bluuebunny/crossref_metadata_2025_split huggingface dataset:
Survival and Kidney Outcomes of Children with an Early Diagnosis of Posterior Urethral Valves
Authors: Herbst Katherine W. , Tomlinson Paul , Lockwood Gina , Mosha Maua H. , Wang Zhu , D'Alessandri-Silva Cynthia 
Published: October 2019

Background and objectives
Posterior urethral valve is the most common cause of bladder outlet obstruction in infants. We aimed to describe the rate and timing of kidney-related and survival outcomes for children diagnosed with posterior urethral valves in United States children’s hospitals using the Pediatric Health Information System database.

Design, setting, participants, & measurements
This retrospective cohort study included children hospitalized between January 1, 1992 and December 31, 2006, who were in their first year of life, had a diagnosis of congenital urethral stenosis, and underwent endoscopic valve ablation or urinary drainage intervention, or died. Records were searched up to December 31, 2018 for kidney-related mortality, placement of a dialysis catheter, and kidney transplantation. Cox regression analysis was used to identify risk factors, and Kaplan–Meier survival analysis used to determine time-to-event probability. Subgroup survival analysis was performed with outcomes stratified by the strongest identified risk factor.

Results
Included were 685 children hospitalized at a median age of 7 (interquartile range, 1–37) days. Thirty four children (5%) died, over half during their initial hospitalization. Pulmonary hypoplasia was the strongest risk factor for death (hazard ratio, 7.5; 95% confidence interval [95% CI], 3.3 to 17.0). Ten-year survival probability was 94%. Fifty-nine children (9%) underwent one or more dialysis catheter placements. Children with kidney dysplasia had over four-fold risk of dialysis catheter placement (hazard ratio, 4.6; 95% CI, 2.6 to 8.1). Thirty-six (7%) children underwent kidney transplant at a median age of 3 (interquartile range, 2–8) years. Kidney dysplasia had a nine-fold higher risk of kidney transplant (hazard ratio, 9.5; 95% CI, 4.1 to 22.2).

Conclusions
Patients in this multicenter cohort with posterior urethral valves had a 5% risk of death, and were most likely to die during their initial hospitalization. Risk of death was higher with a diagnosis of pulmonary hypoplasia. Kidney dysplasia was associated with a higher risk of need for dialysis/transplant.

Podcast
This article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2019_10_03_CJN04350419.mp3
Sundhedsplatformen i modvind: En analyse af aktørernes teknologiforståelser i danske medier
Authors: Røhl Ulrik Bisgaard Ulsrod , Nielsen Jeppe Agger 
Published: October 2019

Sundhedsplatformen udgør et af de mest omdiskuterede offentlige digitaliseringsinitiativer i de senere år i Danmark og Skandinavien. Artiklen zoomer ind på, hvordan Sundhedsplatformen fremstilles i den offentlige debat baseret på en undersøgelse af 520 nyhedsartikler i danske medier i perioden 2012-2018. Artiklen belyser de forskellige interessenters (læger, politikere m.fl.) opfattelser og forståelser af Sundhedsplatformen (”technological frames”), ligesom det belyses, hvordan journalister og redaktører fremstiller (”vinkler”) muligheder og problemer ved anvendelse af Sundhedsplatformen. Samlet er de kritiske udsagn om Sundhedsplatformen tydeligt fremherskende og baseret på grundlæggende opfattelser af, at Sundhedsplatformen begrænser arbejdsglæden, medfører usikker patientbehandling, og fortrænger menneskeligheden i mødet mellem patient og personale. Debatten er samtidig karakteriseret ved en kraftig skævhed, i hvilke interessenter som kommer til orde med læger som den dominerende interessentgruppe, der går forrest i den til tider heftige kritik. Artiklen bidrager med indgående viden om, hvordan Sundhedsplatformens formål, implementering og brug opfattes af centrale interessenter i sundhedsvæsenet, og viser hvordan indførelse af et omfattende og avanceret IT-system i offentlige organisationer kan blive et omdrejningspunkt i medierne.
Code Section 304: The Gift That Keeps on Giving
Authors: Narotzki Doron , McCoskey Melanie G. 
Published: October 2019

