bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of the pelvic floor muscle training on muscular dysfunction and pregnancy specific urinary incontinence in pregnant women with gestational diabetes mellitus: A systematic review protocol
Authors: Barbosa Angélica Mércia Pascon , Enriquez Eusebio Mario Amador , Rodrigues Meline Rossetto Kron , Prudencio Caroline Baldini , Atallah Álvaro Nagib , Reyes David Rafael Abreu , Hallur Raghavendra Lakshmana Shetty , Nunes Sthefanie Kenickel , Pinheiro Fabiane Affonso , Filho Carlos Isaías Sartorão , Andrade Gabriela Lopes Piemonte , Berghmans Bary , Bie Rob de , Lima Silvana Andréa Molina , Rudge Marilza Vieira Cunha ,   The Diamater Study Group
Published: December 2020

Background
There is ample evidence that gestational diabetes mellitus has a direct influence on urinary incontinence and pelvic floor muscles. There are no standardized pelvic floor muscle exercise programs in the literature for the physiotherapy and differ in the type of exercise, intensity, type and duration of application, and the frequency and duration of treatment sessions. The aim of this systematic review will be to investigate that Pelvic Floor Muscle Training can prevent and/or decrease the pregnancy specific urinary incontinence in women with gestational diabetes mellitus or gestational hyperglycemia.

Methods
We will perform a systematic review according to the Cochrane methodology of Randomized Controlled Trials. An overall search strategy will be developed and adapted for Embase, MEDLINE, LILACS, and CENTRAL databases, with the date of consultation until June 2020. The MeSH terms used will be "Pregnancy", "Hyperglycemia", "Diabetes Mellitus, Type 2", "Diabetes Mellitus, Type 1", "Pregnancy in Diabetics", "Diabetes, Gestational", "Urinary Incontinence", "Pelvic Floor Muscle Strength". Primary outcomes: improvement or cure of pregnancy specific urinary incontinence (which can be assessed by questionnaires, and tools such as tampon test, voiding diary, urodynamic study). Secondary outcomes: improvement of pelvic floor muscle strength (pelvic floor functional assessment, perineometer, electromyography, functional ultrasonography), improved quality of life (questionnaires), presence or absence of postpartum Urinary Incontinence and adverse effects. Quality assessment by Cochrane instrument. Metanalysis if plausible, will be performed by the software Review Manager 5.3.

Discussion
The present study will be the first to analyze the effectiveness of pelvic floor exercises in pregnant women with Gestational Diabetes Mellitus or Hyperglycemia, who suffer from pregnancy specific urinary incontinence. Randomized Controlled Trials design will be chosen because they present the highest level of evidence. It is expected to obtain robust and conclusive evidence to support clinical practice, in addition to promoting studies on the theme and contributing to new studies.

Trial registration
Systematic review registration: PROSPERO CRD42017065281.
Views of patients suffering from Failed Back Surgery Syndrome on their health and their ability to adapt to daily life and self-management: A qualitative exploration
Authors: Hamm-Faber Tanja E. , Engels Yvonne , Vissers Kris C. P. , Henssen Dylan J. H. A. 
Published: December 2020

BackgroundThe clinical outcomes of Spinal Cord Stimulation (SCS) therapy in patients with a Failed Back Surgery Syndrome (FBSS) is mostly done by standardized pain and quality of life measurements instruments and hardly account for personal feelings and needs as a basis for a patient-centred approach and shared decision making.ObjectivesThe objective of this study is to explore perspectives on personal health and quality of life (QoL) in FBSS patients concerning their physical-, psychological and spiritual well-being prior to receiving an SCS system.MethodsWe performed face-to-face, semi-structured, in-depth interviews to obtain descriptive and detailed data on personal health, guided by the Web diagram of Positive Health (Huber et al.) and a topic list. The following main topics were assessed qualitatively: 1) Bodily functioning, 2) Mental function and perception 3) Spiritual dimension, 4) Quality of life, 5) Social and societal participation and 6) Daily functioning.ResultsSeventeen FBSS patients (eight male, nine female) were included from April–November 2019 at the department of pain medicine in the Albert Schweitzer Hospital in the Netherlands. Median age 49 years; range 28 to 67 years, and patients underwent between one and five lumbar surgical operations. The duration of their chronic pain was between four and 22 years. After analyzing the interviews, three themes emerged: 1) dealing with chronic pain, 2) the current situation regarding aspects of positive health, and 3) future perspectives on health and quality of life. These themes arose from eleven categories and a hundred ninety codes.ConclusionThis qualitative study explored FBSS patients ‘views on their health and the ability to adapt to daily life having complex chronic pain, and showed that patients experienced shortcomings in daily life within the six dimensions of the Web diagram of Positive Health before the SCS implant.
Differences in the perception of harm assessment among nurses in the patient safety classification system
Authors: Lee Kwangmi , Yoon Kyeongsuk , Yoon Byeongsook , Shin Eunhee 
Published: December 2020

Background
Precise harm assessment by the medical staff is very important in a patient safety event reporting system but there are differences in perception due to insufficiencies in education.

