bluuebunny/crossref_metadata_2025_split huggingface dataset:
ESTUDIO DE LA PATOLOGÍA DUAL Y SU COMORBILIDAD EN UNA MUESTRA DE POBLACIÓN INGRESADA PARA DESINTOXICACIÓN EN LA UNIDAD DUAL: ALGUNAS REFLEXIONES SOBRE SU OPERATIVIZACIÓN Y EVALUACIÓN
Authors: Mondragon Egaña Maria Soledad , RUEDA MARIA BEGOÑA , Aristegui Edurne , Losa Edurne , Aguirre Urko 
Published: November 2021

“Estudio de la Patología Dual y su comorbilidad en una muestra de población ingresada para desintoxicación en la Unidad Dual: Algunas reflexiones sobre su operativización y evaluación”. 1.Objetivos •Reflexionar sobre la evaluación, operativización y registro clínico de la Patología Dual en una muestra de personas con (TUS que ingresa en un hopsital •Profundizar en la comprensión de la Patología Dual y los factores sociodemográficos y clínicos implicados. •Visibilizar la presencia de otras comorbilidades 2.Material y métodos Recogida de datos durante un período de 3,5años, desde enero 2018 hasta mayo 2021, con una metodología mixta que combina datos cualitativos y cuantitativos. Realizaremos un análisis descriptivo de los diagnósticos de SM asociados a la adicción, diferenciando los datos por género. 3.Recogida datos y algunns impresiones La Patologia Dual es una realidad compleja, no siempre bien evaluada ni reflejada en la historia clínica. Tenemos una muestra total de N=369 personas, En nuestra investigación recogemos la PD se recoge de la siguiente manera: 1)Antecedentes Personales de Salud mental 2)Diagnóstico durante el ingreso. 3)Evaluación con Escalas Clínicas Nos hemos encontrado un número de casos (en los que no hay un Dx de problemas de salud mental asociado a la adicción … Interesante profundizar en el análisis de estos casos Analizamos factores que pueden influir en las distintas formas de presentación: -Variables sociodemográficas: •	Factores intervinientes: circunstancias psicosociales. •	Factores de género: cuantas mujeres sin Dx de PD. •	Contrastar con antecedentes familiares de SM •	Patron de Consumo: •	Dx de la adicción como diagnóstico único y/o prioritario •	Probablemente hay otra/s psicopatología/s concomitantes infradiagnosticada/s •	Dx de ludopatía asociado (muy poco presente). •	Características y/o Rasgos de personalidad asociados •	Vulnerabilidad: Episodios psicóticos o paranoides derivados de consumo, alucinaciones auditivas.
Assessment of Public Services Quality in Libya
Authors: Kamba Dr. Ibrahim Noureddin , Elsharif Dr. Hasan M. Elarabi 
Published: November 2021

One of the main dimensions of good governance, which was adopted by the World Bank, is to ensure government provides quality services to its citizens. This dimension is very essential for the implementation of government policies and programs. For this reason, the government has to be accountable to all of their people about their services if their quality is not good. This study adopted quantitative method for primary data collection through questionnaire survey. The results from the data which was gathered from the Libyan people revealed that the Libyan people disagree with the rule of law as it does not enhance provision of good quality services, and they have no trust for the current laws by the government because they are not accountable. The reasons for their views were due to the fact that most of the laws are not just laws. The study recommended that there is need to ensure the independence of the legislative institution via the constitution of the state, and also ensure the independence of the judiciary in order to enhance the ability of the institution to work freely without pressure from the government.
Enabling nursing students to have a voice in designing a learning resource to support their participation in a clinical placement
Authors:   University  of Wollongong, New South Wales, Australia, Mackay Maria , Jans Carley ,   University  of Wollongong, New South Wales, Australia, Dewing Jan ,   Queen Margaret University, Edinburgh, Scotland, Congram Alicia ,   Ulladulla Endoscopy and Medical Centre, New South Wales, Australia, Hoogenboom Louise ,   Southern NSW Local Health District, New South Wales, Australia, King Tanya ,   Southern NSW Local Health District, New South Wales, Australia, Kostiainen Daniel ,   Southern NSW Local Health District, New South Wales, Australia, Ionna Ionna ,   Illawarra Shoalhaven Local Health District, New South Wales, Australia
Published: November 2021

