bluuebunny/crossref_metadata_2025_split huggingface dataset:
MIGRANT WOMEN IN THE REPUBLIC OF TATARSTAN: INTEGRATION STRATEGIES AND PRACTICES
Authors: Alekseevna Titova Tatyana , Valeryevna Frolova Elena , Gennadievna Gushchina Elena , Raisovna Sagitova Rimma 
Published: October 2019

Purpose: The relevance of the studied problem is due to the need for a comprehensive study of the adaptation of migrants to a foreign cultural environment in the regions of the Russian Federation. The aim of the article is to analyze the strategies and practices of the integration of migrant women in the Republic of Tatarstan for 2017-2018.
Methodology: The leading approach to the study of this problem is the polyparadigmatic methodology. The article describes the economic status of migrant women, their linguistic competences and the level of language proficiency in the host population languages and religious practices.
Result: It is concluded that migrant women have a fairly high level of intra-group cohesion and dependence on family and kinship ties. This, combined with a fixed low level of proficiency in the host population languages, makes it difficult for migrant women to integrate into the host community. The materials of the article can be useful for ethnologists, social and cultural anthropologists, political scientists, as well as representatives of bodies and structures responsible for interethnic interaction.
Applications: This research can be used for universities, teachers, and students.
Novelty/Originality: In this research, the model of Migrant Women in the Republic of Tatarstan: integration strategies and practices are presented in a comprehensive and complete manner.
Evaluation of Experiences and Perceptions of Family Physicians on Continuing Medical Education and the Effect on Daily Clinical Practice
Authors: KAFADAR Didem , ESEN Ayşe Didem , ARICA Seçil 
Published: October 2019

Introduction:
To increase, develop or maintain the knowledge and skills; to update the
medical approaches necessary for providing an effective healthcare service are
aimed through continuing medical education(CME) activities.In this study,we evaluated the factors influencing attendance to CME
activities along with the experiences in CME and perceptions of family physicians
about the effect of CME on their routine clinical practice.

Methods:A questionnaire developed by the researchers was implemented to family
physicians during 3 Family Medicine CME activities held
in consecutive 6 months.The questionnaire composed of
multiple-choice,open-ended,Likert-type questions about sociodemographic
characteristics, professional experience concerning CME. An index about perceptions
of participants about the effect of CME activities on their daily clinical
practice was developed and a score
≥ 20 points was considered as “positive
index score”.

Results: A total of 247 family physicians, consisting of 112 family medicine residents,
106 specialists and 29 general practitioners,participated in the study.The most
frequently mentioned barriers to participate in CME activities were economic
reasons and time constraints.Residents stated that CME was useful in the
recognition of new medications (p=0.006).General practitioners reported that
CME had more impact in early diagnosis and treatment(p=0.0001). There was no
difference between the reports of all groups on effects of CME on chronic
disease follow-up(p=0.078).Participants who had scores ≥20,which
revealed a positive perception on the impact of CME activities on their daily
clinical practice were 71%.

Conclusions:
Our study participant pyhsicians think that scientific activities and meetings
improve their daily clinical practice. Time constraint and economic reasons were reported highly as
barriers for attendance
to CME. “Perceived impact of CME activities on daily clinical
practice index” may be used for evaluation in different groups of participants
and meetings with variable themes.
18. YÜZYILDA YAZILMIŞ BİR NASİHAT KİTABI: LEVHNÂME
Authors: YİĞİTEROL Ömer Faruk 
Published: October 2019

Bu çalışma, Türk İslam edebiyatına ait bir makaledir. Üç
bölüme ayrılan bu çalışma; eserin müellifinin tespit edilmeye çalışıldığı
bölüm, eserin şekil ve muhteva özelliklerinin verildiği bölüm ve eserde yer
alan ayet ve hadislerin incelendiği bölümden müteşekkildir. İncelenen eser, Mevlânâ Muhammed Emîn
Müftîzâde’ye ait olduğu düşünülen Levhnâme adlı eserdir. Levhnâme, 1744 yılında
kaleme alınmıştır. Mesnevi nazım şekliyle yazılan bu eser, bir pendnâme
örneğidir. Toplamda 779 beyitten meydana gelmiştir. 18. yüzyıla ait olan bu
eser, yirmi sekiz bölümden meydana gelmektedir.
Eser, çeşitli başlıklarla farklı ahlaki konulardan bahsetmektedir. Bu
özelliğiyle Attar’ın Pendnâme’si ile benzerlik göstermektedir.

