bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evidence Generation for Postprandial Insulin Administration for Better Management of Diabetes in Noncritically iII Patients
Authors: Lalwani Divya , Muley Arti , Mahida Harshal 
Published: January 2021

Introduction:
Previously, premeal sliding scale insulin regimen was used to control sugar levels in hospitalized type-2 diabetes patients. However, the now recommended basal-bolus regimen also failed to show any substantial advantage over the traditional sliding scale regimen in the latest Cochrane review.

Methodology:
In this retrospective cohort study, data were collected from two groups of patients who received basal with premeal bolus regimen and those who received modified sliding scale regimen (basal with both pre- and lower dose postprandial insulin by sliding scale). The data collected were analyzed to compare the mean reduction in blood glucose level, number of hypoglycemic episodes, and mean hospital stay among the two groups.

Results:
A total of forty patients were included in the study. Twenty received basal with both pre- and postprandial insulin correction by sliding scale and other twenty received basal insulin with postmeal bolus correction regimen. The mean hospital stay in sliding scale with postprandial insulin correction was 3.9 ± 2.2 days, and in other group, it was 6.1 ± 4.47 days. Two out of twenty patients in the sliding scale with postprandial insulin group, whereas six out of twenty patients in the other group had hypoglycemic events.

Conclusion:
Basal with both pre- and postmeal (low dose) insulin by sliding scale might be an answer to the concerns of faster attainment of euglycemia in hospitalized type-2 diabetes patients with minimal risk of hypoglycemia. We plan a prospective study with a larger sample size to substantiate the evidence.
Rapid assessment of Rashtriya Bal Swasthya Karyakram program implementation and beneficiary feedback at two district early intervention centers in Chhattisgarh State in India
Authors: Prabhu Shruti Atul , Shukla Nikhil Keshav , Roshni Mandala Sai 
Published: January 2021

Background:
The Government of India launched the child health screening and early Intervention programme called Rashtriya Bal Swasthya Karyakram in 2014 to screen children from 0 to 18 years for the early detection of 4 D's (Defects, Diseases, Deficiency, and Developmental Delays including disabilities). Under this program, district early intervention centers (DEICs) are set up as nodal centers at the district level to manage the cases of 4Ds. There are few studies published evaluating the functioning of DEICs or reflecting the feedback from beneficiaries.

Aims:
The aim of this study is to assess the functioning and infrastructure of DEIC and beneficiary feedback.

Methods:
One good performing district (Raigarh) and one poor performing district (Raipur) were selected for rapid assessment. Observational check list according to norms was used for assessment of facilities, staffing pattern, and semi-structured questionnaire used for beneficiary feedback. Data were entered in Microsoft excel for the analysis.

Results:
DEIC Raipur was deficient in staff and infrastructure. Among all the referred cases, only 38.9% and 31.5% reached DEIC Raipur and Raigarh, respectively. DEIC Raigarh deserves special mention. It has special Orthotics unit, “Sensory garden,” and Disability Rehabilitation Center. Beneficiaries face many difficulties at DEIC despite having necessary referral forms. 73.4% parents said loss of daily wages was a deterrent to go to DEIC repeatedly for follow-up.

Conclusion:
There was a deficiency of staff and infrastructure in DEIC Raipur. DEIC Raigarh had a well-equipped rehabilitation center. It should be developed as “Model DEIC” for Chhattisgarh and explore the possibility of telemedicine to provide services to neighboring underserved districts. Beneficiary feedback was below satisfaction.
Are rotational night shifts taking its toll on health-care professionals? A pilot study
Authors: Nirupama A.Y. , Chellaiyan D. Vinoth Gnana , Ravivarman G. 
Published: January 2021

Background:
It has always been suggested that sleep deprivation has a deleterious effect on the ability of health workers who are involved in multitude of life-saving tasks, which often require more attention and concentration. The Centers for Disease Control and Prevention and the national health portal (Government of India) have now recognized sleep deprivation as a public health epidemic.

Materials and Methods:
A cross-sectional study was done including health-care professionals working night shifts on rotation at a tertiary level health-care facility, using a semi-structured questionnaire to test the status of their sleep deprivation, cognitive ability, and quality of life as a pilot study. Stratified random sampling was used to select the study participants and health-care professionals with other factors which may interfere with sleep deprivation testing were excluded. Data were analyzed using IBM-SPSS, and required statistical tests were applied (Pearson Chi-square, Fisher exact, Spearman correlation, and Wilcoxon signed-rank test).

