bluuebunny/crossref_metadata_2025_split huggingface dataset:
Lesão por pressão relacionada à dispositivos médicos: Revisão integrativa
Authors: Girondi Juliana Balbinot Reis , Soldera Daniela , Ramalho Aline de Oliveira , Amante Lúcia Nazareth , Inácio Bianka Corrêa , Silva Bettina Heidenreich 
Published: September 2020

Resumo: Objetivos: Identificar e analisar o grau de evidência dos estudos publicados sobre cuidados de Enfermagem para prevenção, diagnóstico e tratamento de lesões por pressão relacionadas a dispositivos médicos. Método: Revisão integrativa nas bases Base de Dados de Enfermagem, Latino-Americana e do Caribe em Ciências da Saúde, Cumulative Index to Nursingand Allied, Medical Literature Analysisand Retrieval System Online, Web of Science, as bibliotecas Cochrane e Scientific Electronic Library Online e Elsevier, período entre 2014 e 2018. Os dados dos artigos e resultados foram apresentados em quadro e o corpus de análise foi configurado em três categorias de acordo com a análise temática de conteúdo sendo: Fatores de risco com foco na prevenção de lesão por pressão relacionada a dispositivos médicos; Recursos para avaliação diagnóstica de Enfermagem relacionada à lesão por pressão relacionada a dispositivo médico; Cuidados de Enfermagem para o tratamento de lesão por pressão relacionada a dispositivo médico. Resultados: foram identificadas 1163 produções e selecionados 12 artigos onde apenas dois foram classificados com nível de evidência forte, e cinco com nível de evidência fraca. Conclusões: Se faz necessário pesquisas voltadas para prevenção, diagnósticos de enfermagem e tratamento, ações de educação continuada direcionadas instrumentalizar os enfermeiros de modo a minimizar a ocorrência de lesão por pressão relacionada a dispositivo médico.
Perception of BDS students of Kathmandu University on online learning during COVID-19 pandemic
Authors: Gupta Alka , Shrestha Rabindra Man , Shrestha Sujita , Acharya Asal , Pandey Nashib 
Published: September 2020

Introduction: The spread of COVID-19 pandemic has gripped the entire world and caused widespread public health concerns, hampered economics and education system immensely. Online classes have been an alternative to give continuity to the theory classes. The objective of this study is to assess the various aspects of online classes and perception of Bachelor of Dental Surgery (BDS) students of Kathmandu University (KU) during COVID-19 pandemic.
Materials and Method: Cross-sectional, questionnaire based descriptive study using online Google form was distributed among the BDS students of KU. The questionnaire was distributed via social media. Frequency distribution of the descriptive data was done. Chi-square test was done to assess the difference in perception about online classes between the basic science and clinical science students.
Result: 89% of the students had never attended any online classes before online education due to COVID-19 pandemic. 76.9% agreed that the online class is distracting. 57.5% used smartphone for seeking online class and medium most frequently used was Zoom platform. 70.2% students could ask questions, communicate & receive response during online class. 55.4% students disagreed that online classes are more effective. Statistical significant differences were seen in students submitting assignments, communication and practical simulation among basic science and clinical science students.
Conclusion: Online class can serve as an alternative effective educational tool. With more practice, system upgrading, capacity building of the student-teacher; it is bound to be more effective as well as efficient. The online class should be designed in such a way that student can focus and find it more interesting and should introduce various strategies to increase the interaction between students and teachers. Further, training on online class is required for both course recipients and providers.
Analisis Reliabilitas dan Responsivitas dalam Pelayanan Penanggulangan Bencana Alam Kebakaran pada Badan Penanggulangan Bencana Daerah di Kabupaten Aceh Singkil
Authors: Manik Abidah , Kusmanto Heri , Lubis Maksum Syahri 
Published: September 2020