ABSTRACT
The Tax Cuts and Jobs Act (TCJA) has created a unique opportunity to utilize Code Section 304 and Code Section 245A as powerful tax-planning tools. By utilizing the rules established for redemptions between related corporations under the anti-abuse provisions of Code Section 304 combined with the new 100 percent DRD of Code Section 245A, extracting earnings from affiliated foreign corporations tax-free has never been easier. This paper explains how these two code sections interact with each other and the resulting ability to extract certain foreign-sourced earnings tax-free. It also identifies incentives created by the TCJA to operate profitable businesses overseas and expected loss operations in the U.S. Finally, the paper offers a legislative change to close the tax avoidance loophole created by the TCJA.
JEL Classifications: H2.
Variability in Glycated Hemoglobin and Risk of Poor Outcomes Among People With Type 2 Diabetes in a Large Primary Care Cohort Study
Authors: Critchley Julia A. , Carey Iain M. , Harris Tess , DeWilde Stephen , Cook Derek G. 
Published: October 2019

OBJECTIVE
Diabetes guidelines focus on target glycated hemoglobin (HbA1c) levels. Long-term variability in HbA1c may be predictive of hospitalization or mortality, but its importance at different average levels or trajectories is unclear.

RESEARCH DESIGN AND METHODS
Using English primary care data, 58,832 patients with type 2 diabetes had HbA1c average (mean of annual means), variability (coefficient of variation), and trajectory (annual regression slope) estimated during 2006–2009. Hazard ratios (HRs) for mortality and emergency hospitalization during 2010–2015, with adjustment for age, sex, smoking, BMI, duration of diabetes, and deprivation, were estimated using Cox regression. The simultaneous impact of HbA1c average, variability, and trajectory was estimated using percentiles.

RESULTS
In mutually adjusted models, HbA1c variability showed a consistent dose-response relationship with all-cause mortality, while average level was only important among individuals in the highest or lowest 10% of the distribution, and trajectory had no independent effect. Individuals with the most unstable HbA1c (top 10%) were almost twice as likely to die (HR 1.93 [95% CI 1.72–2.16]) than were those with the most stable (bottom 10%)—an association attenuated but not explained by hypoglycemia. For emergency hospitalizations, similar trends were seen except for coronary artery disease (CAD) and ischemic stroke (IS), where increasing average rather than variability was predictive.

CONCLUSIONS
HbA1c variability was strongly associated with overall mortality and emergency hospitalization and not explained by average HbA1c or hypoglycemic episodes. Only for CAD and IS hospitalizations was no association found, with average HbA1c strongly predictive. Targets should focus on both stability and absolute level of HbA1c.
Obstetric and perinatal outcomes in women with multiple pregnancy in Altai region
Authors: Barinov S. V. , Belinina A. A. , Molchanova I. V. , Kolyado O. V. 
Published: October 2019

Aim. To study complications and perinatal outcomes of multiple pregnancy in women of the Altai Region.Materials and Methods. We recruited 678 consecutive pregnant women, including 378 with multiple pregnancy, with the subsequent analysis of clinical and ultrasound examination data as well as perinatal outcomes.Results. Women with multiple pregnancy were characterised by a significantly higher rate of gynecological and somatic diseases including pregnancy-related anemia (20.2% versus 4.3% in women with multiple and singleton pregnancy, respectively, OR = 6.0, 95% CI = 3.2-11.3). Further, multiple pregnancy was a significant risk factor for preterm birth (62.26% and 21.82%, respectively, OR = 5.9, 95% CI = 4.2-8.4, p ≤ 0.001). Application of cervical pessary was able to prolong the multiple pregnancy for 4 weeks.Conclusion. Prevention of threatening preterm birth in women with a multiple pregnancy using a cervical pessary improves perinatal outcomes.
Tracing the Historical Roots and the Development of Islamic Epistemology from the Early to Modern Periods (A Study of Bayani, Burhani, 'Irfani)
Authors: Sifa Alex Nanang Agus 
Published: October 2019

