bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nurses’ Knowledge, Attitude, and Fall Prevention Practices at South Korean Hospitals: A Cross-Sectional Survey
Authors: Cho Mi-young , Jang Sun Joo 
Published: April 2020

Abstract
Background: Fall-prevention activities are nursing interventions which are designed to improve patient safety. The introduction of evaluations of medical institutions and an increase in medical litigation has led institutions to emphasize the importance of fall-prevention activities. The current situation regarding falls among patients in small and medium-sized hospitals is poorly understood. This study examined fall-prevention activities in small and medium-sized hospitals and assessed knowledge and attitudes regarding falls of nurses working in these hospitals. Methods: Participants were 162 nurses from seven small and medium-sized hospitals. Data on participants’ characteristics, education regarding patient falls, knowledge of stretcher cart use, attitudes regarding patient falls, and fall-prevention activities were collected from August 1 to September 1, 2016. Results: Nurses’ experience with patients falling was positively correlated with knowledge. Length of nursing experience and attendance at education sessions influenced attitudes regarding patient falls. Attitudes positively correlated with fall-prevention activities, but knowledge did not. Nurses’ attitudes regarding patient falls were correlated with fall-prevention activities. To ensure engagement in fall-prevention activities, hospitals should develop incentive programs tailored to each hospital’s specific circumstances and create attitude improvement programs based on nurses’ subjective norms. Conclusion: In short, we recommend that consistent, repeated, and custom fall-prevention education should be implemented in small and medium-sized hospitals to promote engagement in fall-prevention activities. Patient safety activities in small and medium-sized hospitals can be enhanced by creating an environment which encourages voluntary and self-directed participation in fall-prevention activities using motivation and rewards.
A new method for evaluating packing efficiency of particle size distribution during coal water slurry preparation
Authors: Li Heping , Chen Xiaoyan , Liu Wanyi , Wu Zhiqiang , Wang Gang 
Published: April 2020

Abstract
Particle size distribution is a key problem in preparation of coal water slurry . Due to the large number of particles and irregular accumulation of particles, how to evaluate and calculate CWS particles has become an urgent need. In this paper, the volume accumulation of particles is simplified as plane accumulation, and the particle packing gradation model based on the three-particle packing gradation and the four-particle packing gradation is constructed. Based on the classical mathematical principle, the packing voids and packing probability of 5 typical CWS particle sizes were calculated. The packing styles of N 1 N 2 N 3 , N 2 N 3 N 4 and N 3 N 4 N 5 were evaluated and analyzed. The evaluation method of packing index based on ΣP×S min andΣP×S max was established. The results show that the packing efficiency of particles can be quantitatively evaluated by using of cumulative calculation of voids areas and packing probabilities under different packing modes. The evaluation results are consistent to the tendency of CWS concentration. By this method, the particle size distribution of CWS can be controlled and adjusted during both wet milling processes and experimental investigations. Furthermore, the method may be used to other particle packing cases.
The impact of introducing ambulance and delivery fees in a rural hospital in Tanzania.
Authors: Vossius Corinna , Ersdal Hege , Kvaløy Jan Terje , M Paschal , Md Estomih , Moshiro Robert , Kidanto Hussein , Lynaga Sara 
Published: April 2020

Abstract
Background: Access to health care facilities is a key requirement to enhance safety for mothers and newborns during labour and delivery. Haydom Lutheran Hospital (HLH) is a regional hospital in rural Tanzania with a catchment area of about two million inhabitants. Up to June 2013 ambulance transport and delivery at HLH were free of charge, while a user fee for both services was introduced from January 2014. We aimed to explore the impact of introducing user fees on the population of women giving birth at HLH in order to document potentially unwanted consequences in the period after introduction of fees . Methods: Retrospective analysis of data from a prospective observational study. Data was compared between the period before introduction of fees from February 2010 through June 2013 and the period after from January 2014 through January 2017. Logistic regression modelling was used to construct risk-adjusted variable-life adjusted display (VLAD) and cumulative sum (CUSUM) plots to monitor changes. Results: A total of 28,601 births were observed. The monthly number of births was reduced by 17.3% during the post-introduction period. Spontaneous vaginal deliveries were registered less frequently, while labour complication and caesarean sections were more frequent. There was a reduction of newborns with birth weight less than 2500 grams and an increase in newborns weighing more than 4000 grams. The observed changes were stable over time. For most variables, a significant change could be detected after a few weeks. Conclusion: After the introduction of ambulance and delivery fees an increase in labour complications and caesarean sections of about 80 per 1000 births and a decrease in non-cephalic presentations and newborns with low birthweight of about 17 per 1000 births each was observed. This might indicate that women delay the decision to seek skilled birth attendance or do not seek help at all, possibly due to financial reasons. Lower rates of births in a safe health care facility like HLH is of great concern, as access to skilled birth attendance is a key requirement in order to further reduce perinatal mortality. Therefore, free delivery care should be a high priority.
Runx1 Gene in Acute Myeloid Leukemia: Expression Level Significance and Impact on Clinical Features
Authors: Mohamed Fadwa Said Abdelazim , Shafik Roxan E , Hassan Naglaa M. 
Published: April 2020

