bluuebunny/crossref_metadata_2025_split huggingface dataset:
Shared Decision‐Making During Inpatient Rounds: Opportunities for Improvement in Patient Engagement and Communication
Authors: Blankenburg Rebecca , Hilton Joan F. , Yuan Patrick , Rennke Stephanie , Monash Brad , Harman Stephanie M. , Sakai Debbie S. , Hosamani Poonam , Khan Adeena , Chua Ian , Huynh Eric , Shieh Lisa , Xie Lijia , Satterfield Jason M. 
Published: February 2018

BACKGROUNDShared decision‐making (SDM) improves patient engagement and may improve outpatient health outcomes. Little is known about inpatient SDM.OBJECTIVETo assess overall quality, provider behaviors, and contextual predictors of SDM during inpatient rounds on medicine and pediatrics hospitalist services.DESIGNA 12‐week, cross‐sectional, single‐blinded observational study of team SDM behaviors during rounds, followed by semistructured patient interviews.SETTINGTwo large quaternary care academic medical centers.PARTICIPANTSThirty‐five inpatient teams (18 medicine, 17 pediatrics) and 254 unique patient encounters (117 medicine, 137 pediatrics).INTERVENTIONObservational study.MEASUREMENTSWe used a 9‐item Rochester Participatory Decision‐Making Scale (RPAD) measured team‐level SDM behaviors. Same‐day interviews using a modified RPAD assessed patient perceptions of SDM.RESULTSCharacteristics associated with increased SDM in the multivariate analysis included the following: service, patient gender, timing of rounds during patient's hospital stay, and amount of time rounding per patient (P < .05). The most frequently observed behaviors across all services included explaining the clinical issue and matching medical language to the patient's level of understanding. The least frequently observed behaviors included checking understanding of the patient's point of view, examining barriers to follow‐through, and asking if the patient has any questions. Patients and guardians had substantially higher ratings for SDM quality compared to peer observers (7.2 vs 4.4 out of 9).CONCLUSIONSImportant opportunities exist to improve inpatient SDM. Team size, number of learners, patient census, and type of decision being made did not affect SDM, suggesting that even large, busy services can perform SDM if properly trained.
Biochemical markers and levels of physical activity related to the hepatic condition of patients infected by the hepatitis C virus
Authors: de Sousa Fernandes Matheus Santos , e Silva Lucas de Lucena Simões , Santos Gabriela Carvalho Jurema , de Siqueira Érika Rabelo Forte 
Published: February 2018

Summary
Study aim: The study is quantitative, with a cross-sectional comparison design, and aimed to verify the association between physical activity (PA) levels and biochemical markers linked to liver function of patients infected with hepatitis C virus (HCV). Material and methods: The following biochemical variables were analyzed: alanine aminotransferases (ALT), gamma-glutamyl transpeptidase (γGt), and alkaline phosphatase (FA), these being good markers for hepatic damage, besides glycemia, HDL, LDL, and triglycerides. The International Physical Activity Questionnaire (IPAQ), short version, was used to evaluate the lev­els of physical activity, being classified as active and physically inactive. Results: The sample consisted of 84 individuals aged 56.2 ± 11.6 years; there was a predominance of males, patients with dif­ferent socioeducational patterns and those followed up for more than 6 months in the hepatology service with positive serology for HCV and HCV (RNA+), attending the Institute of Liver and Transplants of Pernambuco (IFP). The results obtained in this study indicate smaller values of the median with maximum and minimum scores of the analyzed parameters in patients consid­ered to be physically active (ALT: p = 0.43, FA: p = 0.86 and γGt: p = 0.15, glycemia: p = 0.22, LDL: p = 0.58, HDL: P = 0.004, triglycerides: p = 0.47), in comparison with the physically inactive patients. It is concluded that patients who have a higher level of physical activity present lower values of biochemical markers, positively affecting their hepatic condition. Conclusions: There was only a significant difference in the HDL variable, but the patients with a lower level of physical activ­ity showed greater values in general, less in the triglyceride variability. In order to test these and other important variables and improve the quality of life and health by a more direct method.
Mathematical Model of Multi-Phase Power Converter for Parallel Computation
Authors: Belov Vladimir , Leisner Peter , Mannikoff Anders , Belov Ilja 
Published: February 2018

