bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors Associated With Choice of Infant Sleep Location
Authors: Kellams Ann , Hauck Fern R. , Moon Rachel Y. , Kerr Stephen M. , Heeren Timothy , Corwin Michael J. , Colson Eve 
Published: February 2020

OBJECTIVE:
To assess the prevalence of and factors associated with actual recent practice and near-future intention for infant sleep location in a national sample.

METHODS:
There were 3260 mothers from 32 US hospitals who responded to a survey at infant age 2 to 6 months regarding care practices, including usual and all infant sleep locations in the previous 2 weeks and intended location for the next 2 weeks. Mothers were categorized as (1) having practiced and/or intending to practice exclusive room-sharing without bed-sharing, (2) having practiced anything other than exclusive room-sharing but intending to practice exclusive room-sharing, (3) intending to have the infant sleep in another room; and (4) intending to practice bed-sharing all night or part of the night. Multivariable multinomial logistic regression examined associations between sleep-location category, demographics, feeding method, doctor advice, and theory of planned behavior domains (attitudes, social norms, and perceived control).

RESULTS:
Fewer than half (45.4%) of the mothers practiced and also intended to practice room-sharing without bed-sharing, and 24.2% intended to practice some bed-sharing. Factors associated with intended bed-sharing included African American race and exclusive breastfeeding; however, the highest likelihood of bed-sharing intent was associated with perceived social norms favoring bed-sharing (adjusted odds ratio [aOR] 5.84; 95% confidence interval [CI] 4.14–8.22) and positive attitudes toward bed-sharing (aOR 190.1; 95% CI 62.4–579.0). Women with a doctor’s advice to room-share without bed-sharing intended to practice bed-sharing less (aOR 0.56; 95% CI 0.36–0.85).

CONCLUSIONS:
Sleep-location practices do not always align with the recommendation to room-share without bed-sharing, and intention does not always correspond with previous practice. Attitudes, perceived social norms, and doctor advice are factors that are amenable to change and should be considered in educational interventions.
Сезонна динаміка флористичної та екоморфічної структури трав’яного покриву урочища балка Тунельна (м. Дніпро)
Authors: Lisovets O. I. , Vіslotska A. V. 
Published: February 2020

Наведено результати аналізу біолого-екологічних та структурних особливостейтравостою степового, лучного та лісового фітоценозів урочища балка Тунельна (м. Дніпро), вивчених за допомогою геоботанічних методів. Показано особливості сезон-ної динаміки екоморфічного складу та флористичної структури досліджених угру-повань, визначено їхню ступінь антропогенної трансформації в умовах промислово-го мегаполісу.
Morphometrical and biological indicators in definition decorative representatives to the Saintpaulia H. Wendl.
Authors: Domnitskaya I. L. 
Published: February 2020

Long-term researches showed that representatives of cultivars of Saintpaulia H. Wendl. are most long flowering plants of family of Gesneriaceae Dumort. in the protected soil of Oles Gonchar Dnepr National University Botanic Garden. The decorativeness of cultivars was determined on morphometric and biological descriptions: to correlation to the diameter of flower with a width and long sheet plate, to the form of flower, double, fringed of edge of petal, and also general proportion of corolla, the phenology of flowering and other. Descriptions of the most perspective cultivars of Saintpaulia getting top marks on the scale of estimation are considered. A brightness, chromaticity, maintenance of these qualities during all life of flower (more than 2 months at some cultivars), beauty and harmoniousness of picture at multicoloured Saintpaulia, was taken into account. Studies and observations were conducted in the stock conservatory of the laboratory of tropical and subtropical plants from 1997 to 2018.We used garden classification of The Special Comity of The African Violet Society of America – AVSA, scale of assessment of economic-biological and decorative features. A complex evaluation of 60 cultivars from the genus Saintpaulia from the laboratory of tropical and subtropical plants of the botanical garden of the DNU was carried out.
It is educed, that most showily plants look with flowers, having a size of corolla, equal to the width of sheet plate, or less than her no more, than on one centimeter. Most objects driven to this article respond to this request and have the highest productivity of flowering. The evaluation of ornamental properties and prognosis of the succesful introduction of 20 taxsons (the sorts: EK-Boy Bykov, ЕК-Belaya Koroleva, EK-Zhemchujniy Zephyr, Arctic Frost, Blue Dragon, Kilauea et al) have been given. Perspective for cultivation in closed soil species have been selected. Modern varieties for indoors greenbelt setting have been listed.
The got results served in future for creation of scale of cultivars of Saintpaulia and complex estimation of their decorativeness. All studied cultivars are used in an educational process.
Nurses’ Moral Sensitivity Regarding the Terminally Ill
Authors: Carmona González Yolima , Montalvo Prieto Amparo 
Published: February 2020

