bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pediatric Patient-Centered Transitions From Hospital to Home: Improving the Discharge Medication Process
Authors: Mallory Leah A. , Diminick Noah P. , Bourque Jonathan P. , Bryden Meredith R. , Miller Jessica L. , Nystrom Nancy M. , Lord Melanie R. , McElwain Lorraine L. 
Published: December 2017

OBJECTIVES:
Medications prescribed at hospital discharge can lead to patient harm if there are access barriers or misunderstanding of instructions. Filling prescriptions before discharge can decrease these risks. We aimed to increase the percentage of patients leaving the hospital with new discharge medications in hand to 70% by 18 months.

METHODS:
We used sequential plan-do-study-act cycles from January 2015 to September 2016. We used statistical process control charts to track process measures, new medications filled before discharge, and rates of bedside delivery with pharmacist teaching to the inpatient pediatric unit. Outcome measures included national patient survey data, collected and displayed quarterly, as well as caregiver understanding, comparing inaccuracy of medication teach-back with and without medications in hand before discharge.

RESULTS:
Rates of patients leaving the hospital with medications in hand increased from a baseline of 2% to 85% over the study period. Bedside delivery reached 71%. Inaccuracy of caregiver report during a postdischarge phone call decreased from 3.3% to 0.7% (P &lt; .05) when medications were in hand before discharge. Patient satisfaction with education of new medication side effects increased from 50% to 88%.

CONCLUSIONS:
By using an engaged interprofessional team, we optimized use of our on-site outpatient pharmacy and increased the percentage of pediatric patients leaving the hospital with new discharge medications in hand to &gt;80%. This, accompanied by increased rates of bedside medication delivery and pharmacist teaching, was associated with improvements in caregiver discharge-medication related experience and understanding.
Experiencia y cuerpo animado en el espectro autista. Evaluando los alcances y límites del DSM-5
Authors: Villamil Lozano Andrés Felipe 
Published: December 2017

Se aborda de forma crítica la exposición del desorden del espectro autista llevada a cabo en la quinta y última edición del Diagnostic and Statistical Manual of Mental Disorders (DSM-5), herramienta principal de muchos psiquiatras para comprender y diagnosticar cualquier psicopatología. Con este abordaje se busca evidenciar cómo, en el DSM-5 –al igual que en la interpretación inaugurada por Baron-Cohen, Leslie y Frith–, se deja de lado la experiencia y el cuerpo animado del paciente, por lo que es aconsejable un nuevo acercamiento a dicho desorden que tenga fundamentos fenomenológicos. Finalmente, se presenta el bosquejo de una fenomenología del desorden del espectro autista que reconoce la primacía del cuerpo animado en la experiencia del mundo, de sí mismo y de los otros.
El derecho a la participación de las víctimas del conflicto armado desde el contexto de la Mesa Municipal de Santiago de Cali en el marco de la Ley 1448 de 2011
Authors: Cerón Arboleda Paula Andrea 
Published: December 2017

This article analyzes the participation of the victims of the armed conflict as a transversal component in the public policy of victims set forth in Law 1448 of 2011, focusing its analysis on the participation space institutionally established by Resolution 388 of 2013, Protocol of Participation; This space was called Participation Tables. For this analysis, victims from the years 2013 to 2014 were chosen as the case study. The main findings of the research were collected using participant observation and semi-structured surveys as tools, both for leaders of victim organizations and for public officials of different state entities guarantors of the correct materialization of this space. Among the findings, there was little impact of the Participation Table in the construction of municipal public policies and in their follow-up, due to factors such as ignorance of the norm, poor attendance at meetings, friction between the same members of the table, distrust towards the governmental entities, among other aspects that will be evidenced throughout the present article.
Trajetória, projetos e expectativas de sucesso na carreira: estudo com universitários concluintes que não pretendem atuar na área de formação
Authors: Freitas Olivia Araújo de , Oliveira Marina Cardoso de 
Published: December 2017