Methods
We developed the survey tool consisting of nine patient safety incident scenarios to investigate the interrater agreement in the harm score assigning among nurses. The survey tool was distributed to 287 nurses working at two hospitals.

Results
The overall kappa value for interrater agreement was k = 0.21 for harm and k = 0.28 for harm duration. In nine patient safety event scenarios, such as “mislabeled specimen” or “chest tube drain”, when the degree of harm was not clear, the assessments of harm and harm duration were somewhat dispersed.

Conclusion
For the quality of the patient safety incident reporting system, the accurate harm assessment of medical personnel is highly important; however, results in this study indicated that theassessment of the degree of harm by Korean nurses was not standardized. The reason for this variability could be due to the lack of education that takes harm assessment into account. Therefore, training in harm assessment and the development of programs to support this training are both necessary.
O menino e sua mãe
Authors: Ramos Rita de Cássia Lima , Cecilia Ribas Borges Teixeira Nincia 
Published: December 2020

O espaço físico na poesia de Manoel de Barros, o Pantanal, é delineado em uma poética que transfiguram o imaginário, ao falar de espaço é necessário que falemos de seus moradores, dessa forma, a figura feminina será o destaque na pesquisa em torno da obra Memórias Inventadas. Além disso, por tratarmos de lugar é impossível não discorrer sobre tempo passado, a memória, já que as recordações partem da infância. Para o eu lírico, a infância vivida no Pantanal deixa vestígios que se transforma em matéria de poesia.
ANALISIS SISTEM PELAYANAN KERETA API DI STASIUN SEMARANG TAWANG MENGGUNAKAN PROSES BAYESIAN
Authors: Nugraeni Lifana , Sugito Sugito , Ispriyanti Dwi 
Published: December 2020

Along with the times, transportation has progressed. Regarding the means of transportation, one of the phenomenon that is easily encountered in everyday life is the queue at public transportation facilities. One of the queues that occurred at public transportation facilities is the train queue at Semarang Tawang Station. The number of trains that passes the station can cause the train service at the station busy. This study aims to see whether the train service system of Semarang Tawang Station is good or not. This can be consider by the queues method, determining the distribution of arrival patterns and service patterns to obtain a queues system model and a system performance standard. In this study, the distribution of arrival patterns and service patterns are determined by calculating the posterior distribution using the Bayesian method. The bayesian method was chosen because it is able to combine the sample distribution in the current study with the previous information for the same cases. The prior distribution and the likelihood function are the elements needed to obtain the posterior distribution. The distribution of arrival patterns and service patterns obtained from previous information follows the Poisson distribution. Based on the calculation of the posterior distribution, the result shows that the distribution of the arrival pattern is a discrete uniform distribution and the distribution of the service pattern is a Poisson distribution. The result shows that the train service system at Semarang Tawang Station has a model (Uniform Discrete / Gamma / 7: GD / ~ / ~) and has good service based on the performance values obtained.
PENERAPAN METODE GENERALIZED STRUCTURED COMPONENT ANALYSIS PADA KEPUASAN KONSUMEN (Studi Kasus: Pasien Klinik Q)
Authors: Fitriani Farisiyah , Rusgiyono Agus , Widiharih Tatik 
Published: December 2020