Objective. The purpose, herein, was to determine the moral sensitivity of nurses when caring for terminally ill patients.Methods. Descriptive study conducted in the city of Cartagena (Colombia) with the participation of 118 nurses with minimum experience of six months in caring for the terminally ill in general hospitalization, caring for chronic patients, and intensive care units. The study used the 23-item questionnaire on Moral Sensitivity in Nursing Care – (Sensibilidad Moral en el Cuidado Enfermero -CuSMCE-23, in spanish) - by Campillo, which has six Likert-type response options (0 = total disagreement, to 5 = total agreement) and which has two dimensions: Nurse values (12 items) and Care responses (11 items). A higher score meant a higher degree of moral sensitivity.Results. It was found that 89.8% of the participants were women; 20.3% had a graduate degree; 39.8% had less than five years of care experience; 58.5% worked in a public institution – by type of service: 58.5% worked in general hospitalization; 32.2% in the intensive care unit; and 9.3% with chronic patients. The global moral sensitivity regarding the terminally ill in the study group was at 80%. By dimensions, while the Values dimension obtained 90%, the Care responses dimension only reached 70.4%, with the latter dimension showing difficulties in the items: ‘Often, when I am with a patient, I talk about myself to be more comfortable’ (27.1%), ‘It is hard for me to accept certain decisions by the patients’ (55.1%), and ‘It is hard for me to identify concerns regarding the religious expression’ (60.2%).Conclusion. Although the global levels of nurse’s moral sensitivity regarding the terminally ill and of the dimension Nurse Values are high, the dimension of Care responses has limitations, especially in accepting the diversity of expressions presented by patients Descriptors: nursing care, terminally ill, intensive care units; hospitalization; morals; ethics, nursing; surveys and questionnaires; cross-sectional studies. How to cite this article: Carmona Y, Montalvo A. Nurses’ Moral Sensitivity Regarding the Terminally Ill. Invest. Educ. Enferm. 2019; 37(3):e07.
Family orientation group as a strategy for care in chemical codependency
Authors: Peixoto da Silva Michele , Netto de Oliveira Adriane Maria , Arruda da Silva Priscila , Algeri Simone , Flores Soares Maria Cristina 
Published: February 2020

Objective. To determine the importance of the family support group in the treatment of codependency, based in reports made by relatives of a therapeutic community for drug addicts. Methods. Study conducted in a therapeutic community for alcohol and other drug addicts in a city in the southern extreme of Brazil. This is a qualitative, exploratory and descriptive research with eight drug addict relatives. Data collection occurred through semi-structured interviews and the use of a field diary, focusing on the family orientation group as a space for the health promotion of family members of psychoactive substance users. Results. Through discursive analysis, it was found that the family orientation group constitutes an important tool of educational character, capable of responding to the family demands of chemical dependence, as well as rethinking and modifying attitudes and characteristic behaviors of co-dependence. Conclusion.The support group is fundamental as a care strategy for codependent families, and may act more effectively when professionals are trained to intervene in the phenomenon of codependency.Descriptors: family; substance-related disorders; codependency (psychology); therapeutic community; family therapy; communication; qualitative research. How to cite this article: Silva MP, Oliveira AMN, Silva PA, Algeri S, Soares MCF. Family orientation group as care strategy in chemical codependency. Invest. Educ. Enferm. 2019; 37(3):e08.
PENGARUH REDESAIN KURSI GAZEBO FIK YANG ERGONOMIS TERHADAP MUSCULOSKELETAL DISORDER
Authors: Putri Silvia Trias , Solichin Solichin , Fanani Erianto 
Published: February 2020

