bluuebunny/crossref_metadata_2025_split huggingface dataset:
Blood Pressure Measurement Error in Children: Lessons in Measurement Reliability
Authors: Varney Esther J. , Van Drunen Ashley M. , Moore Emily F. , Carlin Kristen , Thomas Karen 
Published: May 2019

Background and PurposeBlood pressure measurement represents the pressure exerted during heart ejection and filling. There are several ways to measure blood pressure and a valid measure is essential. The purpose of this study was to evaluate the approach to noninvasive blood pressure measurement in children.MethodsBlood pressure measurements were taken using the automatic Phillips MP30 monitor and compared against Welch Allyn blood pressure cuffs with Medline manual sphygmomanometers.ResultsA total of 492 measurements were taken on 82 subjects, and they demonstrated comparability between automatic and manual devices.ConclusionsAlthough our study indicated acceptable agreement between automatic and manual blood pressure measurement, it also revealed measurement error remains a concern, with sample size, study protocol, training, and environment all playing a role.
A Substruction Approach to Assessing the Theoretical Validity of Measures
Authors: Ryan Polly , Weiss Marianne , Papanek Paula 
Published: May 2019

BackgroundValidity is about the logic, meaningfulness, and evidence used to defend inferences made when interpreting results. Substruction is a heuristic or process that visually represent the hierarchical structure between theory and measures.PurposeTo describe substruction as a method for assessing the toretical validity of research measures.MethodsUsing Fawcett's Conceptual-Theoretical-Empirical Structure. an exemplar is presented of substruction from the Individual and Family Self-Management Theory to the Striving to be strong study concepts and empirical measures.ResultsSubstruction tables display evidence supporting theoretical validity of the instruments used in the study.ConclusionA high degree of congruence between theory and measure is critical to support the validity of the theory and to support attributions made about moderating, mediating, causal relationships, and intervention effects.
Cognitive and Initial Psychometric Testing of the Errors of Care Omission Survey: A New Patient Safety Tool for Primary Care
Authors: Poghosyan Lusine , Norful Allison A. , Liu Jianfang , Shaffer Jonathan 
Published: May 2019

Background and PurposeMost patient safety studies focus on errors of commission rather than on errors of omission. No tools measure errors of omission in primary care. We developed the Errors of Care Omission Survey (ECOS) and present its cognitive and psychometric testing.MethodsTwenty-six primary care providers (PCPs) participated in cognitive interviews, which were audiotaped, transcribed, and analyzed. ECOS was also pilot tested with 37 PCPs. Item analysis and reliability testing w conducted.ResultsInterviewees agreed that ECOS measures errors of omission and items were clear. The response categories were revised. All items were correlated and subscales had high internal consistency reliability.ConclusionsECOS can measure errors of omission in primary care.
Understanding the Roles, Responsibilities, and Competencies of Advanced Practice Registered Nurses: Instrument Development and Psychometric Testing
Authors: Petersen Polly , Sieloff Christina , Lin Lillian S. , Wallace Raph Susan J. 
Published: May 2019

Background and PurposeDemand for primary care providers increases value for advanced practice registered nurses (APRNs) to assume more independent roles. The purpose was to develop a reliable, valid instrument to measure roles, responsibilities, and competencies reflective of autonomous practice for APRNs.MethodsConceptual literature motivated development of a new instrument. Validity was initially evaluated through expert content review. Reliability of proposed scales was evaluated and possible underlying constructs were identified through factor analysis using data from a pilot study.ResultsContent validity for the instrument was high (content validity index [CVI] 88). The 16-item instrument is highly reliable (Cronbach's alpha of 0.81). Cronbach's alphas for subscales ranged from 0.60 to 0.75. Factor analysis identified four components.ConclusionsThe Petersen Sieloff Assessment of Advanced Practice (PSAAP) demonstrated initial reliability. Additional examination is warranted to further improve the factor structure.
Nurse Burnout Revisited: A Comparison of Computational Methods
Authors: Dutra Herica Silva , Guirardello Edinêis de Brito , Li Yin , Cimiotti Jeannie P. 
Published: May 2019

