bluuebunny/crossref_metadata_2025_split huggingface dataset:
Length of Stay Increases 90-day Readmission Rates in Patients Undergoing Primary Total Joint Arthroplasty
Authors: Benito Jorge , Stafford Justin , Judd Hyrum , Ng Mitchell , Corces Arturo , Roche Martin W. 
Published: March 2022

Background:
Postoperative length of stay (LOS) of 1 day compared with that of 2 to 4 days after primary total knee arthroplasty (TKA) or total hip arthroplasty (THA) and 90-day readmissions.

Methods:
PearlDiver identified TKA (n = 648,758) and THA patients (n = 346,732) between 2005 and 2014. Groups consisted of control (LOS = 1 day) and study (LOS = 2 to 4 days) groups. Study and control groups were matched to age, sex, and Elixhauser Comorbidity Index. Logistic regression analysis and odds ratio analyzed 90-day readmission rates. P < 0.05 was statistically significant.

Results:
TKA patients' LOS of 2 days (odds ratio [OR], 2.89; 95% confidence interval [CI], 2.77 to 3.00), LOS of 3 days (OR, 2.80; 95% CI, 2.69 to 2.91), and LOS of 4 days (OR, 2.83; 95% CI, 2.72 to 2.95) had greater 90-day readmission compared with LOS of 1 day (P < 0.05). THA patients with an LOS of 2 days (OR, 2.93; 95% CI, 2.77 to 3.10), an LOS of 3 days (OR, 2.91; 95% CI, 2.75 to 3.07), or an LOS of 4 days (OR, 2.91; 95% CI, 2.73 to 3.05) had greater 90-day readmission compared with an LOS of 1 day (P < 0.05).

Conclusion:
LOS >1 day has greater odds of 90-day readmission after an index procedure. Efficient progression to early discharge regarding patient-specific risk factors plays a large role in preventing readmission.
Implementasi Model ATIK untuk Meningkatkan Keberanian Anak Usia 5-6 Tahun di RA Aisyah Afiqannisa Kota Bekasi
Authors: Husnawati Husnawati , Watini Sri 
Published: March 2022

Perkembangan motorik merupakan salah satu yang harus diperhatikan pada anak usia dini. Melakukan kegiatan yang mengandung stimulus komprehensif akan memberi kesempatan anak usia dini mengalami pematangan pada keterampilan motorik, dengan model belajar ATIK (Amati,Tiru,Kerjakan).Penelitian ini bertujuan untuk mengembangkan model ATIK dalam meningkatkan kompetensi berhitung pada anak usia dini khususnya di RA Aisyah Afiqannisa kota Bekasi. Tujuan dari penelitian ini adalah untuk memperbaiki proses pembelajaran yaitu dalam meningkatkan keberanian anak usia 5-6 tahun, adapun Jenis penelitian ini adalah Penelitian Tindakan Kelas (PTK). Dimana penelitian tersebut di lakukan di RA Aisyah Afiqannisa yang beralamat Jl Kelinci 1 Rt 004 Rw 015 Kelurahan Kaliabang Tengah Kecamatan Bekasi Utara Kota Bekasi dengan jumlah 15 anak. Teknik pengumpulan data dalam penelitian ini adalah observasi, catatan lapangan, wawancara dan dokumentasi. Kesimpulan dari penelitian ini adalah kemampuan problem solving dapat mempengaruhi kemampuan keberanian pada anak usia dini.
Pengaruh Penerapan Pendidikan dalam Keluarga Terhadap Pemahaman Seks Bebas di Kalangan Remaja Ditinjau Menurut Hukum Islam
Authors: Darmawan Darmawan , Indra Indra 
Published: March 2022

