bluuebunny/crossref_metadata_2025_split huggingface dataset:
Rapid, collaborative generation and review of COVID-19 pandemic-specific competencies for family medicine residency training
Authors: Wooltorton Eric , Seale Edward , Lewis Denice , Noel Kendall , Liddy Clare , Viner Gary , Shoppoff Lina , Archibald Douglas 
Published: July 2020

Background: In March 2020, the COVID-19 pandemic disrupted competency-based medical education in Family Medicine programs across Canada. Faculty and residents identified a need for clear, relevant, and specific competencies to frame teaching, learning, supervision and feedback during the pandemic.
Methods: A rapid, iterative, educational quality improvement process was launched. Phase 1 involved experienced educators defining gaps in our program’s existing competency-database, reviewing emerging public health and regulatory guidelines, and drafting competencies. Phase 2 involved translation, member-checking, and anonymous feedback and editing of draft competencies by residents and other educational leaders. Phase 3 involved wider dissemination, collaborative editing and feedback from residents and faculty throughout the department.
Results: A total of 44 physicians including residents and faculty from multiple contexts provided detailed feedback, review, and editing of an ultimate list of 33 competencies organized by CanMEDS-FM roles. Broad agreement was obtained that the competencies form reasonable learning outcomes during the COVID-19 pandemic.
Conclusions: These competencies represent learning objectives reflecting the initial educational mindsets of a wide range of teachers and learners experiencing a global pandemic. The project illustrates a novel collaboration across educational portfolios as a rapid educational response to a public health crisis.
Ion-scale Current Structures in Short Large-amplitude Magnetic Structures
Authors: Wang Shan , Chen Li-Jen , Bessho Naoki , Hesse Michael , Wilson Lynn B. , Denton Richard , Ng Jonathan , Giles Barbara , Torbert Roy , Burch James 
Published: July 2020

Abstract
We investigate electric current structures in Short Large-Amplitude Magnetic Structures (SLAMS) in the terrestrial ion foreshock region observed by the Magnetospheric Multiscale mission. The structures with intense currents (

) have scale lengths comparable to the local ion inertial length (d
i). One current structure type is a current sheet due to the magnetic field rotation of the SLAMS, and a subset of these current sheets can exhibit reconnection features including the electron outflow jet and X-line-type magnetic topology. The d
i-scale current sheet near the edge of a SLAMS propagates much more slowly than the overall SLAMS, suggesting that it may result from compression. The current structures also exist as magnetosonic whistler waves with f
ci < f < f
lh, where f
ci and f
lh are the ion cyclotron frequency and the lower-hybrid frequency, respectively. The field rotations in the current sheets and whistler waves generate comparable

and energy conversion rates. Electron heating is clearly observed in one whistler packet embedded in a larger-scale current sheet of the SLAMS, where the parallel electric field and the curvature drift opposite to the electric field energize electrons. The results give insight about the thin current structure generation and energy conversion at thin current structures in the shock transition region.
Le coût psychique de la labellisation
Authors: M. Lison 
Published: July 2020

Cet article soulève ce qu’engage le processus coûteux de labellisation d’un établissement dans un contexte de travail sous tension en maternité. Cette situation paradoxale, décrite par une sage-femme en début de carrière, révèle les effets pervers d’un « travail aux forceps » de normalisation. Ainsi, la lecture des recommandations sur l’allaitement divise progressivement l’équipe et se transforme pour les plus zélées en un impératif à atteindre qui affecte fortement la relation de soin.
Pour une clinique de la souffrance au travail : Clara ou la destructivité de l’appareil psychique professionnel
Authors: Tregouet Stéphane 
Published: July 2020

Dans le cadre d’une recherche clinique, l’auteur situe la rencontre avec une infirmière confrontée à un management déshumanisant, résultante d’une réorganisation institutionnelle imposée aux effets destructeurs dans sa professionnalité. À partir de son discours manifeste, de sa subjectivité, il nous donne à lire les déstabilisations psychiques subies dans ce contexte.
14. L’analyse des processus de mise en œuvre
Authors: Ridde Valéry , Marie Turcotte-Tremblay Anne 
Published: July 2020