Çalışmanın birinci bölümünde;
Levhnâme’nin kütüphane kayıtlarında geçen Mevlânâ Resmî’ye ait olmadığı dile
getirilmiş ve bununla birlikte müellif olduğuna delilleriyle birlikte ispatlanmaya
çalışılan Mevlânâ Muhammed Emîn Müftîzâde’nin hayatından bahsedilmiştir. İkinci
bölümde; söz konusu eserin şekil ve muhteva özellikleri belirtilmiş ve eserin
yirmi sekiz bölümünün konularından bahsedilip bu konulara beyitlerle örnekler
sunulmuştur. Son bölümde de eserde yer alan ayet ve hadisler incelenmiştir.
The Development of a Standardized Pathway for Outpatient Ambulatory Fracture Surgery
Authors: Wolfstadt Jesse I. , Wayment Lisa , Koyle Martin A. , Backstein David J. , Ward Sarah E. 
Published: October 2019

Background:
Increased scrutiny of health-care costs and inpatient length of stay has resulted in many orthopaedic procedures transitioning to outpatient settings. Recent studies have supported the safety and efficiency of outpatient fracture procedures. The aim of the present study was to reduce unnecessary inpatient hospitalizations for healthy patients awaiting surgical treatment of a fracture by 80% by June 30, 2017, with a focus on timely, efficient, and patient-centered care.

Methods:
The study design was a time series using statistical process control methodology. Baseline data from October 2014 to June 2016 were compared with the intervention period from July 2016 to December 2018. The Model for Improvement was used as the framework for developing and implementing interventions. The main interventions were a policy change to allow booking of outpatient urgent-room cases, education for patients and nurses, and the development of a standardized outpatient pathway.

Results:
One hundred and eighty-seven patients during the pre-intervention period and 308 patients during the intervention period were eligible for the ambulatory pathway. The percentage of patients managed as outpatients increased from 1.6% pre-intervention to 89.1% post-intervention. The length of stay was reduced from 2.8 to 0.2 days, a decrease of 94.0%. Patient satisfaction remained high, and there were no safety concerns while patients waited at home for the surgical procedure.

Conclusions:
The outpatient fracture pathway vastly improved the efficiency and timeliness of care and reduced health-care costs. A patient-centered culture and support from hospital administration were integral in producing sustainable improvement.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Core Set of Radiographic Parameters for Shoulder Arthroplasty Monitoring
Authors: Durchholz Holger , Salomonsson Björn , Moroder Philipp , Lambert Simon , Page Richard , Audigé Laurent ,   on behalf of the Shoulder Arthroplasty (SA) Monitoring Steering Group, Sperling John , Schwyzer Hans-Kaspar 
Published: October 2019

Background:
Some unfavorable local events following shoulder arthroplasty occur without the patient experiencing symptoms and yet may be detected on diagnostic imaging, thereby serving as indicators of complications that may require revision. Our aim was to create a standardized protocol for an image-based monitoring process for assessing patients who are asymptomatic following shoulder arthroplasty.

Methods:
A Delphi exercise was implemented with the participation of an international panel of experienced shoulder surgeons. On the basis of expert opinion from a core steering group, an initial list of imaging parameters for shoulder arthroplasty monitoring of asymptomatic patients was developed and reviewed by panel members. The most appropriate imaging modality was identified. Between each survey, all feedback was considered in order to revise the proposed core set with its definitions and specifications. Consensus was reached upon a two-thirds agreement.

Results:
Three online surveys were administered, with 98 surgeons responding to the first and/or the second survey. The response rate for the final survey was 74%. Final parameter definitions were organized in 7 categories (implant migration, radiolucency around implant and implant loosening, signs of shoulder displacement, bone resorption and formation, wear of implant articular surfaces, fractures around the implant, and implant breakage and disassembly) and approved with 85% to 100% agreement. Seventy-eight percent of the panel members agreed on a minimum radiographic imaging schedule: standard anteroposterior and axial (alternatively, Y) views made within 6 weeks after implantation and between 3 and 6 months as well as at 12 months post-surgery.

