bluuebunny/crossref_metadata_2025_split huggingface dataset:
Interrater Reliability of the COMHON Index To Assess Pressure Injury Risk In ICU
Authors: Fulbrook Paul 
Published: January 2025

Background: When using a pressure injury risk assessment tool, it is important to consider its interrater reliability (IRR), given that multiple raters may assess individual patients using the tool. For repeated measurements on a scale, intraclass correlation (ICC) is the most appropriate method to assess reliability (de Vet et al., 2006; Streiner & Kottner, 2014).
Aim: To summarise studies that have investigated interrater reliability of the COMHON Index using ICC.
Methods: Interrater reliability studies.
Results: Three studies have investigated interrater reliability (Fulbrook & Anderson, 2016; Uslu et al., 2024; Lovegrove et al., 2024) using English, Turkish and Chinese versions of the COMHON Index (https://wfccn.org/comhon-index). In the first study, ICC (2,1) .90 (95% CI .83-.95) was reported, and the COMHON Index was found to be superior to the Braden, Norton and Waterlow tools. In the two recent studies, ICC (1,1) .996 (95% CI .993-.998) and ICC (1,1) .973 (95% CI .949-.988). In the latter study, the COMHON Index was found to be superior to the Braden Scale.
Conclusions: The COMHON Index has demonstrated excellent inter-rater reliability in three studies. Measurement error of the COMHON RAS is small, and therefore it is sufficiently sensitive to detect minimally important changes in score. Further research needed to test the predictive validity of the COMHON Index.
References
de Vet HC, Terwee CB, Knol DL, Bouter LM. When to use agreement versus reliability measures. Journal of Clinical Epidemiology. 2006;59(10):1033–1039. https://doi.org/10.1016/j.jclinepi.2005.10.015.
Fulbrook P, Anderson A. Pressure injury risk assessment in intensive care: comparison of inter-rater reliability of the COMHON (Conscious level, Mobility, Haemodynamics, Oxygenation, Nutrition) Index with three scales. Journal of Advanced Nursing. 2016;72(3):680-692. https://doi.org/10.1111/jan.12825.
Lovegrove J, Fulbrook P, Yuan C, Lin F, Liu X-L The COMHON Index and the Braden Scale to assess pressure injury risk in intensive care: An interrater reliability and convergent validity study, 2024, unpublished.
Streiner DL, Kottner J. Recommendations for reporting the results of studies of instrument and scale development and testing. Journal of Advanced Nursing. 2014;70(9):1970–1979. https://doi.org/10.1111/jan.12402.
Uslu Y, Fulbrook P, Eren E, Lovegrove J, Cobos Vargas A, Colmenero M. Assessment of pressure injury risk in intensive care using the COMHON Index: an interrater reliability study. Intensive and Critical Care Nursing. 2024, (online ahead of print). https://doi.org/10.1016/j.iccn.2024.103653.
Supplement -Hollow and Supplement-Lifting Modules
Authors: . A. Sagban Manal , . M. Yassen Sahira 
Published: January 2025

The principle idea of our work is to present newly generalization for two major types of modules, which are hollow module and lifting module they are supplement –hollow module and supplement –lifting module respectively. We consider supplement - hollow module as. Let be a non-zero unital left -module and be a ring with identity then C is known as the supplement-hollow module ( indicates sp-hollow). If each proper submodule of is a supplement small submodule in . Furthermore, an -module is known as supplement –lifting module (indicates sp lifting).If there is a submodule H of for each sub module of such as and ,where L is a submodule of C. After studying these ideas, we came up with some connected findings
Analysis of Factors Associated with the Performance of HIV/AIDS Program Managers at the East Kutai District Health Service
Authors: Oktora Rikka , Adrianto Ratno , Wisnuwardani Ratih Wirapuspita , Wati Ratna 
Published: January 2025

