bluuebunny/crossref_metadata_2025_split huggingface dataset:
What Parents have to Say: Content and Actionability of Narrative Comments from Child HCAHPS Survey
Authors: Quigley Denise D. , Predmore Zachary 
Published: January 2022

OBJECTIVE
To examine the content and actionability of written comments from parents and guardians on the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) survey.

METHODS
We coded 548 narrative text comments linked to demographic information from the Child HCAHPS survey from July 2017 to December 2020 about inpatient pediatric care at an urban children’s hospital-within-a-hospital at an academic medical center. We developed initial codes based on research findings and the content of the Child HCAHPS survey, and also added codes that emerged from the comments. We performed directed and conventional content analysis.

RESULTS
Most comments were positive and provided by the child’s mother. About half referred to content on the Child HCAHPS survey, primarily on being treated with courtesy and respect or explaining care at discharge. Comments about other topics most frequently provided a narrative rating of the provider or described whether providers were caring and friendly. Thirty-nine percent of comments were deemed sufficiently specific to make improvements (ie, actionable) in inpatient pediatric care; negative comments or comments about care for sicker patients were more often actionable.

CONCLUSIONS
Child HCAHPS comments provided rich detail and a large portion were deemed actionable. Comments also provided insights into topics both on the survey itself and on many other inpatient pediatric issues raised by parents and guardians. More research is needed on the value of Child HCAHPS comments, the association between Child HCAHPS open-ended and closed-ended responses, and how quality leaders and frontline staff use comments to improve inpatient pediatric care.
Resistance of Clostridioides difficile spores (Clostridiales: Peptostreptococcaceae) to sodium dichloroisocyanurate
Authors: González-Carballo Gian Carlo , Rodríguez César 
Published: January 2022

Clostridioides difficile is a significant cause of diarrhea in hospitals and the community. This bacterial pathogen is transmitted through the ingestion of endospores, which are challenging to eliminate due to intrinsic resistance to a variety of chemical disinfection agents. The well-characterized laboratory strain CD630 displays low virulence, has not caused outbreaks, and is highly susceptible to disinfectants. Nonetheless, a closely related strain termed NAPCR1 caused outbreaks in Costa Rica and later became endemic in many hospitals from this country. This strain causes disease through unusual mechanisms and is genotypically distinct from CD630. Consequently, its epidemic potential could be influenced by as yet unknown spore phenotypes, such as increased resistance to disinfectants. Objective: To determine whether the NAPCR1 strain is more resistant to a conventional and highly effective C. difficile sporicidal agent than strain CD630 and to identify potential explanatory mechanisms at the genomic level. Methods: We used an in vitro dilution-neutralization method to calculate the sporicidal activity of sodium dichloroisocyanurate (DCC) against purified spores from three subtypes of NAPCR1 isolates (LIBA-2945, LIBA-5761, and LIBA-6276), CD630, and a representative of the highly virulent and epidemic NAP1 strain (LIBA-5758). This phenotypic characterization was complemented with a genomics-steered search of polymorphisms in 15 spore- or sporulation-related genes. Results: Whereas DCC at a final concentration of 0.1 % (w/v) eradicated CD630 endospores with high efficacy (log10 reduction factor (LFR) ≥ 5), it only partially inactivated NAPCR1 (average LFR range: = 1.77-3.37) and NAP1 endospores (average LRF = 3.58). As hypothesized, the three NAPCR1 subtypes tested were more resistant to DCC than strain CD630 (ANOVA, P < 0.05), with LIBA-5761 showing the highest level of DCC resistance overall (ANOVA, P < 0.05). All three NAPCR1 isolates showed large deletions in bclA1. Besides, isolates LIBA-5761 and LIBA-6276 had deletions in bclA2. Conclusions: Our in vitro tests revealed a differential resistance of spores from the C. difficile NAPCR1 strain to DCC. They highlight the importance of continuously evaluating the efficacy of deployed disinfection agents against circulating strains and hint to a potential role of structural proteins from the exosporium in resistance to disinfectants in C. difficile.
Diversidad y estructura arbórea en afloramientos de carbonato de calcio en Calakmul, México
Authors: Esparza-Olguín Ligia , Martínez-Romero Eduardo 
Published: January 2022

