bluuebunny/crossref_metadata_2025_split huggingface dataset:
Severe Group A and Group B Streptococcus Diseases at a Pediatric ICU: Are they Still Sensitive to the Penicillins?
Authors: Hon Kam L. , Chow Tai C. , Cheung Tsun S. , Lam Wai T. , Hung Lok T. , So King W. , Margaret I.P. , Qian Su Y. 
Published: September 2019

Background:
Group A β-hemolytic streptococcus (GAS) and Group B streptococcus (GBS) are two common pathogens that are associated with many diseases in children. Severe infections as a result of these two streptococci are albeit uncommon but associated with high mortality and morbidity, and often necessitate intensive care support. This paper aims to review mortality and morbidity severe infection associated with GAS and GBS isolations at a Pediatric Intensive Care Unit (PICU).

Methods:
All children admitted to PICU of a teaching hospital between October 2002 and May 2018 with laboratory-proven GAS and GBS isolations were included.

Results:
There were 19 patients (0.7% PICU admissions) with streptococcal isolations (GAS, n=11 and GBS, n=8). Comparing to GAS, GBS affected infants were younger (median age 0.13 versus 5.47 years, 95% CI, 1.7-8.5, p=0.0003), and cerebrospinal fluids more likely positive (p = 0.0181). All GAS and GBS were sensitive to penicillin (CLSI: MICs 0.06 – 2.0 μg/mL), with majority of GAS sensitive to clindamycin and erythromycin, and half of the GBS resistant to clindamycin and erythromycin. Co-infections were prevalent, but viruses were only isolated with GAS (p=0.024). Isolation of GAS and GBS was associated with nearly 40% mortality and high rates of mechanical ventilation and inotropic supports. All non-survivors had high mortality (PIM2) and sepsis scores.

Conclusions:
Severe GAS and GBS are rare but associated with high mortality and rates of mechanical ventilation and inotropic supports in PICU. The streptococci are invariably sensitive to penicillin. The high PIM2 and Sepsis scores suggest that prompt recognition of sepsis and timely judicious institution of antibiotics and intensive care support may be life-saving for these devastating infections.
Parental Knowledge, Attitudes, and Behaviors Toward Their Epileptic Children at King Abdulaziz University Hospital: Cross-Sectional Study
Authors: Kinkar Abdulelah , Alqarni Dalya , Alghamdi Abdulaziz , Wali Sahal , Alghamdi Nasser , Saloom Saeed , Aashi Mooataz 
Published: September 2019

Background
Epilepsy is a chronic disease characterized by periodic seizures that result from abnormal integrated firing impulses in the brain. It is one of the most common neurological disorders. Over the past few years, there has been increasing awareness about the effect that having a child with epilepsy has on parents and the reciprocal impact of parental knowledge and attitudes regarding epilepsy on the affected child.

Objective
This study aimed to assess parental knowledge, attitudes, and behavior toward their epileptic children.

Methods
A cross-sectional study was conducted in 2018 by the Pediatric Neurology Department of King Abdulaziz University Hospital, Jeddah, the Kingdom of Saudi Arabia. A sample size of 115 of 332 parents who have a child diagnosed with epilepsy and aged 18 years or younger were recruited for this study. Statistical analysis was performed using SPSS version 21. Data analysis was performed using an independent t test, a chi-square test, one-way analysis of variance, and correlation analysis.

Results
A total of 115 participants answered the questionnaire; of these, 65 (56.5%) were men, with an average age of 40.3 years, and the mean age of the children was 9.0 years. Overall, 85 (85/115, 73.9%) children were taken care of by both of their parents. The mean parental knowledge score was 7.49 (SD 2.08) out of 12, and it was significantly related to the educational level of the parent (P=.004). The knowledge question that was most frequently answered incorrectly was “Diagnosis of epilepsy is usually made based on at least two unprovoked seizures.” As only 28.7% (33/115) of participants chose the correct answer, mean parental attitude score was 26.51 (SD 4.284) out of 35, and there was no significant relation with the educational level of parents (P=.13); however, it was negatively correlated with the child’s age (P=.045). Mean parental behavioral score was 23.35 (SD 4.121) out of 35, and there was no significant relation with the educational level of the parents (P=.24). The most negatively answered question for the behavior section was “I can leave my child without supervision,” with a mean score of 2.25 (SD 1.09) out of 5. Gender did not play a significant role in parental knowledge, attitudes, or behavior (P=.44, P=.77, and P=.99, respectively).

