bluuebunny/crossref_metadata_2025_split huggingface dataset:
Obstacles in Early Diagnosis of Children With Juvenile Idiopathic Arthritis: A Nationwide Israeli Retrospective Study
Authors: Frenkel Yochai , Kraushar Irit , Saied Mohamad Hamad , Haviv Ruby , Uziel Yosef , Heshin-Bekenstein Merav , Ling Eduard , Amarilyo Gil , Harel Liora , Tirosh Irit , Spielman Shiri , Berkun Yackov , Aviel Yonatan Butbul 
Published: December 2022

ObjectiveCharacterization of the stages that patients with juvenile idiopathic arthritis (JIA) pass until they are diagnosed, and analysis of the different causes that lead to a delay in JIA diagnosis in Israel.MethodsThis is a retrospective cohort study conducted in 8 pediatric rheumatology centers in Israel. All patients diagnosed with JIA between October 2017 and October 2019 were included in the study. Demographic, clinical, and data regarding the referring physicians were collected from hospital and community medical charts.ResultsOf 207 patients included in the study, 201 cases were analyzed, 71.1% of the population were female. Patients, on average, were evaluated during the diagnostic process by 3.1 different physicians. In most cases, they initially met with a pediatrician in the community setting (61.2%), and later, most commonly referred to a rheumatologist by the community pediatrician (27.9%). The median time until diagnosis was 56.0 days (range: 1.0-2451.0 days). Patients diagnosed with polyarticular and spondyloarthritis/enthesitis-related arthritis (SpA/ERA) JIA subtypes had the longest period until diagnosis (median: 115.5 and 112.0 days, respectively). Younger age correlated with a quicker diagnosis, and females were diagnosed earlier compared to males. Fever at presentation significantly shortened the time to diagnosis (P< 0.01), whereas involvement of the small joints/sacroiliac joints significantly lengthened the time (P< 0.05).ConclusionThis is the first nationwide multicenter study that analyzes obstacles in the diagnosis of JIA in Israel. Raising awareness about JIA, especially for patients with SpA/ERA, is crucial in order to avoid delays in diagnosis and treatment.
Assessment of Orofacial Symptoms in Juvenile Idiopathic Arthritis: Validation of a Consensus-Based Short Patient Questionnaire
Authors: Stoustrup Peter , Rahimi Hanna , Twilt Marinka , Goh Y. Ingrid , Pedersen Thomas K. , Herlin Troels , Spiegel Lynn 
Published: December 2022

ObjectiveTo develop, validate, and test the performance of patient-reported outcomes (PROs) in a short patient questionnaire (< 5 minutes in length) in order to assess the multidimensional aspects of orofacial symptoms related to juvenile idiopathic arthritis (JIA) among patients aged ≥ 10 years.MethodsThe study was conducted by an interdisciplinary task force from the Temporomandibular Joint Juvenile Arthritis Working Group. The project consisted of a multiphased approach including the following: (1) conceptual phase with online international survey of 167 healthcare workers, (2) item generation and drafting of preliminary questionnaire(s) (ie, face validity), (3) cognitive script interview and probing (ie, content validity; 16 patients with JIA), (4) assessment of construct validity (ie, convergence and divergence; 53 patients with JIA), (5) test of reliability, and (6) test of clinical performance and psychometric characteristics (95 patients with JIA).ResultsIn total, 7 PROs were included in the final patient questionnaire: (1) pain frequency, (2) pain intensity, (3) pain location, (4) jaw function, (5) specific questions related to symptoms and dysfunction, (6) changes in face and jaw pain since last visit, and (7) changes in jaw function since last visit. In total, 80% of the patients were able to complete the questionnaire in less than 5 minutes.ConclusionWe have developed and validated a short patient questionnaire to assess the multidimensional aspects of JIA-related orofacial symptoms. The PROs included in our questionnaire show acceptable validity and reliability. The questionnaire is applicable to routine monitoring of subjects with JIA, as well as future research studies.
Penser le discours musical électroacoustique
Authors: Gohon Kevin 
Published: December 2022

