bluuebunny/crossref_metadata_2025_split huggingface dataset:
Human Trafficking ICD-10 Code Utilization in Pediatric Tertiary Care Centers Within the United States
Authors: Garg Anjali , Panda Preeti , Malay Sindhoosha , Slain Katherine N. 
Published: February 2022

BackgroundHuman trafficking is a global public health issue that affects pediatric patients widely. The International Labor Organization estimates children comprise approximately 25% of the identified trafficked persons globally, with domestic estimates including over 2000 children a year. Trafficked children experience a broad range of health consequences leading to interface with healthcare systems during their exploitation. In June 2018, International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) released diagnostic codes for human trafficking.ObjectiveTo use a large, multicenter database of US pediatric hospitalizations to describe the utilization of the ICD-10-CM codes related to child trafficking, as well as the demographic and clinical characteristics of these children.MethodsThis study was descriptive in nature. Encounters using data from the Pediatric Health Information System database (PHIS) with ICD-10-CM codes indicating trafficking from June 1, 2018 to March 1st, 2020 were included in the study cohort, with data collection continuing for 30 days after first hospital encounter, until March 31st, 2020. Patients 19 years old and younger were included. Condition-specific prevalence as well as demographic and clinical characteristics for patient encounters were analyzed. Study subjects were followed for 30 days after first hospital encounter to describe healthcare utilization patterns.ResultsDuring the study period, 0.005% (n = 293) of patient encounters in the PHIS database were identified as trafficked children. The children of our cohort were mostly female (90%), non-Hispanic Black (38%), and had public insurance (59%). Nearly two-thirds of patients (n = 190) had a documented mental health disorder at the initial encounter, with 32.1% classified as the principal diagnosis. Our cohort had a 30-day hospital inpatient, overnight observation, or emergency department readmission rate of 16% (n = 48).DiscussionOur study demonstrates a low utilization of human trafficking ICD-10-CM codes in academic children's health centers, with code usage predominantly assigned to Non-Hispanic Black teenage girls. As comparison, in 2019 the National Human Trafficking Hotline identified 2,582 trafficked US children in a single year. These results suggest widespread under-recognition of child trafficking in health care settings, including the intensive care unit, in addition to racial and socioeconomic disparities amongst trafficked children.
Reducing Acneiform Rash Induced by EGFR Inhibitors With Honeysuckle Therapy: A Prospective, Randomized, Controlled Study
Authors: Liu Zhen , Tian Tian , Wang Binbin , Lu Demin , Ruan Jian , Shan Jianzhen 
Published: February 2022

Background: Epidermal growth factor receptor inhibitors (EGFRIs), including cetuximab, erlotinib, gefitinib and icotinib, have been proven to be effective in treating colorectal cancer or lung cancer. However, most of patients who receive EGFRIs treatment experience cutaneous toxicities, such as acneiform or papulopustular rashes, which affects quality of life and leads to discontinuation of cancer therapies. Honeysuckle is a traditional herb historically used to treat skin rash for thousands of years in Eastern Asia and showed proven safety in human.Methods: To investigate whether honeysuckle therapy could control EGFRIs induced acneiform rashes, a total of 139 colorectal and lung cancer patients with EGFRIs treatments were recruited in a prospective study. Patients were randomized to 3 arms (Arm A: prophylactic treatment with honeysuckle before rash occurred; Arm B: symptomatic treatment with honeysuckle when rash occurred; Arm C: conventional treatment with minocycline and a topical solution when rash occurred). The incidences, severities and recovery time of acneiform rash were observed in each arm.Results: Honeysuckle treatment reduced incidences of EGFRIs induced acneiform rash, which were 56.5, 68.1 and 71.7% in Arm A, B and C, respectively (p = 0.280). Severities of rash (CTCAE grade 2 and 3) were significantly lower in prophylactic honeysuckle treatment (Arm A) compared to conventional treatment (Arm C) (p = 0.027), which was 10–21%, respectively. Patients with honeysuckle treatment recovered more quickly from pruritus, the median time was 22, 36 and 58 days in Arm A, B and C, respectively (p = 0.016).Conclusion: Honeysuckle was effective in reducing incidences and severities of EGFRIs induced acneiform rash, especially for prophylactic treatment.
Deploying Machine Learning Models Using Progressive Web Applications: Implementation Using a Neural Network Prediction Model for Pneumonia Related Child Mortality in The Gambia
Authors: Mohammed Nuredin I. , Jarde Alexander , Mackenzie Grant , D'Alessandro Umberto , Jeffries David 
Published: February 2022

