bluuebunny/crossref_metadata_2025_split huggingface dataset:
The use of hospital consumer assessment of healthcare services and the Press Ganey medical practice surveys in guiding surgical patient care practices
Authors: Mao Gordon , Gigliotti Michael Joseph , Dupre Derrick 
Published: July 2020

Background:
Patient satisfaction questionaries have become popular in the past decade after the institution of the Patient Care and Affordable Care Act of 2010. This study evaluated whether the Hospital Consumer Assessment of Healthcare Services (H-CAHPS) and Press Ganey scores improved after institutional changes to the rounding system.

Methods:
In the summer of 2017, utilizing H-CAHPS and Press Ganey scores, we asked whether switching from mid-level rounding providers to resident physicians improved patient care. Pre- and post-intervention groups, each lasting four quarters, were divided into care provided by mid-level personnel versus residents. For these periods, H-CAHPS respondent data were compared by a Chi-squared test (P < 0.05), while Press Ganey responses were analyzed with an independent samples t-test (P < 0.05).

Results:
Significant improvement was noted in patients answering “Definitely yes” in recommending our institution in both H-CAHPS and Press Ganey satisfaction surveys. Significant improvement regarding the speed of discharge, instructions for post-hospital care, and the overall rating of care given was observed in the Press Ganey responses alone.

Conclusion:
Significant improvement in satisfaction was noted in the Press Ganey responses regarding the discharge process and speed of discharge. The quality of this last encounter likely contributed to+ the significant improvement observed in both the H-CAPHS and Press Ganey Scores for an overall hospital stay and the percentage of those definitely recommending our institution.
An uncommon intramedullary tumor: Primary medullary cone melanoma
Authors: Nogueira Ricardo Malcata , Cardoso Luis Santos , Fonseca Lino , Branco Pedro , Correia Miguel , Roque Pedro , Araújo Catarina 
Published: July 2020

Background:
Melanoma is the third most common primary tumor to metastasize to the central nervous system (CNS). However, primary CNS melanoma is very rare, and primary intramedullary melanoma is even less frequently encountered, with only 27 cases published in the literature. There are no pathognomonic imaging characteristics, therefore, the diagnosis must be confirmed immunohistologically and the preferred treatment is the gross total resection.

Case Description:
A 68-year-old male presented with low back pain of 2 months duration, and 1 week of urinary retention/anal sphincter incontinence. The neurologic examination revealed bilateral paraparesis (3/5 level) with bilateral Babinski signs, and a T10–T11 pin level. The lumbar CT-Scan showed a hyperdense intramedullary tumor arising from the conus medullaris. The patient underwent a D12–L2 laminectomy with myelotomy for gross-total tumor resection. Postoperatively, he regained motor function but the urinary incontinence remained unchanged. The diagnosis of a primary malignant melanoma was confirmed both histopathologically and immunohistochemically (e.g., staining revealed positive immunoreactivity for S100 protein and Melan A).

Conclusions:
Primary intramedullary spinal melanoma is very rare, and the diagnosis must be biopsy/operatively confirmed. Whether gross total resection is feasible depends on the extent of tumor infiltration of the cord/ adherence as well as the potential for clinical deterioration with overly aggressive removal.
Mechanical venous thrombectomy and prolonged infusion of tissue plasminogen activator for cerebral venous sinus thrombosis: Video case report
Authors: Housley Steven B. , Vakharia Kunal , Waqas Muhammad , Davies Jason M. , Siddiqui Adnan H. 
Published: July 2020

Background:Cerebral venous sinus thrombosis (CVST) is a rare and often misdiagnosed condition with mortality rates ranging from 6 to 10%. Diagnosis and monitoring are typically achieved through noninvasive imaging, including computed tomography or magnetic resonance venography. The current standard of treatment is systemic anticoagulation. However, in patients who continue to decline neurologically or do not show sufficient response to or have absolute contraindications to systemic anticoagulation, endovascular treatments are an alternative. Endovascular options are poorly studied and specific devices have not been developed, partially due to the rare nature of the disease. Here, we present a case report detailing the treatment of extensive CVST from the vein of Galen to the sigmoid sinus using mechanical thrombectomy and local infusions of unfractionated heparin (UFH) and tissue plasminogen activator.Case Description:A 53-year-old man presented and was found to have extensive CVST extending from the vein of Galen to the left sigmoid sinus. Systemic UFH was begun; however, his condition continued to decline, and he was taken for endovascular intervention, wherein mechanical thrombectomy was undertaken using combinations of stent retrievers and balloon catheters, which provided acceptable revascularization. Unfortunately, his hospital course was further complicated by a cerebellar hematoma that was surgically evacuated and reocclusion of the sinus for which a microcatheter was placed for infusion of UFH and tissue plasminogen activator.Conclusion:Complicated CVST may require aggressive endovascular management. Local infusions of heparin and thrombolytic agents as well as mechanical thrombectomy are safe alternative options.
Constitutional Perspectives on the Enforcement of Socio-Economic Rights: Recent South African Experiences
Authors: Olivier Marius 
Published: July 2020

