bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pandangan Alkitab Perjanjian Baru Terhadap Praktik Minyak Urapan Pada Gereja Masa Kini
Authors: Mau Marthen 
Published: February 2021

Abstract: This research examines the New Testament Bible's view of the practice of anointing oil in the church today. In essence, consuming excess oil or oily foods will cause a high cholesterol risk. However, the exposure of the New Testament Bible's view of the practice of anointing oil in the church today under study, especially that oil does not contain cholesterol, but brings about medicine that heals the body, soul, and spirit.
Abstrak: Riset ini mengupas tentang pandangan Alkitab Perjanjian Baru terhadap praktik minyak urapan pada gereja masa kini. Pada hakikatnya kelebihan mengonsumsi minyak atau makanan yang berminyak akan menimbulkan berisiko kolesterol tinggi. Namun, pemamaran pandangan Alkitab Perjanjian Baru terhadap praktik minyak urapan pada gereja masa kini yang diteliti, khususnya minyak tidak mengandung kolesterol, melainkan mendatangkan obat yang menyembuhkan tubuh, jiwa, dan roh.
Baltarusiai Lietuvos Valstybės Taryboje 1918–1920 metais
Authors: Błaszczak Tomasz 
Published: February 2021

Straipsnyje atskleidžiamas ir analizuojamas baltarusių dalyvavimas Lietuvos Valstybės Tarybos darbe nuo jos įkūrimo iki veiklos pabaigos 1920 m. pavasarį. Analizė koncentruojama į baltarusių atstovų Taryboje veiklą nuo 1918 m. rudens. Išsamiai nagrinėjamos baltarusių atstovų įėjimo į Tarybos sudėtį aplinkybės, lietuvių ir baltarusių bendradarbiavimo sąlygos. Atkreipiamas dėmesys į tolesnius baltarusių frakcijos Taryboje darbus, pavienių jos narių veiklą ir politines pažiūras, į baltarusių ir lietuvių santykių raidą. Taip pat aptariamas baltarusių atstovų vaidmuo Lietuvos užsienio politikoje ir įtaka tarptautiniams santykiams.
Pemanfaatan Susu Tempe Pada Program Antenatal Care (Anc) Terpadu oleh Ibu Hamil pada Masyarakatdesa Klaseman Kecamatan Gending Kabupaten Probolinggo
Authors: Septiandika Verto 
Published: February 2021

Antenatal Care (ANC) is a health service by trained health workers for mothers during their pregnancy according to the service standards established in the Midwifery Service Standards (SPK). This service aims to find out the results of the use of tempe milk findings in ANC activities in the Klaseman Village, Gending District, Probolinggo Regency. The results of the implementation of this activity showed that there were 14 pregnant women who made use of the ANC. Found one miscarriage pregnant women, one pregnant woman gave birth, 4 people experienced tartar, 5 people experienced a high risk, and 2 people experienced a very high risk. In carrying out this ANC activity, we also found findings in the form of products to combat stunting in Des Klaseman. It is expected that the Puskesmas and Klaseman Village apparatus will improve counseling on the benefits and objectives of ANC examinations, the importance of regulating birth spacing, the ANC services that Puskesmas can provide, changing perspectives, attending training and involving traditional birth attendants and community leaders. The goal of providing information is extended to families / husbands because their support has a real influence on the use of ANC.
Keywords: Antenatal care, knowledge, support of health workers, Solutions, trust.
Disordered Eating and Eating Disorders in Adolescent Athletes
Authors: Mancine Ryley , Kennedy Samantha , Stephan Peter , Ley Alyse 
Published: February 2021