« La logique du discours est pour moi quelque chose de terrifiant » disait Luigi Nono interrogé sur la nature fragmentaire de sa musique. Selon lui, c’est le fondement même de l’expression musicale occidentale qu’il faut considérer comme caduc. La musique écrite se doit en effet d’échapper aux disciplines du logos en renouvelant ses structures logiques et en s’ouvrant aux nouvelles technologies qui font échapper l’expression aux seuls procédés compositionnels instrumentaux. Telle est l’ambition de Pierre Boulez, de Luigi Nono et de la génération de compositeurs dite « de Darmstadt » : répondre à la crise de la musique contemporaine en inventant une nouvelle musique fondée sur la mixité, la virtualité, l’espace et la résonance, bref, instaurer un régime discursif unifiant l’hétérogène, sans le contraindre, ni l’abolir.
Palliative Sedation Therapy: A Case Report
Authors: Willard Emily G. , Wiencek Clareen 
Published: December 2022

IntroductionDespite repeated exposure to dying patients, critical care providers and nurses may not be familiar with palliative sedation. This case report describes a scenario in which palliative sedation therapy was considered for a patient dying in the intensive care unit.Clinical FindingsA 72-year-old woman was transferred from an outside hospital for management of severe acute respiratory distress syndrome. After her transfer, she experienced cardiac arrest and was resuscitated.DiagnosisThe patient was diagnosed with pneumonia related to COVID-19. Arterial blood gas values showed her ratio of partial pressure of oxygen to fraction of inspired oxygen to be less than 200, consistent with acute respiratory distress syndrome.InterventionsThe patient was intubated and started on a ventilator protocol for acute respiratory distress syndrome. After her cardiac arrest, she required a continuous epinephrine infusion.OutcomesThe patient’s family was notified of the severity of her clinical status, and the critical care team began to plan the transition from aggressive to comfort care. A provider suggested that the patient should receive continuous intravenous propofol after extubation to manage dyspnea during the dying process.ConclusionPalliative sedation therapy may be needed for dying patients, such as those with severe acute respiratory distress syndrome. The transition from curative to palliative measures often occurs in intensive care units but the ethical principles behind palliative sedation are not well understood by those providing care in these settings. It is vital that critical care nurses and providers be informed about available treatments for symptoms of dying patients, including palliative sedation.
Assessment of Good Practice Guidelines for Administration of Drugs via Feeding Tubes by a Clinical Pharmacist in the Intensive Care Unit
Authors: Cavagna Pauline , Bizet Simon , Fieux Fabienne , Houillez Emilie , Chirk Caroline , Zulian Chloé , Perreux Jennifer , Fernandez Christine , Lescot Thomas , Antignac Marie 
Published: December 2022

Background
In intensive care units, patients are frequently unable to take oral drugs because of orotracheal intubation or sedation.

Local Problem
Adverse events occurred during the administration of drugs by feeding tube. This study assessed the impact of implementing good practice guidelines by a clinical pharmacist on the prescription and administration of drugs through feeding tubes.

Methods
Nonconformity of drug prescription and administration in patients with feeding tubes was assessed before and after implementation of good practice guidelines in the intensive care unit of a large teaching hospital. Data were collected from medical records and interviews with physicians and nurses using a standardized form. Assessment of prescription nonconformity included compatibility of a drug’s absorption site with the administration route. Assessment of administration nonconformity included the preparation method.

Results
The analysis included 288 prescriptions and 80 administrations before implementation and 385 prescriptions and 211 administrations after implementation. Prescriptions in which the drug’s absorption site was not compatible with the administration route decreased significantly after implementation (19.8% vs 7.5%, P &lt; .01). Administration nonconformity decreased significantly in regard to crushing tablets and opening capsules (51.2% vs 4.3%, P &lt; .01) and the solvent used (67.1% vs 3.5%, P &lt; .01). Simultaneous mixing of drugs in the same syringe did not decrease significantly (71.2% vs 62.9%, P = .17).

Conclusion
Implementation of good practice guidelines by a multidisciplinary team in the intensive care unit significantly improved practices for administering crushed, opened, and dissolved oral forms of drugs by feeding tube.
Communication Between Registered Nurses and Family Members of Intensive Care Unit Patients
Authors: Dees Mandy L. , Carpenter Janet S. , Longtin Krista 
Published: December 2022

Background
Effective communication between intensive care unit patients and their families and nurses promotes relationship-centered care and improves nurses’ ability to meet patient and family needs. However, communication with these patients is challenging because of their critical illness. Families often become surrogate decision makers for adult intensive care unit patients.

