bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Akkadian Royal Image: On a Seated Statue of Manishtushu
Authors: Thomas Ariane 
Published: January 2017

Abstract:The Musée du Louvre holds one of the most significant collections of Akkadian royal statuary’s extant vestiges. This article coincides with the restoration and reassembly of a seated statue of King Manishtushu, the third monarch of the dynasty, considered one of the main promoters of this outstanding art. The author takes a new, overall look at royal imagery based on a thorough study of the seated statue, now on view in the Louvre’s permanent display.
From Field Cards to Cuneiform Archives: Two Inscribed Artifacts from Archaic Ur and Their Archaeological Context
Authors: Benati Giacomo , Lecompte Camille 
Published: January 2017

Abstract:The two inscribed artifacts discussed in this article were excavated by C. L. Woolley during the seventh field campaign (1928–1929) at Tell al-Muqayyar, ancient Ur, Iraq. The objects were shipped to the British Museum of London in 1930 and 1935 and have never been published in print. These items are presented and analysed here through a review of their textual information, archaeological context, and associated material culture, using unpublished data from the Ur collection kept in the British Museum. This paper is part of a collaborative research project aiming at re-contextualizing the archaic texts from Ur.
Multilingualism and Formulations of Scholarship: The Rosen Vocabulary
Authors: Crisostomo C. Jay 
Published: January 2017

Abstract:The Rosen Vocabulary is an Old Babylonian bilingual text. Through an edition of this text, I argue that the ad-hoc mixed vocabularies known from the Old Babylonian period feature citations or allusions to literary compositions as well as subsequent analogous expressions, both in Sumerian and in Akkadian.
Anti-witchcraft Prescriptions from Ḫattuša and Nippur
Authors: Rutz Matthew 
Published: January 2017

Abstract:Two anti-witchcraft prescriptions from the late second millennium BCE are edited for the first time: a fragment from Ḫattuša (HT 75 = BM 108557) and a previously unpublished fragment from Nippur (CBS 11059). The piece from Ḫattuša joins an important therapeutic/prophylactic compilation that has first-millennium duplicates from Assur and Kalḫu, while the manuscript from Nippur, which has duplicates from Ḫattuša and Nineveh, illustrates the early stabilization of a ritual tradition that is later formulated as a measure against a type of witchcraft called
Cuneiform Orthography of the Stops in Alalaḫ VII Akkadian
Authors: Popova Olga V. 
Published: January 2017

Abstract:This article presents a statistical analysis of signs of the CV type and their values as used for stop consonants in Alalaḫ VII documents. Comparing the Alalaḫ VII syllabary with those of OAkk, OAss and Mari, I show that it had not been systematized by the time of the city’s destruction, and that one cannot speak of an adequate written representation for all voiced, voiceless and emphatic stops in Alalaḫ VII. Nevertheless, the syllabary does show a tendency towards a rational distribution of the signs used. This research also demonstrates that it may be misleading to consider Alalaḫ VII the direct source of borrowing of Hittite cuneiform.
Parent Preferences for Medical Error Disclosure: A Qualitative Study
Authors: Coffey Maitreya , Espin Sherry , Hahmann Tara , Clairman Hayyah , Lo Lisha , Friedman Jeremy N. , Matlow Anne 
Published: January 2017

OBJECTIVE:
According to disclosure guidelines, patients experiencing adverse events due to medical errors should be offered full disclosure, whereas disclosure of near misses is not traditionally expected. This may conflict with parental expectations; surveys reveal most parents expect full disclosure whether errors resulted in harm or not. Protocols regarding whether to include children in these discussions have not been established. This study explores parent preferences around disclosure and views on including children.

METHODS:
Fifteen parents of hospitalized children participated in semistructured interviews. Three hypothetical scenarios of different severity were used to initiate discussion. Interviews were audiotaped, transcribed, and coded for emergent themes.