Abstract: Based on preliminary survey of student in FIK UM who sitting in gazebo FIK chair, there are 72.7% student that not comfortable while sitting in gazebo FIK, because of the buttock on the edge of the chair (63.6%), the chair is not high enough (45.5%), the chair has a long distance with the table (45.5%). Perceived symptoms such as upper back pain (39.4%), waist pain (36.4%), lower back pain (30.3%), and buttock pain (33.3%). It is because of the chair design is not appropriate with the user anthropometry. The purpose of the research is to know the effect of redesigning ergonomic gazebo FIK’s chair to musculoskeletal disorders of student in FIK UM. The research is a Pre Experimental with one group pretest and posttest design. The sample of this research is 49 people, who selected by using purposive sampling. Based on statistic test, it found that P Value 0.000 < 0.05 which is significant, it means that there is different of average value before and after redesign. The conclusion of the research is there is an effect of redesigning ergonomic gazebo FIK chair to musculoskeletal disorder of student in FIK UMKeywords: redesign, ergonomic, chair, musculoskeletal disorders.Abstrak: Berdasarkan survei pendahuluan pada mahasiswa Fakultas Ilmu Keolahragaan Universitas Negeri Malang (FIK UM) yang sedang duduk di gazebo FIK, sebanyak 72,7% mahasiswa mengeluh tidak nyaman saat duduk di gazebo FIK. Keluhan tersebut dikarenakan duduk dengan posisi pantat berada diujung kursi gazebo FIK (63,6%), kursi gazebo FIK kurang tinggi (45,5%), kursi gazebo FIK memiliki jarak yang terlalu jauh dengan meja (78,7%). Keluhan yang dirasakan antara lain sakit pada punggung (39,4%), sakit pada pinggang (36,4%), sakit pada bokong (30,3%), dan sakit pada pantat (33,3%). Keluhan-keluhan tersebut disebabkan desain kursi yang tidak sesuai dengan antropometri pengguna. Tujuan penelitian ini untuk mengetahui pengaruh redesain kursi gazebo FIK yang ergonomis terhadap musculoskeletal disorders pada mahasiswa FIK UM. Metode penelitian yang digunakan dalam penelitian ini adalah Pre Eksperimental dengan rancangan penelitian one group pre test and post test design. Sampel dalam penelitian ini sebanyak 49 orang, yang dipilih dengan menggunakan teknik purposive sampling. Hasil analisis perbedaan keluhan muskuloskeletal sebelum dan sesudah redesain dengan menggunakan uji wilcoxon diperoleh p value 0,000 < 0,05 yang bermakna signifikan, artinya ada perbedaan nilai rata-rata sebelum dan sesudah redesain kursi gazebo FIK. Kesimpulan dari penelitian ini adalah ada pengaruh redesain kursi gazebo FIK terhadap musculoskeletal disorders pada mahasiswa FIK UM.Kata kunci: redesain, kursi, ergonomi, gangguan muskuloskeletal.
Study of treatment options in stricture urethra management and success rate in different types and sites of stricture
Authors: S. V. Krishna Rao , Penumatcha Preetam 
Published: February 2020

Background: A urethral stricture is a scar of the subepithelial tissue of the corpus spongiosum that constricts the urethral lumen. As the constriction progresses, obstruction develops and leads to symptoms either directly related to the obstruction or as a secondary consequence.Methods: All the cases of stricture urethra presented to our institute between June 2017 to June 2019 (n=60) in whom treatment was required were studied in a prospective manner. All cases of obstructive voiding symptoms are evaluated by conducting uroflowmetry studies (ESPON, gravimetric type). Obstructive voiding symptoms are evaluated by using the American Urological Association questionnaire.Results: The data collected was divided into 3 groups: infective causes of stricture (n=22), traumatic causes of stricture (n=14) and idiopathic causes of stricture (n=24). The mean age of presentation was 34.4 years (range of 20 to 50 years). 18 (30.00%) patients had stricture in the bulbo-urethra, 12 (20.00%) at the external meatus, 4 patients had stricture at the bulbo-membranous region. Procedures undertaken during the study were visual internal urethrotomy in 20, anastomotic urethroplasty in 17 patients and Augmented urethroplasty in 23 patients. In our series of 60 patients, 48 patients had a Qmax of >15 ml/sec. Average success rate was 80.1%, 12 patients had a Qmax of <15 ml/sec.Conclusions: It is unwise to make sweeping recommendations for best practice for reconstructive urethral surgery based on the literature because each patient clearly requires an individualized approach based on individual circumstances. Buccal mucosa is the most widely used graft has excellent results in all types of urethroplasty.
A very rare case report:Renal cell carcinoma metastasizing to the tonsil after 5 years of radical nephrectomy
Authors: Kılıçkap Yücel , Aktaş Mehmet , Kıran Lezgin , Gedik Abdullah , Bircan M.Kamuran 
Published: February 2020