Abstract
Background

Acute myeloid leukemia represents the highest percentage of all adult acute leukemia variants. Runt-related transcription factor1 (RUNX1), a transcription factor with a known tumor suppressor function was recently reported as a tumor promotor in AML. We investigated the role of RUNX1 geneexpression levelin Egyptian AML patients and delineateits clinical significance.

Methods

This study recruited 91 AML patients that were recently diagnosed at our hospital with 14 healthy age- and sex-matched donors of bone marrow transplantation unit. We measured RUNX1 gene expression level using reverse transcription–quantitative polymerase chain reaction.

Results

We found that RUNX1 gene expression level was significantly higher compared to the control group (p < 0.001). Patients with FLT3 mutations had the higher expression level of RUNX1 (p=0.023). The male patients expressed significantly higher level of RUNX1 (p=0.046).

Conclusion

The RUNX1 gene expression may serve as a diagnostic marker in Egyptian AML patients. Its relation to FLT3 may give clue that patients carrying this mutation may benefit fromnew treatments that target RUNX1 in the future. Further studies on a larger number of patients and different ethnic groupsmay give a clearer vision about this new molecular therapeutic target.
Intravenous lidocaine to prevent endothelial dysfunction after major abdominal surgery: A randomised controlled pilot trial
Authors: Pustetto Marco , GOLDSZTEJN Nicolas , TOUIHRI Karim , ENGELMAN Edgard , ICKX Brigitte , Obbergh Luc Van 
Published: April 2020

Abstract
Background Major abdominal surgery is associated with endothelial glycocalyx disruption. The anti-inflammatory effects of lidocaine were recently associated with endothelial barrier protection.Methods This was a single-centre, parallel group, randomised, controlled, double blind, pilot trial. Forty adult patients scheduled for major abdominal surgery were included between December 2016 and March 2017 in the setting of a University Hospital in Brussels (Belgium); reasons for non-inclusion were planned liver resection and conditions associated to increased risk of local anesthetics systemic toxicity. Patients were randomized to receive either lidocaine by continuous intravenous administration or an equivalent volume of 0.9% saline. The primary endpoint was the postoperative syndecan-1 concentration (difference between groups). Near-infrared spectroscopy of the thenar eminence in association with the vascular occlusion test, and contemporary analysis of flow-mediated dilation of the brachial artery were the secondary outcomes, along with hemodynamic data. Blood samples and data were collected before surgery (T0), and at 1–3 h (T1) and 24 h (T2) post-surgery. Results Syndecan-1 concentration increased significantly post-surgery ( P <0.001), but without any difference between groups. The near-infrared spectroscopy-derived and flow-mediated dilation-derived variables showed minor changes unrelated to group assignment. Compared with the placebo group, the intervention group had a significantly lower peri-operative mean arterial pressure and cardiac index, despite equally conducted goal-directed haemodynamic management. Postoperative lactate concentrations were similar between groups. Conclusions Lidocaine failed to have any effect on endothelial function. Endothelial dysfunction in major abdominal surgery may be overestimated.
‘Too old to test?’: A life course approach to HIV-related risk and self-testing among midlife-older adults in Malawi
Authors: Johnson Cheryl , Kumwenda Moses , Meghji Jamilah , Choko Augustine , Phiri Mackwellings , Hatzold Karin , Baggaley Rachel , Taegtmeyer Miriam , Terris-Prestholt Fern , Desmond Nicola , Corbett Elizabeth L 
Published: April 2020