Pendidikan agama sangatlah diperlukan dalam kehidupan berumah tangga, pada jaman sekarang ini banyak anak remaja yang tidak mengerti tentang agama. Dan mudahnya terpengaruh oleh teman-temannya, media elektronik juga dapat mempengaruhi anak remaja terjerumus kedalam seks bebas, penerapan pendidikan agama dalam keluarga sangatlah penting bagi remaja, dan pengenalan pendidikan seks sangat diperlukan bagi remaja agar remaja tidak terjerumus kedalam seks bebas. Adapun tujuan penelitian ini untuk mengetahui bagaimana pengaruh seks bebas terhadap pemahaman Agama,metode dalam penelitian ini mengunkan metode diskriptif kulitatif dengan penyelidiki pakta di lapangan yang berhubungan dengan seks bebas dalam pendidikan Agama,hasil penelitian ini pada saat ini kelemahan remaja adalah kurangnya mendapapatkan memahaman Agama dikalangan remaja itu sendiri,sehingga mudah terpengaruh terhadap seks bebas tampa memikirkan masalah kedepannya.sebagai kesimpulan dari penelitia ini adalah, Dengan adanya pengenalan pendidikan Agama bagi remaja maka remaja dapat memahami tentang bahaya atau dampak seks bebas itu sendiri.
Diversion and restorative justice in the context of juvenile justice reforms in Indonesia, Thailand, the Philippines and Vietnam
Authors: Dao Le Thu , Duy Le Huynh Tan , Sornprohm Ukrit , Dandurand Yvon 
Published: March 2022

Diversion and restorative justice in the context of juvenile justice reforms in Indonesia, Thailand, the Philippines and Vietnam
Diversion is an important vehicle for delivering an alternative model of youth justice, one that is, hopefully, grounded in principles of children’s rights and restorative justice. Several Asia-Pacific countries, often with international assistance, have sought to develop alternative processes and programmes to which children in conflict with the law can be diverted to. In some instances, these have included restorative justice programmes. This article provides an overview of the implementation of a restorative justice approach, as a youth justice diversion measure, in four South-East Asian countries: Indonesia, Thailand, the Philippines and Vietnam. It describes juvenile justice reforms in these countries, particularly as they relate to the implementation of diversion and restorative justice and reflects on the factors that may have affected the success of these reforms. Every one of these countries has achieved a measure of success in implementing diversion and restorative justice, although restorative justice has occupied a different place in these reforms. The article offers a general overview of key challenges and notable successes encountered during that process, as well as an opportunity to consider the role of tradition, culture and public expectations in the implementation of restorative justice principles in the context of juvenile justice.
Parques urbanos: un enfoque para su estudio como espacio público
Authors: Martínez-Valdés Valentina , Silva Rivera Evodia , González Gaudiano Edgar J. 
Published: March 2022

En el presente artículo se analiza el parque urbano en México desde su carácter de espacio público, lo que revela un lugar no solamente donde se experimenta la vida cotidiana, sino también como un constructo ideológico y político resultado de las relaciones de poder. En este sentido, se destaca la importancia de abordar las tensiones, conflictos e incluso desigualdades derivadas del complejo nexo de interacciones socioculturales y sociopolíticas que en él coinciden en el marco de una teoría crítica de la sociología urbana. Desde esta perspectiva, el parque urbano como producto social pone a consideración el debate de temas relacionados con la segregación socioespacial, el acceso y manejo de los bienes públicos, los conceptos de recreación y naturaleza en la ciudad, así como con procesos de gobernanza urbana. En esta propuesta se sugiere entonces, comprender la producción del espacio urbano y el tipo de relaciones socioespaciales que promueve. Así, se concluye reconociendo la necesidad del enfoque crítico socioespacial como una postura de análisis de la interacción política, económica y social en espacios públicos como los parques, al mismo tiempo que abre una vía para sentar las bases para planear y reconfigurar colectivamente el territorio urbano
EKSISTENSI MADRASAH DALAM PERSPEKTIF SEJARAH PENDIDIKAN DI INDONESIA
Authors: Mariatul Hikmah  
Published: March 2022

Muhaimin dan Abdul Majid lebih menitikberatkan kehadiran madrasah sebagai lembaga pendidikan islam setidak-tidaknya dilatarbelakangi oleh empat factor sebagai berikut: 1) Sebagai manifestasi dan realisasi pembaharuan sistem pendidikan islam. 2) Usaha penyempurnaan terhadap sistem pesantren terhadap suatu sistem pendidikan yang lebih memungkinkan lulusannya memperoleh kesempatan yang sama dengan sekolah umum. Misalnya masalah kesamaan kesempatan kerja dan perolehan ijazah. 3) Adanya sikap mental dengan sementara golongan umat islam, khususnya santri yang terpukau dengan barat dengan sistem pendidikan mereka. 4) Sebagai usaha untuk menjembatani antara sistem pendidikan nasional yang dilakukan oleh pesantren dan sistem pendidikan modern dengan hasil akulturasi
Disrupting the Status Quo: A New Theoretical Vision for the Child Life Profession
Authors: Koller Donna , Wheelwright Divna 
Published: March 2022

