bluuebunny/crossref_metadata_2025_split huggingface dataset:
Point Prevalence of Children Hospitalized With Chronic Critical Illness in the General Inpatient Units
Authors: Rogozinski Lindsay , Young Ashley , Grybauskas Christopher , Donohue Pamela , Boss Renee , Biondi Eric 
Published: July 2019

OBJECTIVES:Children with medical complexity (CMC) have high rates of mortality and morbidity, prolonged lengths of stay, and use a disproportionately high amount of health care expenditures. A subset of children with CMC have chronic critical illness requiring even higher levels of clinical support and resource use. We aimed to describe the point prevalence of children hospitalized in general inpatient care units with pediatric chronic critical illness (PCCI).METHODS:Point prevalence analysis across 6 pediatric tertiary medical centers in the United States on a “snapshot day” (May 17, 2017). On the day of sampling, a number of demographic, historical, and clinical descriptors were collected. A previously published definition of PCCI was used to establish inclusion criteria.RESULTS:The point prevalence of patients with PCCI in general inpatient care units was 41% (232 out of 571). Of these, 91% (212 out of 232) had been admitted more than once in the previous 12 months, 50% (117 out of 232) had a readmission within 30 days of a previous admission, and 20% (46 out of 232) were oncology patients. Only 1 had a designated complex care team, and there were no attending physicians designated primarily for medically complex children.CONCLUSIONS:Children with chronic critical illness, a subset of CMC, may make up a substantial proportion of pediatric patients hospitalized in general inpatient care units. There is a critical need to understand how to better care for this medically fragile population. In our data, it is suggested that resources should be allocated for PCCI in nonintensive care clinical areas.
Caregivers’ Perceptions and Hospital Experience After a Brief Resolved Unexplained Event: A Qualitative Study
Authors: Khan Adrita , Wallace Sowdhamini S. , Sampayo Esther M. , Falco Carla 
Published: July 2019

BACKGROUND AND OBJECTIVES:
The American Academy of Pediatrics published guidelines for evaluation and management of lower-risk infants for a brief resolved unexplained event (BRUE). The guideline identified gaps in knowledge related to caregiver satisfaction, anxiety, and family-centered educational strategies to improve caregiver experience and patient outcomes. The objective of this study was to understand caregivers’ experience with hospitalization for infants with BRUE, including their perception of the hospital stay, the diagnosis of BRUE, and their feelings toward the upcoming discharge from the hospital.

METHODS:
We conducted a qualitative study using semistructured interviews with caregivers of infants aged 0 to 12 months who were admitted to a quaternary care children’s hospital for a BRUE. Interviews were conducted within 24 hours of discharge. Two investigators coded transcripts and identified themes using consensus.

RESULTS:
Eighteen caregivers of 13 infants were interviewed. No infants met criteria for being low risk according to the American Academy of Pediatrics guidelines. The coding scheme produced 3 major themes. First, parents felt reassured by hospital monitoring, diagnostic evaluation, and staff support in the hospital. Second, parents felt unsettled by the uncertainty of the child’s condition and whether BRUE’s “unexplainable” quality is understood as being part of normal infant behavior. Third, these themes manifested as conflicting emotions about caregivers’ readiness for discharge.

CONCLUSIONS:
Although hospital monitoring may provide reassurance for some caregivers, they continue to struggle with the uncertainty of the diagnosis. Caregiver perspectives can inform physicians’ strategies to improve hospital experience and discharge readiness.
An Improvement Effort to Optimize Electronically Generated Hospital Discharge Instructions
Authors: Chadwick Whitney , Bassett Hannah , Hendrickson Sarah , Slonaker Kimberly , Perales Shanna , Pantaleoni Julie , Srinivas Nivedita , Platchek Terry , Destino Lauren 
Published: July 2019

OBJECTIVES:
The purpose of hospital discharge instructions (HDIs) is to facilitate safe patient transitions home, but electronic health records can generate lengthy documents filled with irrelevant information. When our institution changed electronic health records, a cumbersome electronic discharge workflow produced low-value HDI and contributed to a spike in discharge delays. Our aim was to decrease these delays while improving family and provider satisfaction with HDI.

METHODS:
We used quality improvement methodology to redesign the electronic discharge navigator and HDI to address the following issues: (1) difficulty preparing discharge instructions before time of discharge, (2) suboptimal formatting of HDI, (3) lack of standard templates and language within HDI, and (4) difficulties translating HDI into non-English languages. Discharge delays due to HDI were tracked before and after the launch of our new discharge workflow. Parents and providers evaluated HDI and the electronic discharge workflow, respectively, before and after our intervention. Providers audited HDI for content.