This article is aimed at revealing the emergence and development of islamic epistemology. Epistemology which means the theory of knowledge is not wholly owned by Modern Western scientists with the advance of civilization of them. Before the West advanced, Islam as a religion that upheld science, has its own history of the theory of knowledge or epistemology. In fact, epistemology in Islam recognizes not only tools or sources of knowledge which are in the form of senses or intelligence but also the heart (intuition). These senses, intelligence, and intuition are well known as three epistemological models of Islam (Bayani, Burhani dan â€˜Irfani).
KAJIAN LATAR FISIK DAN LATAR SOSIAL YANG TERCERMIN DALAM NOVEL PERTEMUAN DUA HATI KARYA NH. DINI [A review of the physical background and social setting that is reflected in the novel of "Pertemuan Dua Hati" by NH. DINI]
Authors: Sakila - , Sakila - 
Published: October 2019

The purpose of this study commonly described about the background of the Pertemuan Dua Hati novel and specifically interpreted its physical background and social setting . The research used descriptive method with qualitative research model. The research approach was using structural approach. The source of the data was taken from a novel entitled Pertemuan Dua Hati by Nh. Dini which had been published by PT Gramedia Pustaka Utama, Jakarta, in 1992, the sixth printing, and consists of 85 pages. Based on the analysis, it concluded that the physical setting that presented by the author was quite well. This can be seen from the description of the house and the area. Furthermore, the social background that presented by the author was good enough. It has been explanated from the conditional economy, the views of life and the attitude of the character.Tujuan penelitian ini secara umum adalah untuk mendeskripsikan latar dalam novel Pertemuan Dua Hati, sedangkan secara khusus untuk menginterpretasikan latar fisik dan latar sosial novel tersebut. Metode penelitian yang digunakan adalah metode deskriptif dengan model penelitian kualitatif. Pendekatan penelitian yang digunakan adalah pendekatan struktural. Sumber datanya berasal dari novel yang berjudul Pertemuan Dua Hati karya Nh. Dini yang diterbitkan oleh PT Gramedia Pustaka Utama, Jakarta, tahun 1992, cetakan keenam, dan terdiri dari 85 halaman. Berdasarkan hasil analisis terhadap novel tersebut, latar fisik yang disajikan pengarang cukup baik. Hal ini terlihat dari keterangan mengenai rumah dan daerah. Selanjutnya, latar sosial yang disajikan pengarang cukup baik. Hal ini terlihat dari pemaparan tentang keadaan ekonomi, pandangan hidup, dan sikap hidup tokoh.
TINDAK TUTUR ILOKUSI DALAM CERAMAH USTAD ABDUL SOMAD [Ilocusionary Speech Act In Ustadz Abdul Somad Lecture]
Authors: Marnetti - 
Published: October 2019

This study focuses on illocutionary speech acts used by Ustad Abdul Somad (UAS) in his lecture on September 20, 2018 at Baiturrahmah University, Padang. The objective of this study is to describe the form of illocutionary speech acts used by UAS in his lecture. The research data is the result of UAS lecture transcripts downloaded through www.youtube.com. Data were analyzed by applying some steps, they are 1) reading, understanding, and marking speech acts used by UAS, 2) classifying data based on the types of illocutionary speech acts, 3) interpreting data based on speech forms and other things including the context and speech situation. The results of this study indicate that there are 58 sentences of illocutionary speech acts used by UAS in lecturing. In detail, the 58 illocutionary speech acts are divided into 17 representative illocutionary speech acts, 19 directive illocutionary speech acts, 12 expressive speech acts, 8 commissive speech acts, and 2 declaration speech acts. Penelitian ini difokuskan pada tindak tutur ilokusi yang digunakan oleh UAS dalam ceramahnya pada 20 September 2018 di Universitas Baiturrahmah, Padang. Tujuan penelitian ini adalah untuk mendeskripsikan bentuk tindak tutur ilokusi yang digunakan oleh UAS dalam ceramahnya. Data penelitian ini merupakan hasil transkripsi ceramah UAS yang diunduh melalui www.youtube.com. Data dianalisis dengan langkah-langkah 1) membaca, memahami, dan menandai tindak tutur yang digunakan UAS, 2) mengklasifikasikan data berdasarkan jenis tindak tutur ilokusi, 3) menginterpretasikan data berdasarkan bentuk tutur dan hal lain termasuk konteks dan situasi tutur tersebut. Hasil penelitian ini menunjukkan bahwa terdapat 58 kalimat tindak tutur ilokusi yang digunakan oleh UAS dalam berceramah. Secara rinci ke-58 tindak tutur ilokusi tersebut terbagi dalam 17 tindak tutur ilokusi reprentatif, 19 tindak tutur ilokusi direktif, 12 tindak tutur ekspresif, 8 tindak tutur komisif, dan 2 tindak tutur deklarasi
Impact of Capital Structure on the Performance of Textilesector in Pakistan: Examining the Moderating Effect of Liquidity
Authors: Adeel Akhtar  , Allah Bakhsh  , Mehak Ali  , Shazia Kousar  
Published: October 2019

