bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Ankylosing Spondylitis Performance Index: Reliability and Feasibility of an Objective Test for Physical Functioning
Authors: van Bentum Rianne E. , Ibáñez Vodnizza Sebastian E. , Poblete de la Fuente Maria P. , Valenzuela Aldridge Francisca , Navarro-Compán Victoria , Rusman Tamara R. , ter Wee Marieke M. , Valenzuela Letelier Omar , van Weely Salima F. E. , van der Horst-Bruinsma Irene E. 
Published: February 2020

ObjectivePhysical function in patients with axial spondyloarthritis (axSpA) is currently evaluated through questionnaires. The Ankylosing Spondylitis Performance Index (ASPI) is a performance-based measure for physical functioning, which has been validated in Dutch patients with radiographic (r−) axSpA. The interrater reliability has not yet been determined. To our knowledge, this study is the first to evaluate the validity, reliability, and feasibility of the ASPI in another patient population, including both r− and nonradiographic (nr−) axSpA patients.MethodsPatients with axSpA were recruited from rheumatology clinics in Santiago, Chile. Dutch instructions were translated to Spanish by a forward-backward procedure. Study visits were performed at baseline and 1–4 weeks later. Four ASPI observers were involved, measuring the performance times of the 3 ASPI tests. Validity was assessed through a patient questionnaire (numeric rating scale 0–10: ≥ 6 sufficient). For reliability, intraclass correlation coefficients (ICC) were calculated (with 95% CI). Correlations between the ASPI and disease variables were tested with regression analyses.ResultsSixty-eight patients were included (57% male, 52% r-axSpA). All patients understood the Spanish instructions and considered the ASPI to reach its aim (84%) and representativeness (85%) for physical functioning. The overall interrater (n = 62) and test-retest (n = 39) reliability (ICC) of the 3 tests combined were 0.93 (0.88–0.96) and 0.94 (0.87–0.97), respectively. Eighty-two percent of the patients completed all tests and 94% finished in < 15 min (feasibility).ConclusionThis study demonstrated a high validity and feasibility in an entirely different population, with both r-axSpA and nr-axSpA. The interrater and test-retest reliability was excellent. The ASPI instructions are now available for Spanish-speaking patients.
Decoupling and essential effects of lean management on job satisfaction, health and depression. A mixed methods approach.
Authors: Bouville Gregor , Schmidt Céline 
Published: February 2020

La littérature analyse les effets du lean management sur la satisfaction au travail et la santé en termes de découplage ou d’effets intrinsèques. Cependant, ces études donnent une compréhension partielle du phénomène en considérant ces deux effets séparément tout en n’expliquant pas les processus qui sous-tendent ces effets. Le but de cet article est de prendre en considération ces deux propositions concurrentes dans la littérature et d’en préciser leurs effets. Le choix d’une approche par les méthodes mixtes permet d’articuler une étude qualitative (une étude de cas) avec une étude quantitative (à l’aide d’une analyse statistique basée sur l’enquête nationale SUMER 2016-2017 auprès de 26 494 employés). Nous montrons que des effets sur la satisfaction au travail et la santé résultent à la fois d’un effet de découplage et d’effets intrinsèques du lean. La première contribution de cet article est de prendre en considération le lean comme un ensemble de principes organisationnels, de caractéristiques dans l’organisation du travail, et d’outils de gestion construits autour d’une logique de rationalisation ( lean bundle , lean groupé ). Cette clarification théorique permet de mettre en lumière la manière dont le découplage entre le lean théorique et son application peut être associé à l’insatisfaction au travail et aux problèmes de santé des salariés. Une deuxième contribution consiste à identifier et préciser un effet intrinsèquement négatif du lean bundle sur la santé des salariés via une intensification du travail. De plus, nous constatons qu’un des principes de base du lean – le « juste-à-temps » –, ainsi que deux caractéristiques d’organisation du travail – la standardisation du travail et le management de la qualité – peuvent être associés à des problèmes de santé et de dépression.
Faut-il avoir de la compassion pour les personnes handicapées ?
Authors: Clermidy P. Pierre 
Published: February 2020

