bluuebunny/crossref_metadata_2025_split huggingface dataset:
Makna Semantik Hamba dan Saleh dalam Alquran
Authors: Moh saepudin Dindin , Ahmad Nurwadjah , Anwar Rosihon 
Published: September 2020

Godly servants in the view of the majority of Indonesian people are good people who diligently worship in their daily lives. This study focuses on the role of pious servants in world life. The object of study is the word 'Abdun and S}a>lih which means servant and a good person, besides that there is the word ‘Iba>diya S}a>lihu>n, ‘iba>dina> S}a>lihu>n, and ‘Iba>dika S}a>lihu>n which refers to the pious servant. This study focuses on the sign of Qur’anic language, using semantic analysis. This study shows that pious servants in the Qur’an are those who do good with three main features of worshiping Allah, repent and make improvements in the world. There are characteristic of pious servants that are sacrificing his soul for his good pleasure, fearing Allah, believing, following the teachings of Islam, worshiping, surrendering to Allah, not giving up hope in Allah, not arrogant, saying good things, trusting and asking for help only to him, doing good in the world, not worrying, or grieving, giving alms, knowing, giving thanks for all the blessings, repenting, always praying, spending some of his income it can be grouped into social roles as leaders, scholars, entrepreneurs, workers and institutional activists self-subsistent.
Radiation Safety for Physician Assistants in the Orthopaedic Operating Room
Authors: Fisher Michael T. , Riehl John T. 
Published: September 2020

Abstract:
In most orthopaedic operating rooms, providers are routinely exposed to ionizing radiation associated with the use of fluoroscopy. There have been several reviews addressing the amount of radiation the primary surgeon is exposed to, but to the best of our knowledge, there has not been a systematic review of the amount of radiation to which the first assistant is exposed. We conducted a systematic review of the PubMed database to find studies measuring the amount of radiation exposure to providers in the orthopaedic operating room. Ten studies were included in the review. The results showed that, generally speaking, radiation doses for the first assistant were lower than the recommended occupational exposure levels. However, the amount of radiation that the first assistant is exposed to can vary depending on several factors, including use of personal protective equipment, distance from the C‐arm, and the role that he or she takes during the surgery. Although it appears that current fluoroscopic technique, when combined with proper radiation precautions, provides appropriate safety for first assistants, additional long‐term studies would be beneficial to determine the effects of the cumulative amount of radiation exposure.
Pengaruh harga dan lokasi terhadap keputusan pembelian produk jasa
Authors: Suratmiyati Suratmiyati , Anggoro Yudhi 
Published: September 2020

Penelitian bertujuan untuk mengetahui pengaruh harga dan lokasi terhadap keputusan pembelian produk jasa di Villa Victoria Boutique Residences Malang. Metode penelitian menggunakan deskriptif kuantitatif, pengambilan sampel non probability sampling dengan metode accidental sampling. Penelitian ini dilakukan pada konsumen Villa Victoria Boutique Residences dengan jumlah sampel sebanyak 87 responden. Pengukuran terhadap variable-variabel dalam penelitian ini dilakukan dengan menggunakan skala Likert. Teknik analisis menggunakan analisis Regresi Linear Berganda. Hasil penelitian menunjukkan bahwa secara parsial harga tidak berpengaruh signifikan terhadap keputusan pembelian, sedangkan lokasi berpengaruh signifikan terhadap keputusan pembelian.
Evaluations of knowledge, skills and practices of insulin storage and injection handling techniques of diabetic patients in Ethiopian primary hospitals
Authors: Netere Adeladlew Kassie , Ashete Eyayaw , Gebreyohannes Eyob Alemayehu , Belachew Sewunet Admasu 
Published: September 2020

