Miracle-dz/UniFAR-FTUs huggingface dataset:
Delegation: a core competency for the graduate nurse

Delegation is central to nursing practice, thus, it is an expectation that the graduate nurse will have the knowledge, skill, judgment, and personal attributes to delegate nursing care effectively in today’s complex healthcare environment. There has been inadequate preparation in prelicensure nursing education to prepare graduates for this essential competency. The goal of this project is, through an integrative literature review, to provide foundational knowledge of delegation in nursing. Themes arising from this review are then used to inform a curriculum blueprint designed for the instruction of the competency of delegation in a four year undergraduate nursing degree program. A theoretical framework of Caring Science, constructivist learning theory, and transformation pedagogy guides this process. The intent of this project is to offer to nurse educators and students support in their collaborative engagement with delegation as a core competency for the nursing graduate. Running head: DELEGATION CURRICULUM iii Table of
Role of Withania Somnifera (Ashwagandha) in Ischemic Stroke Rat Model Produced by Unilateral Internal Carotid Artery Ligation: A Histological Staining with 2,3,5 Triphenyltetrazolium Chloride and a Behavior Analysis

Introduction: A stroke is a medical emergency and can cause permanent neurological damage. The more extensive the area of brain affected, the more functions that are likely to be lost. Objectives: To access and compare neurological deficits after 60 min of induction of stroke and 14 days after treatment with ashwagandha in different groups and to see infract area in brain using 2,3,5 Triphenyltetrazolium Chloride (TTC) stain. Materials and Methods: 21 Male wistar albino rats were randomly allocated to form 3 groups. Commercially available Withania somnifera root extract (Vitamin world. Inc. NY, USA) was used as intra peritoneal route for 14 days and neurological deficits was assessed. Brain of coronal section of 2mm thickness, immersed in TTC (Sigma Aldrich, Merck Group Germany) solution and incubated at 37oC for 20 min. Inferential analysis was done by ttest to see the significant level at p < 0.05 with 95% confidence interval and ANOVA, Post Hoc test was applied to compare between different groups, regression and correlation was seen. Results: There was significant differences in area of infract between Withania somnifera treated group and non-medicated group p = 0.017. Latency of fall off time in Rota rod test was seen significant (p = 0.000) in between the group. Similarly, 14 days after the induction of stroke, significant differences was present in different groups in rota rod fall off latency time (p = 0.043) and Grid walking test (p =0.002). Conclusion: Ashwagandha showed improved neurosensorimotor activities in stroke model produced after unilateral ligation of internal carotid artery.
Cardiomyopathies: Presentation and Complications in Children at Dera Ismail Khan

Background: Cardiomyopathies are a group of non-inflammatory conditions of myocardium leading to cardiac dysfunction. This study was conducted to see the presentation and complications of cardiomyopathies in children at Dera Ismail Khan. Material & Methods: This descriptive case series was carried out at Department of Paediatrics, DHQ Teaching Hospital, Dera Ismail Khan, from January 2007 to December 2008. All cases admitted with congestive heart failure were investigated. After history and examination, investigations including CXR, ECG and Echocardiography were performed. Other relevant investigations were also performed as and when indicated. Both already and newly diagnosed cases were included in the study. Exclusion criteria were cause of CCF other than cardiomyopathy and/or a normal echocardiography. Data was analyzed for age, sex, presentation, complications, associated conditions, and mortality. Results: Sixty patients were admitted with cardiomyopathy during the study period. All these patients initially presented with congestive cardiac failure. Sixteen (27.6%) of these were being treated as wheezy bronchitis/asthma by local doctors. Commonest type was dilated CMP 54(90%). Other less common types were hypertrophic CMP 4(6.6%) and restrictive CMP 2(3.3%). Common complications included failure to thrive 35(58.3%), mitral regurgitation 8(13.3%), pericardial effusion 7(11.7%), hemiplegia 5(8.4%), pulmonary hypertension 4(6.7%), arrhythmias 2(3.4%), pleural effusion 2(3.4%), infective endocarditis 1(1.1%), shock 1(1.1%) and death 1(1.1%). Conclusion: Commonest presentation of cardiomyopathy is congestive cardiac failure, but repeated wheezy attacks are also common during early stages of the disease. Commonest complications are mitral regurgitation, pericardial effusion, stroke and failure to thrive.
Liderança e cultura de segurança do paciente: percepções de profissionais em um hospital universitário Leadership and patient safety culture: perceptions of professionals in a university hospital