RESULTS:
Discharge delays due to HDI errors decreased from a mean of 3.4 to 0.5 per month after our intervention. Parents’ ratings of how understandable our HDIs were improved from 2.35 to 2.74 postintervention (P = .05). Pediatric resident agreement that the electronic discharge process was easy to use increased from 9% to 67% after the intervention (P &lt; .001).

CONCLUSIONS:
Through multidisciplinary collaboration we facilitated advance preparation of more standardized HDI and decreased related discharge delays from the acute care units at a large tertiary care hospital.
Pediatric Inpatient Immunizations: A Literature Review
Authors: Mihalek Alexandra J. , Kysh Lynn , Pannaraj Pia S. 
Published: July 2019

CONTEXT:Timely vaccine uptake in children remains suboptimal. Eliminating missed opportunities is key to increasing childhood immunization rates, and hospitalization offers another potential setting to vaccinate.OBJECTIVE:To better understand pediatric inpatient immunization programs, including vaccination rates of inpatients, parental and provider attitudes, barriers to vaccine delivery, and interventions to increase provision of inpatient vaccines.DATA SOURCES:A search was conducted of PubMed, Embase, and Web of Science to identify articles and conference abstracts related to pediatric inpatient immunization.STUDY SELECTION:Inclusion criteria were studies published in English between January 1990 and January 2019 in which pediatric vaccination in the hospital setting was discussed. Findings from 30 articles and conference abstracts were summarized and organized by topic area.DATA EXTRACTION:Abstracts were screened for relevance, articles were read, and themes were identified.RESULTS:Children who are hospitalized have been shown to have lower immunization rates compared with the general population, with 27% to 84% of pediatric inpatients due or overdue for vaccines nationally when verified with official records. Unfortunately, little is done to catch up these children once they have been identified. Access to accurate vaccine histories remains a major barrier in inpatient immunization programs because providers frequently under document and parents over recall a child’s vaccine status. Strategies identified to increase inpatient vaccination included creation of a multidisciplinary immunization team, educational interventions, visual reminders, catch-up vaccine plans, order sets, and nursing-driven screening. When offered inpatient vaccination, a majority of parents accepted immunizations for their children.CONCLUSIONS:Hospitalization may provide an opportunity to augment vaccine uptake. Further research is needed to develop evidence-based strategies to overcome barriers to inpatient vaccination.
¡Día de fiesta en Turrialba! Un testimonio fotográfico de la inauguración del puente en Angostura, en 1923
Authors: Hilje Quirós Luko 
Published: July 2019

En Costa Rica, desde la época de la colonia el río Reventazón fue el mayor obstáculo geográfico para construir un camino que conectara el Valle Central con la costa del Caribe. Esto explica la sustitución del viejo camino a Matina por la ruta que hoy enlaza Turrialba con Puerto Limón, a través de Siquirres. Sin embargo, ello requirió la instalación de un puente de madera en 1865, el cual con los años se deterioró, lo que justificó la colocación de uno de hierro, en el gobierno del presidente Julio Acosta García. Su inauguración, el 3 de junio de 1923, dio pie a un día de festividades en Turrialba, del cual se han podido rescatar 13 imágenes tomadas por el célebre fotógrafo Manuel Gómez Miralles. Estas fotografías, hasta ahora inéditas, se muestran en este artículo, y se complementan con información aparecida en los periódicos de entonces sobre tan importante acontecimiento.
Recibido: 18-02-2019
Aprobado: 29-03-2019
Problematic smartphone use associated with greater alcohol consumption, mental health issues, poorer academic performance, and impulsivity
Authors: Grant Jon E. , Lust Katherine , Chamberlain Samuel R. 
Published: July 2019

Background
This study sought to examine the occurrence of the problematic use of smartphones in a university sample and associated physical and mental health correlates, including potential relationships with risky sexual practices.

Methods
A 156-item anonymous online survey was distributed via e-mail to a sample of 9,449 university students. In addition to problematic smartphone usage, current use of alcohol and drugs, psychological and physical status, and academic performance were assessed.

Results
A total of 31,425 participants were included in the analysis, of whom 20.1% reported problematic smartphone use. Problematic use of smartphones was associated with lower grade point averages and with alcohol use disorder symptoms. It was also significantly associated with impulsivity (Barratt scale and ADHD) and elevated occurrence of PTSD, anxiety, and depression. Finally, those with current problems with smartphone use were significantly more sexually active.

