bluuebunny/crossref_metadata_2025_split huggingface dataset:
Standardizing Opioid Prescribing Practices for Cancer-Related Pain Via a Novel Interactive Documentation Template at a Public Hospital
Authors: Nusrat Maliha , Parkes Amanda , Kieser Ryan , Hu Bei , Farhat Dalia , Rieber Alyssa , Ma Hilary 
Published: June 2019

PURPOSE: Opioid misuse during cancer pain management places patients at risk for harm and physicians for legal liability. Identifying and monitoring patients who are at risk is challenging given the lack of validated clinical tools and evidence-based guidelines. In the current study, we aimed to standardize opioid prescribing practices at a community oncology clinic to help ensure patient safety and physician compliance with Texas state regulations. METHODS: We used the Plan-Do-Study-Act methodology. In the planning phase, current practices of assessing opioid efficacy, toxicity, and misuse were determined by surveying clinic physicians and reviewing patients’ charts. We developed a new standardized process that incorporated published literature, the Texas Administrative Code, and expert opinion. Two interactive documentation templates (SmartPhrases) were designed to implement the standardized process. The intervention was studied using repeat physician surveys and chart reviews, which prompted action for refinement and sustainability. RESULTS: At baseline, 9% of providers followed a systematic approach to prescribing opioids and 86% expressed an interest in process standardization. We noted high interprovider variability in the opioid risk stratification and refill process. At 2 months and 6 months postimplementation, provider satisfaction with the intervention was 83% and 75%, whereas compliance with SmartPhrase use was 70% and 54%, respectively. The frequency of state database check improved from 36% to 94% at 6 months. Improvement was also noted in assessment and documentation of baseline risk, chemical coping, and toxicity. CONCLUSION: We implemented a systematic approach for assessing opioid misuse, toxicity, and efficacy during cancer pain management at a community oncology clinic. The approach resulted in notable improvement in provider practices and documentation compliance.
Kostis Karpozilos, Κόκκινη Αμερική: Έλληνες μετανάστες και το όραμα ενός Νέου Κόσμου (1900-1950) [Red America: Greek immigrants and the new world vision, 1900-1950]
Authors: Laliotou Ioanna 
Published: June 2019

Review of Kostis Karpozilos, Κόκκινη Αμερική: Έλληνες μετανάστες και το όραμα ενός Νέου Κόσμου (1900-1950) [Red America: Greek immigrants and the new world vision, 1900-1950]. Irakleio: Crete University Press, 2017. 544 pp.
Association between umbilical cord hygiene and neonatal sepsis among neonates presenting to a primary care facility in Nairobi County, Kenya: a case-control study
Authors: Moraa Phoebe K. , Mweu Marshal M. , Njoroge Peter K. 
Published: June 2019

Background:Three-quarters of all annual neonatal deaths in developing countries are attributable to neonatal sepsis. In primary care settings, poor cord hygiene due to improper handling of the infant’s cord is a major contributor to the occurrence of neonatal sepsis. The objective of this study was to describe the umbilical cord practices among mothers attending a primary care facility, assess the relationship between umbilical cord hygiene and neonatal sepsis, its impact on the population, as well as the influence of other neonatal and maternal factors on this relationship.Methods:A case-control study was conducted to assess the umbilical cord hygiene-neonatal sepsis relationship among neonates attending a primary care facility between August and October 2018. All cases were selected, while controls were systematically random sampled, as per study eligibility criteria. Exposure variables were summarized using descriptive statistics. A multivariable logistic regression model was fitted to evaluate the association between umbilical cord hygiene and neonatal sepsis adjusting for the effect of potential confounders. Subsequently, a population attributable fraction (PAF) was estimated.Results:The proportion of mothers with improper hygiene was 35.3%: 72.1% among the cases and 16.3% among the controls’ caregivers. The odds of neonatal sepsis were 13 times higher (OR=13.24; 95% CI: [7.5; 23.4]) among infants whose caregivers had improper hygiene compared to those who had proper hygiene. None of the neonatal and maternal covariates confounded the umbilical cord hygiene-neonatal sepsis association. This odds ratio gave a PAF of 66.7% (95% CI: 62.5; 69.03).Conclusions:Improper cord hygiene is prevalent in this low resource setting. Improper cord hygiene has a strong positive association with neonatal sepsis. Observing good cord care practices could avert up to 67% of newborn infections. This calls for inclusion of good cord care practices in the antenatal care educational package.
Teledetección aplicada al mapeo geomorfológico de los volcanes de la cuenca alta del río Chaschuil, provincia de Catamarca, Argentina
Authors: Malvina Serra , Herrera Carlos Gabriel , Niz Adriana Ediht 
Published: June 2019