Um conjunto de sentimentos e expectativas permeiam as vivências acadêmicas e, ao final da graduação, espera-se que os concluintes consigam atuar na sua área de formação. Contudo, tem-se observado que uma parcela dos universitários não manifesta esta intenção. Cientes desta realidade e buscando explorar o tema, esta pesquisa buscou descrever a trajetória, os projetos de carreira e as expectativas de sucesso de concluintes do ensino superior que autodeclaram não pretender atuar na área de formação. Para a construção do corpus da pesquisa foi conduzido um grupo focal com a participação de quatro universitários concluintes, de diferentes cursos, de ambos os sexos que declararam não querer atuar na área de formação depois da graduação. O corpus foi analisado com base na análise do discurso com foco na identificação de repertórios interpretativos. As análises permitiram identificar similaridades nas trajetórias dos participantes, que estiveram marcadas pelas dificuldades na tomada de decisão desde a escolha inicial do curso superior até o momento presente da transição universidade-trabalho. Quanto aos projetos, os participantes, apesar de não pretenderem atuar na área, ainda não tem clareza do que irão fazer após a graduação. Por sua vez, tais características demarcaram as expectativas de sucesso na carreira que enfatizaram tanto aspectos objetivos quanto subjetivos, dando ênfase ao retorno financeiro e a satisfação pessoal. Os resultados sugerem a importância dos serviços de orientação profissional e de carreira como práticas que colaboram tanto nos processos da escolha profissional quanto no auxílio para o planejamento de carreira e inserção no mercado de trabalho.
O papel das máquinas sociais na formação de opinião em rede | The Role of Social Machines in Opinion Formation on Web
Authors: Santana Júnior Célio Andrade , Lima Camila Oliveira 
Published: December 2017

RESUMO Trata-se de uma reflexão sobre a existência de máquinas (software) atuantes na internet que têm como principais objetivos influenciar opiniões, induzir comportamentos e até mesmo modificar hábitos dos usuários (humanos) na rede. Para tanto, faz-se necessário analisar a conjuntura atual da internet considerando os bots e descrever alguns fatos, envolvendo tais máquinas, que já ocorreram em rede. A reflexão foi baseada em uma pesquisa bibliográfica e apresenta como resultado a constatação de que os bots já participam, de maneira autônoma, tanto quanto os seres humanos na internet, e que eles utilizam as informações disponíveis em rede para influenciar seres humanos a adotar hábitos em rede que são de interesses de terceiros. Para tanto, as máquinas já estabelecem regimes de informação próprios e participam de maneira considerável dos círculos de proximidade de usuários humanos. Dessa forma, desconsiderar os bots dos fluxos informacionais existentes na internet significa ignorar quase metade da atividade em rede, o que os deixa em uma situação de protagonismo nas relações em rede.Palavras-chave: Máquinas Sociais; Web 3.0; Internet de Tudo. ABSTRACT This is a reflection on the existence of machines (Software) acting on the Internet whose primary objectives are to influence opinions, induce behaviors and even modify the habits of users (humans) in the network. Thus, it is necessary to analyze the current conjuncture of the Internet considering the bots and to describe some facts involving these machines, which have already been carried out in a network. The reflection was based on bibliographical research and presents the realization that bots are already participating autonomously, as much as humans, on the Internet and that they use the information available on the network to influence people in adopting habits and Networks that are of interest to third parties. To this end, the machines already establish their information systems and participate considerably in the nearby circles of human users. Thus, to disregard the bots of information flows on the Internet means ignoring almost half of network activity, which leaves them in a situation of prominence in network relationships.Keywords: Social Machines; Web 3.0; Internet of Everything.
“Programa Mais Médicos”: esquadrinhando uma política de saúde que viraliza | “More Doctors Program”: scrutinizing a health policy that viralizes
Authors: Caetano Rodrigo da Costa , Vargas Diogo de Souza , Moura Sérgio Arruda de 
Published: December 2017