Conclusions
Problematic use of smartphones is common and has public health importance due to these demonstrable associations with alcohol use, certain mental health diagnoses (especially ADHD, anxiety, depression, and PTSD), and worse scholastic performance. Clinicians should enquire about excessive smartphone use as it may be associated with a range of mental health issues. Research is needed to address longitudinal associations.
Penanganan Limbah Ion Logam Cu2+ dengan Teknik Brick Berbahan Dasar Pasir dan Semen serta Pengaruhnya Terhadap Kualitas Air
Authors: Kurniawati Kurniawati , Hadisantoso Eko Prabowo , Amalia Vina 
Published: July 2019

Penelitian tentang penanganan limbah cair yang mengandung ion logam Cu2+ telah dilakukan. Penelitian ini bertujuan untuk melihat pengaruh penanganan limbah ion logam Cu2+ dengan teknik brick dan menganalisis larutan yang digunakan untuk perendaman brick dengan menggunakan beberapa parameter. Pengamatan dilakukan terhadap pH, DHL, COD, TSS dan kadar logam Cu2+ yang terlarut kembali pada larutan perendaman brick. Pembuatan brick dilakukan dengan memvariasikan pasir dengan semen yaitu 1:1, 1:3 dan 3:1 yang dicampurkan dengan model limbah Cu2+ sebanyak 12 mL. Brick tersebut kemudian direndam pada larutan berbagai kondisi, yaitu pH 3, pH 5,5, dan pH 7 selama 72 jam. Dari hasil penelitian diperoleh logam Cu2+ yang terlarut kembali semakin kecil dengan semakin meningkatnya pH larutan perendaman. Kadar logam Cu2+ dengan perbandingan pasir dan semen 1:1, 1:3, dan 3:1 pada larutan pH 3 berturut-turut 0,035, 0,020, dan 0,044 mg/L, sedangkan pada larutan pH 5,5 adalah 0,108, 0,048, dan 0,053 mg/L, dan pada larutan pH 7 adalah 0,006, 0,008 dan 0,007 mg/L. Kadar logam Cu2+ yang terlarut kembali untuk larutan perendaman pH 3, pH 5,5, dan pH 7 masih berada dibawah kadar maksimum yang diperbolehkan berdasarkan PP No. 28 tahun 2001 tentang Pengelolaan Kualitas Air dan Pengendalian Pencemaran Air, namun terjadi kenaikan pada pH, DHL, dan COD. Sementara kadar TSS masih berada di bawah kadar maksimum yang diperbolehkan.
Isolasi dan Karakterisasi Enzim Amilase dari Biji Nangka (Artocarpus heterophillus)
Authors: Tazkiah Nita Puspita , Rosahdi Tina Dewi , Supriadin Asep 
Published: July 2019

Amilase merupakan enzim perombak pati yang dibutuhkan oleh tubuh. Amilase dapat diisolasi dari berbagai tumbuhan, misalnya biji-bijian. Pada penelitian ini amilase diisolasi dari biji nangka, karena biji nangka tidak banyak dikonsumsi sehingga menjadi limbah. Penelitian ini bertujuan untuk mengkarakterisasi amilase dari biji nangka. Amilase diekstraksi dengan buffer fosfat 50 mM pada pH 7,5. Amilase difraksinasi dengan metode salting out dengan ammonium sulfat (NH4)2SO4, kemudian didialisis dengan buffer fosfat. Aktivitas amilase dari biji nangka ditentukan dengan menggunakan metode Fuwa dan konsentrasi protein diukur dengan metode Bradford. Aktivitas spesifik yang paling tinggi diperoleh pada tingkat kejenuhan 50% dengan aktifitas spesifik 2,12 U/mg. pH optimum amilase berada padapH 6, dengan aktivitas spesifik sebesar 2,52 Unit/mg, sedangkan suhu optimumnnya berada di suhu 50 ºC dengan aktivitas spesifik 2,52 Unit/mg.
Penerapan Pendekatan Concrete Representational Abstract Untuk Meningkatkan Hasil Belajar Kognitif Siswa
Authors: Musthofa Khoerun 
Published: July 2019

This research motivated by low student learning outcomes. To resolve the issue, given learning using the CRA approach. This research aims to find out student learning outcomes before using the CRA approach in mathematics subjects in Class IV MI Nurul Huda, also to find out student learning outcomes after using the CRA approach in mathematics subjects in Class IV MI Nurul Huda District Paseh, Bandung Regency. The method used is classroom action research methods. This research was carried out in 2 cycles and four actions. Data collection techniques using observation, testing, interview and documentation. Data analysis uses statistics and observation sheets. Subjects consisted of 24 students, 14 women and 10 men. The results of data analysis concluded that (1) student learning outcomes before using the CRA approach were still low with an average value of 57. (2) The application of the CRA approach works well according to the stages. Teacher and student activities have increased in each cycle. (3) student learning outcomes after using the Talking Chips model have increased each cycle. The percentage of classical learning completeness in pre cycle 33% (less), cycle I was 58% (less), in cycle II was 92% (Very High).
Hubungan Kecerdasan Emosional terhadap Hasil Belajar Anak Usia Dini
Authors: Nurdiyanti Anisa , Yulianingsih Yuyun , Syamiyah Syamiyah 
Published: July 2019