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>It turns out that the East Kutai District Health Service has not been able to increase the SPM HIV/AIDS performance achievement to 100% in East Kutai District. This is proven by the SPM achievement still being at 98% in 2022 and 92% in 2023. Many factors are related to the performance of program managers, including the availability of infrastructure, motivation, opportunities and health services. This research aims to determine factors related to the performance of HIV/AIDS program managers at the East Kutai District Health Service. This research method is quantitative with a total sample of 50 people, data analysis uses statistical correlation analysis using the che squere test. The research results show that the relationship between infrastructure and the performance of HIV/AIDS program managers with a sig value of 0.000 means sig &lt; α (0.05). The relationship between motivation and the performance of HIV/AIDS program managers with a sig value of 0.010 means sig &lt; α (0.05). The relationship between opportunities and the performance of HIV/AIDS program managers with a sig value of 0.000 means sig &lt; α (0.05), and the relationship between health services and the performance of HIV/AIDS program managers with a sig value of 0.001 means sig &lt; α (0.05). This research concludes that there is a significant relationship between the availability of infrastructure, motivation, opportunities and health services and the performance of HIV/AIDS program managers at the East Kutai District Health Service. This requires efforts to increase the speed and accuracy of the distribution of infrastructure, provide space for team member creativity, provide incentives and rewards to employees, open up opportunities for team member career advancement and bring services closer to the community with easy and affordable services, especially for HIV/AIDS patients.<strong></strong></em></p><p><strong><em> </em></strong></p></td></tr></tbody></table></div><strong><em>Keywords:</em></strong><em> <strong> </strong></em> <strong><em>Performance, HIV/AIDS Program</em></strong>
Effect of Role Play Intervention on Knowledge, Attitudes, and Actions in Mosquito Nest Eradication for DHF Prevention in Tanjung Morawa Health Center, Deli Serdang
Authors: Manalu Samuel Marganda Halomoan , Syaputri Deli , Tanjung Nelson , Manik Erba Kalto 
Published: January 2025

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>One of the endemic illnesses in Indonesia and other nations is dengue fever. Aedes genus mosquitoes, particularly Aedes aegypti, are the vectors of dengue fever transmission. The growth of Aedes aegypti mosquitoes is significantly influenced by the environment. The Tanjung Morawa Health Center's working environment demonstrates the existence of dengue fever-causing mosquito breeding grounds, including the buildup of trash in the shape of bottles, glasses, aqua, plastic, and discarded water holding cans. This study aims to determine the effect of the intervention of the role play method of DHF prevention efforts on increasing community knowledge, attitudes, and actions regarding the eradication of mosquito nests in the working area of the Tanjung Morawa Health Center, Deli Serdang Regency in 2024. This research is a Quasi Experiment research with Pre and Post Test design. The research was conducted in the working area of the Tanjung Morawa Health Center, Deli Serdang Regency, which was carried out in June 2024. The population in this study were all heads of families who had DHF patients in Deli Serdang Regency. Sampling used purposive sampling technique. Data collection using pretest and postest questionnaires. This health research used standing banners and mosquito nest eradication demonstrations to improve knowledge, attitudes, and actions of the community in preventing DHF. Data analysis with bivariate analysis paired sample t-test. The results showed a significant difference in knowledge, attitudes, and actions before and after the intervention with the role play method (p-value=0.001 &lt;0.05). </em></p><p><em> </em></p></td></tr></tbody></table></div><strong><em>Keywords: Action, Attitude DHF, Knowledge, Role Play Method</em></strong>
Risk Factors Associated with Prolonged Intensive Care Length of Stay among Coronary Artery Bypass Surgery Patients
Authors: Rahmania Shafira , Helda Helda 
Published: January 2025