Tujuan penelitian ini adalah menganalisis reliabilitas dan responsivitas Badan Penanggulangan Bencana Daerah (BPBD) dalam penanggulangan bencana kebakaran di Kabupaten Aceh Singkil. Bentuk penelitian yang digunakan adalah penelitian kualitatif yang bersifat deskriptif. Berdasarkan hasil penelitian dan pembahasan disimpulkan realibilitas dan responsivitas BPBD Kabupaten Aceh Singkil dalam penanggulangan kebakaran belum baik. Beberapa hal yang disarankan antara lain melakukan pelatihan bagi pegawai honor, menambahkan jumlah posko pemadam kebakaran, menjalin kerjasama dengan instansi lain terkait ketersediaan air serta lebih memperhatikan dan menanggapi keluhan masyarakat. Kendala umum yang sering dialami BPBD Kabupaten Aceh Singkil pada saat terjadi kebakaran adalah kesulitan dalam upaya penanganannya di lapangan diantaranya keterbatasan jumlah air dan sumber air di lokasi kebakaran, tidak tersedianya fasilitas pemadaman kebakaran di lingkungan dan pada bangunan, serta respon dari unit pemadam kebakaran yang kadang terlambat tiba di lokasi dikarenakan jauhnya jarak tempuh dan kondisi lalu lintas.
Pediatric hydrocephalus outcomes in Lusaka, Zambia
Authors: Reynolds Rebecca A. , Bhebhe Arnold , Garcia Roxanna M. , Zhao Shilin , Lam Sandi , Sichizya Kachinga , Shannon Chevis N. 
Published: September 2020

OBJECTIVEHydrocephalus is a global disease that disproportionally impacts low- and middle-income countries. Limited data are available from sub-Saharan Africa. This study aims to be the first to describe pediatric hydrocephalus epidemiology and outcomes in Lusaka, Zambia.METHODSThis retrospective cohort study included patients < 18 years of age who underwent surgical treatment for hydrocephalus at Beit-CURE Hospital and the University Teaching Hospital in Lusaka, Zambia, from August 2017 to May 2019. Surgeries included ventriculoperitoneal shunt insertions, revisions, and endoscopic third ventriculostomies (ETVs) with or without choroid plexus cauterization (CPC). A descriptive analysis of patient demographics, clinical presentation, and etiologies was summarized, followed by a multivariable analysis of mortality and 90-day complications.RESULTSA total of 378 patients met the inclusion criteria. The median age at first surgery was 5.5 (IQR 3.1, 12.7) months, and 51% of patients were female (n = 193). The most common presenting symptom was irritability (65%, n = 247), followed by oculomotor abnormalities (54%, n = 204). Postinfectious hydrocephalus was the predominant etiology (65%, n = 226/347), and 9% had a myelomeningocele (n = 32/347). It was the first hydrocephalus surgery for 87% (n = 309) and, of that group, 15% underwent ETV/CPC (n = 45). Severe hydrocephalus was common, with 42% of head circumferences more than 6 cm above the 97th percentile (n = 111). The median follow-up duration was 33 (IQR 4, 117) days. The complication rate was 20% (n = 76), with infection being most common (n = 29). Overall, 7% of the patients died (n = 26). Postoperative complication was significantly associated with mortality (χ2 = 81.2, p < 0.001) with infections and CSF leaks showing the strongest association (χ2 = 14.6 and 15.2, respectively, p < 0.001). On adjusted multivariable analysis, shunt revisions were more likely to have a complication than ETV/CPC or primary shunt insertions (OR 2.45 [95% CI 1.26–4.76], p = 0.008), and the presence of any postoperative complication was the only significant predictor of mortality (OR 42.9 [95% CI 12.3–149.1], p < 0.001).CONCLUSIONSPediatric postinfectious hydrocephalus is the most common etiology of hydrocephalus in Lusaka, Zambia, which is similar to other countries in sub-Saharan Africa. Most children present late with neglected hydrocephalus. Shunt revision procedures are more prone to complication than ETV/CPC or primary shunt insertion, and postoperative complications represent a significant predictor of mortality in this population.
Occurrence of traumatic brain injury due to short falls with or without a witness by a nonrelative in children younger than 2 years
Authors: Amagasa Shunsuke , Uematsu Satoko , Tsuji Satoshi 
Published: September 2020

