bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of Methods to Define High Use of Inpatient Services Using Population‐Based Data
Authors: Wick James P. , Hemmelgarn Brenda R. , Manns Braden J. , Tonelli Marcello , Quan Hude , MD Richard Lewanczuk , Ronksley Paul E. 
Published: August 2017

BACKGROUNDA variety of methods have been proposed to define “high users” of inpatient services, which may have implications for targeting subgroups for intervention.OBJECTIVETo compare 3 common definitions of high in‐patient service use and their influence on patient capture, outcomes, and inpatient burden.DESIGN, SETTING, AND PATIENTSCross‐sectional population‐level study of 219,106 adults in Alberta, Canada, with ≥1 hospitalization from April 1, 2012, to March 31, 2013.MEASUREMENTSWe defined “high use” based on the upper 5th percentile of the population by 3 definitions: (1) number of inpatient episodes (≥3 hospitalizations/year), (2) cumulative length of stay (≥56 days in hospital/year), and (3) cumulative cost based on hospitalization resource intensity weights (≥ $63,597 Canadian dollars/year). Clinical characteristics, health outcomes, and overall health burden were compared across definitions and stratified by age.RESULTSOf that population, 10.3% of individuals were common to all definitions. High users based on number of inpatient episodes were more likely to be admitted for acute conditions, with most high users based on length of stay admitted for mental health‐related conditions, while those based on costs were more likely to have hospitalizations resulting in death (9.3%). High‐episode individuals accounted for 16.6% of all inpatient episodes, high‐length of stay individuals for 46.4% of all hospital days, and high‐cost individuals for 38.9% of total cost.CONCLUSIONSThree definitions of high users of inpatient services captured significantly different groups of patients. This has implications for targeting subgroups for intervention and highlights important considerations for selecting the most suitable definition for a given objective.
Excess Readmission vs Excess Penalties: Maximum Readmission Penalties as a Function of Socioeconomics and Geography
Authors: Caracciolo Chris M. , Parker Devin M. , Marshall Emily , Brown Jeremiah R. 
Published: August 2017

BACKGROUNDThe Hospital Readmission Reduction Program (HRRP) penalizes hospitals with “excess” readmissions up to 3% of Medicare reimbursement. Approximately 75% of eligible hospitals received penalties, worth an estimated $428 million, in fiscal year 2015.OBJECTIVETo identify demographic and socioeconomic disparities between matched and localized maximum‐penalty and no‐penalty hospitals.DESIGNA case‐control study in which cases included were hospitals to receive the maximum 3% penalty under the HRRP during the 2015 fiscal year. Controls were drawn from no‐penalty hospitals and matched to cases by hospital characteristics (primary analysis) or geographic proximity (secondary analysis).SETTINGA selectiion of 3383 US hospitals eligible for HRRP.PARTICIPANTSThirty‐nine case and 39 control hospitals from the HRRP cohort.MEASUREMENTSSocioeconomic status variables were collected by the American Community Survey. Hospital and health system characteristics were drawn from Centers for Medicare and Medicaid Services, American Hospital Association, and Dartmouth Atlas of Health Care. The statistical analysis was conducted using Student t tests.RESULTSThirty‐nine hospitals received a maximum penalty. Relative to controls, maximum‐penalty hospitals in counties with lower SES profiles are defined by increased poverty rates (19.1% vs 15.5%, P = 0.015) and lower rates of high school graduation (82.2% vs 87.5%, P = 0.001). County level age, sex, and ethnicity distributions were similar between cohorts.CONCLUSIONCases were more likely than controls to be in counties with low socioeconomic status; highlighting potential unintended consequences of national benchmarks for phenomena underpinned by environmental factors; specifically, whether maximum penalties under the HRRP are a consequence of underperforming hospitals or a manifestation of underserved communities.
Perbandingan Model Estimasi Artificial Neural Network Optimasi Genetic Algorithm dan Regresi Linier Berganda
Authors: Sebayang Jimmy Saputra , Yuniarto Budi 
Published: August 2017