CONTEXT To summarize available literature to date and discuss the importance of Disordered Eating (DE) in adolescent athletes, with special attention to the female athlete triad. In this paper, the authors will review the literature regarding adolescent athletes who intentionally engage in abnormal eating behaviors and focus on adolescent athletes of all training levels who may be affected by both DE and eating disorders (ED). METHODS In 2019, the authors completed a systematic literature search on PubMed using the search term variations of “Feeding and Eating Disorders” and “athletes” with “high school.” RESULTS A total of 20 pertinent articles were identified concerning DE in adolescent athletes. ED have been shown to impose higher rates of comorbidity than other psychological disorders and only a small number of individuals with ED seek treatment. ED tend to be more prevalent in adolescent elite athletes than non-athletes of both genders in all sports and levels of competition. CONCLUSIONS More rigorous tools for family practice physicians, nurses, and coaches to use when working with at-risk adolescent athletes are needed to identify DE behaviors. Healthcare and school professionals need to be educated and trained to detect DE and the components of the female athlete triad. Additional research with adolescent males or those associating with alternative gender roles is also required to help them prevent physical and mental health consequences associated with DE.
Laryngeal Burn from a Sweet Potato: A Case Report
Authors: Pinther Steven , Codino Juliana , Rubin Adam 
Published: February 2021

CONTEXT Thermal injury to the larynx and other pharyngeal structures as a result of food ingestion is a rare occurrence, particularly in an adult population. Since the 1970’s, only a few cases have been reported in the literature. CASE PRESENTATION We present the case of a male in their early 30’s with a history of left sided spastic hemiparesis and unilateral vocal fold paresis who ingested a sweet potato which resulted in supraglottic burns. The patient denied any prior swallowing difficulties. Conservative therapy with steroids, proton pump inhibitors (PPI’s) and antibiotics were sufficient for full recovery without any lasting sequelae. CONCLUSIONS This case demonstrates how careful attention should be paid to food temperature particularly in patients at higher risk of dysphagia. It also demonstrates how prompt diagnosis and implementation of appropriate medications can prevent permanent and debilitating damage.
Removal of Ioban May Pull Bacteria to the Surface of the Skin: Lessons Learned
Authors: Lytle Jacob , McCoy Jordan , Smeltzer Katie , Nelson Ryan 
Published: February 2021

CONTEXT Cutibacterium acnes (C. Acnes, formerly known as Propionibacterium acnes) are slow growing, gram positive, anaerobic bacilli. C. acnes are found in many locations, both as part of normal skin flora, as well as a contaminant of environmental surfaces. These bacteria have been associated with prosthetic joint infections of the shoulder, and it has been challenging to prevent such infections for a variety of reasons. The purpose of this quality improvement project was to investigate whether the surgical adhesive dressing Ioban could pull subcutaneous C. acnes bacteria from the surgical field. METHODS During this quality improvement project, a convenience sample of 16 adult volunteers were gathered from other residency departments and from medical students at our hospital. The volunteers were used to take samples from two sites on each shoulder. The shoulder sites were prepped and covered with iodine-impregnated dressings. RESULTS There were 26 of 64 (40.6%) samples in the no Ioban group that grew C. acnes. The Ioban group had 37 of 64 (57.8%) samples found to be positive for C. acnes growth. During this project, we identified several key points that could be useful to future researchers working in community hospitals. We describe these lessons concerning ongoing communication with lab and research departments, offering volunteers compensation to participate, interacting with departments unaccustomed to research, and development of a clear methodology. CONCLUSIONS This was the first time our department had conduct a project utilizing the laboratory as well as volunteers. This came with unforeseen challenges which caused significant time delays. We believe that by highlighting these lessons for future researchers, they might avoid such problems during project activities.
Development of a Quality Improvement/Patient Safety Curriculum to Increase Emergency Medicine Resident Scholarly Activity
Authors: Butki Nik , Ghiardi Martina , Corser William D. 
Published: February 2021

