bluuebunny/crossref_metadata_2025_split huggingface dataset:
Provider Communication, Prompts, and Feedback to Improve HPV Vaccination Rates in Resident Clinics
Authors: Rand Cynthia M. , Schaffer Stanley J. , Dhepyasuwan Nui , Blumkin Aaron , Albertin Christina , Serwint Janet R. , Darden Paul M. , Humiston Sharon G. , Mann Keith J. , Stratbucker William , Szilagyi Peter G. 
Published: March 2018

BACKGROUND AND OBJECTIVES:
Human papillomavirus (HPV) vaccination rates lag behind vaccination rates for other adolescent vaccines; a bundled intervention may improve HPV vaccination rates. Our objective is to evaluate the impact of quality improvement (QI) training plus a bundled practice-based intervention (provider prompts plus communication skills training plus performance feedback) on improving HPV vaccinations in pediatric resident continuity clinics.

METHODS:
Staff and providers in 8 resident clinics participated in a 12-month QI study. The intervention included training to strengthen provider communication about the HPV vaccine. Clinics also implemented provider prompts, received monthly performance feedback, and participated in learning collaborative calls. The primary outcome measure was eligible visits with vaccination divided by vaccine-eligible visits (captured HPV vaccination opportunities). Practices performed chart audits that were fed into monthly performance feedback on captured HPV vaccination opportunities. We used conditional logistic regression (conditioning on practice) to assess captured vaccination opportunities, with the time period of the study (before and after the QI intervention) as the independent variable.

RESULTS:
Overall, captured opportunities for HPV vaccination increased by 16.4 percentage points, from 46.9% to 63.3%. Special cause was demonstrated by centerline shift, with 8 consecutive points above the preintervention mean. On adjusted analyses, patients were more likely to receive a vaccine during, versus before, the intervention (odds ratio: 1.87; 95% confidence interval: 1.54–2.28). Captured HPV vaccination rates improved at both well-child and other visits (by 11.7 and 13.0 percentage points, respectively).

CONCLUSIONS:
A bundled intervention of provider prompts and training in communication skills plus performance feedback increased captured opportunities for HPV vaccination.
PENGEMBANGAN VARIABEL-VARIABEL INDEKS KEPEKAAN EKOLOGI (IKE) BAGI PENGENDALIAN TUMPAHAN MINYAK DI EKOSISTEM MANGROVE
Authors: Muarif Muarif , Damar Ario , Hariyadi Sigid , Sutrisno Dewayani , Boer Mennofatria 
Published: March 2018

Ketepatan suatu indeks dalam menggambarkan kondisi lingkungan sangat ditentukan oleh ketepatan dalam memilih variabel-variabel pembentuknya. Survei pakar internasional telah dilakukan untuk menilai validitas variabel-variabel terpilih dari indeks kepekaan ekologi (IKE) ekosistem mangrove terhadap tumpahan minyak. Variabel-variabel IKE ekosistem mangrove hasil studi literatur dan telah disaring melalui survei pakar internasional adalah sebanyak 26 variabel yang meliputi tipe pasut, rentang pasut, tinggi gelombang, curah hujan, jumlah hari hujan, lama penggenangan pasang, jenis substrat, tipologi mangrove, jenis mangrove, umur flora mangrove, jumlah jenis mangrove, keberadaan flora invasif, kerapatan pohon, kerapatan anakan, kerapatan semai, perbandingan anakan dan pohon, kondisi ekosistem mangrove, jenis fauna, umur fauna, kemampuan gerak fauna, ruang hidup fauna, keberadaan flora mangrove dilindungi, keberadan fauna dilindungi, keberadaan nurshery habitat, keberadaan spawning ground, dan status lindung ekosistem mangrove. Variabel-variabel tersebut mampu mewakili 6 karakteristik ekosistem mangrove. Variabel-variabel yang memiliki rangking yang tertinggi adalah variabel keberadaan nurshery habitat, sedangkan variabel yang memiliki rangking terendah adalah keberadaan flora invasif. Variabel-variabel IKE ekosistem mangrove telah diujicoba di Pesisir Kabupaten Indramayu, dan mendapatkan sebaran IKE ekosistem mangrove tergolong mulai cukup peka sampai peka, dengan sebagian besar tergolong peka.
Çin Dış Politikasında İttifak Yapmama Prensibi: Akademik Tartışmalar
Authors: Eliküçük Yıldırım Nilgün 
Published: March 2018