RESULTS:
Parents uniformly wanted disclosure if harm occurred, although fewer wanted their child informed. For nonharmful errors, most parents wanted disclosure for themselves but few for their children.
With respect to including children in disclosure, parents preferred to assess their children’s cognitive and emotional readiness to cope with disclosure, wishing to act as a “buffer” between the health care team and their children. Generally, as event severity decreased, they felt that risks of informing children outweighed benefits. Parents strongly emphasized needing reassurance of a good final outcome and anticipated difficulty managing their emotions.

CONCLUSIONS:
Parents have mixed expectations regarding disclosure. Although survey studies indicate a stronger desire for disclosure of nonharmful events than for adult patients, this qualitative study revealed a greater degree of hesitation and complexity. Parents have a great need for reassurance and consistently wish to act as a buffer between the health care team and their children.
The Effect of Limited English Proficiency on Pediatric Hospital Readmissions
Authors: Ju Mindy , Luna Nathan , Park K.T. 
Published: January 2017

BACKGROUND:
The relationship between limited English proficiency (LEP) and worse pediatric health outcomes is well documented.

OBJECTIVES:
To determine the relationship between LEP status and pediatric hospital readmissions.

METHODS:
We performed a retrospective cohort analysis of children ≤ 18 years old admitted to a tertiary children’s hospital from 2008 to 2014. The main exposure was LEP status. Independent variables included sex, age, race/ethnicity, insurance, median household income, surgical/medical status, severity of illness (SOI), the presence of a complex chronic condition, and length of stay. Primary outcome measures were 7- and 30-day readmission.

RESULTS:
From 67 473 encounters, 7- and 30-day readmission rates were 3.9% and 8.2%, respectively. LEP patients were more likely to be younger, poorer, and Hispanic; have lower SOI; and government-subsidized insurance. Adjusted odds for 7- or 30-day readmission for LEP versus English-proficient (EP) patients were 1.00 (P = .99) and 0.97 (P = .60), respectively. Hispanic ethnicity (adjusted odds ratio [aOR]: 1.26 [P = .002] and 1.14 [P = .02]), greater SOI (aOR: 1.04 [P &lt; .001] and 1.05 [P &lt; .001]), and the presence of a complex chronic condition (aOR: 2.31 [P &lt; .001] and 3.03 [P &lt; .001]) were associated with increased odds of 7- and 30-day readmission, respectively. White LEP patients had increased odds of 7- and 30-day readmission compared with white EP patients (aOR: 1.46 [P = .006] and 1.32 [P = .007]) and the poorest LEP patients had increased odds of 7- and 30-day readmission compared with the poorest EP patients (aOR: 1.77 [P = .04] and 2.00 [P &lt; .001]).

CONCLUSIONS:
This is the first large study evaluating the relationship between LEP and pediatric hospital readmission. There was no increased risk of readmission in LEP patients compared with EP patients.
Care Variations and Outcomes for Children Hospitalized With Bacterial Tracheostomy-Associated Respiratory Infections
Authors: Russell Christopher J. , Mack Wendy J. , Schrager Sheree M. , Wu Susan 
Published: January 2017

