bluuebunny/crossref_metadata_2025_split huggingface dataset:
Environnement réconfortant et respect de l’intimité. L’organisation du cabinet médical pour la consultation gynécologique
Authors: Nguyen Ngoc-Khanh , Bendahmane Lina , Martin Marie-Jeanne , Tilly Anita , Bayen Sabine , Messaadi Nassir 
Published: January 2021

Introduction : L’environnement dans lequel se déroule l’examen gynécologique influence le ressenti des patientes et questionne les notions de « distance intime » et d’« espace personnel ». But de l’étude : Notre étude propose d’explorer le ressenti et les préférences des femmes envers l’agencement du cabinet médical. Résultats : Il s’agit d’une enquête d’opinion, exploratoire, non randomisée. Les questionnaires étaient donnés aux femmes par 14 médecins généralistes en 2017 dans la région lilloise. Parmi les 173 patientes ayant répondu, 73 % accordaient de l’importance à l’agencement du cabinet durant la consultation gynécologique. Les besoins d’un environnement réconfortant, du respect de l’intimité qui passait par l’isolement spatial de la partie « examen », ont été les plus exprimés. La majorité des participantes jugeaient nécessaires : la séparation entre les espaces dédiés à l’entretien et à l’examen (77 %), l’accès à des fournitures d’hygiène intime (80 %), l’espace pour déposer les vêtements/sous-vêtements (74 %), l’espace de déshabillage (56 %). Cinquante-cinq pour cent des participantes n’éprouvaient pas le besoin de se couvrir le bas du corps durant l’examen. Le confort de la table d’examen était jugé satisfaisant (93 %), les couleurs « calmes et apaisantes » étaient appréciées. Selon les patientes, l’amélioration du confort de la table passait d’abord par un changement sur les étriers. Conclusions : L’environnement de l’examen gynécologique est caractérisé par un équilibre entre son caractère familier réconfortant et son organisation spatialement délimitée respectant l’intimité de la femme. L’analyse des résultats révèle les dimensions culturelle et subjective de l’intimité. Elle demande une approche psychosociale centrée sur la patiente.
Gestion adaptative des centres de santé dans un environnement changeant en République démocratique du Congo
Authors: Kenanewabo Nicolas , Molima Christian , Karemere Hermès 
Published: January 2021

Introduction : Depuis trois décennies, la République démocratique du Congo est confrontée à des guerres récurrentes. Ces dernières ont provoqué une charge importante de morbidité et de mortalité. Dans ce contexte, la zone de santé de Katana au Sud-Kivu a connu plusieurs événements qui auraient pu entraver le fonctionnement de ses centres de santé qui, pourtant, ont continué à fonctionner. But de l’étude : La présente étude vise à identifier des déterminants ayant permis aux centres de santé de s’adapter à un contexte changeant. Il s’agit d’une étude transversale mixte, menée dans les centres de santé de Mugeri, d’Ihimbi et de Ciranga sur la période de 1990-2017 en ce qui concerne les données qualitatives et celle de 2013 à 2017 pour les données quantitatives. Elle est basée sur l’observation, la revue documentaire et des entretiens individuels auprès de 55 informateurs. Résultats : Les principaux événements identifiés sont les rebellions récurrentes, l’arrivée massive des réfugiés, l’arrivée de l’aide humanitaire, les séismes et l’instabilité des ressources humaines. L’offre des services et des soins s’est poursuivie grâce à des mécanismes d’adaptation développés, dont l’élaboration et l’application de nouvelles directives et normes et une participation communautaire dynamique. Conclusions : D’une part, l’étude démontre l’intérêt d’adapter les procédures de gestion de l’aide financière et de fonctionnement d’un centre de santé en cas de changement de contexte, ainsi que l’efficacité d’une collaboration plus structurée et régulière entre différents acteurs et l’appropriation des activités du centre de santé par la communauté. D’autre part, elle identifie les limites des interventions sélectives et ponctuelles, ne favorisant pas le développement effectif des centres de santé.
Dysfonctionnements du processus d’évacuation sanitaire hors de la République du Congo de 2014 à 2017
Authors: Marie Tebeu Pierre , Honoré Woromogo Sylvain , Diola Roseline , Antaon Jesse Saint Saba , Akoli Raphael , Biez Ulrich Judicaël 
Published: January 2021

