bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving Orthopedic Care Delivery Through Digital Engagement
Authors: Biernat Lisa , Milliren Carly E , Rauen Jon , Lindsay Bill , Weaver Betsy , Smith Todd 
Published: October 2019

Background
Patient activation has been hypothesized to improve medical and surgical outcomes by increasing patient involvement in the care plan. We tested this hypothesis by utilizing a patient activation tool in a population of adults having total hip or total knee replacement. We hypothesized that patient activation would be associated with increased discharge to home as opposed to a skilled nursing facility, reduced hospital length of stay, decreased inpatient readmissions, and decreased emergency department (ED) visits.

Objective
Using an email patient activation tool, we sought to increase patients’ involvement in their care before and after total joint replacement. Outcomes examined included day of surgery cancellation, length of hospital stay, discharge to home vs discharge to a skilled nursing facility, any ED visit within 30 days of discharge, and any inpatient readmission within 30 days of discharge

Methods
This was a quasi-experimental design comparing Jan-Jun 2017 to Jan-Jun 2018. We instituted an email patient activation tool for all patients with total knee or total hip replacement surgery beginning in January 2018. This tool was integrated with the electronic medical record system during the six month study period and patients could opt out at anytime if they desired. The tool was designed to prepare patients both educationally and emotionally for their operation with multiple easy-to-read emails starting from the time they were scheduled for surgery through six months postop. Percent of emails opened and clicked were used as measures of engagement for the intervention participants.

Results
Of the 2,027 TJR patients included, 720 were hip patients and 1,307 were knee patients. Pre- and postintervention groups were similar in gender and age. For hip replacement patients, length of stay was nearly 1/4 day lower in the postintervention group (β=-0.23; P=.001) after adjusting for gender, age and insurance; ED visits were lower among the postintervention group (OR=0.45; P=.05) after adjusting for gender, age and insurance; and postintervention patients were less likely to have day of surgery cancellation, any revisit (ED or readmission), and were more likely to be discharged home. However, these associations did not reach statistical significance.

Conclusions
Among patients who received the intervention, higher engagement was significantly associated with positive changes in almost all outcomes. Use of the digital patient activation tool demonstrated significant savings in length of stay and reduced ED visits among hip replacement patients. Although just under 50% of patients in the intervention group were enrolled to use the tool, these findings were still significant even when non-participants were included in the postintervention group.
Implementing Relative Performance Evaluation: The Role of Life Cycle Peers
Authors: Drake Katharine D. , Martin Melissa A. 
Published: October 2019

ABSTRACT
The effectiveness of relative performance evaluation (RPE) in compensation contracts depends on a firm's ability to identify peers that are subject to similar exogenous shocks with similar abilities to respond to such shocks. We expand the RPE literature by considering whether firms routinely select peers sharing a life cycle stage in RPE implementation. We argue that life cycle captures similarities in underlying economics and homogeneity along a number of dimensions relevant in filtering systematic performance. Using explicit peer firm disclosures and a peer selection model, we show that firms routinely select life cycle peers. Further, using implicit RPE tests, we document evidence of life cycle peers filtering common performance incremental to previously identified peer groups. We provide some of the first evidence that peer group composition differs with differing characteristics of the firm and its industry, highlighting that peer selection is a dynamic process evolving with the firm's changing nature.
JEL Classifications: E32; J33; L2.
Data Availability: All data are available from public sources.
Residual Hypertriglyceridemia and Estimated Atherosclerotic Cardiovascular Disease Risk by Statin Use in U.S. Adults With Diabetes: National Health and Nutrition Examination Survey 2007–2014
Authors: Fan Wenjun , Philip Sephy , Granowitz Craig , Toth Peter P. , Wong Nathan D. 
Published: October 2019

OBJECTIVE
Hypertriglyceridemia (HTG) is common in patients with diabetes, and statins remain the first-line therapy. However, the proportion of patients with diabetes having elevated triglycerides (TGs) on statin treatment and their atherosclerotic cardiovascular disease (ASCVD) risk has not been described. We quantified the prevalence of HTG in U.S. adults with diabetes currently treated versus not treated with statins and the estimated 10-year ASCVD risk.

RESEARCH DESIGN AND METHODS
Among 1,448 U.S. adults aged 20 years and over with diabetes (projected to 24.4 million) in the 2007–2014 National Health and Nutrition Examination Survey (NHANES), we compared the prevalence of borderline HTG (TG 150–199 mg/dL) and HTG (TG ≥200 mg/dL) by statin use and LDL cholesterol (LDL-C) levels, and we used logistic regression to identify risk factors for HTG. We also estimated the 10-year ASCVD risk in those without prior ASCVD.