AbstractAbstract — A mathematical model of a multi-phase power conversion system composed of modified bridge-elements (B-system) capable for parallel computation has been developed. Experimental validation on the example of a power system including a synchronous generator and an AC-DC rectifier has been performed. A mathematical algorithm for B-system assembly and steps to obtain mathematical model of the B-system have been developed. Integration of mathematical models of conversion system into the complete model of a multi-phase power system has been explained and evaluation of computational efficiency of parallel computation techniques for the developed model of an AC-DC-AC converter has been performed. The presented modelling method can be employed in the design phase of smart grids, for power quality and conducted emission analysis.
Chiral symmetry restoration and the critical end point in QCD
Authors: Morones-Ibarra Jose Rubén , Enriquez-Perez-Gavilan Armando , Rodriguez Abraham Israel Hernández , Flores-Baez Francisco Vicente , Mata-Carrizalez Nallaly Berenice , Ordoñez Enrique Valbuena 
Published: February 2018

Abstract
In a system of quark matter we study the chiral phase transition, the behavior of the chiral and quark number susceptibility and the CEP at finite temperature and chemical potential. This is done within the framework of two-flavor Nambu and Jona-Lasinio model. We have calculated the chiral quark condensate and the quark number density and, with this, we have found the phase transition type. With these quantities we have determined the phase diagram for QCD and the CEP.
3-dimensional computer model of electrospinning multicapillary unit used for electrostatic field
analysis
Authors: Firych-Nowacka Anna , Smółka Krzysztof , Wiak Sławomir , Gliścińska Eulalia , Krucińska Izabella , Chrzanowski Michał 
Published: February 2018

Abstract
Electrospinning is an experimental method of the polymer super thin fibres formation using the electrostatic field. The distribution of electrostatic field affects the effectiveness of the electrospinning. In order to analyse the electrostatic field for given technological parameters the 3-D computer model of an electrospinning device must be applied.
Optimization of wearable microwave antenna with simplified electromagnetic model of the human body
Authors: Januszkiewicz Łukasz , Barba Paolo Di , Hausman Sławomir 
Published: February 2018

Abstract
In this paper the problem of optimization design of a microwave wearable antenna is investigated. Reference is made to a specific antenna design that is a wideband Vee antenna the geometry of which is characterized by 6 parameters. These parameters were automatically adjusted with an evolution strategy based algorithm EStra to obtain the impedance matching of the antenna located in the proximity of the human body. The antenna was designed to operate in the ISM (industrial, scientific, medical) band which covers the frequency range of 2.4 GHz up to 2.5 GHz. The optimization procedure used the finite-difference time-domain method based full-wave simulator with a simplified human body model. In the optimization procedure small movements of antenna towards or away of the human body that are likely to happen during real use were considered. The stability of the antenna parameters irrespective of the movements of the user’s body is an important factor in wearable antenna design. The optimization procedure allowed obtaining good impedance matching for a given range of antenna distances with respect to the human body.
Zeichenwahl zur Präzisierung von Konsonant oder Vokal: zi und ṣe (zí) im Kodex Hammurapi
Authors: Meyer-Laurin Vera 
Published: February 2018

Abstract:
The fact that the signs zi and zí were both used in the Codex Hammurapi to write the sequences /ṣi/ and /ze/ will be explained by the superposition of two orthographic systems. One system is based on the acquisition of phonetic values from Sumerian in which the vowels /i/ and /e/ were distinguished. In the other system, which must have developed in a Semitic context – presumably due to frequent writings of the sequence /ṣe/ in forms of the common verb waṣûm –, the primary phonetic value of the sign zí is /ṣe/. It will be demonstrated that the combination of the two orthographic systems was advantageously used in the Codex Hammurapi. The sign zí was employed for a more precise identification of the /ṣ/ onset and the sign zi for a more accurate marking of the /i/ vowel of the sequence /ṣi/.
Najafabad, Sargon II’s Stele, and Mount Urattus: The Geological and Archaeological Evidence
Authors: Alibaigi Sajjad , Rezaei Iraj , Beheshti Seyed Iraj 
Published: February 2018

