bluuebunny/crossref_metadata_2025_split huggingface dataset:
Are Clinical Registries Actually Used? The Level of Medical Staff Participation in Clinical Registries, and Reporting within a Major Tertiary Teaching Hospital
Authors: Dwyer Alison , McNeil John 
Published: May 2020

Clinical Registries are established to provide a clinically credible means for monitoring and benchmarking healthcare processes and outcomes, to identify areas for improvement, and drive strategies for improving patient care. Clinical Registries are used to assess changes in clinical practice, appropriateness of care and health outcomes over time. The American Heart Association Policy Statement in April 2011 called for expanding the application for existing and future Clinical Registries, with well-designed Clinical Registry programs. Concurrently, in Australia, and similarly within the United States and United Kingdom, there has been an increased focus on performance measurement for quality and patient safety. Within Victoria, the Victorian Clinical Governance Policy Framework outlines clinical effectiveness as one of the four domains of Clinical Governance
As Clinical Registries evaluate effectiveness and safety of patient care by measuring patient outcomes compared with peers, the use of Clinical Registries data to improve a health service’s quality of care seems intuitive. A mixed methods approach was utilised, involving (1) semi-structured interviews and (2) documentation audit in this study conducted at Austin Health, a major tertiary teaching hospital in North-Eastern metropolitan Melbourne, affiliated with the University of Melbourne and various research institutes within Austin LifeSciences.
Although many studies have highlighted the benefits of data collected via individual Clinical Registries, [5,6] the level of voluntary medical staff participation in Clinical Registries at a health service level is yet to be established. The aim of this study was to document the level of medical staff involvement for Clinical Registries within a major tertiary teaching hospital, and the level of reporting into Quality Committees within the organisation.
This study demonstrates that along with a very high level of medical staff participation in Clinical Registries, there is a lack of systematic reporting of Registries data into quality committees beyond unit level, and utilisation of such data to reflect upon practice and drive quality improvement.
Abbreviations: CREPS – Centre for Excellence in Patient Safety; CSU – Clinical Services Unit; HOU – Heads of Unit; VASM – Victorian Audit of Surgical Mortality.
Factors Affecting Hospital Choice Decisions: an exploratory study of healthcare consumers in Northern India
Authors: Kamra Vishal , Singh Harjot , De Kalyan Kumar 
Published: May 2020

This study examines the factors affecting hospital choice decisions by patients for tertiary level healthcare services and the relationships of these factors with respondent demographics. It also categorises the decision makers involved in the selection of hospitals. Data were collected from in-patients of multispecialty hospitals located in northern India with the help of a structured questionnaire. Factor analysis, ANOVA and t-test techniques have been employed to analyse the data. The study has revealed that the factors that affect hospital choice decisions of patients are basic amenities, reputation and quality, building and infrastructure, ease and affordability, personal substances (experiences), responsiveness of services, recommendations and suggestions, clinical support, privacy and information sharing, and range of services. The study has also revealed that various categories of respondent demographics, namely, age, gender, residence, education and monthly family income are significantly different statistically (P<.05) with respect to the identified factors. It has been found that most of the time family members, doctors or a combination of family members and doctors make the decisions to choose the hospital. It has also been found that friends/ relatives and patients themselves choose the hospital in some cases.
Making Hospital Governance Healthier for Nurses
Authors: Clark Kim , Beatty Shelley 
Published: May 2020

The current research examined front line nurse expectations of non-metropolitan public hospital governance. In doing so, it explored the relevance of two dominant, competing Agency and Stewardship governance theories to these organisations.
Two studies were conducted with the first establishing an inventory of notional nurse preferences for governance and the second testing these with a random sample of front-line non-metropolitan hospital nurses across one Australian State, with the aim of identifying valid and reliable measures.
The study data suggest nurses working in nonmetropolitan public hospitals expect governance practices to reflect: respect for and engagement with clinical perspectives; utilisation of evidence-based planning; and effective engagement withlocal communities. Scales with good consistency and criterion and construct validity measuring these three components were identified.
The study provides evidence that nurses expect and value a style of hospital governance that is consistent with Stewardship Theory. The results also suggest that governance is an important enough issue for nurses that it significantly affects their turnover intentions. This has important implications for healthcare leaders concerned about the sustainability of public hospitals.
Abbreviations: NPM – New Public Management; PCA – Principal Components Analysis.
Assessing the Adoption of a Home Health Provisioning System in India: an analysis of doctors’ knowledge, attitudes and perceptions
Authors: Agarwal Nikunj , Agarwal Nikunj , Sebastian MP , Agarwal Shikhar 
Published: May 2020

