bluuebunny/crossref_metadata_2025_split huggingface dataset:
Attributes of High-Performing Small Practices in a Guideline Implementation: A Multiple-Case Study
Authors: Nguyen Ann M. , Cuthel Allison M. , Rogers Erin S. , Van Devanter Nancy , Pham-Singer Hang , Shih Sarah , Berry Carolyn A. , Shelley Donna R. 
Published: December 2020

Objective HealthyHearts NYC was a stepped wedge randomized control trial that tested the effectiveness of practice facilitation on the adoption of cardiovascular disease guidelines in small primary care practices. The objective of this study was to identify was to identify attributes of small practices that signaled they would perform well in a practice facilitation intervention implementation. Methods A mixed methods multiple-case study design was used. Six small practices were selected representing 3 variations in meeting the practice-level benchmark of >70% of hypertensive patients having controlled blood pressure. Inductive and deductive approaches were used to identify themes and assign case ratings. Cross-case rating comparison was used to identify attributes of high performing practices. Results Our first key finding is that the high-performing and improved practices in our study looked and acted similarly during the intervention implementation. The second key finding is that 3 attributes emerged in our analysis of determinants of high performance in small practices: (1) advanced use of the EHR; (2) dedicated resources and commitment to quality improvement; and (3) actively engaged lead clinician and office manager. Conclusions These attributes may be important determinants of high performance, indicating not only a small practice’s capability to engage in an intervention but possibly also its readiness to change. We recommend developing tools to assess readiness to change, specifically for small primary care practices, which may help external agents, like practice facilitators, better translate intervention implementations to context.
Cryogenic Refrigerant Burns: A Rare Occupational Hazard
Authors: Dash Suvashis , Muthukumar Vamseedharan , Rajkumar R , Karki Durga 
Published: December 2020

Background Cryogenic burns induced by coolant gases used in refrigerators and air conditioners are rarely encountered, despite the wide use of these gases. To date, only a few cases have been reported in the literature. This study examined the occupational circumstances leading to such injuries, relevant injury sites, types of chemicals involved, and treatment measures. Methods This study was conducted in a tertiary burn center in India between March 2015 and March 2019. The demographic details, chemicals involved, and burn regions and characteristics were analyzed. Findings There were 15 burn cases all involving injury to the hand. All injuries were managed initially with dressings and nonoperative management. One patient required anti-edema therapy with limb elevation and fingertip debridement, while another patient required skin grafting. All patients had satisfactory hand function after treatment. Conclusions/Application to Practice Cryogenic burn injuries caused by refrigerants are rare, and their etiology varies considerably. Exposure time is the primary factor that determines burn depth and severity; hence, reducing exposure time is important in first aid. Our findings suggest that after exposure, the patient should be treated in a specialized burn center. Adequate knowledge regarding the pathophysiology of these types of burn injuries and their management is necessary; otherwise, misjudgments in the treatment plan can lead to adverse consequences.
Employee Wellness Pilot Program
Authors: Van Kirk Michelle L. 
Published: December 2020

Background Mental health professionals caring for the veteran population are at increased risk for compassion fatigue, burnout, and secondary traumatic stress based on the nature of their work. While mental health professionals may experience positive outcomes from providing compassionate care to veterans, compassion fatigue can lead to instability of the workforce. Methods A pilot employee wellness program was implemented over a 9-week period, offering a different wellness module weekly during the employee lunch hour. Demographic data were collected pre-program, and mental health employees were surveyed pre- and post-program using an intent to stay scale and the Professional Quality of Life Scale version 5 (ProQOL-5) to measure compassion satisfaction, burn out, and secondary traumatic stress. Findings Pre-program participants ( N = 42) reported significant differences in intent to stay in their current position for the next year compared to the post-program group ( N = 15). Pre-program participants reported no intent to leave their current position, apply for internal or external positions, or retire in the following year. However, post-program participants reported intent to leave their current positions, apply to internal or external positions, or retire. Pre- and post-program compassion satisfaction scores increased and burnout and secondary traumatic stress scores decreased; these scores were not significantly different between groups. Conclusions/Application to Practice While no significant differences were found between ProQOL-5 subscale scores, the change in participants’ scores may indicate some change, potentially as a result of the intervention. This pilot program offered a creative solution to organizations with limited resources to combat occupation-related compassion fatigue.
Cost effectiveness analysis of implementing tuberculosis screening among applicants for non-immigrant U.S. work visas
Authors: Sayed Bisma Ali , Posey Drew L. , Maskery Brian , Wingate La’Marcus T. , Cetron Martin S. 
Published: December 2020

Abstract
Background
While persons who receive immigrant and refugee visas are screened for active tuberculosis before admission into the United States, nonimmigrant visa applicants (NIVs) are not routinely screened and may enter the United States with infectious tuberculosis.

