bluuebunny/crossref_metadata_2025_split huggingface dataset:
Occupational Injuries among Physical Therapists in South-West, Nigeria
Authors: Obembe Adebimpe , Onigbinde Ayodele , Johnson Olubusola , Emechete Anne , Oyinlola Medinat 
Published: October 2021

Background: Bureau of Labour Statistics (BLS) has identified on-the-job injuries as a major problem facing health care workers. There is little data available on injuries sustained by physical therapists in Nigeria.
Objective: This sfudy was carried out to detennine the nature, prevalence, job risk factors and consequences of occupational injuries with particular focus on musculoskeletal injuries experienced by physical therapists in the south western part of Nigeria.
Methods: A hundred copies, self administered questionnaire composed of thirty (30) close-ended questions were administered to physical therapists working in hospitals and private clinics. Questions included occupational history of the physical therapists; duration of injury; body parts affected; activities that aggravate symptoms; patients predominantly treated; management and preventive strategies. The data were analysed using descriptive analysis.
Results: Seventy-eight percent (78%) of the physical therapists had past histories of occupational injuries. The most prevalent injured body parts were the lower back (45.2%), wrist and hand (26%) mid back (10.6%) and neck (6.7%). The highest job risk factors were manual therapy techniques (20.9%), transferring patients (13.8%) and static position (12.2%). Stroke (31.7%) and low back (28.2%) patients were predominantly treated. Activities that cause re-injury include manual technique and repetitive tasks. Muscle strain was the commonest type of injury (55%), while fracture was the least (1 %).
Conclusion: This study concluded that occupational injury was high among selected physical therapists in the South West of Nigeria. It also concluded that the low back and hands were the most common sites susceptible to injury, while muscle strain was the most common type of injury.
KEYWORDS: Occupational injury, Musculoskeletal injury, Physical therapists
Konflik Sunni-Syi’ah di Indonesia Kontemporer: Polarisasi, Diskriminasi dan Kekerasan Agama
Authors: Amal M. Khusna , Shodiq Ahmad Fajar 
Published: October 2021

Abstract: This study examines the conflict between Sunni groups and Syi'ah groups in post-New Order Indonesia. Many studies have revealed the problem of religious sectarianism conflict between the two. Some argue that conflict is triggered by differences in religious identity and theology. Others see economic and political aspects as the main factors triggering religious conflict and violence. Starting from the case of the Sunni-Syi'ah conflict in Jambesari Village (Bondowoso), this study finds an interesting finding that the conflict occurred due to sharpening religious polarization and contestation. At the same time, the infiltration of intolerant religious elites from outside the village also contributed to sharpening polarization, escalating tensions, and even triggering mass acts of violence that were suspected to have originated from Sunni groups over the Syi'ah minority group. Alienation, discrimination, dissolution of recitation, vandalism, and burning of houses belonging to Syi’ah elites are forms of violence both physically and psychologically due to the occurrence of this religious conflict.
Studi Komparasi Metode Penyelesaian Mukhtalif Al-Hadīs antara Muhaddisin dan Fuqaha
Authors: Muhammad Daud Zakiul Fuady , Irwanto Irwanto 
Published: October 2021

Abstract: Outwardly, there are hadith that seem contradictory between one hadith and another. It happened not because of the inconsistency of the Prophet Muhammad in giving his words but because of the method of hadith researchers in understanding them. In resolving these contradictory hadiths, there are several methods used by scholars. This paper aims to determine the methods used by hadith scholars and fiqh scholars in completing these hadiths and to compare the methods they use. This research is a literature review using content analysis as a data analysis technique. The results of this study indicate that hadith and fiqh scholars have the same sequence of methods in resolving contradictory hadith, they are al-jam'u (compromising), nasakh (abrogating), tarjih (confirming), and tawaqquf methods (moratorium). Only does Imam Abu Hanifah has a different order, they are nasakh, tarjih, al-jam'u, and tawaqquf. The comparison of the methods used by the two groups of scholars, both hadith and fiqh scholars agreed to prioritize the al-jam'u method as an attempt not to paralyze one hadith with other hadiths. However, in contrast to Imam Abu Hanifah, who prioritized the nasakh method rather than the al-jam'u method, consequently there were hadiths that were not used.
Yönetişim ve Ekonomik Performans: Türkiye ve G7 Ülkeleri İçin Bir Değerlendirme
Authors: Yürükoğlu Buse 
Published: October 2021