La revue Laennec se propose de traiter régulièrement une question posée à Marseille aux étudiants de L2 médecine dans le cadre de l’examen de l’option « Santé, société et humanité ». Il ne s’agit pas d’un corrigé d’annales à proprement parler, mais de pistes pour une réponse possible.
La métallurgie du fer sur le Massif armoricain aux époques médiévale et moderne : entre ruptures, innovations et traditions métallurgiques
Authors: Le Carlier de Veslud Cécile 
Published: February 2020

Le Massif armoricain est une région très riche en minerais de fer dont les gisements sont de nature et d’ampleur variées. Leur exploitation a été très précoce, dès le début de l’âge du Fer, et s’est poursuivie jusqu’à la fin du xxe siècle. L’approche pluri-disciplinaire intégrant des sources documentaires anciennes, des prospections thématiques, des fouilles d’ateliers métallurgiques ainsi que des études archéométriques réalisées sur les déchets, montre clairement que les productions ont été jusqu’alors fortement sous-estimées pour l’époque médiévale alors qu’elles étaient probablement de grande importance. Elles diffèrent cependant en termes de technologie et d’organisation sociale selon les périodes concernées, la production diffuse du haut Moyen Âge laissant la place à une production plus massive au Moyen Âge central et au Moyen Âge tardif. Cette exploitation inscrite dans la durée a profondément modifié le paysage engendrant des transformations topographiques importantes qui ont pu conduire à l’abandon de terrains accidentés et à des déforestations intenses aux périodes de plus forte activité.
La sainte, l’Écossais et l’espion
Authors: Léthenet Benoît 
Published: February 2020

Sainte Catherine est connue dès le xiiie siècle pour être la sainte des prisonniers. Une notice du manuscrit conservant ses miracles (ms. fr. 1 045) relate son intervention miraculeuse pour épargner la vie de Michel Hamilton, un écuyer écossais. Depuis l’Auld Alliance (1295), des contingents écossais participent à la défense du royaume de France. Arrivé à La Rochelle, probablement entre 1426 et 1428, Michel Hamilton pourrait être un parent de Jean Stuart de Darnley. En poste à Vallet, entre Clisson et La Regrippière, le contingent écossais est espionné par les Bretons. Au xve siècle cette pratique se normalise et s’institutionnalise dans toutes les cours d’Europe. L’espion clissonnais n’est d’ailleurs qu’un rouage d’un ensemble plus vaste qui travaille à la circulation de l’information et à la conservation de la ville. Clergé séculier, clergé régulier et messagers sont à l’œuvre. Sauvé par sainte Catherine, livré à l’abbesse de La Regrippière, Michel Hamilton rejoint le camp français échappant ainsi au trafic de prisonniers.
Les procédures d’avaries dans l’amirauté de Lorient (1782-1791)
Authors: Coindet Sylvain 
Published: February 2020

Si le naufrage constitue l’acmé dans la hiérarchie des risques maritimes, il constitue également l’essentiel dans l’étude des accidents maritimes. Pour autant, si la perte totale d’un bâtiment constitue un drame humain, une catastrophe économique et une question de droit, le traitement des dommages survenus sur un navire ou sa cargaison durant un voyage révèlent que le principe de la division du risque était appliqué au transport maritime et que les modalités en étaient encadrées par des modalités juridiques particulières.Le présent article se propose, à travers le prisme des procédures d’avaries instruites entre 1782 et 1791 par l’amirauté de Lorient, de présenter l’activité de cette institution en la matière, ceci dans le contexte du commerce maritime de la Compagnie des Indes en cette fin de xviiie siècle. L’action de l’amirauté en matière de droit maritime, basée sur l’Ordonnance de la Marine de 1681, atteste du rôle des « experts » dans le règlement des contentieux juridico-maritimes, mêlant armateurs, marchands-chargeurs et assureurs. Il s’agit en effet, par le biais d’une procédure normalisée, de permettre la continuité du commerce par voie de mer en s’appuyant sur le droit, à partir d’expertises pratiquées à bord des navires ayant eu à subir une avarie.
Les chanteurs du Barzaz-Breiz à la lumière des carnets de collecte de La Villemarqué
Authors: Péron Goulven 
Published: February 2020