Multiple Linear Regression is a statistical approach most commonly used in performing predictive data modeling. One of the methods that can be used in estimating the parameters of the model on Multiple Linear Regression is Ordinary Least Square. It has classical assumptions requirements and often the assumptions are not satisfied. Another method that can be used as an alternative data modeling is Artificial Neural Network. It is a free-distribution estimator because there's no assumptions that have to be satisfied. However, modeling data using ANN has some problems such as selection of network topology, learning parameters and weight initialization. Genetic Algorithm method can be used to solve those problems. A set of simulation data was generated to test the reliability of ANN-GA model compared to Multiple Linear Regression model. Model comparison experiments indicate that ANN-GA model are better than Multiple Linear Regression model for estimating simulation data both on the data training and data testing.Keywords:Neural Network, Genetic Algorithm, Ordinary Least Square
Trends in Antibiotic Use by Birth Season and Birth Year
Authors: Kinlaw Alan C. , Stürmer Til , Lund Jennifer L. , Pedersen Lars , Kappelman Michael D. , Daniels Julie L. , Frøslev Trine , Mack Christina D. , Sørensen Henrik Toft 
Published: August 2017

OBJECTIVES:
We examined 2 birth cohort effects on antibiotic prescribing during the first year of life (henceforth, infancy) in Denmark: (1) the birth season effect on timing and overall occurrence of antibiotic prescribing, and (2) the birth year effect amid emerging nationwide pneumococcal vaccination programs and changing prescribing guidelines.

METHODS:
We linked data for all live births in Denmark from 2004 to 2012 (N = 561 729) across the National Health Service Prescription Database, Medical Birth Registry, and Civil Registration System. Across birth season and birth year cohorts, we estimated 1-year risk, rate, and burden of redeemed antibiotic prescriptions during infancy. We used interrupted time series methods to assess prescribing trends across birth year cohorts. Graphical displays of all birth cohort effect data are included.

RESULTS:
The 1-year risk of having at least 1 redeemed antibiotic prescription during infancy was 39.5% (99% confidence interval [CI]: 39.3% to 39.6%). The hazard of a first prescription increased with age throughout infancy and varied by season; subsequently, Kaplan-Meier–derived risk functions varied by birth season cohort. After rollout of a first vaccination program and new antibiotic prescribing guidelines, 1-year risk decreased by 4.4% over 14 months (99% CI: 3.4% to 5.5%); it decreased again after rollout of a second vaccination program by 6.9% over 3 years (99% CI: 4.4% to 9.3%).

CONCLUSIONS:
In Denmark, birth season and birth year cohort effects influenced timing and risk of antibiotic prescribing during infancy. Future studies of antibiotic stewardship, effectiveness, and safety in children should consider these cohort effects, which may render some children inherently more susceptible than others to downstream antibiotic effects.
O efeito retroativo do EPLIS nas percepções de professores
Authors: Souza Paula Ribeiro e 
Published: August 2017

The Aviation English Proficiency Exam for the Brazilian Airspace Control System (EPLIS) was developed in compliance with the International Civil Aviation Organization (ICAO) language policy regarding the assessment of English language proficiency for air traffic controllers and aeronautical station operators. A high-stakes test by any account, EPLIS was delivered only to in-service air traffic personnel for the first 7 years. In 2014, however, pre-service air traffic controllers started sitting EPLIS in the last semester of their two-year training program. This study aimed at investigating the washback effect of EPLIS on the English teachers’ perceptions in an Air Traffic Control Initial Training Program. Teachers responded to a questionnaire about the influence of EPLIS on different aspects of language teaching and learning. A descriptive statistical analysis was carried out and the results showed that Aviation English teaching experience andknowledge about the exam interact with washback intensity.
A theoretical outline of the importance of cross-cultural and pragmatic awareness in the business scenario
Authors: Soprana Victor Marques 
Published: August 2017