Öz Bu çalışmada Çin uluslararası ilişkiler akademisindeki ittifak yapmama prensibiyle ilgili tartışmalar ele alınmıştır. Çalışmanın temel iddiası, Çin akademisinde dış politika tartışmalarının hükümetin çizdiği çerçeveden daha dinamik ve karmaşık olduğudur. Uluslararası ilişkiler akademisyenlerinin dış politika yapımındaki önemi sadece hükümetin politikalarını desteklemelerinden değil aynı zamanda alternatif politika üretebilmelerinden kaynaklanmaktadır. Bu yüzden akademik tartışmalar ittifak yapmama politikasında bir değişikliğe gidilip gidilmeyeceğini analiz etmek için önemli bir fikri temel sağlamaktadır. Çinli akademisyenlerin ittifak yapmama prensibiyle ilgili görüşleri üç başlıkta ele alınmıştır. İlk grup, ittifak yapmamanın yararlarını savunan ortodoksidir. İkinci grup, ittifak yapmaya yönelik bir strateji değişikliğini savunan revizyonistlerdir. Üçüncü grup ise, prensibin tamamen terk edilmeyip yeni duruma uygun bir takım tamamlayıcı tedbirler alınması gerektiğini düşünen ılımlılardır. Bu gruplar içinde revizyonistlerinfikirleri Çin’in ittifak politikasındaki olası bir değişikliğin hangi yönde olacağı konusunda önemli ipuçları vermektedir. İttifak yanlılarına göre potansiyel müttefik Rusya’dır. Revizyonistlerin fikirleri aynı zamanda Çin’de yükselen popüler milliyetçiliğinde bir yansımadır. Bu yüzden Çin’in ülke içinde yükselen milliyetçilik karşısında ittifak arayışı içine girmesi kaçınılmaz görünmektedir.
Kişi Örgüt Uyumunun Örgütsel Adalet Algısı ve Örgütsel Bağlılık İlişkisinde Aracılık Rolü
Authors: Köksal Kemal 
Published: March 2018

Bu çalışmada örgütsel bağlılığın yaratılmasında etkili olan
değişkenlerden örgütsel adalet algısının ve kişi örgüt uyumunun rolü
incelenmiştir. Araştırma bir kamu kurumunda çalışan 213 kişiden kolayda
örnekleme yöntemiyle toplanan verilerin analizi ile gerçekleştirilmiştir.
Ölçekleri doğrulamak için doğrulayıcı faktör analizi, hipotezlerin testi için
ise korelasyon ve regresyon analizi yapılmıştır. Analiz sonucunda, örgütsel
adalet algısının ve kişi örgüt uyumunun örgütsel bağlılığı anlamlı bir şekilde
yordadığı ve örgütsel adalet algısı ve örgütsel bağlılık arasındaki ilişkide
kişi örgüt uyumunun tam aracılık etkisinin olduğu tespit edilmiştir.
Küresel Güvenliğin Dönüşümü; NATO Bağlamında Kavramsal, Tarihsel ve Teorik Bir Analiz
Authors: Şahin Güngör 
Published: March 2018