Objetivo: Analisar as percepcoes de profissionais de saude quanto a cultura de seguranca do paciente na sua interface com a lideranca. Metodos : Pesquisa descritivo-exploratoria, com abordagem quantitativa. Foi realizada entre abril a junho de 2014 em tres unidades de um hospital universitario do Parana. A amostra constituiu-se de 76 profissionais da equipe multidisciplinar, que responderam ao questionario “ Hospital Survey on Patient Safety Culture ”. A analise ocorreu por meio de estatistica descritiva, das dimensoes que tratam da cultura de seguranca mediada pela lideranca hospitalar do referido instrumento. Resultados : A maioria dos participantes demonstrou percepcao de cultura de seguranca favoravel a lideranca imediata e desfavoravel a alta gestao hospitalar. Conclusao : Conclui-se que ha necessidade de investimentos de promocao da cultura de seguranca na alta direcao da realidade investigada.
How Developed-Country Firms Make Standardization/Transfer and Adaptations Decisions in Relation to their Developing-Host-Country Operations?

Abstract Factors influencing firms’ standardization and adaptations decisions tend to be treated as static isolated entities in the extant literature. Further, the focus is predominantly on Western MNCs and product development or marketing functions with manufacturing firms and the emerging/developing country perspective underrepresented. We explore factors, as well as their interrelations that determine standardization and adaptations decisions when a developed country manufacturing firm establishes operations in a developing country. Purposefully, Italian manufacturing firms with operations in Vietnam are examined. We identify functions, processes, and practices that are standardized/transferred and those that are adapted. A theoretical model is developed based on the findings.
HPV Genotypes and Cervical Intraepithelial Neoplasiain a Multiethnic Cohort in the Southeastern United States

Background: For poorly understood reasons, invasive cervical cancer (ICC) incidence and mortality rates are higher in women of African descent. Oncogenic human papillomavirus (HPV) genotypes distribution may vary between European American (EA) and African American (AA) women, and may contribute to differences in ICC incidence. Methods: Five-hundred and seventy-two women were enrolled at the time of colposcopic evaluation following an abnormal liquid-based cytology screen. HPV infections were detected using HPV-linear array, and chi-squared tests and linear regression models were used to compare HPV genotypes across racial/ethnic groups by CIN status. Results: Of the 572 participants, 494 (86%) had detectable HPV; 245 (43%) had no CINlesion, 239 (42%) had CIN1, and 88 (15%) had CIN2/3. Seventy-three percent of all women were infected with multiple HPV genotypes. After adjusting for race, age, parity, oral contraception use and current smoking, AAs were two times less likely to harbor HVP16/18 (OR=0.52, 95%CI 0.27-0.98, p=0.04) when all women were considered. This association remained unchanged when only women with CIN2/3 lesions were examined (OR=0.22, 95%CI 0.05-0.95, p=0.04). The most frequent high risk (HR)-HPV genotypes detected among EAs were 16, 18, 56, 39 and 66, while HPV genotypes 33, 35, 45, 58 and 68 were the most frequent ones detected in AAs.
Helicopter transportation in the era of thrombectomy: The next frontier for acute stroke treatment and research