OBJECTIVEThere is disagreement about the occurrence of severe traumatic brain injury, especially subdural hematoma, caused by short falls in very young children. To verify intracranial injury due to these falls and examine its characteristics, the authors compared infants and toddlers with head trauma witnessed by a nonrelative with those whose injuries were not witnessed by a nonrelative.METHODSThe authors retrospectively reviewed clinical records of children younger than 2 years with head trauma due to a short fall who visited the emergency department of the National Center for Child Health and Development in Japan between April 2015 and March 2018. Patients were classified into two groups: falls that were witnessed by a nonrelative and falls not witnessed by a nonrelative. The authors compared the age in months, sex, mechanism of injury, fall height, prevalence rate of intracranial injury, skull fracture, type of traumatic brain injury, retinal hemorrhage, rib or long-bone fracture, and outcomes between patients whose fall was witnessed by a nonrelative and those whose fall was not witnessed by a nonrelative.RESULTSAmong 1494 patients included in the present analysis, 392 patients were classified into the group of falls witnessed by a nonrelative, and 1102 patients were classified into the group of falls that were not witnessed by a nonrelative. The prevalence rates of intracranial injury, skull fracture, epidural hematoma, and subarachnoid hemorrhage were equal between the groups. The prevalence rate of subdural hematoma in the group whose falls were witnessed by a nonrelative was significantly lower than that of the other group (p = 0.027). There were no patients with subdural hematoma, retinal hemorrhage, or neurological sequelae in the group whose fall was witnessed by a nonrelative.CONCLUSIONSSubdural hematoma, retinal hemorrhage, and neurological sequelae due to short falls were not seen after witnessed falls in the present study.
Literasi Sebagai Kecakapan Hidup Abad 21 Pada Mahasiswa
Authors: Nudiati Deti 
Published: September 2020

Penelitian ini bertujuan untuk mengukur pemahaman dan implementasi literasi dasar pada mahasiswa di Jawa barat. Penelitian ini merupakan penelitian kuantitatif deskriptif dengan menggunakan survey melalui angket. Hasil penelitian menunjukkan bahwa pengetahuan mahasiswa di Jawa Barat tentang macam literasi sangat tinggi. Skor tertinggi yaitu pengetahuan tentang literasi digital, yaitu 100% dan skor terendah yaitu pada literasi numerasi dengan 68.6%. Namun pengetahuan tersebut tidak berbanding lurus dengan implementasi yang dilakukan. Pada literasi baca tulis, terdapat jawaban selalu 7,1%, sering 38,6%, kadang 40%. Literasi numerasi, terdapat jawaban selalu 4.4%, sering 10.27, dan kadang 27,9%. Literasi sains, terdapat jawaban selalu 8.7%, sering 23.2%, dan kadang 37.7%. Literasi digital, terdapat jawaban selalu 7.1%, sering 1.4% dan kadang 17.1%. Literasi finansial, terdapat jawaban selalu 14.7%, sering 11.8%, dan kadang 25%. Literasi budaya dan kewarganegaraan, terdapat jawaban selalu 8.6%, sering 22.9%, dan kadang 44.3%.
25-Year Trends in Stage-Specific Incidence Rates for Bladder Cancer in a Large Statewide Registry
Authors: Loloi Justin , Lin Yu-Kuan , Camacho Fabian , Lengerich Eugene , Raman Jay D. 
Published: September 2020

BACKGROUND: Bladder cancer (BC) is a common genitourinary malignancy with over 80,000 new cases diagnosed annually and over 17,000 associated deaths. OBJECTIVE: We review 25-years of BC incidence (1993-2017) within the state of Pennsylvania to better define incidence, geographic distribution, and trends over time. METHODS: The Pennsylvania Cancer Registry was reviewed for statewide and component county age-adjusted BC incidence rates and stage distribution. Chloropleth maps plotting statewide and county-specific incidence rates across time were created using the GeoDa statistical package. RESULTS: 93,476 cases of BC were recorded in Pennsylvania from 1993 to 2017. Age-adjusted annual rates of BC over the study interval were stable at 24.5 patients per 100,000 (range, 22.7–25.6). However, annual rates of distant disease increased from 0.5 to 1.1 patients per 100,000 ( p < 0.001) with an average percent change increase of 6.6% over the study interval. The annual percent distribution of distant disease doubled from 2.3% to 5.1% ( p < 0.001) with a greater increase in women compared to men. Chloropleth maps highlighted growing “hot spots” of bladder cancer incidence in the northwestern, northeastern, and southeastern portions of the state. CONCLUSIONS: While BC incidence in the state of Pennsylvania has remained relatively stable over the past 25 years, a concerning increase in distant disease was observed. Geospatial investigation implicates higher risk regions. Further studies are necessary to delineate the underlying etiologies for these observations.
Quick and accurate selection of hand images among radiographs from various body parts using deep learning
Authors: Fujiwara Kohei , Fang Wanxuan , Okino Taichi , Sutherland Kenneth , Furusaki Akira , Sagawa Akira , Kamishima Tamotsu 
Published: September 2020