Results:
About 95.12% of participants reported < 6 h of sleep post night shifts, of which 51.2% were found to show signs of sleep deprivation. Of this 51.2%, 28.57% were also found to have lower cognitive function scores, and statistically significant lower cognitive scores were observed during night shifts than during day shifts. The median value of the Montreal cognitive assessment (MOCA) score during the night shift was 27 (interquartile range [IQR] = 4) and the median value of MOCA score during the day shift was 29 (IQR = 1). A poor QOL was observed in 17.07% of the study participants, and it was found to have a significant positive correlation with hours of sleep obtained.

Conclusion:
The results from the present study points towards a significantly high burden of sleep deprivation among health-care professionals working rotational shifts (51.2%). This warrants a need for further evaluation on larger populations and adoption of comprehensive measures including preventive and promotive aspects like sleep counselling and yoga/meditation for management.
Native T1 mapping in diffuse myocardial diseases using 3-Tesla MRI: An institutional experience
Authors: Mondy Vimal Chacko , Peter S Babu , Ravi R 
Published: January 2021

Abstract
Aims: Newer cardiac magnetic resonance techniques like native T1 mapping are being used increasingly as an adjunct to diagnose myocardial diseases with fibrosis. However, its full clinical utility has not been tested extensively, especially in the Indian population. The purpose of this study was to find native T1 values in healthy individuals without cardiac disease in our 3-Tesla MRI system and examine whether native myocardial T1 values can be used to differentiate between normal and diffuse myocardial disease groups. Subjects and Methods: After approval from the institutional ethics committee, native T1 mapping was performed in 12 healthy individuals without cardiac disease who served as controls and in 26 patients with diffuse myocardial diseases (acute myocarditis (n = 5), hypertrophic cardiomyopathy (HCM) (n = 8), nonischemic dilated cardiomyopathy (DCM) (n = 7), restrictive cardiomyopathy (RCM) due to amyloidosis (n = 6)) in a 3-Tesla MRI system in short axis slices and four-chamber view using a modified Look-Locker inversion recovery sequence. The mean native T1 values and standard deviations were calculated for control and disease groups and compared. The ability of native myocardial T1 mapping to differentiate between normal and diffuse myocardial disease groups was assessed. One-way ANOVA with Tukey’s Post-Hoc test was used to find significant difference in the multivariate analysis and Chi-Square test was used to find the significance in categorical data. Results: The native T1 values for the healthy group in our 3-Tesla MRI system was 1186.47 ± 45.67 ms. The mean T1 values of the groups acute myocarditis (1418.68 ± 8.62 ms), HCM (1355.86 ± 44.67 ms), nonischemic DCM (1341.31 ± 41.48 ms), and RCM due to amyloidosis (1370.37 ± 90.14 ms) were significantly higher (P = 0.0005) than that of the healthy control group. Conclusion: Native myocardial T1 mapping is a promising tool for differentiating between healthy and diffuse myocardial disease groups.
Temporal encephalocele into transverse sinus in an adult with partial seizures: MRI evaluation of a rare site of brain herniation
Authors: Yadav Taruna , Shaikh Minhaj , Panda Samhita , Khera Pushpinder 
Published: January 2021

AbstractHerniation of brain parenchyma outside its normal enclosure (also known as encephalocele) has long been known to occur at certain classic sites and is classified accordingly. With widespread use of modern neuroimaging, the previously unknown atypical and rare sites of encephalocele have now been identified. Brain herniation into a dural venous sinus is one such recently described entity with case reports extending only upto the earlier part of this decade. With no definite clinical symptomatology, imaging is crucial to diagnose this lesion accurately and differentiate it from the more familiar entity in this region of the brain, the arachnoid granulations. Also known as occult encephalocele, focal brain herniation into dural venous sinus has few specific imaging features and characteristic sites. We report a case of a 21-year-old man with partial seizures in whom MRI of the brain revealed focal herniation of the normal temporal lobe parenchyma into the left transverse sinus and discuss the key imaging features and pathophysiology of this entity.
Evaluating Wellness Interventions for Resident Physicians: A Systematic Review
Authors: Eskander Jessica , Rajaguru Praveen P. , Greenberg Paul B. 
Published: January 2021

ABSTRACT

Background
Wellness initiatives implemented by graduate medical education programs can help mitigate burnout in resident physicians.