Purpose Many patients suffer a stroke at a significant distance from a specialized center capable of delivering endovascular therapy. As a result, they require rapid transport by helicopter emergency medical services, sometimes while receiving a recombinant tissue plasminogen activator infusion (drip and ship). Despite its critical role in the new era of reperfusion, helicopter emergency medical services remains a poorly evaluated aspect of stroke care. Method Comprehensive narrative review of all published articles of helicopter emergency medical services related to acute stroke care in the inter-hospital and pre-hospital settings, including technical aspects and physical environment implications. Findings Helicopter emergency medical services transports are conducted during a critical early time period when specific interventions and ancillary care practices may have a significant influence on outcomes. We have limited knowledge of the potential impact of the unusual physical factors generated by the helicopter on the ischemic brain, which affects our ability to establish rational guidelines for ancillary care and the delivery of specific interventions. Discussion Unlike the pre-hospital and hospital settings where stroke interventions are delivered, the inter-hospital helicopter emergency medical services transfer setting remains a “black box” for acute stroke care and research. This gap is particularly relevant for many patients living in rural areas, or in congested urban areas, that depend on helicopter emergency medical services for rapid access to a tertiary stroke center. Conclusion Addressing the helicopter emergency medical services stroke gap in clinical trials and acute care delivery would homogenize capabilities through all care settings, thus minimizing potential disparities in research access and outcomes based on geographical location.
Determinants of Customer Satisfaction And it’s Implication on Customer Loyalty of Budget Hotel in DKI Jakarta

This study aims to prove and analyze the increase of customer loyalty through an increase in marketing mix mediated by customer satisfaction. The population in this study is Budget Hotel Customers in DKI Jakarta Province. The research method used in this research is descriptive survey method and explanatory survey with a minimum sample size of 200 respondents, with the data analysis method used is SEM (Structural Equation Modeling). Based on the results of the study, the following findings found that the marketing mix has a positive and significant direct effect on customer satisfaction and customer loyalty with contributions of 30.25% and 8.41%, customer satisfaction has a positive and significant effect on customer loyalty with a contribution of 18.49%, the marketing mix affects customer loyalty through customer satisfaction with a contribution of 5.76%, the marketing mix and customer satisfaction simultaneously have a positive and significant impact on customer loyalty with a contribution of 41%. Customer satisfaction partially has the most dominant influence on customer loyalty. Research findings also show that customer satisfaction is a partial mediating effect of the marketing mix on customer loyalty.
The Architecture of Power: Patterns of Disruption and Stability in the Global Ownership Network

It is today widely understood that the global economy is a densely interconnected network that affects the everyday lives of billions of people. In particular, the network structure can amplify financial instability, exacerbate wealth and income inequality, and hamper investments in climate change mitigation. However, little is known about how the global economic network evolves over time and specifically how a major disruptive event, such as the 2008 financial crisis, may have reshaped its structure. Here we show that, although many actors gain or lose their position of influence over time, overall, economic power structures are remarkably robust to shocks and that power remains extremely concentrated in the hands of a few individuals and organisations. While previous works have been restricted by limitations, our analysis represents the first comprehensive analysis of the entire global ownership network over time. Our results provide an explanation for how a global economic shock, while negatively affecting many individuals can have only a marginal impact on the existing power structures.
Iron Status in Preschool Jordanian Children of 12-59 Months of Age

Abstract: A national cross-sectional study was conducted in Jordan in 2002 to assess the iron status of 12- to 59- month-old preschool children, using a multistage cluster sampling design that included a total of 1253 of all eligible children. The prevalence rate of anemia (Hemoglobin (Hb) < 11.0 g/dL), Iron Deficiency (ID; serum ferritin (SF) <12µg/L) and Iron Deficiency Anemia (IDA; Hb< 11.0 g/dL + SF <12µg/L) were found to be 20.1%, 26.1%, and 10.1%. The respective prevalence rates in toddlers of 12 to 23 months of age attained higher levels of 34.4%, 45.9%, and 21.3%. This is the first national study whereby Hb and SF were used to assess the iron status of preschool children. It is concluded that more attention should be given to the iron status of preschool Jordanian children particularly those who are less than two years old since this is a period during which lack of iron causes impairment to mental development.
Assessment of diabetes-related knowledge among health care providers in a tertiary health institution in Nigeria

