bluuebunny/crossref_metadata_2025_split huggingface dataset:
Theoretical Basis of Practice and Social Workers Professional Training for the Health Care: Retrospective Review
Authors: Klos Liliia 
Published: August 2020

Teoretyczne podstawy praktyk i szkoleń zawodowych pracowników socjalnych zatrudnionych w systemie opieki zdrowotnej: przegląd retrospektywny
Wstęp. Międzynarodowe doświadczenia w zakresie pracy socjalnej w sektorze opieki zdrowotnej pokazują, że czynności wykonywane przez pracownika socjalnego wywierają znaczący wpływ na zdrowie obywateli i są konieczne dla poprawy dobrostanu społeczeństwa.
Cel. Celem badań było przeanalizowanie zaawansowanych rozwiązań teoretycznych opracowanych za granicą, dotyczących szkolenia pracowników socjalnych służby zdrowia pod kątem zastosowania ich na Ukrainie.
Materiały i metody. Wybrano, usystematyzowano i przeanalizowano 53 opracowania naukowe i naukowo-praktyczne dotyczące zagadnień filozoficznych, psychologicznych, pedagogicznych, medycznych oraz problemów pracowników socjalnych zatrudnionych w sektorze ochrony zdrowia. Na podstawie porównania i syntezy otrzymanych informacji dokonano ich uogólnienia, a wyniki przedstawiono w formie wniosków.
Wyniki. Działania pracowników socjalnych zatrudnionych w systemie opieki zdrowotnej bazują na dwóch podstawowych grupach teorii – podstawowych, opierających się na rezultatach działań socjalnych, oraz tych adaptowanych z psychologii, psychiatrii, bioetyki, opieki pielęgniarskiej, opieki zdrowotnej, socjologii i administracji.
Wnioski. W pracy socjalnej w sektorze opieki zdrowotnej najczęściej wykorzystywane są teorie zachowań zdrowotnych (model przekonań zdrowotnych, teoria działań celowych, zachowanie zaplanowane), teorie bazujące na relacjach społecznych (zachowania społeczne, zachowanie w trakcie korzystania z usług medycznych), a także model transteoretyczny. W szkoleniu pracowników socjalnych, zatrudnionych w systemie opieki zdrowotnej, ważne są zarówno teorie podstawowe jak i te adaptowane. W praktyce ważne jest ich wszechstronne zastosowanie, a także wiedza eklektyczna w odniesieniu do interdyscyplinarnego charakteru takiej pracy socjalnej.
Noël-Antoine Pluche and the Spectacularity of Nature
Authors: Drozdek Adam 
Published: August 2020

Noël-Antoine Pluche i spektakularność przyrody
Artykuł przedstawia poglądy abbé Pluche’a, którego książki były bardzo popularne w osiemnastowiecznej Francji. W Spektaklu przyrody i w Historii niebios chciał wzbudzić w czytelnikach zainteresowanie otaczającym ich światem, bowiem według niego przyroda jest księgą napisaną przez Boga-Stwórcę, a czytając ją właściwie, ludzie mogą zobaczyć opatrznościową opiekę Boga. Aby walczyć z atomizmem i przypadkowością w przyrodzie, Pluche wprowadził do fizyki szereg podstawowych substancji jako fundamentalnych elementów przyrody, z których szczególnie ważne było światło.
Pluche poświęcił wiele uwagi problemowi pochodzenia religii i obrzędów religijnych. Według niego monoteizm był pierwotną religią, a bałwochwalczy politeizm to jego późniejsze wypaczenie.
Cleft palate, treatment and complications
Authors: Davari Heidar Ali , Jafari Marzieh , Zandi Esfahani Hamed 
Published: August 2020

Introduction: The purpose of this study is to determine the incidence of velopharyngeal insufficiency (VPI), fistulae and recurrence development in patients seen by the Isfahan Cleft Care Clinic and also determine the association of gender, age at repair, and cleft type with the incidence of each.
Methods and materials: In this retrospective study, 320 children who had undergone a primary cleft palate surgery and who had come to the Cleft lip and palate in Isfahan in 2010-2017 were studied based on the medical records and Information about each patient. Then all patients were evaluated by standard speech assessment methods for severity of hypernasalitis and screened for clinical manifestations of fistula and recurrence.
Results: According to the results of this study, the incidence of velopharyngeal insufficiency after initial repair was 78.1% and most of these patients had severe form. The results also showed that by increasing age at surgery also increased the intensity of velopharyngeal insufficiency, and the severity of this complication has nothing to do with gender. In the case of fistula and recurrence of cleft showed that, in patients who are undergoing the new procedure to be significantly less than other patients.
Conclusion: According to the study, palatoplasty complications such as velopharyngeal insufficiency, fistula, and recurrence were less common in patients treated with microsurgery, Therefore, it can be concluded surgical repair of cleft palate should be performed before 12 months ages and in microsurgery methods. It seems that follow up of these patients after surgery for monitoring of speech complications is necessary.
Quality of Life Following Brain Injury: Perspectives from Brain Injury Association of America State Affiliates
Authors: Degeneffe Charles Edmund , Tucker Mark 
Published: August 2020

