bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reconsidering the Affordable Care Act’s Restrictions on Physician-Owned Hospitals
Authors: Courtney P. Maxwell , Darrith Brian , Bohl Daniel D. , Frisch Nicholas B. , Della Valle Craig J. 
Published: November 2017

Background:
Concerns about financial incentives and increased costs prompted legislation limiting the expansion of physician-owned hospitals in 2010. Supporters of physician-owned hospitals argue that they improve the value of care by improving quality and reducing costs. The purpose of the present study was to determine whether physician-owned and non-physician-owned hospitals differ in terms of costs, outcomes, and patient satisfaction in the setting of total hip arthroplasty (THA) and total knee arthroplasty (TKA).

Methods:
With use of the U.S. Centers for Medicare & Medicaid Services (CMS) Inpatient Charge Data, we identified 45 physician-owned and 2,657 non-physician-owned hospitals that performed ≥11 primary TKA and THA procedures in 2014. Cost data, patient-satisfaction scores, and risk-adjusted complication and 30-day readmission scores for knee and hip arthroplasty patients were obtained from the multiyear CMS Hospital Compare database.

Results:
Physician-owned hospitals received lower mean Medicare payments than did non-physician-owned hospitals for THA and TKA procedures ($11,106 compared with $12,699; p = 0.002). While the 30-day readmission score did not differ significantly between the 2 types of hospitals (4.48 compared with 4.62 for physician-owned and non-physician-owned, respectively; p = 0.104), physician-owned hospitals had a lower risk-adjusted complication score (2.83 compared with 3.04; p = 0.015). Physician-owned hospitals outperformed non-physician-owned hospitals in all patient-satisfaction categories, including mean linear scores for recommending the hospital (93.9 compared with 87.9; p < 0.001) and overall hospital rating (93.4 compared with 88.4; p < 0.001). When controlling for hospital demographic variables, status as a non-physician-owned hospital was an independent risk factor for being in the upper quartile of all inpatient payments for Medicare Severity-Diagnosis Related Group (MS-DRG) 470 (odds ratio, 3.317; 95% confidence interval, 1.174 to 9.371; p = 0.024), which may be because of a difference in CMS payment methodology.

Conclusions:
Our findings suggest that physician-owned hospitals are associated with lower mean Medicare costs, fewer complications, and higher patient satisfaction following THA and TKA than non-physician-owned hospitals. Policymakers should consider these data when debating the current moratorium on physician-owned hospital expansion.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Perbedaan Kebutuhan Nitrogen untuk Produksi Kedelai di Tanah Mineral dan Mineral Bergambut Dengan Budidaya Jenuh Air
Authors: - Bachtiar , Ghulamahdi Munif , Melati Maya , Guntoro Dwi , Sutandi Atang 
Published: November 2017

Development of soybean (Glycine max (L) Merr.) in tidal land are faced with problems physical, chemical and biological soil properties, such as high organic matter, high soil acidity, toxicity of Fe and Al, and deficiency of nutrients N, P , K, Ca and Mg. N content is high (&gt; 0.51%) but with low availability. The research objective is to determine the dose and timing of N, P and K application in accordance with the needs of soybean plants to have optimally growth and production in mineral and peaty mineral soil in tidal land. The research was conducted in mineral and peaty mineral soil of tidal land type C and B, District of Tanjung Lago, Banyuasin Regency, Province of South Sumatra from April to August 2014. The model is linear using split plots in a randomized block design. Varieties of Willis and Tanggamus were used for nitrogen application experiment. The time of fertilizer application is at 2, 3 and 4 weeks after planting (WAP), 2, 3, 4 and 5 WAP, and 2, 3, 4, 5 and 6 WAP. The concentration of nitrogen is 7,5; 10; 12,5 and 15 g/l water with spraying volume of 400 l/ha. In the mineral soil, dry weight of nodules and Willis biomass increased with increasing frequency time of fertilization, otherwise Tanggamus more fluctuating and declined at higher frequency of fertilization. Wilis variety generating the highest production of 3,5 ton/ha. In the peaty mineral soil, dry weight of nodules and biomass were not significant. Willis productivity tends to decrease with increasing nitrogen concentrations. Tanggamus productivity tends to increase with increasing nitrogen concentration at all level of time fertilization. Tanggamus tend to generate higher productivity of 3,2 ton/ha.
COST-EFFECTIVENESS AND COST-UTILITY OF GENOTHERAPEUTIC DRUG NEOVASCULGEN IN TREATMENT OF CHRONIC LOWER LIMB ISCHEMIA
Authors: Plavinsky S. L. , Shabalkin P. I. 
Published: November 2017