Background: Unlike developed countries, home healthcare provision systems (HHPS) are not widely prevalent in developing countries like India. Our objective was to study the knowledge, attitudes and perceptions of doctors in India about the adoption of HHPS.
Methods: Our survey included 180 doctors across India, working in local hospitals. Using online and paperbased questionnaires, we used bar charts and pie charts to represent the frequency distributions. We also conducted multivariate logistic regression analysis to understand the importance of the selected factors upon the dependent variables of interest such as willingness to work during non-office hours, desire for increased remuneration, and willingness to enrol in HHPS.
Results: The desire for an increase in remuneration made doctors more willing to enrol in HHPS. Possible reasons for doctors to enrol included the ability to answer follow-up queries through email or video chat and HHPS being integrated with the local healthcare system in the hospital. Young male doctors were most likely willing to provide services through HHPS during nonoffice hours as compared to females. A large majority of doctors indicated hospital visits to be important for follow-up queries, but several doctors indicated that simple patient queries could be addressed by nonpersonal interactions like video chat or email.
Conclusions: The desire for extra remuneration could be the primary reason for the willingness of doctors to work during non-office hours and thus enrol in HHPS. The majority of doctors considered hospital visits to be important, but several doctors also indicated that nonpersonal interactions using text messages, telephone, email and video chat might serve as important methods to respond to simple follow-up queries from patients.
Abbreviations: EMR – Electronic Medical Record; HHPS – Home Help Provisioning Systems; ICT – Information and Communication Technology; ISO – International Organisation for Standardisation.
Correlations and Organisational Effects of Compensation and Benefits, Job Satisfaction, Career Satisfaction and Job Stress in Public and Private Hospitals in Lucknow, India
Authors: Saxena Neha , Rai Himanshu 
Published: May 2020

The present study compares the organisational effect of compensation and benefits in public and private hospitals. It was observed that private hospital employees were more satisfied with their compensation and benefits as compared to the employees of government hospitals. Furthermore, the employees who were satisfied with their compensation and benefits were also found to be satisfied with their jobs.
Abbreviations: HR – Human Resources.
Aquisições da agricultura familiar e qualidade dos alimentos fornecidos na rede escolar municipal de Catuípe/RS
Authors: Vieira Eilamaria Libardoni , Basso David , Krüger Nathalia Rosa 
Published: May 2020

O Programa Nacional de Alimentação Escolar (PNAE) objetiva contribuir para o rendimento escolar, formação de práticas alimentares saudáveis, com logística de compras de alimentos para promover o desenvolvimento local com a inclusão de pequenos agricultores neste mercado institucional. O trabalho tem por objetivo verificar a relação da agricultura familiar no fornecimento de alimentos para estudantes das escolas municipais de Catuípe/RS, com a qualidade dos produtos adquiridos de agricultores familiares e com a sua repercussão na dinamização do desenvolvimento local. Para a pesquisa, de natureza qualitativa, utilizou-se de análise documental para dar conta da qualidade dos alimentos, com destaque para os editais de chamadas públicas do município para a alimentação escolar de 2010 a 2019, resgatando informações relativas ao ano, quantidade, valor e descrição dos alimentos, que foram classificados em grupos por tipos e de acordo com o grau de processamento. Para analisar as relações entre agricultura familiar, alimentação escolar e desenvolvimento local foram utilizadas entrevistas abertas com pessoas envolvidas na operacionalização do programa de alimentação nas escolas locais. Os principais resultados evidenciam um volume de compras maior dos alimentos in natura e minimamente processados, que são mais saudáveis, fornecidos por agricultores familiares. Os demais são alimentos processados por agroindústrias familiares, tipo caseiro ou colonial, com baixa utilização de ingredientes ultraprocessados e aditivos químicos. O aumento da participação de alimentos fornecidos por agricultores e agroindústrias familiares locais para a alimentação escolar em anos recentes indica potencial para contribuir no desenvolvimento local na perspectiva centrada nos princípios da segurança alimentar e nutricional como contraponto à agricultura convencional.
Palavras-chave: PNAE. Agricultura Familiar. Qualidade dos alimentos. Segurança Alimentar e Nutricional. Desenvolvimento local sustentável.
Mitral regurgitation and dyspnoea: the expanding role of mitral effective regurgitant orifice among un-selected patients
Authors: Maffeis Caterina , Inciardi Riccardo Maria , Benfari Giovanni , Bergamini Corinna , Ribichini Flavio Luciano , Cicoira Mariantonietta , Rossi Andrea 
Published: May 2020