Objectives
We evaluated the costs and benefits of expanding pre-departure tuberculosis screening requirements to a subset of NIVs who arrive from a moderate (Mexico) or high (India) incidence tuberculosis country with temporary work visas.

Methods
We developed a decision tree model to evaluate the program costs and estimate the numbers of active tuberculosis cases that may be diagnosed in the United States in two scenarios: 1) “Screening”: screening and treatment for tuberculosis among NIVs in their home country with recommended U.S. follow-up for NIVs at elevated risk of active tuberculosis; and, 2) “No Screening” in their home country so that cases would be diagnosed passively and treatment occurs after entry into the United States. Costs were assessed from multiple perspectives, including multinational and U.S.-only perspectives.

Results
Under “Screening” versus “No Screening”, an estimated 179 active tuberculosis cases and 119 hospitalizations would be averted in the United States annually via predeparture treatment. From the U.S.-only perspective, this program would result in annual net cost savings of about $3.75 million. However, rom the multinational perspective, the screening program would cost $151,388 per U.S. case averted for Indian NIVs and $221,088 per U.S. case averted for Mexican NIVs.

Conclusion
From the U.S.-only perspective, the screening program would result in substantial cost savings in the form of reduced treatment and hospitalization costs. NIVs would incur increased pre-departure screening and treatment costs.
METODOLOGIA CHARLOTTE MASON: A CRIAÇÃO DE HÁBITOS, ENVOLVIMENTO DE FATORES SOCIAIS/CULTURAIS E AMBIENTAIS NOS PROCESSOS DE APRENDIZAGEM NO PERÍODO PRÉ-ESCOLAR E FUNDAMENTAL
Authors: Ribeiro Neto Emilson 
Published: December 2020

Charlotte Mason, educadora do séc. 19, definiu um método que aglutina, na educação, as relações ambientais, chamadas por ela de “atmosfera”, de hábitos (morais, intelectuais e corporais), e questões qualitativas/quantitativas no aspecto da educação pré-escolar e infantil, e também na formação completa do sujeito. Seu método, apoiado por relacionamento, aplicação e usos sociais, culturais e imersão em meio propício e adequado para educação, compreendendo que o homem é produto do meio, explora a criação de hábitos do corpo, a fim desenvolver as questões físico-psicomotoras grossa e fina, hábitos da mente, a fim de desenvolver as faculdades intelectuais, e hábitos morais para formação de virtudes. A criação de hábitos visa a construção do sujeito como um todo construindo o autodidatismo. Mason (2018) também define que a educação é uma vida composta por um portfolio com aspectos quantitativos, qualitativos, variados e com aspectos motivacionais compostas pelo conceito de ideias vivas e imersão/convívio com a natureza nos processos de ensino e aprendizagem.
A partir do questionamento da gênesis do baixo desempenho escolar dos alunos brasileiro, fatores antes desprezados, tais como elementos socioculturais, valores, hábitos, estrutura familiar e meio ambiente nos processos de ensino e aprendizagem, foram estruturados e correlacionados com as bases científicas (educacionais, sociais e neurocientíficas) à luz do método da Charlotte Mason, considerando a formação e construção do sujeito e sua personalidade como um todo, pela formação hábitos, imersão na atmosfera de aprendizagem e portfólio de vida proposto por Mason (2018).
Peculiarities of Functional and Motor Fitness of 1St–5Th Year Students of Special Medical Department
Authors: Chernenko Serhii , Oliynyk Oleg , Dolynniy Iuriy , Honcharenko Oleg , Hordieieva Kateryna 
Published: December 2020