Background and PurposeTo examine computational measures of job-related burnout to determine the best computation to estimate job satisfaction and intent to leave in Brazilian nursing professionals.MethodsMaslach Burnout Inventory-Human Services Survey (MBI-HSS) was used assess burnout in 452 hospital-based nursing professionals. Adjusted logistic regression models were fit using different computations of burnout to estimate outcomes of interest.ResultsTotal mean score of burnout subscales was the best estimate of job satisfaction (Cox-Snell R2 = 0.312; Nagelkerke R2 = 0.450) and intent to leave (Cox-Snell R2 = 0.156; Nagelkerke R2 = 0.300), as was high emotional exhaustion (Cox-Snell R2 = 0.219; Nagelkerke R2 = 0.316).ConclusionWe have provided evidence that different computations of data from the Portuguese (Brazil) MBI-HSS can be used in to estimate the effect of job-related burnout on nurse outcomes.
Perlindungan Hukum Mitra Ojek Daring di Indonesia
Authors: Mawanda M Kharis , Muhshi Adam 
Published: May 2019

As one of the countries with the highest population density in the world, the opportunity to work in Indonesia is not directly proportional to its population density so that the number of unemployed is still relatively high. The development of technology has entered in business and it is seen as an alternative with its emergence of the online transportation service providers such as Go-Jek. In the case of partnership agreements used by partners with Go-Jek, partners as parties that have weak bargaining power while Go-Jek has strong bargaining power. From a legal standpoint, the main problem is the absence of legislation that clearly regulates online motorcycle taxis and partnership agreements between partners and Go-Jek. Therefore, it is necessary to analyze the online motorcycle taxi, and the legal protection aspects against partners based on partnership agreements and legal remedies in the event of a dispute in the implementation of the partnership agreement. With doctrinal research, this article argues that the partnership agreement is an agreement on innominaat so that in its implementation it should not conflict with the laws and regulations on it. The results of the study indicate that online motorcycle taxis have not yet been regulated in Indonesian laws and regulations, the partnership agreement has not provided legal protection for partners and in the event of a dispute, there can be legal action in accordance with the partnership agreement clause.
Keywords: Legal Protection, Partnership Agreement, Online Taxi.
Perlindungan Hukum terhadap Notaris yang Beritikad Baik Membuat Akta Jual Beli Saham dalam Kasus Tindak Pidana Pencucian Uang
Authors: Rahmat Andi Muhammad 
Published: May 2019

This study discusses the legal protection against a notary who has good faith to make the contract of sale with stock in this case of criminal money laundering. To this extent, the study examines the legal protection for notaries who are eligible to be victims from the money laundering cases caused by user services. This study uses normative legal research with statute, philosophical and historical approaches. This study finds that legal protection for notaries referred to Articles 66 and 66A of the Notary Act is essentially tended to internal or administrative measures. Nevertheless, notaries have verschoningsrecht or the right to renegade, another instrument for legal protection in undertaking the Notary Act. The legal protection concept for notaries with the determinate profession on the informant side has been determined limitedly under Article 17 paragraph 1 of the Money Laundering Act.
Keywords: Construction, Legal Protection, Notary, Money Laundering
The Asbab al-Nuzul dalam Pandangan Ulama Klasik dan Kontemporer
Authors: Saputra Midih 
Published: May 2019