Introducción: La vegetación arbórea de selvas que se desarrolla en ambientes kársticos dominados por carbonato de calcio enfrenta la restricción de agua y nutrientes, lo que condiciona su desarrollo. Objetivo: Analizar la composición, diversidad y estructura de la vegetación arbórea que se desarrolla en afloramientos de calcio (yesales) y sus condiciones edáficas comparándolas con las presentes en vegetación secundaria (VS). Métodos: Se emplearon 17 parcelas de 1 000 m², 14 en yesales y 3 en VS. Se obtuvo una muestra compuesta de suelo por parcela y estimamos pH, conductividad eléctrica (CE-salinidad), % de carbonatos de calcio (CaCO3), materia orgánica (MO), fósforo (P) y nitrógeno (N). La diferencia en la composición de especies se evaluó mediante un análisis de similitud (ANOSIM). Empleamos métodos de rarefacción y extrapolación, estimando la diversidad mediante los números de Hill (q = 0, q = 1 y q = 2). Se utilizó un análisis de regresión linear para evaluar la influencia de las características edáficas en la diversidad, el diámetro y la altura promedios. Resultados: Los suelos en yesales presentaron concentraciones bajas de MO, P y N, valores altos de CE-salinidad y altos porcentajes de CaCO3. Se registraron 6 443 individuos de 54 especies en yesales y 594 individuos de 62 especies en la VS, siendo la composición significativamente diferente. La diversidad, los valores promedio de altura y diámetro fueron menores en yesales respecto de VS, estas diferencias estuvieron relacionadas con las condiciones edáficas. Conclusiones: La vegetación arbórea en yesales tiene una composición semejante a la de selvas subperennifolias de Calakmul. Las tallas pequeñas de los árboles están relacionadas con el alto porcentaje de CaCO3 y los altos valores de CE que condicionan la disponibilidad de MO, N y P. Este estudio apoya la idea de que precarias condiciones edáficas tienen una influencia negativa en la diversidad y la estructura horizontal y vertical de la vegetación arbórea.
MAKNA TRADISI BUTALE HAJI DI TIGO LUHAH SEMURUP KABUPATEN KERINCI
Authors: Supian  , Denny Defrianti  , Nurdin Fatonah 
Published: January 2022

Penelitian ini bertujuan untuk menghasilkan data kualitatif dengan pendekatan interaksi simbolik, melalui sejarah tradisi butale haji serta makna dan nilai dari tradisi butale haji dalam budaya masyarakat Tigo Luhah Semurup kabupaten Kerinci. Fokus penelitian ini adalah sejarah dan makna aktivitas tradisi butale haji di Tigo Luhah Semurup. Pemahaman tentang tradisi butale haji sebagai nilai interaksi simbolik dalam budaya masyarakat Tigo Luhah Semurup yang mengikat kekerabatan dan kebersamaan.
Latar belakang dari penelitian ini adalah dimulai dari interaksi masyarakat Tigo Luhah Semurup yang telah terjadi interaksi selama bertahun-tahun dan berlangsung turun-temurun hingga saat ini. Pada saat berkumpul menikmati kebersamaan dan kegotongroyongan terjadi interaksi antara satu dan yang lainnya antar sesama warga dalam kegembiraan dan keharuan mengantar saudara mereka untuk berangkat ke tanah suci Mekkah.
Hasil penelitian ini memperlihatkan bahwa masyarakat Tigo Luhah Semurup sangat menjaga tradisi butale haji ini. Aktivitas butale haji yang dilakukan dengan sadar, dengan motif dan tujuan untuk menjaga hubungan kekerabatan, kebersamaan, gotongroyong dan keikhlasan dalam melaksanakan aktivitas tradisi butale ini juga menjadi sarana komunikasi antar kerabat untuk saling mendukung dan mendoakan kepergian saudara melaksanakan ibadah haji dengan gembira tanpa meninggalkan beban dan rasa khawatir.
Kesimpulannya, aktivitas tradisi butale haji sebagai nilai penguat dan perekat hubungan kekeluargaan, kebersamaan, gotong royong, keikhlasan dalam masyarakat Tigo Luhah Semurup kabupaten Kerinci.
NILAI-NILAI PENDIDIKAN DALAM TRADISI BATAGAK PANGULU DI KABUPATEN LIMA PULUH KOTA
Authors: Sandora Lisna 
Published: January 2022