Kuzey
Atlantik Antlaşması Örgütü (NATO) realist kurama uygun bir şekilde,
gerektiğinde güç kullanmak suretiyle Batı Bloğunun güvenliğini sağlamak
amacıyla kurulmuştur. Ancak Soğuk Savaş sonrası dönemde, Doğu Bloğu tehdidinin
ortadan kalkmasına ve nükleer silahların sınırlandırılması konusundaki
girişimlerin olumlu sonuçlanmasına rağmen, NATO’nun mevcudiyetini yitirmediği
gözlemlenmiştir. Örgüt, neo-liberal kuram doğrultusunda, üye devletlerin
güvenlik iş birliğini kolaylaştırdığı ve insani müdahalede bulunma kapasitesine
sahip olduğu gerekçesiyle varlığını sürdürmeye, 1990 sonrası dönemde sorumluluk
sahasını da genişleterek “alan dışı” görev ve yetkilerle hegemonyasını
arttırmaya devam etmiştir. Ayrıca 11 Eylül 2001 terör saldırılarından sonra,
neo-liberal kuram yanında sosyal inşacı kuramın; teröre destek veren ülkelere
karşı “biz” hissi yaratarak işbirliğini kolaylaştırdığı tezi, varlığının temel
dayanaklarından biri olmuştur. Çalışma, küresel güvenlik sistemi içindeki
değişimin unsurlarını tespit etmek, eski ve yeni dönem arasındaki bağlantıyı
kurabilmek ve değişen/dönüşen güvenlik anlayışında; realist, neo-liberal ve
sosyal inşacı kuramlar ışığında, Soğuk Savaş sonrası dönemdeki zirveleri ve
müdahaleleri çerçevesinde NATO’nun dönüşümünü değerlendirmektedir.
Shell Closure N = 82 nuclei interpretation by the Cranked Nilsson-Strutinsky Model : 136-138Ce
Authors: Kaım Samra , Aboudı A. , Belgharbı R. , Laala A. 
Published: March 2018

A theoretical studying of nuclei in the shell
closure region (N =82), in particular cerium isotopes 136-138Ce, has
been made in the frame of macroscopic-microscopic, Cranked Nilsson Strutinsky
(CNS)model. Many nuclear properties have been calculated and discussed: the
single particle energy, the total energy, the liquid drop energy, the moments
of inertia, the deformation parameters, the nuclei shape, and potential energy surfaces (PES) have been
presented. High spin rotational bands of these isotopes have been
studied and interpreted based on fixed configurations in the frame of CNS code.
A good agreement is found with the observed results for these nuclei in the
recent works.
APLIKASI SISTEM PAKAR BERBASIS WEB UNTUK MENDIAGNOSA PENYAKIT SYARAF PUSAT DENGAN METODE FORWARD CHAINING
Authors: Turang Daniel Alexander Octavianus 
Published: March 2018

