bluuebunny/crossref_metadata_2025_split huggingface dataset:
What's the Purpose of Rounds? A Qualitative Study Examining the Perceptions of Faculty and Students
Authors: Hulland Oliver , Farnan Jeanne , Rabinowitz Raphael , Kearns Lisa , Long Michele , Monash Bradley , Bhansali Priti , Fromme H. Barrett 
Published: November 2017

BACKGROUNDRounds are a critical activity on any inpatient service, but there is little literature describing the purpose of rounds from the perspective of faculty and trainees in teaching hospitals.OBJECTIVETo evaluate and compare the perceptions of pediatric and internal medicine attendings and medical students regarding the purpose of inpatient attending rounds.METHODSThe authors conducted 10 semistructured focus groups with attendings and medical students in the spring of 2014 at 4 teaching hospitals. The protocol was approved by the institutional review boards at all institutions. The authors employed a grounded theory approach to data collection and analysis, and data were analyzed by using the constant‐comparative method. Two transcripts were read and coded independently by 2 authors to generate themes.RESULTSForty‐eight attendings and 31 medical students participated in the focus groups. We categorized 218 comments into 4 themes comprised of 16 codes representing what attendings and medical students believed to be the purpose of rounds. These themes included communication, medical education, patient care, and assessment.CONCLUSIONSOur results highlight that rounds serve 4 purposes, including communication, medical education, patient care, and assessment. Importantly, both attendings and students agree on what they perceive to be the many purposes of rounds. Despite this, a disconnect appears to exist between what people believe are the purposes of rounds and what is happening during rounds.
Peningkatan Unjuk Kerja Katalisator Zeolit Alam Bayah pada Reaksi Ketalisasi Gliserol
Authors: Nuryoto Nuryoto - , Sulistyo Hary , Budi Sediawan Wahyudi , Perdana Indra 
Published: November 2017

Abstract IMPROVED PERFORMANCE OF BAYAH NATURAL ZEOLITE AS CATALYST ON REACTION OF GLYCEROL KETALIZATION. The catalyst has an important role for the rates of chemical reactions accelerating in orde to achieve the target product of reaction. Reactants mass transfer to the active sites of the catalyst is oftenbe anobstacle to reaching of this purpose, so that the catalyst performance becomes less than the maximum. The objective of this research was to observe how much effected the diameter size catalyst, stirring speed, and catalyst concentration in order to improved performance of Bayah natural zeolite catalyst on glycerol ketalization reaction based on glycerol conversion. The experiments were performed using a batch reactor, reaction temperature of 50oC, reactant ratio of 6:1 mol of acetone/mol of glycerol, reaction time of 90 minutes, diameter size catalyst from -18+25 until -60+70 mesh, catalyst concentration of 0-11% mass of glycerol, and stirring speed of 200-800 rpm. The results showed that the best conditions obtained at the diameter size catalyst of -40+45 mesh, catalyst concentration of 9% mass of glycerol, and stirring speed of 600 rpm by glycerol conversion reached of 60.92%. Keywords: glycerol; ketalization; performance; natural zeolite Abstrak Katalisator mempunyai peranan penting dalam mempercepat laju reaksi kimia untuk mencapai target produk reaksi yang diinginkan. Perpindahan massa reaktan ke sisi aktif katalisator seringkali menjadi kendala dalam mencapaimaksud tersebut, sehingga unjuk kerja katalisator menjadi kurang maksimal. Penelitian ini bertujuan untuk melakukan observasi seberapa besar pengaruh ukuran diameter katalisator, kecepatan pengadukan, dan konsentrasi katalisator dalam rangka meningkatkan unjuk kinerja katalisator zeolit alam Bayah pada reaksi ketalisasi gliserol berbasis konversi gliserol yang dihasilkan. Percobaan dilakukan dengan menggunakan reaktor batch, suhu reaksi 50oC, perbandingan pereaksi 6:1 mol aseton/mol gliserol,waktu reaksi 90 menit, ukuran diameter katalisator -18+25 sampai -60+70 mesh, konsentrasi katalisator 0-11% massa gliserol, dan kecepatan pengadukan 200-800 rpm. Hasil percobaan menunjukkan bahwa kondisi terbaik diperoleh pada ukuran diameter katalisator -40+45 mesh, konsentrasi katalisator 9% massa gliserol, dan kecepatan pengadukan 600 rpm dengan konversi gliserol mencapai 60,92%. Kata kunci: gliserol; ketalisasi; unjuk kerja; zeolit alam
Cyber Attacks, Information Attacks, and Postmodern Warfare
Authors: Valuch Jozef , Gábriš Tomáš , Hamuľák Ondrej 
Published: November 2017

