bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Simple Algorithm for Predicting Bacteremia Using Food Consumption and Shaking Chills: A Prospective Observational Study
Authors: Komatsu Takayuki , Takahashi Erika , Mishima Kentaro , Toyoda Takeo , Saitoh Fumihiro , Yasuda Akari , Matsuoka Joe , Sugita Manabu , Branch Joel , Aoki Makoto , Tierney Lawrence M. , Inoue Kenji 
Published: July 2017

BACKGROUNDPredicting the presence of true bacteremia based on clinical examination is unreliable.OBJECTIVEWe aimed to construct a simple algorithm for predicting true bacteremia by using food consumption and shaking chills.DESIGNA prospective multicenter observational study.SETTINGThree hospital centers in a large Japanese city.PARTICIPANTSIn total, 1,943 hospitalized patients aged 14 to 96 years who underwent blood culture acquisitions between April 2013 and August 2014 were enrolled. Patients with anorexia‐inducing conditions were excluded.INTERVENTIONSWe assessed the patients' oral food intake based on the meal immediately prior to the blood culture with definition as “normal food consumption” when >80% of a meal was consumed and “poor food consumption” when <80% was consumed. We also concurrently evaluated for a history of shaking chills.MEASUREMENTSWe calculated the statistical characteristics of food consumption and shaking chills for the presence of true bacteremia, and subsequently built the algorithm by using recursive partitioning analysis.RESULTSAmong 1,943 patients, 223 cases were true bacteremia. Among patients with normal food consumption, without shaking chills, the incidence of true bacteremia was 2.4% (13/552). Among patients with poor food consumption and shaking chills, the incidence of true bacteremia was 47.7% (51/107). The presence of poor food consumption had a sensitivity of 93.7% (95% confidence interval [CI], 89.4%‐97.9%) for true bacteremia, and the absence of poor food consumption (ie, normal food consumption) had a negative likelihood ratio (LR) of 0.18 (95% CI, 0.17‐0.19) for excluding true bacteremia, respectively. Conversely, the presence of the shaking chills had a specificity of 95.1% (95% CI, 90.7%‐99.4%) and a positive LR of 4.78 (95% CI, 4.56‐5.00) for true bacteremia.CONCLUSIONA 2‐item screening checklist for food consumption and shaking chills had excellent statistical properties as a brief screening instrument for predicting true bacteremia.
Improving the Readability of Pediatric Hospital Medicine
Authors: Instructions Discharge , Unaka Ndidi I. , Statile Angela , Jerardi Karen , Dahale Devesh , Morris Joan , Liberio Brianna , Jenkins Ashley , Simpson Blair , Mullaney Randi , Kelley Jodi , Durling Michelle , Shafer Jennifer , Brady Patrick W. 
Published: July 2017

BACKGROUNDReadable discharge instructions may help caregivers understand and implement care plans following hospitalization. Many caregivers of hospitalized children, however, have limited literacy. We aimed to increase the percentage of discharge instructions written at 7th grade level or lower for hospital medicine patients from 13% to 80% in 6 months.METHODSQuality improvement efforts targeted a 42‐bed unit at the community satellite of our large, urban academic hospital. A multidisciplinary team of physicians, nurses, and parents focused on key drivers: family engagement in discharge process, standardization of discharge instructions, staff engagement in discharge preparedness, and audit and feedback of data. Improvement cycles included 1) education and implementation of a general discharge instruction template in the electronic health record (EHR); 2) visible reminders and tips for writing readable discharge instructions; 3) implementation of disease‐specific discharge instruction templates in the EHR; and 4) individualized feedback to staff on readability and content of their written discharge instructions. Instructions were individually scored for readability using an online platform. An annotated control chart assessed the impact of interventions over time.RESULTSThrough sequential interventions over 6 months, the percentage of discharge instructions written at 7th grade or lower readability level increased from 13% to 98% and has been sustained for 4 months. The reliable use of the EHR templates was associated with our largest improvements.CONCLUSIONUse of standardized discharge instruction templates and rapid feedback to staff improved the readability of instructions. Next steps include adaptation and spread to other patient populations.
Examining the lived experiences of newly qualified midwives during their preceptorship
Authors: Wain Amanda 
Published: July 2017

