bluuebunny/crossref_metadata_2025_split huggingface dataset:
Time Burden of Bladder Management in Individuals With Spinal Cord Injury
Authors: Velaer Kyla Nichole , Welk Blayne , Ginsberg David , Myers Jeremy , Shem Kazuko , Elliott Christopher 
Published: September 2021

Background:
While clean intermittent catheterization (CIC) is the gold standard for bladder management after spinal cord injury (SCI), many individuals with SCI, for reasons not fully understood, choose alternative bladder management. We hypothesized that CIC is associated with an increased time burden in individuals with SCI.

Objectives:
To investigate the time required to perform neurogenic bladder management in individuals with SCI.

Methods:
An electronic nonvalidated questionnaire was designed to determine the self-reported time spent performing bladder management. It was sent to participants in the Neurogenic Bladder Research Group SCI Registry, a national quality of life study of individuals with SCI.

Results:
Eighty-seven individuals responded to the survey. CIC was the most common bladder management (76%). Men and women performing independent CIC had similar average times with each catheterization episode (8.8 vs. 8.5 minutes, p = .864) as did women with a catheterizable stoma compared to women catheterizing per urethra (8.2 minutes, p = .913). Longer catheterization times were associated with cervical spine injury (mean 12.4 minutes per catheterization) and women requiring caregiver assistance (mean 20 minutes per catheterization). In addition, obese/overweight women had longer CIC times than normal weight women (14.5 minutes vs. 7 minutes; p = .036), while catheterization time was similar for all men regardless of body mass index. Individuals with indwelling catheters spent less than a third of the time on bladder management per day compared to those doing CIC (17 vs. 53 minutes per day, p &lt; .001).

Conclusion:
Management of neurogenic bladder after SCI, especially in those performing CIC, is time consuming. This time burden may play a role in long-term bladder management decisions.
HUBUNGAN DUKUNGAN KELUARGA DAN STRATEGI PENANGANAN KECEMASAN PADA PERAWAT YANG MERAWAT PASIEN PENDERITA COVID-19
Authors: Halawa Aristina 
Published: September 2021

Covid-19 mulai masuk ke Indonesia pada awal tahun 2020 dan menyebar ke seluruh daerah di Indonesia. Hal ini menimbulkan kecemasan bukan hanya pada masyarakat namun juga kepada perawat. Kecemasan ini dialami oleh perawat karena perawat merupakan garda terdepan dalam merawat pasien Covid-19. Perawat perlu melakukan strategi penanganan kecemasannya seperti menerapkan pola hidup sehat, menjaga pola makan dan menghindari perilaku yang beresiko agar dapat menjalankan tugasnya dengan baik. Dalam hal ini dukungan keluarga sangat dibutuhkan oleh perawat karena dukungan keluarga merupakan motivasi bagi perawat. Tujuan dari penelitian ini adalah untuk mengidentifikasi hubungan dukungan keluarga dan strategi penanganan kecemasan pada perawat yang merawat pasien penderita covid-19. Metode yang digunakan dalam penelitian ini adalah menggunakan metode cross-sectional. Jumlah populasi pada penelitian ini sebanyak 35 dengan jumlah sampel 35 orang perawat yang bekerja merawat pasien penderita Covid-19. Pengambilan sampel dilakukan dengan cara Total Sampling. Instrument penelitian yang digunakan adalah kuesioner. Hasil penelitian menunjukkan sebanyak 15 (42,8 %) responden memiliki dukungan keluarga baik, 18 (51,4%) responden memiliki dukungan keluarga cukup dan 2 (5,8%) memiliki dukungan kurang. Strategi penanganan kecemasan perawat sebagian besar yaitu 23 (65,7%) responden berada pada tingkat baik dan 12 (34,3%) responden berada pada tingkat cukup. Analisa data menggunakan uji spearman dan diperoleh nilai signifikasi (p) sebesar 0,007 yang berarti ada hubungan antara dukungan keluarga dan strategi penanganan kecemasan pada perawat yang merawat pasien penderita covid-19. Dengan demikian diharapkan keluarga terus mempertahankan dan meningkatkan dukungannya kepada perawat dan perawat tetap mempertahankan strategi penanganan kecemasanya selama merawat pasien Covi-19 sehingga dapat menjalankan tugasnya dengan baik.
The Singer Acts, The Actor Sings
Authors: Allen Glenn Seven 
Published: September 2021