Objective & Method: Pediatric patient populations are changing and health care environments are becoming increasingly more complex. Child life professionals must adapt to the realities of today’s health care spaces if they hope to make a difference in the lives of hospitalized children and their families. This paper explores some of the challenges associated with the current ways of thinking and theoretical orientations, which can impede professional growth and psychosocial care as a whole. For example, practice and scholarship continue to be guided by developmental theories, with little regard for how race and other social determinants may affect child health outcomes. Results & Conclusion: As a way forward, child life professionals must consider engaging in a paradigmatic shift whereby new theories and approaches can address the realities of racial disparities and reject the antiquated views of childhood embedded within established developmental theories. Disclosure Statement: No potential conflict of interest was reported by the author(s). Funding Statement: No funding sources were provided by the author(s).
Exploring Child Life Role and Impact of Providing Psychosocial Care During Short-Term Medical Missions
Authors: Desai Priti , Brock Emily , Didericksen Katharine , Olsson John 
Published: March 2022

Objective: Certified Child Life Specialists (CCLSs) have been engaged with other health profession-als to provide care within international short-term medical missions (STMMs). However, there is minimal research describing the care they provide, their professional roles, and the impact of their services on the beneficiaries, as well as the volunteer CCLSs. Method: This exploratory, survey-based, descriptive study reports findings regarding roles and experiences of 55 CCLSs who volunteered to provide psychosocial care for children and families on STMMs. Results: They reported providing play, normalization, psychological preparation for medical procedures, and emotional support, resulting in observable reduction in patient and parent anxiety. Nonpharmacological pain management and education for capacity building regarding psychosocial care were not routinely provided. Using Campinha Bacote’s cultural compe-tency framework and Knowles’ adult learning theory, we explored the reciprocal impact for CCLSs volunteering on STMMs. CCLSs reported improvement in their own cultural competency, professional skills, and child life competencies. Conclusion: Findings suggest providing psychosocial care on STMMs benefited patients, families, and the CCLSs. A brief commentary on children’s rights and ethical considerations for those in a child life role on STMMs is included. Practice and research implications are provided to enable greater understanding of the child life role in STMM contexts and to inform prospective CCLS volunteers of this opportunity, as well as to educate STMM organizations about the role of child life. Disclosure Statement: No potential conflict of interest was reported by the author(s). Funding Statement: No funding sources were provided by the author(s).
Meeting the Needs of Children With Autism Spectrum Disorder and Their Families in Hospital Settings: The Perspectives of Certified Child Life Specialists and Nurses
Authors: Fraatz Emily , Durand Tina M. 
Published: March 2022

Objective: Children who have Autism Spectrum Disorder (ASD) have complex psychosocial, behavioral, and physiological profiles and are hospitalized at higher rates than their typically developing peers. This study examined the perspectives of two key members of the health care team, certified child life specialists and nurses, on how to meet the needs of children who have ASD and their families in hospital settings. Method: Participants included seven health care professionals from two urban hospitals in the Northeast. One-on-one interviews were held with four child life specialists and three nurses. Results: Qualitative analyses yielded six themes that addressed ways to serve children who have ASD: partner with the family, individualize care, advocate for more education, understand ASD is a spectrum of differences, think psychosocially not just medically, and emphasize consistency in care. Conclusion: Findings illustrate the complexity of the ASD diagnosis in light of the limited training and education health care professionals receive and are discussed with regard to their implications for the ways that institutional policies, including those within the child life profession, can facilitate the delivery of optimal care for this population in hospital environments. Disclosure Statement: No potential conflict of interest was reported by the author(s). Funding Statement: No funding sources were provided by the author(s).
Factors Affecting Outcomes Following a Psychosocial Intervention for Children When a Parent Has Cancer
Authors: Phillips Farya , Prezio Elizabeth A. , Panisch Lisa S. , Jones Barbara L. 
Published: March 2022