Conclusions:
Our work presents a monitoring tool developed with international consensus for the assessment of asymptomatic patients after shoulder arthroplasty and including a structured core set of radiographic parameters. Clinical application and scientific evaluation of the monitoring process are needed.

Clinical Relevance:
This represents a major step toward the standardization of shoulder arthroplasty radiographic monitoring for routine quality controls and research investigations.
Combined Molecular and Morphological Taxonomy of the Beccarii/T3 Group of the Foraminiferal Genus Ammonia
Authors: Hayward Bruce W. , Holzmann Maria. , Tsuchiya Masashi 
Published: October 2019

AbstractA quest to collect live specimens of the well-known foraminifer Ammonia beccarii for sequencing has led to the recognition of five molecular species in Europe all related to it, but no live A. beccarii itself. The five molecular species all clump together in one clade (T3) of the Ammonia phylogenetic tree. All are characterized by large size, ornament on the umbilical side and a deep spiral, sutural fissure on the spiral side (beccarii morphogroup). All five molecular species can be discriminated based on distinct morphological differences as Ammonia batava (North Sea, northeast Atlantic, west Mediterranean Sea), A. corallinarum (northeast Atlantic, west Mediterranean Sea), A. pawlowskii n. sp. (Mediterranean Sea, west Indian Ocean), A. falsobeccarii (North Sea, east Atlantic seaboard, Mediterranean Sea, Persian Gulf), and A. neobeccarii (Mediterranean and Black seas). Using morphological characters, a further four species are recognized in the beccarii morphogroup for which no sequences are presently available: A. beccarii (Mediterranean Sea, northeast Atlantic), A. batava compacta (west Atlantic seaboard), A. debenayi n. sp. (west Indian Ocean), A. venecpeyreae n. sp. (west Mediterranean Sea, Gulf of Aden). One species, A. japonica (China, Japan, South Korea), for which sequences have been obtained, is included in the beccarii morphogroup based on morphological characteristics but differs genetically from the beccarii group. Another species, similar to A. falsobeccarii with secondary sutural openings on the spiral side but probably not part of the beccarii morphogroup because it lacks the spiral sutural canal typical of the group, is described as new – A. langeri (Indian Ocean, East Indies, south Australia). A growth series of A. beccarii topotypes from Rimini, north Adriatic Sea, is illustrated to aid in its recognition and a neotype designated and illustrated. Extinct fossil members of the beccarii morphogroup include A. ikebei, A. inflata, A. italica, A. nakazatoensis, A. punctatogranosa, A. reyi, A. togopiliensis, A. viennensis, and A. voorthuyseni.
Health system workforce’s performance capacity towards integrated leading, managing and governing practices: with special reference to the application of factor analysis and ordinal logistic regression
Authors: Ambelie Yeshambel Agumas , Alene Getu Degu , Gebrekiros Damen Hailemariam 
Published: October 2019

Abstract
AbstractObserving over-led and under-managed, over-managed and under-governed, and even out of these health organizations remains a common phenomenon in low and middle-income countries. The current study looks at the health system workforce’s performance capacity towards integrated leading, managing, and governing practices and its predictors in Ethiopia. Eight hundred thirteen health facility employees completed a multi-item questionnaire. The data were fitted to factor analysis and ordinal logistic regression models. The factor analysis was employed to develop a scientifically reliable and empirically scalable measurement model. The model was assembled from items rated, factors extracted and error variances observed. Besides, the health system workforce’s performance capacity was computed and labeled. Moreover, the ordinal logistic regression was conducted to identify predictors of the performance capacity. The outputs of factor analysis provided a four-factor measurement model. This model had acceptable estimates, composite reliability, and average variance extracted. Eighty-four percent of the participants had reported low (41.3%) and moderate (42.7%) performance capacity towards integrated leading, managing, and governing practices. Sex and responsibility were among significantly associated predictors. Empowering the health system workforce towards integrated leading, managing and governing practices using a scientifically reliable and empirically scalable model is important, particularly in resource-limited settings. In this regard, the policies and strategies should give due attention to females and service owners. The current results could provide a foundation for training and future research.
Analysis on the influence of the proportion and growth rate of different categories of drug clinical trial research funds on quality improvement in China recently six years
Authors: Chen Liran , Chen Huafang 
Published: October 2019

