bluuebunny/crossref_metadata_2025_split huggingface dataset:
A glance at one decade of water pollution research in Iranian environmental health journals
Authors: Tirgar Aram , Aghalari Zahra , Sillanpää Mika , Dahms Hans-Uwe 
Published: September 2020

Abstract
Background
Due to the importance of water, the negative effects of water pollution on human health and the lack of proper knowledge of the state of research in this regard, the purpose of this study was to analyse scientific publications on water pollution in Iranian journals of environmental health.

Methods
This cross-sectional study was conducted using a scientometric method over a ten-year period (2008–2017) on articles published in five specialised environmental health journals emphasising the issue of water pollution. Data were collected through a researcher-based checklist using the International Committee of Medical Journal Editors (ICMJE) and the World Association of Medical Editors (WAME) recommendations. Data processing was done using descriptive statistics and VOSviewer software.

Results
A review of 1276 articles in specialised environmental health journals revealed that 33.7% of the articles were in the field of water. Physical and chemical factors in water were the main subjects of 21.4% of studies, and temperature and turbidity were the most important physical factors. Microbial agents in groundwater and surface water were the main subjects of 14.1% of the articles. The findings show that 55 of 430 articles related to water were written with contributions from 20 countries (including Iran), with the most contributions from researchers from Asia.

Conclusions
Good conditions do not exist to investigate the status of articles on water pollution in specialised environmental health journals in Iran over a ten-year period. Health policymakers should therefore provide mechanisms to encourage national researchers, especially environmental health professionals, by setting national research priorities on quality and water pollution to conduct studies in this regard.
Exploring the perceptions of advanced practitioner radiographers at a single breast screening unit in extending their role from delivering benign to malignant biopsy results; a preliminary study
Authors: Eden Joleen Kirsty , Borgen Rita 
Published: September 2020

Objective:
The study aims to explore the perceptions of advanced practice radiographers (APRs) currently giving benign biopsy results to extend their role to deliver NHS Breast Screening Programme (NHSBSP) malignant outcomes. In the UK, APRs are appropriately trained to deliver results, yet traditionally have been cultured not to. Increasing pressures on NHSBSP units are a key driver for APR evolvement. A significant lack of published research provides the rationale for the study, combined with an identified service need.

Methods:
Following ethical approval, a grounded theory design was applied to interview six APRs individually in a single breast screening unit. Extracted themes were considered during a subsequent focus group.

Results:
Five core themes identified; (i) role of the APR, (ii) patient experience, (iii) efficiency, (iv) role boundaries, and (v) delivering results.
The findings indicate the ambiguity of radiographers delivering results within their profession, outlining the potential impact on themselves and patients. Mammography APRs are skilled to deliver results, and whilst enforced barriers may restrict extension a supportive environment can overcome these. Additional training is necessary to implement the role in the screening service.

Conclusion:
Identified within their scope of practice; APRs have the ability with appropriate training and peer support to effectively deliver results with a patient-centred approach.

Advances in knowledge:
This study has identified important enabling factors and challenges concerning role extension in the delivery of breast biopsy results. The apparent suitability of APRs to communicate results may address breast service pressures, with benefit to patients and the radiology profession.
Motor relearning program along with electrical stimulation for improving upper limb function in stroke patients: A quasi experimental study
Authors: Ullah Ikram , Arsh Aatik , Zahir Aneela , Jan Shafqatullah 
Published: September 2020

