bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penyimpangan Perilaku Sosial Remaja di Kota Samarinda
Authors: Supratman Nanang 
Published: February 2020

Background of this research was condition of adolescents who experience behavioral disorder, repetitive and sedentary behavioral patterns, which it violated social norms and rules of their age or deviated from the truth. This behavioral disorder was backgrounded by factors which supported each other. The primary factors were internalization process of religion and culture, and fulfillment of developmental tasks. The other factors were systems of value, attitude, and belief, that guided behavior and represented social persfektive or moral conviction which was used as a last rational basis of action. Objective of this research were to explain the concept of value had by the adolescents who experience social behavioral irregularities and to show clearly the developmental tasks had by them, with Developmental Psychology expert theory. Qualitative research used was interdisciplinary approach. They were phenomenology, psychology, and sociology. Data collection techniques were interview and observation. Data analyzing were inductive and sustainable, that accorded to data collection framework, data reducting, data presenting, and conclusions (verification). The Validity of data used credibility testing which were extension of observation, enhancement of endurance, and triangulation. Then, the research used confirmability testing. The research were pointed out two (2) findings. One was the concept of value had, believed, and followed by the adolescents who experince social behavioral irregularities, was guided by some primary values -responsibility, aid, honesty, ambition, and rigth perception- and by some primary last ideals -having happiness, family safety, comfortable life, and value of true friendship- for having a life full of passion. Another was behavioral disorder that happened because of two (2) detentions. Detention in having the developmental tasks –unmature relation of friends around, failed reaching of masculinity and femininity socially, detenty accepting of body physically, and detenty reaching of emmotional independence of parents in some teenagers while some ones had not right independence– hence, inflicting less harmonious relation of adolescents among their parents and socials around. Detention in self preparing the family life –carrer of economic, set of value and ethic system in behaviorally way– hence, detenty reaching and hoping of responsible bahavioral socially.
Effectiveness of transverse speed reducers and exploring factors contributing to road traffic crashes on a rural two-lane highway: A mixed methods study
Authors: Asefa Nigus , Yang Hannah S , Kahsay Znabu H , Hassen Abrahim , Gebrehiwot Tesfay G 
Published: February 2020

Abstract
Background: In Ethiopia, there are an estimated 25.3 road traffic related deaths per 100,000 population, which is much higher than the global average road traffic fatality rate. Speed is the most well-known risk factor influencing both the risk as well as the severity of the resulting injuries. Although there is paucity of data from low-income countries, speed reducers have been widely approved as an effective traffic calming countermeasure in high-income countries. We aimed to (i) explore the effectiveness of transverse vertical speed reducers and, (ii) qualitatively explore stakeholders’ perceptions of the factors that affect the risk of road traffic crashes.Methods: Data on all crashes occurring from September 2010 to August 2015 were obtained. Interrupted time series analysis using Poisson regression was used to estimate the effect of speed reducers on the number of crashes per month before and after their installation in January 2012. Focus group discussions and in-depth interviews were conducted with traffic police, drivers, drivers’ training center owners, and community members to describe their perceptions about the effects of the speed reducers. Quantitative and qualitative results were triangulated.Results: There were 130 crashes during the study period. Of these, 45.4% were property damage only, and 16.9% were fatal. After the speed reducers were installed, there was no statistically significant difference (incidence rate ratio, IRR =1.17, 95% CI[0.60-2.30], p-value =0.644) in the number of crashes per month, but there were changes in the distribution of crash severity (p-value <0.001). Four core themes, with subsequent sub-themes, emerged as perceived contributors to road traffic crashes. Of these core-themes, speedy and reckless driving, were perceived as the strongest force perpetuating road collisions. Qualitative respondents disagreed on whether the speed reducers were effective and expressed concerns such as the lack of signage to warn drivers.Conclusions: Although speed reducers are proven to reduce collisions in high-income settings, this study in Ethiopia was inconclusive. Inappropriate design for the roadway type, sporadic placement, lack of signage and maintenance, and poor stakeholder coordination may have hampered effectiveness. An evidence-based planning process prior to implementing road design interventions is recommended to achieve the desired results.
Challenges of Scene Management in Traffic Collisions from the Perspective of Road Emergency Responders in East Azerbaijan, Iran, 2017
Authors: Babaie Javad , Mostafanejad Reyhaneh , Janati Ali , Bazargan Homayon Sadeghi 
Published: February 2020

