bluuebunny/crossref_metadata_2025_split huggingface dataset:
Management of Oral Anticoagulant-associated Intracerebral Hemorrhage
Authors: Epple Corina , Steiner Thorsten 
Published: March 2019

Introduction: Oral anticoagulant-associated intracerebral hemorrhages (OAC-ICHs) account for nearly 20% of all ICH and are associated with high mortality. The number of patients with an indication for oral anticoagulant therapy (OAT) is increasing with the aging population; therefore, despite the improved safety profile of non-vitamin K oral anticoagulants (NOACs), the number of patients with OAC-ICH will increase. OAT was simplified with the introduction of NOACs, which are easy to handle and show a favorable risk-benefit profile. The rate of ICH is lower than for vitamin K antagonists (VKA) and routine coagulation testing is not required. Nevertheless, OAC-ICH does occur and is still a devastating disease, thus representing the most feared complication in OAT, irrespective of treatment with VKA or NOAC. Purpose: The aim of this article is to address the clinical problem of bleeding management in patients with ICH due to OAC and will consider anticoagulation with NOAC and VKA. Recommendations: Restoring coagulation as soon as possible is the main goal and, therefore, knowledge of the actual coagulation status is essential. In VKA-associated ICH, the international normalized ratio (INR) should be lowered to below 1.3. However, laboratory measurement of anticoagulant activity in NOAC patients is more complex, rendering OAC-ICH treatment more complicated. The best assays are specialized and not widely available, whereas more accessible tests such as prothrombin time and activated partial thromboplastin time have important limitations. For VKA-ICH, prothrombin complex concentrate (PCC) should be administered to reverse the INR. For dabigatran-related ICH, 5 g idarucizumab should be administered. For factor Xa inhibitors, PCC is recommended in the absence of andexanet alfa as soon as an OAC-related ICH evolves. Resuming OAC after ICH should be considered, depending on risk factors and a risk-benefit evaluation.
Proposing value-based technology acceptance model: testing on paid mobile media service
Authors: Youn Song-yi , Lee Kyu-Hye 
Published: March 2019

AbstractRapid growth of online media markets among world populations led to attempts by companies to exploit mobile services as part of business planning practices. Relatedly, this study examines adoption of paid mobile media service (i.e., Amazon Prime Video) as a source of new information and communication technology with online-offline integrated mobile services. The study’s main objective is to identify a technology acceptance model from the perspective of consumer experiences of value perceptions. This study proposed a value-based technology acceptance model, deriving from classic variables related to technology acceptance with regard to relevant consumer value perception literature. The proposed model examined effects of positive and negative experiences of value perceptions on consumers’ beliefs about paid service which explained future use of the paid service. Results indicated that consumers’ positive experiences—social, emotional, and functional values—derived from using mobile media services positively explained consumers’ belief of the usefulness of the paid mobile media service. Consumers’ negative experiences with technological barriers negatively influenced consumers’ beliefs with regard to the ease of use for paid mobile service, while price risk negatively influenced perceived usefulness. Consequently, consumers’ perceptions of ease of use and usefulness related to using the paid service positively influenced behavioral intention for continuous use of the paid mobile media service.
Days at Home in the Last 6 Months of Life: A Patient-Determined Quality Indicator for Cancer Care
Authors: Andersen Sarah K. , Croxford Ruth , Earle Craig C. , Singh Simron , Cheung Matthew C. 
Published: March 2019

PURPOSE: Quality end-of-life care (EoLC) is a key aspect of oncology. Days at home in the last 6 months of life represents a novel, patient-driven quality indicator of EoLC. We measured days at home in a large population of patients with cancer in Ontario, Canada. Trends over time and predictors of more or less time at home were also determined. METHODS: We conducted a population-based retrospective study using health administrative data linked by unique, encoded identifiers and analyzed at the ICES. Quantile regression was used to determine significant predictors of more or less time at home. RESULTS: Of 72,987 patients who died of cancer in Ontario, Canada and met our inclusion criteria, the median number of days spent at home in the last 6 months of life was 164 (interquartile range [IQR], 144 to 175 days) of a possible 180 days. Patients with hematologic cancers spent significantly fewer days at home (156; IQR, 134 to 170 days). The strongest predictors of more time at home were male sex (+2.87 days relative to female sex; CI, 2.43 to 3.31 days) and receipt of palliative care before the last 6 months of life (+2.38 days; CI, 1.95 to 2.08 days). Additional predictors included income, age, cancer type, comorbidity burden, and health region. The majority of patients (69.7%) did not die at home. CONCLUSION: Days at home in the last 6 months of life, obtained from administrative data, can be used as a measure of quality EoLC. Predictors of days at home may prove valuable targets for future policy intervention.
Trends in Radiation for Bone Metastasis During a Period of Multiple National Quality Improvement Initiatives
Authors: Logan Jennifer K. , Jiang Jing , Shih Ya-Chen Tina , Lei Xiudong , Xu Ying , Hoffman Karen E. , Giordano Sharon H. , Smith Benjamin D. 
Published: March 2019