Minangkabau adalah suatu wilayah di Indonesia yang mempunyai adat istiadat yang mempunyai ciri khas, salah satu tradisi yang dilakukan oleh masyarakat Minangkabau adalah tradisi Batagak Pangulu yang diselenggarakan oleh salah satu suku yang ada di Minangkabau khususnya di Kabupaten Lima Puluh Kota. Batagak pangulu adalah sebuah upacara adat yang berfungsi untuk memilih dan mengangkat pemimpin kaum yang baru atau mengganti pemimpin kaum yang lama. Jadi batagak pangulu merupakan upacara pergantian atau pewarisan kepemimpinan suatu kaum di dalam adat Minangkanau. Sebagai tradisi yang sangat kental dalam masyarakatnya, prosesi batagak pangulu mengandung nilai-nilai pendidikan berupa nilai pendidikan tentang kepemimpinan, musyawarah, kerjasama, seni dan nilai sopan satun, tatakrama serta tutur kata berbahasa.
Development of Inorganic Molecular Shape Model Using 3D Printer to Strengthen Student's Conceptual Understanding
Authors: Pratama Rizal Galih , Harta Johnsen 
Published: January 2022

This research aims to develop a product in the form of an inorganic molecular shape model using a 3D printer, analyze the validity, practicality, effectiveness of the product, and strengthen students' conceptual understanding using the product. The method is Research and Development (R&D) based on the Analysis, Design, Development, Implementation and Evaluation (ADDIE) model. The supporting instruments for this research are product and instrument validation sheets, product readability questionnaires, pretest-posttest questions, question during the trial, observation sheets for students' conceptual understanding, and student response questionnaire to the product. The results showed that the product developed was following the ADDIE model because the five stages were carried out systematically; the product being developed has very high validity with an average percentage of 96.88%; the average percentage of practicality is 95.17% which is categorized as very practical, and the average percentage of effectiveness is 94.69% which is categorized as very effective; the product developed can strengthen students' conceptual understanding shown on the average percentage of conceptual understanding indicators achievement during the trial was 90.61% and the observation result was 94.69%, both of which belong to very high category. There was an increase in the average pretest value of 33.93 and post-test of 63.99. The results of the Rasch analysis after using this product showed that the consistency of students' answers was 0.71 (quite good), the quality of the items was 0.93 (very good), and the interaction between the consistency of students' answers was 0.68 (quite good). The product can be used to strengthen students' conceptual understanding on the topic of molecular shape.
Doctors, Drugs, and Danger
Authors: SULZER MARK , COLLEY LAUREN , HELLMAN MICHAEL , LYNCH TOM 
Published: January 2022

Scholarship on young adult (YA) literature has long attended to the interrelationship of power, ideology, and narrative. Drawing on this scholarship, we examined a nonfiction text about the opiate epidemic. Using critical comparative content analysis (CCCA), our study examined differences in Dreamland (the original version) and Dreamland (the young adult adaptation) to better understand the changing nature of textual representation when youth become the imagined audience. We found that in the youth adaptation of Dreamland, the implied youth reader is (a) provided less information about the opiate epidemic, which is also delivered in a simpler structure; (b) kept at a greater rhetorical distance from people who might be deemed unsavory, and (c) given a more optimistic view of the opiate epidemic in terms of progress achieved rather than action needed. The youth adaptation of Dreamland, therefore, positions youth as needing simplicity, protection, and a sense of optimism. Our analysis demonstrates how the implied youth reader is a textual byproduct of discourses of adolescence/ts. As youth adaptations continue their prominence in the YA marketplace, scholars and teachers should critically engage how youth are positioned as readers and thinkers by the YA publishing industry. Next steps involve additional studies that focus on the implied (youth) reader through CCCA and studies that involve middle and secondary education students, the real readers of these texts. This study is supplemented by an interview with Sam Quinones, the author of the original version of Dreamland.
Purposes of punishment by deprivation of liberty
Authors: Tryncevski Yuriy V. 
Published: January 2022