English has become crucial for professional success within the globalized world, and indispensable for communicating with people from other countries. It has become a Lingua Franca and, therefore, has been used to speak among people with different mother tongues who share English as a second language. In light of this multicultural process, this paper aims to provide the reader with a theoretical outline about the relevance of cross-cultural and pragmatic knowledge. Such aspects need to be specially considered when developing an English course for business students as there has been a growing need for professionals to be competent users of English within the business context. Due to this specific context, we have favored an approach – English for Specific Purposes – that targets specific aspects of the language. Our focal point is to validate the need of raising both pragmatic and cross-cultural awareness when teaching business professionals as they will probably have communicative scenarios where such capabilities would be remarkably advantageous.
Éber, tudatos figyelemre épülő, a rákbetegséggel való megküzdést segítő program (MBCR) hatásvizsgálata magyar rákbetegek körében
Authors: Rohánszky Magda , Berényi Károly , Fridrik Dóra , Pusztafalvi Henriette 
Published: August 2017

Abstract: Introduction and aim: Employment of mindfulness-based programs and techniques in the treatment of cancer patients have spread exponentially in the past decade. A large number of studies have proved the effectiveness of the program in the reduction of stress symptoms, depression and anxiety, and the improvement of sleep and mood patterns. The present study was done at Firebird Foundation and examines the effectiveness of the complex, MBCR (mindfulness-based cancer recovery)-based psycho-social intervention in the treatment of cancer patients. Method: The experimental group consisted of 101 people with various types and states of cancer. The control group consisted of 72 adjusted people. We did measurements (PPS, HADS, FACT-G, POMS-SF, Freiburg Adaptation Questionnaire) before the intervention (T1), right after the 8-week intervention (T2), and 6 months after the intervention (T3). Results: The experimental group showed significant improvement in the measured psychological variables, and in few aspects of life quality between T1 and T2. There was a decrease in levels of observed stress and depression, and an escalation in optimism and vitality. We found a decrease in depressive and minimizing coping scores as well. There was a significant improvement in two dimensions of quality of life, and all these positive changes remained present by the end of the follow-up period (T3). In the control group, we only found a significant increase in minimizing coping scores at the time of T3 measurements. This is the first impact assessment study done on cancer patients using MBCR techniques in Hungary. Conclusions: The MBCR program is a very effective psychosocial intervention among cancer patients; it has a long term significant impact on mood and quality of life. Orv Hetil. 2017; 158(33): 1293–1301.
PENGARUH PARTISIPASI PEMAKAI DAN DUKUNGAN MANAJEMEN PUNCAK TERHADAP KESUKSESAN PENGEMBANGAN SISTEM INFORMASI AKUNTANSI SERTA DAMPAKNYA TERHADAP PROSES PENGAMBILAN KEPUTUSAN
Authors: Nasrizal Nasrizal 
Published: August 2017

The objective of this research was to examine empirically the influence of user participation and top management support on success of accounting information system development and its impact on decision making process. The analysis units were the hospital in Pekanbaru city. The election of sample is by using technique of probability sampling with method of simple random sampling. The statistical method used to test the hypothesises was path analysis with AMOS 20 program. The result shows that only the first hypothesis did not have a significant influence, while the others had a significant influence.
PENGARUH PARTISIPASI ANGGARAN TERHADAP SENJANGAN ANGGARAN: KOMITMEN ORGANISASI DAN KETIDAKPASTIAN LINGKUNGAN SEBAGAI VARIABEL MODERATING
Authors: Fatmawati Ifat , Widyaningsih Aristanti 
Published: August 2017

This research purpose to examine the effect budgetary participation on budgetary slack and moderation organizational commitment and enviroment uncertainty at budget participation on budgetary slack. This research used descriptive verification method. The sampling technique is non probablity sampling with propotional sampling technique. The samples is 142 people from the entire population. The unit of analysis is the head/ field/ sub division in SKPD Serang. data was collected with direct distribution by using numerical scale form of statement list. The data is processed by using simple regression to test the first hypothesis and regression with the absolute value of the difference for the second and third test hypothesis. The results of this research show; First, there is positive between budgetary participation and budgetary slack. Second, organizational commitment as a moderating variable was not proved to strengthen the influence of budgetary participation on budgetary slack, and third, the uncertainty of the environment as a moderating variable was not proved to strengthen the influence of budgetary participation on budgetary slack
PENGARUH PERENCANAAN PAJAK TERHADAP NILAI PERUSAHAAN
Authors: Herawati Hetti , Ekawati Diah 
Published: August 2017