Abstract:
In 1965, a very important discovery took place in Najafabad village in Asadabad district, located in western Iran: the find of a monumental stele of Sargon II dating to his campaign into the central Zagros in 716 B.C. This article examines the questions of where the stele was exactly found and where it had been originally erected. It shows that the stele was made of local limestone and that the mound at Najafabad contained an Iron Age settlement. Mount Alvand is identified with the Orontes/Oroandes of Greek and Roman sources and also with Urattus, the last place Sargon visited during the campaign.
Intense Isolated Short Attosecond Pulse Generation from a Coherent Superposition State in a Spatially Inhomogeneous Field
Authors: Zhang Gangtai , Bai Tingting 
Published: February 2018

Abstract
We theoretically present an efficient method of generating an intense isolated short attosecond (as) pulse in a spatially inhomogeneous field. It is shown that this spatiotemporally combined field can significantly extend the harmonic cut-off and enhance the harmonic efficiency when the initial state is a coherent superposition of the ground and excited states. Then, a highly efficient continuum spectrum with an extremely wide bandwidth is directly generated. Due to the introduction of the spatial inhomogeneity, the short path is selected and the long one is removed; as a result, an intense isolated 17.3-as pulse is obtained straightforwardly. In addition, we also investigate the influences of the parameters including the population of the excited state, spatial inhomogeneity, carrier–envelope phase, pulse duration, and intensity on the harmonic spectrum.
Psychological empowerment and its relationship with assertiveness skill among nurses in neonatal wards
Authors: BOSTANABAD Mohammad Arshadi , SAHEBİHAGH Mohammad Hassan , ASADOLLAHİ Maliheh , ZAKERNİK Masoumeh 
Published: February 2018

Purpose: The present study aimed to determine the relationship between psychological empowerment and assertiveness skill among nurses. Materials and Methods: The present study was a cross-sectional study and the statistical population included all the nurses working in neonatal wards and neonatal intensive care unit in Children Hospital, Alzahra Hospital, Taleghani Hospital and 29 Bahman Hospital in Tabriz, Iran. Using random sampling method, 150 nurses were selected from neonatal wards. Data collection was performed using Spritzer's Psychological Empowerment Questionnaire as well as Gambrier and Ricci's Assertiveness Questionnaire. Results: Results showed a significantly positive relationship between assertiveness and psychological empowerment with the correlation value of 0.368; meaning that, the more the psychological empowerment of the nurses, the higher the level of their assertiveness, and vice versa. Conclusion: Increasing the efficiency of organizations requires improving the efficiency and empowerment of human resources. Meanwhile, increasing the efficiency of human resources entails education and development of knowledge and skills as well as creating desirable behaviors in order for successful working.
A comparative study of RIPASA score and ALVARADO score in diagnosis of acute appendicitis
Authors: Pasumarthi Vamsavardhan , Madhu C. P. 
Published: February 2018

Background: The RIPASA Score is a new diagnostic scoring system developed for the diagnosis of Acute Appendicitis which showed higher sensitivity, specificity and diagnostic accuracy compared to ALVARADO Score, particularly when applied to Asian population. Not many studies have been conducted to compare RIPASA and ALVARADO scoring systems. Hence, author want to compare prospectively Alvarado and RIPASA score by applying them to the patients attending the hospital with right iliac fossa pain that could probably be acute appendicitis.Methods: A prospective analysis of 116 cases admitted with RIF pain during a 2 years period was performed. Patients between 15-60 years were scored as per Alvarado and RIPASA scoring system. Histopathological reports of the cases were collected and compared with the scores. ROC curve area analysis was performed to examine diagnostic accuracy of RIPASA and ALVARADO scores.Results: The sensitivity of ALVARADO score is estimated to be 52.08 for a cut off of 6. The specificity is 80%, positive predictive value is 92.59, negative predictive value is 25.81. The Diagnostic accuracy of ALVARADO scoring is found to be 56.9. The sensitivity, specificity, positive predictive value and negative predictive values of RIPASA scoring system are 75%, 65%, 91.14%, 35.14%. The diagnostic accuracy of RIPASA score is 73.28.Conclusions: The difference in the diagnostic accuracy between ALVARADO and RIPASA scoring system is significant indicating that the RIPASA score is a much better diagnostic tool for the diagnosis of acute appendicitis. When the ROC curve was observed the area under the curve is high for RIPASA scoring system.
Onlay versus sublay mesh repair for ventral hernia
Authors: N. Raghuveer M. , Muralidhar Suraj , Shetty Harshavardhan , V. Veena 
Published: February 2018