Plus de recherches sur la mise en œuvre sont nécessaires pour comprendre comment les interventions fonctionnent dans leur contexte réel et comment elles évoluent dans le temps. L’objectif de ce chapitre est de présenter l’analyse de la mise en œuvre d’une intervention complexe, intitulée le financement basé sur les résultats, au Burkina Faso. Nous avons effectué une étude de cas multiples (18 formations sanitaires) et contrastés avec plusieurs niveaux d’analyse imbriqués. Les données empiriques proviennent d’observations, d’entrevues informelles et formelles et de documents. Pour faciliter l’analyse d’une quantité importante de données, nous avons utilisé un processus pyramidal par lequel chaque membre de l’équipe a analysé et synthétisé des données à un niveau différent (centre de santé, district et général). Ainsi, les assistants de recherche ont participé à l’ensemble du processus d’analyse. L’organisation d’un atelier sur l’utilisation d’un logiciel d’analyse qualitative accessible gratuitement a permis de développer une compréhension commune du processus d’analyse. Les résultats de la recherche montrent l’importance d’ouvrir la « boite noire » pour comprendre la mise en œuvre des interventions de santé publique en Afrique et mettre au jour leurs adaptations selon les contextes et les acteurs et actrices sociaux.
Functional Outcome Of primary Total Hip Arthroplasty using Harris Hip Score in Arthritic Hip
Authors: Marahatta Suman Babu , RC Dirgha Raj , KC Kapil Mani , Sigdel Arun 
Published: July 2020

Introduction: Total hip arthroplasty (THA) is a well-established procedure for advanced arthritis of the hip joint. It significantly improves the quality of life by relieving pain and improving functional disability. The objective of this study was to evaluate the clinical and functional outcome of primary total hip arthroplasty using the Harris Hip Score.
Method: Prospective study was conducted in Civil Service Hospital. Out of 145 THA performed from Jan 2014 to Dec 2018, the first 100 cases that fulfilled the inclusion criteria were analyzed. Patient demographic and site, operative indication, and pre-operative Harris Hip Score was documented. Operative time, total intraoperative blood loss, and complications were noted. Patients were followed in 3 weeks, 6 weeks, 3 months, 6 months, and yearly. In each visit, clinical evaluation using Harris Hip Score and radiological evaluation was done and documented. The duration of follow up ranged from 12 months to 4.5 years.
Results: Age varied from 21 to 75 years, 59% were male and 41% female, right side involvement was seen in 55% and left side in 45%. The major indication for surgery was avascular necrosis 46% and primary osteoarthritis in 24%. The average operative time was 65 minutes and the average intraoperative blood loss was 655 ml. Pre-operative Harris Hip Score ranged from 25 to 59 with a mean of 45.5. The mean Harris hip score in last follow up increased to 90.5 with a minimum of 76 and a maximum of 97. Our study found that 85% had excellent, 9% had good and 6% had fair results. Complications include 2% dislocation, 1% infection, 1% greater trochanter avulsion and 1% screw irritation.
Conclusion: Primary THA is a safe and effective procedure. It improves pain and function hence improving the activity of daily living and has fewer complications.
Aplicacion de un modelo híbrido de teoria de colas y algoritmo evolutivo para medir la optimizacion en el servicio de atencion al cliente en un local de comidas rápidas
Authors: Cárdenas Estrada Ricardo , Perez Pin Michael , Tejada Solórzano Anthony , Cevallos-Torres Lorenzo 
Published: July 2020