Abstract
Background: Insulin is an effective therapeutic agent in the management of diabetes, but also sensitive to the external environment. Consequently, diabetic patients’ adherence to insulin delivery recommendations is critical for better effectiveness. Patients’ lack of knowledge, skill and irrational practices towards appropriate insulin delivery techniques may end up in therapeutic failure and increase costs of therapy. The aim of this study was to evaluate patients’ knowledge, skills and practices of insulin storage and injection techniques. Methods : An interview-based cross-sectional study was conducted through purposive selection of participants in Northwest Ethiopian primary hospitals from March 1 to May 30, 2019. Levels of knowledge were assessed with right or wrong responses, while practice was measured by using a 4-point Likert scale structured questionnaire collected via face-to-face interviews. Likewise, a five-point observational (demonstration) techniques checklist employed to assess patients’ skills. Results: Among 194 patients approached, 166 participants completed the survey giving a response rate of 85.6 %. More than half of the respondents (54.8%) were males and the mean age (±SD) was 38.5±13.8 years. The overall patients’ median knowledge and practice levels on insulin storage and handling techniques were moderately adequate (64.3%) and fair (55.4%), respectively. In patients’ skill assessments, 94.6% correctly showed injection sites, 70% indicated injection site rotations, and 60.75% practiced injection site rotations. Education (P<0.001 ), duration of insulin therapy (P=0.008), and duration of diabetes (P=0.014) had significant impact on knowledge level. Education (P <0.001), occupation (P<0.001), duration of insulin therapy (P=0.001), duration of diabetes (P =0.036) and patients’ knowledge level (P<0.001) were found to have a significant effects on the patients’ practice levels. A Mann-Whitney U test also disclosed that residency, ways to get insulin and mocked injection technique during the first training had significant effects on patients’ knowledge levels. Conclusion: The current study revealed that patients had moderately adequate knowledge and fair practice levels on insulin storage and handling techniques. However, patients missed important insulin administration skills. This study highlights the need of regular public health education so as to enhance the patients’ knowledge, skill and practice levels on insulin handling techniques.
Use of sequence analysis for classifying individual antidepressant trajectories to monitor population mental health
Authors: Cherrie Mark , Curtis Sarah , Baranyi Gergő , McTaggart Stuart , Cunningham Niall , Licence Kirsty , Dibben Chris , Bambra Clare , Pearce Jamie 
Published: September 2020

Abstract
Background Over the past decade, antidepressant prescriptions have increased in European countries and the United States, partly due to an increase in the number of new cases of mental illness. This paper demonstrates an innovative approach to the classification of population level change in mental health status, using administrative data for a large sample of the Scottish population. We aimed to identify groups of individuals with similar patterns of change in pattern of prescribing, validate these groups by comparison with other indicators of mental illness, and characterise the population most at risk of increasing mental ill health. Methods National Health Service (NHS) prescription data were linked to the Scottish Longitudinal Study (SLS), a 5.3% sample of the Scottish population (N=151,418). Antidepressant prescription status over the previous six months was recorded for every month for which data were available (January 2009-December 2014), and sequence dissimilarity was computed by optimal matching. Hierarchical clustering was used to create groups of participants who had similar patterns of change, with multi-level logistic regression used to understand group membership. Results Five distinct prescription pattern groups were observed, indicating: no prescriptions (76%), occasional prescriptions (10%), continuation of prior use of prescriptions (8%), new course of prescriptions started (4%) or ceased taking prescriptions (3%). Young, white, female participants, of low social grade, residing in socially deprived neighbourhoods, living alone, being separated/divorced or out of the labour force, were more likely to be in the group that started a new course of antidepressant prescriptions.Conclusions The use of sequence analysis for classifying individual antidepressant trajectories offers a novel approach for capturing population-level changes in mental health risk. By classifying individuals into groups based on their anti-depressant medication use we can better identify how over time, mental health is associated with individual risk factors and contextual factors at the local level and the macro political and economic scale.
Sex differences in the trajectories of and factors related to extracurricular sport participation and exercise: A cohort study spanning 13 years
Authors: Wu Wen-chi , Chang Ling-Yin , Luh Dih-Ling , Wu Chi-Chen , Stanaway Fiona , Yen Lee-Lan , Chang Hsing-Yi 
Published: September 2020

