bluuebunny/crossref_metadata_2025_split huggingface dataset:
Manajemen Mutu dan Kesiapan UMKM Alas Kaki/Kulit dan Konveksi Bogor Menghadapi Masyarakat Ekonomi ASEAN 2015
Authors: Nazlifah Siti , Cahyadi Eko ruddy , Andrianto M syaefudin 
Published: May 2018

The implementation of the ASEAN Economic Community (AEC) requires Bogor footwear/leather and convection Small Medium Enterprises (SMEs) meet the market’s standards and needs. The research aims to identify the characteristics of SMEs and the quality perception of quality management system, analyze the readiness of SMEs to face the AEC and the influence of the quality management system on the readiness of SMEs to face the AEC. The data from Bogor SMEs sevices used, then followed by snowball sampling method. The data analyses used are descriptive analysis, T-test and logistic regression analysis. The result showed that convection SMEs compare to footwear/leather SMEs is more prepared in general, marketing and production/operation aspects. Educational level of business owner and the legal entity significantly affect the SMEs readiness facing AEC. The business owners have not implemented the quality management well, especially on the principle of system approach to management and the facts-based decision making, although these two principles are significantly affect the readiness of SMEs to face AEC 2015.
Strategi Peningkatan Penyaluran Kredit Berdasarkan Analisis Kinerja Keuangan dan Faktor Eksternal BPR di Kabupaten Bogor
Authors: Yuliningtyas Priyantika , Purwanto Budi 
Published: May 2018

Bank Perkreditan Rakyat (BPR) is a financial institution that is growing currently as having a role in the funding of small and medium businesses. In Bogor district, there are 25 BPRs who each has different strengths and weaknesses. Based on the cluster analysis, it is obtained three clusters of BPR which are grouped based on their ability to manage assets, its non-performing loan risks, likuidity, profitability and the operating expenses of BPR. Based on the clustering of BPRs and analysis of internal and external factors of each BPR group, it has found operational strategy to increase credit disbursement and lowering non-performing loan risks. The strategy for group “A” BPRs is to develop the market, to increase in BPRs facilities, to implement a system of shared-responsibility credit, and to increase precautionary in the credit disbursement. Strategy for group “B” BPRs is to increase the credit interest, to improve customer service and facilities, market penetration and running partners with the common bank. At last, the strategy for the group “C” BPRs is to increase promotion, improving services, increase the amount of credit disbursement and improving the quality of human resources.
A Comprehensive Overview of Home Telehealth
Authors: Osborne Thomas F. , Arkwright Bryan T. , Reich Joel J. , Russo, Jr. John 
Published: May 2018

No abstract available.
Editor’s note: The article here is reprinted from Dr. Osborne’s chapter in, Chau, Diane and Thomas Osborne (eds.) (2017) Application of Technology to the Care of the Older Adult. New York: Springer Publishing Company, with permission.
Telehealth and Telemedicine: Using Technology to Extend the Reach and Offset the Insufficient Supply of Health Care Professionals
Authors: Nigam Somesh 
Published: May 2018

No abstract available.
Editor’s Note: This is the first in a series of articles by Dr. Nigam on the use of digital information and communication technologies, commonly referred to as telehealth and telemedicine. In this article the author distinguished between these terms and identifies the potential contributions of digital information and communication in meeting healthcare challenges facing society today.
In future articles, Dr. Nigam will address regulatory issues and the future of telemedicine. The series concludes with a comparison of the use of telemedicine in North America and the international community.
CTN: Advancing Rural and Underserved Healthcare in California
Authors: Brown Eric 
Published: May 2018

No abstract available.
Editor’s note: In this TMT interview, Mr. Eric Brown, President and CEO of the California Telehealth Network (CTN), discusses the development and the role of CTN in providing advanced information technologies and services to medically underserved and rural Californians. An independent non-profit 501c3, CTN is one of the largest FCC-funded statewide telehealth networks in the nation, connecting over 750 healthcare provider locations.
Designing Decentralized Ledger Technology for Electronic Health Records
Authors: Dhillon Vikram 
Published: May 2018

No abstract available.
Editor’s note: A proposal to implement distributed ledger technology for electronic health records is outlined here. The rationale for integration of distributed ledgers in the healthcare domain is introduced, followed by a discussion of the features enabled by the use of a blockchain. An open source implementation of a distributed ledger is then presented. The article concludes with an examination of opportunities and challenges ahead in deploying blockchains for digital health.
The Health System Pharmacist and TeleHealth Strategies
Authors: Editorial Team TMT 
Published: May 2018