Customer satisfaction is used by a company to evaluate products or services whether it is sufficient with customer’s expectations. Satisfaction is influenced by factors that cannot be measured directly are called latent variables and can be measured through indicators used to measure satisfaction with Structural Equation Modeling (SEM). Generalized Structured Component Analysis (GSCA) method is part of a SEM based on a variant that does not require the assumption of a multivariate normal distribution and has a measure overall goodness of fit. The parameters used are factor loading, coefficients parameter, and weight of indicators and estimated with alternating least square. The type of data used primary data from the results of the questionnaire with stratified proportional random sampling and number of samples 286. This research using indicators as measurable variables as many 32 indicators and 8 latent variable. Considering to the evaluation of the structural model, it is found there are 5 variables that influence satisfaction, they are prices, quality yield, cleanliness, doctor's services, and employee services with a large influence of 77.18% and the impact of satisfaction on loyalty is 48.63 %. For the overall goodness of fit measure, it is known that the FIT value is 63.75% and the adjusted FIT (AFIT) value is 63.47%. The goodness of fit (GFI) produced the value in the amount of 96.43%, indicating that the general model has the good level of compatibility.Keywords: Generalized Structured Component Analysis, Structural Equation Modeling, Overall goodness of fit, Alternating Least Square, Stratified Proportional Random Sampling
PENERAPAN FUZZY C-MEANS KLUSTER UNTUK SEGMENTASI PELANGGAN E-COMMERCE DENGAN METODE RECENCY FREQUENCY MONETARY (RFM)
Authors: Prasetyo Stevanus Sandy , Mustafid Mustafid , Hakim Arief Rachman 
Published: December 2020

E-commerce has become a medium for online shopping which is growing and popular among the public. Due to the ease of access for all internet users and the completeness of the products offered, e-commerce has become a new alternative in meeting people's needs. Currently, the competition in the business world is very fierce, any e-commerce company needs to be able to carry out the right marketing strategy to compete in acquiring, retaining, and partnering with customers. In this research, the segmentation of e-commerce customers was carried out using the Fuzzy C-Means cluster and the RFM method. The clustering process is carried out six times with the number of clusters starts from two to seven clusters. The results showed that the optimum number of clusters formed according to the Xie-Beni validity index was four clusters. The cluster becomes customer segments that have the characteristics of each customer based on their recency, frequency, and monetary value. The best segment is segment 4 which has very loyal customers in shopping on tumbas.in e-commerce. From the segments that have been formed, they can be used as a consideration in implementing the right marketing strategy for each customer. Keywords : E-commerce, customer segmentation, Fuzzy C-Means Cluster, RFM, Xie-Beni Index
Nutritional issues in a diabetic patient with Kearns–Sayre syndrome
Authors: Szwilling Alicja , Dzygalo Katarzyna , Nowaczyk Jędrzej 
Published: December 2020

Summary
Kearns–Sayre syndrome (KSS) is a multi-system mitochondrial disease with wide clinical presentation. We describe the case of a 16-year-old girl with KSS accompanied by insulin-dependent diabetes, eosinophilic esophagitis (EoE), Fanconi syndrome, insufficiency of parathyroid gland and severe nutritional problems. Based on recent knowledge, ketogenic diet was introduced to improve metabolic and neurological condition, however in our patient we observed its bad consequences. Unresolved nutritional disorders forced us to proceed with esophagogastroduodenoscopy which revealed EoE. PEG procedure was performed and elemental diet with PPI’s was introduced leading to general improvement in the patient’s health condition.

Learning points:

Nutrition is an important factor in supportive care of patients with KSS.

Ketogenic diet in patients affected by mitochondrial diseases and diabetes requires careful selection and monitoring.

To the best of our knowledge, this is the first case that shows the coexistence of EoE, insulin-dependent diabetes and KSS.
Suspected Nonfatal Drug-Related Overdoses Among Youth in the US: 2016–2019
Authors: Roehler Douglas R. , Olsen Emily O. , Mustaquim Desiree , Vivolo-Kantor Alana M. 
Published: December 2020

BACKGROUND AND OBJECTIVES:
During the current drug overdose crisis, the United States is experiencing a significant number of overdose deaths, hospitalizations, and emergency department visits. Given the vulnerability of young persons to substance use, it is important to assess how this crisis affects the nation’s youth. In this study, we investigate trends in suspected nonfatal drug-related overdoses (all-drugs, opioids, heroin, and stimulants) among youth using syndromic surveillance data from 2016 to 2019.

METHODS:
A retrospective analysis of emergency department syndromic surveillance data were used to detect quarterly trends in suspected drug overdoses from April 2016 through September 2019 among youth aged 0 to 10, 11 to 14, and 15 to 24 years. Syndrome definitions were developed using chief complaint free-text and discharge diagnosis codes to identify overdoses involving all-drugs, opioids, heroin, and stimulants. Pearson χ2 tests detected quarter-to-quarter changes, and joinpoint regression analysis assessed trends over time.

