bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impact of length of stay on HCAHPS scores following lumbar spine surgery
Authors: Smith Gabriel A. , Chirieleison Steven , Levin Jay , Atli Karam , Winkelman Robert , Tanenbaum Joseph E. , Mroz Thomas , Steinmetz Michael 
Published: June 2019

OBJECTIVEHospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys, completed by patients following an inpatient stay, are utilized to assess patient satisfaction and quality of the patient experience. HCAHPS results directly impact hospital and provider reimbursements. While recent work has demonstrated that pre- and postoperative factors can affect HCAHPS results following lumbar spine surgery, little is known about how these results are influenced by hospital length of stay (LOS). Here, the authors examined HCAHPS results in patients with LOSs greater or less than expected following lumbar spine surgery to determine whether LOS influences survey scores after these procedures.METHODSThe authors conducted a retrospective review of HCAHPS surveys, patient demographics, and outcomes following lumbar spine surgery at a single institution. A total of 391 patients who had undergone lumbar spine surgery and had completed an HCAHPS survey in the period between 2013 and 2015 were included in this analysis. Patients were divided into those with a hospital LOS equal to or less than the expected (LTE-LOS) and those with a hospital LOS longer than expected (GTE-LOS). Expected LOS was based on the University HealthSystem Consortium benchmarks. Nineteen questions from the HCAHPS survey were examined in relation to patient LOS. The primary outcome measure was a comparison of “top-box” (“9–10” or “always or usually”) versus “low-box” (“1–8” and “somewhat or never”) scores on the HCAHPS questions. Secondary outcomes of interest were whether the comorbid conditions of cancer, chronic renal failure, diabetes, coronary artery disease, hypertension, stroke, or depression occurred differently with respect to LOS. Statistical analysis was performed using Fisher’s exact test for the 2 × 2 contingency tables and the chi-square test for categorical variables.RESULTSTwo hundred fifty-seven patients had an LTE-LOS, whereas 134 patients had a GTE-LOS. The only statistically significant difference in preoperative characteristics between the patient groups was hypertension, which correlated to a shorter LOS. A GTE-LOS was associated with a decreased likelihood of a top-box score for the HCAHPS survey items on doctor listening and pain control.CONCLUSIONSHere, the authors report a decreased likelihood of top-box responses for some HCAHPS questions following lumbar spine surgery if LOS is prolonged. This study highlights the need to further examine the factors impacting LOS, identify patients at risk for long hospital stays, and improve mechanisms to increase the quality and efficiency of care delivered to this patient population.
Intrauterine closure of myelomeningocele is associated with superior long-term quality of life than postnatal closure: a single-center study
Authors: Mummareddy Nishit , Dewan Michael C. , Huang Anna , Basem Jade , Bennett Kelly A. , Shannon Chevis N. , Wellons John C. 
Published: June 2019