This study aims to determine the relationship of emotional intelligence in early childhood learning outcomes on aspects of emotional social development aged 5-6 years. This study uses quantitative correlational methods and approaches. The subject of this study was group B in one RA in Bandung City which amounted to 46 children. This study uses saturated samples, which means that all populations are sampled. Data collection techniques through observation sheets. The results of the analysis of research data using the calculation of the Spearman Rank correlation coefficient obtained a result of ρcount of 0.74. Meanwhile, the results of the calculation of the significance of the correlation test using t-test obtained the value of tcount of 7.33 and a significance level of 5% with db = 44 is 2.017. So, tcount = 7.33 > ttable = 2.017, and can be interpreted that there is a significant relationship between emotional intelligence and early childhood learning outcomes. In addition, the determination coefficient obtained is 55%. That is, emotional intelligence contributes as much as 55% of the results of early childhood learning in one RA in the city of Bandung. Keywords: early childhood, learning outcomes, emotional intelligence, development, social-emotional
Bir Arada Yaşama Bağlamında Hz. Ömer Döneminde Kudüs
Authors: MERT Rabia 
Published: July 2019

Kudüs, Müslümanlar yanında
Yahudi ve Hıristiyanlar tarafından da kutsal kabul edilmektedir. Ayrıca şehrin
kutsallığına inanan kimseler orada yaşamaya önem vermektedir. Böylece Kudüs
konusunda en fazla tartışmalı alanı farklı dinlerin mensuplarının bir arada
yaşaması oluşturmaktadır. Bu makalede Hz. Ömer dönemi Kudüs’ü, Yahudi ve
Hıristiyanlarla bir arada yaşama konusundaki uygulamalar bağlamında
değerlendirilmiştir. Müslümanların İslam’ın ilk dönemlerinden itibaren bir
arada yaşamaya dayalı bir toplum inşa ettikleri kabul edilmektedir. Halife Ömer
döneminde birtakım siyasi kararlar alınmakla birlikte bu anlayışa uygun hareket
edildiği ve daha sonraki dönemler için de örneklik teşkil ettiği söylenebilir.
Análisis de la contaminación ambiental producida por el plasma frío de baja presión en la limpieza de láminas metálicas
Authors: López López Luis Marcelo , Villavicencio Ramírez Janine , Aponte Kevin , Fajardo Jorge I. , López Christian P. 
Published: July 2019

La presente investigación aborda un análisis del nivel de contaminación producido por los gases generados de monóxido de carbono (CO), dióxido de carbono (CO2) y los hidrocarburos (HC) en la limpieza de láminas metálicas de acero inoxidable AISI/SAE 304 aplicando plasma frío de oxígeno a baja presión para la remoción de los aceites ISO 32, ISO 68 e ISO 220, con diferentes parámetros de control del generador de acuerdo con el aceite lubricante removido de la superficie de la lámina metálica de acero inoxidable. La experimentación se realizó en un primer proceso con una descarga aplicada directamente a la superficie de la lámina impregnada con el aceite colocando con un volumen de 0,1 ml y en un segundo proceso donde la lámina con el aceite impregnado fue sumergida en un desengrasante para aceites y grasas con la finalidad de realizar una limpieza previa a la aplicación del plasma frío a baja presión en la superficie. Para el análisis de los resultados en el nivel de gases generados por cada aceite se aplica un análisis estadístico para determinar si existe una diferencia significativa en el nivel de los gases generados en las dos etapas.
VIX KORKU ENDEKSİNİN FİNANSAL GÖSTERGELER ÜZERİNDEKİ ETKİSİ: TÜRKİYE ÖRNEĞİ
Authors: Akdağ Saffet 
Published: July 2019