BackgroundTranslating research outputs into practical tools for medical practitioners is a neglected area and could have a substantial impact. One of the barriers to implementing artificial intelligence (AI) and machine learning (ML) applications is their practical deployment in the field. Traditional web-based (i.e., server sided) applications are dependent on reliable internet connections, which may not be readily available in rural areas. Native mobile apps require device specific programming skills as well as contemporary hardware and software, with often rapid and unpredictable platform specific changes. This is a major challenge for using AI/ML tools in resource-limited settings.MethodsAn emerging technology, progressive web applications (PWAs), first introduced by Google in 2015, offers an opportunity to overcome the challenges of deploying bespoke AI/ML systems. The same PWA code can be implemented across all desktop platforms, iOS and Android phones and tablets. In addition to platform independence, a PWA can be designed to be primarily offline.ResultsWe demonstrate how a neural network-based pneumonia mortality prediction triage tool was migrated from a typical academic framework (paper and web-based prototype) to a tool that can be used offline on any mobile phone—the most convenient deployment vehicle. After an initial online connection to download the software, the application runs entirely offline, reading data from cached memory, and running code via JavaScript. On mobile devices the application is installed as a native app, without the inconvenience of platform specific code through manufacturer code stores.DiscussionWe show that an ML application can be deployed as a platform independent offline PWA using a pneumonia-related child mortality prediction tool as an example. The aim of this tool was to assist clinical staff in triaging children for hospital admission, by predicting their risk of death. PWAs function seamlessly when their host devices lose internet connectivity, making them ideal for e-health apps that can help improve health and save lives in resource-limited settings in line with the UN Sustainable Development Goal 3 (SDG3).
Determinants of Satisfaction With Hospital Online Appointment Service Among Older Adults During the COVID-19 Pandemic: A Cross-Sectional Study
Authors: Li Wenjia , Shen Shengwei , Yang Jidong , Guo Jingyu , Tang Qinghe 
Published: February 2022

BackgroundHow did older adults who had to use online medical service during the COVID-19 pandemic bridge the “digital divide”? Taking Internet-based appointment service (IBAS) as an example, this study aimed to investigate the subjective feelings of older adults and evaluate their user-satisfaction.MethodsThis study was based on data from a questionnaire survey involving 325 outpatients 60 years old in shanghai during the COVID-19 pandemic. The satisfaction of IBAS was evaluated and compared from six domains including convenience, visiting time, correct identification of specialists, on-site assist service, COVID-19 prevention, and privacy protection. Logistic regression analysis was used to investigate the correlation between satisfaction and social factors.ResultsNo significant difference between older adults with or without previous experience using IBAS in terms of overall satisfaction. In the domain of operation difficulty (81.9 vs. 97.5%) and precise medicine (88.1 vs. 96.9%), such as correctly identifying the specialist, the satisfaction of previous user group was significantly higher than that of first-time user group. However, there was no significant difference in the remaining four domains between the two groups. Among the first time IBAS users, the satisfaction was higher than the walk-in registration they used before. Logistic regression revealed that some “intention to use IBAS”-associated social factors such as distance from the hospital, living status, and frequency of hospital visit, were related to the satisfaction of older adults.ConclusionsDriven by the external pandemic and internal intention, older adults would choose and manage network medical resources with their high satisfaction, which essentially demonstrates not only behavioral adjustment but also inner acceptance in older adults. Our findings support the need for promoting the driving force of older adults in using Internet-based medical service as well as transforming the design factors and behavior patterns.
Ureteroscopy Is Equally Efficient and Safe in Obese and Morbidly Obese Patients: A Systematic Review and Meta-Analysis
Authors: Wang Wei , Gao XiaoShuai , Peng Liao , Jin Tao 
Published: February 2022