<p><em>The nervous system is one of the organs that perform activities of a coordinating body. Central nervous system functions primarily to detect, analyze, process and deliver information. Sensory systems collect information which are processed in the brain and transmitted to the motor system to control the movement, visceral activity, and endocrine functions. All the action from the sensory and motor systems are controlled by nerves which are interconnected to form a network of signaling. Lack of information and knowledge about neurological causes many sufferers of neurological diseases. The methods used in this research is a method of Forward Chaining. The system to be built is a computer-based information system by utilizing the technology of artificial intelligence that serves as system tools or the giver of neurological diagnosis results to the user. Diagnoses generated by this system is equipped with a type of central nervous disease with pecegahan and the way of treatment. The system will analyze your answers to each question are given, so that the obtained results diagnoses based on the existing knowledge base in expert system. Research results in the form of expert system that can help users know what kind of diseases of the central nervous, giving information regarding central nervous disease and knowing how treatment and prevention. </em><br /> <br /><em><strong>Keywords</strong>: expert system, forward chaining, neurological diseases</em></p><p><em>Sistem syaraf merupakan salah satu organ yang melakukan koordinasi kegiatan tubuh. Sistem syaraf pusat mempunyai fungsi utama untuk mendeteksi, menganalisa,mengolah dan menghantarkan informasi. Sistem sensorik mengumpulkan informasi yang akan diproses di otak dan diteruskan ke sistem motorik untuk mengontrol gerakan, aktivitas viseral, dan fungsi-fungsi endokrin. Semu aksi dari sistem sensorik dan motorik dikontrol oleh syaraf yang saling berhubungan membentuk jaringan signaling. Kurangnya informasi dan pengetahuan tentang penyakit syaraf menyebabkan banyak penderita penyakit syaraf. Metode yang digunakan dalam penelitian ini adalah metode Forward Chaining. Sistem yang akan dibangun merupakan suatu sistem informasi yang berbasis komputer dengan memanfaatkan teknologi kecerdasan buatan yang berfungsi sebagai sistem alat bantu atau pemberi hasil diagnosa penyakit syaraf kepada pengguna. Diagnosa yang dihasilkan oleh sistem ini dilengkapi dengan jenis penyakit syaraf pusat beserta pecegahan dan cara pengobatannya. Sistem akan menganalisa jawaban dari setiap pertanyaan yang diberikan, sehingga diperoleh hasil diagnosa berdasarkan basis pengetahuan yang ada dalam sistem pakar ini. Hasil penelitian berupa sistem pakar yang dapat membantu pengguna mengetahui jenis penyakit syaraf pusat, memberikan informasi mengenai penyakit syaraf pusat dan mengetahui cara pengobatan dan pencegahannya. </em></p><p><em><strong>Kata kunci</strong>: forward chaining, penyakit syaraf, sistem pakar</em></p>
Analysis of phenolic compounds, antioxidant and antimicrobial properties of some endemic medicinal plants
Authors: BEKTAŞ Ersan , KALTALIOĞLU Kaan , ŞAHİN Hüseyin , TÜRKMEN Zafer , KANDEMİR Ali 
Published: March 2018

This
study was designed to evaluate the phenolic compounds and the in vitro antioxidant and antimicrobial
activities of Onobrychis nitida,
Hedysarum cappadocicum, Ebenus laguroides and Ebenus macrophylla which are
medicinal plants and endemic for the flora of Turkey. The RP-HPLC-DAD (reverse
phase-high performance liquid chromatography with a diode array detector) was
used to evaluate the phenolic contents. The antioxidant properties were
determined to use total phenolic content (TPC), ferric reducing antioxidant
power (FRAP), and DPPH• radical scavenging activity assays. Antibacterial tests
were performed against 11 different microorganisms by using the microwell
dilution method. Each of the plant extracts were confirmed by bioactive assays
which demonstrated a significant activity due to different chemical
characteristics. Especially, rutin was the dominant component in Ebenus species with 19.434-11.808 mg
phenolic/g extract. While the highest phenolic content (101.73 mg gallic acid
equivalent/g extract) was observed in O.
nitida, the highest FRAP value was in E.
laguroides (719.09 μM FeSO4.7H2O equivalent), and the
strongest DPPH degree was in the E.
macrophylla extract with IC50: 69.45 μg/mL, respectively. Although plant extracts didn’t have efficient
values for antimicrobial activity, the slight effect was arisen in O. nitida against B. subtilis and S. aureus.
The results showed that all the extracts could be used in pharmacological or
dietary applications due to their valuable properties.
Understanding water-related emotional distress for improving water services: a case study from an Ethiopian small town
Authors: Thomas Vincent , Godfrey Samuel 
Published: March 2018

Abstract
This paper introduces the concept of emotional distress as a means of measuring the direct experience of inadequate access to drinking water in a small town in Ethiopia under the UNICEF-Government of Ethiopia urban ONEWASH plus programme. The paper explores a new perspective on the relationship between water technologies, water services, household socio-economic characteristics (as predictors) and mental health in its broad definition. Results indicate that water-related emotional distress is predominantly associated with the ‘cost of water’ and the ‘size of household’. Quantity of water, reliability of the preferred source and accessibility were not significant predictors to emotional distress. Whether the household accessed a pipe into a compound or another improved source was not a significant predictor either. The safely managed target in the Sustainable Development Goal (SDG) 6.1 focuses on the affordability, accessibility and safety of water but does not explore the relation between cost and water-related emotional distress. This evidence offers a complementary approach to the ‘affordability of water services’ as it looks beyond the mere financial implications of water costs.
Membrane defouling using microbubbles generated by fluidic oscillation
Authors: Harun M. H. C. , Zimmerman William B. 
Published: March 2018