Objective
To systematically assess available evidence on communication between adult intensive care unit patients and their families and nurses as the initial step in developing nursing strategies to strengthen communication skills.

Methods
In this integrative review, the method of Whittemore and Knafl was used to synthesize findings from qualitative and quantitative (descriptive and experimental) research.

Results
The review revealed a variety of research designs, measurement tools, and types of interventions. The qualitative findings suggest that nurses can strengthen relationship-centered care by regularly updating patients’ families and providing information that can assist with decision-making. The quantitative findings suggest that nurses should be mindful of family members’ needs for assurance, comfort, and support. Providing information on patient status can help alleviate family concerns.

Conclusions
Improved communication between patients and families and intensive care unit nurses is essential to strengthen relationship-centered care. Additional research is needed to better understand the communication needs of adult patients and their families in the intensive care unit.
The Application of Basic Football Learning Models by Using Applications to Increase Learning Outcomes of Football Courses for Students of Sports Training Education in the Faculty of Sport Science, Universitas Negeri Medan 2022
Authors: Siregar Irwansyah , Siregar Yan Indra , Damanik Ifayandi , Arima Putra 
Published: December 2022

This study applies the basic football learning model by using an application to improve the learning outcomes of football subjects. The research method used in this study is experimental, meaning that the research aims to find causality or causal relationships. The data obtained from the research results were analyzed quantitatively to answer the research problem formulation. The results of the study r arithmetic > r table the value of the r table is with a significance of 5% or 0.5, which is 0.138. The significance value (2-tailed) <0.05 indicates a significant increase between the initial variable and the final variable. This shows that there is a significant increase in the difference in treatment given to each variable. So it was concluded that the significance value of 0.000 < 0.05 was an increase in the application of the Basic Football Learning Model by Using Applications to Improve Learning Outcomes of Soccer Courses for Students of Sport Training Education, Faculty of Sports Science, State University of Medan in 2022. The application of basic football learning models by using applications has an impact on learning behavior and social because students become more adaptive to identify technologies that can support learningand increasing social relations. It is also improving skills related to using technology and social communication.
Comparison of rectus femoris architecture and somatotype between well-trained bodybuilders and soccer players
Authors: Safa Çınarlı Fahri , Emin Kafkas Muhammed , Yıldırım Tülay 
Published: December 2022

Objective: Training has different adaptive effects on muscle architecture and body types in the long term. The purpose of this study was to compare rectus femoris architecture and somatotypes of well-trained bodybuilders and soccer players.
Material and Methods: A total of thirty male athletes (15 bodybuilders and 15 soccer players, with at least 5 years of training experience) were included in the study. The thickness of the rectus femoris muscle (MT), pennation angle (PA), and fascicle length (FL) were measured using B-mode ultrasound and somatotyping has been performed by the Heath-Carter method.
Results: PA (19.1%, p=0.007) and MT (11.5%, p=0.039) were greater in bodybuilders than soccer players, while FL was similar (5%, p=0.220) between athletes. A moderate effect size (ES) was found at MT (ES = 1.06; 95% CI) and a large ES at PA (ES = 1.55; 95% CI). Somatotyping has revealed that bodybuilders were endomorphic mesomorph (3.01-5.74-2.05) and soccer players were mesomorph-ectomorph (2.52-3.58-3.80).
Conclusion: Training affects muscle morphology and somatotype of athletes with regard to sport specific training patterns in long term. Revealing the adaptive characteristics of muscle architecture and somatotypes may help sports scientists and coaches in train planning and modification.
Faktor-Faktor yang Mempengaruhi Minat Mahasiswa Asuransi Syariah Menjadi Agen di Industri Asuransi: Studi Kasus Pada PT Asuransi Prudensial Syariah Binjai
Authors: Fadillatunnisa Fadillatunnisa , Arif Lubis Fauzi 
Published: December 2022