Asba>b al-nuzu>l adalah salah satu instrumen untuk memahami al-Qur’an. Walaupun secara kuantitas ayat-ayat yang turun karena sebab tertentu tidak terlalu banyak, namun para sarjana muslim memberikan perhatian khusus terhadap ayat-ayat tersebut melalui pembahasan tentang sebab-sebab turunnya al-Qur’an. Namun demikian, keberadaan ilmu asba>b al-nuzu>l tidak bisa menghindarkan dari konflik distansiasi. Distansiasi adalah jarak antara teks dan sipenafsir dalam menggali makna-makna al-Qur’an.
Ilmu asba>b al-nuzu>l merupakan salah satu piranti metodologis yang setidaknya dapat menunjang pada penafsiran suatu ayat al-Qur’an dan membantu mendapatkan horizon konteks yang mengiringi turunnya ayat tersebut. Di antara banyak tema dalam ulum al-Qur’an, asba>b al-nuzu>l membahas di luar teks.
Karena itu, perdebatan antara keumuman teks dan kekhususan sabab atau sebaliknya menjadi bagian yang menarik dari kajian asbab al-nuzul. Dua kaidah tersebut sangat penting dalam proses menggali dan membangun argumen yang berimplikasi pada status penetapan suatu hukum.
KONSEP TA’AWUN (COOPERATIVE LEARNING) DALAM AL-QUR’AN
Authors: Afandi Syahrizal 
Published: May 2019

Tulisan ini membasah mengenai bagaimana konsep Ta’wun (coorperatif learning) di dalam al-Qur’an, ta’wun (coorperatif learning) adalah sebuah metode dalam pendidikan yang pusatnya adalah siswa itu sendiri (student oriented) dalam mengembangkan pengetahuannya dengan cara berdiskusi atau berkelompok. Di dalam al-Qur;an sendiri terdapat beberapa ayat yang mengindikasikan mengenai metode ta’awun (coorperative learing), misalnya dalam surah Al-Maidah ayat 2, surah An-Nahl ayat 125, dan At-Taubah ayat 71 yang mana di dalam ayat-ayat tersebut menjelaskan tentang urgensi bekerja sama dalam kebaikan yang dalam hal ini mencoba dihubungkan dengan pendidikan Islam.
Agama di Tengah Arus Industri Pariwisata di Lombok: Kajian tentang Religiusitas Masyarakat Muslim di Kawasan Wisata Senggigi
Authors: Mustain Mustain 
Published: May 2019

Keberadaan pariwisata di Lombok mengalami perkembangan yang cukup pesat, khususnya di kawasan Senggigi. Dengan pendekatan kualitatif-deskriptif, artikel ini berupaya mendeskripsikan bagaimana interaksi masyarakat muslim kawasan wisata Senggigi dengan kegiatan pariwisata dan bagaimana aktifitas keagamaan masyarakat muslim yang tinggal di kawasan industri pariwisata tersebut. Hasil penelitian menunjukkan bahwa interaksi masyarakat muslim kawasan wisata Senggigi dengan kegiatan pariwisata yang berlangsung di wilayah tempat tinggalnya secara umum berlangsung secara pasif. Hanya sebagaian dari mereka, khususnya para pekerja di pusat-pusat industri pariwisata yang secara intens berinteraksi, khususnya dengan para wisatawan. Oleh karena itu pertukaran nilai-nilai budaya hanya berlangsung pada kelompok ini. Sedangkan masyarakat pada umumnya tetap berada dalam dunia mereka yang diliputi dengan keyakinan dan tradisi agama yang dianutnya. Keberadaan pariwisata yang meng-hadirkan orang dengan berbagai nilai dan budaya yang beragam tidak banyak menyentuh kehidupan keberagamaan mereka. Masyarakat muslim tetap melaksanakan aktivitas keagamaan mereka sebagaimana yang telah ditunaikannya selama ini.
A Proses Pengembangan Organisasi Kurikulum di Indonesia
Authors: Sugiana Aset 
Published: May 2019