Renal cell carcinoma (RCC), is the most common kidney cancer, that accounts for approximately 90% of all adult renal malignancies with 30% of patients presenting with metastasis at initial diagnosis.There are several reports of metastases developing after 10-20 years even if curative nephrectomy has been made. Clear cell (60%-75%), papillary (10%-15%), chromophobe (5%), and collecting duct carcinoma are well characterized subtypes of RCC.Renal cell carcinoma mainly metastasizes to the lungs,the bones,the liver,the lymph nodes and brain.Metastasis to the head and neck region is rare.In this case report we present a tonsil metastasis after 5 years of nephrectomy.Surgery with histopathological examination confirmed that metastasis of clear cell carcinom.The patient was successfully treated by surgery and referred to oncology.Later he was out of our follow-up.
Role of oral tranexamic acid in melasma
Authors: Sweta S Kumar , Awasthi Sankalp  , Jain Prateek 
Published: February 2020

Context: Melasma is a chronic, acquired hyperpigmentary disorder. Plethora of treatment options are available but none is promising and recurrence is common. Treatment of melasma using oral tranexamic acid is a novel concept.
Aims: To compare the efficacy of oral tranexamic acid with conventional topical therapy for the treatment of melasma.
Design: Prospective, parallel, randomized, comparative, clinical study.

Methods and Material: It was a prospective, randomized controlled trial conducted among 104 melasma patients. Patients were assigned into two groups (group A and group B) consisting of 52 patients each. Group A was given routine treatment measures along with oral Tranexamic Acid and photoprotection while Group B was treated only with routine topical measures and photoprotection. Oral Tranexamic Acid was prescribed at a dose of 250 mg BD for three months and patients were followed for three months. Clinical response was evaluated on the basis of Melasma Assessment Severity Index (MASI). Mean scores between the two groups were then compared.
Results: The MASI scores at baseline, 8 weeks and 12 weeks in group A were 18.24 + 1.05,6.13 + 4.9 and 2.19 + 2.3 respectively and in group B were 15.42 + 1.09,11.07 + 9.16 and 7.99 + 6.05. MASI score reduction percentage at the end of 12 weeks was 88% and 54.6% respectively indicating a greater decrease in the group taking Tranexamic acid and was statistically significant for both the groups with P< 0.05
Conclusion: Addition of oral tranexamic acid with the triple combination results in rapid and sustained response with less chances of relapse. So tranexamic acid is a great boon for the melasma patient as well as for the clinicians.
Efficacy of pre-emergence and post-emergence herbicides for weed management in groundnut (Arachis hypogaea L.) production in Guinea Savannah
Authors: Wilfred Kokonu Kojo , Kwame Dzomeku Israel , Xorse Kugbe Joseph 
Published: February 2020