Objective: To determine the effectiveness of motor relearning program along with electrical stimulation for improving upper limb function in patients with sub-acute stroke.
Methods: A quasi experimental study was conducted at Physiotherapy Department of SAIDU Group of Teaching Hospitals Swat Khyber Pakhtunkhwa from January to June 2019. Forty four subjects with post stroke duration of 3-9 months (sub-acute) participated in the study. Subjects received electrical stimulations for the effected arm for 15 minutes along with motor relearning programme for an hour five days a week for six weeks. The upper limb sub scales of motor assessment scale were used to collect pre and post treatment data. SPSS version 20 was used to analyze the data.
Results: The mean age of the participants was 54.95±13.2 years. Out of 44 participants 31(70.5%) were male and 13 (29.5%) were female. Pretreatment upper arm function, hand movement and advance hand activities scores were 1.36±0.49, 1.18±0.39 and 1.04±0.21 respectively while their post treatment scores were 5.18±0.96, 4.77±1.02 and 3.95±1.21 respectively. There was significant differences (P<0.05) between pre and post treatment scores of upper arm function, hand movement and advance hand activities.
Conclusion: Motor relearning program along with electrical stimulation significantly improves upper limb function in patients with sub-acute stroke.
doi: https://doi.org/10.12669/pjms.36.7.2351
How to cite this:Ullah I, Arsh A, Zahir A, Jan S. Motor relearning program along with electrical stimulation for improving upper limb function in stroke patients: A quasi experimental study. Pak J Med Sci. 2020;36(7):1613-1617. doi: https://doi.org/10.12669/pjms.36.7.2351
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Effects of structured exercise regime on Glycosylated Hemoglobin and C reactive protein in patients with Gestational Diabetes Mellitus - A randomized controlled trial
Authors: Qazi Wardah Ajaz , Babur Muhammad Naveed , Malik Arshad Nawaz , Begum Ruqia 
Published: September 2020

Objectives: To evaluate the effects of structured exercise regime on Glycosylated hemoglobin and C reactive protein in patients with gestational diabetes mellitus.
Methods: This two arm parallel randomized controlled trial was conducted at Fauji Foundation Hospital, Rawalpindi from November 2018 till December 2019 on the 54 diagnosed gestational diabetes mellitus patients (Dropped out=4 Analyzed= 50) with age 20 to 40 years and gestational age from 20 to 36 weeks. Selection was done via convenient sampling technique and randomized into two groups (n=25) by sealed envelope method. Structured exercise regime group received combination of moderate intensity aerobics, stabilization and pelvic floor muscles exercises twice a week for 5 weeks (40 min per session) along with dietary and medical interventions while control group received only medical and dietary interventions with postural education. Demographics, glycosylated hemoglobin and C reactive protein were recorded at baseline then after 5 weeks of intervention. Analysis was done by SPSS 20.
Results: Mean age was 35.92 ± 5.24 years in control group while 34.36 ± 5.21 years in interventional group. Between group analysis for HbA1c showed no significant difference at base line (p >0.05) but showed significant difference (p <0.05) after five weeks’ interventions. Similarly, for C reactive protein both groups showed no significant difference (p >0.05) at baseline but after five weeks of interventions showed significant difference (p<0.05).
Conclusion: Structured exercise regime helps in reducing values of glycosylated hemoglobin and C reactive protein in patients with gestational diabetes mellitus.
Trial Registration: ClinicalTrials.gov; NCT04146740.
doi: https://doi.org/10.12669/pjms.36.7.2488
How to cite this:Qazi WA, Babur MN, Malik AN, Begum R. Effects of structured exercise regime on Glycosylated Hemoglobin and C reactive protein in patients with Gestational Diabetes Mellitus -A randomized controlled trial. Pak J Med Sci. 2020;36(7):1449-1453. doi: https://doi.org/10.12669/pjms.36.7.2488
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Effectiveness of a patient-specific 3-dimensional printed model in Septal Myectomy of hypertrophic cardiomyopathy
Authors: Wang Yang , Guo Hongchang , Wang Shengwei , Lai Yongqiang 
Published: September 2020