Objective
This systematic review seeks to identify factors that impact the effectiveness of resident wellness interventions and to provide a conceptual framework to guide future interventions.

Methods
Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 6 electronic databases were searched in November 2019 using variations of the keywords “resident physicians,” “wellness,” and “intervention.” Peer-reviewed full-text English-language articles on controlled studies were considered for inclusion. The quality of the studies was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) guidelines.

Results
The initial search disclosed 1196 articles, of which 18 studies enrolling 666 resident physicians met inclusion criteria for qualitative review. Interventions using peer support and individual meditation enhanced well-being. Effective wellness interventions also used educational theory to guide program development, surveyed participants to guide intervention design, incorporated programming into existing didactic curricula, and recruited voluntary participants. The quality of most of the included studies was poor (13 of 18, 72%) and could be improved by using standardized wellness assessments supported by validity evidence.

Conclusions
This systematic review suggests that future resident wellness initiatives should focus on grounding interventions in educational theory, forging consensus on wellness instruments with validity evidence, and examining the impact of initiatives on patient outcomes. A logic model can provide a framework for designing and implementing effective wellness interventions.
Blindfolding Improves Communication in Inexperienced Residents Undergoing ACLS Training
Authors: Scicchitano Emily , Stark Phillip , Koetter Paige , Michalak Nathan , Zurca Adrian D. 
Published: January 2021

ABSTRACT

Background
Closed-loop communication (CLC) is associated with decreased medical errors and improved time-to-task completion during resuscitations. Depriving team leaders of sight during training may accelerate the acquisition of favorable communication skills; however, its effect on the frequency of CLC is unclear, especially with trainees.

Objective
We assessed the effect of depriving interns of sight during advanced cardiovascular life support (ACLS) on verbal communication patterns and resuscitation confidence.

Methods
All interns undergoing ACLS training in June 2019 at a single center were eligible. Interns were randomized to blindfolded training (BT) or standard training (ST). BT team leaders were blindfolded during practice sessions and permitted to use sight during testing. Testing scenarios were video- and audio-recorded. Recordings were assessed for teams' performance and communication patterns. Participants were surveyed for confidence with resuscitation skills before and after ACLS training.

Results
All 87 eligible interns participated in the study (100% participation). Eighty-five of 87 (98%) interns were included for analysis; 46 were randomized to BT and 39 to ST. Interns in the BT group were significantly more likely to exhibit CLC (mean: BT 20.3, ST 16.6; P = .003), directed communication (mean: BT 4.3, ST 1.5; P &lt; .001), and follower-initiated communication (mean: BT 12.8, ST 10.2; P = .028). There was no significant difference in clinical performance measures or self-reported confidence with resuscitation between BT and ST groups.

Conclusions
Blindfolding trainees results in greater instances of CLC, directed communication, and follower-initiated communication during ACLS training.
TÁC ĐỘNG CỦA ĐẶC ĐIỂM TÍNH CÁCH BIG – FIVE VÀ LÃNH ĐẠO ĐẠO ĐỨC ĐẾN SỰ HÀI LÒNG TRONG CÔNG VIỆC, NGHIÊN CỨU TRƯỜNG HỢP TRONG CÁC HỆ THỐNG SIÊU THỊ LỚN TẠI THÀNH PHỐ HỒ CHÍ MINH
Authors: LONG NGUYỄN THÀNH , NHƯ TRẦN THỊ MINH 
Published: January 2021

Nghiên cứu này nhằm xác định tác động của đặc điểm tính cách Big-Five và lãnh đạo đạo đức tới sự hài lòng trong công việc, nghiên cứu trường hợp trong các hệ thống siêu thị lớn tại Tp. HCM. Kết hợp cả hai phương pháp nghiên cứu định tính và định lượng, tác giả tiến hành khảo sát 380 đối tượng là nhân viên, quản lý làm việc tại các siêu thị lớn ở Tp. HCM. Kết quả nghiên cứu cho thấy, các đặc điểm tính cách có tác động đến lãnh đạo đạo đức và sự hài lòng trong công việc. Thứ nhất, ba yếu tố của đặc điểm tính cách như sẵn sàng trải nghiệm, tận tâm và dễ chịu có ảnh hưởng tích cực đến lãnh đạo đức. Thứ hai, ba yếu tố sẵn sàng trải nghiệm, tận tâm và hướng ngoại có ảnh hưởng tính cực đến sự hài lòng trong công việc. Thứ ba, riêng yếu tố tâm lý bất ổn có ảnh hưởng tiêu cực đến cả lãnh đạo đạo đức và sự hài lòng trong công việc. Từ kết quả này, nghiên cứu đưa ra một số hàm ý quản trị nhằm nhằm gợi ý cho nhà lãnh đạo quản lý và nhà tuyển dụng nắm bắt được đặc điểm tính cách của nhân viên nhằm đáp ứng mang lại sự hài lòng trong công việc để đạt được kết quả làm việc tốt nhất.
Mengembangkan Akni Dengan Blue Ocean Strategy
Authors: Herijanto Pudji 
Published: January 2021