Abstract
Background: Annually thousands of traffic collisions occur on the roads of Iran. The present study aimed to investigate the challenges of car crash Scene Management (SM) in East Azerbaijan, Iran.Methods: In this qualitative study, data were collected using in-depth semi-structured interviews with road accidents responders and analyzed using content analysis coding, and merging. Then, subcategories and themes were extracted from the integration of similar codes. The participants were selected using the purposive sampling method, and the interviews were continued until reaching data saturation.Results: Totally 20 participants were interviewed, out of which 167 challenges, 28 subcategories, and 9 themes were identified including: infrastructural problems, lack of preparedness, challenges of triage, deficiencies and limitations, management of special (hazardous) incidents, communication problems with the casualties, lack of coordination, lack of psychosocial support of responders, cultural and social challenges.Conclusion: Every road crash requires an immediate and effective response, but because this process is an inter-sectoral issue, it is faced with several challenges. The most important of them is the lack of coordination between different responders. Therefore, it is necessary to address these challenges by formulating a comprehensive plan, designating a lead organization, assigning a single phone number for requesting emergency services, eliminating deficiencies and shortcomings, training and empowerment of emergency staff and conducting participatory exercise.
EarLy Exercise in blunt Chest wall Trauma: a feasibility trial (ELECT Trial)
Authors: Battle Ceri , O'Neill Claire , Toghill Hannah , Newey Luke , Hutchings Hayley 
Published: February 2020

Abstract
Background For patients with blunt chest wall trauma, no evidence exists regarding the optimal physiotherapy treatment aimed at addressing the longer-term complications, specifically chronic pain and disability. The overall aim of this phase of work, is to investigate whether early thoracic and shoulder girdle exercises improve chronic pain in patients with blunt chest wall trauma, when compared to normal care. Methods A single centre, parallel, feasibility randomised controlled trial was completed at a University Teaching Hospital in Wales. Adult patients with blunt chest wall trauma, admitted to hospital for greater than 24 hours, with no concurrent, immediately life-threatening injuries, were included. The intervention was a simple physiotherapy programme comprising thoracic and shoulder girdle exercises. Feasibility outcome measures included: Primary: 1) adherence to the protocol by the physiotherapy team (more than 80% of eligible patients randomised), and 2) acceptability of the intervention by the patients (less than 30% of patients dissented to participation). Secondary: 1) ability to retrieve follow up data (response rate of more than 70% of participants) and, 2) safety of the intervention compared to routine care (no more than 10% increase in serious adverse events). Results 14 patients were recruited to the trial. Clinicians randomised 100% of eligible patients during the trial period. All feasibility criteria were fully met. The intervention was safe the number of serious adverse events was comparable between the control and intervention periods. Discussion We have demonstrated that a fully powered randomised clinical trial of the ELECT Trial is feasible. Minor methodological modifications will be made for the full trial. ISRCTN Trial registration number ISRCTN 16197429
Risk factors for early readmission after acute exacerbation of chronic obstructive pulmonary disease
Authors: Jo Yong Suk , Rhee Chin Kook , Kim Kyung Joo , Yoo Kwang Ha , Park Yong Bum 
Published: February 2020

Abstract
Background

Patients discharged after treatment for acute exacerbation of chronic obstructive pulmonary disease (COPD) are at high risk for readmission. We aimed to identify the prevalence and risk factors for readmission.