Background Novice midwives at one NHS Trust undertook a 12-month preceptorship programme, designed to support them to consolidate their education and develop their competence. The study was commenced following concerns voiced by new midwives about levels of support during their transition, and also because of a high rate of attrition of newly qualified midwives at the Trust. Aims The aim of the study was to evaluate the experiences of newly qualified midwives during their preceptorship at the Trust. Methods A qualitative research design was applied. A sample of eight midwives provided data collected using a process of semi-structured interviews. Findings The findings of the research demonstrated that most of the midwives felt well-supported by their colleagues. However, although a preceptorship programme was in place at the Trust, barriers to implementing the programme included staffing levels, time for consolidation, not receiving protected time with preceptors and differences to allocated supernumerary time. Conclusions Recommendations were made for practice to include effective monitoring of the programme, and the provision of a specific Trust guideline for the preceptorship of newly qualified midwives. Providing individualised preceptorship pathways with supernumerary time in each clinical area was also recommended.
Structure and Filling Characteristics of Paleokarst Reservoirs in the Northern Tarim Basin, Revealed by Outcrop, Core and Borehole Images
Authors: Tian Fei , Lu Xinbian , Zheng Songqing , Zhang Hongfang , Rong Yuanshuai , Yang Debin , Liu Naigui 
Published: July 2017

AbstractThe Ordovician paleokarst reservoirs in the Tahe oilfield, with burial depths of over 5300 m, experienced multiple phases of geologic processes and exhibit strong heterogeneity. Core testing can be used to analyse the characteristics of typical points at the centimetre scale, and seismic datasets can reveal the macroscopic outlines of reservoirs at the >10-m scale. However, neither method can identify caves, cave fills and fractures at the meter scale. Guided by outcrop investigations and calibrations based on core sample observations, this paper describes the interpretation of high longitudinal resolution borehole images, the identification of the characteristics of caves, cave fills (sedimentary, breccia and chemical fills) and fractures in single wells, and the identification of structures and fill characteristics at the meter scale in the strongly heterogeneous paleokarst reservoirs. The paleogeomorphology, a major controlling factor in the distribution of paleokarst reservoirs, was also analysed. The results show that one well can penetrate multiple cave layers of various sizes and that the caves are filled with multiple types of fill. The paleogeomorphology can be divided into highlands, slopes and depressions, which controlled the structure and fill characteristics of the paleokarst reservoirs. The results of this study can provide fundamental meter-scale datasets for interpreting detailed geologic features of deeply buried paleocaves, can be used to connect core- and seismic-scale interpretations, and can provide support for the recognition and development of these strongly heterogeneous reservoirs.
Ground volume assessment using ’Structure from Motion’ photogrammetry with a smartphone and a compact camera
Authors: Wróżyński Rafał , Pyszny Krzysztof , Sojka Mariusz , Przybyła Czesław , Murat-Błażejewska Sadżide 
Published: July 2017

AbstractThe article describes how the Structure-from-Motion (SfM) method can be used to calculate the volume of anthropogenic microtopography. In the proposed workflow, data is obtained using mass-market devices such as a compact camera (Canon G9) and a smartphone (iPhone5). The volume is computed using free open source software (VisualSFMv0.5.23, CMPMVSv0.6.0., MeshLab) on a PCclass computer. The input data is acquired from video frames. To verify the method laboratory tests on the embankment of a known volume has been carried out. Models of the test embankment were built using two independent measurements made with those two devices. No significant differences were found between the models in a comparative analysis. The volumes of the models differed from the actual volume just by 0.7‰ and 2‰. After a successful laboratory verification, field measurements were carried out in the same way. While building the model from the data acquired with a smartphone, it was observed that a series of frames, approximately 14% of all the frames, was rejected. The missing frames caused the point cloud to be less dense in the place where they had been rejected. This affected the model’s volume differed from the volume acquired with a camera by 7%. In order to improve the homogeneity, the frame extraction frequency was increased in the place where frames have been previously missing. A uniform model was thereby obtained with point cloud density evenly distributed. There was a 1.5% difference between the embankment’s volume and the volume calculated from the camera-recorded video. The presented method permits the number of input frames to be increased and the model’s accuracy to be enhanced without making an additional measurement, which may not be possible in the case of temporary features.
A kromograninok, szekretograninok élettani, kórélettani és klinikai szerepéről
Authors: Jakab Lajos 
Published: July 2017

