bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluating Safety Culture Changes over Time with the Emergency Medical Services Safety Attitudes Questionnaire
Authors: Bitan Yuval , Moran Philip , Harris James 
Published: March 2019

Introduction The correlation between patient outcomes and the safety culture in healthcare organisations draws special attention to tools that can measure safety culture in such organisations. One of the advantages of such tools is their ability to identify changes in safety climate, which can support healthcare organisations in detecting and understanding trends, which might have otherwise been overlooked. Objective To evaluate the ability of a standard survey to capture long-term safety climate changes in pre-hospital care. Methods The previously validated Emergency Medical Services Safety Attitudes Questionnaire was administered in one regional base hospital program, which delegates to six pre-hospital emergency care services. The survey was administered over two consecutive years, thus allowing us to measure safety climate changes over time. Results Significant differences were found between the first and second years of the survey in specific services. Conclusions While we cannot identify the specific causes for the change in scores in the various services between the two survey years, we can draw some inferences. We suggest that the small changes that tend to reflect a consistent change across all services are the result of training and educational initiatives, while greater changes in some of the services reflect a change in the attitude of the paramedics to the service, driven by changes in operational procedures within the service. Our findings demonstrate that the questionnaire can capture safety climate changes over time in pre-hospital emergency care.
Peningkatkan Mutu Minyak Goreng Curah dengan Penambahan Ekstrak Kulit Pisang Raja Sebagai Antioksidan Alami
Authors: Purwaningsih Dian Yanuarita , Zuchrilah Daril Ridho , Nurmala Intan 
Published: March 2019

Minyak goreng merupakan salah satu kebutuhan masyarakat yang semakin hari semakin meningkat baik jumlah maupun harga. Untuk mengatasi hal tersebut, masyarakat menggunakan minyak goreng curah. Minyak goreng curah adalah minyak goreng yang memiliki kualitas maupun higienitas di bawah baku mutu SNI 3555-1998, karena tanpa kemasan yang sesuai, minyak goreng akan mudah teroksidasi. Penelitian bertujuan untuk memperbaiki kualitas minyak goreng curah menggunakan ekstrak kulit pisang raja karena kulit pisang raja mengandung antioksidan alami yaitu flavonoid. Untuk memperoleh antioksidan alami tersebut, kulit pisang raja diekstraksi menggunakan metode maserasi dengan pelarut metanol dan etil asetat. Adapun berat ekstrak yang ditambahkan ke dalam minyak goreng curah yaitu 1; 1,5; 2; 2,5 gram dengan lama pengadukan yaitu 20, 40, 60 menit. Sampel kemudian dianalisis nilai bilangan asam, iod, peroksida. Hasil terbaik pada penelitian ini didapatkan pada penambahan ekstrak sebanyak 2,5 gram dan waktu pengadukan 60 menit dengan hasil bilangan asam 0,19827 meq/kg, bilangan iod 1,86817 meq/kg, bilangan perosida 1,94608 meq/kg.Kata kunci: minyak goreng curah; kulit pisang raja; antioksidan alami; bilangan asam; iod; peroksidaABSTRACTCooking oil is one of the society necessity which is day by day increase terms of quantity and prices.To overcome these issues, of people use cooking oil is.Cooking oil is is cooking oil having of quality and higienitas under of quality standard sni 3555-1998, because without packaging appropriate, cooking oil will easily oxidized.Research aimed at improving the quality of cooking oil is use extract the skin of a banana the king because the skin plantain containing antioxidant natural that is flavonoid.To obtain antioxidant the natural, the skin of a banana the king extracted uses the method maceration with a solvent methanol and ethyl acetate.And the weight of the extract added to the cooking oil is such as 1; 1.5; 2; 2.5 grams with long stirring ie 20, 40, 60 minutes.Sample then analyzed point number acid, iod, peroxide.The best result in this study obtained to adding extract as many as 2.5 gram and time stirring 60 minutes with the result even though the number of the the action of dilute acids 0.19827 meq / from thirty to forty pounds , the number of the iod 1.86817 meq / from thirty to forty pounds , the number of the perosida 1.94608 meq kg.
STATUS GIZI BADUTA PADA KELUARGA PENERIMA BERAS MISKIN (RASKIN) DI KELURAHAN TAIPA KECAMATAN PALU UTARA KOTA PALU
Authors: Amsal Amsal 
Published: March 2019