Abstract
Background Despite the aging HIV epidemic, increasing age can be associated with hesitancy to test. Addressing this gap is a critical policy concern and highlights the urgent need to identify the underlying factors, to improve knowledge of HIV-related risks as well as uptake of HIV testing and prevention services, in midlife-older adults.Methods We conducted five focus group discussions and 12 in-depth interviews between April 2013 and November 2016 among rural and urban Malawian midlife-older ( ≥ 30 years) men and women. Using a life-course theoretical framework we explored how social age is enacted and the implications for HIV testing and sexual risk behaviours. We also explore the potential for HIVST to be part of a broader strategy for engaging midlife-older adults in HIV testing, prevention and care. Thematic analysis was used to identify recurrent themes and variations.Results Life course and aging among midlife-older adults was associated with respectability and participants identified HIV as “a disease of youth” that would not affect them, with age protecting them against high sexual activity, infidelity and sexual risk-taking. HIV testing was felt to be stigmatizing, challenging age norms, threatening social status, and implying “lack of wisdom”. These norms drove self-testing preferences at home or other locations deemed age-gender appropriate. Awareness of the potential for long-standing undiagnosed HIV to be carried forward from past relationships was minimal, as was understanding of treatment-as-prevention. These norms led to HIV testing being perceived as a threat to status by older-adults, contributing to low levels of recent HIV testing in midlife-older adults compared to younger adults.Conclusions Characteristics associated with age-gender norms and social position encourage self-testing but drive poor HIV-risk perception and unacceptability of conventional HIV testing in midlife-older adults. There is an urgent need to provide targeted messages and services more appropriate to midlife-older adults in sub-Saharan Africa. HIVST which has often been highlighted as a tool for reaching young people, may be a valuable tool for engaging midlife-older age groups who may not otherwise test.
Clinical characteristics analysis of 9 Cases COVID-19 patients receiving integrated Traditional Chinese and Western medicine: a retrospective study
Authors: Cao Chengjian , Zhang Fang , Li Liuying , Guo Maoli , Yin Minggang , Zhong Huixiu , Liu Weiping , Shao Fuqiang , Che Deya 
Published: April 2020

Abstract
Background Recently, WHO has classified COVID-19 as a global pandemic disease, and it is still spreading rapidly around the world, but no specific medicine or vaccine for 2019-nCov has been developed so far. At present, the epidemic situation in China has been basically controlled. Methods Here we report 9 COVID-19 patients hospitalized in the First People's Hospital of Zigong City, Zigong, China. In addition to antiviral drug treatment and other supportive treatment, all of them received traditional Chinese medicine prescription according to the different conditions of each patient, and we collected the clinical data of the 9 patients and analyzed the outcome as a retrospective study. Results The curative effect is very significant, all the patients have been discharged from the hospital, and the shortest course of treatment is only 12 days. Conclusions Combined with the fact that other parts of China use Traditional Chinese Medicine, including Wuhan Cabin Hospital, we speculate that Chinese medicine plays an encouraging role in this process and may be an adjuvant therapy of COVID-19, which may bring some reference to the treatment of COVID-19 worldwide, in spite of the efficacy and definite conclusions still need further study.
High prevalence of asymptomatic malaria infections in adults, Ashanti Region, Ghana, 2018
Authors: Heinemann Melina , Phillips Richard O. , Vinnemeier Christof D. , Rolling Christina , Tannich Egbert , Rolling Thierry 
Published: April 2020

Abstract
Background Ghana is among the high-burden countries for malaria infection and recently reported a notably increase in malaria cases. While asymptomatic parasitemia is increasingly recognized as a hurdle for malaria elimination, studies on asymptomatic malaria are scarce and usually focus on children and on non-falciparum species. The present study aims to assess the prevalence of asymptomatic Plasmodium falciparum and non-falciparum infections in Ghanaian adults in the Ashanti region during the high transmission season. Methods Asymptomatic adult residents from five villages in the Ashanti Region, Ghana, were screened for Plasmodium spp. by rapid diagnostic test (RDT) and polymerase chain reaction (PCR) during the rainy season. Samples tested positive were subtyped using species-specific real-time PCR. For all P. ovale infections additional sub-species identification was performed.Results Molecular prevalence of asymptomatic Plasmodium infection was 284/391 (73%); only 126 (32%) infections were detected by RDT. While 266 (68%) participants were infected with Plasmodium falciparum, 33 (8%) were infected with Plasmodium malariae and 34 (9%) with Plasmodium ovale. The sub-species Plasmodium ovale curtisi and P. ovale wallikeri were identified to similar proportions. Non-falciparum infections usually presented as mixed infections with Plasmodium falciparum.Conclusions Most adult residents in the Ghanaian forest zone are asymptomatic Plasmodium carriers. The high Plasmodium prevalence not detected by RDT in adults highlights that malaria eradication efforts must target all members of the population. Beneath Plasmodium falciparum, screening and treatment must also include infections with Plasmodium malariae, P. ovale curtisi and P. ovale wallikeri .
A Recognition Algorithm of VGPO Jamming Based on Discrete Chirp-Fourier Transform
Authors: Wu Chuanzhang , Chen Baixiao 
Published: April 2020