Günümüzde yönetişim her ülke için önemli olmakla birlikte özellikle gelişmekte olan ülkelerde yaşanan ekonomik ve sosyal sorunların çözümünde büyük önem arz etmektedir. Literatürde birçok çalışma yönetişim anlayışının ülkelerin ekonomik performansını olumlu yönde etkilediğini ortaya koymaktadır. Bu bağlamda ülkeleri yönetişim kalitelerinin ülke ekonomileri üzerinde yarattığı etkileri ile ele alarak karşılaştırmalı olarak değerlendirmek mümkün olabilmektedir. Bu çalışmada yönetişim göstergeleri açısından iyi konumda olan ülkelerin, sürdürülebilir bir ekonomik büyüme ve gelişme konusunda genellikle daha başarılı olduğu vurgulanmak istenmiştir ve ülkeler arası gelişmişlik farkı üzerinde kurumsal farklılıkların etkili olduğu gösterilmeye çalışılmıştır. Çalışmada yönetişimin ekonomik büyüme ve gelişme üzerindeki rolü ele alınmış olup Türkiye ile G7 ülkeleri arasında Dünya Bankası’nın The Worldwide Governance Indicators’da (WGI) yer alan yönetişim göstergelerine ve Dünya Bankası’ndan elde edilmiş ekonomik performans verilerine dayanarak karşılaştırmalar yapılmıştır. Dünya Bankasından elde edilen yönetişim göstergeleri ve makroekonomik veriler tablolaştırılarak Türkiye ve G7 ülkelerinin mevcut durumu yorumlanmıştır. Yapılan karşılaştırmalarda önemli farklılıklar olduğu gözlemlenmiştir. G7 ülkeleri olumlu ekonomik sonuçlar doğurabilen yüksek puanlı yönetişim göstergelerine sahiptirler. Türkiye’nin ise hem ekonomik hem de yönetişim göstergeleri gelişmiş ülkelerin ortalamalarının gerisinde kalmaktadır.
PRİMER DİSMENORE İLE BAŞ ETMEDE KULLANILAN TAMAMLAYICI VE DESTEKLEYİCİ YÖNTEMLERE İLİŞKİN KANIT TEMELLİ UYGULAMALAR: SİSTEMATİK DERLEME
Authors: KARACAN Emine , AKKÖZ ÇEVİK Semra , KILIÇLI Ayşegül 
Published: October 2021

Amaç: Üreme çağındaki kadınlarda en sık karşılaşılan jinekolojik problemlerden biri de primer dismenoredir. Dismenore, kadınlarda fizyolojik ve psikolojik etkilerinin yanı sıra günlük yaşam aktiviteleri ve yaşam kalitesi üzerine de olumsuz etkileri olan jinekolojik bir sorundur. Bu nedenle bu çalışmanın amacı primer dismenore semptomlarıyla baş edebilmek için kullanılan tamamlayıcı ve destekleyici yöntemlere ilişkin kanıta dayalı uygulamaların sistematik analizini yapmaktır.
Gereç ve Yöntemler: Bu sistematik derleme PRISMA (2009) sistematik derleme yöntemi kullanılarak, Cochrane, Pubmed, Medline, ScienceDirect, CiteSeerx, EBSCOhost, Scopus, CINAHL ve ULAKBİM veri tabanlarının incelenmesiyle oluşturuldu. Derlemeye 2010-2020 yılları arasında, yayın dili Türkçe ve İngilizce olan, orijinal, tam metni bulunan ve PDF formatındaki randomize kontrollü deneysel 32 araştırma dahil edildi. Literatür tarama sonucu 2944 çalışmaya ulaşıldı. Tarama 16 anahtar sözcük kullanılarak gerçekleştirildi.
Bulgular: Literatür taraması sonucunda primer dismenore ile baş etmede kullanılan tamamlayıcı ve destekleyici yöntemlere ilişkin çalışmaların en fazla İran'da olduğu ve en çok da zencefil ve aromaterapi uygulamalarının primer dismenoreye olan etkilerinin araştırıldığı bulundu. Ayrıca aeorobik egzersiz, aromaterapi, yoga, akupressur, lokal ısı uygulaması, transkutanöz elektriksel sinir stimülasyonu, balık yağı, D vitamini ve E vitamini kullanımının en fazla kullanılan ve kanıt düzeyi yüksek olan tamamlayıcı ve destekleyici yöntemler olduğu; esneme egzersizi, akupunktor, zencefil, hipnoz, refleksoloji uygulamalarına ilişkin daha fazla randomize kontrollü deneysel çalışmalara ihtiyaç olduğu bulunmuştur.
Sonuç: Primer dismenoresi olan kadınların, dismenore semptomları ile baş edilebilmeleri ve analjezik kullanımının azaltılabilmesi için farmakolojik yöntemlere göre yan etkileri daha az olan hem ucuz hem de güvenilir tamamlayıcı ve destekleyici yöntemlere ilişkin geniş örneklem üzerinde çalışılmış daha fazla randomize kontrollü deneysel çalışmalara ihtiyaç vardır.
The effect of obstetric features on depression, anxiety and stress levels in pregnant women during the SARS-COV 2 (COVID-19)
Authors: KANZA GÜL Derya , ŞOLT Ayça 
Published: October 2021