ABSTRACT This research aims to determine the nutrition status in families of Raskin rescipient in Taipa, North Palu, Palu. This research is a descriptive research. This research was conducted in the Taipa sub-district of North Palu District on July 28th - July 30th, 2018. The population was 38 baduta of families who received raskin in Taipa. The sample was a total population of 38 baduta. The results showed that 34.2% were householder who had graduated from middle high. Those who work as daily workers were 23 people (60.5%) and as laborers were 14 people (36.8%). Baduta in raskin recipient families who have low nutrition were 10 badutas (26.3%) and malnutrition were 2 badutas (5.3%). Very short were 4 badutas (10.5%) and short were 6 badutas (15.8%). Very thin were badutas 2 (5.3%) and thin was 6 baduta (15.8%). As conclusion, the nutritional status of 38 Baduta from the Raskin recipient family are; malnutrition 26.3%, malnutrition 5.3%, very short 10.5%, short 15.8%, very thin 5.3% and thin 15.8%. The researcher suggest that baduta families should obtain additional food, beside the raskin, for their better nutrition status.Keywords: Nutrition status, children under two, raskin
La acción tutorial: Análisis de la dinámica intelectual desde la praxis universitaria.
Authors: Barrios Briceño Nanci Coromoto , Quiroz Villacís Jenny Andrea 
Published: March 2019

Los estudios de post grado se han venido incrementando en los últimos años, tanto en cantidad ofertada como en la cantidad de participantes inscritos en los mismos, sin embargo el número de egresados no se corresponde con el número de inscritos, muchos culminan su carga académica más no cumplen con la presentación del Trabajo de titulación requisito para la obtención de la titularidad, por lo que la producción intelectual sigue sin responder las expectativas que el mercado y la sociedad requieren. Hasta ahora las diferentes investigaciones al respecto tratan de enfocar el problema hacia áreas muy específicas, sin embargo los procesos de pensamiento o la dinámica intelectual que entra en juego no parecieran haber despertado inquietudes para su investigación, de allí que la presente investigación pretendió identificar aquellos procesos que están implícitos durante el desarrollo de la praxis tutorial, para ello, la misma se enmarcó dentro de un enfoque mixto, donde lo cuantitativo se enmarcó en una investigación de tipo descriptivo, con diseño no experimental, la población estuvo conformada por 18 docentes con función de tutor, la información se obtuvo a través de una encuesta tipo Lickert, el enfoque cualitativo permitió a las investigadoras un acercamiento directo con su objeto de estudio que es la Dinámica Intelectual, la información se obtuvo por medio de entrevistas a informantes clave. El uso de diferentes estrategias: resúmenes, subrayado, cuestionamientos, entre otros quedaron evidenciados como estrategia de uso regular entre los mismos. De igual manera, la Praxis tutorial requiere de diferentes modos de pensamiento para el abordaje científico en el desarrollo escritural y lingüístico. Los resultados evidencia la importancia que tiene el manejo afectivo emocional en el compromiso que tanto el tutor como el tutoriado deben establecer, ya que esto es lo que permite que fluya la dinámica intelectual y se obtenga el desarrollo exitoso de la gestión tutorial

Palabras claves: Dinámica Intelectual, Praxis Tutorial, Inteligencia Emocional, Postgrado,
On the Photodesorption of CO2 Ice Analogs: The Formation of Atomic C in the Ice and the Effect of the VUV Emission Spectrum
Authors: Sie N.-E. , Caro G. M. Muñoz , Huang Z.-H. , Martín-Doménech R. , Fuente A. , Chen Y.-J. 
Published: March 2019

Abstract
CO2 ice has a phase transition at 30 K when its structure changes from amorphous to crystalline. Using reflection absorption infrared spectroscopy, Öberg et al. observed that the photodesorption yield of CO2 ice deposited at 60 K and irradiated at 18 K is 40% lower than that of CO2 ice deposited and irradiated at 18 K. In this work, CO2 ices were deposited at 16–60 K and UV-irradiated at 16 K to rule out the temperature effect and figure out the relationship between photodesorption yield and ice structure. IR spectroscopy is a common method used for measurement of the photodesorption yield in ices. We found that undetectable C atoms produced in irradiated CO2 ice can account for 33% of the amount of depleted CO2 molecules in the ice. A quantitative calibration of QMS was therefore performed to convert the measured ion current into photodesorption yield. During various irradiation periods, the dominant photodesorbing species were CO, O2, and CO2, and their photodesorption yields in CO2 ices deposited at different temperature configurations were almost the same, indicating that ice morphology has no effect on the photodesorption yield of CO2 ice. In addition, we found that the lower desorption yield reported by Martín-Doménech et al. is due to a linear relationship between the photodesorption yield and the combination of the energy distribution of the Microwave-Discharge Hydrogen-flow Lamp and UV absorption cross section of ices.
Ejection History of the IRAS 04166+2706 Molecular Jet
Authors: Wang 王亮 Liang-Yao 堯 , Shang 尚 Hsien 賢 , Chiang 江子 Tzu-Yang 揚 
Published: March 2019