Objective: Advanced cardiovascular surgery in structural heart disease require accurate pre-operative evaluation. Most of non-invasive imaging technologies remain limited in two-dimensional and show insufficiency of visualization for procedural planning. The aim of this study was to discuss the value of patient-specific 3-dimensional (3D) printing in treatment of hypertrophic cardiomyopathy (HCM).
Methods: Patient-specific 3D-printed models were constructed preoperatively in 12 consecutive HOCM patients which come to Beijing Anzhen Hospital for surgical treatment from October 2016 to March 2017. Image files were extracted from multi-slice computed tomography images, 3D models were constructed by the Mimics 19.0 software and generated by Objet350 Connex3 3D printer. The 3D-printed models were made with soft material that can be surgically performed. The modified Morrow myectomy of the model was performed before the operation. Clinical characters and echocardiographic parameters were recorded.
Results: There was no significant difference in tissue volume between the models and specimens. Preoperative and postoperative echocardiography showed the septal thickness was reduced from 18.8±4.5 mm to 12.7±3.3 mm (p<0.001), the left ventricular outflow tract obstruction was adequately relieved (83.0±27.73 mm Hg to 8.7±6.5 mm Hg, p<0.001), and the SAM disappeared completely after the operation. Cardiac function was improved in all patients (New York Heart Association functional class III to class I/II).
Conclusions: The proposed optimal 3D-modelled septal myectomy allows intraoperative monitoring of the shape and volume of the myocardium resection to achieve the ‘ideal’ interventricular septum. It eliminates obstruction in the LVOT and SAM, resulting in LV remodeling with an increase in LV end-diastolic volume and diameter at early follow-up.
doi: https://doi.org/10.12669/pjms.36.7.2620
How to cite this:Wang Y, Guo H, Wang S, Lai Y. Effectiveness of a patient-specific 3-dimensional printed model in Septal Myectomy of hypertrophic cardiomyopathy. Pak J Med Sci. 2020;36(7):1678-1682. doi: https://doi.org/10.12669/pjms.36.7.2620
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Establishment of Diagnostic Protocols for COVID-19 Patients
Authors: Abbas Dr Sana , Rafique Dr Aisha , Abbas Dr Beenish , Sattar Dr Madeeha 
Published: September 2020

Objective: To evaluate the oscillation of laboratory parameters among indoor patients infected with COVID-19.
Methods: This cross-sectional analytical study was conducted at Tertiary Care Institute, Rawalpindi from 01 March 2020 to 20 May 2020. Three hundred and ninety-two patients with mild to moderate illness, PCR positive for COVID 19 were included. Prevalence of typical symptoms of coronavirus disease cough, fever, sore throat and shortness of breath was recorded.PCR was repeated after seven days of admission, if declared negative, another executed on consecutive day. Discharge Criteria was two consecutive negative PCR.
Results: A total of 392 patients enrolled in the study with age range 9-45 and mean 33.22±7.98 years. A total of 8 (2%) patients were females and 384(98%) males. 296(75.5%) did not have a cough whereas 96(24.5%) presented with the trait. 296 (75.5%) patients did not have associated fever whereas 96(24.5%) manifested with fever. Chest x-ray had a bilateral patch in 96 (24.5%) patients only. Ferritin was raised in 96 (24.5%) patients however were recorded within normal limits in 296(75.5%) patients. Coagulation Profile was deranged in 64(16.3%) patients whereas was within range in 328(83.7%) patients. Serum Bilirubin, Serum Alkaline phosphatases, Serum Albumin, Serum Urea, Serum Potassium were essentially in typical tolls in 392(100%) patients. However Serum Alanine Aminotransferase was raised in 32(8.2%), Serum C reactive Protein was elevated in 48(12.2%). An exaggerated values of serum creatinine and serum sodium were noticed in 24(6.1%) and 16(4.1%) respectively.
Conclusion: Routine haematological tests, biochemical tests, serological tests, and radiographic tests are crucial to conclusion, foundation and progression of ailment in COVID-19 contaminated patients.
doi: https://doi.org/10.12669/pjms.36.7.2957
How to cite this:Abbas S, Rafique A, Abbas B, Sattar M. Establishment of Diagnostic Protocols for COVID-19 Patients. Pak J Med Sci. 2020;36(7):1634-1639. doi: https://doi.org/10.12669/pjms.36.7.2957
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Primary Care Providers' Attitudes Towards Recommending Cancer Screening to Patients With Intellectual Disability: A Cross-Sectional Survey
Authors: Breau Genevieve , Thorne Sally , Baumbusch Jennifer , Hislop T. Greg , Kazanjian Arminee 
Published: September 2020

Abstract
Individuals with intellectual disability (ID) obtain breast, cervical, and colorectal cancer screening at lower rates, relative to the general population. This cross-sectional survey study explored how primary care providers and trainees recommend cancer screening to patients with ID, using a standardized attitudes questionnaire and vignettes of fictional patients. In total, 106 primary care providers and trainees participated. Analyses revealed that participants' attitudes towards community inclusion predicted whether participants anticipated recommending breast and colorectal cancer screening to fictional patients. Further research is needed to explore these factors in decisions to recommend screening, and how these factors contribute to cancer screening disparities.
Making the Diagnosis of Bile Acid Diarrhea
Authors: Walters Julian R.F. 
Published: September 2020

