bluuebunny/crossref_metadata_2025_split huggingface dataset:
Optimizing the Implementation of Clinical Predictive Models to Minimize National Costs: Sepsis Case Study
Authors: Rogers Parker , Boussina Aaron E , Shashikumar Supreeth P , Wardi Gabriel , Longhurst Christopher A , Nemati Shamim 
Published: December 2022

Background
Sepsis costs and incidence vary dramatically across diagnostic categories, warranting a customized approach for implementing predictive models.

Objective
The aim of this study was to optimize the parameters of a sepsis prediction model within distinct patient groups to minimize the excess cost of sepsis care and analyze the potential effect of factors contributing to end-user response to sepsis alerts on overall model utility.

Methods
We calculated the excess costs of sepsis to the Centers for Medicare and Medicaid Services (CMS) by comparing patients with and without a secondary sepsis diagnosis but with the same primary diagnosis and baseline comorbidities. We optimized the parameters of a sepsis prediction algorithm across different diagnostic categories to minimize these excess costs. At the optima, we evaluated diagnostic odds ratios and analyzed the impact of compliance factors such as noncompliance, treatment efficacy, and tolerance for false alarms on the net benefit of triggering sepsis alerts.

Results
Compliance factors significantly contributed to the net benefit of triggering a sepsis alert. However, a customized deployment policy can achieve a significantly higher diagnostic odds ratio and reduced costs of sepsis care. Implementing our optimization routine with powerful predictive models could result in US $4.6 billion in excess cost savings for CMS.

Conclusions
We designed a framework for customizing sepsis alert protocols within different diagnostic categories to minimize excess costs and analyzed model performance as a function of false alarm tolerance and compliance with model recommendations. We provide a framework that CMS policymakers could use to recommend minimum adherence rates to the early recognition and appropriate care of sepsis that is sensitive to hospital department-level incidence rates and national excess costs. Customizing the implementation of clinical predictive models by accounting for various behavioral and economic factors may improve the practical benefit of predictive models.
Effect of short and long period of salinity stress on physiological responses and biochemical markers of Aloe vera L.
Authors: Mirbakhsh Mandana , Sohrabi sedeh Sara 
Published: December 2022

Salinization reduces soil health and quality, drastically limiting growth and reducing land degradation and crop yield. This comprehensive research aimed to evaluate the impact of sodium chloride increment on growth factors, amount of oxidative stress biomarker (Malondialdehyde), osmotic response (evaluated by both proline and sugars contents), photosynthesis efficiency (expressed with chlorophyll fluorescence measurement) and activity of Malate dehydrogenases (MDHs) as a regulator under abiotic stress tolerantly in Aloe in Alzahra University, Tehran. Experiments were conducted in two studies at the following concentration of sodium chloride: 0 (control), 100, 200, and 300 (mM) NaCl for 30 days (short-term treatments) and: 0 (control), 54.7, 109.5, and 164.5 (mM) NaCl for 150 days (long-term treatments). Three replications in completely randomized design were applied. The results showed that while the fresh weight of belowground biomass declined at higher salinity level (164.5 mM), no significant differences were reported in the short period of salt treatments. A considerable amount of free proline was accumulated in both short (3.594 µg.g-1 dw) and long ( 2.20 µg.g-1 dw) term studies which raised the role of proline in osmoregulation. Our results showed the decline of MDA amount (0.0003mmol.g-1FW) in 54.7 NaCl (mM) that may be due to less membrane damage in presence of moderate salinity, indicating a variety of dependent differences in biochemical markers activity.
PROFIL KARAKTER SISWA SD di KABUPATEN BELU PASCA PANDEMI COVID -19
Authors: Nalle Efraim Semuel , Nahak Kristina E. Noya 
Published: December 2022