Abstract. For the Government, taxes are a source of the highest acceptance it is desirable at this point with the contribution of approximately 70% when compared to other admissions resources. As a major state income tax, became an extra burden for the company because it can reduce the value of the net profit of the company. Given the tax burden is to be borne by the company, then the company is working to its fullest in order to minimize the tax burden, by making tax planning. The purpose of this research is to know the influence of the tax planning of the company. by making the financial statements of PT Unilever Indonesia, Tbk. period 2006 until 2015 as objects of research. Metode of research is kuantitatif methode, tax planning in the count by using the calculation of the Effective tax rate on cash, long run cash effective tax rate, book a tax difference and tax sheltering activities. As for the value of the company using price earnings ratio. Test results of Statistics 135.06 get the tax planning influence to corporate vaue, so we accepted hipotesis Nul.Keywords: Tax Planning , Corporate Value Abstrak. Bagi pemerintah, pajak merupakan sumber penerimaan tertinggi yang sangat diharapkan pada saat ini dengan kontribusi lebih kurang 70% bila dibanding sumber penerimaan lain. Sebagai pendapatan utama negara, pajak menjadi beban tambahan bagi perusahaan karena dapat mengurangi nilai laba bersih perusahaan. Mengingat pajak merupakan beban yang harus ditanggung oleh perusahaan, maka perusahaan berupaya semaksimal mungkin untuk dapat meminimalisir beban pajak, dengan melakukan perencanaan pajak. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh perencanaan pajak terhadap nilai perusahaan. dengan menjadikan laporan keuangan PT. Unilever Indonesia,Tbk periode 2006 sampai dengan 2015 sebagai objek penelitian. Metode Penelitian yang digunakan adalah metode kuantitatif , dimana perencanaan pajak di hitung dengan menggunakan perhitungan cash Effective tax rate, long run cash effective tax rate, book tax difference dan aktifitas tax sheltering. Sedangkan untuk nilai perusahaan menggunakan price earnings ratio. Hasil uji F Statistik sebesar 135,06 menunjukan bahwa secara keseluruhan perencanaan pajak berpengaruh terhadap nilai perusahaan, sehingga hipotesis awal Ho penelitian ini. Kata Kunci: Perencanaan Pajak, Nilai Perusahaan
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI PENGUNGKAPAN VARIASI PERTUMBUHAN LABA ANTAR SEGMEN
Authors: Widaningsih Mimin 
Published: August 2017

Abstract. This study aims to determine the factors that affect the disclosure of variation in profit growth between segments. The type of research used is descriptive quantitative, and the method used is associative. Sampling technique used is simple random sampling technique, with the number of samples of 60 companies. The data used is secondary data, while the data analysis technique used is multiple regression techniques using the coefficient of determination. The results showed that the profitability of abnormal, free cash flow and current discretionary accrual have positive effect of 3.31%, 1.74% and 21.9% which means rejects ha. Herfindahl index has a negative effect and external financing has positive effect of 16.48% and 13.4% which means receiving ha. Keywords: Profit Growth; Segment; Disclosure. Abstrak. Penelitian ini bertujuan untuk mengetahui mengenai faktor-faktor yang mempengaruhi pengungkapan variasi pertumbuhan laba antar segmen. Jenis penelitian yang digunakan adalah kuantitatif deskriptif, dan metode yang digunakan adalah asosiatif. Teknik penarikan sampel yang digunakan adalah teknik simple random sampling, dengan jumlah sampel sebanyak 60 perusahaan. Data yang digunakan adalah data sekunder, sedangkan teknik analisa data yang digunakan adalah teknik regresi berganda dengan menggunakan koefisien determinasi. Hasil penelitian menunjukkan bahwa profitabilitas abnormal, free cash flow dan current discretionary accrual berpengaruh positif sebesar 3,31%, 1,74% dan 21,9% yang berarti menolak ha. Indeks herfindahl berpengaruh negatif dan external financing berpengaruh positif sebesar 16,48% dan 13,4% yang berarti menerima ha. Kata Kunci: Pertumbuhan Laba; Segmen; Pengungkapan.
PENGARUH PEMANFAATAN TEKNOLOGI DAN MODERNISASI SISTEM ADMINISTRASI PERPAJAKAN TERHADAP KEPATUHAN WAJIB PAJAK ORANG PRIBADI
Authors: Aryati Titik , Putritanti Lidwina Ribka 
Published: August 2017