OBJECTIVEThe Management of Myelomeningocele Study (MOMS) established several important benefits of myelomeningocele fetal closure, including decreased need for shunting at 30 months. However, the effects of fetal closure on long-term quality of life (QOL) have not been studied. In this study, the authors aimed to analyze the differences in long-term QOL between children treated with intrauterine repair and those treated with postnatal repair.METHODSCaregivers of children treated with either intrauterine or postnatal closure at a tertiary acute care hospital between 1997 and 2003 were contacted to participate. The Pediatric Quality of Life Inventory (PedsQL 4.0) and a surgical history questionnaire were administered over the phone. Responses to the QOL survey were reverse scored and linearly transformed to a 0–100 scale, with a higher score indicating better QOL. The Mann-Whitney U-test was used to analyze differences in means.RESULTSSeventy-four children had MMC repair between 1997 and 2003. Twenty-three (31%) of the patients’ families responded to the PedsQL 4.0 questionnaire. Of these 23 children, 11 had intrauterine closure and 12 had postnatal closure. The intrauterine group did not differ in age (median [IQR] 17 years [14–17 years] vs 15 years [14–19 years], p = 0.926), sex (27.3% vs 41.7% male, p = 0.469), or lesion level (p = 0.199) from the postnatal group. Fewer patients in the intrauterine group underwent neurosurgical procedures than those in the postnatal group (55.6% vs 100%, p = 0.018). However, of the children receiving neurosurgical procedures, there was no difference in the number of procedures between the intrauterine and postnatal groups (median [IQR] 4 [2–10.5] vs 2.5 [1.75–6.25], p = 0.458). There was no difference in the percentage of children receiving nonneurosurgical procedures between the two groups (100% vs 100%, p > 0.99). Children who underwent intrauterine closure had significantly higher psychosocial health (median [IQR] 70.0 [56.7–83.3] vs 55.0 [42.1–60.0], p = 0.015) as well as total QOL (median [IQR] 56.5 [55.4–81.5] vs 49.5 [32.9–59.0], p = 0.019) than children with postnatal closure. Physical health was not significantly different between the two groups (median [IQR] 62.5 [37.5–78.1] vs 39.1 [18.8–59.4], p = 0.108).CONCLUSIONSRelative to postnatal closure, children who underwent intrauterine closure of MMC demonstrated better long-term QOL as measured by psychosocial and overall QOL metrics. Given that not all medical and socioeconomic confounders were adjusted for due to the low sample size, validation of these results in a larger population and across multiple centers is needed.
Circles on lattices and Hadamard matrices
Authors: Balonin N. A. , Sergeev M. B. , Seberry J. , Sinitsyna O. I. 
Published: June 2019

Introduction: The Hadamard conjecture about the existence of Hadamard matrices in all orders multiple of 4, and the Gauss problem about the number of points in a circle are among the most important turning points in the development of mathematics. They both stimulated the development of scientific schools around the world with an immense amount of works. There are substantiations that these scientific problems are deeply connected. The number of Gaussian points (Z3 lattice points) on a spheroid, cone, paraboloid or parabola, along with their location, determines the number and types of Hadamard matrices.Purpose: Specification of the upper and lower bounds for the number of Gaussian points (with odd coordinates) on a spheroid depending on the problem size, in order to specify the Gauss theorem (about the solvability of quadratic problems in triangular numbers by projections onto the Liouville plane) with estimates for the case of Hadamard matrices. Methods: The authors, in addition to their previous ideas about proving the Hadamard conjecture on the base of a one-to-one correspondence between orthogonal matrices and Gaussian points, propose one more way, using the properties of generalized circles on Z3 .Results: It is proved that for a spheroid, the lower bound of all Gaussian points with odd coordinates is equal to the equator radius R, the upper limit of the points located above the equator is equal to the length of this equator L=2πR, and the total number of points is limited to 2L. Due to the spheroid symmetry in the sector with positive coordinates (octant), this gives the values of R/8 and L/4. Thus, the number of Gaussian points with odd coordinates does not exceed the border perimeter and is no less than the relative share of the sector in the total volume of the figure.Practical significance: Hadamard matrices associated with lattice points have a direct practical significance for noise-resistant coding, compression and masking of video information.
Implementation of Genetic Algorithms for Optimization of Transportation Problem
Authors: Saeed Soobia 
Published: June 2019

Transportation problem is a model which is commonly used in data structure solving a problem (human problem solving due to the computational method) because all the humans are related to transportation in any type of manner. Normally, traditional mathematical procedures used for solving the problem which is quite lengthy, after the computational solving procedures it comes to the bit easier to solve it except traditional lengthy methods. The Genetic Algorithm (GA) is most powerful tool for solving transportation problem. It refines the better optimal solution, for enhancing the optimization of transportation problem, using genetic algorithms lots of the work already has been done. This paper discusses the impact of genetic algorithms on two different types of systems environments i.e., Single-Processor Environment Systems and Multi-Processor Environment Systems, for solving the transportation problem and found the best optimal solution time of both systems.