Abstract
The aim of this paper is to evaluate and differentiate between the phenomena of cyberwarfare and information warfare, as manifestations of what we perceive as postmodern warfare. We describe and analyse the current examples of the use the postmodern warfare and the reactions of states and international bodies to these phenomena. The subject matter of this paper is the relationship between new types of postmodern conflicts and the law of armed conflicts (law of war). Based on ICJ case law, it is clear that under current legal rules of international law of war, cyber attacks as well as information attacks (often performed in the cyberspace as well) can only be perceived as “war” if executed in addition to classical kinetic warfare, which is often not the case. In most cases perceived “only” as a non-linear warfare (postmodern conflict), this practice nevertheless must be condemned as conduct contrary to the principles of international law and (possibly) a crime under national laws, unless this type of conduct will be recognized by the international community as a “war” proper, in its new, postmodern sense.
Aharon Barak’s Legal Ideology in the Context of European Constitutionalism
Authors: Bieliauskaitė Jolanta , Šlapkauskas Vytautas 
Published: November 2017

Abstract
The EU lacks the legal ideology as a social instrument that could satisfy the spirit of liberal democracy and would help to consolidate different societies to a solid European demos. Although the existence of an ideological system alone does not guarantee social consensus, it helps to manage dissension within the limits of particular values and norms. It is because a legal ideology provides the structure for social thought that individuals and social groups are able to interpret the nature of emerging conflicts and the interests they support.
The article demonstrates that the neoliberal way of thinking that prevails in contemporary Europe does not meet the spirit of the constitutionalism of the EU Member States; the article introduces some aspects of Aharon Barak’s legal ideology that could be relevant for the formation and development of European demos and constitutionalism. In order to achieve this aim, the research is focused on issues that emerge in the area of three main pillars of constitutionalism: (1) adherence to the rule of law, (2) limited and accountable government, and (3) protection of fundamental human rights.
The Definition of Bullying in Compulsory Education: From a General to a Legal Perspective
Authors: Margevičiūtė Agnė 
Published: November 2017

AbstractThe definition of the word ‘bullying’ diverges based on the field of practice and research, in the absence of an agreed-upon overreaching definition. The latter would allow maximum flexibility in contributing to the variations in findings of various academic studies. Some argue that the lack of comprehensive definition is a factor of inaccuracy in estimating the prevalence of bullying itself. The ‘definition’ per se [of bullying] is in general recognized by the state law of the United States as one of the key components of any policy adopted by the states and local educational agencies, and which is required to be consistent with the definitions specified in state law. This article presents an overview of the definitions of bullying beyond the legal sphere in general as well as from a legal perspective. Special focus is dedicated to the state laws of the US as the main national jurisdiction that has adopted education law that contains explicit definition of bullying, as well as some of the aspects of defining bullying within the general and legal context of Lithuanian jurisdiction.
A Survey of Perceived Effectiveness of Part 4 Maintenance of Certification
Authors: Tieder Joel S. , Prall Sean P. , Beck Jimmy , Alberda Erin , Jensen Debra , Nair Deepthi , Carline Jan D. 
Published: November 2017

OBJECTIVES:
Evaluative assessment is needed to inform improvement of Part 4 Maintenance of Certification (MOC), a large-scale program that aims to improve physician knowledge, engagement, and skills in quality improvement (QI). We sought to determine if Part 4 MOC participation improves perceived educational and clinical outcomes by piloting a new physician survey.

METHODS:
We administered a new online survey (MOC Practice, Engagement, Attitude, and Knowledge Survey) to physicians at the beginning and end of a Part 4 MOC project sponsored by a pediatric hospital’s American Board of Medical Specialties’ portfolio program during 2015. Participants worked in academic and community settings and in various accredited specialties. The main outcome was change in survey response on a 5-point Likert scale (1 = best) for 3 learning domains (QI engagement and attitude; QI method application, and improved patient care).