Background: Management of diabetic patients cut across many specialties because of the diverse presentations and complications of the disease. About a third of patients with type 2 diabetes are on insulin either alone or in combination with oral anti- diabetic agents. Also, all patients with type 1 diabetes are on insulin. This study assessed diabetes- related knowledge of health care professionals in a tertiary institution with particular emphasis on inpatient diabetes management skills and insulin therapy. Methodology and design : This cross- sectional study utilised a 42- item questionnaire in assessing diabetesrelated knowledge of specialists, resident doctors and nurses in departments of medicine, surgery, and gynaecology at LAUTECH Teaching Hospital, Ogbomoso, Nigeria. Results : Of the 185 subjects approached, 155 completed the questionnaire. Knowledge was highest among specialists and lowest among nurses. Participants from the Internal Medicine service (specialists, residents and nurses) had the highest level of knowledge score (44±12%). The mean score (%) of study participants on knowledge of insulin therapy was 36%; highest scores was obtained among specialists in internal medicine (55%) and lowest scores were recorded among nurses in gynaecology (27%). Similar low knowledge scores were found among participants on ketoacidosis (38%) and hypoglycaemia (34%). There was a significant difference between resident doctors in medicine and residents’ doctors in gynaecology (55% vs. 39%, p< 0.05) in the knowledge of diabetic ketoacidosis. Although comfort level was highest among specialists in gynaecology (5.09), this did not translate to better knowledge in most domains assessed. Conclusion : The knowledge of diabetes in patient care was fair and acceptable among specialists and resident doctors in internal medicine but significantly poor among specialists and resident doctors in other fields/ specialties. Nurses on the other hand, had very low knowledge in diabetes. This correlated with comfort levels (except in gynaecology) in dealing with issues pertaining to diabetes care.
Prosocial rule breaking at the street level: the roles of leaders, peers, and bureaucracy

ABSTRACT Rules and rule behaviour are keys to understanding modern organizations. This study examines prosocial rule breaking (PSRB), a view of workplace rule violations that eschews assumptions of invariably self-interested, utility-maximizing workers. Using survey data of child welfare social workers, the study tests the influences of leaders, peers, and bureaucratic attributes on PSRB-related attitudes and behaviour. The results indicate formalization and threats of punishment diminish employees’ willingness to break rules for others while rule consistency and co-worker rule violations trigger PSRB. Findings suggest public managers must acknowledge both formal and informal organizational attributes to better understand PSRB among front line workers.
Fetomaternal outcome in eclampsia.

A cross-sectional hospital based study was conducted to analyze the relation of fetomaternal outcome with the time interval between onset of fit to delivery and onset of fit to start of anticonvulsant in eclampsia patients from April 2001 to October 2002 in the department of Obstetrics and Gynecology B. P. Koirala Institue of Health Sciences (BPKIHS) Dharan. Of the 56 total cases 22 (39.2%) patients reached the health facility within 3 hours of the onset of fits and 5 (8.9%) after 12 hours. Twenty-five patients (44.6%) were first managed in different health care centers while 31 (55.4%) came directly to BPKIHS Dharan. Maternal complications occurred more frequently in those with fit to delivery time interval and fit to start of anticonvulsant time interval of more than 12 hours. Diazepam was the main anticonvulsant used in other health service facilities while in BPKIHS 32 (57.1%) patients were given magnesium sulphate and 24 (42.9%) phenytoin. There were 2 maternal deaths which occurred in patients in whom the time interval between the onset of fit to delivery and the start of anticonvulsant was more than 24 hours. Seven patients presented with intrauterine fetal deaths and there were 2 neonatal deaths. Eclampsia is associated with poor fetomaternal outcome. The fetomaternal complications are increased when the fit to delivery time interval and fit to start of anticonvulsant time interval is prolonged. Rational use of appropriate anticonvulsants along with safe delivery should be promoted for eclampsia patients. (authors)
Understanding Nursing Research: Building an Evidence-Based Practice

