bluuebunny/crossref_metadata_2025_split huggingface dataset:
Soft Skills Training Strategy and Its Effect on Nurse Interns' Civil Behavior
Authors: Yousef Abeer S. , Shazly Mona M. , Omar Heba A. 
Published: April 2021

Contents: Soft skills are socio-emotional skills, essential for personal development and workplace success. While civility is defined as having respect for others, and it is necessary to bring attention to the importance of soft skills and civility and discuss its impact on teaching, learning, and patient outcomes.
Aim: This study aimed to assess the effect of soft skills training strategies on nurse interns' civil behavior.
Methods: The study was conducted at Ain-Shams University Hospitals, where nurse interns have their training, namely; Ain-Shams University Hospital, El-Demerdash hospital, Pediatrics Hospital, and Cardiovascular Hospital using quasi-experimental one-group pretest-posttest design. The subjects of this study included all available nurse interns having their training in the settings mentioned above during the data collection period (the academic year 2017-2018). The study sample was 90 nurse interns, 35 males, and 55 females. The data were collected by using two tools, namely soft skills elements questionnaire and workplace civility index.
Results: The study revealed a highly statistically significant improvement in nurse interns' total knowledge in the post and follow up phases p<0.01 as compared to the pre-intervention phase. Also, there was a highly statistically significant improvement in nurse interns' soft skills in the post and followed up phases p<0.01 as compared to the pre-intervention phase. In addition to a highly statistically significant improvement in nurse interns' civil behavior in the post and follows up phases p<0.01 as compared to the pre-intervention phase.
Conclusion: Implementing a soft skills training strategy for nurse interns is effective to improve their civil behavior. Based on the study findings, it was recommended that soft skills training strategy should be applied in all nursing curricula. The faculty of nursing should be supplied with all the learning resources needed in the educational system to support the students’ soft skills development, and further studies should be developed to handle the barriers of implementation of soft skills training strategy in nursing education.
INNOVACIÓN SOCIAL, EXPERIENCIA DE VINCULACIÓN CON LA SOCIEDAD. SANTA ANA. MANABÍ. ECUADOR
Authors: González Calzadilla Claribel Silvia , Andérez Velázquez Manuel de Jesús , Briones Cedeño Karen Lorena 
Published: April 2021

El trabajo muestra la experiencia realizada en el Cantón Santa Ana .Manabí donde se aprecia la vinculación con la sociedad del centro coordinador de las investigaciones agropecuarias (CIAM) en dos Universidades, la Técnica de Manabí (UTM) del Sur de Manabí (UNESUM) con el centro de desarrollo local CECADEL (hoy Campus de Santa Ana), en la importancia de una innovación social puesta en práctica de forma novedosa, creativa y transformadora aplicada en sectores vulnerable como son: los adolescentes y jóvenes, los adultos mayores y los discapacitados. La metodología utilizada fue el método de análisis y síntesis de diferentes documentos legales que permitieron un trabajo coherente, también el análisis cualitativo, en la aplicación de la técnica, acción- participación, con diversas acciones que se desarrollaron con el objeto de estudio, las actividades dirigidas a la capacitación, el fomento y preparación de líderes comunitarios, se exponen en el trabajo. Los resultados evidencian que el esquema adoptado y las formas organizativas propuestas en su aplicación detectan un conjunto de problemas, a los cuales se les elabora la propuesta de proyectos que fortalecieron la vinculación de la Universidad con la alcaldía, su entorno parroquial y comunitario, favoreciendo la capacitación y la preparación de sectores objeto de estudio en temas de cultura general e integral. Se concluye con las propuestas organizativas a través de proyectos los que constituyen entornos de un trabajo de innovación social
Maternal and Neonatal Outcomes and the Associated Risk Factors for Premature Rupture of Membranes
Authors: Pradeep MR , Chandra S Naveen , LNU Shashikumara 
Published: April 2021