Abstract
Background: The China food and drug administration (CFDA) issued the Announcement of Self-examination and Inspection of Clinical Drug Trial Data on July 22, 2015. Great changes have taken place since the launch of the most stringent drug registration self-examination and inspection in history; the cost of clinical trials is one of the important changes. Methods: The paper compares the changes in the cost of clinical drug trials on both the number and the structure of the trials 3 years before and 3 years after self-examination and inspection were initiated by the CFDA,analyzes the impact on the cost of the clinical research coordinator ( CRC ), the labor service of researchers, audit companies, institutional drug management and quality control on the quality improvement of clinical drug trials. Conclusions: According to the article, the emergence and increase in most clinical trial costs are conducive to the quality enhancement of clinical drug trials,However, the emergence and continued increase of CRC costs can improve the quality of clinical drug trials in some ways and hinder it in others..To improve the quality of clinical trials, China must regulate the booming site management organization ( SMO ) market and actively formulate industry standards and qualification certifications for CRCs.
Exploration of the pathological mechanism of endometriosis in rats using high-throughput sequencing
Authors: Miao Furui , Li Zhenjuan , Li Muyue , Fan Yushan 
Published: October 2019

Abstract
Background : This study aimed to explore the pathological mechanism of endometriosis (EMs) in rats by high-throughput sequencing.
Methods : Rat EMs model, sham operation group and drug treatment group were established. Uterine tissue was collected for construction of sequencing library and high-throughput sequencing. Data quality was examined. KEGG pathway enrichment analysis was carried out.
Results : Percentages of both high-quality sequence Reads and high-quality sequence bases accounted for more than 98%, suggesting that the data quality was acceptable. Total sequences mapped to reference genome (Total Mapped) accounted for more than 90% of total sequences used for mapping (Clean Reads), suggesting that the mapping results of the sequencing data were acceptable. There were 440 differentially expressed genes (DEGs) in the drug treatment group compared with the sham operation group, 382 DEGs in the drug treatment group compared with the model group, and 503 DEGs in the sham operation group compared with the model group. We screened genes ENSRNOG00000023079 and ENSRNOG00000012175 related to vascular endothelial growth factor pathway. The DEGs were mainly enriched in the signaling pathways such as phagosome, natural killer cell mediated cytotoxicity, Janus kinase-signal transducers and activators of transcription signaling pathway, hematopoietic cell lineage, cytokine-cytokine receptor interaction, regulation of actin cytoskeleton and extracellular matrix-receptor interaction.
Conclusions : EMs might begin with the inflammatory response of the ectopic endometrium. Phagocytes played a key role in this process. The ectopic endometrium adhered to the abdominal wall with the help of the inflammation reaction, generated blood vessels, and finally transformed into growing lesions.
Testing and Refining a Neonatal Resuscitation Training Model for Semi-Skilled Birth Attendants to Manage Neonatal Emergencies in Oyo State, Nigeria.
Authors: Olaniyi Adenike , Ncama Busisiwe 
Published: October 2019

Abstract
Background: Helping Babies Breathe (HBB) is a stimulated-based educational model developed to training birth attendants in low-income counties in basic neonatal stabilization. The scientific basis of HBB stemmed from neonatal evidence evaluation. Evaluation of this model gives an exhaustive understanding of the effectiveness of the training process and potential needs for improvement. Methods: This was a mixed method study conducted to test an existing, and develop an acceptable model suitable for the training of semi-skilled birth attendants in rural Nigeria. Data intake was both quantitative and qualitative using sequential approach. Questionnaire was used for quantitative data collection, while focus group discussions and individual in-depth interviews were adopted for qualitative. Qualitative data was entered into SPSS version 21, qualitative data were digitally recorded and transcribed. Both sets of data was coded and analyzed. Result: Findings from this study revealed very poor knowledge and skills of neonatal resuscitation among semi-skilled birth attendants before training was instituted. Their knowledge and resuscitative skills improved immediately after the training. The adapted model was evaluated and refined to suit the training of semi-skilled birth attendants in rural Nigeria. The outcomes were impressive, almost all respondents had improved skills in both newborn care and resuscitation of asphyxiated newborns. Conclusion: This refined model of training of semi-skilled birth attendants will improve neonatal care through advancement of educational efficacy. This model of training should be implemented by relevant stakeholders in the care of children to reduce newborn mortality and improve survival. Keywords: Neonatal, Testing, Refining, Community Health Worker, Hypoxia
Validation of the Tokyo guideline 2018 treatment proposal for acute cholecystitis from a single-center retrospective analysis
Authors: Bekki Tomoaki , Abe Tomoyuki , Amano Hironobu , Hanada Keiji , Kobayashi Tsuyoshi , Ohdan Hideki , Noriyuki Toshio 
Published: October 2019