Index Terms— Transportation Problem, Genetics Algorithm (GA), Single-Processor Systems, Multi-Processor Systems, Optimization.
The Effectiveness Of Community Movement Program On Health Department Of Makassar City In Improving Health Status Of Hajj Pilgrims Year 2018
Authors: Ilham Muhammad Nashrullah , Patimah Sitti , Alwi Muhammad Khidri 
Published: June 2019

Muhammad Nashrullah Ilham. The Effectiveness of the Germas Program of the Makassar City Health Office in Improving the Health Status of Hajj Pilgrims in 2018 (Guided by Sitti Patimah and H. Muh. Khidri Alwi).
This study wants to assess the effectiveness of the program of the Healthy Living Society Movement (GERMAS) of the Makassar City Health Office in Improving the Health Status of Hajj Pilgrims in 2018.
This research uses a mixed approach (Mix Design). The Mix Design research approach is dominant-less dominant, which is dominant in this research, namely the qualitative approach, while the less dominant one is the quantitative approach. The key informants in this study were 42 pilgrims from the City of Makassar. Ordinary informants were health workers involved in the Society Life Healthy Movement program in pilgrims as many as 5 people.
The results of the study show that at the input, process and output stages have been going well. The results of the statistical analysis showed a change in the health status of the pilgrims after the implementation of the Healthy Living Society Movement (GERMAS) namely significant changes in blood pressure (p = 0.001), changes in obesity status (p = 0.310), blood sugar levels (p = 0,000) and also a significant change in gout (p = 0.145).
The conclusion of the study is that starting from the input, process and output are in accordance with the program expectations. It is recommended that there be a continuous socialization of the GERMAS program to the general public and carried out also by all government and private agencies.
Keywords : Effectiveness, healthy living society movement, hajj pilgrims
Combination of Pectoralis Major Muscle Massage and Endorphine Massage in Trimester III Pregnant Women for the Removal of Post Partum ASI in Palu City
Authors: Uddin Rafika , Kusika Sri Yanti 
Published: June 2019

The inhibiting factor in breastfeeding is the production of breastfeeding it self. The production of breast milk which is less and slowly exits can cause the mother not to give enough milk to her baby. Stimulating breastmilk production can be done by trying to stimulate prolactin and oxytocin hormones including by carrying out breast care on the skin, through pectoralis major muscle massage and endorphine massage to accelerate oxygen and make the mother feel relaxed. The aim of the study was to determine the effect of the combination of pectoralis major muscle massage and endorphine massage in third trimester pregnant women on breast milk release in post partum mothers. This type of research is quasi-experimental with the design of the Static-Group Comparasion. The study was conducted in September-November 2018 in the area of the Kamonji Health Center in the City of Palu. The population consisted of an intervention group of 24 people combined treatment of pectoralis major muscle massage followed by endorphine massage, and a control group of 24 people not given treatment. Sampling using the executive sampling technique. Univariate analysis and bivariate analysis. The results of this study obtained by the intervention group had an average volume of breast milk of 1.36 cc, a minimum value of 05, cc and a maximum of 2.3 cc. while the control group has an average value of 0.38 cc, a minimum value of 0.1 cc and a maximum of 0.8 cc. it means there is a difference in the average volume of breast milk in the intervention group higher than the control group. This result is based on thestatistic Mann-Whitney Test obtained p value = 0,000. It was concluded, the combination of major pectoralis muscle massage and endorphine massage in third trimester pregnant women was effective against post partum breast milk release. Suggestion, the need for health center officers to apply this complementary therapy so that the target of exclusive breastfeeding is achieved.
Vacunas: ¿funcionan realmente?
Authors: Fallas Navarro Yorleny , Monge Bogantes Luis Carlos 
Published: June 2019