Pl-VEGF165 (Neovasculgen) is a new genotherapeutic drug for treatment of chronic lower limb ischemia. It is registered in Russia and underwent effectiveness assessment in clinical trial. Objective of this study is to report results of the economical modeling study to compare long-term effectiveness and costs of the treatment. The comparison show that the treatment with this drug allows to decrease number of amputations by 6.5 fold and increase quality adjusted length of life by 2.6 QALYs. Summary costs were lower with new drug by 574 thousand rubles with lifelong modeling and by 353 thousand rubles in first 5 years.
Effect of vibration in the treatment of children with spastic diplegic cerebral palsy
Authors: Dudoniene Vilma , Lendraitiene Egle , Pozeriene Jurate 
Published: November 2017

Cerebral palsy is one of the leading causes of movement and posture disorders. Recently, Vibration, as a treatment method in clinical practice has been used as a complementary approach. The aim of this intervention was to determine the effect of vibration in addition to conventional therapy on spasticity, range of motion and gross motor functions in children with cerebral palsy. A total of 20 children with spastic diplegic cerebral palsy (7-10 years old) were randomly divided into two equal groups (conventional therapy – Control group, and conventional therapy plus Vibration – Vibration group), and participated in a 3-week physiotherapy program. The same exercise program was prescribed for children of both groups; frequency of intervention ‒ five times a week, one session lasted for 45 min. Children in the vibration group apart from conventional therapy also received treatment on a special vibration equipment set at 15 Hz frequency. Ashwort scale was used to assess spasticity, goniometry – range of motion, and Gross Motor Function Measure (GMFM) 88 domain – to assess standing (D) and mobility (E – walking, jumping, and running) functions. Both interventions significantly increased range of motion, decreased spasticity in legs and improved standing and mobility functions (p< 0.05). No statistical differences were found between the two groups after interventions.
In-plane vibration modal analysis of heavy-loaded radial tire with a larger flat ratio
Authors: Liu Zhihao , Gao Qinhe 
Published: November 2017

Experimental modal analysis, dynamic modeling and parameter identification is employed to investigate the in-plane vibration modal characteristic of a heavy-loaded radial tire with a larger flat ratio. In-plane vibration characteristic of heavy-loaded radial tire is modeled as flexible beam on modified elastic foundation model and flexible tread and distributed sidewall are respectively modeled as the Euler beam and distributed mass element with sectional stiffness. Analytic relationship between the modal resonant frequency and the structural parameters is solved and derived with modal expansion method. The in-plane coupling modal between the flexible tread and sidewall is investigated experimentally. The unknown structural parameters are identified by the genetic algorithm based on the experimental and analytical modal parameter. The higher order modal frequency is predicted with the identified structural parameters and the influence of structural parameters on the modal parameters is compared. Experimental and theoretical result shows that: the experimental modal analysis and theoretical modeling method with the coupling feature of flexible tread, distributed sidewall and rim can accurately characterize the in-plane vibration feature of heavy-loaded radial tire within the frequency band of 300 Hz, compared with the method which only considers the flexible feature of tread and is limited to 180 Hz.
Numerical study on aerodynamic characteristics of high-speed trains with considering thermal-flow coupling effects
Authors: Yang Ai Min , Li Yi Fan , Xing Hong Wei , Zhang Ling , Feng Li Jing , Li Yu Han , Cheng Fei Yu 
Published: November 2017