OBJECTIVES:Identify hospital-level care variations and association with length of stay (LOS) and hospital revisit in children with tracheostomies hospitalized for bacterial respiratory tract infections (bRTIs).METHODS:A multicenter, retrospective cohort study that used the Pediatric Health Information System database between 2007 and 2014 of patients with tracheostomies aged ≤18 years with a primary diagnosis of bRTI (eg, tracheitis) or a primary diagnosis of a bRTI symptom (eg, cough) and a secondary diagnosis of bRTI. Primary outcomes were LOS and 30-day all-cause revisit rates. Secondary outcomes included hospital-level diagnostic testing and anti-Pseudomonas antibiotic use. We used mixed-effects negative binomial (for LOS) and logistic (for revisit) regression to explore the relationship between hospital-level diagnostic test utilization and the outcomes.RESULTS:Data representing 4137 unique patients with a median age of 3 years (interquartile range: 1–9 years) were included. Median LOS was 4 days (interquartile range: 3–8 days), and the 30-day revisit rate was 24.9%. Use of diagnostic testing and empirical anti-Pseudomonas antibiotics varied significantly among hospitals (all P values &lt;.001). After adjusting for patient and hospital characteristics, compared with low test utilization hospitals, there were no differences in 30-day all-cause revisit rates in moderate (adjusted odds ratio: 1.19; 95% confidence interval [CI]: 0.93–1.52) or high (adjusted odds ratio: 1.07; 95% CI: 0.82–1.39) utilization hospitals. LOS in hospitals with moderate (% difference: −0.8%; 95% CI: −14.4–14.9%) or high (% difference: 13.9%; 95% CI: −0.7–30.6%) test utilization was not significantly longer.CONCLUSIONS:Given that care variations were not associated with outcomes, future research should focus on standardizing diagnosis and treatment of bRTIs and readmission prevention in this population.
Improving the Efficiency of Care for Pediatric Patients Hospitalized With Asthma
Authors: Bartlett Kathleen W. , Parente Victoria M. , Morales Vanessa , Hauser Jillian , McLean Heather S. 
Published: January 2017

BACKGROUND:
Asthma exacerbations are a leading cause of hospitalization among children. Despite the existence of national pediatric asthma guidelines, significant variation in care persists. At Duke Children’s Hospital, we determined that our average length of stay (ALOS) and cost for pediatric asthma admissions exceeded that of our peers. Our aim was to reduce the ALOS of pediatric patients hospitalized with asthma from 2.9 days to 2.6 days within 12 months by implementing an asthma pathway within our new electronic health record.

METHODS:
We convened a multidisciplinary committee charged with reducing variability in practice, ALOS, and cost of inpatient pediatric asthma care, while adhering to evidence-based guidelines. Interventions were tested through multiple “plan-do-study-act” cycles. Control charts of the ALOS were constructed and annotated with interventions, including testing of an asthma score, implementation of order sets, use of a respiratory therapy–driven albuterol treatment protocol, and provision of targeted education. Order set usage was audited as a process measure. Readmission rates were monitored as a balancing measure.

RESULTS:
The ALOS of pediatric patients hospitalized with asthma decreased significantly from 2.9 days to 2.3 days. Comparing baseline with intervention variable direct cost data revealed a savings of $1543 per case. Improvements occurred in the context of high compliance with the asthma pathway order sets. Readmission rates remained stable throughout the study period.

CONCLUSIONS:
Implementation of an asthma care pathway based on the electronic health record improved the efficiency and variable direct costs of hospital care, reduced variability in practice, and ensured adherence to high-quality national guidelines.
Effects of a Humor Therapy Program on Stress Levels in Pediatric Inpatients
Authors: Sánchez Julio C. , Echeverri Luis F. , Londoño Manuel J. , Ochoa Sergio A. , Quiroz Andrés F. , Romero César R. , Ruiz Joaquín O. 
Published: January 2017

OBJECTIVE:
Disease and hospitalization generate stress, which can affect the response to treatment. Humor has been used in many hospitals to decrease stress. The aim of this study was to evaluate the impact of a humor therapy program on stress levels in pediatric inpatients.

METHODS:
In the first phase, an intervention and a control group were studied over 2 consecutive 3-month periods; the interventions were performed by a team of artists trained in humor therapy. Salivary cortisol levels were measured by enzyme-linked immunosorbent assay, and the Weisz test, a pictorial chart that determines subjective stress perception, and the Parker test, which assesses objective stress, were applied. In the second phase, salivary cortisol levels were measured and the Weisz test was administered before and after the interventions.