The objective of the study was to determine the age-related peculiarities of functional and motor fitness of students of a special medical department of higher education institutions. Material and methods. The study participants were 1st year (n = 34); 2nd year (n = 14); 3rd year (n = 58); 4th year (n = 21); 5th year (n = 16) male students. One group was organized in each year of study, which added up to five experimental groups. All the students participated in physical education classes twice a week. To solve the tasks set, the following research methods were used: analysis of scientific literature, pedagogical observation, pedagogical testing, formative experiment, index method, biomedical methods, and methods of mathematical statistics. During classes, the study used the method of strictly regulated exercise (motor density of the class was 50-70%), for developing general endurance – the continuous method with covering a distance of 1,000-2,000 m (heart rate: 120-150 beats per minute), circuit and repetition methods. Results. The study results show positive changes in the functional state of the respiratory system and speed and strength abilities in the 1st-5th year students of the special medical department (p < 0.05). Conclusions. A successful development of the basic functional body systems and motor abilities in 1st-5th year students can be achieved under the influence of pedagogical conditions, namely: the method of strictly regulated exercise using exercise equipment (motor density of the class was 50-70%); the continuous method with covering a distance of 1,000-2,000 m at a slow pace (heart rate: 120-150 beats per minute); circuit and repetition methods. By the results of comparative analysis of the functional and motor fitness, the 1st-5th year male students of the special medical department show better results in tests for assessing the cardiovascular and respiratory systems, speed and strength abilities. In the 18-22 age range, according to the Ruffier index, there is an increase in the number of male students of the special medical department with a “good” and “satisfactory” cardiovascular system state and a decrease in the number of students with a “bad” result.
Katkıların Kuyu Çimentosunun Donma Sıcaklığında Sebep Olduğu Değişimlerin Koruma Borusu Tasarımına Etkisinin İncelenmesi
Authors: ÖZYURTKAN Dr. Öğr. Üyesi M. Hakan , ASADOV Sardar 
Published: December 2020

Kuyu çimentosu donma süreci boyunca iç ve dış değişimlerden etkilenmektedir. Bu değişimler bu süreçte çimentonun formasyon ve koruma borusuna bağlanma sorunlarına sebep olabilmektedir. Bu bağlanma problemi sonucunda koruma borusu arkasından akışlara sebep olabileceği gibi, kuyunun kaybedilmesine kadar giden sorunlara sebebiyet verebilir.
Kuyu çimentosunun donma sürecinde ekzotermik bir reaksiyon geliştirdiği bilinmektedir. Çimento ve su karışımına ek olarak, çimentonun akmazlık ve su kaybı gibi özelliklerini ayarlamak için kullanılan katkı maddelerinin bu ekzotermik reaksiyon üzerinde etkileri vardır. Özellikle oluşan donma sırasında ortam sıcaklık değişimleri gözlenmektedir. Bu sıcaklık değişimlerinin koruma borusu tasarımında da dikkate alınması gerekmektedir. Aksi takdirde kuyu stabilitesinde bozulmalara neden olabilir.
Bu çalışmada, katkılı kuyu çimentosunun donma sıcaklığında sebep olduğu değişimlerin koruma borusu tasarımına etkisinin incelenmiştir. Bunun için daha önceki çalışmalarda rapor edilmiş olan yüksek, orta ve düşük sıcaklık değişimine sahip çimento kompozisyonlarından elde edilen veriler kullanılmıştır. Çimento şerbetlerinde katkı maddeleri nedeniyle oluşan termal yüklerin koruma borusu tasarımı için etkileri hesaplanmıştır. Çalışmada farklı koruma borusu ve farklı derinliğe sahip kuyular içine hesaplamalar yapılmıştır. Özellikle koruma borularındaki yüklerin sıkışmadan gerilmeye geçtiği bölgelerde bu etki bir fark yaratabilir.
Outcome of underlay versus interlay tympanoplasty in patients with inactive mucosal chronic otitis media with large central perforation: a retrospective comparative study
Authors: . Rajneesh , Valse Dinesh , Pawar Shradha , Doddamani Anil Kumar 
Published: December 2020