Aims
Mitral regurgitation is frequent in the general population and among suspected heart failure patients; however, to what extent it contributes to dyspnoea is unclear. We hypothesized mitral regurgitation to have a role in determining dyspnoea in unselected ambulatory patients.

Methods
Consecutive outpatients referred for echocardiography were retrospectively screened and included. We excluded patients with mitral stenosis or prosthesis, congenital heart disease, cardiac surgery (previous 6 months) and atrial fibrillation. Patients were classified into four dyspnoea grades based on how they perceived their disability. We assessed mitral regurgitation severity through the effective regurgitant orifice area (ERO).

Results
One hundred and fifty-four patients (58% men; age 67 ± 14 years; mean ejection fraction 54 ± 12%) formed the study population; 76 (49%) classified asymptomatic (grade I), 63 (41%) dyspnoea grade II and 15 (10%) grade III; none was in grade IV. Mitral regurgitation was present in 102 patients (66%): primary in 14 (14%) and secondary in 88 (86%); among grades I, II and III patients, mitral regurgitation was present in 35 (46%; ERO 0.05 ± 0.10 cm2), 52 (82%; ERO 0.10 ± 0.13 cm2) and 15 (100%; ERO 0.20 ± 0.11 cm2) patients, respectively (P < 0.0001). After adjusting for clinical (age, hypertension, ischemic heart disease, chronic kidney injury, chronic pulmonary disease) and echocardiographic confounders (ejection fraction, E/e‘), ERO remained associated with symptoms presence (grade I versus II - III; P = 0.01 and P = 0.03, respectively).

Conclusion
Among unselected heterogeneous ambulatory patients, mitral ERO was associated with the presence of dyspnoea and could therefore help in identifying symptomatic patients and in clinical characterization of patients with perceived dyspnoea.
Youth With Concussion Have Less Adaptable Gait Patterns Than Their Uninjured Peers: Implications for Concussion Management
Authors: Howell David R. , Bonnette Scott , Diekfuss Jed A. , Grooms Dustin R. , Myer Gregory D. , Meehan William P. 
Published: May 2020

Objective To compare cross-recurrence quantification analysis measurements obtained during gait between adolescents who sustained a diagnosed concussion within 14 days of assessment and healthy adolescents. Design Cross-sectional study. Methods Youth athletes with concussion (n = 43; mean ± SD age, 14.4 ± 2.3 years; 56% female; tested median, 7 days post concussion) and healthy controls (n = 38; age, 14.9 ± 2.0 years; 55% female) completed a single-task and dual-task gait protocol while wearing a set of inertial sensors. We used cross-recurrence quantification analysis techniques to quantify the similarity between accelerations obtained from the sensor on the dorsum of each foot. Four outcome variables were compared between groups: percent determinism, average diagonal-line length, laminarity, and trapping time. Results Athletes with concussion had significantly higher percent determinism, laminarity, and trapping time than the control group in single-task and dual-task conditions (P<.05). Gait patterns, when simultaneously completing a secondary cognitive task (dual task), were no different from gait patterns under a single-task condition. Conclusion Higher percent determinism, laminarity, and trapping time among athletes with concussion suggest that concussion may be associated with a more stuck and predictable gait pattern. These altered movement patterns may be one reason for underlying slower gait speeds that have been observed following concussion. J Orthop Sports Phys Ther 2020;50(8):438–446. Epub 22 May 2020. doi:10.2519/jospt.2020.9133
Pengaruh Adversity Quotient terhadap Motivasi Berprestasi pada Siswa Cerdas Istimewa
Authors: Sugiarti Rini , Nurlaili Annisa , Febriani Umi Farida 
Published: May 2020