Contexto: La cuenca alta del río Chaschuil se encuentra en las provincias geomorfológicas de codillera Frontal y sistema de Famatina, se extiende desde el límite superior de la cuenca, a los 26° 45' 6,35" de latitud S y 68° 2'22 15" de longitud O, hasta el volcán Aguas Calientes, a los 27° 13' 25,81" de latitud S y 68° 19'5 48" de longitud O. La zona se inserta en el Cinturón de Fuego del Pacífico, que se caracteriza por concentrar algunas zonas de subducción más importantes del mundo, donde se genera una intensa actividad sísmica y volcánica.
Método: A través de operaciones estadísticas y numéricas aplicadas sobre los datos de las matrices que componen una imagen satelital, se generó la cartografía geomorfológica volcánica. Para dicho análisis, se utilizó el software libre SoPI 3.0, en el que se procesaron las imágenes satelitales Landsat 7 y 8, de los años 2002 y 2015. La cartografía fue elaborada en el software libre QGIS 3.2.2, con el apoyo del software libre Google Earth Pro.
Resultados: Los mejores resultados del procesamiento digital se dieron en las bandas de rango visible y mediante distintas combinaciones de bandas en RGB. Se describen 13 aparatos volcánicos principales, altamente erosionados, con lavas pahoehoe asociadas; y erupciones secundarias, con lavas rugosas tipo aa sobrepuestas a las lavas más fluidas.
Conclusiones: La aplicación del procesamiento digital de imágenes satelitales es una herramienta óptima para el estudio de estructuras volcánicas, que permite su delimitación y clasificación.
Pemikiran KH. Hasyim Asy’ari tentang Persatuan
Authors: Nizar Muchamad Coirun 
Published: June 2019

KH. Hasyim Asy'ari is a national Islamic figure who existed in the early 20th century and contributed greatly to the Indonesian nation. His real contribution to the progress of Indonesian Muslims is the birth of the Nahdlatul Ulama organization which still exists and has many followers. This paper will describe KH. Hasyim Asyari’s thought about unity in the book Al Muqaddimah Al-Qanun Al Asasi Li Jam'iyyah Nahdlatul Ulama 'as well as the historical socio-conditions that lie behind this thought. The idea of unity is the central idea in the book, and it included national unity and religious unity. His thought in this book is motivated by the social conditions that occurred at that time. The condition of the Indonesian nation being colonized by the Dutch is the most dominant social condition. The other social conditions are the religious social conditions that occur such as the emptiness of the leadership of the traditionalist Islam and the phenomenon of renewal in Islam
To Be a Blood Donor or Not to Be? Investigating Institutional and Student Characteristics at a Military College
Authors: Jiang Bing , Allen Samuel K. 
Published: June 2019

Abstract
Using data from 21 voluntary blood drives over a five-year period, we establish connections between undergraduate students’ blood donation behaviors and their demographic, academic, leadership, and military characteristics at a military college in the United States. We find that blood donation participation rates for students at this military college are much higher than the national average for the 18- to 24-year-olds. Certain characteristics such as fitness, athletic status, academic performance, and intent to pursue a military career after graduation are significantly correlated with blood donation. We also find that college students’ blood donation behaviors may be influenced by their attitudes toward civic responsibility, time constraints, incentives, peer effects and the characteristics of blood collection agencies. This study provides new insights into individual characteristics that correlate with blood donation. It also highlights the role of unique military education and institutional characteristics in promoting better fitness, the pursuit of a military career, and selfless service among young people, all of which might help explain demonstrated higher blood donation participation than their peers elsewhere.
Displacement Reliability Analysis of Submerged Multi-body Structure’s Floating Body for Connection Gaps
Authors: He Kongde , Ali Fadzi , Md Borihan 
Published: June 2019