<p class="abstract"><strong>Background:</strong> Aim and objective were to study the outcome of underlay versus interlay tympanoplasty in patients with inactive mucosal chronic otitis media with large central perforations in terms of graft uptake rate and hearing improvement. </p><p class="abstract"><strong>Methods:</strong> The present study was conducted retrospectively on 110 patients of inactive mucosal chronic otitis media with large central perforation, 55 patients selected from each group undergoing underlay or interlay technique in a tertiary referral hospital, Department of ENT, ESIC Kalaburagi, Karnataka, from February 1 2018 to January 31, 2020. </p><p class="abstract"><strong>Results:</strong> Total 110 patients were included in the study. Male:female ratio was 1:2.2. The age group in this study ranged from 13-50 years of age. Preoperative mean air bone gap in groups A and B was 30.28±6.62, and 30.18±6.87 dB and postoperative mean air bone gap was 19.44±7.66 and 15.13±6.3 dB. In both the groups a significant mean reduction in air bone gap was observed. Mean reduction was maximum in group B. Statistically, intergroup difference in reduction in air bone gap was highly significant (p&lt;0.001). Graft success rate being 89.09% and 94.54% in underlay (group A) and interlay (group B) respectively.</p><p class="abstract"><strong>Conclusions:</strong> Interlay is a better technique than underlay in chronic otitis media inactive mucosal disease with large central perforation in terms of hearing improvement and graft uptake. </p>
Evaluation of the Effect of Aortic Stenosis and Severity on Left Ventricular Function by Isovolumic Myocardial Acceleration
Authors: AKBAY Ertan , ERTURK Mehmet , YAZAN Serkan , SOMUNCU Mustafa Umut , YILDIRIM Aydın 
Published: December 2020

Aim: Tissue Doppler-derived isovolumic acceleration (IVA) is a parameter that evaluates the systolic function of both ventricles, without being affected by pre-load and post-load. We aimed to detect left ventricular systolic dysfunction at an early stage with IVA in patients with asymptomatic aortic stenosis (AS).
Material and Methods: A total of 105 patients were included in the study, 75 of which had isolated AS and 30 were free of any valve disease. Patients with AS were divided into three groups (mild, moderate and severe) according to their aortic valve area (AVA) and aortic peak velocities, as determined by means of a transthoracic echocardiography. Conventional echocardiography, systolic and diastolic Tissue Doppler parameters [peak myocardial velocity during isovolumic contraction (IVV), myocardial velocity during ejection phase (Sm), early diastolic myocardial velocity (e'), late diastolic myocardial velocity (a'), and acceleration time (AT)] were calculated in all patients. IVA was obtained by dividing the IVV flow rate by the AT time.
Results: The systolic parameters IVV (p
The Effect of Fingolimod (FTY720) Treatment on Liver Enzyme Levels in Relapsing-Remitting Multiple Sclerosis Patients
Authors: TAP Duygu , TERZİ Menderes Yusuf , DUMAN Taşkın 
Published: December 2020

Aim: Multiple sclerosis (MS) is a chronic inflammatory pathology affecting the central nervous system. Many therapeutic options have been approved against MS until today. In this study, it was aimed to investigate the effect of fingolimod treatment (FT) on the liver enzyme levels of relapsing-remitting multiple sclerosis (RRMS) patients.
Material and Methods: Body mass index, FT (0.5 mg/day) duration, and liver enzyme (alanine aminotransferase, ALT; gamma glutamyl transferase, GGT) levels of 102 RRMS patients (66 female, 36 male, mean age was 40.9±10.9 years) were gathered from polyclinic records retrospectively.
Results: The FT duration of MS patients was between 0.5 and 6 years. Increased ALT and GGT levels were detected in RRMS patients after >3 month-long FT. After FT, ALT and GGT levels elevated in males almost 2 times higher than in females. It was observed that ALT and GGT levels increased by 1.3 and 1.5 times in females, while 1.6 and 1.9 times in males, respectively. Of the MS patients with increased transaminases post-FT, 7 (23.3%) males and 8 (17.4%) females were at upper limit of normal for ALT whereas 9 (34.6%) males and 14 (32.6%) females as for GGT. Age and FT duration did not affect ALT and GGT levels.
Conclusion: Overall, FT elevated ALT and GGT levels of RRMS patients. Thus, it is of high importance to monitor MS patients throughout FT. So that, we suggest tracking ALT and GGT levels during and after FT to prevent possible liver damage or the occurrence of other systemic diseases.
Evaluation of the Relationship between Serum 25-Hydroxyvitamin D Levels and Pulmonary Functions in Adult Asthma
Authors: KESKİN Olgun , SEREMET KÜRKLÜ Nilgün 
Published: December 2020