Abstrak
Objektif. Tujuan kajian ini adalah untuk menformulasikan strategi pengembangan Akademi Komunitas Negeri Indonesia (AKNI) dengan Blue Ocean Strategy (BOS).
Material and Metode. Untuk itu dilakukan penelitian deskriptip yang mendeskripsikan 4 langkah penyusunan strategi pengembangan AKNI. Jenis data yang digunakan adalah data sekunder yang diperoleh dengan metode dokumentasi, kemudian dianalisis dengan pola yang dibuat oleh Utama (2008).
Hasil. Hasilnya tersusun strategi pengembangan AKNI yang sekarang ini dirasakan tidak memiliki daya saing, untuk terus bisa berkembang di waktu dan masa mendatang.
Kesimpulan. Strategi ini diawali dengan mengidentifikasi pasar dan calon konsumen potensial AKNI, kemudian merumuskan jasa penyedia kompetensi AKNI. Berdasarkan ke dua hasil terebut dirumuskan manfaat yang akan diperoleh para calon konsumen potensial. Manfaat tersebut selanjutnya ditawarkan dengan menyampaikan opportunity cost yang akan diperoleh para calon pelanggan potensial. Kemudian dilakungan rangkaian penerapan BOS untuk pengembangan AKNI.
Abstrack
Objective. The purpose of this study is to formulate a strategy for developing the Indonesian State Community Academy (AKNI) with the Blue Ocean Strategy (BOS).
Materials and Methods. For this reason, descriptive research was carried out describing the 4 steps in developing an AKNI development strategy. The type of data used is secondary data obtained by the documentation method, then analyzed with patterns created by Utama (2008).
Materials and Methods. For this reason, descriptive research was carried out describing the 4 steps in developing an AKNI development strategy. The type of data used is secondary data obtained by the documentation method, then analyzed with patterns created by Utama (2008).
Results The result is an AKNI development strategy that is currently felt to have no competitiveness, to continue to develop from now and in the future.
Conclusion. This strategy begins by identifying the market and potential AKNI potential customers, then formulating the services of AKNI competency providers. Based on the two results, the benefits will be formulated to be obtained by potential customers. These benefits are then offered by conveying the opportunity cost that potential customers will get. Then a series of BOS implementation was carried out for the development of AKNI.
Penggunaan Hasil Motion Capture (Data Bvh) Untuk Menganimasikan Model Karakter 3d Agar Menghasilkan Animasi Yang Humanoid
Authors: Waspada Heri Priya , Ismanto Ismanto , Hidayah Firman 
Published: January 2021