Abstract
Background: Extracurricular sport participation and exercise (ESPE) refers to regular exercise/sport participation in addition to the physical education in school among a school-aged population. Rather than general physical activity, ESPE is typically deliberately initiated and presents an efficient target for interventions. However, compared to physical activity, relatively few studies have investigated sex differences in the development of and factors associated with ESPE using a person-centered approach. This study aimed to examine the latent trajectories of ESPE from childhood to emerging adulthood across sexes, and to identify the associated sex-specific individual (i.e., body mass index, body dissatisfaction, stress, and screen behavior) and parental (i.e., parental exercise and parental screen behavior) factors.Methods: This study used data from part of the Child and Adolescent Behavior in Long-term Evolution (CABLE) project, which comprised 2,072 fourth graders (aged 9 years) in Northern Taiwan followed annually from 2001 to 2013 (13 waves). Repeated-measures latent class analysis was used to identify the trajectories of ESPE for males and females, respectively. Multinomial logistic regression was further used to identify sex-specific factors related to ESPE. Results: Four trajectories of ESPE were identified for males and females. For males, these trajectories were Rarely-to-Never (20%), Often-to-Rarely (32%), Always-to-Never (21%), and Always (27%). For females, these trajectories were Rarely-to-Never (34%), Rarely (23%), Always-to-Rarely (33%), and Always (10%). We observed that the developmental patterns of ESPE varied by sex such that there was an earlier decline in the trajectories of ESPE in females than in males and that, compared with males, fewer females maintained exercise habits in young adulthood. Furthermore, we found several sex-specific factors related to ESPE, namely, stress, BMI, and parental exercise. Body dissatisfaction and individual screen behavior were associated with trajectories of ESPE for both sexes. Conclusions: We found distinct trajectories of ESPE from childhood to emerging adulthood for both sexes. The trajectories of ESPE for males and females, however, differ in terms of patterns and associated factors. Our findings suggest that efforts to increase ESPE should be initiated early, and may be made more effective by considering sex differences.
Health status of female Moldovan migrants to Italy by health literacy level and age group: a descriptive study
Authors: Vianello Francesca Alice , Zaccagnini Federica , Pinato Carlo , Maculan Pietro , Buja Alessandra 
Published: September 2020

Abstract
Background: Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan migrant women, and their access to health care services in northern Italy, by age group and health literacy level.Methods: We administered an ad-hoc questionnaire to adult Moldovan women. A bivariate analysis was conducted to test the association between health literacy and age groups with other variables (lifestyles, symptoms and diseases, access to health services). A stepwise logistic regression analysis was run to test the association between access to primary care and health literacy. Moreover, the study compare Moldovan women data with a sample of Italian women of the same age range living in North-Eastern region. Results: Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to primary healthcare services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls.Conclusions: The reported prevalence of some diseases was higher among Moldovan migrant women than among Italian resident women. Health literacy was associated with the migrant women’s lifestyle and the use of primary health care services, as previously seen for the autochthonous population.
Components of antenatal care received by women in fishing communities on Lake Victoria, Uganda; a cross sectional survey
Authors: Ssetaala Ali , Nabawanuka Joan , Matovu Gideon , Nakiragga Nusula , Namugga Judith , Nalubega Phiona , Kaluuma Henry Lutalo , Chinyenze Kundai , Perehudoff Katrina , Michielsen Kristien , Bagaya Bernard , Price Matt , Kiwanuka Noah , Degomme Olivier 
Published: September 2020