Background: Ventral hernia repair is one of the most common surgical operations performed all over the world. Onlay and sublay mesh repairs are the commonly performed techniques for the same. However, the debate still continues about the superiority of both techniques over each other. The aim of this study was to compare the outcome of the onlay versus sublay mesh repair for ventral hernia.Methods: A total of 100 patients with paraumbilical, epigastric, supraumbilical and incisional hernias (with defect size ≤4 inches) were divided into main two groups; A: onlay mesh repair and B: sublay mesh repair. Patients with uncontrolled diabetes and recurrent ventral hernia were excluded. Randomization was done using computer generated software. Patients were evaluated for operating time, postoperative seroma formation, wound infection, drain duration, post-op hospital stay and recurrence of symptoms. Ethical approval for this study was granted by the ethical review committee of Mysore Medical College, Mysore, Karnataka, India.Results: The incidence of post-operative seroma and wound infection was 6.52% and 4.35% in sublay group compared to 21.30% and 19.20% in onlay group which was statistically significant (p<0.05). Mean operating time was found to be more in sublay group than onlay group which was also statistically significant (72.3+9.23 vs. 65.25+10.58 minutes, p<0.05). Mean drainage duration (4.22+0.99 days vs. 5.97+1.24 days) and post-op hospital stay (4.8+1.51 days vs. 6.68+1.46 days) was low in sublay group compared to onlay group which was statistically significant (p<0.05). Recurrence in sublay group was 4.35% compared to 8.51% in onlay group which was not statistically significant (p>0.05).Conclusions: Even though operating time is longer, placement of mesh in sublay position is a better option than onlay placement in open ventral hernia repair because of lower complication rate and post-op morbidity.
INTERPRETASI EKONOMI HASIL ANALISIS STATISTIK MELALUI PENDEKATAN ELASTISITAS
Authors: Masyhuri Masyhuri 
Published: February 2018

This paper aims to mendeskripasikan different interpretation of the results of the analysis ofthe value (unit) with a regression coefficient of elasticity values usingpercentage units (%). Themethod of analysis using the descriptive approach of regression analysis of the roadmap research students of the Faculty of Economics State Islamic University (UIN) Malang Maulana Malik Ibrahim last five years (2005-2010). The results showed, that a researcher in interpreting the processed data is veryimportant 'unit' was wearing. If the interpretation of the results of the analysis used the word 'unit', then it is quite relevant to regression analysis. However, if the estimatoruses the word 'prosentse' (%), it must use a mechanism of calculating the level of elasticity. On this basis, it is recommended to the reader or researcher the next, that the interpretation of the results though the use prosentse, the Cobb Douglas analysis is quite relevant because the coefficient has shown the level of elasticity.
WIRAUSAHA SEBAGAI SOLUSI PENGANGGURAN TERDIDIK DI INDONESIA
Authors: Asnawi Nur 
Published: February 2018

Entrepreneurship is needed by Muslim people. First, it is really reality and objective that aware entrepreneurship is necesssery later. Second, Islamic concept and reality point out the entrepreneurship activity had done by prophet Muhammad SAW and sahabah. It meant Islamic is not only dogmatic but also reality tought in the life. Exhibith Islamic frame is whole of moving life, worship and economic too, inside of entrepneurship. Third, educational institution should support the member to enhance making preparation of the economic training program in growing and improving entrepreneurship spirit at basic level up to high education. And the fourth, as Islamic scholar, muslim should not only effort to apply scientific approach but also emphisize to spritual value quality. As wiseman said “ a effort without praying is arrogant, and praying without trying is nonsence. Spirituality action in reality economic activity meant giving complete value of the profan become unmaterialistic minded and succesful in doing entrepeneurship field, we do hope.
Biosecurity Adoption of Beef Cattle Farmers
Authors: Lestari Veronica Sri , Sirajuddin Sitti Nurani , Abdullah Agustina 
Published: February 2018

<p>The main objective of this research is to find the level of biosecurity adoption by beef cattle farmers. This research is conducted in Luwu regency, South Sulawesi, Indonesia. The data are collected from observation and interview using questionnaire. The sample is 31 beef cattle farmers who are selected using random sampling. There are 35 questions in the questionnaire that consist of management practice, sanitation, equipment, disease and disease prevention, and calf management. The data are analyzed descriptively using frequency distribution. The results revealed that the level of biosecurity adoption is 69.3%, and it is categorized as “high adopters”. </p>
Penciptaan Karya Tari Shirath Nan Tersirat Dalam Perspektif Islam
Authors: Nursyam Romi 
Published: February 2018

