bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementation and Effectiveness of a Learning Collaborative to Improve Palliative Care for Seriously Ill Hemodialysis Patients
Authors: Kurella Tamura Manjula , Holdsworth Laura , Stedman Margaret , Aldous Annette , Asch Steven M. , Han Jialin , Harbert Glenda , Lorenz Karl A. , Malcolm Elizabeth , Nicklas Amanda , Moss Alvin H. , Lupu Dale E. 
Published: September 2022

Background and objectives
Limited implementation of palliative care practices in hemodialysis may contribute to end-of-life care that is intensive and not patient centered. We determined whether a learning collaborative for hemodialysis center providers improved delivery of palliative care best practices.

Design, setting, participants, & measurements
Ten US hemodialysis centers participated in a pre-post study targeting seriously ill patients between April 2019 and September 2020. Three practices were prioritized: screening for serious illness, goals of care discussions, and use of a palliative dialysis care pathway. The collaborative educational bundle consisted of learning sessions, communication skills training, and implementation support. The primary outcome was change in the probability of complete advance care planning documentation among seriously ill patients. Health care utilization was a secondary outcome, and implementation outcomes of acceptability, adoption, feasibility, and penetration were assessed using mixed methods.

Results
One center dropped out due to the coronavirus disease 2019 pandemic. Among the remaining nine centers, 20% (273 of 1395) of patients were identified as seriously ill preimplementation, and 16% (203 of 1254) were identified as seriously ill postimplementation. From the preimplementation to postimplementation period, the adjusted probability of complete advance care planning documentation among seriously ill patients increased by 34.5 percentage points (95% confidence interval, 4.4 to 68.5). There was no difference in mortality or in utilization of palliative hemodialysis, hospice referral, or hemodialysis discontinuation. Screening for serious illness was widely adopted, and goals of care discussions were adopted with incomplete integration. There was limited adoption of a palliative dialysis care pathway.

Conclusions
A learning collaborative for hemodialysis centers spanning the coronavirus disease 2019 pandemic was associated with adoption of serious illness screening and goals of care discussions as well as improved documentation of advance care planning for seriously ill patients.

Clinical Trial registry name and registration number:
Pathways Project: Kidney Supportive Care, NCT04125537
Prevalência e fatores associados à anemia ferropriva entre crianças no Brasil: revisão sistemática e metanálise
Authors: Paixão Camila Kelen Ferreira , Gomes Daiene Rosa , Oliveira Danila Soares de , Mattos Mússio Pirajá 
Published: September 2022

Este artigo pretende sumarizar a prevalência e os fatores associados à anemia ferropriva em crianças brasileiras. Trata-se de um estudo de revisão sistemática e metanálise baseado nas normas do Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A busca foi realizada nas bases de dados da Biblioteca Virtual de Saúde, da Pubmed, da ScienceDirect, Scopus e da Scielo, utilizando três moduladores booleanos: “anemia ferropriva” AND “criança” AND “Brasil” e “Anemia, Iron-Deficiency” AND “Child” AND “Brazil”. A qualidade metodológica dos artigos selecionados foi analisada de acordo com a escala Effective Public Health Practice Project: Quality Assessment Tool for Quantitative Studies. Por fim, dos 6.697 estudos identificados, 112 foram selecionados para a síntese qualitativa e 61 submetidos à metanálise. A prevalência média estimada de anemia ferropriva foi de 27% (IC 95%: 27 – 28). Foi constatado que os meninos (1,09 IC 95% 1,04-1,14), as faixas etárias menores de 24 meses (3,71 IC 95% 3,50-3,92) e 36 meses (3,33 IC 95% 2,48-4,47), o baixo peso ao nascer (1,17 IC 95% 1,04-1,32) e a escolaridade dos pais menor que 4, 5 e 8 anos (1,32 IC 95% 1,09-1,59) foram os fatores de risco associados à anemia, enquanto o uso profilático do ferro reduziu em 14% o desfecho analisado. Portanto, o Brasil, de forma geral, necessita de medidas incisivas para a efetiva funcionalidade dos programas de combate à anemia, como é o caso do uso profilático do ferro, por meio da mobilização de três pilares essenciais: assistência profissional, educação familiar e adesão por parte dos cuidadores.
ENTREVISTA COM A PROFESSORA HILDETE PEREIRA DE MELO HERMES DE ARAÚJO
Authors: Pereira de Melo Hermes de Araújo Hildete , Silveira Andrade Shirley , Cunha Pinto Anna Carolina , Guimarães Cavalcante Dieric 
Published: September 2022