RESULTS:
Of 123 complete responses and a 97% response rate, mean baseline responses were positive or neutral (2.2, 2.3, 1.9, respectively). Responses improved in QI engagement and attitude (−0.15, z score = −2.78, P = .005), QI method application (−0.39, z score = −7.364, P &lt; .005), and improved patient care (−0.11, z score = −1.728, P = .084).

CONCLUSIONS:
A Part 4 MOC physician survey provides valuable data to evaluate and improve the learning activity. In this children’s hospital program, physicians view Part 4 favorably. Participation was associated with modest improvements in perceptions of QI engagement and attitude, application of QI methods, and patient care. Systematic evaluation of all Part 4 MOC projects and programs has the potential to improve the program nationally.
High-Dose Albuterol by Metered-Dose Inhaler Plus a Spacer Device Versus Nebulization in Preschool Children With Recurrent Wheezing: A Double-Blind, Randomized Equivalence Trial
Authors: Ploin Dominique , Chapuis François R. , Stamm Didier , Robert Jacques , David Louis , Chatelain Pierre G. , Dutau Guy , Floret Daniel 
Published: November 2017

Inhaled albuterol is the most frequently used bronchodilator for acute wheezing, and nebulization is the standard mode of delivery in hospital setting. However, recent guidelines consider spacer devices as an easier to use, and cost-saving alternative and recommend the high-dose metered-dose inhaler bronchodilator.
Objective. To demonstrate clinical equivalence between a spacer device and a nebulizer for albuterol administration.
Design. Randomized, double-blind, parallel group equivalence trial.
Setting. Pediatric emergency wards at 2 tertiary teaching hospitals.
Patients. Sixty-four 12- to 60-month-old children with acute recurrent wheezing (32 per group).
Interventions. Albuterol was administered through the spacer device (50 μg/kg) or through the nebulizer (150 μg/kg) and repeated 3 times at 20-minute intervals. Parents completed a questionnaire.
Outcome Measures. Pulmonary index, hospitalization, ease of use, acceptability, and pulse oximetry saturation.
Results. The 90% confidence interval of the difference between treatment groups for the median absolute changes in pulmonary index values between T0 and T60 was [−1; +1] and was included in the equivalence interval [−1.5; +1.5]. Clinical improvement increased with time. Less than 10% of the children (3 in each group) required hospitalization (2 in each group attributable to treatment failure). Parents considered administration of albuterol using the spacer device easier (94%) and better accepted by their children (62%).
Conclusions. The efficacy of albuterol administered using the spacer device was equivalent to that of the nebulizer. Given its high tolerance, repeated 50-μg/kg doses of albuterol administered through the spacer device should be considered in hospital emergency departments as first-line therapy for wheezing.
Az 1-es típusú diabetes genetikája: jelen és jövő
Authors: Lukács Krisztina , Pánczél Pál , Hosszúfalusi Nóra 
Published: October 2017

Abstract: Over the past decades the majority of genetic research focused on common diseases, and remarkable results were obtained for exploring the genetic background of type 1 diabetes. The classic linkage analyses and the modern genome-wide association studies demonstrated that the genetic background is the primary risk factor for beta-cell autoimmunity while the progression to clinical onset could be triggered by the genetic factors, epigenetic modifications of gene expression and environmental factors together. The new system biology concept can help to understand the mechanisms underlying the immune-mediated beta-cell destruction by generating networks based on data from whole genome scans, fine mapping and gene expression studies to develop targeted prevention and therapeutic strategies. In this paper, we discuss the present understanding of genetic factors which could initiate beta-cell autoimmunity (i.e. define the aetiology) and the genetic and epigenetic factors which might contribute to the progression to clinical disease in individuals with autoantibodies (i.e. define the pathogenesis). Orv Hetil. 2017; 158(44): 1731–1740.
The Relativity Strategy of Old Javanese
Authors: Erawati Ni Ketut Ratna 
Published: November 2017