Penelitian ini mengkaji tentang profil karakter siswa Sekolah Dasar (SD) di Kabupaten Belu pasca pandemi covid-19 dengan tujuan mengetahui perkembangan karakter religus, nasionalis, mandiri dan gotong royong pada siswa SD di kabupaten Belu. Dalam penulisan penelitian ini, peneliti menggunakan pendekatan penelitian kuantitatif deskriptif dengan teknik pengumpulan data survei dan teknik analisis data menggunakan analisis frekuensi. Data penelitian diperoleh dengan menyebarkan angket dalam bentuk google form kepada 141 siswa kelas V di Atambua yang terdiri dari Sekolah Dasar Katolik St. Yosep Atambua I, Sekolah Dasar Inpres Tulamalae, Sekolah Dasar GMIT Atambua 3, Sekolah Dasar Santa Angela Atambua, Sekolah Dasar Katolik Santa Theresia Atambua II dan Madrasah Ibtidaiyah Hidayatullah. Data yang terkumpul dianalisis untuk mengetahui pembentukan karakter siswa oleh guru pada masa transisi pandemi covid-19. Hasil penelitian menunjukkan bahwa melalui pembiasaan-pembiasaan yang diberikan oleh guru dan orang tua nilai-nilai karakter religius, nasionalis, integritas, mandiri, dan gotong royong lebih dari lima puluh persen sudah membudaya dalam diri siswa.
PROSES PENDAMPINGAN BELAJAR PESERTA DIDIK BERBASIS AKM (ASSESMEN KOMPETENSI MINIMUM) SDIT ELFATIH
Authors: Sulkimah Nur Aminah , Syahchruroji A. , Hendracipta Nana 
Published: December 2022

This study aims to determine the process of learning assistance for students based on minimum competency assessment (AKM). The purpose of this study was to determine teacher performance. Supporting factors and inhibiting factors and readiness of students in facing AKM. This research uses a qualitative approach with descriptive methods. The data collection process was carried out using interview, observation, and documentation techniques. The results of this study indicate that the teacher's performance in providing assistance and guidance to students is carried out with careful preparation, scheduled every week, using a variety of learning media, as well as completeness of teaching materials and modules as an effort to make AKM successful. The supporting factors at SDIT Elfatih use infrastructure such as computers and labs. Teacher awareness in helping the success of AKM that is ready to respond. The inhibiting factor for AKM is signal constraints. The readiness of students to take part in AKM, students have numeracy literacy skills in using symbols and numbers. Students also have reading literacy skills by being able to determine the main idea. From the results of research that has been carried out AKM assistance is quite good.

Penelitian ini bertujuan untuk mengetahui kinerja guru, faktor penunjang dan faktor penghambat dan output kesiapan peserta didik dalam menghadapi AKM. Penelitian ini menggunakan pendekatan kualitatif dengan metode deskriptif. Proses pengumpulan data dilakukan dengan dengan menggunakan teknik wawancara, observasi, dan dokumentasi. Dari hasil penelitian ini menunjukan bahwa kinerja guru dalam memberikan pendampingan dan bimbingan pada peserta didik dilakukan dengan persiapan yang matang, dengan adanya modul serta bahan ajar yang diperiapkan sebelumnya, penggunaan metode yang menyesuaikan materi literasi membaca dan numerasi, media pembelajaran yang menunjang kegiatan pendamping belajar berbasis teknologi, serta adanya jadwal pendampingan belajar yang rutin. Adapun faktor pendukung di SDIT Elfatih menggunakan sarana prasana seperti komputer dan Lab. Kesadaran guru dalam membantu menyukseskan AKM yang siap tanggap. Adapun, faktor penghambat AKM tidak meratanya kemampuan guru dalam menyampaikan materi khususnya dalam bidang literasi membaca dan literasi numerasi mengingat bahwa keterampilan literasi membaca dan numerasi seharusnya mulai diberikan pada peserta didik sejak dini, bukan hanya di tekankan pada kelas V saja. Selain dari pada itu, kepala sekolah seharusnya memberikan apresiasi olebih kepada guru Kesiapan peserta didik dalam mengikuti AKM, dilihat dari peserta didik memiliki kecakapan literasi numerasi dalam menggunakan symbol- symbol dan angka. Peserta didik juga memiliki kecakapan literasi membaca dengan dapat menentukan ide pokok. Serta dalam aspek penguasaan penggunaan teknologi komputer.
PENGEMBANGAN BAHAN AJAR BERBASIS SAINTIFIK DAN NILAI ISLAMI JENJANG SD/MI KELAS V TEMA 8 SUBTEMA 1
Authors: Khawani Ahmad , Marvida Tria , Rahmadana Jati 
Published: December 2022