<p><strong>Abstrak.</strong> Penelitian ini bertujuan untuk menguji secara empiris pengaruh <em>adversity quotient </em>terhadap motivasi berprestasi pada siswa cerdas istimewa. Hipotesis yang diajukan dalam penelitian ini adalah terdapat pengaruh <em>a</em><em>dversity quotient </em>terhadap motivasi berprestasi pada siswa cerdas istimewa. Subjek dalam penelitian ini berjumlah 60 siswa cerdas istimewa di kelas unggulan MTs Negeri 1 Semarang, yang terdiri atas 30 siswa kelas VIII A unggulan sains dan 30 siswa kelas VIII J unggulan agama. Teknik pengambilan sampel yang digunakan adalah sampling jenuh. Alat ukur dalam penelitian ini adalah skala motivasi berprestasi pada siswa cerdas istimewa dan skala <em>adversity quotient</em>. Analisis data dilakukan dengan menggunakan teknik analisis regresi sederhana dan menunjukkan bahwa terdapat pengaruh <em>adversity quotient </em>terhadap motivasi berprestasi pada siswa cerdas istimewa yang ditunjukkan dengan nilai F = 68, 388 dan p = 0,000 ( p &lt; 0,05). Dengan demikian hipotesis diterima.</p><p> <strong><em>Kata Kunci : Adversity Quotient, Motivasi Berprestasi, Siswa Cerdas Istimewa</em>.</strong></p>
Comparison of Chinese and Foreign Art under the “Belt and Road” Initiative
Authors: Han Yang 
Published: May 2020

In the context of the “Belt and Road” art creation, the Silk Road is the theme, trying to create a new form of aesthetics. The artistic creation of Chinese and foreign artists is driven by the spirit of the "Belt and Road" and the historical stories on the Silk Road as backgrounds. The artists have expressed their cultural propositions and demands with unique regional culture and artistic language, highlighting the Silk Road's impact on the present. significance. Although there are many differences between Chinese and foreign cultures in many aspects of the work, it still reflects the common recognition of the “Belt and Road” in many details, achieving a high degree of integration between the theme and language, and spirit and form.
Perfil clínico-epidemiológico dos pacientes com câncer de próstata da Unacon, de Teixeira de Freitas, BA
Authors: Macena Tharcilla Nascimento da Silva , Prates Fernanda Mota , Santos Rafael de Souza 
Published: May 2020

O câncer de próstata (CaP) é uma doença altamente prevalente, sendo a segunda neoplasia que mais acomete homens em todo mundo, tendo uma alta significância no quadro de morbimortalidade da população masculina. O presente trabalho trata de estudo retrospectivo, do tipo quantitativo, descritivo e quanto aos procedimentos se classifica como pesquisa de levantamento. A pesquisa foi realizada na Unidade de Alta Complexidade em Oncologia (UNACON) de Teixeira de Freitas, BA. Após análise, foi visto que 37,42% dos pacientes foram diagnosticados com o tumor em estadiamento III, concluindo que há uma dificuldade em detectar o CaP precocemente, o que diminui as chances de cura. Com esses resultados, espera-se, enfim, mobilizar e onscientizar os profissionais de saúde sobre seu papel humano e técnico-científico para cuidado efetivo tanto na atenção primária, quanto no tratamento de pacientes acometidos de carcinoma prostático, bem como estímulo nas investigações que enfatizem essa patologia.
Digital transformation of customs services and customs control for goods ordered by individuals through global trading platforms and sent in international mail
Authors: Grekov Ivan , Afonin Petr , Dianova Valentina 
Published: May 2020