En el presente trabajo se expone el análisis del estudio de colas con la finalidad de optimizar el servicio de atención al cliente ,debido a que las personas esperan demasiado tiempo para recibir el servicio lo que es probable que el cliente se impaciente y opte por ir a la competencia generando pérdidas económicas y mala reputación del establecimiento. Para el estudio se tomó en consideración la problemática del local “Burger Ranch” con el propósito de desarrollar un modelo cuya implementación incluya el Algoritmo Evolutivo en el que está basado en la metodología de recolección de datos en un rango de tiempo de 11 a.m. a 13 p.m. para realizar el procesamiento y análisis respectivo de estos; y a su vez se desarrolla la simulación en Excel, para estimar el uso del servicio, de acuerdo con la cantidad de clientes que recibe diariamente. Para la simulación se tomó en consideración la información recabada en base a la atención que se realizó dentro del servicio en el lapso de los días de la semana hábil, imitando el comportamiento observados en la vida real junto de la mano de la Inteligencia Artificial, dando como resultado que es necesario la adquisición de dos nuevos servidores para llegar a optimizar un 33.84% en el sistema de atención .
Relationship between the effectiveness of Good Corporate Governance (GCG) policies with the occurrence of corruption cases in the State-Owned Enterprises environment
Authors: Rahmat Saleh Harahap  
Published: July 2020

In the economic system, the role of State-Owned Enterprises is as an implementer of public services, distribution of resources that control the lives of many people, as pioneers/pioneers in the business sector that are not yet desirable by the private sector and as a source of state revenue. This role can be realized if the State-Owned Enterprise in its objectives can implement the principles of Good Corporate Governance (GCG) well. But in reality, it is often difficult to face challenges faced by State-Owned Enterprises managers in implementing good governance. The intervention of State-Owned Enterprises business management with a political-bureaucratic approach that is no different from other government agencies. And at worst there are still a series of corruption cases carried out by the leadership of State-Owned Enterprises to seek personal gain. This is certainly a contradiction with State-Owned Enterprise's governance which is always published. Existing GCG implementation policies are deemed ineffective because they are not adhered to. This illustrates that business governance in ` State-Owned Enterprises itself has not been going well. Improvement in the application of good corporate governance (GCG) must be carried out immediately and the improvement of the GCG ecosystem of the State-Owned Enterprise itself must receive the attention of the government. Synergy is needed with the government's commitment to forcing State-Owned Enterprises to implement GCG in a transparent and accountable manner, with a high level of professionalism and effectiveness.
Keywords: Good Corporate Governance State-Owned Enterprises Government Implementation
Socialization of Terms of Use and Privacy Policy on Indonesian e-commerce Websites
Authors: Gunawan Aloysius Bernanda 
Published: July 2020

This article aims to identify common practices in Indonesian e-commerce regarding terms of use and privacy policies. Website visit rankings from Alexa and Similarweb were used to identify the 10 most commonly visited e-commerce sites in Indonesia. Then, placement, length, and content structure of the terms of service and privacy policies of these websites were compared. Findings suggest that the information provided by these documents is sufficient and legally compliant, although some of the websites appear to disregard their importance. The actual contents of these documents were not analyzed and are thus open for further study. The information provided in this article may give merchants intending to open e-commerce stores in Indonesia some insight into how the protection of consumers’ personal data leads to better service. This paper also proposes a simple framework for assessing the extent to which an e-commerce website successfully ensures that consumers agree and consent to its terms of use without burdening them with lengthy and obscure legal documents.
Keywords: online privacy e-commerce term of use
Correlation between Vitamin D and HbA1c in Type 2 Diabetic Patients
Authors: Sudhir Chandra Jha  , Himanshu Kumar  , Syed Yousuf Faisal  
Published: July 2020