RESULTS
The prevalence of borderline HTG and HTG was 20.0% and 19.5%, respectively, in statin users and 20.1% and 25.3%, respectively, in nonstatin users (P &lt; 0.0001). Even among statin users with LDL-C &lt;70 mg/dL, borderline HTG prevalence was 16.8% and HTG prevalence was 16.7%. Approximately 77.5% of those with HTG had an estimated 10-year ASCVD risk of ≥7.5%, with almost 40% of statin users having ASCVD risk ≥20%.

CONCLUSIONS
Residual HTG occurs in over one-fifth (∼5.5 million) of U.S. adults with diabetes, including those on statin therapy and with well-controlled LDL-C. Over three-quarters of adults with diabetes with HTG are at moderate or high 10-year risk for ASCVD. Greater efforts are needed to promote lifestyle and pharmacologic means to address residual HTG.
Faster Compared With Standard Insulin Aspart During Day-and-Night Fully Closed-Loop Insulin Therapy in Type 1 Diabetes: A Double-Blind Randomized Crossover Trial
Authors: Dovc Klemen , Piona Claudia , Yeşiltepe Mutlu Gül , Bratina Natasa , Jenko Bizjan Barbara , Lepej Dusanka , Nimri Revital , Atlas Eran , Muller Ido , Kordonouri Olga , Biester Torben , Danne Thomas , Phillip Moshe , Battelino Tadej 
Published: October 2019

OBJECTIVE
We evaluated the safety and efficacy of day-and-night fully closed-loop insulin therapy using faster (Faster-CL) compared with standard insulin aspart (Standard-CL) in young adults with type 1 diabetes.

RESEARCH DESIGN AND METHODS
In a double-blind, randomized, crossover trial, 20 participants with type 1 diabetes on insulin pump therapy (11 females, aged 21.3 ± 2.3 years, HbA1c 7.5 ± 0.5% [58.5 ± 5.5 mmol/mol]) underwent two 27-h inpatient periods with unannounced afternoon moderate-vigorous exercise and unannounced/uncovered meals. We compared Faster-CL and Standard-CL in random order. During both interventions, the fuzzy-logic control algorithm DreaMed GlucoSitter was used. Glucose sensor data were analyzed by intention-to-treat principle with the difference (between Faster-CL and Standard-CL) in proportion of time in range 70–180 mg/dL (TIR) over 27 h as the primary end point.

RESULTS
The proportion of TIR was similar for both arms: 53.3% (83% overnight) in Faster-CL and 57.9% (88% overnight) in Standard-CL (P = 0.170). The proportion of time in hypoglycemia &lt;70 mg/dL was 0.0% for both groups. Baseline-adjusted interstitial prandial glucose increments 1 h after meals were greater in Faster-CL compared with Standard-CL (P = 0.017). The gaps between measured plasma insulin and estimated insulin-on-board levels at the beginning, at the end, and 2 h after the exercise were smaller in the Standard-CL group (P = 0.029, P = 0.003, and P = 0.004, respectively). No severe adverse events occurred.

CONCLUSIONS
Fully closed-loop insulin delivery using either faster or standard insulin aspart was safe and efficient in achieving near-normal glucose concentrations outside postprandial periods. The closed-loop algorithm was better adjusted to the standard insulin aspart.
Medical Costs Among Youth Younger Than 20 Years of Age With and Without Diabetic Ketoacidosis at the Time of Diabetes Diagnosis
Authors: Saydah Sharon H. , Shrestha Sundar S. , Zhang Ping , Zhou Xilin , Imperatore Giuseppina 
Published: October 2019

OBJECTIVE
While diabetic ketoacidosis (DKA) is common in youth at the onset of the diabetes, the excess costs associated with DKA are unknown. We aimed to quantify the health care services use and medical care costs related to the presence of DKA at diagnosis of diabetes.

RESEARCH DESIGN AND METHODS
We analyzed data from the U.S. MarketScan claims database for 4,988 enrollees aged 3–19 years insured in private fee-for-service plans and newly diagnosed with diabetes during 2010–2016. Youth with and without DKA at diabetes diagnosis were compared for mean health care service use (outpatient, office, emergency room, and inpatient visits) and medical costs (outpatient, inpatient, prescription drugs, and total) for 60 days prior to and 60 days after diabetes diagnosis. A two-part model using generalized linear regression and logistic regression was used to estimate medical costs, controlling for age, sex, rurality, health plan, year, presence of hypoglycemia, and chronic pulmonary condition. All costs were adjusted to 2016 dollars.