Abstract: This paper investigates the fundamental knowledge, build-up, as well as essential structural and important features of the big family of chromogranins/secretogranins. Previously the different properties and the slightly diverging funcional relations of the two family members were in focus. Later on, it has been discovered that they are essentially two similar compounds with identical structures and functions, and they are chemically, biochemically related. From details discovered so far we can tell that they are long polypeptid chains formed from amino acids. Based on insights gained until now we can also state that these compounds are formed in Ca++ containing environments with acidic pH. Among the compounds there are several molecules which have characteristic oligosacharid groups. This is especially interesting because oligosacharid chains with sialic acid in terminal position play an important role in the recognising and connectional processes. The chromogranins/secretogranins are mostly formed in neuroendocrine cells, but are also capable of building up in any cell type in the organism during pathological processes. Intracellular biogenesis takes place in the dense endoplasmatic reticulum across the mitochondrium, developing biogenetic granulums, followed by the stimulus-motivated secretum (exocytosis). The next stage of the molecular development is the specific break-up of the long polypeptid chains into shorter fragments. These fragments have individual effects. Some important clinical (diagnostic, prognostic) significance and connections are also touched upon in this paper, however, the cardiovascular, immunological systems and the tumors are mostly in focus. There are more immunological, cardiovascular and tumoral data. It is stated that as these molecules are in close connection with all of the organisms and systems of the body, a new chief organisator system has been identified. This chief organisator is closely connected with the central nervous system. Orv Hetil. 2017; 158(28): 1092–1099.
TRANSFORMASI PENGELOLAAN PERAIRAN UMUM DARATAN DI KABUPATEN OGAN KOMERING ILIR
Authors: Pramoda Radityo , Nasution Zahri 
Published: July 2017

Penelitian ini bertujuan untuk mengkaji implementasi dan antisipasi dampak ketentuan baru Peraturan Daerah (PERDA) Ogan Komering Ilir (OKI) No. 9/2008 tentang Pengelolaan Lebak, Lebung, dan Sungai di Kabupaten Ogan Komering Ilir, yang menjadi otonomi desa. Penelitian ini menggunakan metode deskriptif eksploratif melalui pendekatan historis kasuistik yang didukung data primer dan sekunder. Hasil penelitian menunjukkan bahwa transformasi pengelolaan perairan umum daratan dengan berlakunya Perda OKI No. 9/2008 memberikan akses yang lebih besar kepada masyarakat untuk memanfaatkan sumber daya ikan. Kewenangan yang dimiliki desa menjadi lebih luas dalam mengatur lebak lebung dan sungai. Kurang optimalnya implementasi Perda OKI No. 9/2008 dikarenakan aparatur dan masyarakat Desa Berkat belum siap mengadopsi perubahan nilai serta norma baru. Implikasi kebijakan penelitian ini adalah perlunya meningkatkan kompetensi aparatur desa melalui pelatihan/pendidikan; memberikan sosialisasi secara komprehensif kepada masyarakat; melakukan kontrol dan pendampingan yang konsisten, serta menciptakan komunikasi hukum yang baik dalam menerapkan peraturan baru. Tittle: Transformation Management of Inland Waters in Ogan Komering Ilir DistrictThis research aimed to review the impact of implementation and anticipate potential impacts of the new provisions of Local Regulation No. 9/2008 on Management of Lebak, Lebung, and Rivers in Ogan Ilir Komering Ilir regency, which has become an autonom of the village. Research was conducted using descriptive-exploratory method, through historical case approach, supported by primary and secondary data. Results show that transformation of the management of inland waters by the enactment of Local Regulation No. 9/2008 provides a greater access to the community to utilize fish resources. Authority of the village was wider than previous system in terms of arranging the lebak lebung and river. Under optimal level of implementation of the Local Regulation No. 9/2008 was due to the apparatus and community unreadines to adopt the values changing in and new norms. Policy implications of this research were as follows improving the competence of village apparatus through training/education; providing comprehensive socialization to the community; doing control and consistent mentoring, and creating a good communication law in applying new regulation.
KINERJA PRODUKTIVITAS DAN FAKTOR YANG BERPENGARUH TERHADAP TOTAL FACTOR PRODUCTIVITY (TFP )TAMBAK UDANG INDONESIA
Authors: Juarno Ono , Oktaviani Rina , Fauzi Akhmad , Nuryartono Nunung 
Published: July 2017