Aim: This study was aimed to determine the relationship between serum 25-hydroxyvitamin D [25(OH)D] levels and the pulmonary functions in adult asthma patients.
Material and Methods: A total of 131 asthmatic patients’ general characteristics, asthma symptoms, pulmonary function test, asthma control test (ACT) scores, serum 25(OH)D levels, body weight, and height were recorded. Body mass indexes (BMIs) of the patients were calculated and World Health Organization criteria were used for the classification. Patients with serum 25(OH)D levels below 20 ng/mL were classified as having a deficiency, those with 21-29 ng/mL as having an insufficiency, and those with 30 ng/mL and above as having normal serum vitamin D levels.
Results: The serum 25(OH)D levels of patients in the uncontrolled asthma group, according to the ACT score, were found to be lower than those of patients in the controlled group (p=0.002). It was determined that as the serum 25(OH)D levels of the patients increased, the ACT scores also increased significantly (r=0.280, p=0.001). Additionally it was found that each 1 ng/mL increase in 25(OH)D level was associated with an increase of 0.176 L in forced vital capacity (FVC). In addition it was determined that as the serum 25(OH)D levels increased, the patients’ FVCs also increased (OR=1.056, 95% CI=1.003-1.113, p=0.038). Although the change was not statistically significant (p=0.081), as serum 25(OH)D levels increased, the ACT scores also increased.
Conclusion: Vitamin D insufficiency and deficiency were frequently found in adults with asthma and there was a relationship between vitamin D deficiency and pulmonary function.
Facing the truth
Authors: Gomera Sheron 
Published: December 2020

The purpose of the study was to explore the process of human immunodeficiency virus (HIV) disclosure to children living with perinatal HIV at Mpilo Opportunistic Clinic (OI) in Bulawayo Metropolitan Province. The qualitative approach was used to study the topic and a phenomenological research design was used to describe the process of disclosure to children living with perinatal HIV. Data were collected through in-depth interviews. The data collected revealed that the HIV status disclosure to adolescents was difficult for caregivers, which caused the disclosure to be done later than recommended by the Ministry of Health and Child Care Zimbabwe. This had a significant negative impact on the psychological well-being of children who also struggled to disclose their status to others. The study revealed that the HIV counsellors lacked skills to counsel on psychological issues. The researcher recommended that psychologist be integrated in the formulation of an HIV manual and be employed at OI clinics to counsel children and caregivers.

Keywords: Perinatal HIV, children, psychosocial, OI clinic.
A counseling service for developing the qona'ah attitude of millennial generation in attaining happiness
Authors: Halik Al 
Published: December 2020

<p class="AbstrakAGC"><strong>Purpose - </strong> The research objective is a trial to create group counseling services with self-acceptance techniques to develop Qona’ah attitudes in realizing the happiness of the millennial generation.</p><p class="AbstrakAGC"><strong>Method -</strong> The method used in data collection was a literature study.</p><p class="AbstrakAGC"><strong>Result</strong> - The result of this paper is to offer group guidance and counseling using self-acceptance techniques to develop a Qona’ah attitude. Positive self-acceptance will be able to create happiness.</p><p class="AbstrakAGC"><strong>Implications -</strong> Qona’ah attitude requires a training with strong patience, the applied counseling services are group guidance and counseling services with four stages.</p><p class="AbstrakAGC"><strong>Originality - </strong>A method of developing the Qona’ah attitude of the millennial generation is a process of providing professional assistance which is characterized by a continuous process with systematic steps to an individu or groups of people.</p>
Assessment of Ta’widh and Gharamah in Islamic Financing Contract and Its Applicability Potential for Construction Works Contracts
Authors: Mohamad Hamdan Noor Aishah , Ahmad Sarkawi Azila , Abdullah Habib Siti Nora Haryati , Othman Ahmad Azam 
Published: December 2020

Ta'widh and gharamah are the Shariah compliant late payment charges primarily used for Islamic financial contracts. Seven identified themes were used to qualitatively compare and contrast between the Guidelines on Late Payment Charges for Islamic Banking Institutions (2012) against the provisions of interest for late interim payment from four Malaysian construction works contracts. The findings revealed similarities and differences for identification of Shariah compliance. Recommendations were made for the harmonisation of ta’widh and gharamah in the construction works contracts while ensuring its practical and legal applicability. The outcome is beneficial for Islamic organisations and Muslims involved with the construction works.
Keywords: ta’widh and gharamah, late payment, interest,construction,
eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
DOI: https://doi.org/10.21834/ebpj.v5i15.2504.