Objectiveto examine the perspectives of brain injury professionals concerning family members' feelings about the quality of life experienced by individuals with brain injuries. Participants: participating in the study were 28 individuals in leadership positions with the state affiliates of the Brain Injury Association of America (BIAA).Methodsan electronic survey containing open-ended questions was utilized to solicit qualitative statements concerning family members' feelings about the quality of life experienced by individuals with brain injuries. A constant comparative process was employed to identify themes expressed with a degree of consensus among respondents.Resultsthe following six themes were identified: (a) variability in quality of life; (b) the role of access to and quality of services in determining quality of life; (c) factors associated with negative quality of life; (d) the importance of social relationships in moderating quality of life; (e) post-injury factors influencing quality of life; and (f) the relationship between family socioeconomic status and quality of life.Conclusionsrespondents believed that families felt quality of life was more negative than positive, but was moderated by a variety of contextual factors. These findings reinforce the significance of enhancing professional services and program funding for individuals with brain injury.
PENGARUH PERILAKU KEWIRAUSAHAAN TERHADAP KINERJA USAHATANI KARET DI PROVINSI JAMBI
Authors: Khairiyakh Refaul , Elwamendri Elwamendri , Amalia Dwi Nurul 
Published: August 2020

<p align="center"><strong>Abstrak: </strong>Penelitian ini bertujuan untuk mengetahui pengaruh perilaku kewirausahaan terhadap kinerja usahatani karet di Provinsi Jambi. Lokasi yang dipilih yaitu Kabupaten Batanghari dan Kabupaten Muaro Jambi. Lokasi dipilih secara <em>purposive</em> dengan pertimbangan bahwa kedua wilayah merupakan wilayah pengembangan karet berdasarkan <em>masterplan</em> pengembangan karet Provinsi Jambi. Pemilihan kecamatan dan desa dengan karakteristik yang sama yaitu kecamatan dan desa yang menghasilkan produksi karet rakyat terbesar. Metode analisis yang digunakan adalah <em>Structural Equation Modelling</em> (SEM). Dari hasil penelitian diketahui bahwa perilaku kewirausahaan petani berpengaruh terhadap kinerja usahatani karet. Indikator variabel laten kewirausahaan yang memiliki nilai terbesar adalah penerimaan terhadap risiko. Sementara itu, indikator variabel laten untuk kinerja usahatani dengan nilai loading faktor terbesar adalah pendapatan.</p><p align="center"> </p><p><strong><em>Abstract: </em></strong><em>This study aims to determine the effect of entrepreneurship behavior on the performance of rubber in Jambi Province. This research was conducted in rubber production center area in Jambi Province. The selected locations are Batanghari and Muaro Jambi Region. The location was chosen purposively with the consideration that the two regions are rubber development areas based on the rubber development masterplan of Jambi Province. Selection of villages was with the same characteristics of sub-districts, and villages that resulted in the largest production of smallholder rubber. The method of analysis that used was Structural Equation Modeling (SEM). SEM analysis is a development or combination of several multivariate techniques. SEM applications are primarily intended to derive structural models. From the results of the study note that entrepreneurship behavior of farmers affect the performance of rubber farming. The indicator of the latent variable of entrepreneurship that has the greatest value is the acceptance of risk. Meanwhile, the latent variable indicator for farming performance with the biggest loading factor is income.</em></p>
Metatarsal Transfer Associated with Microsurgical Flap in Exposed Foot Fracture
Authors: Haje Davi de Podestá , Silva Cássio Clei da 
Published: August 2020

Case:
A 35-year-old female patient presented with an exposed forefoot fracture with bone and dermal loss after a vehicular accident. There was a bone defect at the level of the second toe and the third metatarsal. She was treated by second toe resection and second metatarsal transfer to augment the third metatarsal diaphysis ray (nonvascularized, without any soft-tissue envelope) and a microsurgical forearm flap.