Abstract
Background: Uganda has one of the highest maternal deaths at a ratio of 336 per 100,000 live births. As Uganda strives to achieve sustainable development goals, appropriate antenatal care is key to reduction of maternal mortality. We explored women’s reported receipt of seven of the Uganda guidelines components of antenatal care, and associated factors in hard to reach Lake Victoria island fishing communities of Kalangala district.Methods: A cross sectional survey among 486 consenting women aged 15-49 years, who were pregnant at any time in the past 6 months was conducted in 6 island fishing communities of Kalangala district, Uganda, during January-May 2018. Interviewer administered questionnaires, were used to collect data on socio-demographics and receipt of seven of the Uganda guidelines components of antenatal care. Regression modeling was used to determine factors associated with receipt of all seven components. Results: Over three fifths (65.0%) had at least one ANC visit during current or most recent pregnancy. Fewer than a quarter of women who reported attending care at least four times received all seven ANC components [(23.6%), P<0.05]. Women who reported receipt of ANC from the mainland were twice as likely to have received all seven components as those who received care from islands (aOR=1.8; 95% CI:0.9-3.7). Receipt of care from a doctor was associated with thrice likelihood of receiving all components relative to ANC by a midwife or nurse (aOR=3.2; 95% CI:1.1-9.1). Conclusions: We observed that the delivery of antenatal care components per Ugandan guidelines is poor in these communities. Cost effective endeavors to improve components of antenatal care received by women are urgently needed. Task shifting some components of ANC to community health workers may improve care in these island communities.Trial Registration: PACTR201903906459874 (Retrospectively registered).
Developing a model of best practice for teams managing crisis in people with dementia: A consensus approach
Authors: Yates Jen , Stanyon Miriam , Challis David , Coleston-Shields Donna Maria , Dening Tom , Hoe Juanita , Jawahar Kaanthan , Lloyd-Evans Brynmor , Moniz-Cook Esme , Poland Fiona , Streater Amy , Trigg Emma , Orrell Martin 
Published: September 2020

Abstract
Background: Teams delivering crisis resolution services for people with dementia and their carers provide short-term interventions to prevent admission to acute care settings. There is great variation in these services across the UK. This article reports on a consensus process undertaken to devise a Best Practice Model and evaluation Tool for use with teams managing crisis in dementia. Methods: The Best Practice Model and Tool were developed over a three stage process: (i) Evidence gathering and generation of candidate standards (systematic review and scoping survey, interviews and focus groups); (ii) Prioritisation and selection of standards (consultation groups, a consensus conference and modified Delphi process); (iii) Refining and operationalising standards (consultation group and field-testing). Results: 165 candidate standards arose from the evidence gathering stage; were refined and reduced to 90 through a consultation group exercise; and then reduced to 50 during the consensus conference and weighted using a modified Delphi process. Standards were then operationalised through a clinical consultation group and field-tested with 11 crisis teams and 5 non-crisis teams. Scores ranged from 48-92/100. The median score for the crisis teams was 74.5 (range 67-92), and the median score for non-crisis teams was 60 (range 48-72).Conclusions: With further psychometric testing, this Best Practice Model and Tool will be ideal for the planning, improvement and national benchmarking of teams managing dementia crises in the future.
Multi-locus sequence typing of Mycoplasma bovis to assess its genetic diversity from 2009-2018 in Ningxia Hui Autonomous Region, China
Authors: Guo Yanan , Luo Haifeng , Guo Shuqiang , Lei Yuanyuan , Li Yong , He Shenghu 
Published: September 2020