Conclusions
Parental knowledge in our sample still needs improvement. Therefore, more awareness campaigns should be made for the community and for the parents of affected children to create a supportive environment for the children and help them thrive and develop.
Impact of Automatic Query Generation and Quality Recognition Using Deep Learning to Curate Evidence From Biomedical Literature: Empirical Study
Authors: Afzal Muhammad , Hussain Maqbool , Malik Khalid Mahmood , Lee Sungyoung 
Published: September 2019

Background
The quality of health care is continuously improving and is expected to improve further because of the advancement of machine learning and knowledge-based techniques along with innovation and availability of wearable sensors. With these advancements, health care professionals are now becoming more interested and involved in seeking scientific research evidence from external sources for decision making relevant to medical diagnosis, treatments, and prognosis. Not much work has been done to develop methods for unobtrusive and seamless curation of data from the biomedical literature.

Objective
This study aimed to design a framework that can enable bringing quality publications intelligently to the users’ desk to assist medical practitioners in answering clinical questions and fulfilling their informational needs.

Methods
The proposed framework consists of methods for efficient biomedical literature curation, including the automatic construction of a well-built question, the recognition of evidence quality by proposing extended quality recognition model (E-QRM), and the ranking and summarization of the extracted evidence.

Results
Unlike previous works, the proposed framework systematically integrates the echelons of biomedical literature curation by including methods for searching queries, content quality assessments, and ranking and summarization. Using an ensemble approach, our high-impact classifier E-QRM obtained significantly improved accuracy than the existing quality recognition model (1723/1894, 90.97% vs 1462/1894, 77.21%).

Conclusions
Our proposed methods and evaluation demonstrate the validity and rigorousness of the results, which can be used in different applications, including evidence-based medicine, precision medicine, and medical education.
Factors Associated With Electronic Health Record Usage Among Primary Care Physicians After Hours: Retrospective Cohort Study
Authors: Attipoe Selasi , Huang Yungui , Schweikhart Sharon , Rust Steve , Hoffman Jeffrey , Lin Simon 
Published: September 2019

Background
There is limited published data on variation in physician usage of electronic health records (EHRs), particularly after hours. Research in this area could provide insight into the effects of EHR-related workload on physicians.

Objective
This study sought to examine factors associated with after-hours EHR usage among primary care physicians.

Methods
Electronic health records usage information was collected from primary care pediatricians in a large United States hospital. Inclusion criteria consisted solely of being a primary care physician who started employment with the hospital before the study period, so all eligible primary care physicians were included without sampling. Mixed effects statistical modeling was used to investigate the effects of age, gender, workload, normal-hour usage, week to week variation, and provider-to-provider variation on the after-hour usage of EHRs.

Results
There were a total of 3498 weekly records obtained on 50 physicians, of whom 22% were male and 78% were female. Overall, more EHR usage during normal work hours was associated with decreased usage after hours. The more work relative value units generated by physicians, the more time they spent interacting with EHRs after hours (β=.04, P<.001) and overall (ie, during normal hours and after hours) (β=.24, P<.001). Gender was associated with total usage time, with females spending more time than males (P=.03). However, this association was not observed with after-hours EHR usage. provider-to-provider variation was the largest and most dominant source of variation in after-hour EHR usage, which accounted for 52% of variance of total EHR usage.

Conclusion
The present study found that there is a considerable amount of variability in EHR use among primary care physicians, which suggested that many factors influence after-hours EHR usage by physicians. However, provider-to-provider variation was the largest and most dominant source of variation in after-hours EHR usage. While the results are intuitive, future studies should consider the effect of EHR use variations on workload efficiency.
Fumigant toxicity of eugenol and its negative effects on biological development of Callosobruchus maculatus L
Authors: González Armijos Maria José , Viteri Jumbo Luis , Faroni Lêda Rita , Oliveira Eugenio Eduardo , Flores Adolfo Fernando , Heleno Fernanda , Haddi Khalid 
Published: September 2019