Background: There appears to be a gap in the literature with regard to nursing students’ participation in designing learning resources to prepare them for the reality of clinical placements. In addition, the existing research on preparation focuses on skills competency and overlooks the emotional preparation required to navigate the practice context, while preparation of early-year students is not prioritised. Aim: This study had two aims: to provide nursing students with processes and tools to give them a voice in the development of learning resources to prepare for clinical placement; and to address some of the power imbalances between nursing students and clinical supervisors. Methods: This action research study was undertaken collaboratively with students and academic staff as co-researchers and was underpinned by the theoretical perspectives of transformational learning and person-centredness. It used a range of creative methods, such as workshops, critical creativity and critical dialogue. Conclusion: Emotional connection and vulnerability were found to enhance healthful (supervisory) relationships. The co-researchers developed a Student-Led Conversation Form and a process to support students to undertake and lead a conversation with their clinical supervisors and create shared values. Significantly, emotional preparation for clinical placements was found to be important for nursing students facing the reality of practice. Implications for practice: •	Innovative approaches to curriculum development are enabled when academic staff authentically engage with nursing students •	First-year nursing students experience a sense of empowerment when they engage in student-led learning •	Person-centred learning requires academic staff and nursing students to be challenged to develop emotional literacy skills
Hábitos de estudio y rendimiento académico: caso estudiantes de octavo grado 2017
Authors: Delgado Mora Martha Isabel , García Lamus Ubaldo 
Published: November 2021

El presente artículo pretende demostrar de qué manera pueden influir los hábitos de estudio en el bajo o alto rendimiento académico de los estudiantes. Además, el documento muestra los propósitos que se buscan al implementar algunas estrategias que coadyuven en la adquisición de hábitos de estudio para elevar el rendimiento académico de los estudiantes. El objetivo principal es identificar la incidencia que tienen los hábitos de estudio en el rendimiento académico de los estudiantes de grado octavo, en la asignatura Ciencias Naturales y Educación Ambiental, de la “Escuela Normal Superior Antonia Santos”, ENSAS, de Puente Nacional, Santander. Al respecto, se desarrolló una metodología de investigación acción con un enfoque mixto, el cual se basó en el estudio de categorías analizadas en el desarrollo de 6 guías relacionadas con: condiciones ambientales, planificación del estudio, comprensión lectora, velocidad lectora y memoria. Este trabajo posibilitó establecer la importancia de desarrollar unos buenos hábitos de estudio, por cuanto estos influyen notable y favorablemente en el desempeño de los estudiantes. Se comprobó que los hábitos de estudio están íntimamente relacionados con un buen desempeño escolar, contribuyen a la disminución del fracaso escolar y ayudan en la vida personal de los estudiantes.
“Filosofía para Niños en Samacá”
Authors: Zamora Niño Lenny Magnolia 
Published: November 2021

El artículo aborda resultados relacionados con el proyecto titulado “Filosofía para niños una experiencia de pensamiento”, desarrollado en la Institución Educativa Técnica Nacionalizada de Samacá, sede rural Mamonal, con un grupo de niños de los niveles de preescolar y primero, con el objeto de apropiar estrategias pedagógicas desde la propuesta de Filosofía para Niños. Así, el trabajo se desarrolló desde el método inductivo, haciendo un estudio particular, a partir de dichos grupos educativos, apuntando a emitir conclusiones que puedan ser aplicadas de manera generalizada. En la misma forma, se trata de una investigación del tipo cualitativa, pues busca describir pormenorizadamente el estado actual de las cosas. Lo anterior se materializa con este producto, que en un principio presenta las fortalezas y dificultades, tomando como referente para propiciar acciones educativas el programa de filosofía para niños; una segunda parte, presenta la organización metodológica desde un enfoque cualitativo, fundamentada como investigación-acción, buscando soluciones a problemáticas planteadas, a partir de la práctica; por último, la discusión del trabajo invita a pensar y reflexionar sobre diversos conceptos filosóficos desde la perspectiva de los niños, generando grandes descentramientos al docente frente a las formas como se comprenden las relaciones pedagógicas y el acto educativo.
Association Between Source of Treatment and Quality of Childhood Diarrhea Management Among Under-Five Children in Nigeria
Authors: Olorunsaiye Comfort Z. , Degge Hannah M. , Saigh Jiana 
Published: November 2021