Organisasi kurikulum merupakan alat mempermudah untuk mencapai keberhasilan siswa dalam mempelajari bahan pelajaran secara efektif. Kegiatan belajar mengajar yang berlangsung di kelas tanpa kurikulum yang jelas akan menyebabkan siswa kurang mengerti pelajaran yang disampaikan. Mengorganisasi kurikulum berarti memilih tujuan-tujuan yang jelas dan objektif serta sesuai dengan kebutuhan dan minat peserta didik. Ada banyak unsur yang terdapat dalam organisasi kurikulum yang bisa menjadi acuan, yaitu: (1) Konsep, (2) Generalisasi, (3) Keterampilan, dan (4) Nilai-nilai. Ada beberapa kriteria dalam merumuskan organisasi kurikulum yang efektif, yaitu: (1) Ruang lingkup bahan (scope), (2) Urutan (sequance), dan (3) Penempatan bahan (grade placement).
Optimation of NaOH Catalyst Consentration on 1,3-Diphenyl-2-propen-1-on Synthesis Using Microwave-Assisted Organic Synthesis (MAOS) Method
Authors: Narwanti Iin , Kusumajati Narendra Bagus 
Published: May 2019

<p>with a variation of NaOH catalyst concentration has been done. The purpose of this study was to determine the concentration of NaOH catalyst in the synthesis of 1,3-diphenyl-2-propen-1-on using MAOS method which produced optimal yield. The synthesis of 1,3-diphenyl-2-propen-1-on using benzaldehyde and acetophenone was carried out using the MAOS method with NaOH catalyst. The variation of NaOH catalyst concentration was 10%, 20%, 30%, and 40%. Microwave radiation was carried out at 140 watts for 20 seconds. The purity of the synthesized 1,3-diphenyl-2-propen-1-on was tested by melting point, TLC, and gas chromatography. The structure of the synthesized 1,3-diphenyl-2-propen-1-on was characterized by FTIR, GC-MS and NMR. The results showed that the compound 1,3-diphenyl-2-propen-1-on can be synthesized from benzaldehyde and acetophenone using MAOS method. The obtained yield at varying catalyst concentrations of 10, 20, 30 and 40% were (50.58±1.84%, (69.20±1.58)%, (84.55±1.50)% and (90.60±0.96)%, respectively. The concentration of 40% NaOH catalyst produces the most optimal yield of synthesis products.</p><p> </p>
NILAI PENDIDIKAN NOVEL LIPSTICK KARYA ACHMAD MUNIF DAN RELEVANSINYA SEBAGAI MATERI AJAR APRESIASI SASTRA DI SMA
Authors: Prastika Devin Cahya , Suyitno Suyitno , Suryanto Edy 
Published: May 2019

<p>Tujuan penelitian ini mendeskripsikan dan menjelaskan: (1) Nilai-nilai pendidikan novel Lipstick karya Achmad Munif dan (2) Relevansi novel Lipstick karya Achmad Munif sebagai materi ajar apresiasi sastra di SMA. Penelitian deskriptif kualitatif ini menggunakan pendekatan feminisme sastra. Pengambilan sampel dilakukan dengan teknik purposive sampling. Teknik pengumpulan data menggunakan analisis dokumen dan wawancara. Validasi data menggunakan triangulasi metode. Analisis data menggunakan teknik analisis interaktif. Hasil penelitian: (1) Nilai-nilai pendidikan novel Lipstick karya Achmad Munif meliputi nilai pendidikan agama, moral, sosial dan budi pekerti, dan (2) Novel Lipstick karya Achmad Munif dapat dijadikan sebagai materi ajar apresiasi sastra di SMA, khususnya di kelas XII pada semester 2. Hal ini selaras dengan kompetensi dasar yang ditawarkan dalam Kurikulum</p><p>2013, yaitu memahami struktur dan kaidah teks cerita fiksi dalam novel baik melalui lisan maupun tulisan, utamanya terkait dengan materi analisis ciri kebahasaan, memahami isi dan makna teks cerita novel.</p><p> </p><p><strong>K</strong><strong>a</strong><strong>t</strong><strong>a kunci: </strong>novel, nilai pendidikan, pembelajaran sastra, materi ajar</p>
An mHealth SMS intervention on Postpartum Contraceptive Use Among Women and Couples in Kenya: A Randomized Controlled Trial
Authors: Harrington Elizabeth K. , Drake Alison L. , Matemo Daniel , Ronen Keshet , Osoti Alfred O. , John-Stewart Grace , Kinuthia John , Unger Jennifer A. 
Published: May 2019