CONTEXT There currently is no standard method for teaching Quality Improvement/Patient Safety (QIPS) content to prepare resident physicians planning QIPS projects. As part of the 2015-2016 MSU Statewide Campus System Teach for Quality (Te4Q) learner cohort, the first two authors from the McLaren Oakland Hospital Emergency Medicine (EM) residency program developed a structured multi-phase QIPS curriculum. The curriculum was developed to help a cohort of seven second-year EM residents feel more confident to design and conduct their own QIPS projects. METHODS After institutional review board project approval was obtained, the first two authors evaluated both the pre and post-curriculum confidence survey scores of enrolled EM residents during May, 2016 as part of their Te4Q program participation. RESULTS Residents completed a 15-item QIPS confidence survey before and after completing the QIPS curriculum. The mean pre-curriculum score was 3.00 (SD 1.53) on a scale from 0 to 10, indicating that the average sample respondent felt a lower level of comfort concerning their ability to design and conduct a prospective QIPS project. The mean post-curriculum confidence score from residents increased to 6.71 (SD 1.25) on a 0 to 10 scale, over double an increase from the pre-workshop score on this item. Using a series of non-parametric Wilcoxon Matched Pairs Signed Rank Test procedures suitable for smaller samples, statistically significant increases in pre- to post-curriculum differences were shown for composite confidence scores (Z = 2.207, p = 0.027), as well as for five of the 12 individual confidence items (p-values ranged from 0.023 to 0.046). CONCLUSIONS These initial results certainly indicate that a structured ongoing QIPS curriculum may have the potential to improve EM residents’ confidence levels to design and implement QIPS projects with faculty. The impact of these types of curricula for EM and other types of residents needs to be more rigorously examined in more tightly controlled GME settings with larger samples to gauge what types of resident learners will more likely benefit from such educational offerings across the nation.
Medical Marijuana and the Treatment of Post Traumatic Stress Disorder: A Survey of Michigan Psychiatrists’ Opinions
Authors: Custodia Jason , Magen Jed , Corser William D. 
Published: February 2021

CONTEXT Although recent studies have indicated a potential mechanism of action through which medical marijuana (MM) and its derivatives may treat Posttraumatic Stress Disorder (PTSD) symptoms, definitive evidence is still lacking. Few studies concerning physician attitudes regarding MM and/or marijuana-derived medications for PTSD are found in the psychiatric literature. METHODS A non-probability convenience sample of psychiatric physicians in Michigan was surveyed during 2016. The 12-item survey questionnaire asked respondents a series of questions about their personal characteristics, prior experiences of treating PTSD and opinions concerning the use/potential use of MM for treatment of PTSD. RESULTS A total of 83 psychiatrists (11.7% of total invited) responded to the survey. Several statistically significant correlations between respondent characteristics and other key measures (e.g., Age Category, Gender, Years of Psychiatric Practice, Psychiatric Practice Role (i.e., resident vs. attending), Number of Psychiatric Subspecialties, and Number of PTSD Patients Diagnosed and/or Treated to date) were found. A composite summary score was also formulated from questions related to opinion regarding the use of MM for PTSD and categorized into three comparison groups. The final stepwise multinomial logistic model demonstrated three statistically significant factors influencing what response category respondents fell into regarding MM use for PTSD: a) how often respondents had been exposed to recommendations concerning the use of MM for PTSD (p < 0.001), b) Age Category (p = 0.001) and how frequently respondents had recommended MM for treatment of PTSD (p < 0.001). CONCLUSIONS The results from this smaller sample indicate that the majority of psychiatrist respondents did not support MM for the treatment of PTSD. Judging from these results, Michigan psychiatrists may be extremely conservative regard the prospective use of MM for PTSD. Few sample respondents indicated that they had been exposed to professional literature detailing MM and derivatives as a treatment for PTSD. Most respondents also indicated that they were Unsure/There is Not Enough Research concerning the scientific evidence for the use of MM for PTSD. Based on these findings from a smaller sample, the use of MM and its derivatives for treatment of PTSD may not currently be supported by the majority of Michigan psychiatrists.
Factors Associated with Disordered Eating Behaviors among Triathletes
Authors: Kennedy Samantha Fugate , Ley Alyse Folino , Fugate Brianna Nicole , Hayek Alexander 
Published: February 2021