Introduction : L’évacuation sanitaire est l’envoi d’une personne souffrant d’un problème de santé vers une institution susceptible de lui prodiguer des soins appropriés. Il s’agit d’un processus régi par des textes juridiques. Il peut être émaillé de dysfonctionnements. Objectif : L’objectif de cet article est d’étudier le processus d’évacuation sanitaire afin de relever les éventuels dysfonctionnements. Méthodes : Une étude qualitative transversale a été menée de décembre 2017 à août 2018. La taille de l’échantillon a été déterminée par saturation. Nous avons recruté 11 personnes. Elles appartenaient toutes aux services impliqués dans le processus d’évacuation sanitaire. Les données ont été collectées à l’aide d’un dictaphone conformément à un guide d’entretien. L’analyse des données a consisté à regrouper les informations extraites du verbatim. Résultats : Pour une éventuelle évacuation, des dysfonctionnements ont été relevés dans les décisions du médecin, dans la constitution du dossier médical d’évacuation et dans la signature de l’observation clinique par les médecins. Nous avons relevé des irrégularités dans la tenue du Conseil de santé entraînant des prises de décisions arbitraires ainsi que le manque de collaboration entre les services, entravant le suivi administratif des personnes évacuées. Sur le plan financier, il apparaît que le paiement des frais d’hospitalisation et de soins médicaux était effectué au profit de comptes privés et non de ceux des hôpitaux d’accueil contrairement à ce que recommande l’arrêté d’évacuation. Conclusion : Le processus d’évacuation sanitaire en République du Congo était émaillé de dysfonctionnements dans la décision prise par le médecin, dans les décisions administratives et financières ainsi que dans la liaison avec les structures d’accueil et le suivi des malades.
Gratuité de la prise en charge du paludisme simple dans un hôpital général, Côte d’Ivoire, 2017
Authors: Acray-Zengbé Pétronille , Ano Marie-Noëlle , Toure Béatrice , Kouassi Pierre Roméo , Ané Ané Banouakan , Akani Christian , Dagnan Simplice 
Published: January 2021

Introduction : Le paludisme constitue la première cause de morbidité en Côte d’Ivoire. Dans ce contexte, le gouvernement ivoirien à travers le ministère de la Santé et de l’Hygiène publique (MSHP) a mis en place une politique de gratuité de la prise en charge du paludisme en vue de lever le frein financier pour l’accès au diagnostic et au traitement. But de l’étude : Une étude normative a été menée à l’hôpital général d’Abobo Sud de janvier à octobre 2017. Cette étude avait pour objectif d’évaluer la mise en œuvre de la politique de gratuité de la prise en charge du paludisme simple dans un hôpital général. Méthode : L’échantillon de l’étude était composé de 218 patients et 11 travailleurs issus du domaine de la santé. Le questionnaire comprenait des caractéristiques sociodémographiques, la description de la mise en œuvre de la politique et des facteurs influençant cette politique. Résultats : L’âge moyen des patients était de 25 ans ; 47,7 % étaient issus du secteur informel ; l’échantillon était composé à 51,8 % de célibataires et à 28,9 % d’analphabètes. Sur les 218 patients interrogés, 82 étaient informés de la politique de gratuité, dont 91 % par les médias. Les motifs fréquents de consultation étaient des céphalées dans 74,3 %. Le diagnostic de paludisme avait été retenu chez 99,5 % des cas pour ceux ayant réalisé la goutte épaisse au laboratoire de l’hôpital. Tous les prescripteurs adhéraient à la politique mais ont relevé comme difficulté rencontrée le manque de médicaments à 54,5 %, de réactifs pour la goutte épaisse à 36,4 %, de communication à 9,1 % et un délai d’attente des résultats du laboratoire trop long dans 67 %. Conclusions : Cette étude a permis de montrer que la politique de gratuité mise en œuvre à l’hôpital général d’Abobo Sud connaît des insuffisances. Il serait judicieux de reconduire l’étude à grande échelle afin de disposer d’informations permettant d’améliorer la prise en charge dans une perspective de mise en œuvre optimale de la gratuité dans nos hôpitaux publics.
Evaluation of a strategy-oriented method to identify and prioritise knowledge management initiatives in SMEs
Authors: Igartua López Juan Ignacio , Retegi Albisua Jabier , Ruiz Maria , Mindegia Maitane 
Published: January 2021