PURPOSE: To evaluate trends in fractionation and cost of radiation for bone metastasis during a time period of multiple national quality improvement initiatives that focused on reducing the number of fractions per radiation episode. METHODS: Using nationwide Medicare claims from 2011 to 2014, we identified radiation episodes for bone metastasis from prostate, lung, and breast cancer. Details regarding fractionation, radiation therapy (RT) modality, and sociodemographic characteristics were abstracted from claims. Time trends in use of 10 or fewer RT fractions per episode were evaluated using the Cochran-Armitage test. Total cost per episode was calculated from a payer’s perspective and reported in 2017 dollars; time trends in cost were assessed using linear regression. Generalized linear models identified predictors of treatment with 10 or fewer fractions. RESULTS: Of 51,533 episodes identified, 46,326 used 2D/3D RT, 3,199 used intensity-modulated RT, and 2,008 used stereotactic body RT. The proportion of 2D/3D RT episodes using 10 or fewer fractions increased from 65.5% to 79.7% ( Ptrend < .001), and mean total cost per episode decreased from $6,742 to $6,067 ( Ptrend < .001). Use of single-fraction radiation increased modestly for 2D/3D treatment (6.5% to 8.1%; Ptrend < .001). Predictors of 10 or fewer fractions included treatment in recent years, advanced age (≥ 85 years), and higher comorbidity score. Variation was noted based on geographic region and primary cancer. CONCLUSION: During a period with quality initiatives launched by the American Society for Radiation Oncology, American Board of Internal Medicine, and National Quality Forum, use of 10 or fewer fractions for bone metastasis increased by 14.2%, but single-fraction regimens increased by only 1.6%, highlighting opportunities for quality improvement.
Healthcare practice placements: back to the drawing board?
Authors: Millington Paul , Hellawell Michael , Graham Claire , Edwards Lisa 
Published: March 2019

Background: Sourcing healthcare practice placements continues to present itself as a challenge for higher education institutions. Equally, the provision of clinical placements by healthcare providers is not at the forefront of their agenda. In view of this, historic and traditional models of clinical placements is becoming more difficult to provide. As a result, new models of clinical placements are being explored. Aims: This literature review explores the differing models of clinical placements in use and examines the merits and limitation of each. Methods: A mixed-methods literature review with a pragmatic approach was used. Findings: Several placement models were described, including the traditional 1:1 model as well as the 2:1 and the 3:1. The hub and spoke, capacity development facilitator, collaborative learning in practice and role emerging placement models were also discussed. Conclusion: There is a considerable paucity of high-quality evidence evaluating differing placement modules. Further research is required to evaluate the differing placement models from a student's, clinical educator's and service user's perspective.
Anatomy of Corruption: Liberal Democracy and the Crisis of the Modern State
Authors: Whitman Darrell 
Published: March 2019

In the sociopolitical context, corruption exists when established norms allocating rights and obligations in a society are systemically breached. In modern states, those norms have been reduced to laws, rules, and regulations that are protected by institutions, such as police, courts, and regulatory bodies that define and enforce compliance with these legal norms. It has become increasingly apparent in recent years that institutions of legal compliance are failing both within and among modern states, as well as within the enforcement structures of international insitutions and that these failures are undermining the legitimacy of these political structures and challenging the authority of modern states.
Here I examine the origins of the legal-institutional character of the modern state as found in the “liberal democracy” of the United States, and how it demonstrates the fundamental contradiction between “liberalism” and “popular democracy” that now appears as the crisis of the modern state among those states and international institutions that have followed the US liberal-democratic model. The contradiction lies in political structures that rhetorically claim to be democratic, but which are subject to constructions of economic power that are inherently anti-democratic. The 230-year failed effort of the US to resolve this contradiction, which is now appearing as a breakdown in its system of governance, signals the need to critically examine and rethink governance beyond the existing organization of the modern state.
Unfolding and crossing the augmented space: Metaleptic tools and processes within graphic narrative installations
Authors: Martins Carolina 
Published: March 2019