CONTEXT Although there is little data currently available concerning the primary factors associated with disordered eating behaviors among triathletes, these athletes may be at greater risk. Sports medicine professionals are in a unique position to identify athletes with disordered eating risks. METHODS The purpose of this cross-sectional survey study was to identify the prevalence of disordered eating attitudes and behaviors among a national convenience sample of triathletes. A secondary purpose was to identify “triathlon-specific factors” and “competitive athlete-factors” potentially associated with disordered eating behaviors. The authors hypothesized that certain triathlon-specific factors and competitive athlete factors would be associated with increased rates of self-reported disordered eating behaviors. RESULTS In a respondent sample of 1,033 adults, multiple competitive athlete factors were associated with a higher risk for disordered eating, whereas triathlon-specific factors were not. CONCLUSIONS In this study sample, disordered eating was not specifically associated with triathlon-specific factors. Rather, disordered eating behaviors were found to be more often associated with associated competitive athlete factors, particularly in the many leanness sports such as running.
Factors Influencing Length of Stay in Cholecystectomy Patients in a Community Hospital
Authors: Zipple Monica , Slama Eliza , Wilkie James , Kieninger Alicia , Robinson Robert 
Published: February 2021

CONTEXT Gallstone disease is a major health problem addressed by general surgeons, with approximate incidence of 10-15% in the Western world. With increasing focus in the healthcare literature on cost containment, controlling excess lengths of hospital stay (LOS) in this population is paramount. The aim of this study was to determine the factors that influence LOS in cholecystectomy patients to examine whether results would indicate a possible improvement in perioperative patient care and decrease costs at our community hospital in a suburban setting. METHODS This is a retrospective review during a two-year period from 1/1/2013-12/31/2014 of patients admitted from the emergency department and undergoing cholecystectomy during the same admission. The study team analyst conducted univariate analysis for significant predictors of length of stay. RESULTS The authors identified a total analytic sample of 312 subjects who met inclusion criteria. Sample patients admitted to the surgical service had a statistically significant shorter LOS than those patients who were not (3.4 days +/- 1.7 vs 5.6 days +/- 3.0; p value <0.0005). There was also a moderate positive correlation between decreased time to surgery and LOS (Pearson R-value 0.420, p value < 0.0005). Patients admitted to non-surgical services were more likely to have comorbidities like COPD, DM, arrhythmia, CAD, anticoagulation, CHF and previous abdominal surgeries. However, when placing each comorbidity into an analysis of covariance, patients admitted to surgical services still had a significantly shorter LOS (p value < 0.0005). CONCLUSIONS Admission to a non-surgical service and increased length of time to surgical intervention were associated with prolonged LOS and potentially increased cost in cholecystectomy patients in this study sample. Though patients admitted to non-surgical services are “sicker,” they still had prolonged LOS when controlling for comorbidities. Based on these findings, the establishment of an acute care surgery service may help to address this disparity in care.
The Statewide Campus System Scholarly Activity Developmental Planning Framework for Community-Based GME Leaders
Authors: Corser William , Church Brandy , Rohrer Jonathan , Hortos Kari 
Published: February 2021

CONTEXT During recent years, Graduate Medical Education (GME) leaders in the United States of America have witnessed many substantive changes, including movement to a single accreditation system under the Accreditation Council for Graduate Medical Education. Both MD- and DO-trained residents and faculty must now meet an increasingly stringent set of accreditation standards outlined in Next Accreditation System standards. Specifically, updated scholarly activity standards emphasize a consistent volume and quantity of quality improvement/research projects and dissemination products. The GME literature to date has frequently provided general commentaries regarding individual project strategies or oriented to settings with greater project-related resources. There have also been few articles offering scholarly activity planning strategies for community-based GME officials striving to increase scholarly activity levels. PROPOSED PLANNING FRAMEWORK The authors propose a customizable assessment-planning framework, largely derived from their combined decades of consultation experiences with hundreds of community-based resident and faculty projects. The authors will first describe the primary elements of their proposed scholarly activity planning approach for GME leaders so often subject to worsening resource constraints. They will describe six ongoing developmental strategies with several exemplars described. Such a framework will likely require ongoing reassessments and modification. CONCLUSIONS The authors hope that this proposed planning framework will offer GME administrators, faculty and residents with a pragmatic set of strategies to develop scholarly activity projects and supports. Ideally, GME leaders can use this approach to inform their design of a sustainable system-customized infrastructure of scholarly activity supports.
Systematic Review of the Effects of Phosphodiesterase-5 Inhibitors and Dexamethasone on High Altitude Pulmonary Edema (HAPE)
Authors: Bliss Amy , Mahajan Sonia , Boehm Kevin M. 
Published: February 2021