Purpose: This article presents the process followed for the definition, application and evaluation of a Strategy oriented method of identifying and prioritising Knowledge Management (KM) initiatives in small to medium enterprises.Design/methodology/approach: To develop the method, the research team conducted a review of literature about existing business strategies and processes and models of maturity in KM. Based on that, a first version of a method was proposed. Subsequently, a contrast was made through a focus group composed of regional development centres, new company promotion agencies and industry representatives. Then, a four-step method, named KM-EZAGUTUZ, for the identification and prioritisation of KM initiatives in SMEs was proposed. Then, a field test was performed in five companies.Findings: The conclusions obtained through the research show the validity of the method for SMEs to identify and prioritise KM initiatives.Research limitations/implications: More field test should be done to confirm the validity of the method and improve it.Practical implications: The method, developed and supported in a prototype tool, helps companies to determine and prioritise actions for a better KM in accordance with company strategies, in a short period of time. In addition, the method supports a common understanding of the strategic vision of the organisation among the participants in the process.Social implications: Management practices are usually designed for medium and large companies. The significant resources required make it difficult for SMEs to benefit from their implementation. Given that SMEs account for a large share of employment in countries and that they need to manage knowledge effectively, this research helps to address this important socio-economic need.Originality/value: The method described in the article combines Strategy, Knowledge Management and a user friendly identification and prioritization tool adapted to SMEs.
Long-Term Retention of Passive Integrated Transponder Tags Injected into the Pelvic Girdle of Adult Walleye
Authors: Meerbeek Jonathan R. 
Published: January 2021

AbstractWe assessed long-term retention of passive integrated transponder (PIT) tags injected into the subcutaneous musculature between the pelvic fins of adult Walleye Sander vitreus via collecting fish from natural lakes in northwestern Iowa during April 2015, examining fish for the presence of an existing visual implant tag (used as secondary mark), implanting PIT tags in a representative subsample of previously marked fish, and recapturing fish during subsequent annual surveys. Of the 332 Walleye (range = 444–706 mm; mean total length = 544 mm; standard deviation = 43) PIT tagged in 2015, 87 of 88 (98.9%) recaptured from 1 to 4 y after tagging retained their tag. We captured 23 Walleye more than once (≥ 2 y after tagging) and all Walleye had retained their tag on their second or third recapture. This study and others demonstrate that the pelvic girdle was an effective PIT-tagging location for long-term studies evaluating adult Walleye population dynamics. In addition, the low probability of tags being encountered in fish fillets by anglers makes this a desirable tag location for Walleye studies where Walleye are often targeted for consumption. These studies collectively demonstrate that PIT tags inserted into the pelvic girdle of a range of Walleye sizes yield retention rates suitable for advanced population modeling or stocking evaluations.
Sacramento Pikeminnow Migration Record
Authors: Valentine Dennis A. , Young Matthew J. , Feyrer Frederick 
Published: January 2021

AbstractSacramento Pikeminnow Ptychocheilus grandis is a potamodromous species endemic to mid- and low-elevation streams and rivers of Central and Northern California. Adults are known to undertake substantial migrations, typically associated with spawning, though few data exist on the extent of these migrations. Six Sacramento Pikeminnow implanted with passive integrated transponder tags in the Sacramento–San Joaquin Delta were detected in Cottonwood and Mill creeks, tributaries to the Sacramento River in Northern California, between April 2018 and late February 2020. Total travel distances ranged from 354 to 432 km, the maximum of which exceeds the previously known record by at least 30 km. These observations add to a limited body of knowledge regarding the natural history of Sacramento Pikeminnow and highlight the importance of the river–estuary continuum as essential for this migratory species.
Can Landsat Thermal Imagery and Environmental Data Accurately Estimate Water Temperatures in Small Streams?
Authors: Murphy Robert D. , Hagan John A. , Harris Bradley P. , Sethi Suresh A. , Smeltz T. Scott , Restrepo Felipe 
Published: January 2021