Las enfermedades contra las que podemos vacunar volverían a aparecer si se interrumpieran los programas devacunación. Si bien la mejor higiene, el lavado de las manos y el agua potable contribuyen a proteger a las personas contra enfermedades infecciosas, muchas infecciones se pueden propagar independientemente de la higiene que mantengamos. Si las personas no estuvieran vacunadas, algunas enfermedades que se han vuelto poco comunes, tales como la poliomielitis y el sarampión, reaparecerían rápidamente
Maniobra de Jendrassik sobre latencia y reflejo patelar
Authors: Huang Shih Chyong Yng , Quiel Ochoa Amelia 
Published: June 2019

Comparar el período de latencia del reflejo patelar con o sin la maniobra de Jendrassik. Ocho sujetos, sanos; con un promedio de 20 años de edad. El estudio será realizado en la pierna dominante del sujeto, en el laboratorio de fisiología del edificio Versalio Guzmán de la Universidad de Ciencias Médicas el 7 de marzo 2018. Se midió el tiempo de latencia del reflejo patelar con o sin la maniobra de Jendrassik. De los ocho sujetos se obtuvo una latencia del reflejo patelar sin la aplicación de la maniobra de Jendrassik es de 33.45 ms, mientras que aplicando la maniobra de Jendrassik se obtuvo una disminución de latencia de 31,28 ms. El estudio muestra cambios producidos por aplicación de la maniobra, sin embargo, no se logró presentar una disminución significativa en la latencia del reflejo patelar.
Efektivitas Program Badan Penyelenggara Jaminan Sosial (BPJS) Dalam Pelayanan Kesehatan Di Puskesmas Wajo Kota Baubau
Authors: Wulandari Witri 
Published: June 2019

Salah satu bentuk pelayanan kesehatan yang dapat memberikan keringanan bagi masyarakat adalah Program Badan Penyelenggaraan Sosial (BPJS) Kesehatan yang baru diluncurkan pada Januari 2014. Penelitian ini bertujuan untuk mengkaji efektivitas pelaksanaan program BPJS dengan focus studi pada Puskesmas Wajo Kota Baubau.
Program BPJS Kesehatan ini dapat diperoleh di Kantor BPJS Kesehatan di Kabupaten/Kota setempat sesuai dengan domisili dari peserta. Sehingga apabila pasien/peserta BPJS Kesehatan ingin berobat di Puskesmas atau Rumah Sakit yang menggunakan pelayanan kesehatan dengan kartu BPJS Kesehatan, maka peserta/pasien BPJS Kesehatan dapat berobat secara gratis dengan menunjukkan karti BPJS Kesehatan yang sudah dimiliki oleh peserta.
UPAYA PEMERINTAH DALAM MENANGANI ILLEGAL LOGING (STUDI PADA UPTD KEHUTANAN KECAMATAN KULISUSU KABUPATEN BUTON UTARA)
Authors: Basir Muh. Askal 
Published: June 2019

Tujuan penelitian ini adalah Faktor-faktor apa saja yang mempengaruhi terjadinya Illegal Loging di Kecamatan Kulisusu Kabupaten Buton Utara, Faktor-faktor apa yang ditimbulkan Illegal Loging terhadap kehidupan masyarakat di Kecamatan Kulisusu Kabupaten Buton Utara dan Untuk mengetahui Upaya Pemerintah Dalam menangani Illegal Loging di Kecamatan Kulisusu Kabupaten Buton Utara