Objective: This study evaluated predictors of child psychosocial outcomes following their participation in an intervention for families experiencing parental cancer. Method: A secondary analysis was conducted using a data set of a multi-year sample of survey results collected between 2009 – 2015. Families (N = 165) included had a parent diagnosed with cancer whose children participated in a six-week curriculum-based intervention. Parents completed questionnaires that included demographic information and a nine-item assessment of changes in children’s behavioral issues. Results: Improvement in communication about the illness post intervention was associated with improved sleep, feelings of security, and reduced anxiety. Families reporting financial difficulty were significantly more likely to report presence of children’s issues related to sleep, eating issues, feeling insecure at home, anxiety, and difficulty with the parent-child relationship. Results suggest variables such as child’s ability to communicate about the illness and time since parent’s diagnosis affect outcomes. Conclusion: Future research should explore and target variables found to impact intervention outcomes. Disclosure Statement: No potential conflict of interest was reported by the author(s). Funding Statement: No funding sources were provided by the author(s).
Virtual Reality as a Form of Interactive Distraction for Pediatric Patients Receiving Immediate Hypersensitivity Skin Tests: A Randomized Controlled Trial
Authors: Coleman Danielle N. , Hurley Michelle L. , March Kira S. , Schommer Katherine W. , Curry Amy M. , Gordon Mary D. , Hagan Joseph L. 
Published: March 2022

Objective: Children receiving Immediate Hypersensitivity Skin Tests (IHST) often experience intense itchiness at the test site prior to completion of the procedure, which can lead to incompliance and increased stress. This study assessed low-cost virtual reality (VR) with the standard of care (e.g., Look and Find or I Spy books) as forms of interactive distraction on pediatric patient’s cooperation and perception of negative procedural outcomes (i.e., itchiness and distress) for patients receiving IHST. Method: Two hundred and twenty patients five to 12 years of age who received an IHST were randomized to either the VR (experimental) or standard of care (control) group. Compliance, coping, and perceived itch outcomes were compared between groups in addition to being compared by age category and sex. Results: None of the primary outcomes differed significantly for patients in the control versus experimental group, although patients in the experimental group were significantly more likely to fail to complete the assessment (p = 0.034). Conclusion: Despite VR being a novel technology, the results showed that the VR group had similar outcomes compared to the standard of care group regarding patients’ compliance, coping, and perceived itch. Disclosure Statement: No potential conflict of interest was reported by the author(s). Funding Statement: No funding sources were provided by the author(s).
One Cannot Pour From an Empty Cup: Compassion Fatigue, Burnout, Compassion Satisfaction, and Coping Among Child Life Specialists
Authors: Lagos Lisa , Claridge Amy M. , Tenhulzen Katy 
Published: March 2022

Objective: Child life specialists provide support across various medical units and are frequently exposed to high-intensity, stressful, or traumatic situations. As such, they are at risk of developing burnout and compassion fatigue; however, limited research has examined the relationship between professional well-being of child life specialists and use of coping strategies. The present study examined professional quality of life, including compassion satisfaction, compassion fatigue, and burnout. Method: This survey used responses from 196 child life specialists across the United States and Canada to examine whether professional quality of life varied based on reported coping strategies, frequency of supervision and consultation, or hospital units on which participants worked. Results: Results revealed use of avoidant coping strategies was associated with lower likelihood of compassion satisfaction and higher risk of compassion fatigue and burnout. On the other hand, more frequent consultation with colleagues was associated with higher likelihood of compassion satisfaction. Child life specialists who worked in hematology/oncology units reported higher risk of compassion fatigue than those on other medical units. Conclusion: This study provided several implications for practice to enhance child life specialists’ professional quality of life. Researchers should consider qualitative studies to better understand the professional quality of life of child life specialists in order to improve the delivery of quality, family-centered care. Disclosure Statement: No potential conflict of interest was reported by the author(s). Funding Statement: No funding sources were provided by the author(s).
Política, liderazgo y crisis regional en la provincia de Entre Ríos durante la década de 1820.
Authors: Herrero Fabián 
Published: March 2022