The protection of stored products from insect damages, when accomplished, is mostly relying on the application of synthetic insecticides with serious health and environmental issues in addition to risks of selection of resistant insect populations associated with such practice. The use of plants derived compounds have been presented as sound strategy for sustainable insect pest management. Eugenol is an aromatic component of natural occurrence in essential oils of numerous plants. known for its repellent and insecticidal bioactivities against different insect species. Here, we investigated the fumigant application of eugenol to control the cowpea weevil Callosobruchus maculatus (Coleoptera: Chrysomelidae: Bruchinae) by assessing toxicity, effects on biological development (including emergence inhibition) and repellency to these weevil. Besides a good fumigant insecticidal activity, eugenol exposure resulted in a dose-dependent decrease of the growth rate of C. maculatus associated with a steady reduction in bean mass losses. Additionally, inhibition of offspring was upper 50% when adults were exposed to lethal and sublethal concentrations. significant inhibition of the offspring emergence was achieved after the exposure of parental adults to lethal and sublethal doses of eugenol. Furthermore, adult weevils were repelled away from beans exposed to high dose (LD99) of eugenol in contrast with their attraction to the beans treated with lower dose (LD50). Our findings suggest that eugenol has potential as control tool to be used in sustainable management startegies of C. maculatus.
A Experiência Mineira Na Implantação De Distritos Industriais Em Municípios De Pequeno Porte: O Caso De Elói Mendes
Authors: Oliveira Elias Mendes 
Published: September 2019

Os Distritos Industriais consistem em espaços previamente preparados para receber plantas industriais. A implantação deste tipo de espaço produtivo constituiu uma estratégia utilizada em diversos países, dentre eles o Brasil, para dinamizar suas economias, reabilitar regiões estagnadas, ou promover a eqüidade espacial do território. Dentre os estados brasileiros, Minas Gerais foi pioneiro na sua implementação. O Distrito Industrial de Elói Mendes, fruto da parceria do governo estadual e municipal, na década de 1970, tem sua lógica de implantação na localização geográfica e na dinâmica da microrregião a que pertence o município.
Properties of New Glass-Ionomer Restorative Systems Marketed for Stress-Bearing Areas
Authors: Fuhrmann D , Murchison D , Whipple S , Vandewalle K 
Published: September 2019

SUMMARY

Objectives:
The purpose of this study was to evaluate the properties (fracture toughness, surface hardness) of newer conventional glass-ionomer restorative materials that are marketed for posterior stress-bearing areas compared with more traditional glass-ionomer restorative materials marketed for non–load-bearing areas and composite-resin restorative materials.

Methods and Materials:
Notched-beam fracture toughness specimens were created in a mold with each tested material (Equia Forte, GC America, with and without a surface coating of Equia Forte Coat; Ketac Universal, 3M/ESPE; ChemFil Rock, Dentsply; Fuji IX GP Extra, GC; Ionostar Molar, VOCO; Filtek Z250, 3M/ESPE; Filtek Supreme Ultra, 3M/ESPE) and fractured using a universal testing machine after 24 hours of storage. Hardness values were determined on the surface of the fracture toughness specimens using a hardness tester. Data were analyzed with a one-way ANOVA and Tukey's post hoc test per property (alpha=0.05).

Results:
The composite-resin restorative materials had significantly greater fracture toughness than the glass-ionomer materials. There was no significant difference in fracture toughness between the glass-ionomer materials. The use of a resin coating significantly increased the surface hardness of the newer glass ionomer marketed for stress-bearing areas.

Conclusions:
Fracture toughness was not improved with the newer glass-ionomer restorative materials marketed for stress-bearing areas compared to the conventional glass-ionomer materials, however a resin coating provided greater surface hardness.
Whatsapp sebagai Media Literasi Digital Siswa
Authors: Sahidillah Muhammad Wildan , Miftahurrisqi Prarasto 
Published: September 2019

Whatsapp is as one of the most influential social media and widely used by people in Indonesia. Students in Indonesia in the digital era are now using gadgets in their daily activities both at school and outside of school. However, most of these students use social media applications, especially Whatsapp, only for social media, whereas in the application, there are benefits that can improve digital literacy skills. The purpose of this research is to find out: 1) the use of whatsapp as the digital literacy media of students and 2) the digital literacy skills of students in terms of language skills. The method used in this study is to refer, note, and study the literature. This research is a qualitative descriptive study. The results of this study are, 1) the level of digital literacy of students with whatsapp social media is still lacking and 2) improvement of students’ digital literacy ability in terms of aspects of language ability, namely, listening, speaking, reading, watching, writing, and writing.
IS STUDENTS’ DIFFERENT MASTERY OF ENGLISH SPEAKING SKILLS INFLUENCED BY THEIR LEARNING STRATEGIES?
Authors: Hikmat Mauly Halwat , Dewi Yanita Candra 
Published: September 2019