BackgroundUreteroscopy (URS) has been established as an effective treatment for stones in obese patients (OP). However, recent studies found that the efficacy of the procedure may be lower in patients with higher body mass index (BMI). In the current study, we aim to determine if obesity might influence the effectiveness and safety of URS.MethodsIn May 2021, a comprehensive search was conducted in the PubMed, EMBASE, Web of Science, Cochrane Library, and ClinicalTrials.gov to find eligible studies. Stone-free rate (SFR), operative time, length of stay, and complication rate were assessed utilizing RevMan 5.3.ResultsThirteen studies involving 4,583 normal-weight patients (NWP), 2,465 OP, and 291 morbidly OP (MOP) were included. Pooled results showed that statistically similar SFR existed between OP and NWP [odds ratio (OR): 1.09; 95% CI: 0.79, 1.52; p = 0.59], and between MOP and NWP (OR: 1.03; 95% CI: 0.46, 2.31; p = 0.95). The operation time was similar between OP and NWP [mean difference (MD): −2.27; 95% CI: −8.98, 4.43; p = 0.51], and between MOP and NWP (MD: 4.85; 95% CI: −5.78, 15.47; p = 0.37). In addition, no significant difference regarding length of stay existed between OP and NWP (MD: −0.07; 95% CI: −0.20, 0.07; p = 0.33), and between MOP and NWP (MD: −0.06; 95% CI: −0.25, 0.14; p = 0.58). Furthermore, we observed similar minor complication rate between OP and NWP (OR: 1.04; 95% CI: 0.81, 1.32; p = 0.78), and between MOP and NWP (OR: 1.29; 95% CI: 0.80, 2.08; p = 0.30). The differences concerning major complication rate between OP and NWP (OR: 0.97; 95% CI: 0.39, 2.43; p = 0.95), and between MOP and NWP (OR: 2.01; 95% CI: 0.55, 7.30; p = 0.29) were also not significant.ConclusionsOur study demonstrated that URS performed in MOP and OP appears to have the same efficacy and safety as well as in NWP group.
Assessment and Mitigation of Exposure of 3-D Printer Emissions
Authors: Kim Boowook , Shin Jae Hoo , Kim Hoi Pin , Jo Mi Seong , Kim Hee Sang , Lee Jong Sung , Lee Hong Ku , Kwon Hyuk Cheol , Han Sung Gu , Kang Noeul , Gulumian Mary , Bello Dhimiter , Yu Il Je 
Published: February 2022

This study monitored particulates, and volatile organic compounds (VOCs) emitted from 3-D printers using acrylonitrile-butadiene-styrene copolymer (ABS) filaments at a workplace to assess exposure before and after introducing exposure mitigation measures. Air samples were collected in the printing room and adjacent corridor, and real-time measurements of ultrafine and fine particle were also conducted. Extensive physicochemical characterizations of 3-D printer emissions were performed, including real-time (size distribution, number concentration) nanoparticle characterization, size-fractionated mass distribution and concentration, as well as chemical composition for metals by ICP-MS and VOCs by GC-FID, real-time VOC monitors, and proton-transfer-reaction time-of-flight mass spectrometer (PTR-TOF-MS). Air sampling showed low levels of total suspended particulates (TSP, 9–12.5/m3), minimal levels (1.93–4 ppm) of total volatile organic chemicals (TVOC), and formaldehyde (2.5–21.7 ppb). Various harmful gases, such as formaldehyde, acrolein, acetone, hexane, styrene, toluene, and trimethylamine, were detected at concentrations in the 1–100 ppb by PTR-TOF-MS when air sample was collected into the Tedlar bag from the front of the 3-D printer. Ultrafine particles having an average particle size (30 nm count median diameter and 71 nm mass median diameter) increased during the 3-D printing operation. They decreased to the background level after the 3-D printing operation, while fine particles continually increased after the termination of 3-D printing to the next day morning. The exposure to 3-D printer emissions was greatly reduced after isolating 3-D printers in the enclosed space. Particle number concentration measured by real-time particle counters (DMAS and OPC) were greatly reduced after isolating 3-D printers to the isolated place.
Structural Performance Degradation of Corrosion-Damaged Reinforced Concrete Beams Based on Finite Element Analysis
Authors: Jung Ju-Seong , Jeong Jae-Won , Lee Kang-Seok 
Published: February 2022