This research aims to analyze the impact of the utilization of technology and modernization of tax administration system on personal taxpayers compliance. Independent variables in this research are the modern tax administration system, government regulations that support the utilization of information technology, modernizing the organizational structure, modernizing the organizational strategy, improvement of human resources, good governance and whistleblowing system, while the dependent variable is the compliance of personal taxpayers. This research uses primary data, by giving questionnaires to respondents by online to personal taxpayers and filled by 180 respondents. Sampling method in this research uses convenience sampling method. Data analysis using multiple linear regression analysis. Partially, the results of the analysis and hypothesis shows that variable the modern tax administration system, modernizing the organizational strategy, good governance and whistleblowing system has significant impact on personal taxpayer compliance, while others variables are: government regulations, modernizing the organizational structure, and also improvement of human resources didn’t have impact on personal taxpayers compliance.
Clinical and pathogenetic value of nitric oxide measurement in the blood of patients with bronchial asthma and essential hypertensio
Authors: Shakhanov A V , Bel’skikh E S , Lunyakov V A , Uryas’ev O M 
Published: August 2017

Aim. To evaluate the clinical and pathogenetic value of nitric oxide metabolites measurement in the blood of patients with bronchial asthma and essential hypertension.
Methods. The study included 91 patients. Three groups were identified: patients with bronchial asthma (30 patients, group 1), patients with bronchial asthma in combination with essential hypertension (31 patients, group 2), and patients with essential hypertension (30 patients, group 3). Measurement of the level of total nitric oxide metabolites in patients’ blood was performed with the use of spectrophotometric method in light spectrum based on Griess reaction.
Results. The median level of nitric oxide metabolites had the highest value in the blood of patients with bronchial asthma and accounted for 75.6 [70.4; 80.8] umol/L. Level of nitric oxide metabolites in the blood of patients with bronchial asthma in combination with essential hypertension and patients with essential hypertension was lower, accounting for 72.4 [66.2; 81.2] and 60.0 [54.6; 62.7] umol/L respectively (p
Molecular genetic and morphological features of malignant neoplasms of the stomach and colon with tissue eosinophilia
Authors: Dmitrieva A I , Yankovich K I , Kolobovnikova Yu V , Urazova O I , Purlik I L , Kudyakov L A , Novitskiy V V 
Published: August 2017

Aim. To study molecular genetic and morphological features of neoplasms in stomach and colon cancer associated with tissue eosinophilia.
Methods. Study material was the tissue samples of malignant neoplasms of the stomach and colon obtained from the surgical procedures. Study groups were identified depending on the presence or absence of eosinophilic infiltration of the tumour tissue as well as on neoplasm localization. Medical records and outpatient patient cards were analyzed, presence of matastases in regional lymph nodes and grade of differentiation of malignant cells were evaluated. In tumour tissue expression of p53 and p21 proteins was evaluated by means of immunohistochemical technique. To study the distribution of polymorphic variants of р53 (G215C) and р21 (A1026G) genes, deoxyribonucleic acid extraction was performed from formalin-fixed and paraffin-embedded tissue samples obtained from the resection margins. Polymorphism genotyping of deoxyribonucleic acid samples was performed by restriction fragment length polymorphism analysis of amplification products with the use of polymerase chain reaction of specific genome regions with further visualization with ultraviolet light.
Results. In patients with colon cancer associated with tissue eosinophilia tumour cells were shown to have higher grade of differentiation than in patients without eosinophilia. In stomach cancer associated with eosinophilic infiltration low expression of mutant p53 protein was revealed significantly more frequently as opposed to cancer without eosinophilia. Also in patients with stomach and colon cancer, association of tissue eosinophilia with carriage of G allele of р53 (G215C) gene polymorphism was found.
Conclusion. Tissue eosinophilia in stomach and colon cancer is associated with favourable morphological cancer characteristics, low expression of mutant p53 protein and carriage of G allele of р53 (G215C) polymorphism.