Pada proses belajar-mengajar guru tidak hanya berpedoman pada buku pembelajaran, tetapi guru juga harus mampu mengembangkan bahan ajar dengan sebaik mungkin dan semenarik mungkin guna menigkatkan potensi belajar siswa. Bagi seorang guru ataupun peserta didik bahan ajar merupakan hal terpenting dalam proses pembelajaran karena bisa dijadikan sebagai sumber pembelajaran. Penelitian dan Pengembangan atau dalam bahasa inggrisnya Research and Development. Peneliti menggunakan model ADDIE. Dari penelitian dan pengembangan yang dilakukan maka dapat diambil kesimpulan bahwa: Desain Bahan ajar berbasis saintifik dan nilai islami ini mengacu pada desain pengembangan model ADDIE dengan tahapan pegembangannya adalah (1) Tahap perencanaan (Planning), (2) Tahap perancangan (Design) dan (3) Tahap pengembangan (Development). Hasil penelitian menunjukkan bahwa Bahan Ajar Berbasis Saintifik Dan Nilai Islami Jenjang SD/MI Kelas V Tema 8 Subtema 1 memenuhi kriteria sangat valid dan sangat praktis, mengacu pada hasil penilaian validator dengan rata-rata nilai validitas 86,4%, sedangkan untuk hasil penilaian praktikalitas dengan rata-rata 93,35%. Dengan demikian, dapat menunjukkan bahwa penelitian ini menghasilkan Bahan Ajar Berbasis Saintifik Dan Nilai Islami Jenjang SD/MI Kelas V Tema 8 Subtema 1 dengan kriteria valid dan praktis sehingga dapat digunakan sebagai bahan ajar pembelajaran.
KINSHIP LEVEL BETWEEN JAVANESE AND SUNDANESE LANGUAGES IN MEDAN NORTH SUMATERA
Authors: Siregar Indah Asriani , Saragih Amrin . , Ginting Siti Aisyah 
Published: December 2022

ABSTRACT The aims of this study to determine the level of kinship. This study used a mixed method, employing 300 Swadesh vocabulary lists that have been modified to fit the Austronesian languages. The source of the data in this study is the informants who are the native speaker of Javanese and Sundanese language who live in Medan Tembung and Medan Timur, to pronounce the Javanese and Sundanese 300 Swadesh Vocabulary list.The Lexicostatistics approach was used to analyze the data. The result of data analysis revealed that there were 137 word pairs or 46% out of 300 swadesh vocabulary list. The kinship level of Javanese and Sundanese Languages is in of Family group.keywords must be written to describe the research scope observed, as well as the main terms undergirding the research
REALIZATION OF FLOUTING MAXIM OF HUMOR IN AMERICAN MOVIE THE UPSIDE
Authors: Aisyah Mutiara . , Pulungan Anni Holila , Ginting Siti Aisyah 
Published: December 2022

ABSTRACT The aim of this research was to find out the realization of flouting maxim of humor uttered by the characters in the movie The Upside. The research was conducted in descriptive qualitative research design. The script and the subtitle of The Upside movie has become the source of data which represent the flouting maxims of Cooperative Principle by Grice. Then the data were analyzed by read and write technique or attentive observation since the data in the form of utterances. The data also analyzed by choosing the funny utterances only since this research focusing in flouting maxim of humor. The result of this study found the realization of flouting maxim were nine points, that called as overstatement (giving too much information), understatement (giving too little information), metaphor, irony, banter, irrelevant statement, ambiguous statement, tautology and rhetorical question. The most used flouting maxim realized in overstatement, and the lowest rank of flouting maxim were realized in the form of tautology. It was zero data in tautology.
XI Jornadas de la Asociación Iberoamericana para la Investigación de las Diferencias Individuales
Authors: Ramírez-Maestre (Coordinadora) Carmen 
Published: December 2022

Investigar aquello que nos diferencia supone constatar la riqueza de la diversidad humana y comprender las enormes ventajas que esta aporta a nuestra especie. Por ello, el conocimiento de la diversidad debe llevar al respeto de la igualdad de derechos y deberes de los distintos individuos, sean cuales sean sus diferencias.
La Asociación Iberoamericana para la Investigación de las Diferencias Individuales (AIIDI) promueve la investigación de las diferencias individuales en inteligencia, capacidades, temperamento y personalidad, así como de las causas y factores relacionados con las mismas. Las jornadas que se celebran anualmente pretenden agrupar a los y las investigadores/as que se interesan por estas diferencias, promoviendo y compartiendo los conocimientos.
Se recogen a continuación resúmenes de los trabajos presentados en las XI Jornadas de la AIIDI, celebradas los días 22 y 23 de septiembre de 2022, en la Universidad de Málaga. En esta edición hemos contado con 48 presentaciones de trabajos empíricos centrados en variables de personalidad, de inteligencia y de salud. Todos son estudios de calidad que proporcionan una visión panorámica de los temas actuales de investigación en el ámbito de las diferencias humanas.
El sombrero sobre el escritorio. Conferencia de Luis Camnitzer
Authors: Camnitzer Luis 
Published: December 2022