Abstract
Bile acid diarrhea is a frequent, treatable cause of functional diarrhea but is difficult to diagnose when the nuclear medicine 75seleno-taurohomocholic acid test is unavailable. An alternative approach is testing blood for the bile acid precursor, 7α-OH-4-cholesten-3-one, which is raised with increased bile acid synthesis. A recent article has defined measurements that have high negative and positive predictive values, further exploring how they can be improved by incorporating measures such as age, stool number, fibroblast growth factor 19, or plasma sulfated bile acids. Other articles have looked at the percentage of fecal primary bile acids. Together, they promise better use of diagnostic biomarkers for this condition.
Metode Pembelajaran Kooperatif Tipe Student Teams Achievment Division (STAD) Dalam Menumbuhkan Antusiasme Belajar
Authors: Aswatun Hasanah  , Faiq Ilham Rosyadi  
Published: September 2020

The learning method is one of the important learning components and is interpreted as a way to realize learning objectives. This research is intended to describe the cooperative learning method type Student Teams Achievement Division (STAD). The focus of discussion in this study is to describe the enthusiasm of learning and describe the steps in applying Student Teams Achievement Division (STAD) as an effort to foster student enthusiasm for learning. This research is a library research by using a descriptive analysis method. The analysis technique in this study uses an interactive data analysis model developed by Miles & Huberman, namely: data collection, data reduction, data explanation and conclusions. The results of this study indicate that the Student Teams Achievement Division (STAD) type of cooperative learning methods in growing enthusiasm for learning can be applied in five stages as follows: first, preparing the learning material. Second, forming groups / teams. Third, determine the initial score. Fourth, building a solid group / team. And fifth, giving awards for the best team. Besides that, the Student Teams Achievement Division (STAD) type of cooperative learning method has many positive impacts for students including having the opportunity to express, express ideas, opinions and opinions, and be able to work together and foster social sensitivity with the surrounding environment.
Keywords: Method, Cooperative Learning, Student Teams Achievement Division (STAD), Learning Enthusiasm.
Analisis Faktor Kesulitan Belajar Bahasa Arab pada Siswa Tunanetra di MAN 2 Sleman
Authors: Efflamengo Labo , Asyrofi Syamsuddin 
Published: September 2020

This study aims to determine the difficulty factors experienced by blind students in learning Arabic and the efforts that must be made to address these difficulties in MAN 2 Sleman Yogyakarta. The existence of this research is expected to be able to provide additional new knowledge to all parties involved in learning Arabic. The results showed that the learning process of Arabic blind students in MAN 2 Sleman Yogyakarta, in general, was the same as learning in madrasas in general. The factors of Arabic language learning difficulties experienced by blind students in MAN 2 Sleman, namely, First: Linguistic difficulties include sound (phonological), meaning (semantic), sentence structure (syntax), and difficulty in writing Arabic using braille letters. Second: Non-Linguistic Difficulties: Lack of motivation, lack of teacher understanding of braille, lack of innovation in learning methods, and difficulties due to minimal facilities. Efforts are being made to overcome these difficulties, namely, Madrasas: providing facilities, such as books or dictionaries based on braille, braille printers. Teachers: innovating learning methods to make it more interesting for students to learn blind. Blind students: more communicative to the teacher and adaptive to the learning environment in the classroom.
Abstrak
Penelitian ini bertujuan untuk mengetahui faktor kesulitan yang dialami siswa tunanetra dalam belajar bahasa Arab dan upaya yang harus dilakukan untuk mengtasi kesulitan-kesulitan tersebut di MAN 2 Sleman Yogyakarta. Dengan adanya penelitian ini diharapkan dapat memberikan tambahan pengetahuan baru kepada semua pihak yang berkecimbung dalam pembelajaran bahasa Arab. Hasil penelitian menunjukan bahwa proses pembelajaran bahasa Arab siswa tunanetra di MAN 2 Sleman Yogyakarta secara umum sama seperti pembelajaran di madrasah pada umumnya. Adapun faktor kesulitan belajar bahasa Arab yang dialami siswa tunanetra di MAN 2 Sleman yaitu, Pertama: Kesulitan Linguistik mencakup tata bunyi (fonologi), arti (semantik), tata kalimat (sintaksis), dan kesulitan dalam menulis Arab menggunakan huruf braille. Kedua: Kesulitan Non-Linguistik : Kurangnya motivasi, kurangnya pemahaman guru tentang huruf braille , kurangnya inovasi dalam metode pembelajaran, dan kesulitan karena fasilitas yang masih minim. Upaya yang dilakukan untuk mengatasi kesulitan-kesulitan tersebut yaitu, Pihak madrasah: menyediakan fasilitas, seperti buku atau kamus berbasis braille, printer braille. Guru: melakukan inovasi metode pembelajaran agar lebih menarik minat belajar siswa tunanetra. Siswa tunanetra: lebih komunikatif kepada guru dan adaptif terhadap lingkungan pembelajaran di kelas.
Kata Kunci: Analisis Faktor Kesulitan, Belajar Bahasa Arab, Tunanetra
PENERAPAN METODE YANBU’A DALAM MENINGKATKAN KEMAMPUAN MEMBACA AL-QUR’AN SISWA KELAS V DI MI AL-MUHSIN 1 KRAPYAK WETAN BANTUL YOGYAKARTA
Authors: Fairuz Zunaidah Rohmi  , Mangun Budiyanto  
Published: September 2020