RESULTS:
A total of 306 patients were recruited into this study: 198 in the first phase (94 in the intervention group and 104 in the nonintervention group) and 108 in the second phase. There were no differences between groups regarding age, sex, or medical diagnosis. The children in the intervention group presented lower cortisol levels, lower scores on the Parker test, and higher scores on the Weisz test than children in the nonintervention group. In the second phase, the children showed lower salivary cortisol levels and higher scores on the Weisz test after the intervention.

CONCLUSIONS:
Humor therapy has beneficial effects on stress and cortisol levels in pediatric inpatients. This supports the implementation and reinforcement of these therapies in pediatric hospitals.
Soporte social percibido en cuidadores familiares de personas en tratamiento contra el cáncer
Authors: Puerto Pedraza Henry Mauricio 
Published: January 2017

<p><strong>Introducción:</strong> El cáncer se reconoce como un problema universal que afecta a las personas de cualquier edad, género, cultura y situación económica, además impone fuertes cargas financieras y sociales para la persona enferma al igual que su familia. El objetivo fue determinar el Soporte social percibido en enfermedad crónica en los cuidadores familiares de personas en tratamiento contra el cáncer. <strong>Materiales y</strong> <strong>Métodos:</strong> Estudio descriptivo de corte transversal, se entrevistaron 75 cuidadores familiares de personas en tratamiento contra el cáncer a los cuales se les aplicó el instrumento "<em>Soporte social percibido en enfermedad crónica</em>". El análisis se realizó mediante estadística descriptiva y estratificación de la escala Soporte social percibido. <strong>Resultados: </strong>Los cuidadores familiares son en mayoría mujeres de estratos socioeconómicos 1 y 2, de escolaridad primaria incompleta el (37,3%), en relación al estado civil se informó estar casados o en unión libre (66,7%), de ocupación hogar (50,7%), con una mediana de 18 horas de cuidado. Los cuidadores familiares presentan una percepción media del soporte social percibido de (36%). Las subescalas del instrumento reportan puntajes medios en la interacción personal (42,7%), guía (40%), retroalimentación (41,3%) ayuda tangible (28%), interacción social (45,3%). <strong>Discusión: </strong>Se hace necesario abordar el soporte social desde una perspectiva holística donde las interrelaciones de salud física, emocional, funcionamiento familiar y social respondan a las necesidades de los cuidadores familiares. <strong>Conclusiones:</strong> El soporte social es conocido por ser la fuerza más grande y poderosa que facilita el éxito cuando una persona y su cuidador se ven amenazadas por el cáncer.</p><p><em><strong>Cómo citar este artículo:</strong></em> <em>Puerto HM.</em><strong><em> </em></strong><em>Soporte social percibido en cuidadores familiares de personas en tratamiento contra el cáncer. Rev Cuid. 2017; 8(1):1407-22.</em><em> </em><em><span style="text-decoration: underline;"><a href="http://dx.doi.org/10.15649/cuidarte.v8i1.345">http://dx.doi.org/10.15649/cuidarte.v8i1.345</a></span></em></p>
Sífilis gestacional: enfermedad de interés en salud pública, Córdoba-Colombia, 2015
Authors: Amador Ahumada Concepción , Hanna Lavalle Mónica , Villadiego Chamorro Marilyn 
Published: January 2017