The purpose of the study is to raise questions about the purposes of criminal punishment in the form of deprivation of liberty, taking into account new realities, including new technologies.
The main results of the study reflect the problems of imperfection of punishments in the form of deprivation of liberty from the point of view of achieving the purposes of crime prevention and rehabilitation of the convicted person.
Conclusions are formulated regarding the discrepancy between the purposes of punishment and practice, which has negative consequences for the effectiveness of the system, its legality and the degree to which it provides justice; the need more attention to the effective communication of the purposes of punishment to offenders.
DEVELOPMENT OF STUDENT WORKSHEET WITH SAVI APPROACH TO IMPROVE MATHEMATICS REPRESENTATION ABILITIES IN CYLINDER MATERIALS
Authors: Istiqomah Puji Nur , Setiawan Toto' Bara , Safrida Lela Nur , Sugiarti Titik , Murtikusuma Randi Pratama 
Published: January 2022

This research aimed to develop a valid, practical, and effective worksheets with SAVI approach and can improve students' mathematical representation skills on cylinder material. The method of this research was a Research and Development (R and D) through the development of 4-D (Define, Design, Develop, and Disseminate). This research was conducted at SMP Negeri 1 Pace. The subjects of this research was 32 students of class IX. The results of the validation of the LKS with SAVI approach by the validator get an assessment of 3.8 after experiencing product revision. This shows that the LKS with SAVI approach that was developed is declared valid. The results of the analysis of the practicality of the LKS with SAVI approach were declared practical with the percentage of student response questionnaires of 85.03% and from the teacher's observation sheet of 87.5%. LKS with SAVI approach succeeded in increasing students' representation ability with a percentage increase of 90.625%. The result of the percentage of product completeness is 71.875% so it can be said that the LKS product with SAVI approach is an effective product. These results indicate that worksheets with SAVI approach are considered valid, practical, effective, and can improve mathematical representation skills.
Dynamic CSF MRI Findings in the Diagnosis and Follow-up of Arnold Chiari Type 1
Authors: BAYSAL Begumhan , DOGAN Mahmut Bilal , BOSNAK Ercan , GÜRBÜZ Mehmet Sabri , ISİK Nejat 
Published: January 2022

Aim:
Chiari malformation is a spectrum of diseases that includes different subtypes, has a wide clinical presentation, and therefore has different follow-up and treatment methods. We aimed to compare clinical scoring systems and cerebrospinal fluid (CSF) dynamics obtained by magnetic resonance imaging (MRI) in Arnold Chiari Malformation Type-1 (CM-1) patients in the preoperative and postoperative periods.
Material and Method:
Twenty-one patients with a diagnosis of CM-1 who underwent CSF MRI between January 2016 and June 2020 were included. In addition, 21 healthy volunteers were evaluated. All the patients had undergone decompression surgery due to CM-1 related symptoms. The relationship between preoperative MRI findings and clinical findings of 21 patients was evaluated. Changes in clinical and imaging findings of 21 patients who underwent surgery were compared.
Results:
Measurements were made just below the level of the cerebellar tonsil. CM-1 patients had higher preoperative peak positive velocity anteriorly (PPV: 6.26±2.72 vs 3.89±1.74 cm/s; p=0.001) and peak negative velocity anteriorly (PNV: -7.45±3.36 vs -3.61±2.65 cm/s; p=0.001) than healthy volunteers. Preoperative net flow in the posterior subarachnoid space of CM-1 patients was lower than in healthy volunteers (p=0.017).
Aliasing of the reverse flow was seen in 13(62%) patients.
PPV and PNV were decreased after surgery (PPV: 6.26±2.72 vs 4.73±1.94 cm/s, p=0.017; PNV: -7.45±3.36 vs -4.97±1.97, p=0.005). Net Flow was increased posteriorly (0.32 vs 2.21 ml/min; p=0.053).
Postoperative response was inversely proportional to the degree of tonsillar herniation. As the Asgari score of the cases increases, the Peak Positive and Negative Velocity Anterior values also increase with a statistically significant correlation (p=0.003; p=0,032 respectively)
Conclusions:
Our findings suggest that the determination of flow dynamics and morphology using MR imaging correlates with clinical findings and may be a useful tool in determining the need and timing of surgery.
COVİD-19 PANDEMİ SÜRECİNDE BİR PANDEMİ HASTANESİNDE GÖREV YAPMAKTA OLAN HEMŞİRELERDE, SOSYODEMOGRAFİK DEĞİŞKENLER, BELİRSİZLİĞE TAHAMMÜLSÜZLÜK VE UMUTSUZLUK DÜZEYLERİNİN, ALGILANAN STRES DÜZEYLERİNE ETKİSİNİN İNCELENMESİ
Authors: ÖZDEMİR İlker , ÖZGEN HERGÜL Güliz , ÖZTÜRK Mehmet , ARSLAN Aylin 
Published: January 2022