Abstract
Impurities and colloidal substances are two of many fouling conditions that reduce the membrane filtration performance used in wastewater treatment. This study investigates the potential of fluidic-oscillation-generated microbubbles (MBs) to defoul the filtration membrane. Cartridge filters for microfiltration (MF) of 1 μm pore size were fouled using surface seawater collected from the Hull coastal area. The seawater was circulated at 5.8 L/min to actuate colloidal substance deposition on the membrane surface. The recorded feed channel pressure drop (ΔP) across the membrane filters showed rapid fouling occurred in the first 8 hrs of the circulation. Fluctuations of ΔP during the next 8 hrs were observed showing the colloids filling the pores of the membrane, and remaining steady for 2 hrs showing the membrane was completely fouled. The filtration membrane was cleaned and defouled using fluidic-oscillator-generated MBs. The fouled membranes were sparged with 1 L/min of air scouring for ∼1 to ∼2 hrs to remove the deposited colloids and impurities on the surface of the membrane. The membrane, analysed by Scanning Electron Microscopy (SEM), UV254 and Electrical Conductivity (EC) meter, showed the extent of MBs-mediated removal of the deposited colloidal particle from the membrane surfaces. This study found that the highest defouling rate occurs with MBs generated by fluidic oscillator (closed vent), followed by MBs generated by fluidic oscillator (opened vent) and MBs generated without fluidic oscillator at 9.53, 6.22, and 3.41 mbar/min, respectively.
Application of forward osmosis membrane in nanofiltration mode to treat reverse osmosis concentrate from wastewater reclamation plants
Authors: Jamil Shahzad , Jeong Sanghyun , Vigneswaran Saravanamuthu 
Published: March 2018

Abstract
Reverse osmosis concentrate (ROC) from wastewater reclamation plants have high concentrations of organic and inorganic compounds, which have to be removed before its disposal. Forward osmosis (FO) and nanofiltration (NF) membranes were tested to treat the ROC for possible water reuse. This research investigated the combined and individual influence of organic and inorganic matter on the fouling of NF and FO membranes. The results revealed that the NF membrane removed most of the organic compounds and some inorganics. The study further highlighted that the FO membrane at NF mode removed the majority of the inorganic compounds and some organics from the ROC. A pretreatment of granulated activated carbon (GAC) adsorption removed 90% of the organic compounds from ROC. In addition, GAC adsorption and acid pretreatment of ROC improved the net water permeate flux by 17% when an FO membrane was used in the NF system. Acid treatment (by bringing the pH down to 5) helped to remove inorganic ions. Therefore, the resultant permeate can be recycled back to the RO water reclamation plant to improve its efficiency.
Bacterial community diversity in a full scale biofilter treating wastewater odor
Authors: Allievi M. J. , Silveira D. D. , Cantão M. E. , Filho P. B. 
Published: March 2018