Abstract
Based on the notion of interactional metalepsis as described by Karin Kukkonen, Astrid Ensslin and Alice Bell, this article aims to contribute towards the study of metalepsis in terms of the specificity of installations. Particularly, installations of graphic narratives comics, which, I argue, propose metaleptic effects implied and generated by specific navigational devices and characteristics that suggest an ongoing co-influence between spatial (re)configurations and narrative. In their turn, these (re)configurations occur as a consequence of the conjunction of the actual space with the composition of the installation, which are, at the same time, influenced by, and an influence for, the narrative focalization through the textual, virtual and tridimensional spaces. In this sense, the analysis of Daniel Goodbrey’s The Archivist and Dave McKean’s The Rut will take into account the ways in which the expository and narrative routes inscribe themselves in the physical space of the gallery and the ways in which spaces relate with characters’ and readers’ behaviours. Therefore, by relating the notion of interactional metalepsis with spatial and discursive dynamics, the resulting article will also question the architectural and compositional characteristics not only as constraints but also as promoters of a dynamic context that might function as a kind of interference in the overall narrative. This way, I argue that it is this simultaneous intertwining and interference between space and narrative that, in the end, comply with the specificity of the media and calls for an ‘augmented reading’, which ends up absorbing transgressions as means of expansion, hence contributing towards a blurring of narrative, aesthetic and conceptual borders.
Exploring the borders between American, Muslim, female and superhero identities with Kamala Khan
Authors: O’Ready J. B. 
Published: March 2019

Abstract
Wilson and Alphona’s Ms Marvel (2014) is a comic that explores the complexities of identity for a teenage Pakistani-American girl, Kamala Khan, in a post 9/11 world. In doing so Ms Marvel deals with issues of identity, difference and representation as expressed through superheros, education, comics, rebellion, religion, friends and family. This article explores the significance of a pluralistic approach in serving the perceived expectations of traditional American society and the Islamic religion in dealing with issues of integration and racism while discussing the wider socio-political response to this character as an icon of Muslim-American inclusivity. In doing so, it examines how far Ms Marvel (2014) succeeds as a blueprint for diverse socially representative superhero comic book characters in America, and how far the systemic demands of Marvel’s serialized superhero comics work to undermine Ms Marvel’s potential for radical feminism. It finds that Ms Marvel’s success as a character rests on a combination of three things: a strict adherence to traditional superhero concepts, a credible specificity in character and diverse, socially representative hiring practices.
Reviews
Authors: Austin Hailey J. , Ahmed Maaheen 
Published: March 2019

Abstract
Animal Comics: Multispecies Storyworlds in Graphic Narratives, David Herman (ed.) (2018) London: Bloomsbury, 288 pp., ISBN 978-1-35001-531-9, h/bk, £73.44
Comics, Trauma and the New Art of War, Harriet E. H. Earle (2017) Jackson, MS: University Press of Mississippi, 240 pp., ISBN: 978-1-49681-246-9, h/bk, $65
Impactos oriundos da implantação do revenue management em um hotel de médio porte / Impacts arising from the implementation of revenue management in a medium-sized hotel
Authors: Bezerra Maria do Socorro Coelho , Silva Alexandre César Batista da , Albuquerque Francivaldo Dos Santos , Souza Dyego Henrique Soares de , Rodrigues Raimundo Nonato 
Published: March 2019