Abstract
We address the recognition problem of velocity gate pull-off (VGPO) jamming from the target echo signal for the velocity automatic tracking system. To this end, we resort to the discrete chirp-Fourier transform (DCFT) to jointly estimate the chirp rates and frequencies of the target and jamming signals. Firstly, the scaling characteristic of the DCFT algorithm is explored. Then we highlight the quantitative effect of the VGPO jamming signal by analyzing the jointly estimated result in each pulse. The effective effect indicates that the relationship between the estimated chirp rate and the pulse is similar to that between the frequency offset of VGPO jamming and the time when the estimated frequency is unchanged. Finally, by utilizing the analytical result and extracting the feature of the mean square to variance ratio (MSVR) of the normalized estimated chirp rate, the VGPO jamming can be recognized. Simulation results show that, for a time when the estimated frequency is unchanged, the MSVR of VGPO jamming decreases with the pulse numbers increases, and is always larger than that of a target which is steady. Comparing to other methods, the proposed method can correctly recognize the jamming signal with jamming-to-noise ratio (JNR) 5dB which shows better recognition performance, and is also effective within a shorter period.
Markers of myocardial damage after radiofrequency ablation of tachyarrhythmia
Authors: Zayfrid O. , Chueva K. , Vasichkina E. , Mikhailov A. , Lebedev D. , Nikitina I. , Tatarskiy R. 
Published: April 2020

This study presents literature data over the past few years on markers of acute myocardial damage after radiofrequency ablation. Information on markers such as troponin I and T, creatine phosphokinase and its fractions, CRP and interleukins and myoglobin is presented in detail. For each potential myocardial damage indicator, data related to their expression site, chemical basis of each marker and correlation between the degree of damage caused by radiofrequency exposure and the levels of various biomarkers of myocardial damage are provided.Received 12 November 2019. Revised 26 February 2020. Accepted 27 February 2020.Funding: The study did not have sponsorship.Conflict of interest: Authors declare no conflict of interest.Author contributionsConception and study design: O.L. Zajfrid, R.B. Tatarsky, E.S. VasichkinaDrafting the article: O.L. Zajfrid, K.A. Chueva, A.V. Mikhailov Critical revision of the article: O.L. Zajfrid, R.B. Tatarsky, E.S. Vasichkina, I.L. Nikitina, D.S. LebedevFinal approval of the version to be published: O.L. Zajfrid, K.A. Chueva, E.S. Vasichkina, A.V. Mikhailov, D.S. Lebedev, I.L. Nikitina, R.B. Tatarsky
Beautiful Barriers: Art and Identity along a Belfast ‘Peace’ Wall
Authors: Hocking Bryanna T. 
Published: April 2020

This article explores the representational implications of an ongoing project along Belfast’s main peace wall to transform the loyalist side of the barrier into an outdoor art gallery. Drawing in part on the interplay between social production and social construction (Low 2000) in the analysis of public space, the wall’s art is assessed as one means through which both elites and ordinary people inscribe meaning in the landscape. Particular attention is focused on a recently added mural, created as part of a European Union-funded initiative to promote ‘shared cultural space’, and the identity this promotes for the local population. Using ethnographic data gathered through participant observation as well as interviews with policymakers, artists, community stakeholders and residents, I suggest that while the wall’s art is not necessarily received or experienced by the Protestant community in the manner it is intended, it broadly serves as a touchstone by which narratives of conflict and communal ties are activated, and the neighbourhood’s evolving identity as an element in a new tourist-oriented economy is brought to the fore.
INTERAKSI BAP DAN NAA TERHADAP PERTUMBUHAN EKSPLAN ANGGREK VANDA SECARA IN-VITRO
Authors: Sutriana Selvia , Jumin Hasan Basri , Mardaleni Mardaleni 
Published: April 2020