Kuantitas produksi udang tambak Indonesia meningkat signifikan dalam dua dekade terakhir, dari 97,2 ribu ton tahun 1989 menjadi 352 ribu ton tahun 2010, dengan puncaknya 409 ribu ton pada tahun 2008. Studi ini bertujuan untuk menganalisis kinerja produktivitas tambak udang dan mengetahui faktor-faktor yang mempengaruhi TFP menggunakan pendekatan angka Indeks Tornqvist Theil. Hasil studi menunjukkan bahwa pertumbuhan udang tambak Indonesia periode 1989-2008 lebih karena pertumbuhan input/faktor produksi bukan karena pertumbuhan TFP. TFP berfluktuasi disebabkan belum berhasil diatasinya permasalahan penyakit. Hasil konfirmasi pada tingkat lapang menggunakan data primer dari 163 petak tambak menunjukkan bahwa serangan penyakit berpengaruh negatif dan signifikan terhadap TFP. Intensifikasi, benur bersertifkat, dan lamanya pendidikan berkorelasi positif, akan tetapi kondisi riil Indonesia berbeda yaitu mayoritas tambak dikelola secara non intensif. Studi ini juga menunjukkan bahwa luas pengusahaan dan sistem kerjasama antara pembudidaya dengan lembaga pemasaran lainnya berpengaruh negatif terhadap TFP. Terkait dengan hal itu, pemerintah perlu memprioritaskan meningkatkan produktivitas dengan mengatasi serangan penyakit melalui penambahan anggaran riset bidang penyakit, penyediaan benur bermutu, peningkatan sumber daya manusia (SDM). Selain itu, diperlukan regulasi dalam hal pengaturan pola tanam dengan penggantian species yang dapat memutus rantai penyakit. Disamping itu, direkomendasikan agar mengurangi padat penebaran. Tittle: Productivity Performance and Factors Influencing to the Total Factor Productivity (TFP) of Indonesia Shrimp Cultured.Production of Indonesian shrimp cultured has experienced a remendeous growth during the last two decades with its peak performance at 409 metric tons in the year of 2008. The objective of this research was to analyze productivity performance of Indonesian shrimp cultured using the Tornqvist Theil Index and its determinants. Results showed that source of growth was mainly due to input gowth. TFP fluctuations were mainly because of disease outbreaks. Using field data comprises a total of 163 ponds confirm that disease outbreaks plays an important role in lowering TFP. Intensification, fry certification, and education halved a positive correlation with TFP. However, the Indonesian shrimp farmers in majority cultured the shrimps using traditional system. On the other hand, cooperation between farmers and other marketing institution and total pond area show a negative effects on achieving higher TFP. Therefore, the government could improve farmed shrimp productivity through increasing research budget on diseases, improving seed quality and human resources. The government should also put a priority regulation on changing cropping system accompanied by changing shrimp species cultured so that carrier agents of diseases can be broken. Apart from these, lowering stocking density was also suggested.
Effects of an Erbium:Yttrium‐Aluminum‐Garnet Laser and Ultrasonic Scaler on Titanium Dioxide‐Coated Titanium Surfaces Contaminated With Subgingival Plaque: An In Vitro Study to Assess Post‐Treatment Biocompatibility With Osteogenic Cells
Authors: Giannelli Marco , Bani Daniele , Tani Alessia , Materassi Fabrizio , Chellini Flaminia , Sassoli Chiara 
Published: July 2017

Background: Effects of conventional ultrasonic scaler versus an erbium:yttrium‐aluminum‐garnet (Er:YAG) laser on titanium surfaces contaminated with subgingival plaque from patients with peri‐implantitis are evaluated in terms of: 1) plaque and biocorroded titanium oxide coating removal; 2) surface change induction; and 3) residual biocompatibility toward osteoblasts.Methods: Subgingival plaque‐coated titanium disks with a moderately rough surface were fixed with ethanol and treated with an ultrasonic scaler (metal tip) or Er:YAG laser (20.3 or 38.2 J/cm2) in non‐contact mode. Fluorescent detection of residual plaque was performed. Disk surface morphology was evaluated by scanning electron microscopy. Viability, attachment, proliferation, and differentiation of Saos‐2 osteoblasts on new and treated disks were assayed by propidium iodide/DNA stain assay and confocal microscopic analysis of cytoskeleton, Ki67, expression of osteopontin and alkaline phosphatase, and formation of mineralized nodules.Results: Both methods resulted in effective debridement of treated surfaces, the plaque area being reduced to 11.7% with the ultrasonic scaler and ≤0.03% with the Er:YAG laser (38.2 J/cm2). Ultrasound‐treated disks showed marked surface changes, incomplete removal of the titanium dioxide (TiO2) layer, and scanty plaque aggregates, whereas the Er:YAG laser (38.2 J/cm2) completely stripped away the plaque and TiO2 layer, leaving a micropitted surface. Both treatments maintained a good biocompatibility of surfaces to Saos‐2 osteoblasts. Air‐water cooling kept disk temperature below the critical threshold of 47°C.Conclusion: This study shows that an ultrasonic scaler with metal tip is less efficient than high‐energy Er:YAG irradiation to remove the plaque and TiO2 layer on anodized disks, although both procedures appear capable of restoring an adequate osseoconductivity of treated surfaces.
Mostrar o moderno. Viver o possível representações de educação em romances modernistas paulistas
Authors: Konopczyk Vanessa 
Published: July 2017