RESULTS
At diabetes diagnosis, 42% of youth had DKA. In the 60 days prior to diabetes diagnosis, youth with DKA at diagnosis had less health services usage (e.g., number of outpatient visits: −1.17; P &lt; 0.001) and lower total medical costs (−$635; P &lt; 0.001) compared with youth without DKA at diagnosis. In the 60 days after diagnosis, youth with DKA had significantly greater health care services use and health care costs ($6,522) compared with those without DKA.

CONCLUSIONS
Among youth with newly diagnosed diabetes, DKA at diagnosis is associated with significantly higher use of health care services and medical costs.
LICENCIATURA EM ESTUDOS AFRICANOS E AFRO-BRASILEIROS: FORMAÇÃO DE PROFESSORES/AS EM DIREÇÃO À CONSTRUÇÃO DA JUSTIÇA CURRICULAR
Authors: Regis Kátia Evangelista , Neris Cidinalva Silva Camara 
Published: October 2019

No Brasil, a Lei nº 10.639/2003 tornou obrigatório o ensino da História e Cultura Africana e Afro-Brasileira. Entretanto, são muitos os desafios para que a temática seja abordada com a seriedade, a rigorosidade e a complexidade necessárias, particularmente, na formação de professores/as nas Instituições de Ensino Superior, o que requer mudanças estruturais nos currículos dos cursos de pedagogia e das licenciaturas. Neste contexto, este artigo apresenta resultados do subprojeto de pesquisa “Formação de professores/as para o Ensino da História e Cultura Africana e Afro-Brasileira em uma perspectiva intercultural emancipatória”, que integra a pesquisa “A justiça curricular no século XXI, as políticas e os sujeitos do currículo”. Buscou-se analisar como as ações realizadas em Trabalho de Campo em Cabo Verde pelo Curso de Licenciatura em Estudos Africanos e Afro-Brasileiros da Universidade Federal do Maranhão contribui com a apreensão da História e Cultura Africana e Afro-Brasileira em direção à construção da justiça curricular.
Character education in English package books for Islamic Junior High School students
Authors: Usadiati Wahyuningsih , Norahmi Maida 
Published: October 2019

The research is an inventory aimed at identifying and categorizing the character values in the English package books for students of Islamic Junior High School or Madrasah Tsanawiyah by considering their relevance to Islamic character values in the Quran and Hadits. The method used was content analysis following Bogdan and Biklen model by analyzing, grouping, sorting, and synthesizing the values taken from the package books to draw the patterns. The patterns were discussed to conclude the final findings to be disseminated as the list of inventory. The main data source was the English package books published by the government and the supporting data were the Core Competencies taken from Curriculum 2013 for Junior High School (SMP) and Madrasah Tsanawiyah (MTs) or Islamic Junior High School students. There are 10 values inserted in the package books that are relevant to the Islamic religious characters. The result showed various English expressions relevant to Islamic character values which have a long-term and sustainable effect as a reference for character building by English teachers in developing English supplementary materials for Islamic Junior High School students.
Exploring PechaKucha in EFL learners’ speaking fluency
Authors: Rokhaniyah Hesti 
Published: October 2019

The research aims at investigating to what extent PechaKucha optimizes English as a foreign language (EFL) learners’ speaking fluency and identifying the class climate when learners implement PechaKucha. The data of the study were derived through classroom observation, pre and post-tests, field note, and interview. Constant Comparative Method was used to analyze the qualitative data while the mean score of two raters was found out to obtain the quantitative data. The result from this research indicated that the exploration of PechaKucha optimized EFL learners' speaking fluency including improving the speed of learners' speech and words per minute; increasing articulation rate; strengthening phonation time ratio; reducing the frequency of silent pause; avoiding filler words; and decreasing disfluency in spontaneous speech. The enhancement of learners’ score showed from the mean score of pre-test was 65.8; post-test 1 was 73.4, and post-test 2 was 82.3. The use of PechaKucha also improved the class climate: EFL learners were involved actively to present course material and their responsibilities to work in pair increased. Considering the research findings, it is suggested that teachers and lecturers implement PechaKucha for assisting the learners to enhance their speaking fluency and creating the effective class climate.
Development of a Naturally Flavored Ready to Serve (RTS) Fruit Beverage
Authors: Karunarathne K. N. , Liyanage Rumesh Prasanga , Wickramasinghe Indira 
Published: October 2019