Depuis 1926, les recherches sur les chanteurs de La Villemarqué ont toujours constitué un sujet d’étude fortement lié à la question de l’authenticité des chants du Barzaz-Breiz. L’existence des chanteurs cités par le collecteur de Nizon ne prouvait certes pas l’authenticité de ces chants mais suggérait l’existence d’un matériau véritablement collecté à partir duquel La Villemarqué avait taillé ses « diamants ». L’analyse par Donatien Laurent dans les années 1960-1970 du premier carnet de collecte de La Villemarqué et des Tables des matières établies par sa mère avait permis de lever une partie du voile sur les chanteurs des environs de Nizon. La publication récente des deux derniers carnets de voyages apporte désormais une lumière nouvelle sur les chanteurs des pièces les plus suspectes du recueil en confirmant notamment le caractère fictif d’un grand nombre d’entre eux.
Preventing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit
Authors: Snyder Megan D. , Priestley Margaret A. , Weiss Michelle , Hoegg Cindy L. , Plachter Natalie , Ardire Sarah , Thompson Allison 
Published: February 2020

Background
Catheter-associated urinary tract infections are common health care–associated infections and have been associated with increased mortality, morbidity, length of stay, and cost. Prevention strategies are grouped into bundles focused on reducing unnecessary catheter use and promptly removing urinary catheters. Before intervention in the study institution, no urinary catheters were unnecessarily used and compliance with the catheter-associated urinary tract infection bundle was 84%.

Objective
To increase bundle compliance by using targeted rounds specifically focused on eliminating dependent loops in drainage tubing and ensuring appropriate catheter use to reduce the incidence of catheter-associated urinary tract infections.

Methods
A multidisciplinary team was formed to identify misperceptions, highlight best practices, and eliminate barriers to success over 1 year in a single pediatric intensive care unit. The team completed a quality improvement project of daily targeted rounding for patients with an indwelling urinary catheter. The goals were to assess appropriateness of catheterization, increase bundle compliance, and decrease catheter-associated urinary tract infection risk. Targeted rounds were conducted in addition to the medical team rounds.

Results
Bundle compliance supported by targeted rounding increased from 84% to 93% and helped reduce the overall catheter-associated urinary tract infection rate from 2.7 infections per 1000 catheter-days at baseline to 0. This change was sustained for 1 year.

Conclusion
Targeted rounding for pediatric patients with an indwelling urinary catheter is an effective and sustainable strategy to reduce catheter-associated urinary tract infections. The ease of implementation for this intervention lends itself to generalizability to other patient populations.
Effect of Eye Masks on Pain and Sleep Quality in Patients Undergoing Cardiac Surgery: A Randomized Controlled Trial
Authors: Mahran Ghada Shalaby , Leach Matthew J. , Abbas Mostafa Samy , Abbas Ahmed M. , Ghoneim Ahmed Mohamed 
Published: February 2020

Background
Impaired sleep is a common complaint among patients undergoing major surgery and may be a contributing factor in postoperative pain. The provision of eye masks to patients after cardiac surgery may reduce postoperative pain through improvements in sleep quality.

Objective
To examine the effect of nocturnal eye masks on postoperative pain and sleep quality in cardiac surgical patients.

Methods
In this randomized controlled trial, 70 adult patients who had undergone cardiac surgery requiring immediate postoperative care in the intensive care unit were randomly assigned to sleep with or without nocturnal eye masks for the first 3 nights in the unit. A visual analog scale was used to assess pain intensity, and the Arabic version of the Richards-Campbell Sleep Questionnaire was used to assess subjective sleep quality.

Results
A total of 66 patients completed the trial. A statistically significant difference was found between groups in mean total Richards-Campbell Sleep Questionnaire score over the 3-day study period (P = .001), with the intervention group reporting better sleep quality. A statistically significant difference was also found between groups in mean pain score on days 1, 2, and 3 (P &lt; .001), with the intervention group having less pain.