Background: Diabetes is a metabolic disorder that can affect nearly every organ system in the body. Recently, Vitamin D3 was given some importance worldwide in the pathogenesis of diabetes. The extraskeletal effects of Vitamin D3 have attracted considerable interest. The identification of 1,25(OH)2D3 and 1-Alpha-Hydroylase expression in pancreatic Beta cells, in cells of the immune system,and in various other tissues besides the bone system , supports the role of Vit D3 in the pathogenesis of type 2 diabetes. Vit D3 deficiency appears to be related to development of diabetes mellitus type 2 and metabolic syndrome. Aim of the Study:The goal of this study is to find out whether this correlation between vitamin D and Diabetes is present or not. Mainly in this study we have tried to correlate vit D with HbA1C levels in patients with type 2 diabetes mellitus. Subjects and Methods: The present one and half years, cross sectional study was carried out in department of medicine, Darbhanga Medical College and Hospital, Darbhanga, Bihar from March – 2018 to September – 2019. A total of 125 patients with type 2 Diabetes Mellitus were studied. The estimation of vitamin D was done. Using Siemens, ADVIA centraurVit D assay a one pass 18 minute antibody competitive immunassay. Results: Maximum no. of cases was in the age group of 51 to 60 that is 40 patients (32%).The mean age of studied population was 60.22 +- 11.65 years. Out of 125 patients 77(61.6%) were males and 48 patients (38.4%) were females, with a ratio of male to female of 1.60:1. In 104 patients (83.2%), the level of vitamin D were below normal, in 11 patients (8.8%) the levels insufficient and in remaining 10 patients , the levels were either normal or more than normal. Conclusion: There was an inverse association between vitamin D and HbA1C in patients with type -2 Diabetes Mellitus. Lower Vit D levels are associated with poor glycemic control. That means – Low vit D – high HbA1C. Vitamin D deficiency is prevalent in Diabetes mellitus type 2 so by supplementation of vitamin D we can improve glycemic controls in patients of Diabetes mellitus type 2. By improving glycemic control, we can reduce the complication of Diabetes.
Clinical Proﬁle of Neonatal Early Onset Sepsis: A Study on the Current Scenario
Authors: Kiran C Pankaj  , Ganguly Sristi , Upadhyay Manas R 
Published: July 2020

Background: Neonatal early onset sepsis remains to be a challenge in India, owing to its variable presentation, diagnostic difficulty and high fatality. An attempt needs to be made to study its clinical profile for easy identification of such babies, with new antibiotic guidelines formulated based on current microorganisms isolated. The aim of the study is to study the clinical profile of early onset sepsis in neonates in terms of the risk factors, clinical factors and etiology, and ascertain factors associated with definite sepsis. Subjects and Methods: This hospital based cross-sectional study enrolled neonates with suspected early onset sepsis. Those with congenital anomalies, surgical conditions, gestation <28 weeks and birth weight <1kg excluded. Subjects were subjected to sepsis screen and blood culture, and their perinatal history recorded. Blood culture positive babies were considered to have definite sepsis. Data was analysed using Chi square with SPSS 18. Results: Among 300 babies enrolled, 70 babies had definite sepsis. The most common organism isolated was Klebsiella (27.1%) and Staphylococcus hemolyticus (21.4%), most showing sensitivity to Ampicillin and Gentamicin. Respiratory distress was the commonest presentation (71.3%). A significant association with definite sepsis was seen with prematurity (p =0.0026) and low birth weight (p =0.0052), perinatal risk factors namely premature rupture of membranes (p =0.004), foul smelling liquor (p=0.016) and birth asphyxia (p-value=0.02). 28.3% had positive sepsis screen, which was significant (p = 0.001). Conclusion: Early onset sepsis needs prompt identification and treatment initiation, possible with aid of sepsis screen and high index of suspicion with certain perinatal risk factors and gestational age and birth weight.
Abnormal Returns, Corporate Financial Policies and the Dynamics of Leverage: Empirical Evidence from Non-Financial Sector of Pakistan
Authors: Hamid Kashif , Hussain Zahid , Ghafoor Muhammad Mudasar 
Published: July 2020