Nesta edição, a Confluências: Revista Interdisciplinar em Sociologia e Direito apresenta entrevista inédita com a Professora Doutora Hildete Pereira de Melo Hermes de Araújo, realizada por videochamada em 15 de julho de 2022. A entrevistada é professora da Universidade Federal Fluminense desde 1973 e integra o Departamento de Economia, atuando junto ao seu Programa de Pós-Graduação. Considerada uma importante referência da economia feminista no Brasil, a professora se dedica, dentre outras áreas de estudo, à pesquisa sobre divisão sexual do trabalho, história econômica brasileira e economia de cuidados. Além de sua grande contribuição como pesquisadora e professora, Hildete Pereira de Melo também se destaca por sua militância política, destacadamente no movimento feminista, tendo atuado como gestora pública da Secretaria de Políticas para as Mulheres da Presidência da República nos períodos de 2009/2010 e de 2012/2014.
As perguntas foram elaboradas e direcionadas à Hildete por Shirley Andrade, professora da Universidade Federal de Sergipe e pós doutora em Ciências Jurídicas e Sociais pelo Programa de Pós-Graduação em Sociologia e Direito da Universidade Federal Fluminense (PPGSD/UFF); por Anna Cunha Carolina Pinto, doutoranda e mestra em Ciências Jurídicas e Sociais pelo PPGSD/UFF; e por Dieric Guimarães Cavalcante, mestrando em Ciências Jurídicas e Sociais pelo PPGSD/UFF.
Estudo Sobre a Natureza e as Condicionantes do Financiamento de Startups no Distrito Federal
Authors: Da Cunha Facciolli Giuliana 
Published: September 2022

O trabalho discute o entendimento comum de que startups viabilizariam suas promessas de solução tecnológica à sociedade ao captarem financiamento externo, principalmente sob a forma de capital de risco. Primeiro, fornece as origens históricas e desdobramentos recentes desse modelo empresarial, considerando a dinâmica intrínseca e recíproca entre acumulação financeira e inovações tecnológicas. Posteriormente, expõe os resultados centrais das entrevistas qualitativas com pequenas empresas do Distrito Federal, discutidas à luz da teoria marxista. Finalmente, conclui que o modelo de startups está menos atrelado à ideia de democratização de novas tecnologias, repousando a verdadeira inovação no seu formato organizacional e comercial que almeja largos ganhos privados de curto prazo mediante maior exploração da força de trabalho.
Medical Costs Associated With Diabetes Complications in Medicare Beneficiaries Aged 65 Years or Older With Type 2 Diabetes
Authors: Wang Yu , Zhang Ping , Shao Hui , Andes Linda J. , Imperatore Giuseppina 
Published: September 2022

OBJECTIVE
To estimate medical costs associated with 17 major diabetes-related complications and treatment procedures among Medicare beneficiaries aged ≥65 years with type 2 diabetes.

RESEARCH DESIGN AND METHODS
Claims data from 100% of Medicare beneficiaries enrolled in fee-for-service plans from 2006 to 2017 were analyzed. Records with type 2 diabetes and complications were identified using ICD-9, ICD-10, and diagnosis-related group codes. The index year was the year when a person was first identified as having diabetes with an inpatient claim or an outpatient claim plus another inpatient/outpatient claim in the 2 years following the first claim in Medicare. Included individuals were followed from index years until death, discontinuation of plan coverage, or 31 December 2017. Fixed-effects regression was used to estimate the cost in years when the complication event occurred and in subsequent years. The total cost for each complication was calculated for 2017 by multiplying the complication prevalence by the cost estimate. All costs were standardized to 2017 U.S. dollars.

RESULTS
Our study included 10,982,900 beneficiaries with type 2 diabetes. Follow-up ranged from 3 to 10 years. The three costliest complications were kidney failure treated by transplant (occurring year $79,045, subsequent years $17,303), kidney failure treated by dialysis ($54,394, $38,670), and lower-extremity amputation ($38,982, $8,084). Congestive heart failure accounted for the largest share (18%) of total complication costs.