ABSTRACT
Premature rupture of membrane (PROM) has significant adverse events in the prenatal, peripartum, and neonatal period. Understanding the maternal and neonatal outcomes of PROM is very important to reduce maternal and child mortality by prevention of complications and better management of the condition. The present study is undertaken to determine the maternal and fetal outcomes in patients with PROM and factors influencing the maternal and neonatal outcomes following PROM. We retrospectively evaluated the maternal and neonatal outcomes and the associated risk factors for 200 consecutive singleton pregnancy outcomes by PROM. Our results suggest that the mean age of the study participants was 22.90 ± 3.45 years ranging from 18–40 years. The estimated occurrences of unfavorable maternal and neonatal outcomes were 24.5 and 28.0%, respectively. Fever (67.3%) followed by puerperal sepsis (12.3%), wound infection (6.1%), and postpartum hemorrhage (6.1%) were common maternal outcomes and birth asphyxia (55.4%) followed by neonatal septicemia (25.0%) and convulsion (5.4%) were common neonatal outcomes. C-reactive protein (CRP) was positive among 44.0% of the mothers, and Escherichia coli was the commonest organism isolated in the cervical swab. The positive serum maternal CRP levels with an adjusted odds ratio (AOR) of 3.3 and 4.8 and latency in conducting delivery with an AOR of 1.1 each were the significant independent predictors of the maternal and neonatal morbidities (p < 0.05).
How to cite this article: Chandra SN, Pradeep MR, Shashikumara. Maternal and Neonatal Outcomes and the Associated Risk Factors for Premature Rupture of Membranes. J South Asian Feder Obst Gynae 2020;12(6):402–407.
Labor Pattern in South Indian Population
Authors: Bhat Chitra , Panicker Seetha 
Published: April 2021

ABSTRACT
Aim
Labor dystocia is one of the commonest indications of lower segment cesarean section (LSCS). Recent studies have shown a dramatic change in the rate of cervical dilatation and labor progress. There are no large studies to assess labor in this ethnic group and hence this study has been done to find out labor behavior in women with spontaneous labor in South India.

Materials and methods
A retrospective study was done in our teaching hospital. Labor was managed as per protocol and a partogram was maintained. Data were extracted from case-records and analyzed.

Results
Labor progress was much slower than what was thought of. There was wide variability in the duration of labor.

Conclusion
Many women took time up to the 95th percentile and some even crossed three times the median time to deliver.

Clinical significance
Though many women will deliver in the expected time, it is important to know the maximum time or the 95th percentile for each dilatation so that sufficient time can be allowed before labeling a case as prolonged labor.
How to cite this article
Bhat C, Panicker S. Labor Pattern in South Indian Population. J South Asian Feder Obst Gynae 2020;12(6):372–375.
Myriad Obstetric Complications in Patients with Scarred Uterus: A Case Series
Authors: Rao Sahana , Hadi Veena , Mallapur Ashalata , Kuri Chandalingappa , Katageri Geetanjali 
Published: April 2021

ABSTRACT
Obstetric practice in recent times has witnessed a steady increase in the rate of primary cesarean sections and thus, the consequences of the same. Managing previous cesarean cases in obstetrics has now become a routine, and the complications which we encounter in these patients. In this case series, we present five different presentations of previous cesareans and their outcomes. Treating the complications in these leads to a lot of diagnostic and management dilemmas as there is no definite prescribed protocol and individualized management strategies need to be adopted. Atypical clinical and radiological signs should be identified in such cases and should be managed in a tertiary care hospital for the best outcome of the patient.
How to cite this article: Rao S, Hadi V, Mallapur A, et al. Myriad Obstetric Complications in Patients with Scarred Uterus: A Case Series. J South Asian Feder Obst Gynae 2020;12(6):438–442.
A Prospective, Randomized, Placebo-controlled Comparative Study of Amino Acid Supplementation in Lactation Insufficiency
Authors: Nagarathnamma R , Trayambak Dutta , Bhushan Pooja , Arasan R Ezhil 
Published: April 2021

ABSTRACT
Objective
Our study evaluates the clinical efficacy of intravenous (i/v) amino acids in the prevention of lactation insufficiency and improvement of neonatal weight gain.

Design
A prospective, randomized, open-label, placebo-controlled clinical trial is reported.

Population or sample
This study recruited 305 lactating mothers of age-group, 22–35 years.

Methods
Test group, n = 152, received i/v amino acid infusion, 500 mL, as study drug once daily for 4 days, and control group, n = 153, received normal saline as placebo, 500 mL od for 4 days.