The article focuses on the process of introducing new-generation digital technologies in the field of economy and social life.
On the basis of new digital technologies already used in the world, the author created a model for improving customs services and customs control.
Using this model in practice will have an impact on preventing cases of violation of customs legislation, as well as increasing the revenue of customs payments to the state budget.
MECHANISMS AND INSTRUMENTS FOR ENSURING ECONOMIC SECURITY OF OIL AND PETROCHEMICAL ENTERPRISES
Authors: Weisman Camila 
Published: May 2020

The oil and gas industry remains for Russia the most important source of income, a strategic industry. According to official figures of the Ministry of Finance of the Russian Federation, income from the oil and gas sector, according to the results of 2019, is 40% of the total budget of the country. A large volume of crude oil and gas is exported from the country. The tax burden on raw materials reaches up to 60% of the initial cost, which makes oil production at new fields extremely unprofitable.
The most important direction for the country is the transition from a strategy for the sale of crude oil products to refined ones, which have an additional cost.
The article discusses the features of domestic oil production, analyzes the reasons for overpriced in comparison with competitive raw materials from other oil producing leader countries. The strategy of ensuring the economic security of the industry is noted, the main tools are listed and the mechanisms for ensuring the economic security of petrochemical industry enterprises are presented.
RUSSIA IN THE DIGITAL FUTURE: CHALLENGES AND PROSPECTS FOR DEVELOPMENT
Authors: Simonov Sergei , Simonov Sergei 
Published: May 2020

Introduction. There are ongoing changes in the economic and social spheres associated with increased information. This trend is taking place in today 's world, as it is not possible for a biosocial entity to process such a huge body of information. That is why positive dynamics in digital innovation are needed. They penetrate all sectors of the economy, both as industrial internet and in the form of digital assets. Japan, Canada and the Nordic countries are leading the way in this area. In particular, we are talking about accounting and auditing activities in terms of accounting for digital assets, as well as other digital signs.
Materials and methods: legislation and scientific literature revealing the state of the economy in Russia, digital technologies of importance in the digital development of our country. The following methods of scientific knowledge of research materials were used: analysis, synthesis, derivation, induction, comparative method, description, trend analysis, etc.
The results: the results of the study revealed issues related to the development and analysis of the state of the digital economy in Russia, as well as identified existing problems and identified ways to solve them and prospects for development in the context of the implementation of the process of digitalization of the national economy.
Discussion: The study made it possible to determine the current situation of the Russian economy and its relationship with digital technologies; Identify problems in the digital economy and propose solutions of their own.
Conclusion: The study is devoted to the phenomenon of the application of the digital economy in Russia. Issues addressed include the emergence and development of digital technologies; The challenges of a full transition to the digital economy; Prospects for the development of digital technologies in the Russian Federation. The author focuses on problems related to insufficient financing of the digital economy, which affects the world rating of countries and points to the need to develop new ways of developing digital technologies. Based on the study of the factual material, it has been established that Russian organizations tend to fully transition to the digital economy. The state of development of the digital economy in the Russian Federation has been analyzed. The main prospects for the development of the digital economy in Russia have been identified. Conclusions have been drawn on this material and proposals have been formulated to overcome barriers related to the problems of development and introduction of the digital economy in the Russian Federation.
Key words: digital economy, digitalization, digital technologies, development strategy, rating, stages of digital transformation.
TAX SYSTEM OF THE RUSSIAN FEDERATION: FINANCIAL AND BUDGETARY ASPECT
Authors: Chehov Anton 
Published: May 2020

The financial and budgetary aspects of the Russian tax system are themselves only one of the regulatory levers of state economic functioning, but their role in the implementation of national tax policy is very high.
Rational use of financial and budgetary techniques can have a positive impact on the state of the economy as a whole and make it possible to fulfill the set goals. The entire Toolkit needs to be considered as a single whole because of the uninterrupted relevant mutual communication.