Conclusion
Nocturnal eye masks are a simple, low-risk, low-cost intervention that may contribute to reductions in perceived pain in cardiac surgery patients.
The Nature of and Motive for Academic Research in Higher Education: a sub-Saharan African Perspective
Authors: Kaweesi Muhamadi 
Published: February 2020

The production of knowledge that is diverse in nature has gained importance in research-led universities. However, the nature of scientific knowledge and researchers’ motives of producing such knowledge across disciplinary fields in research-led Sub-Saharan African universities are not yet known. This study set out to access the voices of lead researchers regarding the nature and motive of academic research in Uganda’s research-led flagship institution-Makerere University. Findings showed that despite the pervasiveness of theoretical/basic research across disciplinary fields, other research orientations are evident as well. Although emphasis is placed on publishing in top-ranked journals, there is production of commercially-biased, policy-relevant and community-oriented research. Due to research funding constraints, the donor-driven research orientation has also become popular. We therefore conclude that although majority of lead researchers engage in basic research, the nature of academic research is varied and lead researchers’ motives of engaging in research are diverse. Because of the dominance basic and donor-driven research, we recommend that there is need to rethink the University promotional assessment model, diversify research funding sources, and selectively collaborate with the donors.

Key words: Knowledge production, research-led university, research orientation
Effectiveness of University Research Policy in Promoting Research Engagement among Accounting Academics in Public Universities in KwaZulu-Natal
Authors: Nzuza Zwelihle Zwe 
Published: February 2020

Wiseman Nzuza, Lawrence Mpele Lekhanya
Durban University of Technology, South Africa
zwelihlen@dut.ac.za, lawrencel@dut.ac.za

1st Author:
Mr Zwelihle Wiseman Nzuza is a lecturer at the Durban University of Technology in the Department of Management Accounting
Email address: zwelihlen@dut.ac.za
Physical and Postal Address:
PO Box 1334 Durban University of Technology
Durban
4001

2nd Author:
Dr Lawrence Mpele Lekhanya in a senior lecturer at the Durban University of Technology in the Department of Public Management & Economics
Email address: lawrencel@dut.ac.za
Physical and Pos
It has been frequently observed that many academics with an accounting background are not research-oriented, whereas academics from fields in science and engineering believe strongly in research. At the present moment, public universities from KwaZulu-Natal are failing to grow accounting research outputs to at least minimum requirement of 0.50 units per year per lecturer as required by the South African government. University research policy (URP) is the main tool that can be used to promote research engagements of the academic staff. Therefore, the aim of the study was to identify the effectiveness of the URP in promoting accounting academics research engagement, with specific reference to the KwaZulu-Natal public universities. This study was census, descriptive, cross-sectional and quantitative in nature. With quantitative data gathered from a sample of 82 accounting academics. Data were analysed using descriptive and inferential statistics. The IBM Statistical Package for Social Sciences (SPSS) version 25.0 was used to determine statistical results. The study found that the URP is effective in terms of promoting the engagement of accounting academics in research activities and that it is highly significant. Based on the findings, the research concludes that the URP is valuable to grow accounting research outputs beyond existing limitations.
Key Words: university research policy, accounting academic staff
"Jeg gråter noen tårer hver dag". En fenomenologisk studie av hjemmeboende kreftpasienters beskrivelse av deres livvsituasjon i palliativ fase
Authors: Sønning Hildegunn Ervik , Fossum Mariann 
Published: February 2020