The Singer Acts, The Actor Sings is a practical workbook for singers and actors in all disciplines, from musical theater through classical repertory to popular performance styles. The book addresses the needs of students and professionals alike, helping them face the challenges of musical performance undaunted and achieve the exhilarating feeling of living through song.
Structured in three sections, this workbook first examines song structure, pitch, and style of accompaniment, enabling performers to live moment to moment within a piece of music. The subsequent sections provide clear explanations about what singing as a character really entails and how it works physiologically and artistically before taking the performer through the process of leaving preparation behind and getting down to the business of storytelling.
Including online video exercises and demonstrations, The Singer Acts, The Actor Sings is an essential resource for all actors and singers. It will instill in them the competence and confidence to communicate through musical language and tell powerful stories through song.
An Inconvenient Black History of British Musical Theatre
Authors: Mayes Sean , Whitfield Sarah K. 
Published: September 2021

A radically urgent intervention, An Inconvenient Black History of British Musical Theatre: 1900 - 1950 uncovers the hidden Black history of this most influential of artforms. Drawing on lost archive material and digitised newspapers from the turn of the century onwards, this exciting story has been re-traced and restored to its rightful place. A vital and significant part of British cultural history between 1900 and 1950, Black performance practice was fundamental to resisting and challenging racism in the UK.
Join Mayes (a Broadway- and Toronto-based Music Director) and Whitfield (a musical theatre historian and researcher) as they take readers on a journey through a historically-inconvenient and brilliant reality that has long been overlooked. Get to know the Black theatre community in London’s Roaring 20s, and hear about the secret Florence Mills memorial concert they held in 1928. Acquaint yourself with Buddy Bradley, Black tap and ballet choreographer, who reshaped dance in British musicals - often to be found at Noël Coward’s apartment for late-night rehearsals, such was Bradley’s importance. Meet Jack Johnson, the first African American Heavyweight Boxing Champion, who toured Britain’s theatres during World War 1 and brought the sounds of Chicago to places like war-weary Dundee. Discover the most prolific Black theatre practitioner you’ve never heard of, William Garland, who worked for 40 years across multiple continents and championed Black British performers. Marvel at performers like cabaret star Mabel Mercer, born in Stafford in 1900, who sang and conducted theatre orchestras across the UK, as well as Black Birmingham comedian Eddie Emerson, who was Garland’s partner for decades.
Many of their names and works have never been included in histories of the British musical - until now.
Dramaturgy
Authors: Dieleman Cock , Franzen Ricarda , Zangl Veronika , Danner Henk ,   Leerstoelgroepfonds Theaterwetenschappen UvA
Published: September 2021

The image of the dramaturg resembling a stuffy librarian, as opposed to the largely intuitive process of theatre making, belongs to the past. Contemporary theatre performances not only tell a story, but constantly reflect on the world in which that story takes place and is shown. As a result, dramaturgy has become part of the artistic process. Thus everybody involved in a theatre production is concerned with dramaturgical thinking, i.e. how to relate to material, process, audience and society. The dramaturg crosses borders between theory and practice, between theatre makers, performance and audience.
'Dramaturgy. An Introduction' provides a broad overview of the concept of dramaturgy and the profession of the dramaturg. It is intended for students and teachers of theatre and performance studies, but also for directors, scenographers, actors and for all lovers of theatre.
Meaningful Assessment in Interdisciplinary Education
Authors: Boor Ilja , Gerritsen Debby , Greef Linda , Rodermans Jessica 
Published: September 2021

Today’s university lecturers are faced with the challenge of educating students to see beyond the limits of their own discipline and to come up with innovative solutions to societal challenges. Many lecturers would like to put more emphasis on teaching students how to integrate diverse forms of knowledge, work together in teams, critically reflect and become self-regulated learners. These lecturers are breaking down the silos of scientific disciplines as well as the barriers between academia and society and responding to the changing role of universities in society.
Just as teaching and learning are ready for change, so is assessment. In this book, we call for an assessment strategy with a greater emphasis on assessment for and assessment as learning, with a focus on giving powerful feedback and the use of authentic assessment tasks as well as alignment with the intended learning outcomes and your pedagogical beliefs.
If you are looking for ways to assess integration, collaboration, reflection, and critical thinking rather than only assessing the acquisition of knowledge, the examples in this handbook are inspiring initiatives that can point you to new directions in assessment.
Evaluating the Efficacy of a Dedicated Last Planner® System Facilitator to Enhance Construction Productivity
Authors: Power William , Sinnott Derek , Lynch Patrick 
Published: September 2021