Objectives. To assess the effect of 2-way short message service (SMS) with a nurse on postpartum contraceptive use among individual women and couples. Methods. From 2016 to 2017, we conducted a randomized controlled trial at 2 public hospitals in western Kenya. We assigned eligible pregnant women to receive 2-way SMS with a nurse or no SMS, with the option to include male partners. We delivered automated family planning–focused SMS messages weekly until 6 months postpartum. Women and men receiving SMS could interact with nurses via SMS. In intention-to-treat analysis, we compared highly effective contraceptive (HEC) use at 6 months postpartum between groups using the χ2 test. We used Poisson regression in adjusted analysis. Results. We randomized 260 women to 2-way SMS or control, and we enrolled 103 male partners. At 6 months postpartum, 69.9% women receiving SMS reported HEC use, compared with 57.4% in control (relative risk = 1.22; 95% confidence interval [CI] = 1.01, 1.47; P = .04). In analysis adjusted for baseline demographic differences, the adjusted relative risk for HEC use in the SMS group was 1.26 (95% CI = 1.04, 1.52; P = .02). Conclusions. Two-way SMS with a nurse, including optional male participation, increased postpartum contraceptive use. Trial Registration. ClinicalTrials.gov; identifier: NCT02781714.
Cerebral salt wasting in a patient with myeloproliferative neoplasm
Authors: Orlik Lea , Venzin Reto , Fehr Thomas , Hohloch Karin 
Published: May 2019

Abstract
Background

Cerebral salt wasting (CSW) is a rare metabolic disorder with severe hyponatremia and volume depletion usually caused by brain injury like trauma, cerebral lesion, tumor or a cerebral hematoma. The renal function is normal with excretion of very high amounts of sodium in the urine. Diagnosis is made by excluding other reasons for hyponatremia, mainly the syndrome of inappropriate antidiuretic hormone secretion (SIADH).
Study on efficacy and safety of Tong-luo Qu-tong plaster treatment for knee osteoarthritis: study protocol for a randomised, double-blind, parallel positive control, multi-center clinical trial
Authors: Xu Bao-ping , Yao Min , Tian Zi-rui , Zhou Long-yun , Yang Long , Li Zhen-jun , Zhu Sen , Wang Xiao-tao , Lan Jia-hui , Wang Yong-jun , Cui Xue-jun 
Published: May 2019

Abstract
Background: Knee osteoarthritis (KOA) is a common chronic musculoskeletal disorder that seriously affect quality of life. Patients with KOA frequently develop one or more of the typically following symptoms: joint pain, stiffness, joint friction noise, impaired functionality. Traditional Chinese medicines (TCM) have showed a superior effect and peculiar advantage on the treatment of KOA, among TCMs, the Tong-luo Qu-tong plaster is the convenient and most commonly used method in China to improve symptoms including pain, stiffness and limited mobility in patients with KOA, as it causes few adverse effects. But there is a lack of high quality of clinical evidences to support the therapeutic effect that Chinese adhesive plaster can relieve pain and stiffness. The purpose of this study will be to evaluate the efficacy and safety of Tong-luo Qu-tong plaster in patients with KOA.
Methods/Design: This study will be a randomised, double-blind, parallel positive control, multi-center clinical trial, a non-inferiority trial design was adopted. A total of 2000 participants older than 40 years with KOA, will be randomly allocated into a experimental group (n=1500) and a control group (n=500). All participants will receive a conventional conservative treatment lasted for 14 days as two courses, daily 1 time. Tong-luo Qu-tong plaster will be administered externally to participants in the experimental group, while the control group will receive a Qi-zheng Xiao-tong plaster. The outcome of the total Western Ontario and McMaster Universities Arthritis Index scores, TCM syndrome quantitative score, visual analog scale scores will be measured during the assessment visits (baseline and 1-, 2-week follow-up). In addition, adverse events concerning clinical symptoms and signs as well as laboratory tests will be documented during clinical trials.
Discussion: This study will be a randomized, double-blind, parallel positive control trial to further evaluate the effectiveness and safety of Tong-luo Qu-tong plaster for patients with KOA in nine medical centers compared with control group, it is expected that the patients with KOA will benefit from this study.
Continuous noninvasive hemoglobin monitoring estimates timing for detecting anemia better than clinicians: A randomized controlled trial
Authors: Tang Bo , Yu Xuerong , Xu Li , Zhu Afang , Zhang Yuelun , Huang Yuguang 
Published: May 2019