<p><em>Cardiovascular diseases, particularly coronary artery disease (CAD), remain one of the leading causes of global mortality. Coronary Artery Bypass Graft (CABG) surgery is one of the most common treatments for CAD, aiming to reduce morbidity and improve patient quality of life. However, extended stays in the Intensive Care Unit (ICU) post-CABG can negatively affect patient outcomes and increase healthcare resource burdens. This study aims to identify the risk factors that significantly contribute to prolonged ICU stays in post-CABG patients at the National Cardiovascular Center Harapan Kita. A retrospective cohort study was conducted on 4564 patients who underwent CABG surgery between January 2017 and August 2024. Factors such as age, renal failure, stroke, cardiogenic shock, ejection fraction, and use of Intra-Aortic Balloon Pump (IABP) were analyzed. Bivariate analysis was performed using</em><em> Stata 15.1 version through the</em><em> Chi-square</em><em> test, resulting in P-Value and Confidence Interval, and</em><em> followed by multivariate logistic regression to determine significant predictors. Among the patients, 747 (16.3%) experienced prolonged ICU stays (≥72 hours). Significant risk factors for prolonged ICU stay included age ≥59 years (OR 1.43, 95% CI 1.16–1.71), history of renal failure (OR 2.39, 95% CI 1.74–3.28), preoperative stroke (OR 1.85, 95% CI 1.38–2.48), cardiogenic shock (OR 13.9, 95% CI 5.42–35.64), low ejection fraction (OR 2.66, 95% CI 1.33–3.73), and IABP use (OR 36.34, 95% CI 26.20–50.40). </em><em>This study showed that there are several risk factors such as age, history of renal failure, preoperative stroke, cardiogenic shock, low ejection fraction, and IABP usage which needs attention to produce better outcome, especially for ICU stay in isolated CABG patients in Indonesia.</em></p><p> </p><p><strong><em>Keyword: CABG, Intensive Care, Prolonged Stay, Risk Factors</em></strong></p>
New Challenges and Prospects for the Development of Employment within Aviation Industry
Authors: Simonova M. V. , Sankova L. V. , Mirzabalaeva F. I. 
Published: January 2025

The article considers the current problems of transformation of the labour and employment environment in the sector of air transport in Russia in connection with the aspects of sustainable development of this industry. The use of this approach to analyse the current state and forecast development prospects is based on the trends of increasing importance of intangible assets of air transport companies.Air transport, influencing the mobility of the population, the volume of rapid cargo transportation, has a feedback effect both for the entire country’s economy and for the sphere of employment, which must be considered when determining development strategies for this sector. The objective of the study is to identify new challenges and substantiate methodological approaches to revealing quality trends in employment prospects in the sector of air transport.The employment model acts in the case not only as a marker of the success of economic transformation, but also as a necessary factor in sustainable development and efficiency of the aviation industry. The study has revealed ambiguous trends in transformation of the employment model at air transport enterprises under the influence of both long-term and market factors in development of air transportation, digitalisation, national features of its functioning, the consequences of the «corona crisis» and modern challenges for the Russian economy. It has been determined that under the influence of these processes, there is a reduction in employment in the economic activity of air transport with a simultaneous qualitative change in the structure of jobs, an increasing need for digital skills of employees of all skill levels, and differentiation of wages. It has been shown that digitalisation in the aviation industry can have an ambivalent effect on the demand for labour in the professional and qualification context. The study applied statistical and analytical methods, methods of content analysis, analysis of domestic and foreign publications on the examined problem. The sources of information include data from Federal State Statistics Service, large recruitment agencies and Internet job search web-portals as well as data on the labour market of air transport employees. Based on the results of the study, promising vectors for the transformation of the labour environment and new employment management strategies were identified considering changes in labour demand in response to new challenges in the development of the aviation industry to ensure its sustainable development.
Special Abbreviations and their Significance for the Work of Transport Specialists. Review of the dictionary-reference book «Transport abbreviations. Russian and English meanings»
Authors: Kashevskaya A. M. 
Published: January 2025

Transportation abbreviations. Russian and English meanings: a dictionary-reference book. Comp. by В.V. Kosmin, A.A. Kosmina, O.A. Kosmina; ed. by V.V. Kosmin. Moscow; Vologda, Infra-Engineering publ., 2024, 246 p. ISBN 978-5-97292015-0.The review article reveals the necessity of knowledge, understanding and application of abbreviations by specialists of the transport sector, their use of special sources of information to improve the professional competence on the example of a special dictionary book of Russian and English transport abbreviations under the general editorship of V.V. Kosmin. The dictionary-reference book offers the up-to-day transport terminology in the form of abbreviations and their explications in Russian and English. The concepts and notions used by specialists of the transport sector and related industries are clarified and standardised. The publication contains Incoterms 2020 updated and conform to the latest changes and agreements in the field of international logistics.
Resistance of Asphalt Concrete to Plastic Rutting Depending on Shear Resistance of Binders
Authors: Tsibarius Yu. A. , Lanis A. L. , Berdyugin A. N. , Razuvaev M. A. 
Published: January 2025