AbstractThe ability to monitor water temperature is important for assessing changes in riverine ecosystems resulting from climate warming. Direct in situ water temperature collection efforts provide point samples but are cost-prohibitive for characterizing stream temperatures across large spatial scales, especially for small, remote streams. In contrast, satellite thermal infrared imagery may provide a spatially extensive means of monitoring riverine water temperatures; however, researchers do not have a good understanding of the accuracy of these remotely sensed temperatures for small streams. Here, we investigated the utility of Landsat 8 thermal infrared imagery and both local and regional environmental variables to estimate subsurface temperatures in high-latitude small streams (2–30 m wetted width) from a test watershed in southcentral Alaska. Our results suggested that Landsat-based surface temperatures were biased high, and the degree of bias varied with hydrological and meteorological factors. However, with limited in-stream validation work, results indicated it is possible to reconstruct average in situ water temperatures for small streams at regional scales using a regression modelling framework coupled with publicly available Landsat or air temperature information. Generalized additive models built from stream stage information from a single gage and air temperatures from a single weather station in the drainage fit to a limited set of in situ temperature recordings could estimate average stream temperatures at the watershed level with reasonable accuracy (root mean square error = 2.4°C). Landsat information did track closely with regional air temperatures and we could also incorporate it into a regression model as a substitute for air temperature to estimate in situ stream temperatures at watershed scales. Importantly, however, while average watershed-scale stream temperatures may be predictable, site-level estimates did not improve with the use of Landsat information or other local covariates, indicating that additional information may be necessary to generate accurate spatially explicit temperature predictions for small order streams.
Challenges and strategies of clinical rounds from the perspective of medical students
Authors: Beigzadeh Amin , Yamani Nikoo , Bahaadinbeigy Kambiz , Adibi Peyman 
Published: January 2021

INTRODUCTION:
Clinical rounds provide opportunities for medical students to acquire essential skills to practice medicine in the real world. Although this kind of training is one of the most important components of medical education, it is replete with barriers in its effective implementation. This study aimed to investigate medical students' experiences concerning the barriers and strategies of clinical rounds in Kerman University of Medical Sciences (KMU).

MATERIALS And METHODS:
This qualitative research was conducted on 12 medical students in KMU in 2017. Purposive sampling was used and participants in three grades (stagers, interns, and residents) were selected, and individual semi-structured interviews were conducted until data saturation. The average of the interview time differed among the three batches (stagers, 51 min; interns, 38 min; and residents, 31 min). Content analysis using deductive approach was used for data analysis. MAXQDA version 10 was used for data analysis.

RESULTS:
Data analysis yielded the identification of six themes related to the system of clinical education, fields of clinical education, clinical environment, educational program, medical teachers, and medical students concerning the barriers and five themes related to the strategies for clinical rounds.

CONCLUSIONS:
Findings revealed a deeper understanding of medical students' experiences. Our investigation identified multiple challenges embedded in our context and strategies to overcome them. As teaching in clinical rounds is invaluable, there is a need to take into account the identified challenges and overcome them. Thus, more effective rounds with higher efficacy toward students' professional development can be implemented.
The relationship between empowerment and job burnout in auxiliary health workers in 2019
Authors: Shokrpour Nasrin , Bazrafkan Leila , Talebi Marzieh 
Published: January 2021

INTRODUCTION:
Health-care workers in community service professions are the formerly candidate for occupation burnout. This study aimed to investigate the relationship between empowerment and job burnout among auxiliary health workers (behvarzan) at Fasa University of Medical Sciences.

MATERIALS And METHODS:
In this descriptive-analytical study, 120 auxiliary health workers were enrolled using the census. Spritzer's psychological empowerment and Maslach burnout inventory questionnaires were used to collect the data. Then, they were analyzed through the SPSS software, using descriptive analytical tests.

RESULTS:
The findings of this study revealed that the auxiliary health workers' empowerment was in the range of 22–75 with a mean ± standard deviation [SD] of 48.5 ± 9.71, which is in a fairly high level considering the highest score (75) in this scale. Moreover, with respect to burnout (mean ± SD of 58.03 ± 18.64), 36 participants (30%) had low level of burnout, 69 subjects (57.5%) were at the intermediate level, and 15 (12.5%) suffered high levels of job burnout. According to the results of this study, there were a high correlation and negative relationship (r = 0.406, P > 0.001) between psychological empowerment and job burnout among the auxiliary health workers. On the other hand, all empowerment components (competence, autonomy or independence, effectiveness, and trust) had a reverse and significant association with burnout.