Old Javanese is one of the temporal dialects in Indonesia that is estimated to develop from the IX-XV century. The language has a lot of langues inherited in the form of literature kakawin (Old Javanese poetry) and the form of parwa (Old Javanese language prose) until now. Literary works in the form kakawin and parwa are very popular work to be sung in Balinese society especially in religious ceremonies. Therefore, the Old Javanese is very worthy of being used as a linguistic study even though the language is categorized as a dead language. In morphological typology, Old Javanese is an agglutinative type. On the other hand, syntactically the Old Javanese language includes the Split-S typology. Associated with morphological typology and syntax, the Old Javanese has a core system or verb. Thus, the Old Javanese has various forms of verb-alternation in clause structures, either in single clauses or complex clauses. Relative clauses are one part of the complex clause having a change of grammatical relation when the insertion of certain linguistic elements. The topic of this study was the relativity strategy in Old Javanese. The relativity strategy of Old Javanese was described with related theories and concepts. Based on the result the Old Javanese could make the subject to be relative by inserting element of the relative sang and ikang. On the other hand there was also an indirect relativity by marking of verbs and penloping.
Produção de soja e de forragem em sistemas de integração agricultura e pecuária
Authors: Barbero L. M. , Cecato U. , Sichieri F. R. , Basso K. C. , Igarasi M. S. 
Published: November 2017

O trabalho teve como objetivo determinar a produção de forragem de gramíneas tropicais e de inverno, e produção de grãos de soja em um sistema de integração agricultura e pecuária. Utilizou-se os seguintes tratamentos: T1: Sobressemeadura de Milheto + Semeadura de Aveia FMS-1; T2: Sobressemeadura de Milheto + Semeadura direta de Aveia IPR-126; T3: Sobressemeadura de Milheto + Semeadura direta de Aveia IPR-61; T4: Sobressemeadura de Tanzânia (Panicum maximum) + Sobressemeadura Brachiaria ruziziensis; T5: Plantio direto de Sorgo + Brachiaria ruziziensis. As unidades experimentais foram pastos de 1,5 ha distribuídos em
delineamento inteiramente casualizado com duas repetições. As variáveis mensuradas foram: produção de forragem, massa de forragem, produção de soja, resíduo de forragem no plantio direto. Em todos os cortes a massa de forragem foi superior nos piquetes com Brachiaria ruziziensis, comparados aos demais, especialmente a Brachiaria ruziziensis em consorcio com Capim Tanzânia. A maior massa de forragem foi consequência de uma maior produção de forragem apresentadas nestes piquetes. Este resultado mostra que o uso de gramíneas tropicais para pastejo no inverno pode ser uma alternativa em relação às gramíneas de inverno. Entretanto, com relação à produção de grãos de soja, não houve diferença significativa na comparação entre as estratégias utilizadas. Porém, a longo prazo, a maior deposição de matéria orgânica no solo advinda da maior massa de forragem, pode contribuir com incrementos em produtividade. Diante do exposto, a consorciação de Capim Tanzânia com Brachiaria ruziziensis em sistemas de integração agricultura e pecuária mostra-se uma alternativa que proporciona alta produtividade de grãos e forragem.
Toward Mobile-Assisted Language Learning (MALL): Reaping Mobile Phone Benefits in Classroom Activities
Authors: Yudhiantara Rully , Nasir Ihsan Abdul 
Published: November 2017

Mobile phone has been studied by researchers in its connection with education-related activies. This study was aimed at investigating two research questions: 1) what are students’ perception toward mobile phone to support classroom activities; 2) How do students experience mobile phone use to support classoom activities? This study employed qualitative method. To collect data, there were some technique used: questionnaire and observation. Students participated in this study were 70 students. Findings showed that student had positive perception and attitude toward mobile phone to support classroom activities. In classroom they used mobile phone to support classroom activitis. Reading E-Book that support subject, playing Audio and Video File, operating offline dictionary were activities supported by mobile phone use.
STUDY OF RELATIONSHIP BETWEEN UTUAT FACTORS AND INTENTION TOWARDS USAGE E-MANAGEMENT IN LIBYAN PETROLEUM INDUSTRY
Authors: Abuzwida Bashir , Ghani Zulkiplie Abd , Kasmani Faizal Bin 
Published: November 2017

