de agua dulce para consumo humano. La destilación solar es un método antiguo; la productividad, consumo energético del proceso y el costo del agua desalinizada así obtenida dependen de la eficiencia que se alcance en cada una de las etapas de estos sistemas. La limitada capacidad de absorber la radiación solar y transformarla en calor útil para la evaporación, la interacción con el medio circundante, y las pérdidas de calor limitan la eficiencia global del proceso térmico y la productividad. Como la energía proviene de la radiación solar, la productividad máxima de este proceso estará limitada por la magnitud de la radiación solar total disponible en una zona del planeta debido a su ubicación geográfica, época del año y condiciones climáticas locales. Los procesos a partir de esa energía estarán limitados termodinámicamente por los coeficientes de transferencia térmica que se alcancen en el equipo, por el máximo que pueda alcanzar el calor de evaporación, mientras que las pérdidas al ambiente por convección y radiación sean mínimas.
Se presentan análisis comparativos de varios modelos propuestos, datos reportados de destiladores, datos reportados de radiación solar que alcanzan valores promedio de hasta 7,2 – 7,4 kWh/m2 en algunas regiones del planeta y se hacen estimaciones para productividad de estos equipos que alcanzan entre 6,7 y 6,9 kg/m2día y la eficiencia máxima teórica se encuentra alrededor de 0,16 de la radiación solar total.
ANTICANCER ACTIVITIES AND METABOLITE FINGERPRINTING OF UPLC-QToF-MS/MS METHOD FROM Chrysanthemum cinerariifolium (Trev)
Authors: Lestari Nia Ayu , Irawati Santia , Listiyana Anik , Indrawijaya Yen Yen Ari , Annisa Rahmi , Bhagawan Weka Sidha , Mutiah Roihatul 
Published: October 2019

<p><em>Chrysanthemum cinerariifolium</em> (<em>C. cinerariifolium</em>) is an empirically proven medicinal plant that has anticancer activities. This study aimed to profile metabolites, and cytotoxic activity of root, leaf, stem, and root extracts <em>C. cinerariifolium</em> on T47D cells and to determine the correlation of metabolite content with cytotoxic activity. The metabolite profile was carried out using UPLC-QToF-MS / MS, and cytotoxic activity was carried out using the MTT method. The results obtained in the form of a chromatogram were processed with the application <em>Masslynk</em> so that a metabolite profile data obtained. The data is then analyzed statistically using <em>Principal Component Analysis</em> (PCA). The results obtained on metabolite profiling showed that there were differences in metabolite profiles in the roots, stems, leaves, and chrysanthemums. The characteristic compounds in the flower section are <em>D - (-) - Morphine</em> and in the leaf part of <em>genistein </em> and <em>N - [(5-Chloro-1,2,3-thiadiazol-4-yl) methyl] -1- (2-isopropyl-4 -methyl-1,3-thiazol-5-yl) -N-methyl ethanolamine</em>. The major compounds in the roots, stems, and leaves are <em>Orphenadrine</em> with successive percentages of 9.11%, 10.16%, and 3.24%, and the major compounds in the flower section are <em>D - (-) - Morphine</em> with a percentage of 10, 86%. Furthermore, the results of the cytotoxic activity test showed differences in anticancer cytotoxic activity in the parts of the flower, leaf, stem, and root of <em>C. cinerariifolium</em>. Besides, there is a relationship between the metabolite content and anticancer cytotoxic activity of each part of <em>C. cinerariifolium</em>. The higher the level of orphenadrine compounds in the plant, the higher the potential for anticancer.</p><p> <strong>Keywords</strong>: <em>C. cinerariifolium</em>, UPLC-QToF-MS/MS, T47D cells.</p>
METABOLOMIC COMPOUND OF Calostropis gigantea ROOT EXTRACT AND THE INHIBITION EFFECT ON FIBROSARCOMA GROWTH AND CASPASE 3 EXPRESSION ON BALB/C Mus musculus
Authors: Mutiah Roihatul , Griana Tias Pramesti , Bhagawan Weka Sidha , Ma'arif Burhan , Soliha Maratus , Hayati Elok Kamilah , Sugihantoro Hajar , Suryadinata Arief , Indradmojo Christyaji , Susilowati Retno 
Published: October 2019

<p>The root of <em>Calotropis gigantea</em> (thistle) is an Indonesian herb to treat cancer based on empirical and scientific evidences. The study aims to find out the infuence of ethanol extract of <em>Calotropis gigantea</em> root<em> </em>in inhibiting cancer cell growth of <em>Mus musculus</em> fibrosarcoma in vivo and to find out metabolite compound in the <em>Calotropis gigantea</em> root<em> </em>extract. The effect of cancer cell growth inhibition was tested on Mus musculus inducted with 7.12-dimetilbenz (α) antrasena (DMBA) and dose treatment of 50, 100 and 150 mg/Kg body weight. The metabolomic analysis on the root employs UPLC-QToF-MS/MS as a positive ESI ion source, the movement phase of water/acid mixture is 99.9/0.1 [v/v] and acetonitrile/formic acid was 99.9/0.1 [v/v] with gradient elution system and stationary phase of C18. The chromatogram was analyzed using Masslynx<em> </em>4.1. The component identification was based on the m/z ratio measured in <em>Masslynx </em>and m/z counted in chemdraw<em>.</em> The result of the study showed that the <em>Calotropis gigantea</em> root extract with the dose of 50, 100 dan 150 mg/Kg body weight were able to increase the weight of fibrosarcoma mice and have a significant influence on caspase-3 expression with cell apoptosis index 24.3 %; 13.3 % and 12.3 % respectively. The result of metabolomic analysis showed 14 compounds found in the root extract. There are two major compounds: 4-Chlorobenzenethiol with the area 32.51% and N-[1-(Adamantan-1-yl) ethyl]-2-(1-piperidinyl)-4-quinazolinamine with the area 37.20%. They are indicated responsible for the anticancer activity of <em>Calotropis gigantea</em> root<em> </em>extract.</p><p><strong> </strong><strong>Keywords:</strong> <em>Calotropis gigantea</em>, caspase-3,<strong> </strong>fibrosarcoma, metabolomic, UPLC-QToF-MS/MS</p>
Quality of Sleep among Portuguese Anaesthesiologists: A Cross-Sectional Study
Authors: Valente Francisco , Batista Catarina , Simões Vânia , Tomé Inês , Carrilho Alexandre 
Published: October 2019