CONCLUSIONS
Costs associated with diabetes complications were substantial. Our cost estimates provide essential information needed for conducting economic evaluation of treatment and programs to prevent and delay diabetes complications in Medicare beneficiaries.
Introduction to the Special Issue: Select Papers Presented at the 2021 OLC Accelerate Conference and the 2022 OLC Innovate Conference
Authors: Moskal Patsy 
Published: September 2022

We are happy to present four articles solicited from the many conference presentations at OLC Accelerate, held in fall 2021 and OLC Innovate, held in spring 2022. We encourage readers to continue to conduct research on innovation in the field and to consider presenting your rigorous research to OLC conferences and OLJ in the future.
A Comparison of Chemical Compounds between Anti-Diabetic Drug and Some Medicinal Plants
Authors: M.Hussein Ali , Salahalddin Rayan S. , Taha Zhala B. , A. Majeed Hawri , Muhialdin Ali J. , Faraj Rahman K. 
Published: September 2022

Type 2 diabetes (T2D) is a kind of diabetes marked by high blood sugar, insulin, and insulin insufficiency. Adult-onset diabetes is another name for it. Increased thirst, frequent urination, and unexplained weight loss are common indications and symptoms. Metformin side effects include metallic taste, weakness, diarrhea, stomach upset, lactic acidosis, and vomiting. Two other side effects are asthenia and a Vitamin B12 deficiency. Many recent studies and most health experts recommend basil seed as a better Metformin substitute. The research investigates why patients who consume basil seeds have a similar response to those who take Metformin. The methodology of the study consisted of two main steps, first step is to analyze basil and use HPLC to determine its chemical components. The second step is to compare the broken-down components to Metformin-composed materials, which is done by diluting with methanol/water (50:50 v/v) and removing the fat layer using 20 mL hexane. The findings showed that basil seed and Metformin had the most similar component structure, thus the foundlings concluded that patients had the same responses without the Metformin side effects, implying that basil seed stabilizes blood sugar levels.
Hubungan Pengetahuan Terkait Anemia Dengan Status Gizi Pada Mahasiswi Universitas Negeri Medan
Authors: Faizah Putri , Putri Atika Rahmadhani , Putri Atika Rahmadhani , Fatah Faqilah Fadiyah , Fatah Faqilah Fadiyah , Natalia Jecika Destari , Natalia Jecika Destari 
Published: September 2022

Anemia merupakan suatu kondisi menurunnya kadar hemoglobin dalam darah lebih rendah dari normal. Hemoglobin adalah salah satu komponen didalam sel darah yang berfungsi sebagai pengangkut oksigen dari paru paru keseluruh jaringan tubuh. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan terkait anemia dengan status gizi pada Mahasiswi Universitas Negeri Medan. Desain penelitian ini menggunakan pendekatan cross sectional study. Subjek penlitian sebanyak 45 mahasiswi yang dipilih dengan metode simple random sampling. Untuk mengetahui hubungan antara variabel independen dan variabel dependen yaitu pengetahuan terkait anemia dengan status gizi maka digunakan uji Fisher. Hasil penelitian menunjukkan bahwa terdapat hubungan antara pengetahuan terkait anemia dengan status gizi mahasiswi UNIMED dengan nilai p value 0,015. Terdapat hubungan yang positif dan signifikan antara pengetahuan terkait anemia dengan status gizi pada mahasiswi Universitas Negeri Medan
Online New Student Registration System for SMA Negeri 1 Ketaggungan Brebes Using the CodeIgniter Framework
Authors: Taufiq Ahmad , Bahiyah Nurul 
Published: September 2022

New student registration system manually is still used by some schools in Indonesia. But the problem is that prospective students are still many who feel difficulty with the system of the manual registration and of course they need registration system which more quick and efficient. Moreover, the conditions of the pandemic at this time, where there are rules to keep the protocol of the Health. Such as keeping physical distancing and limiting public service. The research method used in this research is the design and manufacture of the system, namely to design web-based system of a new student registration that can be accessed through a web browser. The online registration system of new students is built with PHP programming language and utilizing a MySQL database as a database server, and using the Codeigniter Framework. The result of this research is the web-based online registration system of new students already have the ability to provide convenience for prospective students to obtain all the information about the acceptance of new students and do the online registration process.
Pengaruh Model Pembelajaran Problem Based Learning dengan Media Kotak Aljabar terhadap Kemampuan Pemecahan Masalah Operasi Hitung Aljabar Siswa
Authors: Musabik Achmad Iqdam 
Published: September 2022