Abstract
The high-velocity molecular jet driven by Class 0 protostar IRAS 04166+2706 exhibits a unique sawtooth velocity pattern. It consists of a series of well-aligned symmetric knots with similar averaged speeds, whose speeds at peaks of emission decrease roughly linearly away from the origin. Recent ALMA observations of knots R6 and B6 reveal kinematic behavior with expansion velocity increasing linearly from the axis to the edge. This pattern can be formed by a spherically expanding wind with axial density concentration. In this picture, the diverging velocity profile naturally possesses an increasing expansion velocity away from the axis, resulting in a tooth-like feature on the position–velocity diagram through projection. Such a geometric picture predicts a correspondence between the slopes of the teeth and the outflow inclination angles, and a single inclination angle of 52° of IRAS 04166+2706 can generally explain the whole pattern. Aided by numerical simulations in the framework of the unified wind model by Shang et al., the observed velocity pattern can indeed be generated. A proper geometrical distribution of the jet and wind material is essential to reconstruct the ejection history of the system.
A MegaCam Survey of Outer Halo Satellites. VII. A Single Sérsic Index versus Effective Radius Relation for Milky Way Outer Halo Satellites*

†
Authors: Marchi-Lasch Sebastián , Muñoz Ricardo R. , Santana Felipe A. , Carballo-Bello Julio A. , Chanamé Julio , Geha Marla , Simon Joshua D. , Stetson Peter B. , Djorgovski S. G. 
Published: March 2019

Abstract
In this work, we use structural properties of the Milky Way’s outer halo (R

G
> 25 kpc) satellites (dwarf spheroidal galaxies, ultra-faint dwarf (UFD) galaxies and globular clusters (GCs)) derived from deep, wide-field, and homogeneous data to present evidence of a correlation in the Sérsic index versus effective radius plane followed by a large fraction of outer halo GCs and satellite dwarf galaxies. We show that this correlation can be entirely reproduced by fitting empirical relations in the central surface brightness versus absolute magnitude and Sérsic index versus absolute magnitude parameter spaces, and by assuming the existence of two types of outer halo GCs: one of high surface brightness (HSB group), with properties similar to those of inner halo clusters; and another of low surface brightness (LSB group), which share characteristics with dwarf spheroidal and UFD galaxies. Given the similarities of LSB clusters with dwarf spheroidal and UFD galaxies, we discuss the possibility that outer halo clusters also originated inside dark matter halos and that tidal forces from different host galaxy potentials are responsible for the different properties between HSB and LSB clusters.
Difference in Treatment Effect Between Intravitreal Aflibercept Injection and Laser by Baseline Factors in Diabetic Macular Edema
Authors: Singh Rishi P. , Silva Fabiana Q. , Gibson Andrea , Thompson Desmond , Vitti Robert , Berliner Alyson J. , Saroj Namrata 
Published: March 2019

BACKGROUND AND OBJECTIVE:
To evaluate the effect of baseline factors on differences in vision gains with intravitreal aflibercept injection (IAI) versus laser control in patients with diabetic macular edema (DME).

PATIENTS AND METHODS:
This was an integrated post-hoc subanalysis of two phase 3 trials (VISTA, VIVID) in patients with DME. Least square (LS) mean differences of patients treated with IAI compared to laser control in best-corrected visual acuity (BCVA) change from baseline at week 100 were evaluated for association with baseline demographics and baseline systemic disease characteristics.

RESULTS:
At week 100, LS mean differences in BCVA change from baseline with IAI compared to laser control were not significant for association with baseline age, gender, and race or status of glycosylated hemoglobin, body mass index, renal impairment, hypertension, cerebrovascular disease, and ischemic heart disease.