<p><strong>Introducción:</strong> Córdoba notificó en 2010, 240 casos de sífilis gestacional e inició una agresiva estrategia para controlar esta enfermedad de interés en salud pública; este estudio realizó un comparativo del comportamiento de sífilis gestacional. <strong>Materiales y Métodos:</strong> Estudio descriptivo, retrospectivo. Se analizó la información contenida en 97 casos de sífilis gestacional confirmados durante las primeras 15 semanas epidemiológicas de 2012 a 2015. <strong>Resultados: </strong>El grupo etario más afectado fue de 15 a 35 años, con predominio de 24 años, 41% de las maternas tuvieron resultados de la prueba serológica en el I trimestre de embarazo, 14% de las maternas reporta haber padecido previamente sífilis, 97% iniciaron tratamiento con penicilina benzatina, 69% de los contactos sexuales no se diagnosticaron, ni trataron; cada año entre 3 y 5 de cada seis casos son incidentes mostrando el aumento de la sífilis gestacional, con una tasa de 0,87 por cada mil nacidos vivos. <strong>Discusión:</strong> La prevalencia de sífilis gestacional refleja una baja cobertura del programa de Infecciones de Transmisión Sexual. La vigilancia epidemiológica es pasiva, falta gestión, prevención, captación, diagnóstico, tratamiento y seguimiento, para cumplir la meta de erradicación de la sífilis gestacional se hace necesario integrar las acciones de los programas de control de éstas, con el programa detección temprana de las alteraciones del embarazo. <strong>Conclusiones:</strong> La sífilis gestacional se mantiene como prevalente en la ciudad de Montería, identificando-se entre 1 y 5 casos en cada semana epidemiológica.</p><em><strong>Cómo citar este artículo:</strong></em> <em>Amador C, Hanna M, Villadiego M.</em><strong><em> </em></strong><em>Sífilis gestacional: enfermedad de interés en salud pública, Córdoba-Colombia, 2015.Rev Cuid. 2017; 8(1): 1449-58. <span style="text-decoration: underline;"><a href="http://dx.doi.org/10.15649/cuidarte.v8i1.350">http://dx.doi.org/10.15649/cuidarte.v8i1.350</a></span></em><p> </p>
The phaeophyte Hizikia fusiformis extracts suppress rhizoid and blade formation in seaweeds
Authors: Getachew Mehader , Getachew Paulos , Cho Ji-Young , Choi Jae-Suk , Hong Yong-Ki 
Published: January 2017

Background: Plants, including marine algae, produce allelochemicals that influence the growth, survival, and reproduction of other organisms.
Questions: To identify natural algicidal or antifouling allelochemicals, we screened 18 common seaweed extracts for suppression of rhizoid and blade production in a convenient Porphyra suborbiculata monospore assay.
Species study and data description: Addition of extract from the most potent phaeophyte, Hizikia fusiformis , suppressed rhizoid formation, rhizoid number, rhizoid length, blade formation, and blade length.
Study site and dates: Seaweed thalli for methanol extraction were collected on the coast of Korea from October 2012 to July 2015.
Methods: Extracts were tested using the P. suborbiculata monospore assay system.
Results: The 50 % suppression doses were 15 µ g ml-1 for rhizoid formation, 2.4 µ g ml-1 for rhizoid number, 13 µ g ml-1 for rhizoid length, 6 µ g ml-1 for blade formation, and 11 µ g ml-1 for blade length. The H. fusiformis extract also suppressed rhizoid and blade production in leafy green ( Ulva pertusa ) and brown ( Undaria pinnatifida and Ecklonia cava ) seaweed spores, as well as suppressing diatom settlement.
Conclusions: The allelochemicals that suppressed or eliminated competing seaweed species may be efficacious for new seaweed control technologies, including the development of antifouling or algicidal agents based on natural products.
Influência do uso e ocupação do solo na qualidade ambiental do Córrego Lagoinha, em Uberlândia (MG)
Authors: Ferreira Priscilla Vitória Nunes , Ruiz Marcos Vinicius dos Santos , Aguiar Camila Marques Alves 
Published: January 2017