Conclusion:
As one option among the reconstruction techniques available for a metatarsal segmental defect, metatarsal transfer associated with a fasciocutaneous radial forearm flap proved to be effective in this patient.
Early Failure of a Carbon-Fiber-Reinforced Polyetheretherketone Distal Femur Plate
Authors: Goudriaan W. Alexander , Tordoir Rutger L. , Broekhuis Demien , van der Wal Robert J.P. 
Published: August 2020

Case:
In this case, we report on a carbon-fiber-reinforced polyetheretherketone plate failure 4 months after implantation, radiation therapy, chemotherapy, and protective weight-bearing in a 75-year-old woman who sustained a nontraumatic pathological distal femur fracture due to lymphoma.

Conclusion:
Although carbon-fiber composite implants are regularly used and, to date, there have been no reports of early clinical failures, the longevity of the implant's structural integrity after high-dose radiation and/or chemotherapy treatment has not been fully explored. Therefore, we deem it too early to conclude that carbon-fiber-reinforced polyetheretherketone implants are superior to conventional implants in treating (pathological) fractures.
The role of tobacco and alcohol use in the interaction of social determinants of non-communicable diseases in Nepal: a systems perspective
Authors: Sharma Sudesh Raj , Matheson Anna , Lambrick Danielle , Faulkner James , Lounsbury David W , Vaidya Abhinav , Page Rachel 
Published: August 2020

Abstract
Background: Tobacco and alcohol use are major behavioural risks in developing countries like Nepal, which are contributing to a rapid increase in non-communicable diseases (NCDs). This causal relationship is further complicated by the multi-level social determinants such as socio-political context, socio-economic factors and health systems. The systems approach has potential to facilitate understanding of such complex causal mechanisms. The objective of this paper is to describe the role of tobacco and alcohol use in the interaction of social determinants of NCDs in Nepal. Method: The study adopted a qualitative study design guided by the Systemic Intervention methodology. The study involved key informant interviews (n=63) and focus group discussions (n=12) at different levels (national, district and/or community) and was informed by the adapted Social Determinants of Health Framework. The data analysis involved case study-based thematic analysis using framework approach and development of causal loop diagrams. The study also involved three sense-making sessions with key stakeholders. Results: Three key themes and causal loop diagrams emerged from the data analysis. Widespread availability of tobacco and alcohol products contributed to the use and addiction of tobacco and alcohol. Low focus on primary prevention by health systems and political influence of tobacco and alcohol industries were the major contributors to the problem. Gender and socio-economic status of families/communities were identified as key social determinants of tobacco and alcohol use. Conclusion: Tobacco and alcohol use facilitated interaction of the social determinants of NCDs in the context of Nepal. Socio-economic status of families was both driver and outcome of tobacco and alcohol use. Health system actions to prevent NCDs were delayed mainly due to lack of system insights and commercial influence. A multi-sectoral response led by the health system is urgently needed.
Sex differences in campylobacteriosis incidence rates at different ages - a seven country, multi-year, meta-analysis. A potential mechanism for the infection.
Authors: Green Manfred S , Schwartz Naama , Peer Victoria 
Published: August 2020

Abstract
Background . There is evidence that males have higher incidence rates (IR) of campylobacteriosis than femlaes. The objectives of this study were to determine whether the sex differences differ between age groups and are consistent over different countries and over different time periods. Methods. We obtained data on incidence rates of campylobacteriosis by sex and age group over a period of 11-26 years from seven countries. Male to female incidence rate ratios (IRR) were computed by age group, country and time period. For each age group, we used meta-analytic methods to combine the IRRs. Sensitivity analysis was used to test whether the results are robust to differences between countries and time periods. Meta-regression was conducted to estimate the different effects of age, country, and time period on the IRR. Results . In the age groups <1, 1-4, 5-9, 10-14, 15-44, 45-64 and 65+ years old, the pooled IRRs (with 95% CI) were 1.31 (1.26-1.37), 1.34 (1.31-1.37), 1.35 (1.32-1.38), 1.73 (1.68-1.79), 1.10 (1.08-1.12), 1.19(1.17-1.21) and 1.27 (1.24-1.30), respectively. For each age group, the excess campylobacteriosis incidence rates in males differed at different age groups. However, despite some quantitative differences between countries, the excess was consistently present over long time-periods. In meta-regression analysis, age group was responsible for almost all the variation in the IRRs. Conclusions . The male predominance in campylobacteriosis incidence rates starts in infancy. This suggests that this is due, at least in part, to physiological or genetic differences and not just behavioural factors. These findings can provide clues to the mechanisms of the infection and could lead to more targeted treatments and vaccine development.
Genetic variants in MIR17HG affect the susceptibility and prognosis of glioma in a Chinese Han population
Authors: Feng Jigao , Ouyang Yibin , Xu Dedong , He Qinglong , Liu Dayuan , Fan Xudong , Xu Pengxiang , Mo Yehe 
Published: August 2020