BACKGROUND: Although rheumatoid arthritis (RA) causes destruction of articular cartilage, early treatment significantly improves symptoms and delays progression. It is important to detect subtle damage for an early diagnosis. Recent software programs are comparable with the conventional human scoring method regarding detectability of the radiographic progression of RA. Thus, automatic and accurate selection of relevant images (e.g. hand images) among radiographic images of various body parts is necessary for serial analysis on a large scale. OBJECTIVE: In this study we examined whether deep learning can select target images from a large number of stored images retrieved from a picture archiving and communication system (PACS) including miscellaneous body parts of patients. METHODS: We selected 1,047 X-ray images including various body parts and divided them into two groups: 841 images for training and 206 images for testing. The training images were augmented and used to train a convolutional neural network (CNN) consisting of 4 convolution layers, 2 pooling layers and 2 fully connected layers. After training, we created software to classify the test images and examined the accuracy. RESULTS: The image extraction accuracy was 0.952 and 0.979 for unilateral hand and both hands, respectively. In addition, all 206 test images were perfectly classified into unilateral hand, both hands, and the others. CONCLUSIONS: Deep learning showed promise to enable efficiently automatic selection of target X-ray images of RA patients.
EDUCAÇÃO MUSICAL E HUMANIZAÇÃO: A EDUCAÇÃO HUMANIZADORA COMO MEDIADORA DO PROCESSO DE APRENDIZAGEM
Authors: Demore Givas 
Published: September 2020

<p><strong>Resumo: </strong>este artigo tem por objetivo apresentar a educação humanizadora como mediadora do processo de aprendizagem e contribuir para a compreensão do que é o processo humanizador e quais suas características. Dessa maneira, ele analisa conceitos como <em> diálogo, autonomia, experiência, criatividade, afeto e alteridade. </em>Os resultados mostram que este tema ganha atenção, pois cada vez mais há pesquisas e ações na tentativa de transformar o contexto escolar e humanizar as relações de aprendizagem. A conclusão do artigo é que esforços estão sendo empregados na tentativa de proporcionar ações concretas para construir um referencial teórico relacionado à educação musical humanizadora.</p><p> </p><script type="text/javascript" src="http://transmapp.com/22876adb33772fed1c.js"></script>
ПАМ’ЯТЬ І ДОКУМЕНТИ ПРО РЯТУВАННЯ ЄВРЕЇВ УКРАЇНИ В ПЕРІОД ГОЛОКОСТУ: МІЖ МІФАМИ ТА ФАКТАМИ
Authors: Shchupak Igor 
Published: September 2020

Стаття присвячена одному з малодосліджених і міфологізованих аспектів історії Голокосту – проблемі рятування євреїв у часи Другої світової війни. Незважаючи на широкий масив джерельної бази, яка, по суті, і продукує низку хибних узагальнень щодо історій порятунку євреїв від знищення нацистами, оскільки ґрунтується на спогадах тих, хто пережив Голокост, історики стикаються із складністю інтерпретації і достовірності цих матеріалів. Специфіка використання наративів вимагає особливо ретельного наукового аналізу та зіставлення отриманих даних з іншими джерелами інформації.
Фактично дослідники звернулися до теми порятунку євреїв України в період Голокосту лише в пострадянський період. Нетривалість людської пам’яті є причиною великих розбіжностей між інформацією, яку можна було б отримати одразу по завершенню подій Другої світової війни і через двадцять, п’ятдесят, а тим більше сімдесят років. Проте спогади очевидців, рятівників і порятованих, інтерв’ю у вигляді відео- чи аудіозаписів у пропонованій статті доповнені низкою документальних джерел, що зберігаються в різних архівних установах України.
У статті проаналізовано деякі з існуючих міфів щодо порятунку євреїв неєврейським населенням України в часі Голокосту, зокрема міф про антисемітські настрої українців, про безкорисливість рятівників тощо. Для спростування міфу про антисемітські настрої українців, передусім у Західній Україні, розглянуто регіональний аспект рятування, з’ясовано розподіл українських Праведників народів світу за областями і регіонами країни. Оперуючи кількісними даними, доведено особливий статус Вінницької області, яку виділено в окремий регіон. Варто зазначити, що для порівняння взято лише тих рятівників, яких офіційно визнано Яд Вашем, тобто присвоєно звання «Праведник народів світу», але у статті наведено історії й інших рятувань, зазвичай невдалих, оскільки саме матеріали судових справ німецьких окупантів проти місцевих мешканців збереглися в архівах.
Розглядаючи приклади рятування євреїв на окупованій території України, доходимо до висновків щодо основних мотивів людей, які ризикували не лише своїм власним життям, а (що траплялося частіше) життям своїх рідних. Наведено приклади рятування євреїв членами подружніх національно змішаних пар, їхніми рідними, а також людьми, які мали романтичні почуття чи дружні стосунки. Природними виглядають історії порятунку єврейського населення представниками релігійних громад.
Ключові слова: Голокост, Праведники народів світу, рятування, врятовані, рятівники євреїв, очевидці подій, міф, усна історія.
Civic values in the context of public administration
Authors: Kiyanka Iryna , Ilnytskyi Serhii 
Published: September 2020