Sabe-se que o crescimento urbano vem aumentando a contaminação dos corpos d’água, acarretando a danos aos ambientes aquáticos. Tendo isto em vista, buscou-se realizar um estudo sobre a influência do uso e ocupação do solo na qualidade ambiental do córrego Lagoinha através da análise das propriedades físico-químicas, utilizando o equipamento multiparâmetro HANNA para analise de temperatura, sólidos totais, turbidez, condutividade elétrica, pH, oxigênio dissolvido e potencial de oxirredução comparando com os valores estabelecidos pela Resolução nº 357 do CONAMA de 2005, além disto foram realizadas análises biológicas, utilizando os macroinvertebrados bentônicos como bioindicadores de qualidade da água, e por meio de um protocolo de avaliação rápida da diversidade de hábitats além disto. Foram coletadas amostras em dois pontos do córrego, um a montante e outro a jusante e, através das analises foi possível concluir que para os parâmetros físico-químicos os pH, o SDT, a condutividade e a turbidez sofreram aumentou do ponto 1 para o ponto 2 além da baixa diversidade de organismos bentônicos encontrados, o córrego sofreu impacto devido ao uso do solo em seu entorno e esta sofrendo decréscimo de sua qualidade de montante para jusante. Portanto, o córrego esta sofrendo alteração devido a ação antrópica e será necessário maior controle e investigações para reestabelecer a qualidade ambiental do Córrego Lagoinha. PALAVRAS-CHAVE: Qualidade Ambiental. Parâmetros físico-químicos. Macrofauna Bentônica.
Avaliação do fluxo hidrológico dos rios Lajeado Bonito e Limeira comparando atividades urbanas e rurais sobre a qualidade da água
Authors: Franchini Carolina , Gomes Gilmar de Almeida 
Published: January 2017

A água é um recurso natural que precisa ser preservado, pois a grande maioria encontra-se imprópria ou escassa ao consumo. Este trabalho buscou avaliar a diferença das ações antropogênicas rurais e urbanas em dois rios, Limeira e Lajeado Bonito, na cidade Pinhalzinho – SC. Foram realizadas análises físico-químicas como: condutividade, cloreto, dureza, alcalinidade e pH, durante o segundo semestre de 2015. Para o Rio Lajeado Bonito, os pontos localizados na área urbana apresentaram maior carga de contaminantes. Sendo que, para este Rio, o ponto dois mostrou o teor mais elevado de íons, isto se justifica por este ponto estar sujeito a maior carga de contaminação antropogênica. Já para o Rio Limeira, houve pouca diferença entre os pontos urbanos e rurais analisados, demonstrando que a variação nos contaminantes deste rio não afeta diretamente os parâmetros analisados, sendo necessário novos estudos mais aprofundados. Contudo, durante as coletas, era observado grande carga de contaminantes em ambos os rios, demonstrando a necessidade de educação ambiental. PALAVRAS-CHAVE: Rio Lajeado Bonito. Rio Limeira. Íons.
Diagnóstico dos Indicadores de Consumo de Água em Escolas Públicas de Recife-PE
Authors: Soares Anna Elis Paz , Nunes Luiz Gustavo Costa Ferreira , Silva Simone Rosa da 
Published: January 2017

A escola deve ter papel de destaque na formação de cidadãos conscientes quanto ao uso sustentável da água. No entanto, o ambiente escolar é classificado por diversos autores como um forte consumidor e desperdiçador de água, principalmente em se tratando de escolas públicas. Inserido nesse contexto, o presente trabalho contém estudos realizados em duas escolas públicas estaduais da cidade de Recife-PE, objetivando o diagnóstico do padrão de consumo dessa tipologia predial. A metodologia empregada consistiu no monitoramento setorizado do consumo de água a partir da instalação de hidrômetros nos principais pontos de uso desse recurso, por um período de um ano, além do cálculo do Indicador de Consumo (litros/aluno*dia). Os resultados mostraram que os setores de uso exclusivo da comunidade docente e funcionários de uma forma geral são os maiores consumidores de água. Em contrapartida, as duas escolas apresentaram um baixo Indicador de Consumo em comparação com outros estudos realizados em outras instituições de ensino no Brasil e no mundo. A análise desses indicadores deve orientar o desenvolvimento de atividades para sensibilização dos usuários direcionadas para cada setor específico, contribuindo para a redução do desperdício de água. PALAVRAS-CHAVE: Indicador de Consumo. Escolas Públicas. Consumo de Água.