The forging of South Africa's constitution and Bill of Rights in 1996 was undoubtedly an important historic event. This paper presents a fascinating discussion concerning the treatmentand methodology employed by South African Constitutional Courts in interpreting theConstitution and its Bill of Rights. Particular attention is paid to the far-reaching judgment by theConstitutional Court in Government of the Republic of South Africa v Grootboom. Inconcluding, this paper develops a non-exhaustive list of guiding principles developed from theCourt's approach.
Socialization of Drug Dangers to Grow Healthy Culture Students Since Early Age At SD Negeri 66 Singkawang Timur Sanggau Kulor Sub-district in Year 2017
Authors: Wahyuni Rika , Husna Nurul , Maharyani Dina Anika 
Published: July 2020

Dedication to the society is done in the form of socialization awareness of the dangers of drugs among students. This activity aims to provide understanding and knowledge of the dangers of drugs, in order to be able to avoid the abuse of drugs. This activity also aims to foster a healthy culture from an early age. The importance of growing a healthy culture among drug-free adolescents. Subjects of dedication to society activities are the students grade VI in the 66 East Singkawang national School which amounted to 21 students. The socialization and mentoring activities were conducted by lecture, demonstration, discussion and practice with question and answer. Availability of adequate expert in providing socialization, the enthusiasm of the participants, support by goverment, RT and RW to the implementation of activities and financial support from STKIP Singkawan is a supporter of this dedication activity. Benefits to be gained by participants of this dedication activity is with these activities can provide awareness to students about the dangers of drugs. This socialization activity also can giving an understanding of the importance of healthy culture from an early age.
Reconstruction of the water area of the river Western Dvina in the Smolensk region
Authors: Markova Irina  Mikhailovna , Moguev Aleksey Pavlovich , Bazarov Dilshod  Raimovich , Norkulov Bekhzod  Eshmirzaevich 
Published: July 2020

The article presents a set of engineering measures for the reconstruction of the water sector of the Western Dvina River in the Smolensk region. The measures are aimed at preventing the negative impact of water and protecting territories from flooding and flooding, as well as at restoring the transport capacity of the river’s water sector.
Influence of coniferous energy supplement on-breast productivity of cows
Authors: Prytkov Yuriy Nikolaevich , Kistina Anna  Alexandrovna , Dorozhkina Ekaterina Ivanovna 
Published: July 2020

The article presents the results of the influence of coniferous-energy supplements on the qualitative and quantitative indicators of milk productivity. It was found out that the inclusion of 17 g / kg of dry matter of the ration in the diets of cows contributed to an increase in milk productivity and the biological value of milk.
INFLUENCEOF GROWTH STIMULANTS AND MICROFERTILIZERS ON THE PRODUCTIVITY OF CRAMBE ABYSSINICA H.
Authors: Prakhova Tatyana Yakovlevna , Kshnikatkina Anna  Nikolaevna , Prakhov Vladimir Aleksandrovich , Korzhov Sergey Ivanovich 
Published: July 2020