RESULTS:
On average, there was a 2.0% increase for youth aged 0 to 10 years and a 2.3% increase for youth aged 11 to 14 years for suspected all-drug overdoses. Suspected heroin overdoses decreased by an average of 3.3% per quarter for youth aged 15 to 24 years. Among all age groups, suspected stimulant overdoses increased across the study period, 3.3% for 0 to 10-year-olds, 4.0% for 11- to 14-year-olds, and 2.3% for 15- to 24-year-olds.

CONCLUSIONS:
Suspected stimulant-involved drug overdoses appear to be rising among youth. These findings could inform targeted interventions, such as stimulant-focused prevention, and comprehensive approaches, including school-based prevention and other strategies to lower morbidity and mortality.
“Love, Divine and Human: Contemporary Essays in Systematic and Philosophical Theology” edited by Oliver D. Crisp, James M. Arcadi and Jordan Wessling
Authors: Bray Dennis P. 
Published: December 2020

Review of
Oliver D. Crisp, James M. Arcadi and Jordan Wessling, eds., Love, Divine and Human: Contemporary Essays in Systematic and Philosophical Theology (London: T&T Clark, 2020), pp. viii + 260, ISBN 978-0567687739. £95.00
Desenvolvimento de Curvas Intensidade-Duração-Frequência para Dois Municípios do Sertão de Pernambuco
Authors: Santana Natalia Fernanda Jeronimo de , Silva Junior Marcos Antonio Barbosa da 
Published: December 2020

Para o dimensionamento e projeto das obras hidráulicas, faz-se necessário conhecer/obter a equação de chuvas intensas, que relaciona três grandezas características das precipitações máximas: intensidade, duração e frequência. Neste sentido, o presente trabalho determina as equações IDFs (Intensidade-Duração-Frequência) para os municípios de Itapetim e Brejinho, ambos situados no sertão de Pernambuco. Para isso, foram utilizadas as séries históricas diárias da Agência Pernambucana de Águas e Clima (APAC) dos postos de Brejinho (cód. 437) e Itapetim (cód. 151), com dados de 20 anos (2000-2019) e 27 anos (1993-2019), respectivamente. Os dados foram consistidos utilizando o método da Dupla Massa e as alturas de chuvas máximas diárias, determinadas para diferentes tempos de retorno, foram obtidas através do método de distribuição estatística de Gumbel e, posteriormente, desagregadas para durações entre 24 horas e 6 minutos. Por meio de planilhas eletrônicas do Microsoft Excel, foram obtidas as curvas IDFs para os tempos de retorno de 5, 10, 15, 25, 50, 100, 500, 1.000 e 10.000 anos, bem como suas relações matemáticas. Para Brejinho, a equação da família de curvas IDF obtida foi i = 1318,06Tr0,19 (t + 11,5)-0,759 e, para Itapetim, a equação foi i = 1028,68Tr0,19 (t + 11,51)-0,759, em que “i” é a intensidade máxima média (mm h-1), “t” a duração (minuto) e “Tr” o período de retorno (ano) das chuvas. A obtenção das citadas equações de chuvas intensas poderá contribuir para futuros estudos hidrológicos nos municípios.
Secondary hemophagocytic syndrome in adult patients. Study of 91 patients
Authors: Potapenko V. G. , Klimovich A. V. , Pervakova M. Yu. , Lapin S. V. , Goloshchapov O. V. , Titov A. K. , Surkova E. A. , Pavluchenko E. S. , Potikhonova N. A. , Vinogradova N. V. , Doguzhieva E. V. , Kachenya G. V. , Avdoshina D. D. , Fedunyak I. P. , Ryabchikova V. V. , Kulibaba T. G. , Rysev A. V. , Karyagina E. V. , Мedvedeva N. V. 
Published: December 2020