A competitividade empresarial tem sido impulsionada pelo desenvolvimento tecnológico e utilização de ferramentas que dão suporte às empresas. Nesse contexto, uma técnica utilizada é o revenue management (RM), que consiste no processo de conhecer, compreender, antecipar e reagir a tendências de procura por determinado bem ou serviço. O presente estudo teve por objetivo identificar os impactos oriundos da aplicação do RM em um hotel de médio porte da cidade do Recife-PE. Para execução da pesquisa foi feita uma revisão na literatura correlata ao tema, pesquisa documental, estudo de caso, aplicação de entrevistas com os funcionários envolvidos no processo, bem como observação participante. Foi possível concluir que ocorreram várias mudanças operacionais e de filosofia de gestão na empresa estudada, além de um estímulo ao mercado hoteleiro da cidade e região para essa forma de gestão e que os primeiros resultados após a prática do RM no hotel foram satisfatórios. Palavras-chave: Mercado hoteleiro. Receitas. Revenue management. Implantação. Impactos.
Patrimônio de Afetação: análise dos impactos tributários da sua adoção em incorporações imobiliárias / Patrimony of Affection: Analysis of the Tax Impacts of its Adoption in Real Estate Developments
Authors: Silva Alexandre César Batista da , Albuquerque Francivaldo Dos Santos , Bezerra Maria do Socorro Coelho , Miranda Luiz Carlos 
Published: March 2019

Este estudo tem como objetivo analisar os impactos tributários da adoção do patrimônio de afetação em incorporações imobiliárias. Para consecução do trabalho, optou-se por pesquisa qualitativa, com aplicação de entrevistas semiestruturadas junto a 3 (três) respondentes. A análise de conteúdo temática serviu de base para inferir o que foi observado na fala dos entrevistados. Pode-se concluir que a adoção do patrimônio de afetação propicia a redução da carga tributária e diminuição dos custos e melhora da imagem da empresa no mercado onde atua. Também se evidencia o destaque dado ao papel da contabilidade e consequentemente do profissional contábil no processo, pois só com um acurado controle contábil é que as empresas têm a possibilidade de instituir o patrimônio de afetação e aderir ao regime especial de tributação. Palavras-Chave: Mercado imobiliário. Incorporação imobiliária. Patrimônio de afetação. Regime especial de tributação. Impactos tributários.
Integração de Sistemas de Informação e a Cadeias de Suprimentos Farmacêuticos / Integration of Information Systems and Pharmaceutical Supply Chains
Authors: Alves Murilo Barros , Sousa Josiano César De 
Published: March 2019

O uso de Sistemas de informação na cadeia de suplementos farmacêuticos resulta em mudanças nas interações e na comunicação entre pontos da rede e traz benefícios aos clientes. O objetivo deste artigo é analisar o papel dos Sistemas de informação nos fatores críticos de sucesso na Cadeia de Suplementos Farmacêuticos, O estudo apresenta uma análise dos conceitos que estão relacionados com a gestão da cadeia e o processo de sistema de informação gerencial, fundamentando uma discussão sobre os requisitos, dificuldades e adaptações necessários para aumentar a eficiência da cadeia de suprimentos. Utilizando-se fontes bibliográficas procura-se demonstrar a importância dos sistemas de informações gerenciais e sua influência na cadeia de suprimentos farmacêuticos. Suportado por um estudo de caso de uma grande rede farmacêutica do município de Imperatriz – Maranhão, conclui-se que sistemas de informação adequadamente ajustados às necessidades corporativas, podem auxiliar efetivamente na melhoria da cadeia de suprimentos.
NARASI DALAM CERITA BERGAMBAR UNTUK PAUD/TK (Kajian terhadap Muatan Nilai Personal dan Edukatif)
Authors: Sidik Umar 
Published: March 2019

The aim of this research is to describe the personal and educational values in the graphic stories of the learning materials for pre-school education/kindergarten. The research applies Huck et al’s theory (1987) which states that children stories are full of personal and educational values. The population of the research is graphic stories found in different sources for the materials of the pre-school education/kindergarten. The sampling method is purposive sampling, i.e. the sampling which is based on the research objective. The examination is conducted using extrinsic approach in order to emphasize the analysis on the values and functions of the stories. The analysis is carried out by establishing categories, describing, and drawing inferences. The result of the research shows that there are eleven values in the graphic stories of the materials of the preschool educations/kindergartens, i.e. the development of emotional, intellectual, imaginative (and fantasy), social, ethical and religious values; exploration and discovery; language acquisition; cultivation of sense of beauty, introduction to multicultural insights, development of reading habits, and building up good personality.
VARIASI KELUASAN MAKNA TEKSTUAL DALAM TEKS DWIBAHASA FIVE ON THE TREASURE DAN LIMA SEKAWAN DI PULAU HARTA
Authors: Rosmawati Devi 
Published: March 2019