Main outcome measures
We studied the efficacy and safety of i/v amino acids in the prevention of lactation insufficiency. We further evaluated the role of maternal amino acid supplementation in ameliorating physiological weight loss and overall neonatal weight gain.

Results
Lactation onset was reported in 86.3% of mothers in the amino acid group at day 0 as compared to 32.23% in the control group (p value < 0.001). Lactation was achieved by all the mothers in the study group by day 1 itself with two doses of i/v amino acids (p value < 0.001). An increase in neonatal weight was observed in the amino acid group, (2.900 ± 0.488, p value = 0.001) compared with the control group at 2 weeks (2.716 ± 0.484, p value = 0.001).

Conclusion
Maternal amino acid supplementation is proven to be both efficacious and safe in augmenting breast milk production, thereby preventing lactation insufficiency. It effectively prevented neonatal physiological weight loss at 2 weeks and promoted substantial weight gain over a period of a month after birth.
How to cite this article
Nagarathnamma R, Pooja Bhushan, Dutta T, Ezhil Arasan R. A Prospective, Randomized, Placebo-controlled Comparative Study of Amino Acid Supplementation in Lactation Insufficiency. J South Asian Feder Obst Gynae 2020;12(6):408–414.
Comparative Evaluation of the Efficacy of Novel Root Canal Irrigation Techniques on Reduction of Enterococcus faecalis Count: An In Vitro Study
Authors: Murugesan Sabari , Reddy N Bharath Naga , Kumar Buggaveeti Pradeep , Mohankumar Purushotham , Rajakumaran Arasappan , Balatandayoudam Arumugam 
Published: April 2021

ABSTRACT

Aim and objective
To compare the effectiveness of three irrigation systems, namely, Endovac system, Max I probe, and Navitip FX, in reduction of Enterococcus faecalis population from the root canal using agar diffusion method.

Materials and methods
Sixty extracted intact human permanent maxillary anterior teeth were selected for this study. In group I, root canals were irrigated using brush covered 30-gauge NaviTipFX. Ultradent in group II root canals was irrigated using brush covered 30-gauge Max-I-Probe Dentsply. In group III, root canals were irrigated using Endoactivator, Dentsply. In group IV, root canal was irrigated by using the Endovac system Sybronendo. The steps followed in the study include preparation of specimen, contamination of the samples followed by conduction of testing procedures with implementation of appropriate irrigation protocols, and sampling procedures.

Results
Data were subjected to statistical analysis to interpret the significant differences among various irrigation systems. One-way analysis of variance, Post hoc Tukey tests were used for statistical analysis in the present study. Among the experimental groups, group IV showed statistically significant difference in reduction of E. faecalis. There were no statistical differences between them in reduction of E. faecalis in group I and group II compared and represented in Tables 1 and 2.

Conclusion
All four irrigation delivery systems have been found to be effective in the reduction of E. faecalis. Endovac showed comparable efficacy in reduction of colony-forming units to that of other delivery systems used in the study. The result has to be validated with in vivo studies and clinical trials of larger sample size.

Clinical significance
Selection of appropriate irrigation system capable of disinfection of canal complexities in apical third with less adverse effects is essential for good clinical success of endodontic treatment.
How to cite this article
Murugesan S, Rajakumaran A, Kumar BP, et al. Comparative Evaluation of the Efficacy of Novel Root Canal Irrigation Techniques on Reduction of Enterococcus faecalis Count: An In Vitro Study. J Contemp Dent Pract 2020;21(12):1379–1383.
Integrating a Facially Driven Treatment Planning to the Digital Workflow for Rehabilitation of Edentulous Arches: A Case Report
Authors: Creagh Jesus , Bohner Lauren , Sesma Newton , Coachman Christian 
Published: April 2021

ABSTRACT

Aim and objective
This case report presents the integration of a digital facially driven prosthetic plan to the computer-assisted implant planning for rehabilitation of edentulous arches.

Background
Diagnosis of edentulous arches is hampered by the lack of intraoral references. However, a digital facial profile analysis facilitates the treatment plan, taking into consideration the harmony among teeth, lips, and face to restore a pleasant smile.