Groundnut or peanut (Arachis hypogaea L.) has gained prominence as food and cash crop both in the domestic and export markets. In Ghana, the bulk of groundnut is produced in the Guinea savannah zone where it is vulnerable to weed infestation that results in average yields of about 800 kg/ha compared to developed countries of more than 3,000 kg/ha. This experiment was conducted in Tolon during the 2012 farming season to determine the most suitable combination of pre-emergence and post-emergence herbicides and/or hand weeding that could enhance efficient weed control and to assess the treatments that could promote yield and yield components of groundnut. Some local available herbicides and recommended rates used included: Pendimethalin at 0.15 kg a.i./ha, gallant super at 0.03 kg a.i./ha, agil at 0.02 kg a.i./ha, basagran at 0.14 kg a.i./ha. The study was laid out in RCBD with four replications. Results showed Pendimethalin at 0.15 kg a.i./ha plus gallant super at 0.03 kg a.i/ha at 4 weeks after planting (WAP) recorded the highest pod yield of 2436 kg/ha. All treatments recorded significantly high yield over the Weedy check. Weed biomass correlated negatively (r= -0.5074) with nodulation count while haulm yield showed a positive correlation coefficient of (r=0.4575*) with pod yield. Weed control efficiency of 94.8% showed pendimethalin at 0.15 kg a.i/ha plus agil at 0.02 kg a.i/ha at 4WAP was most effective in weed control. Herbicide application reduced weed index. Basagran at 0.14 kg a.i/ha at 4WAP plus one hand weeding at 7WAP recorded least weed index of 24%. The most dominant weeds were broadleaves such as Ageratum conyzoides (L), Corchorus olitorius (Linn) and Ludwigia abyssinica (A. Rich). Plots with uncontrolled weeds resulted in 69% loss of pod yield. In order of decreasing weed control, yield components and pod yield; Pendimethalin at 0.15 kg a.i./ha plus gallant super at 0.03 kg a.i/ha applied at 4 WAP was more effective than basagran at 0.14 kg a.i/ha at 4WAP plus 1HW at 7WAP and gallant super at 0.03 kg a.i/ha at 4 WAP plus 1HW at 7 WAP; and are recommended in that order to groundnut farmers in the Guinea savanna zone of Ghana.
Customer Loyalty Indicator of Mobile Payment Application in the Financial Service Industry: A Study of LinkAja
Authors: Tamara Dewi , Roesmawi Fifi , Febria Haras , Ariesta Izma Dwi 
Published: February 2020

Purpose – The main purpose of this journal is to analyse on performance expectation, effort expectation, social influence, facilitating condition, hedonic motivation, perceived technology security, and trust toward the customer loyalty of using LinkAja.
Research limitations/implications – This research presents the sample population of 197 participants responded to the survey in Indonesia in Java area, whereby 175 out of the number defined as users of LinkAja are valid responses that have been obtained for statistical analysis.
Methodology/approach - Data collection used in this journal are questionnaire and purposive sampling methods. This research has examined provided data and information through quantitative research with Multiple Linear Regression analysis method.
Findings – This research found that four independent variables, i.e. effort expectation, social influence, hedonic motivation, and trust are influencing the dependent variable of customer loyalty in using LinkAja. The result shows a performance expectation, facilitating condition and perceived technology security do not significantly influence customer loyalty.
Practical implications – There are 4 (four) main significant factors to maintain the customer loyalty of mobile payment application i.e. effort expectation, social influence, hedonic motivation, and trust.
Assessing Service Quality in the Ghanaian Private Healthcare Sector: The Case of Comboni Hospital.
Authors: Agbi Fortune Afi , Asamoah Eric Owusu , Joshua Sewu Gilbert Atteh 
Published: February 2020

The healthcare industry has become a paramount concern for most people in Ghana and the quality of services rendered to the patients in the private hospitals cannot be overemphasized. Patients need quality of services most and are willing to seek better services. The government has been the main provider of health care services in Ghana but recently, some Non-Governmental Organization’s (NGO’s), private individuals and stakeholders also provide health care services which has surged the competitiveness in creating more healthcare facilities in Ghana. This study seeks to explore patients' choice of selecting quality healthcare services and the factors that affect patient satisfaction in private hospitals using the Comboni Hospital in Sogakope, Ghana.
The study therefore used the quantitative research method to collect the data and SPSS version 22 was used to analyze the data on high-quality healthcare. Also, the SERVQUAL model was used as the measurement scale. Multiple regression analysis was used to reveal the effect of the independent variables (reliability, responsiveness, empathy, assurance, and tangibility) on the dependent variable (patient satisfaction). A detailed description in the analysis and the data processing identified the main factors affecting the general perceptions and patient preferences about their healthcare in the private hospital.
The study revealed that there exist a positive result and perception for quality healthcare services without a negative expectation of the patient healthcare being compromised. In this case, the study recommends that both the government and the private agencies should consider the important aspects of hospital’s healthcare management and also the policy and decision makers should have an efficient and effective standard that impact the quality of healthcare assessment in Ghana.