Resumo O presente artigo contempla uma abordagem crítica de notícias disseminadas nos sites buscados pelo Google sobre o Programa Mais Médicos enquanto política social. Pretende-se compreender os argumentos disponíveis na análise do discurso, observando os sujeitos nas esferas da enunciação e contextualizando-os à luz das demandas sociais e da realidade profissional médica brasileira. Por meio de uma busca em períodos definidos e estratégicos, infere-se que o objetivo da comunicação pode corresponder a um ato de eminente interesse político, propagado na opinião pública sem a devida reflexão crítica e que, por isso, carece de um entendimento consistente da política social em destaque.Palavras-chave: Discursos; Política de Saúde; Programa Mais Médicos.Abstract The present article comprises a critical approach of news disseminated in sites searched by Google about the "More Doctors Program" as a social policy. It aims to understand the evidence available in discourse analysis, observing the subjects in the fields of enunciation and contextualizing them in the light of social demands and the Brazilian professional medical reality. By means of a search in specific and strategic periods, it is inferred that the objective of communication can correspond to an act of eminent political interest, spread throughout public opinion without due critical reflection and, for this reason, lacking a consistent understanding of the social policy mentioned above.Keywords: Discourse; Health Policy; More Doctors Program.
Resta algo de 2013? | Is there anything left of 2013?
Authors: Peralva Angelina , Figeac Julien , Paton Nathalie 
Published: December 2017

Resumo Uma pesquisa com coletivos de ativistas, formados antes ou durante as manifestações de 2013, presentes nas redes digitais e fora delas, levou-nos a abordar a morfologia desses grupos, o perfil dos participantes, seus usos das tecnologias de comunicação e suas orientações mais gerais. Três perguntas organizam o texto. Que queriam os manifestantes de 2013? Resta algo daquele momento? Qual a relação do movimento com a crise institucional brasileira atual? As entrevistas foram realizadas em março de 2017 e haviam sido precedidas por observações regulares nas redes sociais, efetuadas ao longo de um ano e meio, com preservação de materiais iconográficos.Palavras-chaves: 2013; Lutas Urbanas; Midiativismo; Redes Sociodigitais; Democracia.Abstract Research on groups of activists, formed in the 2013 demonstrations or before, active on social network sites and outside them, leads us to address the morphology of these groups, the profile of participants, their uses of information and communication technologies and their general orientations. Three questions organize the text. What did the 2013 demonstrators want? Is there now in 2017 anything left of that moment? Is there a relationship between those demonstrations and the current Brazilian institutional crisis? The interviews were carried out in March 2017 and were preceded by regular observations on social network sites for over a year and a half, including the storage of iconographic material.Keywords: 2013; Urban Struggles; Media Activism; Social Network Sites; Democracy.
Speech recognition system for Turkish language with hybrid method
Authors: Bakir Cigdem 
Published: December 2017

Currently, technological developments are accompanied by a number of associated problems. Security takes the first place amongst such problems. In particular, biometric systems such as authentication constitute a significant fraction of the security problem. This is because sound recordings having connection with various crimes are required to be analysed for forensic purposes. Authentication systems necessitate transmission, design and classification of biometric data in a secure manner. The aim of this study is to actualise an automatic voice and speech recognition system using wavelet transform, taking Turkish sound forms and properties into consideration. Approximately 3740 Turkish voice samples of words and clauses of differing lengths were collected from 25 males and 25 females. The features of these voice samples were obtained using Mel-frequency cepstral coefficients (MFCCs), Mel-frequency discrete wavelet coefficients (MFDWCs) and linear prediction cepstral coefficient (LPCC). Feature vectors of the voice samples obtained were trained with k-means, artificial neural network (ANN) and hybrid model. The hybrid model was formed by combining with k-means clustering and ANN. In the first phase of this model, k-means performed subsets obtained with voice feature vectors. In the second phase, a set of training and tests were formed from these sub-clusters. Thus, for being trained more suitable data by clustering increased the accuracy. In the test phase, the owner of a given voice sample was identified by taking the trained voice samples into consideration. The results and performance of the algorithms used for classification are also demonstrated in a comparative manner.
Keywords: Speech recognition, hybrid model, k-means, artificial neural network (ANN).
A novel concept to integrate energy recovery into potable water reuse treatment schemes
Authors: Horstmeyer Nils , Weißbach Max , Koch Konrad , Drewes Jörg E. 
Published: December 2017