Methods

We included 16,105 patients who had claimed their medical expenses from May 1, 2014, to May 1, 2016 after discharge from any medical facility in Korea, following treatment for acute exacerbation of COPD. We analysed the potential risk factors for readmission within 30 days of discharge.

Results

Readmission rate was 26.4% (3989 patients among 15,101 patients) and over 50% of readmissions occurred within 10 days of discharge. Approximately 57% of readmissions occurred due to respiratory causes. Major causes of readmission were COPD (27%), pneumonia (14.2%) and lung cancer (7.1%), in that order. Patients who were readmitted were male, had more comorbidities, and were less frequently admitted to tertiary hospitals than those who were not readmitted. Risk factors for readmission within 30 days of discharge were male sex, medical aid coverage, longer hospital stay, longer duration of systemic steroid use during hospital stay, high comorbid condition index, and discharge to skilled nursing facility.

Conclusions

Readmission occurred in approximately a quarter of patients, and was associated with patient-related and clinical factors. Using these results, we can identify high-risk patients for readmission and precautions are needed to be taken before deciding discharge plan. Further research is needed to develop accurate tools for predicting the risk of readmission before discharge and development and evaluation of an effective care programs for COPD patients are necessary.
The impact of redistributing deaths by ill-defined and unspecified causes on cancer mortality in Brazil
Authors: Bigoni Alessandro , Cunha Amanda Ramos da , Antunes José Leopoldo Ferreira 
Published: February 2020

Abstract
Background The reliability of mortality data is a critical aspect of epidemiological studies on cancer. The under-registration of deaths, a high proportion of deaths classified as due to unspecified causes,4 and inadequate report of immediate or mediate conditions as the underlying cause of death are the main problems affecting the reliability of mortality data. Several statistical techniques to correct this problem were reported, resulting in a variety of methods for the same purpose. This study aims to discuss the impact on the magnitude and temporal trends of mortality of four different strategies of redistribution that have been used to assess cancer mortality in Brazil. Methods This study used anonymized georeferenced provided by the Brazilian Ministry of Health. Four different approaches were used to perform the redistribution of ill-defined deaths and garbage codes. Age-standardized mortality rates used the world population as reference. Prais-Winsten autoregression allowed calculating trends for each region, sex and cancer type. Results Death rates increased considerably in all regions after performing the redistribution. Overall, the Elisabeth B. França and World Health Organization methods had a milder impact on trends and magnitudes of rates when compared to the method used in the Global Burden of Disease 2010 study. This study also observed that when the Brazilian Ministry of Health dealt with the problem of redistributing ill-defined deaths, the results were similar to those obtained by the Global Burden of Disease method. The redistribution methods also influenced the assessment of trends; however, differences in the annual percent change were less pronounced. Conclusions Given the impossibility of developing a gold standard method for comparison, the matching of global techniques with those that consider the local reality may be an alternative for methodology selection. In the present study, the compatibility of the findings suggests the validity of the Global Burden of Disease method as concerning the Brazilian context. However, caution is needed in this interpretation. Future studies should assess the impact of these methods as applied to the redistribution of deaths to type-specific neoplasms.
Clinical application of totally implantable venous access ports in patients with breast cancer
Authors: Zhang Peng , Mo Xueli , Du Jun , Fan Changsheng , Dong Jie , Fan Zhenhua , Han Dong , Zhao Qikang 
Published: February 2020

Abstract
Background Totally implantable venous access port (TIVAP) has become an effective approach for venous access chemotherapy in cancer treatment. We aimed to show the important procedures of clinical application of TIVAP and complications management in breast cancer.Patients and Methods From January 2013 to December 2017, patients with breast cancer who took TIVAP operation were investigated. The key procedures of TIVAP conduct and its complications were evaluated in this study.Results One hundred and ten ports were applied to 110 patients with breast cancer. All ports were successfully implanted in all patients including 108 male and 2 male patients. Patients were followed for an average of 275 days. Conclusion It is safe and effective of TIVAP implantation by blind puncture applied in patients with breast cancer. Chemotherapeutic drugs delivery on the placement day seems safe and showed no more complications.
Impact of Fake Braces on Oral Health Related Quality of Life: A Web-Based Cross-Sectional Study
Authors: Hakami Zaki , Chung Hye Soo , Moafa Seham , Nasser Hadia , Sowadi Hajar , Saheb Safeena , Anderson Nina K 
Published: February 2020