Abstract
Aiming at the problem of systems’ dynamic characteristics’ randomness caused by connection gaps of submerged multi-body structures, a stochastic and uncertainty dynamical model were formulated for connection gaps and dynamic elongation of mooring cables. This model considered sag effect caused by light, soft and low damping characteristics of mooring cables and their dynamic elongation under the impact of flow field and connection gaps. The equivalent elastic modulus method was used to modify the sag effect. The Newmark-β method was used to solve the problem. Calculation results showed that the average value and peak value of floating body displacement caused by uncertainty of gap contact states are larger than those of ideal articulated states. The reliability of floating body’s displacement with gap contact will be reduced to different extents and the reliability of displacement in velocity direction changes greatly, especially perpendicular to flow field. When studying multi-body structures, randomness of contact state should be considered to reduce the dispersion of clearance and improve dynamic performance.
Material characteristics of random glass-mat-reinforced thermoplastic under cryogenic thermal cycles
Authors: Park Kwang-Jun , Kim Jeong-Hyeon , Kim Seul-Kee , Heo Haeng-Sung , Bae Jin-Ho , Lee Jae-Myung 
Published: June 2019

Abstract
In this study, cryogenic (77 K) to ambient (293 K) thermal shocks are induced to investigate the material behavior and failure characteristic of a random glass-mat-reinforced thermoplastic (GMT). The GMT has numerous advantages such as robust thermal conductivity, good mechanical strength, and good impact resistance. Hence, the GMT serves as an insulation material in liquefied natural gas (LNG) carrier-cargo containment systems (CCSs). In this study, 50, 100, 200, 400, and 800 cryogenic thermal cyclic shocks (77 K to 293 K) were applied to the fabricated GMT samples. The time for each cycle was 40 min, and it took up to approximately four months to completely apply the thermal cyclic shock to the specimens. The elongation, tensile strength, and elastic modulus of the testing samples obtained from the stress–strain relationship and morphologies were investigated in terms of the number of thermal cyclic shocks and strain rate. Finally, explicit formulae were proposed considering the parameters such as material properties and number of cryogenic thermal cycles to predict the material capabilities under arbitrary loading rates and cryogenic thermal cycles. It was confirmed that the degradation and defects increased with an increase in the number of cryogenic thermal cycles.
Anisotropic Behavior of Bituminous Mixtures in Road Pavement Structures
Authors: Nguyen Quang Tuan , Pham Nguyen Hoang , Di Benedetto Hervé , Sauzéat Cédric 
Published: June 2019

Abstract
The compaction of bituminous mixture during road pavement construction induces anisotropic properties. However, bituminous mixture is generally considered isotropic. This article presents the investigations on the anisotropic behavior of a bituminous mixture in a road pavement structure. A pavement block (55 by 46 by 28 cm) was sawn and extracted from a highway in France. Cylindrical specimens were cored and sawn from the middle layer of this block in three directions: longitudinal direction I, vertical direction II, and transversal direction III. Complex tension/compression modulus tests were performed at the University of Lyon/Ecole Nationale des Travaux Publics de l’Etat (ENTPE) laboratory to investigate the anisotropic behavior of the bituminous mixture. These tests consist in measuring axial stress and radial strains when sinusoidal axial strain, with an amplitude lower than 10−4 m/m, was applied on the specimen. Tests were performed on the specimens cored in Directions I, II, and III at nine temperatures and six frequencies. For each specimen, the complex modulus E* and complex Poisson’s ratios ν* in two perpendicular diameter directions were measured. Thus, the complex modulus in the three directions (EI*, EII*, and EIII*) and six complex Poisson’s ratios (νI-II*, νI-III*, νII-I*, νII-III*, νIII-I*, νIII-II*) could be obtained and investigated. The Time Temperature Superposition Principle was verified for both the norm and phase angle of E* and ν*. The anisotropic properties of material were studied by comparing the three E* and six ν*. The obtained results reveal an anisotropic behavior of the bituminous mixture. The different E* and ν* respected the Time Temperature Superposition Principle with the same shift factor. In addition, the rheological tensor was shown to be symmetric. The experimental results were simulated using the anisotropic three-dimensional version of the “2 Springs, 2 Parabolic elements and 1 Dashpot” (2S2P1D) linear viscoelastic model. A unique normalized curve can be considered for E* and ν*. The stability of the material behavior was also investigated within the tested frequency–temperature range.
Improvement of Solar Distiller Productivity by a Black Metallic Plate of Zinc as a Thermal Storage Material
Authors: Khechekhouche Abderrahmane , Haoua Boubaker Ben , Kabeel Abd Elnaby , El Hadi Attia Mohammed , El-Maghlany Wael M. 
Published: June 2019