Abstract:This study aims to determine the effect of the Problem-Based Learning (PBL) learning model with algebraic box media on students' problem-solving abilities. This research is quantitative research conducted in Class VII at one of the Madrasa Tsanawiyah in Kediri. The research design used a one-group pretest-posttest design. The sample used was 20 students who were taken by a simple random sampling technique. Mathematical problem-solving ability tests in the form of essays are used in the pretest and posttest. The results showed that the pretest average value was 55.50 while the posttest score was 70.50. Inferential, the sig value is obtained. (2-tailed) is equal to 0.000 which is smaller than the significance value of 0.05, so it is concluded that the PBL learning model using algebraic box media affects student problem-solving abilities. Abstark:Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajaran Problem-Based Learning (PBL) dengan media kotak aljabar terhadap kemampuan pemecahan masalah siswa. Penelitian ini adalah penelitian kuantitatif yang dilakukan di Kelas VII di salah satu Madrasa Tsanawiyah di Kota Kediri. Desain penelitian menggunakan one–group pretest-posttest design. Sampel yang digunakan sebanyak 20 siswa yang diambil dengan teknik simple random sampling. Tes kemampuan pemecahan masalah matematis berbentuk essay digunakan pada pretes dan posttes. Hasil penelitian menunjukkan bahwa rata-rata nilai pretest sebesar 55,50 sedangkan posttest sebesar 70,50. Secara inferensial, diperoleh nilai sig. (2-tailed) adalah 0,000 yang lebih kecil dari nilai signifikansi 0,05 sehingga disimpulkan model pembelajaran PBL menggunakan media kotak aljabar berpengaruh terhadap pemecahan masalah siswa.
Systematic Literature Review: Science Self-Efficacy in Science Learning
Authors: Kartimi Kartimi , Anugrah Indah Rizki , Addiin Istiqomah 
Published: September 2022

Abstract:Learning success is often represented by numbers that indicate the extent to which students can achieve educational goals. However, basically, the success is determined by how much effort and their self-efficacy in learning. Therefore, the purpose of this study is to describe students' self-efficacy in learning and teachers' self-efficacy in teaching science. To obtain more comprehensive data and explanations, the Systematic Literature Review method was used in this study. This method is used to analyze 168 articles indexed by Google Scholar. In general, the stages of this research include planning, conducting, and reporting. The research was conducted by referring to three research questions, namely (1) How is the student's self-efficacy in learning science?, (2) How is the teacher's self-efficacy in teaching science, and (3) how is the relationship between self-efficacy and other variables. The results obtained indicate that Science Self-efficacy in students can be raised by familiarizing students to obtain success in learning science while in teachers it is raised through teaching practicum training. This research is expected to provide an overview for researchers and teachers to develop self-efficacy in science learning.Abstrak:Kesuksesan belajar sering direpresentasikan dengan angka yang menunjukkan sejauh mana siswa dapat mencapai tujuan pendidikan. Namun, pada dasarnya kesuksesan terebut ditentukan oleh seberapa besar usaha dan self-efficacy mereka dalam belajar.. Oleh karena itu, tujuan penelitian ini adalah memaparkan Self-efficacy siswa dalam belajar dan Self- efficacy guru dalam mengajar IPA. Untuk memperoleh data dan penjelasan yang lebih mendalam, metode Systematic Literature Review digunakan dalam penelitian ini. Secara umum tahapan penelitian ini mencakup planning, conducting dan reporting. Penelitian dilakukan dengan mengacu pada tiga pertanyaan penelitian, yaitu (1) Bagaimana Self-efficacy siswa dalam belajar IPA?, (2) Bagaimana Self-efficacy guru dalam mengajar IPA dan (3) Bagaimana keterkaitan antara Self-efficacy dan variabel lainnya. Hasil yang diperoleh menunjukkan bahwa Science Self-efficacy pada siswa dapat dimunculkan dengan membiasakan siswa untuk memperoleh kesuksesan dalam pembelajaran IPA sedangkan pada guru dimunculkan melalui pelatihan praktikum mengajar.
Features of sociological analysis of religion in Russia during the Imperial period of it’s history (Continued)
Authors: Elishev S. O. 
Published: September 2022