The article presents the results of studies evaluating the influence of growth stimulants and micronutrient fertilizers on the productivity and sowing qualities of Crambe Abyssinica. Growth regulators Albit - 40 ml/t, Gumat K/Na - 0.15 l/t and microelement fertilizers EcoFus - 0.5 l/t and Omex - 2 l/t were studied. Studies have shown that the most effective options are with seed treatment with the growth regulator Albit and the combined use of Albit + Omex. Here the greatest positive effect was obtained on the indicator of field germination of krambe (89.6%) and on the safety of plants for harvesting (96.8%), respectively. It was revealed that the variant with the use of Albit, Gumat K/Na + Omex and Albit + Omex most effectively increased the seed yield of Crambe, the seed productivity here was 2.92; 2.93 and 2.96 t / ha, respectively. These options stimulated germination energy by 1.8-4.7% and laboratory germination by 3.8-9.1% relative to the control. The krambe oil content in the experimental variants was 36.14-39.76%, in the control - 36.04%. The highest oil content of seeds was noted on the variant with Albit - 39.76%. The use of Albit in combination with EcoFus and Omex contributes to the accumulation of oil in seeds up to 38.55 and 38.68%, respectively. The weight of 1000 seeds of Crambe varied in the range of 8.16-8.38 g in the variants with the use of drugs and 8.13 g in the variant without treatment. The germination energy and laboratory germination rate of Crambe Abyssinica varied between 52.7-79.8% and 69.5-86.5%, depending on the use of the preparations.
Atendimento ao queimado em uma unidade de saúde pública
Authors: DE CASTRO REGINA RIBEIRO , Ferreira Alexsandra Santos , Santos Sarah Sandres Ameida 
Published: July 2020

Objetivo: Apresentar as características do atendimento ambulatorial de queimados em uma unidade de saúde pública. Métodos: Trata- se de uma pesquisa de campo analítica, descritiva, com abordagem quantitativa de dados referentes ao atendimento ambulatorial de pacientes queimados em um Hospital Público de Anápolis, o qual atende a população da Regional de Saúde Pirineus, nos casos de queimadura de baixa e média complexidade. Os dados analisados referem-se à quantificação dos atendimentos no ambulatório hospitalar, ocorridos no ano de 2016 e as características da população atendida, conforme gênero sexual e faixa etária, e da queimadura, quanto o agente causador, região do corpo atingida, superfície corporal queimada e classificação. Resultados: Analisou-se 1.072 fichas de atendimentos. A maioria dos atendimentos ocorreu no mês de abril (10,8%), com prevalência pouco superior da população feminina (53,9%). A faixa etária predominante esteve entre 20 e 24 anos (18,2%). O 2º grau obteve 81,8% das amostras de queimaduras por agente físico e a extensão de 18% de SCQ foi a de maior frequência, classificando a maioria dos atendimentos ambulatorial a paciente médio queimado. Os membros superiores (51,9%) estiveram prevalentes nas ocorrências de queimaduras. O trauma por abrasão foi o agente causador prevalente sobre as demais causas, com incidência de 59,3%. Constatou-se que as queimaduras mais comuns no período foram por abrasão e exposição térmica, com prevalência da população feminina (53,9%). Conclusão: Os resultados apontam para a necessidade de prevenção de queimaduras, tanto para a população masculina quanto para a feminina, com ênfase na proteção dos membros superiores no manuseio de objetos e líquidos muito quentes; além da necessidade de maior cuidado na condução de bicicletas e motocicletas, com atenção as sinalizações e as leis de trânsito e assim evitar os traumas abrasivos e possíveis acidentes mais graves.
Panorama das infecções por micobactérias não tuberculosas no estado de Goiás: análise de oito anos
Authors: Borges Marielly Sousa , DIETZ JEFFERSON DO CARMO , ALVES SUELI LEMES DE ÁVLIA , SANTANA IVANÍSIO GOMES DE , DIAS DISLEY XAVIER RODRIGUES , Manrique Edna Joana Claudio 
Published: July 2020

Objetivo: Estimar a prevalência de micobacterioses não tuberculosas e verificar quais os fatores de risco associados aos casos no estado de Goiás. Métodos: Trata-se estudo transversal, desenvolvido a partir dos resultados e informações contidas nas solicitações de exames e culturas arquivados pela seção de Micobactérias do LACEN-GO, que de acordo com os critérios microbiológicos internacionais caracterizaram-se como verdadeiros casos, no período de 2010 a 2018. Resultados: Foram identificados 240 casos no período analisado. Destes, 90 (37,0%) foram relacionados a doença disseminada, 75 (32,0%) a infecções associadas a procedimentos invasivos, 71 (29,5%) a doença pulmonar, 3 (1,2%) a doença linfática e 1 (0,3%) a doença renal. Os casos de Infecção associada a procedimentos Invasivos ocorreram em mulheres de 20-29 anos, seguido da faixa etária de 30-39 anos, que se submeteram a implante de prótese mamária e glútea, lipoaspiração ou abdominoplastia. A doença pulmonar predominou em indivíduos com idade maior que 60 anos, seguido de 40-49 anos, com histórico de tuberculose ou tratamento prévio para esta doença, e que vivem com HIV/AIDS. A doença disseminada foi identificada em indivíduos de 30-39 anos vivendo com HIV/AIDS. Conclusão: Observou-se que atualmente a prevalência na forma disseminada e pulmonar encontra-se elevada. São fatores de risco ao desenvolvimento de doença disseminada indivíduos de 30-39 anos vivendo HIV/AIDS, para doença pulmonar os idosos com histórico de tuberculose, em ambas no gênero masculino, e para Infecções associada a procedimentos invasivos gênero feminino de 30-39 anos com implante de prótese mamária.
Perfil, qualidade de vida e perspectivas futuras de residentes do programa de residência em área profissional da saúde
Authors: De Oliveira Stefan Vilges , Camargos Samara Pereira da Silva 
Published: July 2020