Case description
The first appointment consisted of digital documentation including intraoral scans, facial scans, and photographs. Based on these data, a smile frame was created to guide the digital wax-up. Cone-beam computed tomography (CBCT) scans were merged to facial and intraoral scans to perform the virtual surgical planning. Integration between facial, intraoral, and bone tissues were used as a reference to define implant position and prosthetic planning. The digital planning was integrated into the surgical procedure using stackable templates, and an immediate loading was performed. The interim prosthesis was manufactured based on the digital wax-up. With digital data, quality control could be performed to evaluate the esthetic outcome of the treatment.

Conclusion
An esthetic and functional rehabilitation was possible using the respective digital workflow to define harmony between a smile and facial tissues.

Clinical significance
A digital treatment implant planning can be conducted considering patient's individual needs to improve the esthetic outcome.
How to cite this article
Creagh J, Bohner L, Sesma N, et al. Integrating a Facially Driven Treatment Planning to the Digital Workflow for Rehabilitation of Edentulous Arches: A Case Report. J Contemp Dent Pract 2020;21(12):1393–1397.
Factors causing work related stress in the Hospitality Sector: A study of employees in three star hotels in Dehradun Region
Authors: Rao Ekta , Goel Alok 
Published: April 2021

Hotels are an important component of the hospitality sector as every tourist wants a comfortable and secure stay. Customers rate a tourist destination according to the performance of the hotels. The workforce of a hotel plays an important role in satisfying a customer. But the workforce is highly stressed because of a number of factors pertaining to the hotel industry. This paper aims to identify the factors causing work related stress among hotel employees. Descriptive research method was used to identify the factors causing stress and technique of factor analysis is applied. Findings of the study identified Work load, Control over work, Role clarity, Interpersonal relations Managerial Support and Organizational Policies as six major factors causing stress among employees in the hotel industry. The findings of the paper are a guideline for the hotels to bring about modifications in these factors and hence improve mental well-being of their workforce. Key words: Hospitality, hotels, work related stress, service delivery.
Therapeutic Presencing in Nursing
Authors: Maniago Jestoni Dulva 
Published: April 2021

This paper provides an operational definition of therapeutic presencing as a first step in the systematic analysis of the concept. The Wilsonian method of concept analysis provided the framework for the analysis. The researcher identifies themes explicated from the concept of therapeutic presencing to develop a clear understanding of the concept to nursing. Model cases illustrate the concept further. The result shows that Being, Receiving, Influencing and Participating are the themes most associated with the concept. Moreover, immersion, congruence and empathy were described as the qualities of therapeutic presencing in nursing. Further nursing research needs to test the theoretical relationship between concept of therapeutic presencing and outcome variables.
Implementation of a Rapid Post-Code Debrief Quality Improvement Project in a Community Emergency Department Setting
Authors: Przednowek Tomasz , Stacey Camille , Baird Katherine , Nolan Robert , Kellar Jesse , Corser William D. 
Published: April 2021

CONTEXT Regular debriefing has been associated with improved resource utilization and measurable improvements in team performance in crisis situations. While Emergency Department (ED) staff have often stated that they would like to be provided a formal debriefing model after “code blue” and similar events, few EDs have such protocols in place. METHODS The study consisted of two data collection processes: (1) completion of a 7-item survey distributed pre-intervention, 6-months post-intervention, and 1-year post-intervention, and (2) completion of a Rapid Post-Code Debriefing form. Overall responses were measured on a possible 0-10 scale and individual responses were tracked. The debrief process was triggered by one of four criteria and followed a standard format using a readily available form. RESULTS A total of 178 pre- and post-debriefing protocol implementation survey responses were collected throughout the duration of the study. Of those, 79 (44.4%) were pre-protocol response surveys. The post-protocol responses were comprised of 51 (51.5%) six month and 48 (48.5%) 12-month surveys. The average overall satisfaction with code-response performance increased significantly following the implementation of the debriefing protocol, from M=6.661, SD=2.028 to M=7.90, SD=1.359 (independent t-test = 5.069, p<0.001). There was a statistically significant decrease regarding how respondents felt emotionally supported after a code by their staff, (Pearson Chi Square 14.977, df 4, p = 0.005). CONCLUSION During this study, implementation of a post-code debriefing resulted in increased overall satisfaction with how codes had been conducted and there was a significant change in how staff felt in regards to code team leaders and an expectation of “returning to work.” However, there a noted overall decrease in perceptions of feeling supported by other staff involved during the code. Further studies in both community and academic-based ED settings are needed to further explore these complex relationships.
Encouraging a Little Help from Our Friends: Resident Physician Burnout & Peer Communication Curriculum
Authors: Lovegrove Lepisto Brenda 
Published: April 2021