AbstractPotable water reuse applications can provide a safe and sustainable water supply where conventional freshwater resources are limited. The objectives of this study were fourfold: (i) to analyse existing potable water reuse applications regarding operational characteristics and energy demands, (ii) to determine the theoretical energy potential of wastewater and identify opportunities for energy recovery, (iii) to define design requirements for potable water reuse schemes that integrate energy recovery and (iv) to propose strategies for more energy efficient potable water reuse schemes. Existing potable water reuse schemes commonly utilize conventional wastewater treatment processes including biological nutrient removal followed by advanced water treatment processes. While meeting high product water quality, these treatment schemes are characterized by relatively high specific energy demands (1.18 kWh/m3). Given that the theoretical energy potential of municipal wastewater is approximately two times higher (2.52 kWh/m3), opportunities exist to integrate energy recovery strategies. We propose three alternative potable water reuse schemes that integrate energy recovery from carbon via methane and nitrogen via either the coupled aerobic–anoxic nitrous decomposition operation process or partial nitritation/anammox. Compared to conventional potable water reuse schemes, the energy requirements of these schemes can be reduced by 7–29% and the overall energy balance by 38–80%.
Process auditing and performance improvement in a mixed wastewater–aqueous waste treatment plant
Authors: Collivignarelli Maria Cristina , Bertanza Giorgio , Abbà Alessandro , Damiani Silvestro 
Published: December 2017

Abstract
The wastewater treatment process is based on complex chemical, physical and biological mechanisms that are closely interconnected. The efficiency of the system (which depends on compliance with national regulations on wastewater quality) can be achieved through the use of tools such as monitoring, that is the detection of parameters that allow the continuous interpretation of the current situation, and experimental tests, which allow the measurement of real performance (of a sector, a single treatment or equipment) and comparison with the following ones. Experimental tests have a particular relevance in the case of municipal wastewater treatment plants fed with a strong industrial component and especially in the case of plants authorized to treat aqueous waste. In this paper a case study is presented where the application of management tools such as careful monitoring and experimental tests led to the technical and economic optimization of the plant: the main results obtained were the reduction of sludge production (from 4,000 t/year w.w. (wet weight) to about 2,200 t/year w.w.) and operating costs (e.g. from 600,000 €/year down to about 350,000 €/year for reagents), the increase of resource recovery and the improvement of the overall process performance.
Secularización, imaginario de progreso y construcción identitaria: una mirada desde el Sexenio Democrático español y las repúblicas latinoamericanas
Authors: Mira Abad Alicia 
Published: December 2017

Este trabajo es una aproximación a los usos del concepto de secularización en el mundo hispánico, desde una perspectiva comparada. Es un concepto ligado al progreso y la modernidad durante el siglo XIX, desde la premisa de que todo sistema conceptual posee un origen práctico cuando es analizado en conexión con realidades sociales y políticas diversas. El imaginario revolucionario y de modernidad lo incorporaron en la construcción de los relatos nacionales en España y América. La utilizaron como símbolo del cambio que puede conciliar pasado y futuro a través de nuevos referentes religiosos. El Sexenio Democrático y la consolidación del liberalismo en Latinoamérica nos ofrecen perspectivas y matices diversos en la utilización del concepto en espacios que comparten una misma raíz cultural.
La formación de Educadores Infantiles, un reto de innovación educativa en la educación superior
Authors: García Gutiérrez Zaily del Pilar , Aznar Diaz Inmaculada 
Published: December 2017

Este artículo surge del proyecto titulado “Análisis de la Formación de Pedagogos Infantiles en la Corporación Universitaria Minuto de Dios Bogotá – Colombia”, con el propósito presentar los resultados respecto a la pertinencia de la propuesta formativa de pedagogos infantiles de UNIMINUTO, de acuerdo a las necesidades de formación las infancias, como punto de partida para establecer acciones de mejora y transformación del programa, direccionados a generar un aporte de innovación en la educación superior. La metodología, de tipo mixto, se lleva a cabo mediante: la encuesta, el grupo focal y entrevistas, aplicadas a estudiantes, graduados, docentes y directivas respectivamente.Finalmente, los resultados, donde se expresa una valoración favorable respecto a la pertinencia de la propuesta de formación sobre las cambiantes necesidades educativas de las infancias, en tanto son reconocidas como una representación social completamente determinada por el momento historio y realidad social actual. Sin embargo, se identifica un gran reto de mejora, relacionado con la diversificación de los escenarios de práctica formativa y cantidad de créditos destinados para dicho propósito. Necesidad de transformación que surge como respuesta ante las exigencias de innovación en educación superior.
La perspectiva de estudiantes universitarios sobre la escuela como promotora de salud y vida saludable
Authors: Leiva Olivencia Juan José , Matas Terrón Antonio , Moreno Martínez Noelia Margarita 
Published: December 2017