Abstract
Background Based on the revised Tokyo guideline 2018 (TG18), early laparoscopic cholecystectomy (LC) is recommended in patients who satisfy the Charlson Comorbidity Index (CCI) criteria and the American Society of Anesthesiologists Physical Status Classification (ASA-PS). Our study aims to determine the efficacy of TG18 treatment strategy. Methods We enrolled 324 patients with acute cholecystitis (AC) diagnosed by TG18 who underwent cholecystectomy between 2010 and 2018. Perioperative variables and surgical outcomes were analyzed according to the TG18 treatment strategy and severity grading. Results ASA-PS scores and CCI were significantly higher in patients with Grade II (GII) and GIII AC. Higher severity grading resulted in failed LC, requiring blood transfusion and bailout surgery. The TG18 within group showed a higher proportion of GI and GII AC and their ASA-PS scores were also significantly lower. TG18 within group demonstrated significant differences in the achievement of LC, bailout surgery, postoperative hospital stays, and 90-day mortality rates. Intraoperative blood loss and blood transfusion were significantly higher in the TG18 outside group than that in the TG18 within group. Conclusions Our study shows that the TG18 treatment strategy is well-designed and efficacious. Novel findings Our study established the feasibility and efficacy of TG18. The usefulness of performing aggressive surgery beyond the TG18 strategy requires further study.
What about Gastric Schwannoma? A systematic review
Authors: Lauricella Sara , Valeri Sergio , Masciana Gianluca , Mazzotta Erica , Pagnoni Chiara , Saponaro Costanza , Falcone Lorenza , Benvenuto Domenico , Caricato Marco , Capolupo Gabriella Teresa 
Published: October 2019

Abstract
Background Gastric schwannomas (Gs) are rare mesenchymal neoplasms of the gastrointestinal tract. Diagnosis is commonly achieved by pathological examination of resected specimen. In most cases surgical resection of submucosal gastric lesions is performed with wide margins. New minimally invasive techniques are described in an increasing number of cases. Methods A Pubmed, Cochrane and Embase systematic review of the literature has been performed. Original papers, review articles, case reports published between 1988 and 2019 were considered eligible. Only papers written in English with full text available have been included. Articles reporting a follow up period, the type of treatment of the primary tumor and the appearance of local or distant recurrence were compared and analysed. Statistical analysis of data has been performed using GraphPad Prism 7 software. Results 328 articles were found and a total of 102 were included in the analysis. Fifty-three papers reported the follow-up information, ranging from 1-417 months across different studies. Among them, 31 patients underwent endoscopic removal of the gastric lesions, 140 patients local surgery, including wedge resection or partial gastrectomy and 148 patients underwent subtotal or total gastrectomy. The median follow-up was of 27-38-33 months respectively. No recurrence or distant metastasis were detected in endoscopic group. Among local surgery group, liver metastasis was reported in one case; in extended surgery group one patient died for multiple liver metastases. Conclusions In comparison with endoscopic group, local or more extended surgery involved a larger cohort of patients and reported satisfactory long-term results. Surgical approach in absence of a definite pre-operative diagnosis is considered the gold standard treatment for resectable Gs due to the excellent long-term outcome. Further studies are warranted to define the role of endoscopic treatment. Keywords : Schwannoma, neurinoma, gastric neurinoma, gastric schwannoma.