The paper substantiates the relevance of studying the process of plastic rutting on roads with asphalt concrete pavements. It is hypothesised that the existing approach to monitoring quality indicators at the stage of production of asphalt concrete mixtures, including the components included in its composition, namely, monitoring the required resistance to plastic rutting of the resulting asphalt concrete pavements, has a significant drawback. The indicated drawback is that assessment of the possibility of using a specific batch of binder for preparation of asphalt concrete mixture is currently carried out only based on incoming quality control of the binder, by comparing the actual values of physical and mechanical characteristics obtained in the laboratory with the minimum standard values stated for the grade of binder material adopted in the design documentation, without taking into account the actual values of the quality characteristics of the binder used at the stage of laboratory selection of the mixture composition. This drawback, in some cases, can lead to failure to ensure the resistance of the asphalt concrete mixture to plastic rutting at the stage of its production.The study contains the results of testing the shear resistance of batches of binders of one performance grade and the resistance of asphalt concretes prepared using these binders to plastic rutting. The results of the study confirm the hypothesis put forward by the authors; the dependence of the «average rut depth» indicator on the shear resistance of the binder aged by the RTFOT method is obtained and statistically substantiated.
Changes in the Principles of International Economic Relations as a Factor in Development of the International North–South Transport Corridor
Authors: Dzhangiryan A. V. 
Published: January 2025

The context of ongoing changes in the directions of cargo flows passing through the territory of the Russian Federation, as well as a rethinking of the basic principles of world trade regulation generates an additional interest in the study of the impact of these processes on the dynamics of implementation of projects for development of the International North-South Transport Corridor.The paper refers to the analysis of the main reasons and trends in changing the principles of international economic relations highlighting the development prospects and growing demand for the North-South ITC, the importance of creating effective mechanisms for advanced attraction of investment resources to provide new projects for development of the corridor with sources of financing. Approaches are proposed for appropriate adaptation of the process of preparing investment projects aimed at developing the infrastructure of the North-South ITC. The study notes the importance of conducting further research aimed at increasing the economic efficiency of design, construction and operation of this corridor.
PENGARUH MODEL CONNECTED MATHEMATICS PROJECT TERHADAP KEMAMPUAN PEMAHAMAN KONSEP DITINJAU DARI ADVERSITY QUOTIENT
Authors: Farra Aulia Rahmayanti  , Nur Baiti Nasution  
Published: January 2025

Penelitian ini bertujuan untuk mengetahui apakah model pembelajaran CMP menghasilkan kemampuan pemahaman konsep yang lebih baik dibandingkan dengan model pembelajaran konvensional.Selain itu, penelitian ini juga ingin menilai perbedaan dalam pemahaman konsep siswa dengan Adversity Quotient (AQ) kategori climbers, campers, dan quitter. Selain itu, penelitian ini ingin mengetahui apakah terdapat interaksi antara model pembelajaran CMP dan Adversity Quotient terhadap kemampuan pemahaman konsep siswa.. Metode yang digunakan adalah quasi experimental dengan desain posttes only control group design. Sampel terdiri dari kelas XI MIPA 2 sebagai kelas eksperimen dan kelas XI MIPA 4 sebagai kelas kontrol.Teknik pengumpulan data menggunakan metode tes dan non tes. Sedangkan teknik analisis data menggunakan analisis variansi dua jalan. Hasil penelitian menunjukkan bahwa model pembelajaran CMP secara signifikan meningkatkan kemampuan pemahaman konsep dibandingkan dengan model konvensional. Selain itu, siswa dengan AQ kategori climbers menunjukkan kemampuan pemahaman konsep yang lebih baik dibandingkan dengan siswa kategori campers, dan siswa kategori campers sama baiknya dengan siswa kategori quitter, siswa dengan adversity quotient climbers menghasilkan kemampuan pemahaman konsep yang lebih baik dari siswa dengan adversity quotient quitter. Terdapat interaksi antara model pembelajaran dengan adversity quotient terhadap kemampuan pemahaman konsep.
Kata Kunci: Adversity quotient, CMP, Kemampuan pemahaman konsep
Intraventricular baclofen for the treatment of pediatric spasticity in cerebral palsy: technique and outcomes
Authors: Piazza Martin G. , Thambireddy Swetha , Mandava Anisha , Abel Taylor J. , Kellogg Robert G. 
Published: January 2025

OBJECTIVE
Intraventricular baclofen (IVB) administration is used for the treatment of secondary dystonia associated with cerebral palsy (CP), but it has not been reported as a first-line infusion technique for spasticity. In this study, the authors report outcomes of patients with mixed or isolated spasticity treated with IVB administration.