No abstract available.
Editor’s note: The Pharmacy Podcast Show serves pharmacy businesses, including independent retail, long-term care, specialty, and small chains. During this interview, Dr. Jeff Kosowsky, Senior Vice President of Corporate Development of American Well, a telehealth company, discusses telehealth-like technologies in the pharmacy industry and health system pharmacies, including consultations and medication therapy management. The entire interview is presented here. Below, Telehealth and Medicine Today has summarized the key points by Dr. Kosowsky during an interview with Todd Eury, Founder & Publisher of Pharmacy Podcast.
A Physician’s Perspective on What Works (and Doesn’t) for Telemedicine
Authors: Porter Timothy 
Published: May 2018

No abstract available.
Editor’s note: As patients start to demand access to telemedicine,1 it is imperative for physicians to understand how to make these types of appointments available in their practice. Without telemedicine adoption as a standard of care, physicians run the risk of losing patients to on-demand telemedicine organizations. Through telemedicine, not only do patients get a more convenient and cost-effective experience, providers have the opportunity to grow their practice and increase patient satisfaction. In this article, Dr. Timothy Porter, a community pediatrician in Chicago, shares his perspective.
Telehealth Governance: An Essential Tool to Empower Today’s Healthcare Leaders
Authors: Arkwright Bryan , Jones Jeff , Osborne Thomas , Glorioso Guy , Russo, Jr. John 
Published: May 2018

Strong telehealth governance serves as the cornerstone for advancing a telehealth strategy by ensuring that the health system has the intentional leadership infrastructure to compete and excel in this fast-paced and transforming industry.
Effective governance is the essential first step towards successful management. The former informs the latter to optimize value to the stakeholders. Paraphrasing the Financial Reporting Council, corporate (telehealth) governance should contribute to better company performance by helping a board discharge its duties in the best interests of stakeholders: executive leadership, management, staff, customers, patients, vendors, communities, and regulators, etc. Good governance facilitates efficient, effective, and entrepreneurial management that can deliver value over the longer term. If ignored, the consequences may be vulnerability or poor performance (Financial Reporting Council, 2008).
A Plea for Critical Changes to the Electronic Medical Record
Authors: Braid M. Ted 
Published: May 2018

The electronic medical record (EMR) is significantly more than a digitalized format for converting patient data into easily stored and recalled information. Today, each patient’s EMR is a vast, growing accumulation of health data sourced from physicians and professional medical devices. And, according to HIPAA, it is the absolute property of the patient. At its best, the EMR is a trusted data source that contributes to improved patient care. It is my concern that in its current state and considering existing legislation, the very thing we are building will fall in upon itself long before its potential is realized. It must change or the promise of national access to critical care data in the emergency department (ED), for example, may never be realized.
MaineHealth Care At Home: Exploring Details of the MaineHealth Telemedicine Program
Authors: Abel Robert 
Published: May 2018

No abstract available.
Editor’s note: On March 16th and 17th, 2017, Telehealth and Medicine Today convened a national conference of opinion leaders to discuss and debate “Technologies and Tactics Transforming Long-term Care.” Following that lecture, Robert Abel who is the Chief Nursing Officer and Director of Palliative Care for MaineHealth Care at Home, a member of the MaineHealth system, answer pointed questions about running a home telehealth program.
MaineHealth: Development, Implementation, and Success in Telehealth for Home Care
Authors: Abel Robert 
Published: May 2018

No abstract available.
Editor’s note: On March 16th and 17th, 2017, Telehealth and Medicine Today convened a national conference of opinion leaders to discuss and debate “Technologies and Tactics Transforming Long-term Care.” What follows is the lecture by Robert Abel who is the Chief Nursing Officer and Director of Palliative Care for MaineHealth Care at Home, a member of the MaineHealth system.
Intervencionismo con laminectomía para la Espondilolistesis lumbar degenerativa.
Authors: Nauque Moposita Nelsinio , Alvarado Galarza Graciela , López Brito Diego 
Published: May 2018