OBJECTIVE To review and synthesize the current available evidence of the effects of phosphodiesterase-5 inhibitors and dexamethasone on the outcomes of individuals affected by acute mountain sickness symptoms and High Altitude Pulmonary Edema (HAPE). METHODS In 2015, two authors independently performed separate searches using three different databases (PubMed, Ovid and Web of Science) later reviewed by the third author. The searches used the following terms “High Altitude Pulmonary Edema” and “Phosphodiesterase-5 Inhibitors” while the second search used “High Altitude Pulmonary Edema” and “Dexamethasone”. The following exclusion criteria were utilized: patients < 18 years old, non-human studies, studies at altitudes < 2,000 meters. The search included articles from year 2000 to current. RESULTS A total of 237 manuscripts were initially reviewed. The search involving phosphodiesterase-5 inhibitors initially yielded 37 manuscripts, four of which met inclusion criteria. A total of 101 patients were included in these articles. For the Dexamethasone search, 200 manuscripts were retrieved. Three of these studies met the inclusion criteria, reporting data on a total of 66 patients. None of the studies reported significant improvements in outcomes of patients from the use of either phosphodiesterase-5 inhibitors or dexamethasone. CONCLUSIONS According to the current available literature, neither phosphodiesterase -5 inhibitors or dexamethasone significantly alter the outcome of individuals affected by HAPE.
Radiation Dose Reduction of Computed Tomography in Complex Distal Femur Fractures: A Cadaver Study to Develop a Low Dose Scanning Protocol
Authors: O'Neill Nicholas , Wisniewski Samuel J. , Adams Michael , Peters James , Wagner Michael 
Published: February 2021

CONTEXT Recent advances in diagnostic imaging have made computed tomography (CT) a widely used test in trauma patients. Consequently, the collective radiation burdened sustained by this patient population has increased substantially. The purpose of this cadaveric study was to determine if a significantly lowered CT radiation dose protocol would provide adequate imaging studies for the surgeon, using the distal femur as a model. METHODS Ten adult cadaveric knee specimens were used to create Orthopaedic Trauma Association (AO/OTA) 33-C3 distal femur fractures with associated coronal plane Hoffa fractures and varying intra-articular displacements. Using a single CT scanner, each cadaver was scanned at 5 separate protocols defined by sequentially lowered radiation doses, the highest of which was one-third the value of our institution’s current protocol. These images were then evaluated by fellowship-trained orthopedic surgeons, an orthopedic trauma fellow, and residents. Observer reliability and confidence levels were calculated for measuring fracture displacement, assessing the quality of 3D reconstructions, and developing treatment plans. RESULTS Across all reviewers and specimens, there was an average difference of 0.66 millimeters (mm) between the measured fracture gap and true fracture gap. The highest intraclass correlation coefficient (ICC) calculated for the inter-rater reliability of gap measurements was 0.983 at 75 mAs (95% CI: 0.955-0.996), followed by 0.973 (95% CI: 0.930-0.993) and 0.958 (95% CI: 0.896-0.988) at 15 mAs and 60 mAs, respectively. All 3D reconstructions obtained at 75 mAs and 45 mAs values (N = 8) were of acceptable imaging quality to all reviewers, while only 3 of 4 3D reconstructions obtained at 15 mAs were considered acceptable. There was no difference in treatment plans across all reviewers, regardless of radiation dose. CONCLUSIONS In summary, our results indicate that CT scans of complex distal femur fractures at one-third the amount of radiation exposure may provide adequate imaging necessary to develop an appropriate treatment plan. At significantly lowered doses, the reviewers were able to accurately measure the amount of fracture displacement and identify the presence of each Hoffa fracture. Future studies are necessary to compare this protocol’s diagnostic capacity and limitations in evaluating complex fractures with that of our institution’s standard protocol in a clinical setting.