"I cry a few tears every day". A phenomenological study of at-home cancer patients' description av their life situations under palliativ care
The aim of this study was to investigate how at-home cancer patients perceived their life situations during the palliative care phase. The study employed a qualitative exploratory research design involving in-depth personal interviews with six women and two men between the ages of 35 and 63. All the interviewees lived at home, experiencing different life situations and suffering from different types of cancer. The interviews were recorded and transcribed verbatim. Data analysis was carried out using the descriptive phenomenological method presented by Giorgi. The findings are grouped under four themes; living with uncertainty and future unpredictability, perceptions of being seen and heard in encounters with health professionals and others, stress associated with the perception of disappointing close relatives, and challenges linked to meeting everyday demands. The patients’ stories relate their views on life, suffering and pain relief.
The Social Self of Child Refugee through Cinema: A Sociological – Educational Approach
Authors: Evaggelia Kalerante , Calliope Tsantali 
Published: February 2020

This paper is concerned with contemporary cinema films about refugees in an attempt to highlight their social self through redefined identities. The refugee issue is a crucial one to the global community. Political structures are tested by population mobility, while the democratic system is also challenged. The interpretation of discourse determinant to refugee social self is supported through studying cinema films. Focus is placed on screenplay, image and expression of feelings by the actors.
Five films portraying child refugees’ life trajectories are utilized to highlight the reconstruction of their social selves, while struggling for survival and violently being introduced to early adulthood. Cultural issues are correlated with social meanings and interpretative discourse patterns based on the way they are illustrated in the films. The film itself becomes discourse expressing the reality through correlating meanings constructed within the social, political and cultural setting. The unfolding of films, as interpretative patterns, includes knowledge that is the meanings of everyday life conducive to shaping emotions, attitudes and behaviours. The combination between the film narrative and social web forms the basis on which the political discourse pattern is approached, while the meaning emanates from the co-articulated domineering and conflicting discourses.
Following the massive population transfer to Europe, due to wars, domestic conflicts, political reversals and climate change, this time period forms the breeding ground to study refugee-related film theoretical discourse. This analysis will contribute to self-reflection through studying the hidden aspects of refugee life. Everyday refugee-related political discourses highlight the effects on the economic system and political structures, while the dimension of the citizen – refugee is concealed. Thus, the refugee, as individual and social subject, is invisible, excluded and marginalized. Films on refugees are conducive to increasing the different ways of viewing their lives in modern societies. At the same time, the education system is challenged to integrate child refugees through meaningful educational practices.
Knowledge, Attitudes and Practices of Primary Health Care Physicians Regarding Diabetes Management: A Cross Sectional Study in Gharbia Governorate, Egypt
Authors: Abu Kahf Mai Mohamed Mahmoud , Ayad Khalil Mohamed Abbas , Gabr Mamdoh Ahmed , Shehata Walaa Mohamed El Sayed 
Published: February 2020

Background: With increasing prevalence of diabetes mellitus worldwide, primary health care physicians are the main providers of diabetes care and their knowledge, attitudes and practices are important to achieve goals in diabetes management.
Objectives: Assessment of the knowledge, attitude and practices (KAP) of primary health care physicians regarding management of diabetes. To find-out gaps between the practices of primary health care physicians and the already established national and international guidelines.
Methods: This cross- sectional study was conducted on 144 primary health care physicians working in a randomly chosen primary health care centers in Al Garbia Governorate. Data collected concerning knowledge, attitudes and practices of primary care physicians regarding diabetes management.
Results: The study included 144 primary health care physicians working in 38 primary health care centers in Gharbia governorate. About two thirds (95) of the studied physicians were working in rural areas and the rest (49) in urban ones. As regards years since graduation, fifty three of the studied physicians were graduated <5 years and the rest (91) were graduated ≥5 years. Concerning relevant certifications or training courses, about three fourths (106) had relevant past experiences while one fourth (38) had no such experiences. Urban primary care physicians had higher percentage of correct knowledge than the rural ones as regards diagnosis, complications and managements of DM (p value <0.05). Primary care physicians with increased years of practice and who attended relevant training courses had favorable attitude and practices as regards counseling and regular examination of diabetic patients (p value <0.05).
Conclusion: The current study revealed a shortage of knowledge, attitude and practices of primary health care physicians as regards management of diabetes. The defect in knowledge and unfavourability of attitude and inappropriateness of practices are obvious in family physicians working in the rural health care facilities, those without relevant experience and those graduated less 5 years.