This research aims to obtain the combination of BAP and NAA concentration which give the best effect on explant growth of Vanda orchid in-vitro. The research was conducted at the biotechnology laboratory Faculty of Agriculture Riau Islamic University Pekanbaru from August to December 2013. The completely randomized design with two factorials (BAP and NAA) was used. The observed parameters included percentage of shoot growing, shoot age, shoot height, shoot number and abnormal embryo somatic. Data were analysed using statistics and BNJ Test at the 5% significance level. The result showed that,interactionally,BAP and NAA applications had a significant effect on height plant with the best concentration without BAP and 1.0 ppm NAA. Individually, the application of BAP effected significantly on percentage of shoot growing, shoot growth, shoot height and shoot number with the best concentration without BAP and 0.1 BAP. Furthermore, the application of NAA influenced significantly on percentage of shoot growing, shoot age, shoot height and shoot number with the best concentration of 1.0 ppm NNA
Implementasi Nilai-Nilai Multikultural Di Pesantren Tebuireng
Authors: Zamani Nazhatuz , Inayatul Ilahiyah Iva 
Published: April 2020

Penelitian ini dilaksanakan bertujuan untuk mengetahui implementasi nilai-nilai multikultural di pesantren Tebuireng. Metode penelitian yang digunakan adalah penelitian diskriptif kualitatif dengan setting tempat di pesantren Tebuireng. Teknik pengumpulan datanya adalah dengan wawancara dan dokumentasi, analisis yang digunakan adalah teknik analisis induktif. Hasil penelitian menunjukkan pesantren Tebuireng adalah pesantren yang menerapkan nilai-nilai multikultural. Penanaman nilai-nilai multikultural untuk membangun sikap multikultural di pesantren Tebuireng banyak diajarkan melalui teladan keseharian tokoh tokoh pesantren. Pengajaran secara formal di ajarkan di unit pendidikan formal didapat disekolah dengan mengkaji kitab karya risalah ahlussunnah wal jamaah dan di pelajaran kewarganegaraanTasamuh adalah salah satu dari lima nilai dasar pesantren Tebuireng yang memiliki karakter sama dengan nilai multikultral. Implemntasi nilai multikultural di pesantren Tebuireng diterapkan dikeseharian santri, terbilang sejak penempatan kamar santri danÂ kebaiasaan hidup bersama dari beragam latar belakang yang berbeda, kegiatan-kegiatan pesantren yang diikuti oleh seluruh santri, kajian kitab karya Hadrotussyaikh Hasyim Asyâ€™ari Risalah Ahlussunnah Wal Jamaah yang berisikan tentang ajaran sikap toleran, adil, moderat dan dalam pendidikan formal penanaman nilai multikultural melalui pelajaran Pendidikan Kewarganegaraan (PKN) dan Moral Pancasila. Kiai dalam sebuah pesantren memiliki peranan yang sangat penting, sosok KH Salahuddin Wahid sebagai pengasuh pesantren Tebuireng memiliki karakter, model, gaya, pemikiran yang mengedepankan ajaran rahmatal lilalamin sehingga mendominasi karakter pesantren Tebuireng saat ini khususnya.
Kinerja Kontekstual dan Faktor-Faktor yang Memengaruhi
Authors: Nofrianda Rion , Sari Erita Yuliasesti Diah , Widiana Herlina Siwi 
Published: April 2020

Penelitian ini bertujuan untuk menguji komitmen afektif sebagai moderator pada pengaruh budaya organisasi dan kepuasan kerja terhadap kinerja kontekstual. Sebanyak 100 orang karyawan gerai makanan berpartisipasi dalam penelitian ini. Pengumpulan data dilakukan dengan menggunakan skala kepuasan kerja, budaya organisasi, komitmen afektif dan kinerja kontekstual. Analisis data yang digunakan adalah Partial Least Square-Structural Equation Modelling (PLS-SEM). Hasil penelitian menunjukkan bahwa komitmen afektif tidak mampu memoderasi pengaruh budaya organisasi terhadap kinerja kontekstual, namun komitmen afektif secara signifikan mampu memoderisasi pengaruh kepuasan kerja terhadap kinerja kontekstual. Implikasi dari penelitian ini adalah bahwa untuk meningkatkan perilaku kinerja kontekstual karyawan, organisasi dapat mendorong karyawan untuk menginternalisasikan budaya organisasi, memiliki kepuasan kerja yang tinggi dan membuat karyawan memiliki komitmen afektif terhadap organisasinya.