AMAÇ: Pandemi sürecinde kişilerin stres düzeylerini etkileyen etmenlerin ve hangi düzeyde etkilediklerinin bilinmesi, pandemi ve sonrası süreçte alınabilecek önlemler ve yapılabilecek ruhsal müdahaleler açısından önem arz etmektedir. Bu nedenle pandemi hastanesinde görev yapmakta olan hemşirelerin, algıladıkları stres düzeylerinin, sosyodemografik özellikler, belirsizliğe tahammülsüzlük ve umutsuzluk düzeyi ile ilişkili olup olmadığının incelenmesi amaçlanmaktadır.
GEREÇ VE YÖNTEM: Çalışma örneklemini, bir pandemi hastanesinde görevli 119 hemşire oluşturmaktadır. Katılımcılara veri toplama aracı olarak "Sosyodemografik Veri Formu", "Algılanan Stres Ölçeği", "Beck Umutsuzluk Ölçeği" ve "Belirsizliğe Tahammülsüzlük Ölçeği" uygulanmıştır.
BULGULAR: Çalışmaya katılan hemşirelerin yaş ortalaması 33,319,76`ydı. %74,8`i kadın, %56,3`ü evli, %41,2`si çocuk sahibiydi. %9,2`si acil servis hizmetlerinde, %29,4`ü yatan hasta servislerinde, %61,3`ü de yoğun bakım servislerinde çalışmaktaydı. Evli bireylerin yüksek "yetersiz öz yeterlilik algısı" skoruna sahip olduğu, yoğun bakım servislerinde çalışanların, en az bir kronik hastalığı olanların ve sigara kullananların Algılanan Stres Ölçeği ve tüm alt ölçek skorlarının anlamlı derecede yüksek olduğu saptanmıştır (p
SUBAKROMİYAL SIKIŞMA SENDROMLU HASTALARDA EGZERSİZ İLE ELEKTRİK STİMÜLASYONUNUN ETKİLERİ
Authors: ERSEVER Emine Merve , ATALAY GÜZEL Nevin , GENÇ Hakan , MÜLKOĞLU Cevriye 
Published: January 2022