Abstract
Constantly, the odors coming from sewage plants are considered a problem by the population. The purpose of this study was to evaluate the microbial community present in a full scale biofilter used for odor treatment. The filter was packed with peat. The main gas treated was hydrogen sulphide (H2S). The removal efficiency reached 99%, with an empty bed residence time of 30 seconds. Molecular analysis can enhance our understanding of the microbial communities in biofilters treating wastewater odor. The analysis made to characterize microbial community was High-throughput 16S rRNA sequencing analysis MiSeq® Illumina. The sampling, carried out in the year 2015, was seasonal (summer and winter) and spatial (depth and position in the biofilter). In this study, a total of 206,174 raw sequence reads for six samples were analyzed using Mothur software (v 1.33.3) based on MiSeq SOP protocol. After Mothur analysis, the results of the bacterial community were explored at the Phylum and Genus levels. In this study, the efficiency removal of hydrogen sulfide reached values greater than 99% during the monitoring, and the main bacterial genera found were Acidotermus, Telmatobacter, Methylovirgula and Bryobacter representing the bacterial community active in the transformation of H2S into a system with long operating time.
Economic and organizational impact of the changing hospital funding practices of erythropoiesis-stimulating agents on the management of care of dialysis patients in France
Authors: Therasse Carole , Fusier Isabelle , Cordonnier Anne-Laure , Bérard Florence , de Curzon Olivier Parent , Bocquet François , Paubel Pascal 
Published: March 2018

Aim:
Erythropoiesis-stimulating agents (ESAs) are particularly used to treat dialysis patients suffering from anemia due to renal failure. Since March 2014, ESAs have no longer been funded on top-of-diagnosis-related groups (DRGs) in French hospitals and are funded via DRGs. There are two ways to fund dialysis in French hospitals: the ‘DRG for dialysis in session’ and the ‘off-dialysis DRG’, which is not a DRG and consists in a supplement tariff specific to dialysis for patients hospitalized for another main reason than dialysis. The aim of this study is to assess the impact of this funding change on the dialysis activity and on the budget of the 37 University Public University Hospitals in Paris (10% of the hospitalizations in France).
Materials & methods:
A before–after study (March–September 2013 vs March–September 2014) was conducted. Medical activity data (and ESAs consumption data) were used to assess the number and costs of DRGs associated with ESAs use. As we do not have access to the whole dialysis activity over the period studied, two hypotheses were considered: the proportion of the dialysis activity was constant between the two periods (Hypothesis A); the dialysis activity was correlated to ESA consumptions delivered by hospital pharmacies to healthcare units (Hypothesis B). A budget impact analysis was also conducted taking into account the evolution of DRG costs and ESA prices.
Results:
The number of dialysis ‘DRG for dialysis in session’ with ESA consumption have increased by 5% (Hypothesis A) and decreased by 9% (Hypothesis B) between the two periods while the volume of ‘off-dialysis DRG’ with ESA consumption increased by 2% (Hypothesis A) and by 9% (Hypothesis B). The budget impact was -€1.02 million (Hypothesis A) and -€0.7 million (Hypothesis B) leading to a loss for our hospitals.
Conclusion:
There is no significant impact of the change of funding of ESAs on the hospital activity. The DRG-based payment is negative for the budget of our hospitals but is positive for the French National Health Insurance. Indeed, with the price decrease, the ESAs are more costly for hospitals (not funded on top-of-DRG), but less costly for the society.
PENGARUH GAYA KEPEMIMPINAN DAN MOTIVASI TERHADAP PRODUKTIVITAS KERJA
Authors: Satriadi Dimas 
Published: March 2018

<p><em>The problem that occurs is the employee's productivity is not optimal because of the turnover indicated bank last few months either on a permanent employee, daily worker and of apprentices. the purpose of this study was to determine the effect of leadership and motivation to work productivity at Bank BRI Branch Tanjungpinang. In this study will be the population is numbering 50 people. style of leadership with the highest average grades are in a democratic dimension, which means head of the BRI branch Tanjungpinang have democratic leadership style that is very strong in leading employees who are in their environment. The highest average value of the variable motivation is the dimension of hope, with an average value of 3.93 that is included in the category enough. The highest average value on work productivity variable is the dimension of labor efficiency, with an average value of 4.35 that is included in the very high category.That relationship / correlation between variables Leadership tightly enough (X1), and Motivation (X2) with the Work Productivity in Bank BRI Branch Tanjungpinang of 0.183 or have a direct impact of 18.8%.</em></p>