La Espondilolistesis Degenerativa constituye una afección poco frecuente, pero con un curso inexorable hacia la limitación funcional, caracterizada por el deslizamiento de una vértebra sobre otra hacia adelante con integridad del arco neural. Posee un cuadro clínico de evolución rápida, siendo el nivel más afectado de L4 a L5, provocando una estenosis focal que no excede más del 30% del grosor de la vértebra. A menudo el diagnóstico ha estado obstaculizado por la no especificidad de la sintomatología, y la insuficiencia relacionada con los recursos carentes para exponer diagnósticos apropiados. El presente trabajo posibilitó presentar el caso de una paciente con síntomas de Espondilolistesis Lumbar Degenerativa diagnosticado en el Hospital General Docente Ambato, Ecuador en el año 2017, con historia de osteoporosis desde hace 5 años e incapacidad funcional progresiva para el desempeño de sus actividades habituales, por lo que se decidió intervencionismo quirúrgico considerando realizar en primera instancia Fusión lumbar la cual resultó fallida por inestabilidad ósea, realizándose en segunda instancia Laminectomía vertebral, evidenciándose que el procedimiento es el tratamiento ideal para tratar afecciones similares máxime en ancianos con osteoporosis, aunque debe valorarse siempre las condiciones generales e individuales de cada paciente.
Recibido: 29-06-2017 / Aceptado: 02-09-2017
Distrofia muscular de Duchenne: presentación de un caso.
Authors: Ramos Yánez Diana , Cruz Daniel , Andrade Albán Noemí 
Published: May 2018

La Distrofia Muscular de Duchenne (DMD) o Distrofia Muscular Progresiva, es una patología hereditaria con patrón recesivo ligado al cromosoma X, causada por una mutación del gen que codifica la proteína llamada distrofina. Esta alteración genética, conduce a una atrofia muscular proximal, causante de una dificultad progresiva para la deambulación, deformación de la columna vertebral, retraso mental en algunos casos y muerte alrededor de los veinte años de edad por falla cardiopulmonar. Se emprende una revisión bibliográfica de esta patología y por ende el estudio de este caso en particular, con el objetivo de notificar y contribuir en el registro de la prevalencia de esta enfermedad en el Ecuador. Se reporta el caso de un niño de siete años, indígena, proveniente de la parroquia rural Huambaló, perteneciente al cantón Pelileo (provincia de Tungurahua), que acude al Hospital Básico Pelileo por presentar dificultad en la deambulación. Es valorado clínicamente y con un enfoque diagnóstico hacia una enfermedad neuromuscular, se efectúa una serie de exámenes complementarios de imagen, hematométricos y estudio histopatológico. El algoritmo de este estudio ayuda al diagnóstico presuntivo y definitivo de Distrofia Muscular de Duchenne. Sin embargo, al tratarse de una enfermedad genética, el análisis cromosómico tiene gran relevancia y se ve corroborado sus características fenotípicas clásicas conforme a la literatura y evidencias médicas. Sin embargo, resulta necesario, mejorar la calidad de vida de estos pacientes a través del cuidado de un equipo multidisciplinar de salud y el apoyo gubernamental.
Recibido: 10-08-2017 / Aceptado: 14-09-2017
Granulomatosis with polyangiitis as a differential diagnosis.
Authors: De Araujo Neurauter Anna Luiza , Andrade Albán Noemí 
Published: May 2018

Granulomatosis with polyangiitis, a small vessels vasculitis, involves mostly upper respiratory tract, lungs and kidneys. It’s a multisystemic pathology, with no sex predominance, affecting adults over 40 years old. Case report: K.S.D, 64 years, female, came to emergency room with dyspnea, cough and coryza, 15 days after a recurrent acute otitis media surgical treatment. A CT showed bilateral pleural effusion, consolidation and a lung mass, being admitted in Intensive Care Unit. Subsequently, developed mastoiditis and conjunctival hyperemia and used several antibiotic therapys. Patient was discharged 40 days later, with clinical improvement. One month later, was admitted again with pulmonary septic shock, in addition to sinusitis, polyarthralgia, purpura and acute renal injury, requiring hemodyalisis. Biomarkers were requested, such as c-ANCA and rheumatoid factor, with positive result and antinuclear factor, with negative result. A renal biopsy also has been solicitated, showing glomerulonephritis. The diagnosis was granulomatosis with polyangiitis, treated with methylprednisone pulse therapy and cyclophosphamide, progressing to clinical stability and receiving discharge with outpatient follow-up. Conclusion: Granulomatosis with polyangiitis is a rare condition, with that should be considered when patient presents the triad: upper and lower airways and glomerulonephritis. Early diagnosis and immunosuppressive therapy are essential to reduce its morbimortality.
Recibido: 18-11-2017 / Aceptado: 25-01-2018
Reflections on Sven-Eric Liedman’s Marx-Biography “A World to Win: The Life and Works of Karl Marx”
Authors: Fuchs Christian 
Published: May 2018