Penelitian ini bertujuan untuk mengidentifikasi perbedaan strategi pembelajaran yang digunakan oleh tiga siswa SMA N I Colomadu yang memiliki keterampilan berbicara yang berbeda (tinggi, sedang dan rendah). Penelitian ini merupakan studi kasus. Data dalam penelitian ini berupa nilai siswa dan informasi hasil observasi dan wawancara. Hasil penelitian menunjukkan bahwa siswa dengan nilai tertinggi (S1)menggunakan limabelas strategi yang terdiri dari tujuh strategi metakognitif, tujuh strategi kognitif dan satu strategi sosioafektif. Siswa dengan nilai menengah (S2) menggunakan empat belas strategi yang terdiri dari tujuh strategi metakognitif, enam strategi kognitif, dan sat strategi sosioafektif. Sementara itu, siswa dengan nilai terendah (S3) diketahui menggunakan dua belas strategi yaitu lima strategi metakognitif , lima strategi kognitif, dan dua strategi sosio afektif. Dari hasil tes akhir pada than ajaran 2007/2008, terlihat bahwa S1 yang menggunakan paling banyak strategi pembelajaran memperoleh nilai tertinggi. S2 memperoleh nilai sedang sedangkan S3 yang menggunakan paling sedikit strategi, memperoleh nilai terendah dalam tes akhir. Hasil ini menunjukkan bahwa strategi pembelajaran berperan dalam penguasaan keterampilan berbicara bahasa Inggris.
Pengelolaan Sarana dan Prasarana Pendidikan Sekolah Menengah Pertama
Authors: Rahayu Suri Margi , Sutama Sutama 
Published: September 2019

The aim of the research is to describe the process of procurement, utilization, and maintenance of educational facilities in Junior High School 9 of Surakarta. The type of the research qualitative research with ethnographic design. The place of the reserach in Junior High School 9 Surakarta. The time of the research is started from May to December 2015. The research subjects are, teachers, business Infrastructure, and students. Technique in collecting the data was by interviews, observation, and documentation. Validity of the data with source triangulation, triangulation techniques, triangulation time. The interview process with the first order and second order understanding understanding. Data analysis of techniques with methods groove. Results of the study are (1) The procurement process facilities and infrastructure that is done with consultation with a team of schools developers, adjusted for allocation and priority program activities school (2) Utilization of facilities and infrastructure that many students who misuse the facilities and infrastructure available, although the utilization not optimal, but it has been used by the entire school community, and (3) treatment facilities and infrastructure that is conducted periodically based on reporting from the management of facilities and infrastructure, and by all study groups as well as having a special service officer for the division of a particular area.
PENGARUH RANSUM YANG MENGANDUNG LIMBAH TAUGE FERMENTASI TERHADAP KECERNAAN SERAT KASAR, PROTEIN KASAR DAN ENERGI METABOLIS PADA ITIK LOKAL FASE STARTER
Authors: Pangestu Galuh Arum , Pujaningsih R.I. , Mangisah I. 
Published: September 2019

This research aimed to reviewing level of bean sprout fermented used in duck diet against crude fiber digestibility, crude protein digestibility and metabolic energy of diet. The research was proccessed using Complete Random Design (CRD) with four treatments and four replications. The parameters observed were crude fiber digestibility, crude protein digestibility and metabolic energy. The research material used was 48 male ducks with starter phase, treatment diet, flock cage, battery cage, feed tray, water tube, HCl, plasctic tray, scales, hygrometer, a set of proximate and gross energy analysis equipment. The research method consits two stages, the first stage was fermented of bean sprouts using 6% of Trichoderma harzianum for six days. The second phase was in vivo method with addition of bean sprout fermented in diet respectively T0 0%, T1 5%, T2 10% and T3 15%. The result data was tested by F test based on analysis of varians and if there was significant effect of treatment (P<0.05) followed by the test of least significance defferent (LSD). The result of effect of diet containing bean sprouts fermented were no affected (P>0.05) the crude fiber digestibility, crude protein digestibility and metabolic energy for starter phase of local ducks. Keywords : Bean Sprouts, Digestibility, Duck, Fermentation, Tricodherma harzianum.
PERENCANAAN LANSKAP KAWASAN PENERAPAN INOVASI TEKNOLOGI PETERNAKAN PRUMPUNG BERBASIS RAMAH LINGKUNGAN
Authors: Pinardi Djatmiko , Gunarto Anton , Santoso Santoso 
Published: September 2019