Abstract
The lack of drinking water is a real global problem. Transforming polluted water into freshwater is another problem. Solar distillation seems a simple and economical solution to this problem, but the yield of a solar still is low, and this poses another problem. One of the best ways to improve the productivity of freshwater from solar energy is to incorporate sensible heat energy storage materials; i.e., the temperature elevation of a material allows for the storage of energy, and that is exactly the purpose of our work. Two similar solar distillers were exposed to the sun in May 2017 under the same weather conditions. Distiller Dc is retained as a reference and distiller Ds contains in its basin a black plate of zinc 48 by 48 cm with a thickness of 0.2 cm. This plate is used as a sensitive thermal storage material to improve the productivity of our device. The results of this simple and inexpensive technique have improved the productivity of distiller Ds by 1.54 times compared with the conventional Dc still. Thus, this technique increases the productivity of the distiller and participates in solving a technical problem affecting the solar still.
Hydroxyurea Use for Sickle Cell Disease Among Medicaid-Enrolled Children
Authors: Brousseau David C. , Richardson Troy , Hall Matt , Ellison Angela M. , Shah Samir S. , Raphael Jean L. , Bundy David G. , Arnold Staci 
Published: June 2019

BACKGROUND:Recent publications should have resulted in increased hydroxyurea usage in children with sickle cell disease (SCD). We hypothesized that hydroxyurea use in children with SCD increased over time and was associated with decreased acute care visits.METHODS:This was a secondary analysis of the Truven Health Analytics–IBM Watson Health MarketScan Medicaid database from 2009 to 2015. The multistate, population-based cohort included children 1 to 19 years old with an International Classification of Diseases, Ninth or 10th Revision diagnosis of SCD between 2009 and 2015. Changes in hydroxyurea were measured across study years. The primary outcome was the receipt of hydroxyurea, identified through filled prescription claims. Acute care visits (emergency department visits and hospitalizations) were extracted from billing data.RESULTS:A mean of 5138 children each year were included. Hydroxyurea use increased from 14.3% in 2009 to 28.2% in 2015 (P &lt; .001). During the study period, the acute-care-visit rate decreased from 1.20 acute care visits per person-year in 2009 to 1.04 acute care visits per person-year in 2015 (P &lt; .001); however, the drop in acute care visits was exclusively in the youngest and oldest age groups and was not seen when only children enrolled continuously from 2009 to 2015 were analyzed.CONCLUSIONS:There was a significant increase in hydroxyurea use in children with SCD between 2009 and 2015. However, in 2015, only ∼1 in 4 children with SCD received hydroxyurea at least once. Increases in hydroxyurea were not associated with consistently decreased acute care visits in this population-based study of children insured by Medicaid.
Walter Rauscher: Die fragile Grossmacht. Die Donaumonarchie und die Europäische Staatenwelt 1866–1914. Frankfurt am Main: Peter Lang, 2014
Authors: Pakhomova Lidia 
Published: June 2019