The aim of this study is to evaluate impact of corporate financial policies and the dynamics of leverage on financial performance of non-financial sector in Pakistan. In this study we used the data from Fertilizer, Chemical and Cement sector for the period 2008-2017. Abnormal return has been taken as dependent variable and Change in cash to lagged market values, Change in EBIT to lagged market values, Change in dividend to lagged market value, Net Financing to lagged market value, Lagged cash values to lagged market values, Lagged cash values to lagged market values crossed by change in cash to lagged market value, Change in total assets net of cash to lagged market values, Change in interest to lagged market values, Operating leverage, Financial leverage, Total leverage, Leverage ratio, Leverage ratio to change in cash crossed by lagged market values and WACC are taken as explanatory variables. OLS, Fixed effect and Random effect models has been used to express the impact of these variables on return. Hence it is concluded that leverage dynamics are significant contributors in designing the corporate financial policies. Corporate financial policies have significant impact on the financial performance of the non-financial sector of Pakistan.
General Public Perception Regarding Police Department and Factors That Influence Police Image in Public: A Case Study of District Kasur, Pakistan
Authors: Shabbir Syed Waqas , Malik Nazia , Hussain Alia , Dad Allah 
Published: July 2020

This study was attempted to investigate the general public perception about police department and factors that influence them perception. Policing is a major controlling part of citizen and is necessary for modifiable their behavior, controlling crime and protecting the citizens. The objective of the study is to identify major factors which influence police image in the public. The study was conducted among 250 citizen of district Kasur using a five-point Likert scale structured questionnaire. The researcher used multistage simple random sampling. The respondents of the study were advocate, doctor, labour, student and businessman. Results revealed that corruption, favoritism, political interference, bad behavior of police personnel, lack of accountability and misuse of power by police department are influence public image and they considered that police department only took action when FIR was registered by economically or politically strong people of the city. Study found that police department doesn’t have any monitoring system and people can get job after giving bribe. Study concluded that there was a small number of respondents who had to pay bribe to police department for their illegal activities but majority considered that police was a major corrupt department. They study suggested that police department should be hold a meeting with public to reduce their misperception and when police went to investigation any place, it should be humble and respected. Police should took under accountability and improve recruitment system with high merit so that Pakistan can compete with international level of policing. Study also suggested that police should take action on FIR without any social status and should be write FIR without any lame excuses and bribe.
ROLE OF IMAGING TECHNOLOGY AND CURRENT STATUS OF CORONAVIRUS DISEASE 2019 (COVID-19): A CRITICAL REVIEW
Authors: Shahzeb Muhammad , Khan Areena , Muhammad Anees 
Published: August 2020

Lately, there was an outbreak of Coronavirus disease (COVID-19) in Wuhan, a city of province Hubei, China. The infectious and transferrable virus originated in bats, seafood and animals. COVID-19 belongs to Coronviradae family. Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) also belong to this family and their outbreak occurred in China and Saudi Arabia back in 2003 and 2012. The number of deaths due to COVID-19 is much greater than that of SARS and MERS. The clinical symptoms of infected individuals from virus are almost the same but diagnostically they are different from one another. Reverse transcription polymerase chain reaction (RT-PCR) laboratory technique is a standard test for evaluation and confirmation of COVID-19 disease. In early stages, imaging modalities can be used for screening purposes. X-Ray is used to identify the gross changes within the chest region while Computed Tomography Scanning (CT Scan) chest is used for detailed modification which occurs due to coronavirus. CT scan evaluates the different characteristics in the individuals infected from COVID-19 such as presence of bilateral ground glass opacities, presence of diffuse consolidation, presence of nodules with halo sign, enlarge thoracic lymph nodes, presence of thicken inter-lobar septa, presence of bronchiectasis and pleural effusion. Each lung lobe was assigned different score on the basis of lobe area involvement. A lobe having no involvement is of score 0, minimal involvement lobe score is 1, mild involvement lobe score is 2, moderate involvement lobe score is 3, and severe involvement lobe score is 4. The lobes are assessed for different degree of involvement and then are divided as none (0%), minimal (1% to 25%), mild (26% to 50%), moderate (51% to 75%) and severe 76% to above level. These all techniques are very effective and responsible for the exact location of the area involved and also show the extension of pathology that can only be possible on CT scan. CT scan not only evaluates the disease but it also provides the assessment of the disease severity. Keywords: Computed Tomography scan; Coronavirus; Real time polymerase chain reaction; SARS; SARS-CoV-2; MERS