Aim:This study was carried out to determine the effect of obstetric characteristics of pregnant women who had relatives diagnosed with SARS-COV2 (COVID-19) on depression, anxiety and stress levels.
Material and Methods:This descriptive study was conducted between 17 April 2020 and 30 May 2020 with 450 pregnant women in the Obstetrician Clinic of a private hospital in Istanbul. The study data were collected face-to-face with the Introductory Information Form, State-Trait Anxiety Index (STAI), and the Depression Anxiety Stress Scale (DASS-21).
Results:All pregnant women were aware of COVID-19 pandemic (100.0%), and 40.0% of them had a relative diagnosed with COVID-19. A total of 64.4% of those with no relatives diagnosed with COVID-19 had depression, 80.4% had anxiety and 81.5% had stress. A total of 100.0% of those who had relatives diagnosed with COVID-19 had depression, anxiety, and stress (DASS).
Conclusions:It was found that DASS-21 scores were high in all pregnant women who had relatives diagnosed with COVID-19. Presence of chronic diseases and parity count were decisive in depression and anxiety levels in pregnant women who had relatives diagnosed with COVID-19, unlike those who did not. Clinical evaluations should be made carefully with this situation in mind..
The vegetation of rich fens (Sphagno warnstorfii-Tomentypnion nitentis) at the southeastern margins of their European range
Authors: Hájek Michal , Hájková Petra , Apostolova Iva , Sopotlieva Desislava , Goia Irina , Dítě Daniel 
Published: October 2021

Question: Rich fens of the Sphagno warnstorfii-Tomentypnion nitentis alliance require a specific combination of base richness and climate to occur. Their rarity at the southeastern margins of their European range has previously prevented rigorous vegetation classification. We asked how many associations may be delimited here and whether some of them are restricted to the high Balkan Mountains showing high endemicity. Study area: Entire territories of Bulgaria and Romania. Methods: We compiled all available vegetation-plot records, including some hitherto unprocessed data. We classified them by both divisive (modified TWINSPAN) and agglomerative (beta-flexible clustering) numerical classification method, with OPTIMCLASS1 applied to set the number of clusters. A semi-supervised approach (k-means) was additionally applied to confirm the classification of Southern-Carpathian (Romania) rich fens, where some Balkan taxa occur. Differences in base richness and elevation were tested by one-way ANOVA with Tukey’s pairwise test. Results: Three associations were delimited and all three occur in Bulgaria, from where only one association had been previously reported. Two associations characterised by Sphagnum contortum and Balkan and Southern-European species occur in Bulgaria, but not in Romania, one at lower elevations around 1,200 m, and one at higher elevations around 2,000 m where pH is lower. One lower-elevation (around 1,300 m) association with S. warnstorfii and S. teres is shared between Romania, Bulgaria and Central Europe. Conclusions: We have described a new high-mountain association, with two subassociations that differ by successional stage and dominant peat moss species (S. contortum and S. warnstorfii, respectively). These subassociations could be reconsidered when more data from other Balkan countries are available. Rich fens in southeastern Europe are rare, have a diverse vegetation, and are deserving of the further attention of nature conservation authorities and vegetation scientists.
Taxonomic reference: The nomenclature was harmonized following The Euro+Med PlantBase (Euro+Med 2021) for vascular plants and Hill et al. (2006) for bryophytes, except of Angelica pancicii that is accepted as a separate taxon in Bulgaria (Andreev et al. 1992; Delipavlov et al. 2003). Critical taxa, not always reliably differentiated in the field and in literary sources, were merged to aggregates: Alchemilla vulgaris agg. (all Alchemilla species), Anthoxanthum odoratum agg. (A. alpinum, A. odoratum), Molinia caerulea agg. (M. arundinacea subsp. arundinacea, M. arundinacea subsp. freyi, M. caerulea), Palustriella commutata agg. (P. commutata, P. falcata), Plagiomnium affine agg. (P. affine, P. elatum, P. ellipticum), Sphagnum palustre agg. (S. centrale, S. palustre).
Syntaxonomic reference: Peterka et al. (2017) for alliances.
La pénibilité au travail dans les EHPAD… Et si le management « salutogénique » était une solution ?
Authors: Routelous Christelle , Ruiller Caroline , Lux Gulliver 
Published: October 2021