CONCLUSION:
Based on the results of this study, the auxiliary health workers (behvarzan) were in a good range of empowerment; also, the dimensions of empowerment were correlated with job burnout in Fasa university-affiliated hospitals' health workers. On the other hand, demographic features had no association with these two factors. It is suggested that health authorities should take measures to empower the workers and identify and remove the effects of the various dimensions of job burnout among the health workers in these hospitals.
Colour coded client segmentation (CCCS) public health approach to educate the community to deal with problem of hypertension
Authors: Bhattacharya Sudip , Saleem Sheikh Mohd , Singh Dhananjay Kumar , Marzo Roy Rillera , Singh Amarjeet 
Published: January 2021

INTRODUCTION:
We know that risk communication is equally important as risk identification, which is usually not communicated properly to the patients and resulting in poor outcomes, especially in hypertensive patients.

OBJECTIVE:
Our study objective was to evolve and test a colour coded client segmentation based public health approach to educate the community to deal with problem of hypertension.

METHODOLOGY:
This cross-sectional pilot study was done in March 2020 among purposively approached in a primary health centre to 100 people aged above 18 years, among them 41 gave written consent for the study and their demographic information was noted. They were given colour coded cards as per the current blood pressure level and previous history of hypertension. On each colour coded card, specific advice was written for that category. For all the participants, blood pressure and treatment seeking behaviour was noted. For hypertensive patients, adherence to medication and non-pharmacological measures was noted.

RESULTS:
Mean age of the participants was 46.5 ± 13.06 years. Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the participants were 135 ± 16.85 mm Hg and 86 ± 11.42 mm Hg, respectively. Among the participants, 10 (24.39%) had a known history of hypertension. Among them, as per the blood pressure levels measured on the day of the study 50% (5) had their blood pressure levels under control. Interestingly 16 (39%) participants were found hypertensive incidentally.

DISCUSSION:
It is evident from the studies that colour coded approach is used in multiple ways, in multiple settings, for multiple diseases. To our knowledge, little focus has been given for hypertensive disorders in the community level. We merely bother about making their risk profiling, even in the digital age. Sometimes physicians in emergency become puzzled whenever patients collapsed in front of them and we missed the “Golden Hour” for the treatment by searching patients' medical details.

CONCLUSION AND RECOMMENDATIONS:
The above problem can be solved by risk profiling of chronic patients by colour coded OPD/Health cards.
Overcrowding an encumbrance for an emergency health-care system
Authors: Sharma Raman , Prakash Ajay , Chauhan Rajeev , Dhibar Deba Prasad 
Published: January 2021

BACKGROUND:
Emergency department (ED) overcrowding is one of the leading problems of health-care organizations, discerned by ED medical staff, but it has never been measured objectively.

OBJECTIVE:
A 2 months prospective cross-sectional study was conducted to compare ED overcrowding measurement tools with the perceptions of ED emergency physician and ED assistant nursing superintendent (EDEP/EDANS).

RESULTS:
The results have shown that perceptions of ED overcrowding as noted by EDEP and EDANS, taken on a Likert scale, were 83.34% and 86.67%, respectively. Kappa values show a significant agreement between EDEP and EDANS subjective perceptions with objective values of the National Emergency Department Overcrowding Study (NEDOCS), Real-time Emergency Analysis of Demand Indicators (READI), and Emergency Department Work Index (EDWIN) scales. Furthermore, all three scales have statistically significant correlation; NEDOCS and READI had highest level of correlation coefficient (r = 0.662, P < 0.01) whereas READI and EDWIN shows least correlation coefficient value (r = 0.155, P < 0.01).

CONCLUSION:
Therefore, these scales may serve to quantify the subjective impressions of ED overcrowding. Evidence is clear of overcrowding harms, measures are needed to provide urgent medical care and future work up is need of the hour to systematically evaluate interventions and guide evidence-based policies.