Fruit based beverages are one of the foremost categories of beverages that are consumed globally. Since fruit beverages are easily digestible, health conscious, highly refreshing, thirst quenching, appetizing and nutritionally far superior to most of the synthetic beverages available in the market, consumption of fruit based beverages have been increased dramatically. Natural extracts of tropical fruits such as Carica papaya (papaya), Passiflora edulis (passion fruit), and natural flavor extract of Camellia sinensis (leaves) and Cinnamomum verum (Cinnamon barks) were extracted and used as the main ingredients of this product while sugar, Citric acid, pectin were used as the supplementary ingredients. The best fruit pulp ratio and the best natural flavoring agent out of tea and cinnamon was determined through structured sensory evaluations by participating 30 semi trained panelists. Further experiments were also performed to find the optimum amount of pectin to reduce hard packing and to determine the shelf life of the developed beverage and to develop the natural pectin extraction method by using unutilized parts of the Passiflora edulis fruit. Proximate analysis studies and microbiological studies were also carried out. Collected data were statistically analyzed using Kruskal-Wallis non parametric analysis and sample 293 which is containing 15% total fruit pulp with papaya to passion fruit ratio 2:1 and cinnamon as the flavoring agents was the best product formulae. According to the proximate analysis data, fat, protein, carbohydrates, fiber and the ash content were 0.41%, 0.11%, 13.13%, 0.052%, 3.028% and 83.27% respectively. The total plate count was 12 cfu/ml and yeast and molds were 0 cfu/ml of the product and Physico-chemical studies reveals that, the product can be preserved for 30 days under 4±1 0C condition. The average pectin percentage of Passiflora edulis and Carica papaya were 6.9 % and 4.5 % respectively.
Fuse-Fuse Protection Scheme ETAP Model for IEEE 13 Node Radial Test Distribution Feeder
Authors: Kirui Kemei Peter , Murage David K. , Kihato Peter K. 
Published: October 2019

According to NEC 240.101 regulations each and every component of a power system distribution network has to have an over-current protective device (OCPD) for its protection. The OCPDs must coordinate with other devices both upstream and downstream for a reliable operation and protection of the power systems distribution network. There are four equipment/components for the IEEE 13 node radial test feeder each modelled in this paper to be protected by fuses. These components are namely the nodes, the underground cables, the overhead distribution lines and the transformers. Equipment protection is an important and necessary exercise of performing power systems protection coordination processes. The equipment and their over-current protective device’s time-current characteristic (TCC) curves are important tools used to show and to indicate the protection requirements, landmark points and damage curves for all power systems equipment. Individual equipment protection requirements and limitations are described and identified by use of their various landmarks and damage curves. These damage curves and the landmark points are all superimposed with the Time-Current Characteristic curves of the Over-Current Protective Devices used in protecting the equipment on one composite TCC graph. Equipment damage curves which fall to the right and above the Over-Current Protective Device’s TCC curves with sufficient margins are considered to be protected by the OCPDs. Equipment damage curves which fall to the left and below the OCPD’s TCC curves are considered not to be protected by the OCPDs. IEEE Standard 241 states that on all power systems, the OCPDs should be selected and set to open before the Ampacity mark, the short circuit damage curves, and both the thermal and the mechanical damage curves limits of the protected components are exceeded. This paper presents a detailed Fuse-Fuse protection scheme for the IEEE 13 node radial test feeder as modeled on the Electrical Transients Analysis Program (ETAP).
Value Chain of Rice (in Transition to Organic) in Region 02, Philippines
Authors: Cañete Diosdado 
Published: October 2019

The study was focused on Value Chain Analysis (VCA) of rice (in the transition to organic) in Region 02. Specifically, it aimed to: a) map out the value chain of rice in transition to organic by identifying the processes, actors and their roles from inputs to product consumption; b) identify and analyze the constraints and issues affecting production and marketing of organic rice; and, c) recommend policy options to improve the production and marketing of rice in transition to organic in Region 02. The study covered five (5) provinces namely: Batanes, Cagayan, Isabela, Nueva Vizcaya, and Quirino. There are six sectors covered by the study along the value chain of organic rice such as Business Development Services (BDS) providers, farm input suppliers, farmer producers, processors, traders/retailers, and consumers.
Organic rice in Region 02 is in infant stage which the different sectors engage in a small or minimal volume of operation. There are few registered as organic rice producers in the region. BDS is working effectively their role as the provider of support services to other sectors in the value chain of rice. Greater share of value-added incurred by processers (millers) and institutional buyers/traders of the finished product.
All sectors in different provinces in the region need support on physical facilities, technological, financial and market linkage from government and non-government organizations to strengthen their operations on production, processing, and marketing of organic rice.
Isolated Sacrococcygeal Tuberculosis, A Case Report Of A Rare Atypical Presentation
Authors: Gadi Daksh , Nigam Saket , Gupta Deepti , Sinha Akanksha 
Published: October 2019