“El sombrero sobre el escritorio” es una conferencia impartida en el ciclo de conferencias Encuentros de Arte & Arquitectura que desarrollamos en el Departamento de Arte y Arquitectura de la Universidad de Málaga el jueves 13 de mayo de 2021.
Artista uruguayo de origen alemán, Luis Camnitzer (Lübeck, Alemania, 1937) es una de las figuras clave del arte conceptual latinoamericano que ha desarrollado una prolífica obra (como ensayista, crítico de arte, comisario de exposiciones, pedagogo, conferenciante y creador de acciones y objetos) centrada en la capacidad transformadora del arte, al que considera en esencia un producto de la reflexión.
En esta conferencia diserta sobre las diferencias que halla entre las disciplinas del arte y de la arquitectura. Camnitzer, desde una inicial formación en la Facultad de Arquitectura de Montevideo y una posterior deserción de esta aterriza en el mundo del arte desde donde presta una especial atención a la labor educativa y a la defensa de un arte y educación que funcionen como un todo indivisible. A través de vídeos, fotografías, collages, grabados e instalaciones, propone desde entonces conceptos clave como la desmitificación del papel del artista en la sociedad del consumo, la capacidad artística del lenguaje, la desmaterialización del objeto artístico, el poder evocador de las imágenes y la implicación del espectador.
Reseña de Juan Carlos Robles y Ciro de la Torre
Dibujos en el agua
Authors: Camnitzer Luis 
Published: December 2022

En esta propuesta con título “Dibujos en el agua” el artista a través de una experimentación artística plantea que vivimos rodeados de archivos históricos infinitamente ricos que solamente esperan ser etiquetados describiendo la información que tienen. Las etiquetas ayudarán a proteger la información, dado que la evaporación es el peor enemigo de la historia.
Artista uruguayo de origen alemán Luis Camnitzer (Lübeck, Alemania, 1937), es una de las figuras clave del arte conceptual latinoamericano que ha desarrollado una prolífica obra (como ensayista, crítico de arte, comisario de exposiciones, pedagogo, conferenciante y creador de acciones y objetos) centrada en la capacidad transformadora del arte, al que considera en esencia un producto de la reflexión.
El cuaderno rayado
Authors: Camnitzer Luis 
Published: December 2022

En esta propuesta con título “El cuaderno rayado” el artista a través de una experimentación artística afirma “que en realidad no vemos las cosas a nuestro alrededor sino solamente vemos las imágenes que cubren esas cosas. Las cosas por lo tanto permanecen inaccesibles y misteriosas para siempre. Entre tanto nos movemos gracias a presunciones. Presunciones coherentes y de ahí funcionales, pero que nos encierran en una ficción”.
Artista uruguayo de origen alemán Luis Camnitzer (Lübeck, Alemania, 1937), es una de las figuras clave del arte conceptual latinoamericano que ha desarrollado una prolífica obra (como ensayista, crítico de arte, comisario de exposiciones, pedagogo, conferenciante y creador de acciones y objetos) centrada en la capacidad transformadora del arte, al que considera en esencia un producto de la reflexión.
La Costa del Sol occidental en la era del antropoceno
Authors: Gallardo Ramírez Cristina 
Published: December 2022

El Antropoceno puede considerarse una nueva etapa en la historia geológica de la Tierra, iniciada con la gran aceleración de la actividad humana a mediados del siglo XX y caracterizada por “la modificación global y sincrónica de los sistemas naturales por la acción humana”.
Este cambio global del planeta tiene en el cambio climático su componente más conocido, siendo sus impactos especialmente preocupantes en el litoral mediterráneo, donde es posible registrar de forma más temprana sus efectos.
En la búsqueda de estrategias para prevenir y afrontar los efectos de estos cambios de los que el ser humano es el principal agente causal, en esta investigación se recurre al pensamiento sistémico, adoptándose el socioecosistema como nuevo modelo para interpretar este litoral, encarnado en nuestra propuesta en la Costa del Sol Occidental (en adelante CSO).
Body condition and hair coat length impact weight estimation in dogs and cats presented to an emergency department
Authors: Wolf Jacob M. , Drobatz Kenneth J. 
Published: December 2022

Abstract

OBJECTIVE
To examine weight estimations by veterinarians, veterinary nurses, and veterinary students to determine the accuracy of weight estimation in a veterinary emergency department. Secondary objectives included an initial evaluation of how body condition score (BCS), hair coat length, and hospital position of the estimator impacted accuracy of weight estimation.