Küresel risk iştahının göstergesi olarak kabul
edilen VIX endeksi bir çok ülkenin finansal yapıcıları tarafından takip
edilmektedir. Çünkü VIX endeksinden meydana gelen değişimler ulusal
piyasalardaki bir çok finansal göstergeyi de etkilemektedir. Bu bağlamda
çalışmanın amacı VIX endeksinin Türkiye’deki çeşitli finansal göstergeler
üzerinde bir etkisinin olup olmadığı hem Granger (1969) nedensellik analizi hem
Breitung ve Candelon frekans nedensellik analizi hem de Johansen eşbütünleşme
analizi ile test etmektir. Granger nedensellik analizi sonucunda VIX
endeksindeki değişimin, BİST 100 endeksi, Dolar ve Euro kuru, sanayi üretim
endeksi, reel kesim ve tüketici güven endeksi, satın alma yöneticileri endeksi
ve risk iştahı endeksindeki değişimlerin nedeni olduğu tespit edilmiştir.
Frekans nedensellik analizi sonuçlarına göre ise VIX endeksindeki değişimden
BİST 100 endeksi, Dolar ve Euro kuru, faiz oranı, sanayi üretim endeksi, reel kesim güven endeksi, satın alma
yöneticileri endeksi ve risk iştahı endeksindeki değişime doğru nedenselliğin
kalıcı, tüketici güven endeksindeki değişime doğru nedenselliğin ise geçici olduğu
tespit edilmiştir. Eşbütünleşme analizine göre ise VIX ile ilgili değişkenler
arasında uzun dönemli bir ilişki olduğu tespit edilmiştir.
Experimental Investigation on Mechanical Joint of Lontar (Borassus Flabellifer) Fiber Reinforced Polyester Composites under Static Flexural Test
Authors: Bale Jefri S , Pell Yeremias M , Jafri Muhamad , Selan Rima 
Published: July 2019

This study has been conducted to investigate the flexural strength of Borassus Flabellifer Fiber/BFF reinforced polyester composite joint under static condition. Tests were carried out to study the flexural strength of double strap butt joint and single lap joint of BFF polyester composite. In addition, post observation of macroscope was used to map failure behavior. The results shown that the flexural strength of single lap joint is higher compared to double strap butt joint of BFF polyester composite. The larger cross-sectional area and the existence of gap area could be the main reason for lower flexural strength generated by double strap butt joint of BFF polyester composite. The failure of BFF polyester composite joints under flexural test indicated the brittle failure behaviour that fiber breakage was found to be the final failure mechanism which start with matrix cracking and fiber-matrix debonding failure mechanisms.
Legal Problems and Risks of Genetic Revolution: Genetic Information and Discrimination
Authors: Bogdanova E. E. 
Published: July 2019

In the article the author highlights that new technologies can significantly change both the life of each person and the development of human civilization as a whole. In this regard, it is necessary to draw attention to the fact of increasing importance of genetic information contained in human DNA in various areas of life of a human being and, due to this fact, the need for legal science to effectively protect the rights of an individual in order to prevent harm caused by the misuse of his genetic information.On the basis of the analysis of the problems arising in connection with the use of genetic information about a person, the author concludes that the legislation in this area needs to be improved also with a view to preventing discrimination against individuals on the basis of genome. By its legal nature, genetic information is an element of personal, family privacy of an individual and is included in the broader concept of privacy of the individual. Therefore it must be protected by law as an intangible benefit (Art. 150 of the Civil Code of the Russian Federation). However, the existing legal regulation is not able to take into account the specifics of genetic information and to provide effective protection against misappropriation and misuse of this information including protection against actions aimed at establishing restrictions on the basis of hereditary diseases and other characteristics in employment, conclusion of contracts of insurance, credit agreements, etc.
Tradução e adaptação para português da Vanderbilt ADHD Diagnostic Teacher Rating Scale: um estudo piloto
Authors: Oliveira Luís , Pereira Marcelino , Medeiros Teresa , Serrano Ana 
Published: July 2019

Este estudo integra uma investigação mais ampla, cujo propósito foi analisar o impacto da Perturbação de Hiperatividade/Défice de Atenção (PHDA) em contexto escolar, a nível académico, comportamental e social. A Vanderbilt Adhd Diagnostic Teacher Rating Scale (VADTRS) – Escala Vanderbilt de Diagnóstico de PHDA para Professores (EVDPP) - foi traduzida e adaptada para Português Europeu. 76 professores do 1.º ciclo da ilha de São Miguel (Açores) preencheram a EVDPP para 105 alunos diagnosticados com PHDA ou em avaliação, com idades compreendidas entre os 6 e os 11 anos, 85.7% são do género masculino e 14.3% do feminino. Os resultados demonstram a validade interna da escala, com alfas de Chronbach a situarem-se entre os .80 e .94 nas diferentes dimensões, corroborando outros estudos internacionais. Estes dados preliminares sugerem que a EVDPP pode ser um instrumento extremamente útil para as equipas multidisciplinares na sinalização, diagnóstico e caraterização dos principais problemas da PHDA em contexto escolar.