Purpose: The basic aim of this study is to investigate how capital structure influences the performance of firms from textile sector listed at Pakistan Stock Exchange, taking liquidity of the firms as a moderator.
Methodology: Data of 30 listed textile firms is taken from their financial statementsfor a period of ten years from 2007 to 2016.Analysis has been conducted using the Ordinary least square (OLS) regression. Two measures of capital structure (debt ratio and debt-to-equity ratio) have been used to find out its impact on three performance measures (return on assets, return on equity, and earnings per share).
Findings: The variable, total debt ratio does not have any significant effect on all the three firm performance measures (return on asset, return on equity and earnings per share). Debt-to-equity ratio variable also does not have a significant impact on two firm performance measures (ROA and ROE). It however has a significant, negative impact on EPS. In case of liquidity as a moderator, it is found that liquidity acts as the significant moderator between the debt ratio and return on assets whereas liquidity factor is significant in case of relation between debt –to-equity variable and two performance variables return on assets and earnings per share..
Practical implications: Practically this study is important from managerial perspective as the appropriate decision for choosing a level of capital structure vis-à-vis total assets and total equity is essential for the better performance of the firms.
DIVERSITAS EKHINODERMATA (ASTEROIDEA, ECHINOIDEA DAN HOLOTHUROIDEA) DI PERAIRAN PULAU OSI, SERAM BARAT-MALUKU TENGAH
Authors: Yusron Eddy , Edward  
Published: October 2019

Penelitian keanekaragaman jenis fauna ekhinodermata (Asteroidea, Echinoidea dan Holothuroidea) di perairan Pulau Osi, Seram Barat, Maluku Tengah dilakukan pada Juli 2012. Penelitian ini bertujuan untuk mendapatkan informasi mengenai struktur komunitas fauna ekhinodermata di perairan Pulau Osi, Maluku Tengah. Pengambilan contoh biota dilakukan dengan menggunakan transek kuadrat ukuran 1m x 1m. Hasil penelitian diperoleh 16 jenis ekhinodermata yang mewakili empat jenis Asteroidea, lima jenis Echinoidea dan tujuh jenis Holothuroidea. Kelompok teripang atau Holothuroidea merupakan kelompok yang paling menonjol pada tiga stasiun. Pada tiga stasiun yang diamati, ternyata kelompok teripang (Holothuroidea) menempati tingkat kekayaan jenis relatif tinggi. Analisa kuantitatif diperoleh nilai indeks keanekaragaman dan indeks kemerataan tertinggi ditemukan di stasiun dua (H = 1,117; J = 0,974) dan nilai indeks kekayaan jenis tertinggi didapatkan pada stasiun satu (D = 0,079). Secara umum ekhinodermata menyukai mikrohabitat lamun (14 jenis), mikrohabitat pasir (9 jenis) dan mikrohabitat rumput laut (8 jenis).
KEANEKARAGAMAN DAN KEMIRIPAN BENTUK PROFIL TERUMBU BERDASARKAN IKAN KARANG DAN LIFEFORM KARANG DI TELUK DEPAPRE JAYAPURA, PROVINSI PAPUA, INDONESIA
Authors: Paulangan Yunus Pajanjan , Fahrudin Achmad , Sutrisno Dewayany , Bengen Dietriech Geoffrey 
Published: October 2019