In order to conduct in-depth researches on rationality of air conditioning system equipment of a high-speed train as well as its pipeline system design, working conditions of the air conditioning system and distribution of aerodynamic characteristics including pressure, velocity and temperature in high speed trains should be computed carefully at the design stage. Therefore, the finite volume method was used to solve a governing equation of computational fluid dynamics. The aerodynamic characteristics of pipelines of the air conditioning system and the complete high speed train were computed, so the indoor distribution of wind velocity, temperature and gas concentration (carbon oxide, carbon dioxide, nitrogen and so forth) was obtained. The flow field index and the thermal comfort index were used to evaluate the indoor thermal comfort degree. In this way, whether rationality of the air conditioning system design and indoor aerodynamic characteristic could satisfy requirements for design specifications can be analyzed. Results show that: Under winter or summer working conditions, wind velocity was relatively high at the passageway door, where the maximum wind velocity was more than 1 m/s and would make passengers uncomfortable. Air flow velocity outside comfortable regions was more than 0.05 m/s, satisfying UIC553 standards. Velocity distribution was basically the same indoors, where wind velocity was large at positions perpendicular to the air supply hole, and the maximum wind velocity was more than 1 m/s, but wind velocity was uniform in the passenger region, which was basically lower than 0.2 m/s and satisfied UIC553 standards. In summer and winter working conditions, distribution of pressure, velocity and temperature was not uniform, where the maximum temperature gradient was near the air inlet in the compartment. Air components in the compartment satisfied requirements for comfort. The most uncomfortable regions in the compartment were concentrated at the passageway. Air supply holes distributed symmetrically on the train roof caused high air flow intensity, high wind velocity, low temperature and high humidity at the passageway in the compartment, so the thermal comfort was low, and it is feasible to adjust the layout of air supply holes appropriately.
Active frequency tuning of the cantilever nanoresonator utilizing a phase transformation of NiTi thin film
Authors: Stachiv Ivo , Sittner Petr , Jeng Yeau Ren , Vokoun David 
Published: November 2017

Due to their small sizes, compactness, low cost, high sensitivity, high resolution and extraordinary physical properties, nanoresonators have attracted a widespread attention from the scientific community. It is required that the nanoresonators can operate at desired but adjustable resonant frequencies. In this work, we present a novel active frequency tuning method utilizing a large change of the Young’s modulus (more than 50 %) and generated interlayer stress (up a few hundred of MPa) during a phase transformation of NiTi thin film deposited on an elastic substrate. We show that this tuning mechanism can allow one to achieve the extraordinary high fundamental resonant frequency tunability (~30 %). The impact of NiTi film thickness and dimensions on the first three consecutive resonant frequencies of the cantilever nanobeam is examined. In addition, developed theoretical model can be used as a simple guide for further design of novel tunable cantilever nanoresonators with thin films that cover only partially the entire cantilever length.
Dynamic behavior of reinforced concrete panels subjected to blast loading
Authors: Park Jong Yil , Kim Min Sook , Lee Young Hak 
Published: November 2017

This paper presents experimental and analytical results for dynamic response of reinforced concrete one-way slab under blast loading. Steel frame with massive concrete foundation to minimize rigid movement was prepared for fixed-fixed boundary condition. Two 1500×2350×150 mm RC slabs were tested under surface bursts of 50 kg TNT and 100 kg TNT at standoff distance of 20 m. Types of measured data related to structural response includes strain of longitudinal reinforcement at mid-span, and longitudinal strain on unloaded side concrete at midspan. Incident pressures were measured at 15 m, 20 m, and 25 m to check if full detonation occurs. All measured data were compared with results of AUTODYN. Difference of peak reinforcement strains is 3 %, and one of concrete strains at surface of unloaded side is 11 %, showing that prepared numerical analysis can be used to estimate behavior of reinforced concrete one-way slab under explosion.
Energy recovery in high rate algal pond used for domestic wastewater treatment
Authors: Assemany Paula Peixoto , Calijuri Maria Lúcia , do Couto Eduardo de Aguiar , da Silva Fernanda Pereira , de Souza Mauro Henrique Batalha 
Published: November 2017