A pesquisa em andamento identifica como são representados os não escolarizados, os escolarizados e a escola, em obras consagradas da literatura paulista do período modernista, a fim de se compreender as relações sociais que são travadas a partir da representação que os autores fazem da docência e dos letrados quanto das pessoas não escolarizadas pela forma tradicional, procurando identificar a forma como se costuram essas relações, muitas vezes permeadas de preconceitos, vez que são representações tecidas por pessoas de sucesso escolar comprovado e posicionadas fora do campo educacional. As análises serão realizadas mediante leitura do conjunto documental escolhido, que se pauta a partir de três frentes: obras em prosa exclusivamente paulistas, de autores consagrados pela participação na Semana de Arte Moderna e sua filiação partidária. Após a leitura identificar-se-ão e extrair-se-ão os dados para sua comparação com os objetivos propostos, para fins de comprovação de indícios de rupturas e permanências de práticas sociais sobre os assuntos abordados. A partir de então será avaliado o cumprimento dos objetivos da pesquisa, a fim de encontrar a fundamentação e consistência necessárias para validar os vestígios percebidos nas obras analisadas.
Semba y rumba - construyendo ritmos y expectativas en dos novelas africanas
Authors: Phaf-Rheinberger Ineke 
Published: July 2017

En este artículo se analiza la función de la música popular en dos novelas africanas: Photo de groupe au borde du fleuve, de Emmanuel Dongala, de Congo; y O reino das casuarinas, del angolano José Luis Mendonça. Los autores retratan la situación postcolonial en sus países respectivos en relación con la música popular del año 1950, de acuerdo con el deseo de cambiar el status político colonial. Utilizan los ritmos del semba y de la rumba para indicar el contraste entre las románticas expectativas originarias y la realidad contemporánea.
Dérive; una aproximación al dispositivo estético de Jean-François Lyotard
Authors: Arancibia Romero José Miguel 
Published: July 2017

La filosofía francesa moderna ha hecho de la experiencia estética uno de los objetos más privilegiados de estudio, los que permiten reflexionar los aspectos no visibles de la modernidad histórica en que se circunscriben. Esta resignificación del arte hace que el objeto plástico no sea ya una representación (narrativa o transferencial), sino que exhiba sus fuerzas pulsionales en tanto dispositivo estético. En este contexto, el objeto del presente ensayo radica en el despliegue del término dérive propuesto por Jean-François Lyotard en diálogo con la disciplina psicoanalítica y la filosofía moderna, al alero de las obras de Cézanne, Duchamp y Monory.
“Inconsciente y voluntad en los textos inéditos de Orbe (1926-1931), de Juan Larrea”
Authors: Peinado Elliot Carlos 
Published: July 2017

Fecha de recepción: 15 de junio de 2011.Fecha de aceptación: 3 de octubre de 2012. La lectura de Orbe ha quedado deformada al disponer sólo de un acceso parcial a la obra. En la parte primera de la misma se describe la crisis que el autor sufre entre 1926 y 1932. En ella asistimos a la desintegración de los principales pilares de la metafísica occidental a partir de la destrucción de la noción del yo individual, bajo el que se descubre un principio único (llamado Inconsciente, Voluntad y, más tarde, Imaginación) que, por medio de la polaridad, organiza teleológicamente toda la realidad. En el presente estudio se analiza este pensamiento idealista y sus fuentes.