Background. Secondary hemophagocytic lymphohystiocytosis (sHLH) is a hyperinflammatory reaction provoked by some trigger (cancer, autoimmune or infection). The majority of affected patients are at high risk of fatal multiple organ failure without getting immunsupressive treatment.Objective. Clinical and laboratory profile of sHLH patients.Materials and methods. Retrospective study included clinical, instrumental and lab data from the 91 patients followed between June 2009 and June 2019. Diagnosis sHLH had been based on HLH-2004 and H-Score criteria. The analyzed parameters had been fever chart, liver and spleen enlargement, changes in the bone marrow; values levels of glutamic pyruvic transaminase, serum glutamic oxaloacetic transaminase, alkaline phosphatase, bilirubin, triglycerides, total ferritin with percentage of glycosylation. All patients with rheumatic disorders or malignancies had received either immunosuppressive or cytotoxic therapy. Febrile patients received anti-infective treatment according to the local routine protocols.Results. The data from 91 patients (41 male and 50 female) had been analyzed. Median age was 58 (2–90) years. The sHLH trigger-diseases spectrum included leukemia/lymphoma (n = 52), infection diseases (n = 11), autoimmune disorders (n = 5), allogenic bone marrow transplantation (n = 13), unidentified (n = 10). A fever with an unknown origin and refractory to antibacterial treatment had been observed in 87 (96 %) patients. Morphological hemophagocytic evidences in the bone marrow had been found in 83 %. Breath shortening, liver failure, neurologic disturbances, systemic effusions, rash, heart failure had been registered in 83 % patients. Detected splenomegaly presented in 56 %. Laboratory changes, median were as following: serum glutamic-pyruvic transaminase (alanine aminotransferase, SGPT) – 92 (39.2–1060.8) IU/L; serum glutamic oxaloacetic transaminase (aspartate aminotransferase, SGOT) – 105 (40–4177) IU/L; alkaline phosphatase – 225 (120.9–989) IU/L; bilirubin – 50.5 (22–559) µmol/L; triglycerides – 3.2 (1.95–8.6) mmol/L; total ferritin – 10000 (597–255000) ng/mL with glycosylation percentage – 20.45 (0–37.8) %. 71 patients received various of HLH-directed therapy courses. The overall survival rate was 27 %, median follow-up – 540 days.Conclusion. The main clinical and instrumental findings in sHLH are fever, refractory to anti-infective treatment, elevation of transaminases, serum alkaline phosphatase, triglycerides, total ferritine with low glycosylated fraction. Early diagnosing and immunesupression are the main factors of survival.
EFFECTS OF AUTHORITARIAN AND ETHICAL LEADERSHIP ON EMPLOYEE PERFORMANCE: MEDIATING ROLE OF EMPLOYEE COMPETENCIES AND PERFORMANCE MANAGEMENT PRACTICES IN ZIMBABWEAN BANKS
Authors: Musarapasi Stewart , Garanti Zanete 
Published: December 2020

The purpose and objective of this paper is to identify the effects from key selected independent variables namely Authoritarian Leadership (AL), Ethical Leadership (EL), towards a chosen dependent variable Employee Performance (EP). It also studies the mediating roles of two independents that is Employee Competencies (EC), and Performance Management Practices (PMP) when introduced to the model. A survey questionnaire for data gathering was used and issued to respondents that were bank employees on selected commercial banks located in Harare capital City of Zimbabwe, and total of 390 valid responses were gathered. SPSS version 24 was used to analyse the collected data on each variable through demographic, reliability tests, regression analysis, correlation and factor analysis during the validation process of the gathered data. The data analysis outcome showed that all the identified variables were predictors and influential to employee performance, when analysed as individual variables. Management of companies are required to focus on mixing both the leadership element and the competency as a prerequisite practices and action towards achieving higher performance.
HERO WITH ZEROES?: Tensions of Using an Anti-Discrimination Framework and an Impact Case Approach for Disability Rights Advocacy in China
Authors: Ma Zhiying , Ni Zhen 
Published: December 2020

In 2014, a blind massage therapist named Li Jinsheng took the National College Entrance Examination (NCEE) in Braille, the first to do so in China. To everyone's surprise, he turned in blank answer sheets for two of the four subjects, which generated strong criticisms from the general public and blind communities. This article examines the conditions, process, and aftermaths of this event to consider what it means to use an anti-discrimination framework and an impact case approach for disability rights advocacy. Data comes from observation of media representations and discussions, interviews with key actors and stakeholders, and a focus group with blind college students.Our analysis of Li's case shows that in China, anti-discrimination actions often take the form of using individual cases to attack single, identifiable policy barriers, and they are typically carried out by people who are not directly impacted by the state's paternalistic biobureaucracy or the vulnerabilities it generates. As such, these cases might not sufficiently represent the desires and struggles of most people with disabilities, and the individualistic approach might further alienate the disabled communities. While effective in dismantling the particular policy barrier, such anti-discrimination actions may fall short of addressing more systemic, structural issues. This article ends with reflections on the tensions in using anti-discrimination impact cases in China and beyond, and on how to work on deeper struggles and build broader alliances in disability rights advocacy.