L’intensification du travail dans le secteur sanitaire et social a été une cause essentielle de la dégradation des conditions de travail ces dernières années. La question de l’articulation possible entre la qualité de l’accompagnement des usagers et la qualité de vie au travail se pose. Quelles sont les outils et les postures managériales clés pour construire les conditions du bien-être au travail dans ces organisations sous tensions ? Par une approche abductive et à partir de quatre monographies, nous mettons à l’épreuve du secteur médico-social, la modélisation SLAC – Sens, Lien, Activité, Confort – (Abord de Chatillon et Richard, 2015) pour mettre en perspective, les périmètres d’action des directions, de l’encadrement et des soignants. Nous référant à la méthodologie de Gioia, Corlay et Hamilton (2013), les douze entretiens réalisés (directions, cadres, et soignants) sont analysés manuellement dans une logique conceptualisante. Les résultats corroborent la modélisation SLAC tout en nuançant la dimension du sens du travail telle que proposée par ses auteurs, dimension qui au prisme de notre analyse, se révèle transversale du modèle SLAC… Nous proposons des implications managériales salutogéniques, catégorisées par niveaux de responsabilités : les directions, l’encadrement de proximité et les soignants-référents bientraitance.
Piloter le changement par un projet sur les valeurs managériales : contribution des espaces de concertation comme instrument de gestion et d’innovation de l’action publique
Authors: Anton Philippe , Grimand Amaury , Boespflug Magali , Becuwe Audrey 
Published: October 2021

La modernisation des collectivités locales constitue un enjeu de management public. Les différentes conduites de changement qui s’y opèrent peuvent impacter les identités sociales, culturelles et institutionnelles. Le management par les valeurs conduit dans des contextes participatifs peut constituer alors des opportunités, mais les valeurs peuvent également être perçues comme des objets complexes à gérer pour piloter le changement. Il s’agit ainsi de comprendre comment faire des valeurs managériales tout comme de la concertation un objet légitime de gestion (Godelier, 2009). Nous proposons au travers d’une recherche conduite au sein d’une ville de plus de 150 000 habitants, qui n’avait pas connu l’alternance politique depuis 102 ans, d’articuler concertation, changement et va leurs managériales. La démarche méthodologique mise en œuvre prend appui sur le cadre théorique de la sociologie de la traduction (Akrich, Callon et Latour, 2006) mobilisée le plus souvent dans les travaux gestionnaires a posteriori pour développer une approche compréhensive et rétrospective des processus de changement organisationnel. Nous montrons comment ce cadre d’analyse peut être mobilisé ex ante dans le cadre d’une recherche-intervention pour penser les conditions d’un projet de changement ancré sur les valeurs managériales et prenant appui sur la mise en place d’espaces de concertation.
Du pilotage de la performance médico-économique au pilotage de la performance servicielle des GHT
Authors: Roche Régine 
Published: October 2021

Cette communication pose la question de « la mesure de périmètre d’application du service public hospitalier au sein des réseaux territorialisés d’organisations hospitalières », auquel le tableau de bord prospectif modélisé répond par l’évaluation de la performance globale d’un Groupement Hospitalier de Territoire. La recherche s’appuie sur un cas de recherche-intervention mené de 2016 à 2018. Cette étude de cas a pour objet un GHT regroupant 9 établissements de santé publics de tailles hétérogènes, dont un CHU assure par délégation de compétences la gestion des missions et des fonctions supports depuis le 30 juin 2016. Les résultats obtenus mettent en évidence que la mise en intelligence collective de la recomposition territoriale de l’offre de soins contribue à la territorialisation du service public hospitalier. Concrètement, ces derniers montrent que ce changement de paradigme résulte de l’inscription de la prise en charge de l’ usager-client dans une réponse globale décloisonnée des modes de gestion et de financement de ses besoins de soins, et donc en pratique au passage d’une logique de leadership à celle de partnership . La modélisation d’indicateurs d’évaluation de la performance globale basés sur des valeurs collectives, et non plus seulement sur des données médico-économiques, permet à cette recherche de renouveler la conception du contrôle de gestion à l’aune d’un pilotage serviciel de la performance des GHT.
La Turquie en Libye à l’ère Biden
Authors: Seni Nora 
Published: October 2021