The article deals with the features of sociological analysis of religion in Russia during the imperial period of its history. The national sociological tradition of studying religion as a socio-cultural phenomenon and a social institution, which was developed during this period, had its own unique and peculiar appearance and was just begun to revive again in post-Soviet Russia, contrasts with the tradition that took place in the West. In this context, the appeal to unfortunately undeservedly forgotten works of classics of Russian religious and socio-political though is very promising area of modern sociological research.When studying this problem, the author emphasizes the study of the works of representatives of three ideological areas of Russian religious and socio-political thought: conservatism, liberalism and socialism, as well as the peculiarities of the historical development of Russian society and the state and those events that had a significant impact on the formation and development of scientific understanding of religion in Russia. Among such features, the author, in particular, refers to the formation of an "antisystem" (systemic integrity of people who take a dim view of their homeland, hate their own nation, its values and culture, history, traditional religious, political and social systems) among the Russian intelligentsia, bureaucracy and part of the elite of Russian society, under a certain influence of Westernism, as a consequence of the spiritual schism of the 18th century, which occurred in the educated strata and elite of Russian society.When studying the features of understanding religious issues by representatives of Russian conservatism, the author of the article analyzes the views of N.Ya. Danilevsky, K.N. Leontiev, F.M. Dostoevsky, M.N. Katkov, K.P. Pobedonostsev, L.A. Tikhomirov.He notes the fact that judgment of this perspective was carried out by these authors from "Slavophile", traditionalist (pochvennichesky and guarding) positions, in the context of judgment of features and an originality of a way of development of Russia as the center of east Christian (orthodox) culture and also empires successors of orthodox Byzantium - defenders Pravoslaviya, Orthodox church and belief, the orthodox people, values and the culture of Christianity "keeping" the world from approach of the evil and arrival of the power of Antichrist.
Prerace venous blood gases and acid-base values in Standardbred horses: effects of geography, season, prerace furosemide, gender, age, and trainer using big data analytics
Authors: Soma Lawrence R. , Stefonovski Darko , Robinson Mary A. , Tsang Deborah S. , Haughan Joanne , Boston Ray C. 
Published: September 2022

Abstract

OBJECTIVE
A retrospective study was conducted to establish the prerace venous acid-base and blood gas values of Standardbred horses at rest using big data analytics.

SAMPLES
Venous blood samples (73,382) were collected during seven racing seasons from 3 regional tracks in the Commonwealth of Pennsylvania. Horses were detained 2 hours prior to race time.

PROCEDURES
A mixed-effects linear regression model was used for estimating the marginal model adjusted mean (marginal mean) for all major outcomes. The interaction between age and gender, track, and the interaction between month, treatment (furosemide), and year were the major confounders included in the model. Random effects were set on individual animal nested within trainer. Partial pressure of venous carbon dioxide (PVCO2), partial pressure of oxygen (PVO2), and pH were measured, and base excess (BE), total carbon dioxide (TCO2), and bicarbonate (HCO3−) were calculated.

RESULTS
Significant (P < .001) geographical differences in track locations were seen. Seasonal reductions in acid-base values started in January with significant (P < .001) decreases from adjacent months seen in June, July, and August followed by a gradual return. There were significant increases (P < .001) in BE and TCO2 and decreases in PVO2 with age. Significant differences (P < .001) in acid-base values were seen when comparing genders. A population of trainers were significantly different (P < .001) from the marginal mean and considered outliers.

CLINICAL RELEVANCE
In a population of horses, big data analytics was used to confirm the effects of geography, season, prerace furosemide, gender, age, and trainer influence on blood gases and the acid-base profile.
FORMAÇÃO DE PROFESSORES PARA O ENSINO NA EDUCAÇÃO INFANTIL
Authors: Bernardes de Arruda Viviane Aparecida , Ferreira Barros Marta Silene 
Published: September 2022

O objetivo deste artigo é ressaltar a importância da formação de professores na educação infantil, aspecto que contribui significativamente para a aprendizagem e desenvolvimento humano. Após a realização de observações e intervenções que se realizaram em uma turma de Pós-graduação lato sensu em Trabalho Pedagógico em Educação Infantil, na disciplina Infância e Aprendizagem, da Universidade Estadual de Londrina (UEL), durante o Estágio em Docência do Ensino Superior, vinculado ao Programa de Pós-graduação Mestrado em Educação (UEL), no ano de 2018, emergiu a necessidade de investigar como os professores veem a questão da formação para a atuação na Educação Básica. A fim de responder a esta indagação, foram realizados levantamentos bibliográficos ancorados no materialismo histórico-dialético, além da aplicação de um questionário para os professores da referida pós-graduação. Os resultados evidenciam que os professores acreditam que a formação continuada é um dos caminhos existentes no processo conjunto entre trabalho e educação, em que se almeja romper a alienação impositiva da atual sociedade capitalista visando ao desenvolvimento dos envolvidos no processo de ensino.