Introduction: Sleeping is essential to maintain proper relationships with others, keep alertness, and execute responsibilities, among many other functions. In the medical profession, there are several studies linking sleep deprivation with a decrease in responsiveness, cognition and attention. With this study we intended to characterize the sleep pattern of Portuguese anaesthesiologists and identify independent factors associated with sleep quality in this population.Material and Methods: An observational, cross-sectional study of senior and resident anesthesiologists working in Portugal was carried out through an online questionnaire. Individuals working exclusively in intensive care units, emergency departments or with previously diagnosed sleep disorders were excluded. Socio-demographic data, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and Perceived Stress Scale were applied. Statistical significance was assessed using the Mann-Whitney test and the chi-square test. A multivariable analysis was performed to examine the association between the Pittsburgh Sleep Quality Index and certain variables.Results: Among 256 respondents, 46.1% reported “poor” quality of sleep (Pittsburgh Sleep Quality Index > 5). Within these individuals, 77.1% slept less than 7 hours per night (p < 0.001). Excessive daytime sleepiness (Epworth Sleepiness Scale > 10) was present in 41.0% of the sample, and the median Perceived Stress Scale score was 17.0. The independent factors associated with worse quality ofsleep were the number of working hours/week (OR 1.03, 95% CI 1,01 to 1,06), perceived stress (OR 1.18, 95% CI 1.11 to 1.26), taking sleep medication (OR 14.72, 95% CI 5.55 to 39.08), and sleep hours/night (OR 0.25, 95% CI 0.15 to 0.42).Discussion: This fraction of Portuguese anaesthesiologists presented a poorer quality of sleep, with excessive daytime somnolence, perceived stress and higher sedative use compared to previously studied populations.Conclusion: Our study characterizes sleep patterns and identifies potential risk factors linked to sleep disturbances in a sample of Portuguese anaesthesiologists. Government and institutional policies can endorse sleep hygiene practices and habits, promoting healthier working environments.
Children’s Sleep Habits Questionnaire in Two Subpopulations from Cape Verde and Mozambique: Exploratory and Regression Analysis
Authors: Carneiro Inês Marques , Fonseca Pedro , Ferreira Rosário 
Published: October 2019

Introduction: Children’s sleep habits are profoundly affected by socio-economic, cultural, and environmental factors. We aim to describe the sleep habits of pediatric sub-populations from Cape Verde and Mozambique using the Children’s Sleep Habits Questionnaire, and to ascertain the determinants of the questionnaire’s score.Material and Methods: We conducted cross-sectional surveys in surveillance appointments in Cape Verde and in a school in Maputo (Mozambique). The Cape Verde sample included 206 children (mean age: 6.5) and the Mozambique sample 454 children (mean age: 8). The Portuguese version of the Children’s Sleep Habits Questionnaire was used to evaluate the children’s sleep habits. The distributions of the questionnaire’s scores across different levels of the demographic variables were compared using the Mann-Whitney and the Kruskal-Wallis tests. We used regression models to quantify the relationship between the demographic variables and the questionnaire’s scores.Results: Cape Verde sample: Questionnaire median score: 50 (range 36 – 81). Prevalence of sleep problems: 29.9% (cut-off = 56). Prevalence of parent-reported sleep problems: 22.8%. Co-sleeping: 63%. Bedtime television: 30%. Daytime nap: 63%. Questionnaire scores are associated with the mother’s educational level, the children’s age group, and with the frequency of daytime napping. Mozambique Sample: Median Questionnaire score: 48 (range 35 – 77). Prevalence of sleep problems: 28.4% (cut-off: 52). Percentage of parent-reported sleep problems: 6.9%. Co-sleeping: 29%. Bedtime television: 33%. Daytime nap: 23%. Questionnaire scores are associated with the mother’s nationality, the father educational level, and with the frequency of bedtime television.Discussion: Parents tend to overestimate the quality of their children’s sleep. The prevalence of sleep disturbances and the cut-off values are higher than observed in previous studies, which may be due to the existence of different standards and cultural expectations across populations. Bedtime television, typically associated with more disturbed sleep, is frequent in both samples. Co-sleeping and daytime napping are frequent in the Cape Verde sample; wetting the bed is common and more prevalent than in previous studies. Bed-sharing increases the parents’ awareness of their children’s sleep quality, contributing to the high prevalence of parent-reported sleep problems.Conclusion: Parent-reported sleep problems underestimate the Children’s Sleep Habits Questionnaire results. This is not necessarily indicative of more disturbed sleep and might reflect differences in sleep behavior, childcare practice, and cognitions and attitudes towards the concept of ‘normal’ sleep.