Pemahaman tentang keanekaragaman, dan asosiasi di dalamnya khususnya ikan karang sangat penting dalam rangka pengelolaannya secara berkelanjutan. Tujuan penelitian ini adalah mengkaji struktur komunitas dan kemiripan berdasarkan kelimpahan famili ikan karang dengan bentuk lifeform. Pengambilan data lifeform menggunakan metode Point Intercept Transect, dan pengambilan data ikan karang menggunakan metode Underwater Visual Census. Analisis Korespondensi digunakan untuk menggambarkan kemiripan kelimpahan famili ikan karang dan lifeform karang dengan bentuk profil terumbu. Hasil penelitian menunjukan bahwa total ikan karang yang dijumpai untuk ikan indikator dan ikan target sejumlah 3.666 ekor yang terdiri dari 130 spesies dari 26 famili, kelimpahan individu ikan target tertinggi secara berturut-turut Tanjung Tanah Merah, Tanjung Harlem, Pulau Kwahkeboh, Tanjung Sarebo, Amayepa, Tanjung Amay dan Tanjung Kuburan Tablasufa. Keanekaragaman (H’) relatif tinggi, yakni berkisar 2,66-3,63, Indeks Keseragaman (E) cukup tinggi yakni berkisar 0,55-0,76 (→1), dan Indeks Dominansi (D) rendah yakni berkisar 0,03-0,08 (→0). Kelimpahan famili ikan karang dan lifeform memiliki kemiripan pada bentuk profil terumbu.
STRATEGI 7P UNTUK PERLUASAN PANGSA PASAR SEKTOR INDUSTRI PARIWISATA DI DESA EKOWISATA KERUJUK KABUPATEN LOMBOK UTARA
Authors: Suryawati Baiq Nurul , Kusmayadi Iwan , Wardani Laila 
Published: October 2019

Program pengabdian kepada masyarakat ini bertujuan untuk memberikan pendampingan kepada para pemilik usaha yang ada di Desa Ekowisata Kerujuk. Dalam usaha memasarkan produknya, para pemilik usaha di desa ekowisata Kerujuk sudah mulai menggunakan beberapa media sosial sebagai alat bantu, seperti instagram, facebook, youtube, whatsapp, twitter bahkan wordpress. Penggunaan media sosial seadanya menyebabkan usaha yang mereka lakukan tidak dapat optimal. Pemberian materi mengenai strategi 7P, yang terdiri dari Product (Services), Price, Place, Promotion, People, Process, dan Physical Evidence, strategi ini ini disebut pula strategi komunikasi pemasaran untuk dapat mengenali pangsa pasar agar dapat memaksimalkan penjualan. Hal ini dilakukan untuk membantu mereka menganalisis permasalahan utama mereka di dalam aspek pemasaran. Program pengabdian kepada masyarakat ini kemudian dapat mengidentifikasi ketidak-mampuan mereka mengenali atribut utama produk mereka, yang akhirnya membuat mereka tidak dapat memetakan konsumen dengan baik sehingga promosi yang mereka lakukan tidak banyak membuahkan hasil. Program pengabdian kepada masyarakat ini, dilaksanakan dengan menggunakan metode intervensi yaitu pemberian ceramah dan tanya-jawab yang bertujuan untuk merubah pemikiran para pemilik usaha sehingga konsep pemasaran yang mereka terapkan dapat menyeluruh sesuai dengan harapan konsumen. Berdasarkan hasil kegiatan pengabdian terhadap masyarakat ini adalah kemampuan untuk menguraikan permasalahan utama dengan memperbanyak saluran disitribusi. Pelaksanaan kegiatan pengabdian kepada msyarakat ini memfasilitasi urun rembug pemilik usaha di desa ekowisata Kerujuk untuk dapat menjalin kerja-sama dengan BUMDES-Mart sebagai sarana peningkatan saluran distribusi untuk peningkatan pangsa pasar.
MEMPERKENALKAN PERMAINAN JUMANTIK SEBAGAI MEDIA EDUKASI UNTUK MELATIH MASYARAKAT MEMANTAU JENTIK NYAMUK
Authors: Sari Dian Puspita , Suryani Dewi , Karuniawati Titi Pambudi , Susani Yoga Pamungkas 
Published: October 2019