Background and Objective: Despite the availability of low-cost and effective interventions, diarrhea remains one of the leading causes of under-five morbidity and mortality in Nigeria. We assessed the relationships between the source and quality of treatment for children with diarrhea in Nigeria.
Methods: We analyzed cross-sectional data on 3,956 under-five children with a recent diarrheal episode, from the 2018 Nigeria Demographic and Health Survey. The outcome was quality of diarrhea management based on the administration of the following treatment recommendations: oral rehydration salt (ORS), zinc supplementation, increased oral fluids, and continued feeding. The exposure was the source of treatment (none; traditional/informal; public hospitals/health centers; private hospitals/clinics; and community-based services). Using adjusted, multivariable logistic regression, we estimated the odds ratio (OR) and 95% confidence intervals (CI) to predict the factors related to the quality of diarrhea management.
Results: In all, only 1 in 5 children received all the four recommended diarrhea interventions. The odds of good quality diarrhea management were higher among children who received treatment in public hospitals/health centers, private hospitals/clinics, and community-based services compared to those of children who did not receive treatment (OR=2.52, 95% CI=1.89-3.34; OR=2.46, 95% CI=1.90-3.16; and OR=1.91, 95% CI=1.40-2.59, respectively). Compared to children whose parents did not seek treatment, the odds of receiving ORS ranged from 2.1 times (OR: 2.11, 95% CI=1.44-3.11) for seeking care in traditional/informal sources to 12.3 times (95% CI=8.81-17.15) in public hospitals/health centers. We observed similar trends for zinc supplementation. The odds of increased oral fluids were higher in public and private hospitals/clinics (OR=1.44, 95% CI=1.03-2.01 and OR=2.08, 95% CI=1.57-2.76, respectively). Across all settings, the odds of continued feeding were significantly lower among children who received treatment compared to children who did not receive treatment.
Conclusion and Implications for Translation: Our findings indicate poor quality diarrhea management across various treatment settings. Policies and programs that encourage caregivers to seek treatment and improve the quality of care may contribute to reducing childhood diarrhea-related morbidity and mortality in Nigeria.

Copyright © 2021 Olorunsaiye et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.
Fathers’ Experiences of Pregnancy and Childbirth with Particular Interest in Migrant Fathers: A Systematic Review and Narrative Synthesis
Authors: Mprah Andy , Haith-Cooper Melanie , Duda-Mikulin Eva , Meddings Fiona 
Published: November 2021

Abstract
ObjectiveThe purpose of this review was to consider factors that influence the experiences of pregnancy and childbirth by fathers with particular interest in migrant fathers.MethodA systematic review and narrative synthesis were conducted as per the PRISMA guidelines. The spider tool was used to build a search strategy which was used to conduct literature search in eight identified electronic databases: ASSIA, CINAHL, EMBASE, MEDLINE, PsycINFO, PUBMED, Sage and Scopus. Grey literature was searched through the King’s Fund Library database, Ethos, The North Grey Literature Collection, Social Care Online and other charity websites such as the Refugee Council and Joseph Rowntree Foundation. The search was conducted across all the databases in the week commencing January 7, 2019 and restricted to studies published in the English language.ResultsThe search across all the eight electronic databases identified 2564 records, 13 records through grey literature databases/websites and an additional 23 records identified through hand-searching/forward citation. The number of records after duplicates were removed was 2229. Record screening based on titles and abstracts identified 69 records for full text screening. Dual screening of these full text records identified 12 full records from 12 separate studies, eight of which were qualitative studies, three of which were quantitative studies and one mixed method study.FindingsThis review has revealed three main themes: influence of society and health professionals; adjustment to a new life of fatherhood; and involvement in maternity care. The literature of fathers’ experiences of pregnancy and childbirth is dominated by native fathers’ experiences at the detriment of migrant fathers more specifically forced migrant fathers who are most vulnerable.Key Conclusion and Implications for practiceThis review has exposed a dearth of research on migrant fathers’ experiences of pregnancy and childbirth. Midwives and other health professionals should be alert to the needs of any father when providing maternity care. More research is needed which considers the heterogeneity of migrants and how choosing to move to a new country or being forced to move could influence migrant father’s experiences and therefore their needs.
Australian Mental Health Care Practitioners’ Cultural Competence, Therapeutic Alliance, Desirable Responding and Racial/Ethnic Attitudes
Authors: Dune Tinashe , Chimoriya Ritesh , Caputi Peter , MacPhail Catherine , Olcon Katarzyna , Ogbeide Anita 
Published: November 2021