The impact of the seismic performance of corrosion-damaged reinforced concrete (RC) members on the overall seismic performance of the entire RC structure must be investigated. Related research results provide important guidance for a more accurate seismic performance evaluation of RC structures with corroded members including beams and columns. However, currently available technologies for the seismic evaluation of existing RC structures do not consider the impact of reinforcement corrosion-induced deterioration on the seismic performance of RC members. The main focus of this study is on proposing a practical methodology to evaluate the seismic performance of such buildings. More specifically, the proposed methodology enables a direct quantitative evaluation of seismic performance by estimating the structural performance based on the strength and deformation capacity of corroded members. In pursuit of this research background and the objectives, our research team first performed an experimental study to estimate the impact of reinforcement corrosion on the structural behavior of RC shear beams and flexural beams and determine the factors associated with structural performance deterioration. A high correlation between the half-cell potential (HCP) before and after reinforcement corrosion of RC beams and the structural performance degradation factor based on the energy absorption capacity has been seen previously. In this study, a finite element analysis (FEA) was conducted, in which bond strength loss between rebar and concrete due to reinforcement corrosion of beam members was considered as one of the aging-related degradation factors, and the correlation between structural performance degradation before and after corrosion in beam members was studied. In addition, we compared and analyzed the results of the previous experimental research and FEA conducted in this study and proposed a structural performance degradation factor as a function of corrosion of shear and flexural beams. The research results indicate that the FEA-derived bonding factor (β) and performance degradation factor (ϕ) of flexural beam can be approximated with the equation ϕ=(0.36−β)−1+101 (R2 = 0.94), together with β–mV (average potential difference in voltage) correlation mV =(1.36−β)/(0.018−0.05β). In the case of shear beams, FEA resulted in ϕ=37.3β+63, which enables regression approximation, showing a high correlation (R2 = 0.98), together with β–mV correlation (mV =932.5β−1075). Using the mV–β–ϕ correlation curves, the bonding factor (β) depending on the degree of corrosion of RC beam members and the performance degradation factor (ϕ) based on the consequent strength-deformation capacity can be evaluated.
Analysis of the potential context of Blockchain on the usability of Gamification with Game-Based Learning
Authors: Ramadhan Tarisya , Aini Qurotul , Santoso Sugeng , Badrianto Achmad , Supriati Ruli 
Published: February 2022

Within the world of gaming, there has been a move from diversions being utilized exclusively for excitement, to recreations being utilized as a medium to teach. For this matter, there are two strategies of making amusement which are gamification or game-based learning. The previous is the utilization of diversion components, such as wellbeing focuses or pioneer sheets, and they are connected to a non-gaming stage. The last mentioned, game-based learning, incorporates creating a full-fledged amusement where the means towards the conclusion, that's to say triumph, are set in a world where the player needs to apply the lessons given to progress. Since typically an IT-related investigation, the subject chosen for this study is Blockchain, an ever-expanding division over the past decade. Diverse parts of Blockchain's makeup have been dismembered into little, comprehensible pieces of data within the applications made, which innovative understudy to the frame can take in at their claimed pace. Should this study transcend this research, it might be beneficial for the experiments to possess two games designed and created by someone who has the artistic and technical capabilities of making their own assets. This is able to leave a far better impression with the test subjects and ideally receive a far better data set for examination.
Educación e inserción laboral juvenil en Argentina ante la pandemia de Covid-19
Authors: Rauch Nery Facundo 
Published: February 2022

El presente artículo se enmarca en la problematización sobre el vínculo entre juventud, educación y trabajo en el capitalismo contemporáneo, recurre al desarrollo del marco estructural del fenómeno en Argentina desde las décadas recientes a la luz de las repercusiones acaecidas con la irrupción de la pandemia de Covid-19.
A partir del eje central en la población juvenil, el artículo tiene por objetivo identificar las dimensiones del impacto de la pandemia de Covid-19 en la relación entre los jóvenes, la educación y su inserción en el mercado de trabajo. Se organiza en tres apartados: en primera instancia, indaga sobre las particularidades de la relación entre los jóvenes y el mercado de trabajo global y doméstico; posteriormente se aboca a profundizar sobre las implicancias prácticas que tiene la estructura social de la cual provienen los jóvenes en sus trayectorias educativas y laborales, las cuales contribuyen a reproducir inter-generacionalmente desigualdades; mientras que por último, se aborda la influencia del género y las particularidades en la sub-franja entre 18 y 24 años en la vinculación de los/as jóvenes con el trabajo.
Desde una metodología de diseño cuantitativo y tipo descriptivo, el artículo se nutre de aportes académicos provenientes de diversos campos disciplinares y de fuentes secundarias con indicadores estadísticos de organismos oficiales y privados sobre las características del empleo juvenil en los años recientes y ante el impacto de la pandemia por Covid-19. De esta forma, el artículo pretende contribuir en el análisis de una problemática que afecta crecientemente a nuestras sociedades reproduciendo estructuras de desigualdad intergeneracionales, desde el dimensionamiento de los desafíos que se presentan a partir del impacto del Covid-19 en la estructura sociolaboral juvenil de nuestro país.
Violencia institucional:
Authors: Pereyra Geraldina 
Published: February 2022