Demam Berdarah Dengue (DBD) adalah salah satu tantangan kesehatan di Indonesia, khususnya di Kota Mataram. Perilaku manusia dapat mempengaruhi ekologi vektor dan siklus transmisi penyakit, karena itu upaya pengendalian vektor DBD harus melibatkan peran serta masyarakat dalam mengelola lingkungannya. Pelibatan masyarakat sejak usia belia dapat membentuk perilaku pencegahan yang diharapkan serta mendorong perubahan perilaku pada orang dewasa. Board game merupakan salah satu alternatif metode pembelajaran yang dapat digunakan pada anak maupun dewasa. Selain menyenangkan, penyampaian pesan edukatif melalui permainan dapat meningkatkan luaran kognitif dan perilaku yang diharapkan dari permainan tersebut. Media board game pemantauan jentik dapat pula digunakan untuk mendukung program pemberantasan sarang nyamuk (PSN) pada anak sekolah. Kegiatan ini bertujuan untuk memberikan edukasi kepada masyarakat terkait pemberantasan sarang nyamuk melalui media permainan yang diberi judul JUMANTIK. Pada kegiatan pengabdian kepada masyarakat ini, sebanyak 20 orang memainkan permainan JUMANTIK dan sembilan di antaranya adalah anak-anak.Hasil dari pelaksanaan kegiatan pengabdian kepada masyarakat ini adalah peningkatan pengetahuan terkait Demam Berdarah Dengue setelah memainkan permainan Jumantik, terutama pada aspek pencegahan breeding site nyamuk. Pada anak-anak, permainan ini meningkatkan kesediaan mereka untuk ikut memantau jentik nyamuk di rumah dan di sekolah. Sementara pada peserta dewasa permainan ini mampu meningkatkan kesetujuan akan peran anak-anak dalam pemberantasan sarang nyamuk di sekolah. Permainan ini dinilai menarik dan bermanfaat oleh anak-anak maupun dewasa. Kesimpulan yang dapat diambil adalah permainan Jumantik dapat menjadi salah satu media edukasi untuk meningkatkan pengetahuan dan sikap anak-anak maupun dewasa terkait pencegahan DBD di rumah dan sekolah.
PEMASANGAN PERANGKAT PEGUAT DAYA GSM DI PULAU GILI GEDE KABUPATEN LOMBOK BARAT PROVINSI NUSA TENGGARA BARAT
Authors: Yadnya Made Sutha Yadnya , Movianto Cahyo Mustiko Okta , Rahmadani Cipta , Satiawan I Nyoman Wahyu , Citarsa Ida Bagus Fery 
Published: October 2019

Berdasarkan data sensus penduduk tahun 2015 penduduk di Gili Gede yang tinggal di pulau adalah 425 Kepala Keluarga (KK), serta yang mempunyai HP(Phonsel) sebanyak 196 KK. Hal ini menimbulkan kebutuhan komunikasi cukup tinggi, dilain pihak pada keluarga yang mampu mempunyai sampai HP sampai 3 buah HP per orang. Sangat miris melihat kenyataan sinyal yang diperoleh dalam penggunaanHP di Gili Gede sangat kecil dan cenderung hanya bisa di tangkap pada siang hari, serta harus berpindah posisi mencari sinyal yang baik dengan naik ke perbukitan (dataran lebih tinggi). Ini harus diatasi dengan memasang BTS kecil (penguat daya GSM). Pengabdian pada masyarakat salah satunya dengan memasang pemancar dan penerima berupa BTS kecil dengan cakupan radius sinyal area jarak udara 50 meter. Bagian BTS salah satu komponen adalah antena, arah rambat dipergunakan arah directional (terarah) dan arah ommidirectional. Terpasangnya BTS komunikasi dengan dunia luar pulau dapat dilakukan dengan baik.
PENGARUH CAPITAL STRUCTURE DAN FIRM SIZE TERHADAP AGENCY COST DAN KINERJA KEUANGAN
Authors: Pujawati Poppy , Surasni Ni Ketut 
Published: October 2019

This research is aimed at examining the effect of capital structure and firm size on agencycost and financialperformanceofMiscellaneous Industrywhich listed in BEI. The populations of this research were all Miscellaneous Industrywhich listed in BEI.Sampling was conducted using a purposivesampling method so that in this research the number ofsamples were 23 companies in the 2013-2017 period.Testing classic assumptions include normality test, multicollinearity test, heteroscedasticity test, and autocorrelation test. The collected data werethen analyzed with path analysisusing SPSSprogram and Sobel test. The research showed that there is an influence of the firm size tested has an effect on agency cost, while the capital structure has not an effect on agency cost. There is an influence of firm size, and agency cost on financial performance, while the capital structure has not an effect on the financialperformance. There is an indirect effect of firm size on financial performance through agency cost as an intervening variable.Keywords: Capital Structure, Firm Size, Agency Cost, Financial Performance.