Abstract
Background

Racial, ethnic, religious, and cultural diversity in Australia is rapidly increasing. Although Indigenous Australians account for only approximately 3.5% of the country’s population, over 50% of Australians were born overseas or have at least one migrant parent. Migration accounts for over 60% of Australia’s population growth, with migration from Asia, Sub-Saharan African and the Americas increasing by 500% in the last decade. Little is known about Australian mental health care practitioners’ attitudes toward this diversity and their level of cultural competence.
Aim

Given the relationship between practitioner cultural competence and an effective therapeutic alliance with diverse clients, this study aimed to identify factors that influence non-White and White practitioner cultural competence and therapeutic alliance.
Methods

An online questionnaire was completed by 139 Australian mental health practitioners. The measures included: the Multicultural Counselling Inventory (MCI); the Color-blind Racial Attitudes Scale (CoBRAS); and the Balanced Inventory of Desirable Responding (BIDR). Descriptive statistics were used to summarise participants’ demographic characteristics. One-way ANOVA and Kruskal-Wallis tests were conducted to identify between-group differences (non-White compared to White practitioners) in cultural competence, therapeutic alliance, and racial and ethnic blindness. Correlation analyses were conducted to determine the effect of participants’ gender or age on cultural competence and therapeutic alliance. Hierarchical multiple regression analyses were conducted to predict cultural competence and therapeutic alliance.
Results

The study demonstrates that higher MCI total scores (measuring cultural competence and therapeutic alliance) were associated with being non-White, older age, greater attendance of cultural competence-related trainings and increased awareness of general and pervasive racial and/or ethnic discrimination. Practitioners with higher MCI total scores were also likely to have higher self-deceptive positive enhancement scores on the BIDR than those with lower MCI total scores.
Conclusion

The findings highlight that the current one-size-fits-all and skills-development approach to cultural competence training ignores the significant role that practitioner diversity and differences play in the therapeutic alliance. The recommendations from this study can inform clinical educators and supervisors about the importance of continuing professional development relevant to practitioners’ age, racial/ethnic background and professional experience.
Variation In Frequency And Share of Duration of Rainy Days In Iran’s Precipitation
Authors: Asakereh Hossein , Ashrafi Saeideh 
Published: November 2021

Abstract
In any region, climate change can be manifested in the form of various characteristics of climatic elements. To investigate the possible precipitation variations, as a sign of climate change in Iran, in the present study, the frequency of duration of rainy days was examined as a precipitation characteristic. To this end, gridded data of precipitation were used for the period of 1971-2016, and days with the precipitation of more than 1 mm were considered as rainy days. Considering the frequency of the rainy days, it was revealed that during the study period, one to thirty six-day duration of precipitation occurred in the country. One-day duration had the highest frequencies and covered the vastest area, while thirty six-day duration had the lowest frequencies and covered the smallest area. Accordingly, the one-day duration played the most significant role in annual precipitation. The share of these types of rainfalls in the low-precipitation parts of the country was more than 80% and in some areas. The findings also revealed that there was an increasing frequency of short-term, especially two-day duration, in large parts of the country, and a decrease in the long-term duration. The results showed that latitude and longitude, respectively, had the most significant impact on the frequency distribution of the duration of rainy days. Latitude had a direct effect (except in terms of the share of one-day duration of annual precipitation) and longitude had an inverse effect (except in the share of one-day duration of annual precipitation).
Histomorphology and Molecular Genetics in Different Intra-Tumoral Zones and Matched Metastatic Lymph Nodes of Colorectal Cancer with Heterogenous Mismatch Repair Status
Authors: Zhang Jing , Zhang Xin , Wang Qian , Xu Yuyin , Yao Qianlan , Huang Dan , Sheng Weiqi , Zhu Xiaoli , Zhou Xiaoyan , Bai Qianming 
Published: November 2021