CONCLUSION:
Vision gains with IAI were significantly greater than laser control and were not influenced by demographics and systemic disease control at baseline.

[
Ophthalmic Surg Lasers Imaging Retina
. 2019;50:167–173.]
Comparative assessment of conventional chromosomal analysis and fluorescence in situ hybridization in the evaluation of suspected myelodysplastic syndromes: A single institution experience
Authors: Zakhia Denyo Adjoa , Voronel Olga , Zaiem Feras , Raval Kunil , Yang Jay , Schloff Deborah , Mohamed Anwar N , Gabali Ali M 
Published: March 2019

Abstract
Background: Myelodysplastic syndromes (MDSs) are a heterogeneous group of clonal hematopoietic neoplasms, roughly half of which harbor cytogenetic abnormalities with diagnostic, prognostic, and therapeutic significance. Fluorescence in situ hybridization (FISH) for the most commonly seen abnormalities (5/5q, –7/7q, +8, and –20/20q–) is routinely performed alongside conventional cytogenetics (CC) in the evaluation of suspected MDS despite conflicting reports of its relative contribution compared to CC alone.Objectives: To assess the additional diagnostic and prognostic value of performing concurrent FISH versus CC alone in cases of suspected MDS.Materials and Methods: A total of 127 bone marrow samples submitted to our cytogenetic laboratory with a presumptive diagnosis of MDS were evaluated by concurrent CC and an MDS FISH panel.Results: CC was used as the gold standard method with 100% sensitivity in detecting suspected MDS-associated cytogenetic abnormalities. FISH alone had a sensitivity of 76%, whereas CC alone achieved a sensitivity of 97%. The addition of FISH did not change the diagnosis nor change the Revised International Prognostic Scoring System score in any patient. Moreover, in 12 cases identified as positive by both CC and FISH, CC identified multiple chromosomal aberrations of clinical significance not interrogated by the FISH probe panel.Conclusion: CC alone is sufficiently sensitive in detecting suspected MDS-associated cytogenetic abnormalities that influence clinical decision-making. Routine FISH testing does not provide a significant increase in test sensitivity when an adequate karyotype is obtained. Therefore, FISH testing is best reserved for suspected MDS cases lacking sufficient metaphases.
Yoga and self-management for people with chronic stroke: Effect on community reintegration and perceived activity constraints
Authors: Bolster, MS, OTR Ruby A. , Van Puymbroeck, PhD, CTRS, FDRT Marieke , Atler, PhD, OTR Karen E. , Portz, PhD, MSW Jennifer Dickman , Hinsey, MS, OTR Katie M. , Schmid, PhD, OTR, RYT-200 Arlene A. 
Published: March 2019

After a stroke, it is common for individuals to experience challenges in both perceived activity constraints and community reintegration. Few interventions have addressed these two important variables that are related to post-stroke life and recovery. The objective was to assess the impact of an 8-week intervention on perceived activity constraints and community reintegration among individuals with chronic stroke. This noncontrolled pilot study with pre- and post-test design included 13 people with chronic stroke who completed group yoga and self-management intervention. Assessments were completed at baseline and at the completion of the 8-week intervention. Data were analyzed using Wilcoxon Signed-Rank tests to compare baseline and 8-week scores. Additionally, the correlation between activity constraints and community reintegration scores among this sample was analyzed. The average age of the 13 participants was 73.23 years, and 77 percent of the participants sustained a stroke >5 years ago. Perceived activity constraint scores improved significantly (76.82 ± 10.97 vs. 87.08 ± 9.5, p = 0.005; 13 percent change), as did community reintegration scores (79.25 ± 15.45 vs. 97.92 ± 11.46, p = 0.004; or a 24 percent improvement). Perceived activity constraint and Reintegration to Normal Living Index (RNLI) scores demonstrated an excellent and significant correlation (rs = 0.864, p = 0.001). When working with people with chronic stroke, rehabilitation therapists may consider self-management combined with yoga. Due to the correlation between community reintegration and perceived activity constraints, potentially rehabilitation therapists, including recreational therapists, may target perceived activity constraints to improve community reintegration.
From the editor
Authors: Waugh Jr, PhD William L. 
Published: March 2019