This study aims to determine the factors that influence the interest of Islamic insurance students to become agents in the insurance industry at PT Asuransi Prudential Syariah Binjai. Agents play an important role in insurance companies, and agents are also very aware of all the products they sell to customers as a form of responsibility to customers to obtain clear and accurate information about the products provided. The data used in this study are primary data and secondary data. The research method used is a qualitative research method with a descriptive analysis approach. The results showed that the factors that influence students' desire to become agents in the insurance industry are motivation, understanding of insurance products, commission income, working hours of insurance agents. Insurance and bonuses are factors that motivate students to become agents in the insurance industry. insurance business. Sharia Prudential Insurance Industry in Binjai. Motivation, understanding of insurance products, commission income, working hours of insurance agents and income bonuses are factors that motivate students to become agents in the Prudential Syariah insurance industry in Binjai.
Keywords: Insurance, Agent, Motivation, Commission, Hours of Work.
Analisis Tingkat Pelayanan Klaim dan Komplain Nasabah terhadap Ketidakpuasan Nasabah Asuransikendaraan Bermotor pada PT Jasa Raharja Putera Cabang Pematang Siantar
Authors: Nst Anisa Mawaddah , Ramadhan Muhammad , Syarvina Wahyu 
Published: December 2022

Motor Vehicle Insurance is an insurance that covers all dangers that can cause harm to someone as the car owner. The car maintenance and losses arising from harm to the car may be covered individually under one policy within a single policy, or multiple policies covering each event in an agreement with a general policy “Comprehensive” which combines several coverages. The aim of this study was to find out the effect of Service and Customer Complaints on the Dissatisfaction of Motor Vehicle Insurance Customers at iPTiJasaiRahajaiPutera Branch of PematangSiantar partially or simultaneously. The method used was the quantitative method. Research data obtained from questionnaires by looking for samples using the Slovin technique. The population of this study was carried out on Motor Vehicle Insurance Customers of PT Jasa Raharja Putera PematangSiantar Branch with a total sample of 70 customers. Using primary data by distributing questionnaires and multiple linear regression analysis method using hypothesis testing using SPSS Software Version 25. The results of this study simultaneously from variables X1 (Service) and X2 (Kompalin) have a positive and significant effect on customer dissatisfaction. Then partially the variables X1 (Services) and X2 (Complaints) also affect the Dissatisfaction of Motor Vehicle Insurance Customers.
Keywords: motor vehicle insurance, customer complaints, claims, services
Analisis Mekanisme Penggunaan Akad Rahn Dalam Transaksi Gadai Tanah Perkebunan Kelapa Menurut Perspektif Islam: Studi Kasus Desa Pondok Panjang Kampung Mekarsari Lebak Banten
Authors: Kurdi Kiki Azkia , Nawaw M. Kholil , Sutisna Sutisna 
Published: December 2022

There are problems studied in the researcher, namely: first, how is the process of implementing the pawning of coconut plantations in the village of Pondok Panjang, Kampung Mekarsari, Lebak Banten, second, how is the view of Islamic law on the process of implementing the pawning of coconut plantations in the village of Pondok Panjang, Kampung Mekarsari, Lebak Banten. The purpose of this study was to determine the process of implementing the pawning of coconut plantations in an Islamic perspective and to find out the views from the side of Islamic law on the process of implementing the pawning of coconut plantations in Pondok Panjang Village, Mekarsari Village, Lebak Banten. The author reveals the problem in depth and comprehensively, which is useful for providing information, facts and data about the Analysis of the Mechanism of Using the Rahn Agreement in Pawn Transactions for Coconut Plantation Land According to an Islamic Perspective (Case Study of Pondok Panjang Village, Mekarsari Village, Lebak Banten) by using qualitative research using this type of research. primary and secondary data, namely conducting interviews directly with the pawn recipients, namely Mr. Karna and Mr. Herdi, for the pawnshop Mr. Syahdi. From the results of this study, it was found that: first, the mechanism in implementing the pawning of coconut tree plantations was in accordance with the rules and provisions of Islamic law. Second, the implementation of this contract is in accordance with the Islamic perspective, which according to the Syafi'i School of pawn contracts for coconut plantations in Ponddok Panjang Village, Mekarsari Village, Lebak Banten, is allowed if it is allowed by the pawnbroker (rahin).
Keywords: Pawn, Mechanism, Rahn . Contract
Implementasi Pendidikan Holistik Islami Pada Pembelajaran Pendidikan Agama Islam di Sekolah Dasar Muhammadiyah Bojong Gede Bogor
Authors: Malili Amriah , Setiawati Yanti Hasbian , Primarnie Amie 
Published: December 2022