The needs of animal protein especially of meats, is increasing from year to year in line with the rising numbers of people as well as an enhanced awareness of Indonesian people about fulfilling the nutrition. One of the efforts can be done to get fresh meat for consumption at their own volition was by raising the standard of the population and productivity of low class ruminants to set up their cattle on a more sustainable path. The purpose of this activity was proposed the framework for the landscape of a planning at the office of KAPITAN that serves as a means of the dissemination of technological innovations, a place to conduct field studies and mean engineering technology and shall be promulgated by the application of the concept of GFP. Material and methode to materialize this needs to be a manual the cultivation of its beef cattle (Good Farming Practices). The concept of GFP is the application of the efficiency of production with must pay attention to the environmental factors in the business of a farm. Several factors that must be considered include cattle that are reared, feed given, the management of the cost of maintenance, left the care of his facilities as well as the surrounding environment. The concept of GFP is the application of the efficiency of production with must pay attention to the environmental factors in the business of a farm. Several factors that must be taken care are its industrial activity among others cattle that are reared, feed given, the management of the cost of maintenance, the facilities of maintenance as well as the surrounding environment. Result and discussions, the application of the concept of GFP requires good managerial and qualified human resources to maintain under strict supervision and in a continuous way. The department for The Assessment and Application of Technology (BPPT) that plan to build “the area of the application of technological innovations of animal husbandry (KAPITAN) Prumpung Gunung Sindur Bogor districts” is trying to participate in the application of the concept of GFP. Conclusion, Kapitan Prumpung is expected to beneficial in helping on the development of food security in the delivery of animal protein origin of ruminants through innovation in the field of animal husbandry and the increase in human resources of animal husbandry Keywords: Husbandry Landscape, Good Farming Practices, Environmental Friendly
Исследование системы «автор – издатель»: подход на основе временных рядов
Authors: Краснов Федор 
Published: September 2019

Один и тот же автор можем быть первым в списке авторов одной статьи и последним в другой.
Порядковый номер автора изменяется со временем и отражает вклад автора в исследование.
В данном исследовании изучен феномен изменения порядкового номера авторов от статьи к статье.
Для этого предложена новая методика на основе анализа и сравнения временных рядов.
Основным результатом исследования является методика выявления кластеров авторов характеризующих их научную карьеру и издательскую политику журнала.
Psicosis y epistemología: la posición subjetiva del paranoico y su relación con la cosa (das ding)
Authors: Iglesias Colillas Ignacio 
Published: September 2019

Partiendo de un detallado estudio del seminario VII de Lacan, el presente trabajo se propone fundamentar la siguiente hipótesis: así como Kant y la tercera antinomia de la razón pura le permiten a Lacan fundamentar, desde las condiciones epistémicas, el concepto de das Ding, desde la clínica, es la “posición del sujeto en la paranoia” uno de sus argumentos principales. Los postulados que pretenden fundamentar esta lectura se desplegarán en una serie de movimientos sucesivos y lógicamente complementarios.
En el primero ubicaremos el abrevar lacaniano en el “Proyecto de Psicología” a partir del cual se ubica uno de los primeros desarrollos freudianos de das Ding.
En el segundo haremos mención de algunos puntos fundamentales del concepto kantiano de «cosa en sí» y exploraremos cómo utiliza Lacan la tercera antinomia de la razón pura a los fines de ubicar el impasse en la pregunta por la causa, temática relacionada con das Ding.
En el tercero pretendemos señalar y explicitar el valor argumentativo de algunas de las referencias hechas por Lacan al concepto de “Cosa” en Heidegger.
Por último, en el cuarto movimiento pondremos en relieve las diversas referencias que hace Lacan a la paranoia en este seminario para así poder destacar el valor que tiene la posición del sujeto en la paranoia en tanto postulado central en la fundamentación de das Ding como concepto.