Abstract
Background
Hemoglobin measurement is important for transfusion decision-making. Pulse CO-Oximetry provides real-time continuous hemoglobin (SpHb) monitoring. The triage role of SpHb trends based on hemoglobin measurements was investigated.
Methods
In this diagnostic randomized controlled trial, 69 patients undergoing spine or cytoreductive surgery were randomly enrolled into SpHb-monitoring and standard-care groups. Diagnostic blood samples were drawn for CO-oximetry Hb (CoOxHb) when the SpHb decreased by 1 g/dl or at the clinician’s discretion in the standard-care group. The positive predictive value (PPV) was defined as the ability to detect a decrease in CoOxHb > 1 g/dl or a CoOxHb < 10 g/dl; the PPVs were compared using Fisher’s exact test. The SpHb and trend accuracies were calculated. The transfusion units and postoperative hemoglobin levels were compared.
Results
The PPV of a decrease in CoOxHb > 1 g/dl was 93.3% in the SpHb group vs 54.5% without SpHb monitoring (p = 0.002). The PPV of CoOxHb < 10 g/dl was 86.7% vs. 50.0% for these groups (p = 0.015). The CoOxHb was never < 7 g/dl with SpHb monitoring. Sixty SpHb–CoOxHb data pairs and 28 delta pairs (ΔSpHb-ΔCoOxHb) were collected. The bias, precision and limits of agreement were -0.29, 1.03 and -2.30 to 1.72 g/dl, respectively. When ΔSpHb and ΔCoOxHb were > 1 g/dl, the concordance rate for changes in hemoglobin reached 100%. The delta pairs revealed a positive correlation [ΔSpHb = 0.49 * ΔCoOxHb - 0.13; r = 0.69, 95% confidence interval (0.53, 0.82)]. No significant differences were found in the transfusion volume or postoperative anemia state.
Conclusions
The SpHb trend tracked changes in hemoglobin satisfactorily during surgery and more accurately estimated the appropriate timing for invasive hemoglobin measurements than the clinicians.
Trial Registration
ChiCTR1800016290 (Prospective registered). Initial registration date was 24/05/2018.
A Case of Hyperventilation leading to apnea and desaturation in PACU
Authors: Thapa Parineeta , Asish Subedi , Anjali Poudel , Pankaj Baral 
Published: May 2019

Abstract
Background: Respiratory adverse events are not uncommon in the post anesthesia care unit (PACU) following general anesthesia. In this regard, hyperventilation leading to apnea and desaturation is a rare entity. Here we have reported a case of a 15-year-old girl who, following an uneventful general anesthesia, developed severe hyperventilation leading to apnea and desaturation in the PACU.
Case presentation: The 15-year-old girl underwent cortical mastoidectomy under general anesthesia. After a smooth anesthesia and an uneventful early recovery, she developed hyperventilation after about 15 minutes in the PACU. The symptom was severe enough to lead to apnea, desaturation and severe respiratory alkalosis. She required bag and mask ventilation and the symptoms resolved only transiently with propofol sedation. Finally she responded to intravenous haloperidol and did not have any further episode after receiving haloperidol
Conclusion: Hyperventilation after a smooth recovery from anesthesia is not a common presentation. In this article we have tried to discuss the possible cause of such symptom in our patient and how we successfully managed this case. We have also proposed an algorithmic approach to diagnose and manage such a case in the PACU.