ANIMALS
101 dogs and 28 cats that presented to the emergency department from October 17, 2017, to September 3, 2019.

PROCEDURES
A written form was prospectively distributed to veterinarians, veterinary nurses, and veterinary students asking them to estimate a patient weight. Additional information about the patient, including estimated hair length and BCS, was recorded.

RESULTS
As dogs’ weights increased, all estimators underestimated the patients’ weight. As BCS increased, dogs’ weights were underestimated by veterinary students. Longer hair coat statistically significantly impacted accurate weight estimation in dogs. In cats, as BCS increased, veterinarians and veterinary nurses overestimated patient weight. Only 32% (32/101) and 20% (6/28) of weight estimations in dogs and cats, respectively, were within 10% of the patient’s actual weight.

CLINICAL RELEVANCE
Veterinarians, veterinary nurses, and veterinary students may not be reliable estimators of patient weight in the emergency department, especially with overweight animals. Prompt measurement of weight, if possible, is important for appropriate patient care.
Resolution, recurrence, and chyle redistribution after thoracic duct ligation with or without pericardiectomy in dogs with naturally occurring idiopathic chylothorax
Authors: Mayhew Philipp D. , Balsa Ingrid M. , Stern Joshua A. , Johnson Eric G. , Kaplan Joanna , Gonzales Carina , Steffey Michelle A. , Gibson Erin , Hagen Briana , Culp William T. N. , Giuffrida Michelle 
Published: December 2022

Abstract

OBJECTIVE
To document outcomes of thoracoscopic treatment of idiopathic chylothorax (IC) in dogs with and without constrictive pericardial physiology (CPP) and evaluate patterns of chyle flow redistribution after thoracic duct ligation (TDL).

ANIMALS
26 client-owned dogs.

PROCEDURES
In this prospective cohort study, echocardiography and cardiac catheterization were performed to document CPP in dogs with IC. Thoracoscopic TDL with pericardiectomy was performed if CPP was present (TDL/P group). Dogs without evidence of CPP underwent thoracoscopic TDL alone (TDL group). Dogs underwent preoperative, immediate postoperative, and 3-month postoperative CT lymphangiography studies when possible. Perioperative morbidity, resolution and late recurrence rates, and long-term outcome were recorded.

RESULTS
17 dogs underwent TDL, and 9 underwent TDL/P. Twenty-five of 26 (96%) survived the perioperative period. One dog died from ventricular fibrillation during pericardiectomy. Resolution rates for TDL and TDL/P were 94% and 88%, respectively (P = .55), with 1 late recurrence occurring in the TDL group in a median follow-up of 25 months (range, 4 to 60 months). On 3-month postoperative CT lymphangiography studies, ongoing chyle flow past the ligation site was demonstrated in 5 of 17 dogs, of which 1 dog developed recurrence at 13 months postoperatively. In 15 of 17 dogs, chylous redistribution after TDL was principally by retrograde flow to the lumbar lymphatic plexus.

CLINICAL RELEVANCE
In dogs without evidence of CPP, TDL alone was associated with a very good prognosis for treatment of IC. In the absence of CPP, the additional benefit of pericardiectomy in the treatment of IC is questionable.
Will swine veterinarians lead by meeting the next-generation needs of our industry?
Authors: Spronk Gordon , Havas Karyn , Patterson Gil , Dee Scott 
Published: December 2022

Abstract
The US swine industry is currently challenged by the potential of transboundary animal disease (eg, African swine fever) entry to the national herd and the relentless pressures of domestic diseases (eg, porcine reproductive and respiratory syndrome). The task of the swine veterinarian is to biosecure both the national herd and their customers’ local farms to mitigate these risks. This Viewpoint raises 4 questions that swine veterinarians, including practicing (private and corporate), industry, research, academic, and regulatory (state and federal) veterinarians who spend a portion of their time controlling, treating, preventing, or eradicating diseases of swine, must answer to meet the needs of their farms to compete globally and survive. In addition, it appears that there is sufficient science-based information to move forward in a collaborative manner and that the goals of prevention of African swine fever and elimination of porcine reproductive and respiratory syndrome virus are technically possible. Therefore, as previous generations of swine veterinarians led the US industry in the elimination of foot-and-mouth disease virus, classical swine fever virus, and pseudorabies virus from the national herd, the central challenge is whether the next generation of veterinarians will provide the necessary leadership to deal with the current industry and its next-generation challenges.