INTRODUCTION Resident physician burnout and depression rates are increasing faster than in the non-physician workforce. To foster a supportive community where such concerns may be addressed, residents can be educated in identification and first-line support of burnout in fellow residents. The literature has not described peer roleplaying applied toward aiding fellow residents with burnout. METHOD This pilot study evaluated an educational component aimed at fostering a strong emotional and informational social support system. The curriculum used peer roleplaying to develop self-awareness and social support, improve communication skills, and teach about existing mental health resources, thereby encouraging intervention. Residents listed behavioral manifestations of burnout and dysphoria that we developed into real-life scenarios. During experiential workshops, residents roleplayed “distressed” and “helper” residents and practiced communicating empathy. To tackle mental health stigma, all were required to practice expressing distress and seeking help. Residents completed a pre-roleplaying questionnaire, curriculum satisfaction questionnaire, and reflection essay. RESULTS All 42 Internal Medicine and Transitional Year residents (69% male, 93% international medical graduates) participated. Resident-reported comfort, competence, confidence, and knowledge increased, as did positive appraisals of the clinical teaching environment representing a safe atmosphere. Six themes were cited in >25% of essays: knowledge of communication techniques, knowledge of approach tactics or strategies, knowledge of hospital resources, commitment to helping colleagues, importance of burnout, and belief this training produced a better understanding of oneself. CONCLUSION As first-witnesses of resident physician distress, peers occupy an underutilized, yet crucial preventive and supportive role in burnout and mental health intervention, especially during times of shared crises such as the coronavirus pandemic. Creating roleplays from personal experiences facilitated meaningful discussion of burnout and dysphoric emotions. Roleplaying offered a low-cost, effective method to destigmatize and encourage discussion of burnout, educate on signs and symptoms, and learn available resources to offer an afflicted colleague in osteopathic and allopathic residency programs.
HydroGFD3.0 (Hydrological Global Forcing Data): a 25 km global precipitation and temperature data set updated in near-real time
Authors: Berg Peter , Almén Fredrik , Bozhinova Denica 
Published: April 2021

Abstract. HydroGFD3 (Hydrological Global Forcing Data) is a data set of bias-adjusted reanalysis data for daily precipitation and minimum, mean, and maximum temperature. It is mainly intended for large-scale hydrological modelling but is also suitable for other impact modelling.
The data set has an almost global land area coverage, excluding the Antarctic continent and small islands, at a horizontal resolution of 0.25∘, i.e. about 25 km.
It is available for the complete ERA5 reanalysis time period, currently 1979 until 5 d ago.
This period will be extended back to 1950 once the back catalogue of ERA5 is available.
The historical period is adjusted using global gridded observational data sets, and to acquire real-time data, a collection of several reference data sets is used.
Consistency in time is attempted by relying on a background climatology and only making use of anomalies from the different data sets.
Precipitation is adjusted for mean bias as well as the number of wet days in a month.
The latter is relying on a calibrated statistical method with input only of the monthly precipitation anomaly such that no additional input data about the number of wet days are necessary.
The daily mean temperature is adjusted toward the monthly mean of the observations and applied to 1 h time steps of the ERA5 reanalysis.
Daily mean, minimum, and maximum temperature are then calculated.
The performance of the HydroGFD3 data set is on par with other similar products, although there are significant differences in different parts of the globe, especially where observations are uncertain.
Further, HydroGFD3 tends to have higher precipitation extremes, partly due to its higher spatial resolution.
In this paper, we present the methodology, evaluation results, and how to access the data set at https://doi.org/10.5281/zenodo.3871707 (Berg et al., 2020).