Purpose of study:The main aim of this study is to investigate the relationship between Unified theory of acceptance and use of technology (UTAUT) factors and intention towards usage of e-management in Libyan petroleum industry.
Methodology:Aseries of appropriate literature is explored and a conceptual model is suggested and deliberated. A review of existing literature recommendsnumerousaspectsaffects behavioral intention of the users.
Main findings: This model is set to help the managers and decision makers to understand the importance of e-management.
Implications of study:Exploring the theoretical and empirical studies, thefuture study would be valuable and necessary to examine the relationship between expectancy and the overall job acceptance level of e-management including the mediating effect of perceived information quality.
Originality/Novelty of study:The proposed conceptual model is both novel and different that is positivelycontributed towards the improvement of the related literature.
Anquilose Estapedo-Vestibular: Estudo Retrospetivo de Cinco Casos em São Tomé e Príncipe
Authors: Campelo Paula , Caroça Cristina , Tinoco Catarina , Oliveira e Carmo Diogo , Paço João 
Published: October 2017

Introdução: A otosclerose é uma causa frequente de hipoacusia de condução caracterizada pela alteração da remodelação óssea localizada exclusivamente à cápsula ótica. Diferenças rácicas são evidentes na literatura e, ao contrário dos caucasianos, as descrições na população de origem africana são raras. Neste trabalho pretende-se reportar cinco casos observados, e cirurgicamente confirmados, de otosclerose em indivíduos de raça negra, em São Tomé e Príncipe.Material e Métodos: Desde fevereiro de 2011, efetuam-se consultas e cirurgias de Otorrinolaringologia no Hospital Ayres de Menezes, em São Tomé e Príncipe, inseridas no projeto ‘Saúde para todos – Especialidades’. Neste trabalho realizou-se um estudo retrospetivo dos doentes submetidos a estapedotomia ou estapedectomia parcial durante estas missões até fevereiro de 2014. Recolheu-se informação relativa à apresentação clínica, resultados audiométricos e relatórios cirúrgicos.Resultados: Cinco doentes, adultos, foram submetidos a procedimento cirúrgico. Todos apresentavam otoscopia normal, ausência de história de traumatismo cranioencefálico ou quadro infecioso, audiograma com hipoacusia mista ou de condução e timpanograma tipo A, sem reflexos estapédicos. Em três doentes foi possível realizar audiograma pós-operatório, verificando-se melhoria do gap aero-ósseo.Discussão: Neste trabalho documentam-se cinco casos de otosclerose clínica, e cirurgicamente confirmada, na população negra de São Tomé e Príncipe. Efetuada uma revisão temática, constata-se que, apesar de a otosclerose ser considerada rara nesta raça, os dados disponíveis parecem insuficientes para determinar se, de facto, diferentes raças têm diferentes incidências da doença.Conclusão: Apesar de rara, a otosclerose não pode ser ignorada como uma possível causa de hipoacusia de condução em São Tomé e Príncipe.
Penerapan Sense of Place sebagai Upaya Konservasi Kawasan : Studi Kasus pada Kampung Arab Pasar Kliwon
Authors: BAZHER Najmi Muhamad 
Published: November 2017

<p class="Abstract"><em>Urban conservation plays a siginificant part in urban design to develop historical quarter, in which sense of place theory can be applied. Kampung Arab Pasar Kliwon, an ethnic cultural quarter in Surakarta, is the case of this urban conservation study. It’s chosen due to the city goverment’s neglect on the development of the heritage area. The conservation includes living heritages in the area, which allows the place to be designated as living museum. This study rises a question on the concept of Kampung Arab Pasar Kliwon conservation, using sense of place theory, on desigining living museum. Answer to the stated issue is enhancing the activity, physical setting, and image in urban area and heritage buildings. Research method used in this study is qualitative-study case. On the street, sense of place is utilised to enhance economic activity, street life activity, cultural activity, and educational activity through urban physical element. In the heritage building, sense of place acts to preserve existing activities and develop or add new activities, room atmosphere, and building exterior. The built physical elements, accommodating the existing and new activities, are designed to conjure particular images (legibility, knowledgibility, and psychological access) through conservation actions (preservation, reconstruction, and infill).</em><em></em></p><p class="Keywords"><strong><em>Keywords</em></strong><em>: living museum, kampung Arab, Pasar Kliwon, urban conservation, sense of place.</em><em></em></p>