Cet article montre la place devenue centrale de la Libye dans la stratégie de puissance régionale du président turc. Les investissements économiques, militaires et politiques effectués par Ankara dans ce pays témoignent d’une volonté farouche de présence pérenne qui donne à la Turquie accès à des eaux territoriales dont elle est exclue et au trafic de pipelines énergétiques entre Israël, l’Égypte, Chypre, la Grèce et l’Italie. L’arrivée de Biden à la Maison-Blanche se présente comme une nouvelle donne qui remet en cause les ambitions turques.
Factors predicting perioperative outcomes in patients with myasthenia gravis or thymic neoplasms undergoing thymectomy by video-assisted thoracoscopic approach
Authors: Vigneshwaran B. , Bhoi Sanjeev Kumar , Sable Mukund Namdev , Muduly Dillip , Sultania Mahesh , Jha Menkha , Mohakud Sudipta , Kar Madhabananda 
Published: October 2021

Background:
The purpose of this study was to identify the factors which predict the perioperative outcomes after video-assisted thoracoscopic surgery (VATS) thymectomy in patients with myasthenia gravis (MG) or thymic neoplasms

Patients and Methods:
Data of consecutive patients who had undergone VATS thymectomy in our institution from August 2016 to April 2018 were collected retrospectively from a prospectively maintained database followed by prospective recruitment of patients who underwent VATS thymectomy from April 2018 to February 2020.

Results:
A total of 31 patients were included. Females were more common (51.6%), and 29 patients (93.5%) had MG. The most common indication for thymectomy was the presence of both MG and thymoma (51.6%). Most MG patients had moderate disease (55.2%) or severe (24.1%) disease preoperatively. Mean operative time and blood loss were 196.9 ± 63.5 min and 122.5 ± 115.3 ml, respectively. Mean hospital stay was 7.9 ± 6.7 days. The rate of major and minor complications was 16.18% and 35.4%, respectively. Multivariate linear regression analysis established that MG symptoms >12 months, prolonged invasive ventilation (intubation ≥24 h), and complications were associated significantly with a prolonged hospital stay. Adjusting for outliers, pre-operative disease severity (MG Foundation of America class), and intubation ≥24 h were the only factors that had a significant impact on perioperative outcomes.

Conclusion:
Pre-operative disease severity and post-operative invasive ventilation are strong determinants of perioperative outcomes. Pre-operative optimisation and early extubation protocols can further reduce morbidity in patients undergoing thymectomy by the VATS approach.
Cost-effectiveness analysis of first trimester screening for preeclampsia and early initiation of aspirin therapy for prevention of the disease in a private tertiary hospital
Authors: Violago Carol Joanna G. , Quinio Irene B. 
Published: October 2021

Background:
Preeclampsia (PE) has significant health and economic burden. Early screening for PE through first trimester screening (FTS) can direct decision-making on early initiation of aspirin (ASA) therapy, which has been known to reduce the incidence of PE.

Objectives:
The objective of the study is to evaluate the cost-effectiveness of FTS and early initiation of ASA for disease prevention.

Methodology:
A population of 1916 women who delivered in a private tertiary hospital from January 2019 to March 2020 was categorized based on the risk of developing PE, results of FTS, initiation of ASA therapy, development of PE, and mode of delivery. Descriptive statistics using counts and percentages were used to summarize the data. Association between ASA therapy and PE was assessed using the Chi-square test. Costs of screening, ASA therapy, inpatient management, and delivery were computed.

Results and Conclusion:
Results showed that PE was prevented in 71.4% of those high-risk patients who underwent FTS and started on ASA therapy. Total cost of urgent care of PE and delivery was P119,687.02 to P149,687.02 for early PE, and P103,587.02 to P133,587.02 for late PE. Prevention of early PE and late PE results in net cost savings of P69,694.02 and P53,594.02, respectively, with the investment of P9,993.00 on FTS and ASA therapy. Implementation of FTS and initiation ASA therapy is an effective and cost-saving approach that can prevent PE.