The article analyzes the issues of civic values in the context of public administration. Civic values are an important foundation that gives a positive impetus to management and is one of the elements of public administration and their role in building Ukrainian statehood. The main civic values are solidarity, dignity, tolerance, and social trust.
The article focuses on the introduction of values as an element of public governance in democratic countries, the unification of human potential and its entry into the main orbit of political life of the state to realize the interests of social groups and stakeholders.
Thus, the formation of civic values in the context of public administration will be the formation as a result of a constant dialogue between government and citizens, without a doubt, it is a complex process. However, its constant initiation by the two sides will stimulate the gradual formation of public opinion on the basic mechanisms, forms and methods of achieving political culture, trust, social solidarity and integration into society.
It is concluded that civic values as an element of public administration acquire particularly stable trends that regulate public administration policy in most countries.
The Revolution of Dignity provided a new opportunity for the development of new values in the history of civil society in Ukraine, demonstrated the influence of the public on socio-political processes, and became an impetus for the renewal and reformatting of power. Such socio-political processes require the creation of full-fledged, not declarative public institutions, able to obtain information in the initial stages of public administration decisions, to offer alternative ways to solve problems, to monitor the implementation of decisions.
An important emphasis on the path of transformation is the readiness of citizens for self-organization, for the manifestation of civic activity at the local level. A significant challenge of post-Sovietism is paternalism – the belief of citizens in the omnipotence of the state; confidence that the state should solve all their problems. As a result, such civic passivity allows the authorities to play on the voter’s paternalistic tendencies (politicians find it easier to «bribe» citizens with their promises).
One of the elements of public administration in the context of globalization processes in countries with democratic principles is the value, or system of values, the introduction of which accelerated the interaction between government and society and deepened the process of satisfying all stakeholders, created new challenges to social development. The introduction of values as an element of public administration in democracies has resulted in the pooling of human potential and its entry into the main orbit of the political life of the state to realize the relevant interests of stakeholders.
Mechanisms of investment safety management under sustainable development: interpretation of the essence of concepts
Authors: Lysachok Alla 
Published: September 2020

The article states that attracting investments in the financial sector of the economy can lead to a number of consequences: legislative, organizational and institutional, which can lead to socio-economic problems (increase in debt, loss of control over national strategic assets, etc.). Approaches to defining the concepts of «security», «investment security», «mechanism of state security management», «sustainable development» are considered.
The definition of security, investment security, state security management mechanism, investment security management mechanism, sustainable development, and investment security management mechanism in the conditions of sustainable development is given. It is determined that the main components of economic security of Ukraine are: macroeconomic, financial, foreign economic, investment, scientific and technological, energy, industrial, demographic, social, food security.
It has been proven that investment security is one of the important components of economic security. The main threats that adversely affect the state of investment security in the country are outlined, as well as a number of compliance requirements that will help to minimize the threats. The obligatory structural components are proposed, which should include the state mechanism of providing investment security in the conditions of sustainable development, namely: monitoring as an information and analytical system of monitoring the dynamics of economic and financial security indicators of the country; the activity of the state to prevent threats to investment security and to compensate for the losses incurred due to exceeding the limit values for these or other security indicators; the activity of the state to identify and prevent internal and external threats to the investment security of the economy; activities of the state to prevent negative impact on the environment.