Jenis penelitian ini merupakan Jenis penelitian kualitatif dimana Metode ini dapat juga digunakan untuk mendapatkan wawasan tentang sesuatu yang baru sedikit diketahui. Teknikanalisayangdigunakandalampenelitian ini adalah melalui tahapan sebagai berikut:(1)Melakukan telaah data,yaitu berupa penyajian hasil data secara menyeluruh, baik dari hasil wawancara maupun dokumentasi, (2) Reduksi data, (3) Penyusunan kedalam satuan-satuan,(4)Kategorisasi,(5) Pemeriksaan keabsahan data, yaitu upaya menentukan datayang masuk memenuhi syarat penelitianatau belum, sehingga kalau belum maka dapat disempurnakan, dan (6) analisa dan penafsiran data
Hasil Penelitian ini adalah (1)Faktor-faktor yang menyebabkan terjadiya illegal logging yaitu Kekurangan personel aparat kehutanan yang menyebabkan lemahnya pengawasan, lemahnya payung hukum menyebabkan sangsi yang diberkan kepada pelaku illigal logging sangat ringan,ketersediaan lapangan kerja dan faktor kmiskinan warga, Keterlibatan aparat penagak hukum sehingga menyebabkan adanya main mata atau KKN diantara aparat dan palaku illegal logging (2)Dampak yang terjadi akibat illegala logging yaitu dampak terhadap lingkingan, dampak terhadap kelestarian hutan, dampak terhadap ekonomi (3) Upaya pemerintah daerah kabupaten buton utara dalam menanggulangi Illegal logging yaitu Dengan menambah jumlah personil aparat kehutanan, Membuat Pembuatan peraturan daerah sebagai payung Hukum, Pemberian izin, Menerapkan sanksi yang berat, membuka lapangan pekejaan, Memberikan penyuluhan kepada masyarakat.
CO Detected in CI Tau b: Hot Start Implied by Planet Mass and MK
Authors: Flagg Laura , Johns-Krull Christopher M. , Nofi Larissa , Llama Joe , Prato L. , Sullivan Kendall , Jaffe D. T. , Mace Gregory 
Published: June 2019

Abstract
We acquired high-resolution infrared spectra of CI Tau, the host star of one of the few young planet candidates amenable to direct spectroscopic detection. We confirm the planet’s existence with a direct detection of CO in the planet’s atmosphere. We also calculate a mass of 11.6 M
J based on the amplitude of its radial velocity variations. We estimate its flux contrast with its host star to get an absolute magnitude estimate for the planet of 8.17 in the K-band. This magnitude implies the planet formed via a “hot start” formation mechanism. This makes CI Tau b the youngest confirmed exoplanet as well as the first exoplanet around a T Tauri star with a directly determined, model-independent dynamical mass.
Analyzing Essential Biodiversity Variables with the VAT System
Authors: Beilschmidt Christian , Drönner Johannes , Fernández Néstor , Langer Christian , Mattig Michael , Seeger Bernhard 
Published: June 2019

The Essential Biodiversity Variables (EBVs) are important information sources for scientists and decision makers. They are developed and promoted by the Group on Earth Observations Biodiversity Observation Network (GEO BON) together with the community. EBVs provide an abstraction level between measurements and indicators. This enables access to biodiversity observations and allows different groups of users to detect temporal trends as well as regional deviations. In particular, the analysis of EBVs supports finding countermeasures for current important challenges like biodiversity loss and climate change. A visual assessment is an intuitive way to drive the analysis. As one example, researchers can recognize and interpret the changes of forest cover maps over time.
The VAT System, in which VAT is an acronym for visualization, analysis and transformation, is an ideal candidate platform for the creation of such an analytical application. It is a geographical processing system that supports a variety of spatio-temporal data types and allows computations using heterogeneous data. For user interaction, it offers a web-based user interface that is built with state-of-the-art web technology. Users can perform interactive analysis of spatio-temporal data by visualizing data on maps and using various graphs and diagrams that are linked to the user’s area of interest. Furthermore, users are enabled to browse through the temporal dimension of the data using a time slider tool. This provides an easy access to large spatio-temporal data sets.
One exemplary use case is the creation of EBV statistics for selected countries or areas. This functionality is provided as an app that is built upon the VAT System. Here, users select EBVs, a time range and a metric, and create temporal charts that display developments over time. The charts are constructed internally by employing R scripts that were created by domain experts. The scripts are executed using VAT’s R connectivity module. Finally, users can export the results to their local computers. An export contains the result itself and additionally, a list of citations of the included EBVs as well as a workflow description of all processing steps for reasons of reproducibility. Such a use case exemplifies the suitability of the VAT System to facilitate the creation of similar projects or applications without the need of programming, using VAT’s modular and flexible components.