This study aims to examine and analyze the implementation of the Islamic holistic education paradigm in Bojong Gede Muhammadiyah Elementary School Bogor. The research method uses qualitative research based on qualitative paradigms, strategies, and model implementations. Qualitative research aims to gain a general understanding of social reality from the participant's perspective. Sources of data in this study are words, actions, and written sources. Respondents in the study were principals, teachers and students of the Bojong Gede Muhammadiyah Elementary School, Bogor. Data were collected in three ways, namely: in-depth interviews (indept interview), observation (observation), review of documentation. Data analysis was carried out through inductive analysis, then formulating meaning on the basis of the analysis to the next response to find the theme. The results showed that Islamic holistic education in Islamic Religious Education learning at Muhammadiyah Elementary School Bojong Gede Bogor can help students develop: intellectual intelligence, spiritual intelligence, emotional intelligence and physical intelligence. Developing intellectual intelligence includes developing an honest, consistent, and open attitude. Developing intellectual intelligence includes developing rational thinking skills and acting rationally in accordance with the goals to be achieved. Developing emotional intelligence includes developing the ability to recognize one's own feelings and the feelings of others, the ability to motivate oneself and the ability to manage emotions. Developing physical strength includes developing skills to apply Islamic teachings which require eating and drinking nutritious, thayyib, and halal food. The implementation of Islamic holistic education is carried out by applying cooperative learning teaching methods, presentation methods and simulation methods. Conclusion; implementation of the holistic education paradigm in learning Islamic Religious Education plays a role in developing: intellectual intelligence, spiritual intelligence, and emotional intelligence and physical strength of students through learning interactions.
Keywords: Learning, Islamic Religious Education, Holistic Education
Pengaruh Metode Kooperatif Number Head Together (NHT) dan Mind Mapping terhadap Hasil Belajar Siswa Mata Pelajaran PAI di SMA Taruna Andigha Kota Bogor.
Authors: Mufidah Elok 
Published: December 2022

Learning outcomes in the subjects of Islamic Religious Education and manners in the material of Hajj, Zakat and waqf of 10th grade students of SMA Taruna Andigha Bogor City are still low. Judging from the data on the learning outcomes of 10th graders in the 2021/2022 academic year, it was found that 36 students (45%) of 80 students achieved the KKM score, namely 75 and 44 students (55%) of 80 students. which is not complete on the material of pilgrimage, zakat and waqf. . This happens because in the delivery of subject matter the teacher emphasizes knowledge to be memorized. The learning method used by the teacher is dominated by the lecture method. More students sit still, and are given assignments only when learning takes place. As a result, students tend to be bored with learning. This problem must be resolved immediately. Steps that can be taken to solve the problem are by changing the learning method used which focuses more on student activity. To overcome these problems, a research entitled "The effect of the number head together and mind mapping method on student learning outcomes in PAI subjects at SMA Taruna Andigha Bogor City was conducted". The subjects of this study were the 10th grade students of SMA Taruna Andigha Bogor City for the academic year 2021/2022, totaling 80 students. This study used a quasi-experimental study carried out in four stages, namely planning, action, observation, and reflection. The method of data collection was done through tests before and after treatment on hajj, zakat and waqf materials. Through observation of student learning activities. The indicator of the success of this research is the average score of student learning outcomes is at least 75, with a minimum mastery percentage of 75%, the percentage of student activity in learning activities is at least 75%. The results showed that the value of Asymp. Sig. (2-tailed) of 0.691 or A.Sig (2-tailed) > 0.05 which means that the learning method using NHT and mind mapping has a good influence on student learning outcomes in PAI subjects in grade 10 SMA Taruna Andigha Bogor City . These results indicate an increase in the value of student learning outcomes after using the number head together and mind mapping methods. The use of cooperative learning methods of the NHT type and mind mapping can improve student learning outcomes in 10th grade PAI subjects at Taruna Andigha High School Bogor City
Keywords: Cooperative Learning Model Number head together, mind mapping and learning outcomes.