Abstract
Background: lncRNA MIR17HG was upregulated in glioma, and participated in promoting proliferation, migration and invasion of glioma. However, the role of MIR17HG polymorphisms in the occurrence and prognosis of glioma is still unclear.Methods: In the study, 592 glioma patients and 502 control subjects were recruited. Agena MassARRAY platform was used to detect the genotype of MIR17HG polymorphisms. Logistic regression analysis was used to evaluate the relationship between MIR17HG single nucleotide polymorphisms (SNPs) and glioma risk by odds ratio (OR) and 95% confidence intervals (CIs). Kaplan–Meier curves, Cox hazards models were performed for assessing the role of these SNPs in glioma prognosis by hazard ratios (HR) and 95% CIs.Results: We found that rs7318578 (OR = 2.25, p = 3.18´10-5) was significantly associated with glioma susceptibility in the overall participants. In the subgroup with age < 40 years, rs17735387 (OR = 1.53, p = 9.05´10-3) and rs7336610 (OR = 1.35, p = 0.016) were related to the higher glioma susceptibility. More importantly, rs17735387 (HR = 0.82, log-rank p = 0.026) were associated with the longer survival of glioma patients. The GA genotype of rs17735387 had a better overall survival (HR = 0.75, log-rank p = 0.013) and progression free survival (HR = 0.73, log-rank p = 0.032) in patients with Ⅰ-Ⅱ glioma. We also found that rs72640334 was related to the poor prognosis (HR = 1.49, Log-rank p = 0.035) in female patients. In the subgroup of patients with age ³ 40 years, rs17735387 was associated with a better prognosis (HR = 0.036, Log-rank p = 0.002).Conclusion: Our study firstly reported that MIR17HG rs7318578 was a risk factor for glioma susceptibility and rs17735387 was associated with the longer survival of glioma among Chinese Han population, which might help to enhance the understanding of MIR17HG gene in gliomagenesis.
Missed opportunities for diagnosis and treatment in patients with tuberculosis symptoms: a systematic review
Authors: Divala Titus Henry , Lewis Joe , Bulterys Michelle , Lutje Vittoria , Corbett Elizabeth , Schumacher Samuel , MacPherson Peter 
Published: August 2020

Abstract
Background Identification of symptomatic patients followed by prompt on-site investigation form the foundation of facility-based tuberculosis (TB) screening and diagnosis. However, underdiagnosis is common, contributing to ongoing transmission and adverse health outcomes. We conducted this systematic review with the hypothesis that underdiagnosis is largely secondary to patient drop out from presentation, through the diagnostic and care pathway, to treatment initiation. Methods We searched (to 22 January 2019) MEDLINE, Embase, and Cinahl for studies investigating the pathway of care for patients (and standardised patients) presenting to health facilities or pharmacies with TB symptoms. We used QUADAS-2 to assess risk of bias. We reported the proportions of symptomatic patients at each stage of the diagnostic and care pathway from symptom screening to treatment initiation. Results After screening 3,184 titles and abstracts, we identified 14 eligible studies. None provided data addressing the full cascade of care from clinical presentation to treatment initiation in the same patient population. Symptom-screening, the critical entry point for diagnosis of TB, was not done for 40%, 50%, and 96% of symptomatic participants in the three studies that reported this outcome. The proportion of symptomatic attendees offered a diagnostic investigation (data available for 13 studies), was very low with a study level median of 38% (IQR: 22% to 45%, range 5% to 84%).Conclusions Inefficiencies of the TB symptom screen-based patient pathway are a major contributor to underdiagnosis of TB in health facilities, and reflect inconsistent implementation of longstanding guidelines to ask all patients attending health facilities about respiratory symptoms and to offer diagnostic tests to all patients promptly once TB symptoms are identified. Better screening tools and interventions to improve the efficiency of TB screening and diagnosis pathways in health facilities are urgently needed.
Sickness absence trajectories following labour market participation patterns: a cohort study in Catalonia (Spain), 2012-2014
Authors: Hernando-Rodriguez JC , Serra L , Benavides FG , Ubalde-Lopez M 
Published: August 2020