The study aims to describe the variation of textual meaning breadth (VTMB) on Five on the Treasure Island and Lima Sekawan di Pulau Harta, to describe the meaning of VTMB in translational context, and to interpret the contextual factors that cause VTMB. This is descriptive-qualitative research. The data sources are two novels. This research focuses on the clauses unit. The instrument is the researcher herself by applying the concept of Translational Semiotic Communications (TSC) and the Halliday’s concept of textual meaning. The validity testing is done through triangulation. The results of this research indicate that the dominant variation of T1 and T2 is very low (T1=T2). It is supported by the highest figure of the zero variation which is 552 or 63, 52%, the most prominent mean of two texts which is on T1. It can be seen from score 193 or 22, 21%. There are kinds of themes that motivate the TMB. They are interpersonal theme, topical theme, and textual theme. Contextual factor, that motivates the textual meaning breadth of the two texts, are situational context and cultural context. In short, situational context consist of field, tenor and mode. Cultural context can be seen from the cultural terms in T1 used in T2. The title in T2 is the same as T1. This indicates that T2 intertextualizes with T1.
NILAI-NILAI AJARAN SALAFI DALAM BUKU AJAR BAHASA ARAB AL-ARABIYYAH BAYNA YADAIK (Analisis Semiotik Roland Barthes)
Authors: Ubaidillah Ubaidillah 
Published: March 2019

This paper aims to find the values of Salafi in Arabic textbook al-Arabiyyah Bayna Yadaik (ABY). These values are analyzed using Barthesian Semiotics. In his views, verbal and non-verbal sign has both connotative and denotative meaning. Therefore this research is critical to find the covert meaning in the textbook in order to get a clear ideological perspective. After reading ABY through Barthesian Semiotic views, this research finds that several Islamic teachings are covertly applied in Salafi groups while others don’t. Those teaching are the obligation to cover the face of women when facing or dealing with men who are not mahram, the ban on praying together in the mosque for women, and prohibition of mixing between men and women who are not mahram in public places. Those are all based on the Quran and Hadits.
PELESAPAN DAN PENGGANTIAN BUNYI BAHASA ARAB
Authors: Anshari Nasution Ahmad Sayuti 
Published: March 2019

The objects of this research are the forms of ellipsis and sound substitution, which occur in Arabic. Those are fuṣÊa Arabic which belong to Egyptian and Saudi Arabian dialects. This research will benefit those who learn and teach Arabic as well as the researcher of Arabic language. As a library research, the data was taken from books, journals, and websites. Subtitution and ellipsis may happen for the purpose of making the sound expression easier to be pronounced, e.g qaf becomes hamzah, jim becomes gain in Egyptian dialect or qaf becomes gain, żal becomes dal in Saudi Arabian dialect. The subtitution and ellipsis also occure with the purpose of simplification as what happens in he removal of ta ta’nis and ta’marbuṭoh.
SINKRETISME HINDU-ISLAM DALAM MANTRA: SEBUAH KASUS DALAM TEKS USADA MANAK
Authors: Jirnaya I Ketut 
Published: March 2019

The Moslem society has lived in Bali since the 14th century during the reign of Dalem Waturenggong. They have been as the minority community within the Balinese society. Among the Islamic-Balinese literary works are the Kidung of Rumaksa ing wengi, Geguritan Amad Muhammad, Geguritan Siti Badariah, and Aji Pangukiran. Another text, which is found later, is Usada Manak. This text is about Balinese traditional treatment for illness in Bali. It contains the treatment which is related to reproduction. The analysis of this text showed that this text is a result of the syncretism between Hindu and Islam in that the holy mantra of the supreme God. Om, is compiled and made parallel with the word Allah. The opening sentence of the text which expresses the request for safety, Om Awighnamastu nama siddam is made parallel with Bismillah irahman irahim. This syncretism showed that Moslem community is accepted by the majority of Balinese community. This indicates that there has been a mutual understanding between Moslem and Hindu in Bali. Both share resemblances in divine philosophy with different expressions. It is functionally also believed that the God will give his blessing for all human beings and all sickness can be cured because of his blessing.