Abstract
Background Fake braces have become popular as fashionable appliances in some parts of the world, however, there is a scarcity of information about their effects on various aspects of quality of life. Therefore, our aim was to investigate the effects of fake braces on oral health related quality of life (OHRQoL).Methods A cross-sectional study was carried out with data collection from a Google form questionnaire distributed in Saudi Arabia via various forms of social media over a period of four months. OHRQoL was assessed using the validated Arabic version of the Oral Health Impact Profile-14 (OHIP-14) questionnaire. Fake braces group included respondents who had braces installed for fashion purposes only. Therapeutic braces group included subjects who were wearing braces to treat any malocclusion problems. Control group included participants who did not have any kind of braces. People who had previously completed orthodontic treatments were excluded from the study. The negative impacts were divided into seven domains and a total OHIP score was calculated. Statistical analyses and data illustration were performed with SPSS Statistics (v. 25).Results A total of 1167 people voluntarily participated in the study. More than 60% of the participants were in the control group while 30% had conventional braces for therapeutic reasons and less than 5% had fashion braces under investigation. Sociodemographic distributions varied among the groups and the majority of the subjects in fake braces group had education below the university level with family income of less than average. There were no significant group differences in total OHIP scores. Physical pain was the most frequently reported complaint by all subjects and was the highest in the therapeutic braces group. People with fake or therapeutic braces reported significantly higher functional limitation and physical disability than the control. Yet, fashion braces group reported significantly lower psychological discomfort and disability compared to the therapeutic braces or control groups.Conclusions The illustrated effects of fake braces on OHRQoL in this study suggests the need to study the role of social media and educate the public on the use of braces to minimize the negative effects experienced by individuals.
Microbial Leakage Evaluation Of Warm Gutta – Percha Techniques
Authors: Libonati Antonio , Piccinno Anna , Gallusi Gianni , Montemurro Edoardo , Taranto Virginia Di , Campanella Vincenzo 
Published: February 2020

Abstract
Background: To compare bacterial leakage of MicroHeat and continuous wave with and without endodontic sealer. Methods: Thirty – eight single – rooted extracted mandibular premolars were selected and randomly divided into four experimental groups (n=8) and two control groups (n=3). Teeth were prepared with Mtwo NiTi files and obturated with MicroHeat or System B with or without endodontic sealer. Three teeth were used as positive controls (Ct+) and three intact teeth served as negative controls (Ct-). All samples were tested for bacterial infiltration every day for 60 days. Results: On day 32 overall contamination value was 62,5% for Mseal, 75% for Mnoseal, 75% for SBseal and 37,8% for SBnoseal; after 60 days, the final contamination result was 100% for Mseal, Mnoseal and SBseal and 87,5% for SBnoseal. Conclusions: At the end of the observation period, groups showed no statistically significant differences.
Comparative study of serum zinc concentration in recurrent herpes labialis patients and healthy individuals
Authors: Ranjbar Zahra , Zahed Maryam , Ranjbar Mohammad Ali , Shirmardan Zahra 
Published: February 2020