This study aims to find out how the application of the Yanbu’a method in improving the reading ability of the Qur’an in class V students at MI Al-Muhsin 1 Krapyak Wetan Bantul Yogyakarta. This research is a descriptive qualitative research with data collection using interview, observation, and documentation techniques. Data analysis techniques with data reduction, data presentation, and drawing conclusion. The results of this study namely, in the beginning the method of learning the Qur’an at MI Al-Muhsin 1 used the method of Qiro’ati. Then switch to using the Yanbu’a method for some consideration. The implementation of learning the Qur’an using the method of Yanbu’a implemented as learning in general opening activities, core activities, and closing activities. As for the evaluation of learning done every day and every volume increase. In the implementation of learning the Qur’an using the methods of Yanbu’a. there are several supporting factors, namely a competent teacher, student backgorund, adequate facilities, and support from parents. There are also inhibiting factors in the implementation of the Yanbu’a method namely teacher delay, the attitude of students, parents who only rely on reading the Qur’an in the madrasa, the absence of Yanbu’a training by madrasa and the absence of evaluation for Yanbu’a instructors. The results of the application of the Yanbu’a method in improving the ability to read the Qur’an students based on student achievement data, 13 students out of 25 students who study using the method of Yanbu’a have reached volume 5, 6, and 7 with a percentage of 52%.
Keywords: Yanbu’a Method, Al-Qur'an Learning, Ability to Read the Qur'an
KOMPETENSI MANAJERIAL DAN KOMPETENSI SUPERVISI KEPALA SEKOLAH TERHADAP SELF SUPERVISION GURU MI MA’ARIF BEGO SLEMAN
Authors: Arif Yuswanto  , Suwadi  
Published: September 2020

This research starts from a phenomenon that occurs in the world of education, especially related to the competencies of school principals and teaching staff and education staff. While on the other hand, in carrying out their duties still depend on the pattern of organization, leadership, and supervision of the school principal. This has made it unable to provide an assessment of itself based on its capabilities. The study aims to determine the effect of principals 'managerial competencies and principals' competencies as supervisors on teacher self supervision at MI Ma'arif Sambego. Research uses a quantitative approach. Data collection through questionnaires, interviews and documentation. The study population was all teachers in MI Ma'arif Sambego numbering 25 people. The results showed that (1) the School Principal had good managerial competence and was able to organize, plan, and provide direction to the teaching and educational staff. (2) Principal's managerial competence affects the teacher's self supervision in MI Ma'arif Sambego, the results of the study which show the value of p = 0.012 <0.05. (3) The competency of the principal as a supervisor has a high influence on the teacher's self supervision at MI Ma'arif Sambego. the results of the study showed the value of p = 0.010 <0.05. (4) Principal's managerial competence and the principal's competency as a supervisor together (simultaneously) affect the teacher's self supervision in MI Ma'arif Sambego
Keywords : Competence, Principal, Self Supervision