Abstrak
Objektif. Proses pemodelan karakter 3D memegang peranan penting dalam menghasilkan model karakter 3D yang baik. Proses ini merupakan proses awal yang harus dilalui oleh seorang desainer dalam membuat sebuah model karakter 3D. Setelah proses pemodelan dikerjakan dengan baik agar karakter tersebut bisa dibuat bergerak maka diperlukan proses rigging. Dengan proses pemodelan dan rigging tersebut model karakter 3D bisa digunakan untuk menghasilkan animasi sesuai dengan keinginan animator. Tentunya seorang animator akan memerlukan kerja keras untuk membuat suatu adegan gerakan apabila animasi yang dibuat masih manual. Untuk itu dengan memanfaatkan data BVH, animator akan lebih ringan dalam membuat adegan animasinya. Hasil animasi karakter di tunjukkan kepada 40 responden untuk menilai dan menghasilkan rata-rata tingkat humanoid animasi karakter bernilai 65%.
Material and Metode. Menganimasikan model karakter 3D memanfaatkan hasil motion capture (.bvh)
Hasil. Animasi karakter 3D dengan menggunakan hasil motion capture menghasilkan animasi yang humanoid.
Kesimpulan. Hasil motion capture merupakan susunan tulang yang sudah dilengkapi dengan hasil perekaman gerakan sehingga untuk memproduksi animasi model karakter 3D akan lebih mudah karena animator tidak perlu menggambar tiap gerakan yang diinginkan.
Abstrack
Objective. The process of modeling 3D characters plays an important role in producing good 3D character models. This process is the initial process that must be passed by a designer in creating a 3D character model. After the modeling process is done well so that the character can be moved, a rigging process is needed. With the modeling and rigging process, 3D character models can be used to produce animations in accordance with the wishes of the animator. Of course, an animator will need to work hard to create a motion scene if the animation created is still manual. For this reason, by utilizing BVH data, animators will be lighter in making their animated scenes. The results of the character animation were shown to 40 respondents to rate and produce an average humanoid character animation level of 65%.
Materials and Methods. Menganimasikan model karakter 3D memanfaatkan hasil motion capture (.bvh)
Results. 3D character animation using the results of motion capture produces humanoid animation.
Conclusion. The result of motion capture is the arrangement of bones that has been equipped with the results of recording the motion so that to produce animated 3D character models will be easier because the animator does not need to draw every desired movement.
Cotidiano escolar e justificação científica do fazer pedagógico: contradições, distanciamentos e perspectivas de luta no campo da formação humana
Authors: Silva Jeferson Luis da , Ratto Cleber Gibbon , Link Elmer Erico 
Published: January 2021

Neste trabalho, buscamos refletir sobre uma possível contradição entre a alta produção de conhecimento das ciências humanas em educação e a constatação de uma crescente perda da qualidade da educação básica no país. Questionamos a possibilidade de um possível distanciamento da prática educativa em relação ao projeto de humanização e civilizatório próximo da noção de paideia, em especial, pela imposição de demandas econômicas e ausência de oportunidades de autorrealização social, com baixa redistribuição de recursos, gerando ressentimentos numa significativa parcela da sociedade. Por fim, sinalizamos para uma necessidade da retomada do exercício de valorização das lutas por reconhecimento ético, da valorização qualitativa das relações sociais, bem como, da prática focada na emancipação dos sujeitos enquanto fundamento das ciências da educação e da própria escola. Para produção desta reflexão, adotamos o caminho do ensaio teórico dada sua natureza interpretativa e reflexiva.
How does subchorionic hematoma in the first trimester affect pregnancy outcomes?
Authors: Günay Taner , Yardımcı Oğuz 
Published: January 2021

IntroductionSubchorionic hematoma (SCH) in pregnancy has been associated with increased risk of adverse pregnancy outcomes. We aimed to investigate the association of SCH with adverse pregnancy outcomes in pregnant women in relation to size of hematoma and control subjects.Material and methodsThis study included 178 pregnant women with sonographically detected SCH in the 1st trimester, and 350 pregnant controls without SCH. Data on maternal age, smoking status, gestational week at diagnosis, location of SCH, medications before diagnosis, gestational week at delivery, delivery route and pregnancy outcomes (first trimester vaginal bleeding, pre-eclampsia, gestational diabetes, intrauterine growth restriction (IUGR), placental abruption, preterm delivery < 37 weeks, early pregnancy loss and intrauterine death) were retrieved retrospectively from hospital records. Pregnant women with SCH were divided into 3 groups according to the size of hematoma including small SCH (SCH-I group, n = 47), medium- size SCH (SCH-II group, n = 110) and large SCH (SCH-III group, n = 21) groups.ResultsSubchorionic hematoma was associated with significantly lower gestational age at delivery (p < 0.001) and higher rate of first trimester bleeding (p < 0.001) compared with the control group, regardless of the size of the hematoma. Placental abruption (p = 0.002) and early pregnancy loss (p < 0.001) were significantly more common in SCH-II and -III groups than in the control group. SCH-III group was associated with a significantly higher rate of < 37 gestational weeks at delivery (p < 0.001), first trimester vaginal bleeding (p < 0.001), early pregnancy loss (p < 0.001), IUGR (p = 0.003) and preterm delivery (p < 0.001) compared to both lesser size hematoma and control groups.ConclusionsIn conclusion, our findings suggest that large SCH might indicate an increased risk of adverse pregnancy outcomes such as 1st trimester vaginal bleeding, early pregnancy loss, IUGR, placental abruption or preterm delivery. These findings are important to guide the patients with SCH for detailed clinical evaluation.