As the profession of emergency management has matured, the roles and responsibilities of emergency managers have expanded, new technologies have been deployed, and emergency management education grown and has become better connected to emergency management practice. This special topic coverage (in three parts) addresses many of the changes in emergency management education over the past four decades, including the expansion of academic programs for those preparing to enter the field, those transitioning from emergency response and other fields, and those moving into supervisory and management positions in emergency management and related organizations. It also addresses some of the issues that academic programs have encountered as they have developed and have found their places in academic institutions. (Click Full Text PDF and/or login to read more.)
Evaluation of the relationship between plaque formation leading to symptomatic carotid artery stenosis
and cytomegalovirus by investigating the virus DNA
Authors: Beyaz Metin Onur , Ugurlucan Murat , Oztas Didem Melis , Meric Mert , Conkbayir Cenk , Agacfidan Ali , Onel Mustafa , Alpagut Ufuk 
Published: March 2019

IntroductionThe most common etiologic factor of coronary artery disease (CAD), carotid artery disease, and peripheral artery disease is atherosclerosis. In our study, we aimed to show the effect of cytomegalovirus (CMV), which can occur almost everywhere in the human body, on triggering the chronic inflammatory process in the pathophysiology of atherosclerosis, and its presence and impact in the plaques leading to carotid artery stenosis.Material and methodsThirty-six patients, who underwent carotid endarterectomy at the Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty between April 2017 and April 2018, were included in this study upon their consent. Patients with additional immunosuppressive conditions were not included in the study. Unilateral atheromatous plaque was preferred for patients undergoing bilateral carotid endarterectomy and all risk factors (DM, HT, hyperlipidemia, etc.) were evaluated together for all patients.ResultsWhen the relationship between CMV (DNA) presence in samples taken from patients’ plaques and sex, age and comorbidities was examined, CMV (DNA) positivity (45.8%) was significantly higher in DM patients than non-DM patients (8.3%) (p = 0.024). Likewise, CMV(DNA) positivity (40%) was significantly higher in HT patients than in non-HT patients (25%) (p = 0.008). CMV(DNA) positivity (63%) was significantly higher in patients with bilateral carotid artery stenosis than patients without bilateral carotid artery stenosis (0%) (p < 0.001).ConclusionsIt has not yet been clarified whether CMV is a primary trigger for atherosclerosis on the vascular wall, or whether it presents incidentally due to its affinity. When CMV (DNA) positivity was examined according to the presence of bilateral carotid artery stenosis in our study, CMV (DNA) positivity was found to be significantly higher in patients with bilateral carotid artery stenosis (63.16%).
Is the presence of left atrial diverticulum associated with recurrence in patients undergoing catheter ablation for atrial fibrillation?
Authors: Demir Gültekin Günhan , Güneş Hacı Murat , Seker Mehmet , Savur Ümeyir , Güler Gamze Babur , Güler Ekrem , Dogan Mehmet , Erol Cengiz , Kılıçaslan Fethi 
Published: March 2019

IntroductionCatheter ablation (CA) for atrial fibrillation (AF) has been a major cornerstone in the management of AF. Despite promising advances in CA techniques, long-term results reveal a high rate of recurrence after the procedure. Left atrial diverticulum (LAD), a common anatomic variant of the left atrium, was previously shown to be associated with increased risk of thrombus formation, cardiac perforation and arrhythmia. In this study we aimed to investigate the relationship between LAD and recurrence in patients undergoing CA for AF.Material and methodsA total of 100 consecutive patients with a mean age of 53 ±12.1 years (53% male) underwent radiofrequency (RF) (46, 46%) or cryoballoon (54, 54%) catheter ablation for atrial fibrillation preceded by cardiac computed tomography (CT) imaging. Clinical and procedural characteristics of the patients with and without AF recurrence were compared.ResultsTwenty-three (23%) patients had AF recurrence and 77 (77%) patients had no recurrence. The clinical parameters such as hypertension, diabetes mellitus, coronary artery disease and stroke did not differ between the groups. Left atrium diameter was significantly different between the two groups (4.1 ±0.5 vs. 3.9 ±0.5, p = 0.042). Presence of LAD was not different between the two groups (7 (31.8) vs. 21 (28.8); p = 0.794). Multivariate logistic regression analysis revealed RF ablation as the most important independent variable for AF recurrence ( = 3.115, p< 0.001, OR = 22.526, 95% CI: 4.287–118.351).ConclusionsThe presence of left atrial diverticulum is not associated with recurrence in patients undergoing RF and cryoballoon CA for atrial fibrillation.