Abstract
High rate algal pond (HRAP) was evaluated according to its energy potential and productivity by two rates, net energy ratio (NER) and specific biomass productivity. All energy inputs were calculated according to one HRAP with pre-ultraviolet disinfection treating anaerobic domestic sewage. The outputs were calculated for two energetic pathways: lipid and biogas production for the raw biomass (RB) and biomass after lipid extraction. The non-polar lipid content in dry biomass was 7.6%, reaching a daily lipid productivity of 0.2 g/m2·day and the biogas production potential was 0.20 m3/kg solids. For the biomass after lipid extraction, the biogas production reached 2.6 m3/kg solids. NER values of 10−3 for the RB were similar for lipids and biogas routes. The specific biomass productivity was 0.7 mg/kJ. For the residual biomass, after lipid extraction, NER value was 10−2 for the integrated route (lipids + biogas) and the specific biomass productivity of the extracted biomass was 0.4 mg/kJ. The best energetic pathway was to integrate both lipids and biogas route.
The implementation of integrated learning for developing the entrepreneurship readiness for the students of vocational high school majoring in architecture engineering
Authors: Hariyanto V. Lilik , Usman Husaini , Pardjono P. 
Published: November 2017

The objective of the research was to: (1) find the level of integrated learning effectiveness between the entrepreneurship subjects and the stone and concrete practical subject from the perspective of the teachers and the students; (2) to find the level of integrated learning implementation between the entrepreneurship subject and the stone and concrete practical subject; (3) to find the level of teacher and student activities within the integrated learning between the entrepreneurship subject and the stone and concrete practical subject; and (4) to find the level of student readiness within the integrated learning between the entrepreneurship subject and the stone and concrete practical subject. The researchers implemented the Research and Development approach with an orientation toward the product development. The research period in the form of learning implementation within the classroom was from January to February 2013. The research site was in 2 Pengasih State Vocational High School Kulonprogo. The research subjects were the students of XI Grade Stone and Concrete Construction Engineering, 2 Pengasih State Vocational High School, Kulonprogo. The research procedures were divided into two stages namely: (1) pre-integrated learning implementation; and (2) integrated learning implementation. The research data included: (1) the effectiveness of integrated learning from the perspective of the teachers and the students; (2) the implementation of integrated learning; (3) the level of activeness that the teachers and the students exposed; and (4) the readiness of the students for performing entrepreneurship based on the achievement of learning competences in the domain of knowledge, attitude and skill. The data analysis was performed in a descriptive-qualitative manner by providing logical narratives according to the research objectives. The results of the research were as follows: (1) the implementation of integrated learning, from the perspective of both the teachers and the students, had been in the category of effective to very effective; (2) the implementation of integrated learning had been in the category of good to very good; (3) the teachers and the students had been in the category of active to very active; and (4) the students had been in the category of ready for performing the entrepreneurship with the achievement of learning scores for more than the already determined passing grade.
UNSUR DAPAT MERUGIKAN KEUANGAN NEGARA ATAU PEREKONOMIAN NEGARA PADA PERTANGGUNGJAWABAN TINDAK PIDANA KORUPSI
Authors: Serbabagus S. Serbabagus 
Published: November 2017

The existence problem of corruption in Law Number 31 Year 1999 as amended by Law Number 20 Year 2001 is the formulation of element "may harm the state finance or state economy" in Article 2 paragraph (1) and article 3 which causes the emergence of The debate on understanding the word "can harm" it. The purpose of writing in this is to know the qualification of elements can harm the state finance or the state economy on corruption crime as well as to know the proof of the element can harm the state finance or state economy on corruption criminal law. From the main result of writing can be concluded that Element "can harm state finance or state economy" represent potential loss of state finance or state economy in order to fulfill the element "may harm the state finance or state economy" does not necessarily have suffered losses, but the element of state losses must still be proven and must be calculated, although as an estimate or though it has not yet occurred and the calculation shall be determined by the expert. Keywords: Corruption, State Losses
consolidación de una práctica original
Authors: Villaluenga de Gracia Susana 
Published: November 2017