* Introduction to Nursing Research and Evidence-Based Practice* Introduction to Quantitative Research* Introduction to the Qualitative Research Process* Examining Ethics in Nursing Research* Research Problems, Purposes, and Hypotheses* Understanding and Critically Appraising the Literature Review* Understanding Theory and Research Frameworks* Clarifying Quantitative Research Designs* Examining Populations and Samples in Research* Clarifying Measurement and Data Collection in Quantitative Research* Understanding Statistics in Research* Critical Appraisal of Quantitative and Qualitative Research for Nursing Practice* Building an Evidence-Based Nursing Practice* Introduction to Outcomes Research Glossary Index
A Study of Interaction Effects of Political Influences and Earnings Management on Organisational Performance

The purpose of this paper is to analyse and comprehend the interaction effect of political influences and earnings management on organisational performance. This study investigates whether politically influenced firms use accrual-based earnings management activities to report poor organisational performance in Pakistani firms. By virtue of the current study, politically influenced firms are assumed to emerge through significant shareholding by the government, including but not limited to the presence of a politician(s), a close relative(s) of a politician(s), or a former/current civil/military bureaucrat(s) on the board. The study used a sample of non-financial listed firms in Pakistan over the period of 2009? 2013. The panel corrected standard error (PCSE) technique was used to solve the heteroscedasticity issue. The results envisaged that politically influenced firms, through the presence of politicians and bureaucracy, manipulate earnings through accruals in order to report poor organisational performance but with less taxable income. The study implies an adverse relationship between politically influenced firms and organisational performance, pursuant to which the regulators must keep political factors in mind during regulatory reforms. This study contributes to the field of organisational performance and earnings management as it integrates agency theory with political economy theory. In addition, this study provides deep insight to policy makers who are interested in improving corporate governance in transnational economies.
Accuracy of auricular temperature determination as body temperature index and its daily rhythmicity in healthy dog

To establish the accuracy of the auricular temperature assessment in alternative to the rectal temperature determination in canine medicine, we compared the rhythmicity of rectal temperature with the rhythmicity of auricular temperature in healthy dogs. Eight Rottweilers, eight Beagles and eight Teckels were housed in individual pens under natural photoperiod and environmental conditions. Rectal and auricular temperatures were recorded every 3 hours over a 48 hour period. A significant effect of time of day, breed and side of temperature collection on the temperature values was observed. Strong similarity between rectal and auricular temperature trend and daily rhythmicity was observed. In dogs, it could be possible to utilize auricular temperature for estimating body temperature, taking into consideration that it is 1.3°C lower than rectal temperature.
An Evalution of the Demographic and Clinical Characterictics of Patients with GM2 Gangliosidosis

12 ©Copyright 2018 by Ege University Faculty of Medicine, Department of Pediatrics and Ege Children’s Foundation The Journal of Pediatric Research, published by Galenos Publishing House. Ad dress for Cor res pon den ce Esra Er MD, Ege University Faculty of Medicine, Department of Pediatrics Metabolism and Nutrition İzmir, Turkey Phone: +90 535 452 56 19 E-mail: esrabn@hotmail.com ORCID ID: orcid.org/0000-0001-8867-0508 Re cei ved: 07.10. 2017 Ac cep ted: 29.12. 2017 1Ege University Faculty of Medicine, Department of Pediatrics Metabolism and Nutrition, İzmir, Turkey 2Ege University Faculty of Medicine, Department of Radiology, İzmir, Turkey 3Ege University Faculty of Medicine, Department of Medical Biochemistry, İzmir, Turkey Esra Er1, Ebru Canda1, Havva Yazıcı1, Cenk Eraslan2, Eser Sözmen3, Sema Kalkan Uçar1, Mahmut Çoker1