Tuberculosis is a major health problem in India and in view of rise in the MDR tuberculosis atypical presentations are getting commoner these days and are difficult to diagnose. Musculoskeletal tuberculosis is very common among the hematogenous spread cases of pulmonary tuberculosis involving thoracic spine the most. Involvement of sacrum and coccyx is rarest of the possibility and isolated sacrococcygeal tuberculosis thus is very rare. Being a rare entity a high index of clinical suspicion is required to diagnose it. We hereby report a very rare case report of sacrococcygeal tuberculosis.
Produktivitas Penulisan Artikel Jurnal Ilmiah Di Kalangan Dosen Fakultas Ilmu Sosial Dan Ilmu Politik Universitas Padjadjaran
Authors: Sandjaya Teguh , Muliawan Rd. Daniar 
Published: October 2019

Tujuan dikeluarkannya Permenristekdikti Nomor 20 Tahun 2017 adalah untuk : 1) mendorong dosen yang sudah berada pada jenjang jabatan akademik Lektor Kepala dan Profesor untuk melaksanakan tugasnya sebagai pendidik profesional dan ilmuwan dengan melaksanakan tridarma perguruan tinggi secara sungguh-sungguh, 2) mendorong Lektor Kepala dan Profesor untuk secara aktif dan produktif melakukan publikasi ilmiah di jurnal nasional terakreditasi, jurnal internasional, dan jurnal internasional bereputasi, dan 3) meningkatkan jumlah publikasi dosen dan ilmuwan Indonesia pada tingkat internasional sehingga mampu bersaing dengan publikasi bangsa-bangsa lain sejalan dengan Nawacita serta untuk memperoleh rekognisi internasional terhadap publikasi ilmiah ilmuwan Indonesia.Namun seiring berjalannya waktu, perkembangan minat menulis para dosen khususnya di Universitas Padjadjaran, khususnya di lingkungan Fakultas Ilmu Sosial dan Ilmu Politik dalam 3 tahun terakhir ini, baik dosen yang memiliki jabatan akademik sebagai Asisten Ahli, Lektor, Lektor Kepala, maupun Guru Besar, tercatat adanya peningkatan prestasi dalam publikasi ilmiah internasional.Metode yang digunakan penelitian kualitatif deskriptif dengan instrumen penelitian berupa kuisioner, wawancara, observasi, dan dokumentasi.Berdasarkan hasil penelitian menunjukan bahwa faktor internal yang mempengaruhi Produktivitas Penulisan Artikel Jurnal Ilmiah di Kalangan Dosen FISIP Unpad, pada pernyataan: Profesi yang saya miliki, dituntut untuk selalu membuat/menulis karya tulis ilmiah dengan skor 191. Sedangkan pda faktor eksternal yang mempengaruhi Produktivitas Penulisan Artikel Jurnal Ilmiah di Kalangan Dosen FISIP Unpad, pada pernyataan: Fakultas dan Universitas, memberikan insentif jika karya tulis ilmiah dapat publish di jurnal setiap 6 (enam) bulan 1 kali (semester) dengan skor 167.
PENGUJIAN THERMOSTAT KAPSUL DAN DIGITAL MESIN PENETAS TELUR UNGGAS
Authors: S.PT IWAN HADIANA 
Published: October 2019

Penelitian bertujuan untuk mengetahui tingkat keberhasilan menetaskan telur unggas dengan mesin tetas yang menggunakan thermostat kapsul dan digital. Thermostat berfungsi sebagai alat untuk mengatur suhu agar tetap konstan dan stabil pada kisaran yang diinginkan, penggunaan kedua jenis thermostat tersebut pada mesin tetas kemudian diujikan pada proses menetaskan telur ayam. Hasilnya menunjukkan waktu menetas lebih serempak dan tepat pada hari ke-21 untuk mesih tetas yang menggunakan thermostat digital, sedangkan dengan thermostat kapsul pada hari berikutnya masih ada yang menetas; daya tetas telur yang dihasilkan menggunakan mesin tetas dengan thermostat digital sedikit lebih tinggi dibandingkan mesin tetas dengan thermostat kapsul, yaitu 69% dan 67%.Kata Kunci : daya tetas, thermostat, waktu menetas