Según lo previsto en la normativa interna, cada año en el cabildo catedral de Toledo se repartía entre los canónigos y racioneros el superávit o excedente de tesorería del refitor, la oficina que gestionaba el acervo de rentas más importante de la Corporación. Esta misma costumbre existía en otros cabildos hispánicos y en las universidades. En este último caso era frecuente que se repartiera el superávit entre el arca de la fundación y los catedráticos.
El reparto del superávit entre los prebendados de los cabildos catedrales resulta un tema de investigación novedoso. Su interés está justificado inicialmente por la curiosidad que puede suscitar este comportamiento económico tan cercano a los modernos sistemas de retribución utilizados en la empresa y que ponen de manifiesto la preocupación de la corporación por preservar los intereses económicos de sus miembros. A este respecto, podemos decir que la producción bibliográfica es escasa. Únicamente existen ciertas referencias en trabajos de contenidos distintos, que tratan de cuestiones relativas a la norma interna, constituciones o estatutos de estas corporaciones.
El trabajo que aquí presentamos analiza el origen del superávit del refitor de la Catedral de Toledo, la forma de reparto y su objeto, así como su evolución durante el siglo XVI. De su análisis concluiremos que el incremento de los ingresos de este departamento no fue empleado en aumentar los gastos, como era costumbre, sino en consolidar el excedente de tesorería para su reparto entre los prebendados, al objeto de potenciar la asistencia al coro, siguiendo la doctrina de concilio de Trento. Así, dicho complemento retributivo premiaba la productividad en el servicio cultual del personal ya existente, evitando comprometer a largo plazo recursos en la dotación de nuevas plazas.
Comentarios Bibliográficos
Authors: Gutiérrez Hidalgo Fernando , Prieto Moreno Begoña , Tua Pereda Jorge 
Published: November 2017

Comentario Sobre el libro de Esteban Hernández Esteve: Aproximación al estudio del pensamiento contable español. De la Baja Edad Media a la consolidación de la Contabilidad como asignatura universitaria. Madrid: AECA, 2013, 864 Págs.
Un manual español de administración y contabilidad Señorial de principios de siglo XVII
Authors: González Ferrando José María 
Published: November 2017

Frente a lo ocurrido en Inglaterra, donde cuentan con manuscritos sobre administracion y contabilidad senorial desde el siglo XIII, en Espana solo se conocen hasta ahora cuatro textos de los siglos XV al XVII en que sus autores se ocupan con mayor o menor detalle de este asunto, pero de los que solo uno, publicado inicialmente en 1613, puede equipararse en cierto modo a los ingleses: el "Compendio en razon de acrecentar Estado y Hacienda y Oficio de Contador" de Gabriel Perez del Barrio.
En este manual, dirigido a instruir en materia de administracion, contabilidad y rendicion de cuentas al Secretario y al Contador de una Casa senorial, se desarrollan en trece capitulos una serie de normas para orientarlos .especialmente al Contador. acerca de la forma de administrar la hacienda; su acrecentamiento; la fertilizacion del suelo; el aumento del numero de vasallos; la renovacion de los oficios de confianza; la generacion, hacimiento y cobranza de las rentas, guardando sus circunstancias y solemnidades; la cuenta y razon de su recibo y distribucion por el metodo de Cargo y Data o Descargo; la llevanza por igual procedimiento de las cuentas de los arrendamientos y encabezamientos de mayordomos, fieles y demas arrendadores; la rendicion de cuentas de los mismos, asi como el detalle de las cuentas interiores de salarios de criados y menaje de casa en su mas amplio sentido, del que se les hace responsables, con expresion de los libros en que se ha de llevar a cabo la contabilizacion de todas estas operaciones.