The English translation of Sven-Eric Liedman’s Marx-biography A World to Win: The Life and Works of Karl Marx was published two weeks before Marx’s bicentenary. This article presents reflections on Liedman’s book and asks how one should best write biographically about Marx. The paper compares Liedman’s biography to the Marx-biographies written by Jonathan Sperber (Karl Marx: A Nineteenth-Century Life) and Gareth Stedman-Jones (Karl Marx: Greatness and Illusion). A biography is a way of repeating a person’s life, works and age in a process of reconstruction and retelling. The question that arises is how to write a biography as a dialectical text.
Sven-Eric Liedman: A World to Win: The Life and Works of Karl Marx. London: Verso, London, 2018. 768 pages., £35.00 hbk. ISBN 9781786635044
Marx @ 200: Debating Capitalism & Perspectives for the Future of Radical Theory (combined PDF of all articles)
Authors: Fuchs Christian , Monticelli Lara 
Published: May 2018

Combined pdf of all articles published in the special issue "Marx @ 200: Debating Capitalism & Perspectives for the Future of Radical Theory", edited by Christian Fuchs and Lara Monticelli, tripleC: Communication, Capitalism & Critique 16 (2), 2018, pp. 406-741.
Intrinsic development of choroidal and thalamic collaterals in hemorrhagic-onset moyamoya disease: case-control study of the Japan Adult Moyamoya Trial
Authors: Fujimura Miki , Funaki Takeshi , Houkin Kiyohiro , Takahashi Jun C. , Kuroda Satoshi , Tomata Yasutake , Tominaga Teiji , Miyamoto Susumu 
Published: May 2018

OBJECTIVEThis study was performed to identify the angiographic features of hemorrhagic-onset moyamoya disease (MMD) in comparison with those of patients with ischemic-onset MMD.METHODSThis case-control study compared the data set of the Japan Adult Moyamoya (JAM) Trial with the angiographic data of adult patients with ischemic-onset MMD. The authors analyzed angiograms obtained at onset, classifying the collaterals into 3 subtypes: lenticulostriate anastomosis, thalamic anastomosis, and choroidal anastomosis. They then compared the extent of these collaterals, as indicated by the collateral development grade from 0 to 2 in each subtype, between the JAM Trial group and the ischemic-onset group. They also compared the involvement of the posterior cerebral artery (PCA) and Suzuki’s angiographic staging between each group.RESULTSAmong 89 ischemic-onset patients, 103 symptomatic hemispheres in 80 patients were analyzed and compared with 75 hemorrhagic hemispheres from the JAM Trial. The hemorrhagic-onset patients showed a significantly higher proportion of thalamic anastomosis (p = 0.043) and choroidal anastomosis (< 0.001), as indicated by grade 2 in each subtype, compared with ischemic-onset patients. Suzuki’s angiographic staging was significantly higher in the hemorrhagic group (< 0.038). There was no difference in the extent of lenticulostriate anastomosis and PCA involvement between the groups.CONCLUSIONSIn adult MMD, the characteristic pattern of the abnormal vascular networks at the base of the brain is different between each onset type. In light of the more prominent development of thalamic and choroidal anastomosis in the JAM Trial group in the present study, development of these collaterals, especially the choroidal collateral extending beyond the lateral ventricle, may play a critical role in hemorrhagic presentation in MMD.Clinical trial registration no. C000000166 (http://www.umin.ac.jp/ctr/index.htm)
Aneurysms with persistent filling after failed treatment with the Pipeline embolization device
Authors: Daou Badih , Atallah Elias , Chalouhi Nohra , Starke Robert M. , Oliver Jeffrey , Montano Maria , Jabbour Pascal , Rosenwasser Robert H. , Tjoumakaris Stavropoula I. 
Published: May 2018