ABSTRAK
Karya tari Shirath Nan Tersirat merupakan karya tari yang berangkat dari fenomena budaya masyarakat Paninggahan yang masih yakin pada hal mistik yang bertentangan dengan aqidah Islam, yaitu meminta pada dewa atau jin dengan mengagung-agungkan suatu tempat dalam hal ini adalah sebuah mata air yang ada di Nagari Paninggahan, dianggap ada penghuni atau penguasa berupa makhluk halus. Tujuan penggarapan karya tari ini adalah, Pertama untuk mengekspresikan karya tari yang menggambarkan karakter manusia yang memasuki alam gaib. Kedua untuk menciptakan karya tari yang mencerminkan karakter manusia yang ingin bertemu dengan Tuhannya (Allah SWT).
Koreografer terinspirasi dari cerita yang ada dalam asal usul tari Adok di Nagari Paninggahan, yaitu ketika seorang raja (Rajo Bagombak Bagalang Kaki, keturunan raja Pagaruyuang) kerasukan saat mendengar suara nyanyian dewa. Koreografer memberi reinterpretasi, yakni bukan dewa atau jin yang masuk ke alam manusia melainkan manusia yang masuk ke alam jin. Kerja semacam ini koreografer lakukan dengan metode oksplorasi, improvisasi, pembentukan, dan evaluasi.
Metode yang digunakan dalam proses penciptaan karya tari ini adalah metode Alma. M. Hawkins, yaitu melihat, mengalami, merasakan, menghayalkan, dan mengejawantahkan. Metode ini sangat cocok menjadi landasan penciptaan, karena koreografer melihat, dan meraskan sendiri apa yang terjadi di Nagari Paninggahan, sebagian masyarkat yang meminta dan berdoa di mata air, yang tidak lain dihuni oleh jin, dan merupakan perbuatan syirik yang nyata atau mempesekutukan Allah, padahal mereka beragama Islam, dan dosa syirik tidak diampuni Oleh Allah Azza Wajalla.
ANALYTICAL METHOD DEVELOPMENT AND VALIDATION FOR THE SIMULTANEOUS ESTIMATION OF SOFOSBUVIR AND VELPATASVIR DRUG PRODUCT BY REVERSE PHASE HIGH PERFORMANCE LIQUID CHROMATOGRAPHY METHOD
Authors: Nekkala Kalpana , J V Shanmukha Kumar , J V Shanmukha Kumar , J V Shanmukha Kumar , D Ramachandran , D Ramachandran , D Ramachandran 
Published: February 2018

Objectives: The purpose of the research is to develop a simple, precise, economical, accurate, reproducible, and sensitive method for the estimation of sofosbuvir and velpatasvir drug product by rp-hplc methodMethods: New Analytical method was developed for the estimation of Velpatasvir and Sofosbuvir in drug product by liquid chromatography. The chromatographic separation was achieved on C18 column (Luna 18 150*4.6mm3.0um) at ambient temperature. The separation achieved employing a mobile phase consists of 0.1%v/v Formic acid in water: Methanol: Acetonitrile (35:40:25). The flow rate was 0.8ml/ minute and ultra violet detector at 269nm. The average retention time for Velpatasvir and Sofosbuvir found to be 2.62 min and 3.72 min.Results: The developed method was validated as per the ICH analytical method validation guidelines. All validation parameters were within the acceptable range. The assay methods were found to be linear from 80-240 µg/ml for Sofosbuvir and 20-60µg/ml for Velpatasvir. The correlation coefficient was 0.9998 and 0.9992 for velpatasvir and sofosbuvir respectively. The mean percentage recovery for the developed method was found to be in the range of 98.4-100.4% for velpatasvir and 98.6-100.6% for sofosbuvir. The developed method was also found to be robustConclusion: The developed method was found to be suitable for the routine quantitative analysis of Velpatasvir and Sofosbuvir in bulk and pharmaceutical dosage form. It was also concluded that developed method was accurate, precise, linear, reproducible, robust, and sensitive.