Abstract
Background Previous studies have focused on the relationship between employment pathways and health-related outcomes based on cross-sectional or longitudinal approaches. However, little is known about the cumulative effects of employment status mobility on sickness absence (SA) over time. The aim of the present study was to examine the association between prior labour market participation (LMP) patterns and SA trajectories from a life-course perspective.
Methods This cohort study was based on a sample of 11,968 salaried workers living in Catalonia and affiliated with the Spanish Social Security system, who accumulated more than 15 days on SA in at least one quarter during 2012–2014. Individuals were grouped into three different working life stages: early (18–25 years), middle (26–35 years), and late (36–45 years). To identify LMP patterns, we applied sequence analysis and cluster analysis (2002–2011), and we used latent class growth modelling to identify SA trajectories (2012–2014). Finally, we applied multinomial logistic regression models to assess the relationship between LMP patterns and SA trajectories.
Results The analyses yielded six LMP patterns: stable employment (value range: 63%–81%), increasing employment (5%–22%), without long-term coverage (7%–8%), decreasing employment (4%–10%), fluctuant employment (13%–14%), and steeply decreasing employment (7%–9%). We also identified four SA trajectories: low stable (83%–88%), decreasing (5%–9%), increasing (5%–11%), and high stable (7%–16%). However, the only significant association we identified for LMP patterns and SA trajectories was among young men, for whom an increasing employment pattern was significantly associated with a lower risk for increased days on SA (adjusted odds ratio: 0.21; 95% confidence interval: 0.05–0.96).
Conclusions SA trajectories are generally not related to prior 10-year LMP patterns at any stage of working life. To disentangle this relationship, future research might benefit from considering working life transitions with a quality-of-work approach framed with contextual factors closer to the SA course.
Assessment of Water, Sanitation and Hygiene Services in Healthcare Facilities in the Greater Kampala Metropolitan Area, Uganda
Authors: Kayiwa Denis , Mugambe Richard K. , Mselle Jane Sembuche , Isunju John Bosco , Ssempebwa John C. , Wafula Solomon Tsebeni , Ndejjo Rawlance , Kansiime Winnie K , Nalugya Aisha , Wagaba Brenda , Zziwa Jude. B. , Bwire Constance , Buregyeya Esther , Radooli Martin Othieno , Kimbugwe Ceaser , Namanya Emily , Bateganya Najib Lukooya , McGriff Joanne A. , Wang Yuke , Ssekamatte Tonny , Habib Yakubu 
Published: August 2020

Abstract
Background: Improved Water, Sanitation and Hygiene (WASH) in Healthcare facilities (HCFs) is of significant public health importance. It is associated with a reduction in the transmission of healthcare acquired infections (HAIs), increased trust and uptake of healthcare services, cost saving from infections averted, increased efficiency and improved staff morale. Despite these benefits, there is limited evidence on availability of WASH services in HCFs in the Greater Kampala Metropolitan Area (GKMA). This study assessed the availability of WASH services within HCFs in the GKMA in order to inform policy and WASH programming.Methods: A cross-sectional study was conducted in 60 HCFs. Availability of WASH services in the study HCFs was assessed using a validated WASH Conditions (WASHCon) tool comprising of structured interviews, HCF observations and microbial water quality analysis. Data were analysed using Stata 14 software and R software. Results: Overall, 84.5% (49/58) and 12.1% (7/58) of HCFs had limited and basic WASH service respectively. About 48.3% (28/58) had limited water service, 84.5% (49/58) had limited sanitation service, 50.0% (29/58) had limited environmental cleanliness service, 56.9% (33/58) had limited hand hygiene service, and 51.7% (30/58) had limited waste management service. About 94.4% of public HCFs had limited WASH service compared to only 68.2% of private not for profit facilities. More health centre IIIs, 92.5% and health centre IVs (85.7%) had limited WASH service compared to hospitals (54.5%).Conclusions: Our findings indicate that provision of water, sanitation, hand hygiene, environmental cleanliness, and health care waste management services within HCFs are largely hindered by structural and performance limitations. In spite of these limitations, it is evident that environmental cleanliness and treatment of infectious waste can be attained with better oversight and dedicated personnel. Attaining universal WASH coverage in HCFs will require deliberate and strategic investments across the different domains.