The historiography of the last decades has shown that, in the former provinces of the Río de la Plata, after the revolution of 1810, difficulties arose around the access to power, producing disputes, tensions, and revolutions. This work analyzes one of the many alterations of power that occurred in Entre Ríos in the 1820s. It postulates, as a hypothesis, that the reality of Entre Ríos is presented as a disputed territory between the two dominant regions, Concepción del Uruguay and Paraná. At the same time, it tries to prove that the factions that seek to gain power use different mechanisms; direct action, assembly, the representation system or the electoral process. The main sources used correspond to the Urquiza collection of the General Archive of the Nation, and the government and legislative power documents of the Historical Archive of Entre Ríos.
La historiografía de las últimas décadas ha mostrado que, en las ex provincias del Río de la Plata, luego de la revolución de 1810, se presentaron dificultades en torno al acceso del poder, produciendo disputas, tensiones, y revoluciones. El presente trabajo analiza una de las muchas alteraciones de poder que se producen en Entre Ríos en la década de 1820. Postula, a modo de hipótesis, que la realidad entrerriana se presenta como un territorio en disputa entre las dos regiones dominantes, Concepción del Uruguay y Paraná. Al mismo tiempo, trata de probar que las facciones que pretenden acceder al poder utilizan mecanismos diferentes; la acción directa, el asambleísmo, el sistema de representación o el proceso electoral. Las principales fuentes utilizadas corresponden al fondo Urquiza del Archivo General de la Nación, y los documentos de gobierno y poder legislativo del Archivo Histórico de Entre Ríos.
Vida y hacienda de un relevante minero del azogue de Huancavelica (Perú)
Authors: Amaré Tafalla María Pilar , Orche García Enrique 
Published: March 2022

This work deals with the biography of Juan de Sotomayor, an important miner who exploited some mercury mines in Huancavelica (Peru) between c.1572 and 1610. For this, in addition to documents of the time, his will, recently discovered in the Archivo Histórico Provincial of said city, is presented here for the first time. This work notably broadens the knowledge about Sotomayor, who has received little attention from researchers despite his historical importance since he was one of the main suppliers, if not the first, of the quicksilver that was used in Potosí for the amalgamation of the silver that, sent to Europe, financed the maintenance of the Spanish empire.
El presente trabajo trata de la biografía del importante minero Juan de Sotomayor que explotó minas de mercurio en Huancavelica (Perú) entre c.1572 y 1610. Para ello se ha tenido en cuenta, además de documentos de la época, su testamento, descubierto recientemente en el Archivo Histórico Provincial de dicha ciudad y que se presenta por primera vez. Con este trabajo se amplían notablemente los conocimientos sobre Sotomayor, que ha recibido escasa atención de los investigadores pese a su importancia histórica, pues fue uno de los principales suministradores, si no el primero, del azogue que se empleó en Potosí para la amalgamación de la plata que, remitida a Europa, financió el mantenimiento del imperio español.
Antonio de Villasante y el bálsamo de la Española (1493-1536)
Authors: Pereda López Ángela 
Published: March 2022

The human being has always looked for remedies to mitigate pain and consequences of diseases and wounds. The discovery of the New World favoured the knowledge about trees and plants with healing or, at least, palliative qualities. This is the case of the balm obtained by Antonio Villasante on the island of Hispaniola based on native plants and of which he had knowledge through his wife and his political family, natives of that island. This product was presented to the monarch as an article with strong economic potential, in addition to its great healing properties. As a result of this meeting was the signing of a seat or capitulation for the benefit of balm and drugs in 1528. The documentation preserved by different archives on this subject shows us, among other issues, the conditions of the exploitation, who could carry it out and the conflicts of interests that were generated in this aspect.
El ser humano siempre ha buscado remedios para mitigar el dolor y las diversas consecuencias de enfermedades y heridas. El descubrimiento del Nuevo Mundo favoreció el conocimiento de árboles y plantas con cualidades curativas o, al menos, paliativas. Este es el caso del bálsamo obtenido por Antonio Villasante en la isla de La Española a base de plantas autóctonas y del que tuvo conocimiento a través de su mujer y de su familia política, naturales de dicha isla. Este producto fue presentado al monarca como un artículo con un fuerte potencial económico, además de sus grandes propiedades curativas. Fruto de este encuentro fue la firma de un asiento o capitulación para el beneficio del bálsamo y las drogas en 1528. La documentación que custodian distintos archivos sobre este tema nos muestra, entre otras cuestiones, las condiciones de la explotación, quién podía realizarla y los conflictos de intereses que fueron generándose al respecto.