Abstract
Objective: To better understand the clinicopathological characteristics and molecular alterations in different intra-tumoral components of colorectal cancer (CRC) with heterogeneity of mismatch repair (MMR) protein expression and microsatellite instability (MSI) status.Methods: We identified 4 cases of CRC with heterogenous MMR protein expression and analyzed the histopathological features, MSI status and other molecular alterations in separately microdissected intra-tumoral zones and lymph node metastases by polymerase chain reaction (PCR) -based MSI testing, MLH1 promoter methylation and targeted next-generation sequencing (NGS).Results: Microsatellite instability-high (MSI-H) was identified in the MLH1/PMS2 deficient zones in Case 1-3, and in the MSH2/MSH6 deficient zone in Case 4, while MSS was in all the intra-tumoral zones and metastatic lymph nodes with proficient MMR (pMMR). Furthermore, heterogeneity of MLH1 promoter methylation and/or other common driving gene mutations of CRC, such as KRAS, PIK3CA and so on, was identified in all the 4 CRCs. In addition, 75% (3/4) of cases showed heterogeneity of histomorphology in intra-tumoral components and metastatic lymph nodes (Case 1, 2, 4), and all the corresponding metastatic lymph nodes were moderate differentiation with MSS/pMMR (Case 2, 3). Conclusions: The heterogeneous MSI status is highly correlated with histomorphological heterogeneity, which is also an important clue for the heterogeneity of drive gene mutations in CRC. These results suggest that it is essential to detect MMR protein expression and other gene mutations in metastases before treatment, especially for the CRCs with heterogenous MMR protein expression or histomorphology.
The Impact of Specific Fracture Characteristics of Low-energy Fractures of the Pelvis in the Elderly on Mortality
Authors: Ramser Michaela , Vach Werner , Strub Nathalie , Cadosch Dieter , Saxer Franziska , Eckardt Henrik 
Published: November 2021

Abstract
Background:Pelvic fractures in the elderly are associated with relevant morbidity and mortality. Both might be determined by fracture morphology and/or patient characteristics. The aim of this project is to investigate the prognostic value of specific fracture characteristics with respect to overall survival and to compare it with an established classification system. Methods:Retrospective analysis of patients ≥60 years, treated conservatively for a CT-scan verified, low-energy pelvic ring fracture between August 2006 and December 2018. Survival data was available from patients’ charts and cantonal or national registries. The prognostic value of fracture characteristic describing the anterior and posterior involvement of the pelvic ring was investigated. This analysis was repeated after patients were stratified into a high-risk vs a low-risk group according to patient characteristic (age, gender, comorbidities, mobility, living situation). This allowed to assess the impact of the different fracture morphologies on mortality in fit vs. frail senior patients separately Results:Overall, 428 patients (83.4% female) with a mean age of 83.7 years were included. Two thirds of patients were still living in their home and mobile without walking aid at baseline. In-hospital mortality was 0.7%, overall, one-year mortality 16.9%. An independent and significant association of age, gender and comorbidities to overall survival was found. Further, the occurrence of a horizontal sacral fracture as well as a ventral comminution or dislocation was associated with an increased mortality. The effect of a horizontal sacral fracture was more accentuated in low-risk patients while the ventral fracture components showed a larger effect on survival in high-risk patients.Conclusion:Specific fracture characteristics may indicate a higher risk of mortality in conservatively treated patients with a low-energy pelvic ring fracture. Hence, they should be taken into account in future treatment algorithms and decisions on patient management.