Die Rezension untersucht das Buch des österreichischen Historikers Walter Rauscher „Die fragile Großmacht. Die Donaumonarchie und die europäische Staatenwelt 1866–1914“. Rauscher rekonstruiert die außenpolitische Geschichte der Habsburger Monarchie anhand zahlreicher Archivdokumente aus Österreich, Ungarn, Tschechien, Deutschland, Großbritannien, Frankreich, Italien und der Schweiz. Die einzigen dem Forscher unzugänglichen Quellen blieben dabei die Russischen.
Der Historiker analysiert in chronologischer Reihenfolge die Politik jedes Außenministers der Donaumonarchie von 1866 bis 1914. Rauscher betrachtet die außenpolitischen Widersprüche der Donaumonarchie in Verbindung mit ihren inneren Problemen. Fast jedes für die österreichisch-ungarische Außenpolitik wichtige Thema betrachtet der Autor im Kontext der Arbeit von Delegationen – die Außenpolitik war Teil des innenpolitischen Kampfes, ein Thema, das in Parlamenten, Wahlprogrammen, Partei- und innerparteilichen Streitigkeiten diskutiert wurde – sowie angesichts der komplexen Beziehungen zwischen verschiedenen Ländern und Nationalitäten. Rauscher weist zwar auf wichtige Phänomene und Tendenzen hin, bringt jedoch keine theoretische Grundlage dafür. Offensichtlich hatte der Historiker nicht das Ziel, den Gegenstand seiner Forschung zu schematisieren und zu vereinfachen. Der Autor betrachtet die Außenpolitik von Österreich-Ungarn und dessen Beziehungen zu anderen Ländern in ihrer ganzen Vielfalt.
In seinem zweibändigen Werk zeigte der Forscher, wie die große und schwierige Arbeit an der Aufrechterhaltung eines multinationalen Staates im Endeffekt zur Vorbereitung seines Zusammenbruchs wurde.
La gestión de megaeventos desde la perspectiva de distintos stakeholders: un análisis exploratorio sobre voluntarios
Authors: Fayos Teresa , G.Gallarza Martina , Servera David , Floristán Elena 
Published: June 2019

Asistimos a un creciente interés académico en el estudio de los eventos. Sin embargo esos estudios se centran principalmente en el análisis de eventos deportivos o culturales y en menor medida en eventos religiosos, a pesar de su potencial de estudio para la gestión y la investigación. Con el presente trabajo buscamos mejorar el conocimiento de los eventos y profundizar en las particularidades de la gestión de voluntarios, stakeholder clave en megaeventos religiosos. Para ello utilizamos una doble metodología cualitativa: entrevistas en profundidad con gestores, combinadas con dinámicas de grupo con voluntarios; todos ellos stakeholders de la XXIV Jornada Mundial de la Juventud celebrada en Madrid. Los resultados obtenidos ilustran la complejidad del proceso de captación, formación y organización de los voluntarios; al tiempo que permiten conocer mejor las motivaciones, intereses y características de los voluntarios de este tipo de eventos.
Seyahat Acentelerinin Turist Rehberi Seçim Kriterlerinin Analitik Hiyerarşi Süreci (AHS) Yöntemi ile Değerlendirilmesi
Authors: ILGAZ YILDIRIM Burcu , GÜZEL Özlem 
Published: June 2019

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Turist rehberleri, turizm sektörünün merkezinde yer alan çok sayıda işletme arasında mesleki bağ kuran ve turistlerin deneyimlerini zenginleştiren turizm çalışanları olarak diğer mesleklerden farklı birtakım özelliklere sahip olmalıdırlar. Çünkü tur programlarının başarısını büyük oranda turist rehberlerinin sahip olduğu donanım, yetenekler ve beceriler etkilemektedir. Bu bağlamda bu araştırmanın amacı; turist rehberlerinin işe alım süreçlerinde önemli olan kriterlerin belirlenerek daha sonra bu kriterlerin önem derecelerinin tespit edilmesidir. Araştırma amacı doğrultusunda öncelikle turist rehberlerinin işe alım kriterlerinin belirlenmesi için alanyazın taraması ile birlikte uzman görüşleri alınarak kriterler elde edilmiştir. Kriterlerin önem düzeylerinin belirlenmesi için Analitik Hiyerarşi Süreci (AHS) yöntemi kullanılmıştır. Çalışmanın sonucunda turist rehberi seçiminde göz önünde bulundurulan altı adet kriter elde edilmiş ve AHS analizi sonrası bu kriterler arasında önem düzeyi en yüksek olan kriterin mesleki yeterlilik olduğu görülmüştür.