Amaç: Bu çalışmada subakromiyal sıkışma sendromlu hastalara uygulanan egzersiz ile nöromusküler elektrik stimülasyonunun ağrı, fonksiyon, rotator kaf kas kuvveti ve supraspinatus kas mimarisi üzerine etkilerini araştırmak amaçlanmıştır.
Gereç ve Yöntem: Araştırmaya rotator kaf lezyonları tanısı ile gelen ve ultrasonografik değerlendirme ile subakromiyal sıkışma tespit edilen 24 hasta dahil edildi. Hastalar 1. grup egzersiz (n=12), 2. grup egzersizle birlikte elektrik stimülasyonu uygulanacak grup (n=12) olarak 2 gruba randomize bir şekilde ayrıldı. Egzersiz grubuna 6 hafta boyunca, haftada 3 gün, günde bir kez omuz egzersizleri uygulandı. Diğer gruba ise aynı egzersizlere ilave olarak elektrik stimülasyonu eklendi. Her iki grupta da ağrı, vizuel analog skala (VAS); fonksiyonel durum, Disabilities of the Arm, Shoulder and Hand Questionnare (DASH) ; kas kuvveti, izokinetik dinamometre ve supraspinatus kas mimarisi ise ultrasonagrafi ile değerlendirildi.
Bulgular: Her iki grupta da tedavi öncesi ve sonrası gruplar arasında VAS, DASH ortalamaları ve ultrasonografi ile değerlendirilen supraspinatus kası pennasyon açısı ve lif uzunluğu değerleri bakımından istatistiksel olarak anlamlı fark yok iken (p>0,05), tedavi öncesi ve sonrası zamanlar arasında istatistiksel olarak anlamlı ve iyileşme yönünde bir artış saptandı (p
Adrenal Venöz Örnekleme; Tek Merkez Deneyimi
Authors: HEKİMOĞLU Azad , ERGUN Onur , BİRGİ Erdem , HEKİMOĞLU Baki 
Published: January 2022

Amaç: Sekonder hipertansiyonun nedenlerinden birisi primer hiperaldosteronizm olup tedavi öncesi altın standart test olan adrenal venöz örnekleme (AVÖ) yapılması önerilmektedir. Çalışmamızın amacı girişimsel rayoloji ünitemizde yapılan AVÖ deneyimimizi sunmaktır.
Gereç ve yöntem: Çalışmaya alınan 19 hastanın 11’i erkek ve 8’i kadın olup yaş ortalaması 50,5 idi. Hastalarda işlem için ana femoral vene giriş yapıldı. Çeşitli kateter manipülasyonları ile inferior vena kava kraniyal kesimine ulaşıldı ve bilateral adrenal ven selektif kateterize edilerek kan örnekleri alındı.
Bulgular: Tüm hastalarda sol adrenal ven kateterizasyonunda başarılı olundu. Selektif sağ adrenal ven kateterizasyonunda %79 başarı oranı sağlandı. Ayrıca 1 hastada sağ adrenal ven duplike olduğu için selektif kateterizasyon sağlanamadı. Sadece 2 hastada femoral ven giriş bölgesinde minimal hematom dışında önemli bir komplikasyon izlenmedi.
Sonuç: AVÖ yapılması zor ama primer hiperaldosteronizm tanısı için ve tedavisinden önce tercih edilmesi gereken bir yöntemdir.
Sensory characterisation of Cognac eaux-de-vie aged in barrels subjected to different toasting processes
Authors: Gadrat Mathilde , Lavergne Joël , Emo Catherine , Teissedre Pierre Louis , Chira Kleopatra 
Published: January 2022

Toasting is a key step in the barrel-making process. It plays an important role in the breakdown of oak wood compounds and thus influences the chemical composition and organoleptic properties of wines and brandies. However, the effect of toasting on distilled spirit quality has not yet been extensively studied. The objective of this study was therefore to study the impact of toasting on cognac eaux-de-vie by characterising the eaux-de-vie sensorially after 12 months of ageing. Eight eaux-de-vie aged in barrels with 8 different toasts were studied. The 8 toasts represented 4 different temperatures (low, medium, medium plus and high) and two toasting lengths for each temperature (one so-called “normal” and the other “slow”). Sensory analysis was carried out on these eaux-de-vie through several tests. First, a sorting test showed the differences between the samples and then training was carried out on previously chosen descriptors in order to build a sensory profile and perform a ranking test. The study was realised for two alcohol levels: 60 % (v/v), which is the alcohol level of eaux-de-vie in barrels, and 40 % (v/v), which is the alcohol level of a commercial cognac. This approach demonstrated that barrel toasting generally leads to significant sensorial differences in eaux-de-vie during ageing. These differences are greater between a lightly and a highly toasted barrel. This study is a first step in the characterisation of cognac eaux-de-vie aged in barrels made with different toasts.