Objetivo: Avaliar o perfil dos residentes do Programa de Residência em Área Profissional da Saúde da Universidade Federal de Uberlândia. Método: Trata-se de um estudo descritivo de uma amostragem não-probabilística formada por residentes matriculados no ano de 2019. Para o levantamento de dados foi utilizado um questionário estruturado online no Google contendo variáveis sobre o perfil sociodemográfico, acadêmico e ocupacional, qualidade de vida, saúde mental e perspectivas futuras. Resultados: Dos 59 residentes avaliados, observou-se a predominância do sexo feminino 78%, sem filhos 94,91%, brancos 67,70%, com renda familiar entre 2 e 3 salários mínimos 54%, naturais do estado de Minas Gerais 62,71%, que residiam com amigos e/ou parceiros 41,37%. Á formação profissional da maioria é dentista 22,03%, que concluiu a graduação no ano em que entrou no programa e a capacitação foi o principal motivo por optar pela residência 42,37%. Sobre a qualidade de vida e saúde mental, destaca-se que 48,27% dormem 6h/dia, consideram a sua rede de apoio e condições de trabalho como boa, 72,41% e 51,72% respectivamente. Além disso, 52,24% não fariam outra residência, 66,10% pretendem atuar na mesma área em que realizou a residência e 91,50% acreditam que a residência abrirá novas oportunidades. Conclusões: Os resultados deste estudo mostram-se importantes para o aprimoramento dos programas de residência e destacam a necessidade de pensar na qualidade de vida destes residentes, durante o processo de formação e de políticas públicas que busquem incentivar e planejar a inclusão destes profissionais a permanecerem colaborando no âmbito do Sistema Único de Saúde.
Análise situacional da cobertura da atenção primária da rede cegonha no município de Anápolis em 2018
Authors: Lima Ana Marina Silva , Franco Maria Angélica Eloi , De Souza Martinely Ribeiro , Ribeiro Lucas Dias , Ribeiro Lucas Silva , Guimarães Paulo Evaristo Seabra , Dias Karinne Ribeiro , Carvalho Leonardo Driessen Rodrigues 
Published: July 2020

Objetivo: Este estudo visa abordar a Rede Cegonha em seus aspectos que envolvem a Atenção Primária em Saúde, com foco nos serviços de pré-natal de baixo risco, acolhimento da gestante e do bebê, humanização do parto do nascimento e vinculação da gestante à maternidade, no município de Anápolis, durante o ano de 2018. Método: Trata-se de um estudo retrospectivo descritivo com base na análise observacional através de dados fornecidos pelo sistema de dados registrados no Sistema de Informações Ambulatoriais do SUS (SIA/SUS), a partir do programa Tab para Windows – Tabwin, pelo Cadastro Nacional de Estabelecimentos de Saúde (CNES), no sistema de Informação e Gestão da Atenção Básica (e-Gestor AB) e por dados fornecidos diretamente na Secretaria Municipal de Anápolis. Resultados: Ao se analisar a cobertura da Rede Cegonha na cidade de Anápolis, levantou-se 35 estabelecimentos que realizam tal tipo de serviço e, dentre eles, 30 correspondem exclusivamente aos serviços prestados pela Atenção Primária, com uma cobertura de 56,10% da população para os serviços prestados pela ESF. Dentre 45.165 mulheres em idade fértil atendidas pela atenção primária, contabilizou-se 5.023 atendimentos de Pré-Natal, sendo destes 3.233 atendimentos por profissionais médicos. Quanto à situação de saúde, constatou-se problemas de subnotificação, ausência de equipamentos de pré-natal adequados, falta de capacitação e educação permanente da equipe multidisciplinar e precária captação de gestantes. Conclusões: Mesmo sendo o Acolhimento e Acesso Pré-Natal difundido nacionalmente, constata-se uma precariedade e falha na efetividade de assistência às gestantes nessa base fundamental da Rede Cegonha, necessitando de intervenções estratégicas de imediato para a resolução efetiva do quadro situacional atual.
National Action Plan on Antimicrobial Resistance: stakeholder analysis of implementation in Ghana
Authors: Jimah Tamara , Ogunseitan Oladele 
Published: July 2020