METHODS
A retrospective analysis was performed of consecutive patients treated with IVB between 2019 and 2023. Demographics, baseline clinical variables, and complications data were collected. The primary outcome of the study was the change in spasticity and dystonia as measured by the modified Ashworth Scale (MAS) and Barry-Albright Dystonia Scale (BADS) scores, respectively. Wilcoxon rank-sum tests were performed to compare the change in the pre- and postoperative scores.

RESULTS
Fifteen patients were implanted with IVB pumps for spasticity related to CP between 2019 and 2023. The median change in the MAS score was 2 (interquartile range [IQR] = 1) and the median change in the BADS score was 1 (IQR = 2). The Wilcoxon rank-sum test revealed a statistically significant change in both scores following IVB pump placement (BADS z = 2.90, p = 0.003; MAS z = 3.2, p = 0.001). Three patients (20%) experienced minor perioperative complications, all of which were self-limiting and none required additional surgery.

CONCLUSIONS
This study reported on 15 cases of mixed or isolated spasticity and showed a relative improvement in the MAS and BADS scores after IVB pump placement. These results provide evidence that IVB can be a safe and effective treatment for spasticity-related CP in addition to dystonia. IVB may be advantageous when an intraventricular route of baclofen administration is preferred.
The pediatric Brain Injury Guidelines: a retrospective clinical validation study
Authors: Freeman Lindsey M. , Bothwell Samantha , Pazniokas Julia , Mecum Andrew , Nguyen Khoa , Park Tyler D. , Ryan Megan V. , Samples Derek C. 
Published: January 2025

OBJECTIVE
Pediatric traumatic brain injury (TBI) represents a significant public health concern and source of resource utilization. The aim of this study was to establish the ability of the previously published pediatric Brain Injury Guidelines (pBIG) to identify patients with traumatic intracranial hemorrhage (ICH) who might not require routine repeat neuroimaging, neurosurgical consultation, or hospital admission in a large level I and level II trauma cohort.

METHODS
Pediatric patients who presented with traumatic ICH between 2018 and 2022 at the included institutions were retrospectively reviewed and sorted into pBIG categories using clinical and radiographic criteria. Nonaccidental trauma was excluded. Repeat neuroimaging and results, neurosurgical intervention, length of stay (LOS), and 30-day mortality and re-presentation to healthcare were collected as outcomes.

RESULTS
A cohort of 955 patients (median age 7.0 years, with 64.5% of patients being male) were included. Overall, 9.7% of patients had pBIG 1 injuries, 30.0% had pBIG 2 injuries, and 60.2% had pBIG 3 injuries. A total of 368 (38.5%) of patients underwent repeat neuroimaging, of whom 144 (39.1%) showed progression of hemorrhage. Neurosurgical intervention was performed in 129 (13.5%) patients, with 127 (98.4%) of them meeting pBIG 3 criteria on arrival. The two remaining patients met pBIG 2 criteria on arrival and then progressed to meet pBIG 3 criteria within 24 hours. Patient meeting pBIG 3 criteria were significantly more likely to have progression on repeat imaging, require neurosurgical intervention, and experience 30-day mortality (p < 0.001). Within the pBIG 3 cohort, there was not a significant relationship between progression on repeat imaging and the need for intervention (p = 0.61). Post hoc pairwise testing of individual radiographic pBIG groupings revealed pBIG 3 criteria for all categories except subarachnoid hemorrhage (SAH) to be predictive of need for neurosurgical intervention (p < 0.05).

CONCLUSIONS
Algorithmic management of mild TBI is beneficial to patient care. With zero and near-zero rates of neurosurgical intervention and mortality in patients with pBIG 1 and pBIG 2 injuries, respectively, the pBIG are valid in stratifying a larger and broader population of pediatric TBI patients. In contrast to other pBIG 3–defined compartment ICHs, "scattered" SAH does not correlate with need for neurosurgical intervention. However, these guidelines have the ability to safely improve care and decrease unnecessary resource utilization without negatively affecting patient outcomes. Utilization of guidelines of any sort are not intended to supersede clinical judgment. Prospective studies are needed.