El presente trabajo intenta brindar herramientas de análisis que permitan a lxs lectores acercarse a una reflexión crítica de la realidad actual en relación a la violencia institucional, y en particular a la violencia policial como estrategia de dominación y control social. Se incluyen categorías como la exclusión y marginalidad para comprender los procesos de lucha de poder basados en una lógica de la desigualdad. Pensar las instituciones de poder, requiere asumir un posicionamiento ético político que permita trascender nuestra postura subjetiva frente al análisis del accionar estatal e institucional. Es por ello, que este artículo invita a despojarse de percepciones y sentidos ideológicos, a correr el velo para poder des-cubrir lo que los Estados, incluso los Estados democráticos, ocultan a través de la institución policial.
Literature Review : Efektifitas Pendidikan Gizi Terhadap Perubahan Perilaku Konsumsi Buah dan Sayur Pada Anak-anak
Authors: Fitriyani Wina , Risky Sefrina Linda 
Published: February 2022

The most common nutritional problem faced by children is their dislike of fruit and vegetable consumption. It is known that food sources that are beneficial for development, growth and health are fruits and vegetables, so that consumption of fruits and vegetables during childhood is very important. Lack of children's knowledge of fruit and vegetable consumption can have an impact on children's behavior. Increasing knowledge and behavior in the consumption of fruits and vegetables in children can be done by means of repeated nutrition education. Therefore, the author's purpose in writing this study is to find out whether the provision of nutrition education has an effective effect or not on changes in children's behavior in consuming fruits and vegetables. The method in this study uses several literature reviews that are in accordance with the topic. The results obtained from reviewing journals are that the application of nutrition education is considered ineffective in changing the behavior of fruit and vegetable consumption in a better direction in children. But the provision of nutrition education is considered effective in increasing children's knowledge of the importance of consuming fruits and vegetables. So it can be concluded that the provision of nutrition education has not been effective in changing the behavior of fruit and vegetable consumption, but has an effect on increasing children's knowledge of fruit and vegetable consumption.
ABSTRAKMasalah gizi yang dihadapi oleh usia anak-anak yang banyak ditemui adalah ketidaksukaannya terhadap konsumsi buah dan sayur. Dapat diketahui bahwa sumber pangan yang bermanfaat bagi perkembangan, pertumbuhan dan kesehatan salah satunya adalah buah dan sayur, sehingga konsumsi buah dan sayur pada masa anak-anak itu merupakan sesuatu hal yang sangat penting. Kurangnya pengetahuan anak terhadap konsumsi buah dan sayur dapat berdampak pada perilaku anak. Dalam meningkatkan pengetahuan serta perilaku dalam konsumsi buah dan sayur pada anak dapat dilakukan dengan cara edukasi gizi secara berulang. Oleh karena itu, tujuan penulis menulis kajian ini adalah agar dapat mengetahui apakah pemberian pendidikan gizi berpengaruh secara efektif atau tidak terhadap perubahan perilaku anak dalam konsumsi buah daan sayur. Metode dalam kajian ini menggunakan beberapa literatur review yang sesuai dengan topik. Hasil yang didapatkan dari mereview jurnal adalah penerapan pendidikan gizi dinilai belum efektif untuk dapat merubah perilaku konsumsi buah dan sayur ke arah yang lebih baik pada anak-anak. Tetapi pemberian pendidikan gizi dinilai efektif pada perubahan peningkatan pengetahuan anak terhadap pentingnya mengonsumsi buah dan sayur. Maka dapat disimpulkan bahwa pemberian edukasi gizi belum efektif terhadap perubahan perilaku konsumsi buah dan sayur, tetapi berpengaruh terhadap peningkatan pengetahuan anak terhadap konsumsi buah dan sayur.