Background Understanding potential barriers to implementation of public health policy is important to ensure well-informed decisions, and stakeholders play critical roles in implementation. Stakeholder analysis is expected to shed light on Ghana’s progress with the implementation of the National Action Plan on Antimicrobial Resistance since the completion of the Global Health Security Agenda’s Joint External Evaluation. The outcome of stakeholder analysis can improve understanding of their roles and institutional capacity to promote prudent use of antibiotics in populations at the community level. Methods Eight semi-structured in-depth interviews were conducted with participants of the Joint External Evaluation process, including personnel from the policy, research, and practice programs in Ghana’s public health sector. In-person interviews were conducted between September and October 2018 in the Greater Accra and Upper West regions. Results The analysis revealed four main themes: national burden of disease and antibiotic resistance, policy development, implementation barriers, and strategies. Ghana’s national antimicrobial policy and action plans to enhance public education and awareness align with the objectives of the Global Action Plan on Antimicrobial Resistance. All respondents expressed concern about the increasing proliferation of antibiotic-resistant bacteria, which they attribute in part to the inappropriate use of antibiotics in local communities. Although Ghana has laws to regulate the sale of antibiotics, enforcement has been a major challenge. Inadequate funding for monitoring compliance comprises the greatest challenge. Stakeholders also acknowledged the importance of strengthening cross-sectoral collaboration, and the need to leverage resources from the animal and environmental sectors through a One Health approach to ensure successful implementation of the national action plan. Conclusions This study identified several opportunities for effective implementation of the Ghana’s National Action Plan on Antimicrobial Resistance. Stakeholders were enthusiastic about the effectiveness of the One Health approach, and there is strong political will to promote multisectoral partnership to advance implementation efforts.
DETERMINAN EFEKTIVITAS PENGELOLAAN KEUANGAN BADAN LAYANAN UMUM DAERAH (BLUD): DIMODERASI SISTEM PENGENDALIAN INTERN PEMERINTAH
Authors: Sandria Mita , Agusti Restu , Putra Adhitya Agri 
Published: July 2020

This study aims to determine the effect of the use of information technology, human resource competency, and functional oversight of the effectiveness of financial management of local public service agencies with the government's internal control system as a moderating variable. The data used in this study are primary data with questionnaires as instruments. The number of samples in this study were 112. However, only 92 (82,14%) respondents returned the questionnaire and could be processed. Data in this study were analyzed using the Structural Equation Modeling (SEM) model. Testing the hypothesis in this study using a significance level of 5% (0.05). The results of this study indicate that the use of information technology, human resource competencies, and functional oversight effect on the effectiveness of financial management of regional public service bodies and internal control systems can moderate the relationship of the use of information technology, human resource competencies, and functional oversight of the effectiveness of financial management bodies regional public services.
Feeding and slaughter qualities of young dairy and dairy and beef cattle
Authors: Kuliyev R. T. , Kenzhebayev T. E. , Bekisheva S. N. , Mamyrova L. K. , Yesembekova Z. T. 
Published: July 2020

Relevance. According to the results of numerous scientific and laboratory studies, both lack of fatness and excessive obesity of livestock reduce the quality of meat and are the result of imperfect technology of growing and fattening animals or a low level of breeding and irrational use of feed.Methods. Scientific and production experiments were carried out in the Tau Samal LTD Company LLP and the Plemzavod Almaty SEC Almaty region. The dynamics of live weight, fattening and slaughter qualities of young dairy and dairy and beef cattle during the periods of growing and fattening were studied.Results. Gobies of experimental groups of different genotypes, which received feed additives in addition to the main diet, in terms of live weight, fattening qualities, growth and development rates, total and average daily gains, morphological and chemical compositions and energy value of meat favorably differed from uniform age counterparts from the control groups.