Hablar hoy de educación es subrayar sus potencialidades para la promoción activa de hábitos de vida saludable, lo que constituye un eje relevante en la nueva configuración de funciones en las instituciones escolares del siglo XXI. En este artículo se ofrecen los resultados más relevantes de un estudio realizado en un contexto universitario con estudiantes de Grado de Educación Primaria. El objetivo del estudio ha sido conocer y comprender las actitudes y percepciones que tienen los estudiantes participantes acerca de la escuela como promotora de salud y hábitos de vida saludable. Para ello se ha empleado un cuestionario ad hoc. La muestra que formó parte del presente estudio ascendió a 115 sujetos. Los resultados indican que los estudiantes tienen una visión pedagógica positiva de la Educación para la Salud (EpS), sobre su relevancia en el marco de un currículum de carácter inclusivo. Ahora bien, se muestran críticos con el tratamiento didáctico de la EpS, y es que son conscientes de la existencia de un escaso compromiso real del alumnado de desarrollar hábitos de vida saludables.
PENINGKATAN MOTIVASI DAN HASIL BELAJAR MATEMATIKA MATERI MATRIK MELALUI MODEL TEAMS GAMES TOURNAMENS (TGT) PESERTA DIDIK KELAS XII IPS 1 SMA NEGERI 3 PATI TAHUN PELAJARAN 2016/2017
Authors: Utoyo Tri 
Published: December 2017

Tujuan penelitian pada penelitian ini adalah : Untuk mengetahui penerapan pembelajaran model Teams Games Tournaments (TGT) dapat meningkatkan motivasi dan hasil belajar peserta didik kelas XII IPS 1 SMA Negeri 3 Pati tahun pelajaran 2016/2017. Proses pembelajaran dilaksanakan dengan 2 siklus yaitu siklus I dan II. Pelaksanaan tahap-tahap ini dibagi menjadi 2 siklus dalam penelitian tindakan kelas (Action Research) yaitu siklus I dan II, masing-masing siklus meliputi : Perencanaan (Planning), Pelaksanaan (Acting), Observasi (Observing), dan Refleksi (Reflecting).Hasil penelitian ini menjelaskan bahwa dari nilai KKM 75 hasil belajar peserta didik terlihat meningkat dibanding dengan kondisi awal yaitu hanya 11 peserta didik sebesar (32,35%) diatas KKM telah mengalami peningkatan menjadi 24 peserta didik sebesar (70,58%) pada siklus I dan meningkat 34 peserta didik sebesar (100%) pada siklus II.Saran yang dapat diberikan peneliti antara lain : Untuk meningkatkan situasi pembelajaran yang menyenangkan maka diperlukan model pembelajaran inovasi seperti Teams Games Tournamens (TGT).Kata kunci : Matrik, Teams Games Tournaments (TGT) AbstractThe purpose of this research is: To know the application of learning model Teams Games Tournaments (TGT) can improve the motivation and learning outcomes of students of class XII IPS 1 SMA Negeri 3 Pati academic year 2016/2017. The learning process is carried out with 2 cycles ie cycle I and II. The implementation of these stages is divided into 2 cycles in Action Research which are cycle I and II, each cycle includes: Planning, Acting, Observing, and Reflecting.The results of this study explain that the value of KKM 75 learning outcomes of students visible increase compared with the initial condition that only 11 students (32.35%) above KKM has increased to 24 students (70.58%) in cycle I and increased 34 students (100%) in cycle II. Suggestions that can be given by researchers include: To improve the learning situation is fun then needed innovative learning models such as Teams Games Tournamens (TGT). This innovative learning model can be used to improve students' learning achievement in matrix reading materials.Keywords : Matrix, Teams Games Tournaments (TGT).