Abstract
Background: Recurrent herpes labialis (RHL) is one of the most common recurrent infective vesiculoulcerative lesions. Topical and systemic administration of Zinc compounds has been found to have preventive and therapeutic effects. The purpose of this article is to evaluate the serum level of zinc in patients with RHL and healthy individuals. Methods: This cross-sectional study was performed on 43 patients with the history of recurrent herpers labialis and 42 healthy subjects with no history of the lesion. Blood samples were taken and serum zinc level was measured. Chi-Square test was used to compare the qualitative relationships and to compare the quantitative relationships independent T-test was used. To observe the relationship of quantitative factors including serum zinc level, the number of relapses and recovery rates correlation test was taken. Results: The results show that serum zinc level has no significant difference in healthy subjects and patients (p> 0.05). Also, zinc level was not related to age and sex factors and frequency of relapse (P> 0.05). But surprisingly in the patients group, there was a significant relationship between zinc level and recovery period. As the serum zinc level was lower, the duration of recovery was significantly higher (p =0.009). Conclusion: The results of this study indicate that zinc deficiency is a risk factor for increasing the duration of herpes labialis lesions. Therefore, the evaluation of serum zinc level in subjects with recurrent herpes labialis and subsequent administration of zinc is recommended in such patients.
Fast and efficient face recognition system based on kernel sparse representation and fast CoSaMP
Authors: Lahaw Zied Bannour , Seddik Hassene 
Published: February 2020

Abstract
Kernel sparse representation based classification (KSRC) in compressive sensing (CS) represents one of the most interesting research areas in pattern recognition, image processing and especially facer recognition and identification. First, it applies dimensionality reduction method to reduce data dimensionality in kernel space and then employs the L1 -norm minimization to reconstructing sparse signal. Nevertheless, these classifiers suffer from some shortcomings. KSRC is greedy in time to achieve an approximate solution of sparse representation based on L1 -norm minimization. In this paper, a new method is mathematically developed and applied for face recognition based on Gabor-wavelets for feature extraction and KSRC for precise classification. The aim of the proposed algorithm is to improve the computational efficiency of KSRC by applying a supervised kernel locality preserving projections (SKLPP) for dimension reduction. In fact, the L1 -norm minimization is performed by the use of the fast compressive sampling matching pursuit method (FCoSaMP). Experimental results prove that the proposed classification method is efficient, fast, and robust against variations of illumination, expression, and pose. Indeed, its computation time is highly reduced compared to the baseline performances.
Effects of environmental distractors on nurse emergency triage accuracy: a pilot study
Authors: delmas philippe , fiorentino Assunta , antonini matteo , Vuilleumier severine , Stotzer guy , Kollbrunner Aurélien , Jaccard Dominique , Hulaas Jarle , Rutschmann Olivier , simon josette , Hugli Olivier , de Keranflec’h Charlotte Gilart , pasquier jerome 
Published: February 2020

Abstract
Background: Patient safety is a top priority of the health professions. In emergency departments, the clinical decision making of triage nurses must be of the highest reliability. However, studies have repeatedly found that nurses over- or undertriage a considerable portion of cases, which can have major consequences for patient management. Among the factors that might explain this inaccuracy, workplace distractors have been pointed to without ever being the focus of specific investigation, owing in particular to the challenge of assessing them in care settings. Consequently, the use of a serious game reproducing a work environment comprising distractors would afford a unique opportunity to explore their impact on the quality of nurse emergency triage. Methods/Design : A factorial design will be used to test the acceptability and feasibility of a serious game created to explore the primary effects of distractors on emergency nurse triage accuracy. A sample of 80 emergency nurses will be randomised across three experimental groups exposed to different distractor conditions and one control group not exposed to distractors. Specifically, experimental group A will be exposed to noise distractors only; experimental group B to task interruptions only; and experimental group C to both types combined. Each group will engage in the serious game to complete 20 clinical vignettes in two hours. For each clinical vignette, a gold standard will be determined by experts. Pre-tests will be planned with clinicians and specialised emergency nurses to examine their interaction with the first version of the serious game. Discussion : This study will shed light on the acceptability and feasibility of a serious game in the field of emergency triage. It will also advance knowledge of the possible effects of exposure to common environmental distractors on nurse triage accuracy. Finally, this pilot study will inform planned large-scale studies of emergency nurse practice using serious games.