OBJECTIVEThe Pipeline embolization device (PED) has become a valuable tool in the treatment of cerebral aneurysms. Although failures with PED treatment have been reported, the characteristics and course of these aneurysms remain a topic of uncertainty.METHODSElectronic medical records and imaging studies were reviewed for all patients treated with the PED between July 2010 and March 2015 to identify characteristics of patients and aneurysms with residual filling after PED treatment.RESULTSOf 316 cases treated at a single institution, 281 patients had a long-term follow-up. A total of 52 (16.4%) aneurysms with residual filling were identified and constituted the study population. The mean patient age in this population was 58.8 years. The mean aneurysm size was 10.1 mm ± 7.15 mm. Twelve aneurysms were fusiform (23%). Of the aneurysms with residual filling, there were 20 carotid ophthalmic (CO) aneurysms (20% of all CO aneurysms treated), 10 other paraclinoid aneurysms (16.4% of all paraclinoid aneurysms), 7 posterior communicating artery (PCoA) aneurysms (21.9% of all PCoA aneurysms), 7 cavernous internal carotid artery (ICA) aneurysms (14.9% of all cavernous ICA aneurysms), 4 vertebrobasilar (VB) junction aneurysms (14.8% of all VB junction aneurysms), and 3 middle cerebral artery (MCA) aneurysms (25% of all MCA aneurysms). Eleven patients underwent placement of more than one PED (21.2%), with a mean number of devices of 1.28 per case. Eight of 12 aneurysms were previously treated with a stent (15.4%). Nineteen patients underwent re-treatment (36.5%); the 33 patients who did not undergo re-treatment (63.5%) were monitored by angiography or noninvasive imaging. In multivariate analysis, age older than 65 years (OR 2.65, 95% CI 1.33–5.28; p = 0.05), prior stent placement across the target aneurysm (OR 2.94, 95% CI 1.15–7.51; p = 0.02), aneurysm location in the distal anterior circulation (MCA, PCoA, and anterior choroidal artery: OR 2.72, 95% CI 1.19–6.18; p = 0.017), and longer follow-up duration (OR 1.06, 95% CI 1.03–1.09; p < 0.001) were associated with incomplete aneurysm occlusion.CONCLUSIONSWhile the PED can allow for treatment of large, broad-necked aneurysms with high efficacy, treatment failures do occur (16.4%). Aneurysm size, shape, and previous treatment may influence treatment outcome.
Pipeline embolization of posterior circulation aneurysms: a multicenter study of 131 aneurysms
Authors: Griessenauer Christoph J. , Ogilvy Christopher S. , Adeeb Nimer , Dmytriw Adam A. , Foreman Paul M. , Shallwani Hussain , Limbucci Nicola , Mangiafico Salvatore , Kumar Ashish , Michelozzi Caterina , Krings Timo , Pereira Vitor Mendes , Matouk Charles C. , Harrigan Mark R. , Shakir Hakeem J. , Siddiqui Adnan H. , Levy Elad I. , Renieri Leonardo , Marotta Thomas R. , Cognard Christophe , Thomas Ajith J. 
Published: May 2018

OBJECTIVEFlow diversion for posterior circulation aneurysms performed using the Pipeline embolization device (PED) constitutes an increasingly common off-label use for otherwise untreatable aneurysms. The safety and efficacy of this treatment modality has not been assessed in a multicenter study.METHODSA retrospective review of prospectively maintained databases at 8 academic institutions was performed for the years 2009 to 2016 to identify patients with posterior circulation aneurysms treated with PED placement.RESULTSA total of 129 consecutive patients underwent 129 procedures to treat 131 aneurysms; 29 dissecting, 53 fusiform, and 49 saccular lesions were included. At a median follow-up of 11 months, complete and near-complete occlusion was recorded in 78.1%. Dissecting aneurysms had the highest occlusion rate and fusiform the lowest. Major complications were most frequent in fusiform aneurysms, whereas minor complications occurred most commonly in saccular aneurysms. In patients with saccular aneurysms, clopidogrel responders had a lower complication rate than did clopidogrel nonresponders. The majority of dissecting aneurysms were treated in the immediate or acute phase following subarachnoid hemorrhage, a circumstance that contributed to the highest mortality rate in those aneurysms.CONCLUSIONSIn the largest series to date, fusiform aneurysms were found to have the lowest occlusion rate and the highest frequency of major complications. Dissecting aneurysms, frequently treated in the setting of subarachnoid hemorrhage, occluded most often and had a low complication rate. Saccular aneurysms were associated with predominantly minor complications, particularly in clopidogrel nonresponders.
Expressiveness, meanings and machines
Authors: Davidson Joe , Michaelson Greg 
Published: May 2018

There is considerable interest in constructing succinct programs and much debate over which languages are most expressive. However, such debates tend to revolve around syntactic notions of program size and language constructs, without considering the complex interrelations of syntax, semantics, and implementation. We hypothesise that languages with larger semantics have more succinct programs. To explore this, we have conducted an empirical study of the expressive properties of Turing and Random Access Stored Program machines, taking into account their Structural Operational Semantics, universal machines, implementations in each other, and physical realisations as Field Programmable Gate Arrays (FPGAs). We conclude that our intuitions about the relationship between the expressiveness of a language and the typical succinctness of programs are largely correct. We also conclude that the information content of abstract models of computations is a good indicator of the component count for FPGA realisations.