Abstract
Background: Mycoplasma bovis (M. bovis) is a highly contagious cattle pathogen spreading worldwide and especially in Ningxia Hui Autonomous Region in China. Results: Two types of ST, ST10and ST134, were identified in Ningxia Hui Autonomous Region. Thirty-seven strains belonged to ST10 and 28 strains belonged to ST134. ST134 was a new ST and first found in 2009 and was only widely distributed in Ningxia Hui Autonomous Region at present. The M. bovis ST10 was widely spread in many provinces in China and was widespread in Ningxia Hui Autonomous Region since 2010. It is speculated that the prevalence of M. bovis ST10 in Ningxia Hui Autonomous Region began in 2010. Conclusion: This study is the first report on the genetic diversity of M. bovis from 2009 to 2018 in Ningxia Hui Autonomous Region and provides the epidemiological information. These results may help further our understanding of the evolution of M. bovis and provide information that may be useful for the development of novel vaccines.
Levels, Trends and Determinants of Technical Efficiency of General Hospitals in Uganda: Data Envelopment Analysis and Tobit Regression Analysis
Authors: Ayiko Rogers , Mujasi Paschal N. , Abaliwano Joyce , Turyareeba Dickson , Enyaku Rogers , Anguyo Robert , Odoch Walter , Bakibinga Pauline , Aliti Tom 
Published: September 2020

Abstract
Background: General hospitals provide a wide range of primary and secondary healthcare services. They accounted for 38% of government funding to health facilities, 8.8% of outpatient department visits and 28% of admissions in Uganda in the financial year 2016/17. We assessed the levels, trends and determinants of technical efficiency of general hospitals in Uganda from 2012/13 to 2016/17. Methods: We undertook input-oriented Data Envelopment Analysis to estimate technical efficiency of 78 general hospitals using data abstracted from the Annual Health Sector Performance Reports for 2012/13, 2014/15 and 2016/17. Trends in technical efficiency was analysed using Excel while determinants of technical efficiency were analysed using Tobit Regression Model in STATA 15.1. Results: The Average Constant Returns to Scale, Variable Returns to Scale and Scale Efficiency of general hospitals for 2016/17 were 49% (95% CI, 44% - 54%), 69% (95% CI, 65% - 74%) and 70% (95% CI, 65% - 75%) respectively. There was no statistically significant difference in the efficiency scores of public and private hospitals. Technical efficiency generally increased from 2012/13 to 2014/15, and dropped by 2016/17. Some hospitals were persistently efficient while others were inefficient over this period. Hospital size, geographical location, training status and average length of stay were statistically significant determinants of efficiency at 5% level of significance. Conclusion: The 69% average variable returns to scale technical efficiency indicates that the hospitals could generate the same volume of outputs using 31% (3,439) less staff and 31% (3,539) less beds. Benchmarking performance of the efficient hospitals would help to guide performance improvement in the inefficient ones. There is need to incorporate hospital size, geographical location, training status and average length of stay in the resource allocation formula and adopt annual hospital efficiency assessments.
Variation in Anopheles distribution and predictors of malaria infection risk across regions of Madagascar&nbsp;
Authors: Arisco Nicholas , Rice Benjamin L , Tantely Luciano M , Girod Romain , Emile Gauthier N , Randriamady Hervet J , Castro Marcia C , Golden Christopher D 
Published: September 2020

Abstract
Background Deforestation and land use change is widespread in Madagascar, altering local ecosystems and creating opportunities for disease vectors, such as the Anopheles mosquito, to proliferate and more easily reach vulnerable, rural populations. Knowledge of risk factors associated with malaria infections is growing globally, but these associations remain understudied across Madagascar’s diverse ecosystems experiencing rapid environmental change. This study aims to uncover socioeconomic, demographic, and ecological risk factors for malaria infection across regions through analysis of a large, cross-sectional dataset.Methods The objectives were to assess(1) the ecological correlates of malaria vector breeding through larval surveys, and (2) the socioeconomic, demographic, and ecological risk factors for malaria infection in four ecologically distinct regions of rural Madagascar. Risk factors were determined using multilevel models for the four regions included in the study.Results The presence of aquatic agriculture (both within and surrounding communities) is the strongest predictive factor of habitats containing Anopheles larvae across all regions. Ecological and socioeconomic risk factors for malaria infection vary dramatically across study regions and range in their complexity.Conclusions Risk factors for malaria transmission differ dramatically across regions of Madagascar. These results may help stratifying current malaria control efforts in Madagascar beyond the scope of existing interventions.