Construction unknowingly plans for poor levels of productivity with substantial waste, inefficiency, and rework stemming from a proliferation of non-value-adding activities embedded within traditional delivery processes. This approach negatively influences construction’s economic and environmental sustainability. Last Planner® System (LPS) is a key tool of Lean Construction (LC) and is lauded as a value-add process that prioritises flow efficiency by addressing workflow variability and waste elimination on construction projects. This research evaluates how the presence of a dedicated knowledgeable and competent LPS Facilitator, enabling a complete LPS implementation, contributes to improved construction flow, efficiency, and productivity.
The study adopted a mixed-methods approach utilising case study design and data collected from a literature review, site observation diary, site documentation analysis, and semi-structured interviews. Limitations exist around small survey size, lack of generalisability, and potential bias of researchers. Findings posit considerable productivity increase; more reliable, predictable, and stable workflow; enhanced team collaboration; as well as accrual of safety, quality, cost, and schedule benefits. Embedding a knowledgeable and competent LPS Facilitator appears to assist successful implementation of LPS with sectoral and societal value-add opportunities.
Development of Lean Approaching Sustainability Tools (LAST) Matrix for Achieving Integrated Lean and Sustainable Construction
Authors: Aslam Mughees , Gao Zhili , Smith Gary 
Published: September 2021

Challenges exist across the three dimensions of construction sustainability (economic; social and environmental) due to low productivity, waste, safety, and environmental hazards attributed to existing construction management practices. Lean construction (LC) has been widely accepted as a robust philosophy to enable sustainable construction (SC) practices. However, the existing literature is more inclined toward defining the integration between LC and sustainability through LC practices and techniques. Little research tackles the challenges of achieving sustainable goals within the current practices. Therefore, this paper aims to present a strategy that can help the construction industry overcome the challenges of SC in the traditional construction management practice by using LC. The challenges of SC are identified through a systematic literature review approach with metadata analysis. Compared with LC principles, tools and techniques, the strategy focused on identifying (1) the power and potential of LC principles and (2) the best LC practices/techniques that help in overcoming these SC challenges. The study results showed 20 out of 32 challenges identified can be overcome by using LC integrated with SC. Finally, a Lean Approaching Sustainability Tools (LAST) matrix is developed to provide guidelines to the construction stakeholders for the selection of LC practices/tools/techniques in overcoming the top 15 most important challenges.
Total column ozone measurements by the Dobson spectrophotometer at Belsk (Poland) for the period 1963–2019: homogenization and adjustment to the Brewer spectrophotometer
Authors: Krzyścin Janusz W. , Rajewska-Więch Bonawentura , Jarosławski Janusz 
Published: September 2021

Abstract. The total column ozone (TCO3) measurements by the Dobson
spectrophotometer (serial no. 84) have been carried out at Belsk station
(51∘50′ N, 20∘47′ E), Poland, since 23 March 1963. In total, ∼115 000 intraday manual observations were made by 31 December 2019. These observations were performed for different combinations of double wavelength pairs in the ultraviolet range and observation types, i.e., direct sun (DS), zenith blue (ZB), and zenith cloudy (ZC) depending on weather conditions. The long-term stability of the instrument was supported by frequent (almost every 4 years) intercomparisons with the world standard spectrophotometer.
Trend analyses, based on the monthly and yearly averaged TCO3, can be
carried out without any additional corrections to the intraday values. To
adjust these data to the Brewer spectrophotometer observations, which were
also performed at Belsk, a procedure is proposed to account for less
accurate Dobson observations under low solar elevation, presence of clouds,
and the temperature dependence of ozone absorption. The adjusted time series
shows that the Brewer–Dobson monthly averaged differences are in the range of about ±0.5 %. The intraday TCO3 database, divided into
three periods (1963–1979, 1980–1999, and 2000–2019), is freely available
at https://doi.org/10.1594/PANGAEA.919378 (Rajewska-Więch et al., 2020).
Intraoperative risk assessment of
carcinomatosis development after radical
surgery for gastric cancer
Authors: Reutovich M. Yu. , Krasko O. V. 
Published: September 2021

Relevance: Metachronous peritoneal dissemination
(MPD) is the most frequent pattern of gastric cancer (GC)
progression after radical surgery. It is necessary to take into
account the existing risk of MPD development to ensure a
substantiated administration of intraperitoneal chemotherapy for its timely prevention.
The purpose of the study was to raise the MPD prognostication efficacy.
Results: The treatment outcomes of 1,065 radically operated patients (males – 640, 60.1%; females – 425, 39.9%)
aged 23 to 89 years (median age – 63±12) showed that a high
risk of GC recurrence in the form of peritoneal dissemination
is associated with: (1) metastatic invasion of the regional
lymph node – pN2-3 – RR 2.0 (95% CI 1.5–2.7), р < 0.001; (2)
ulcero-infiltrative and diffuse infiltrative forms of primary
gastric cancer growth – RR 3.7 (95% CI 2.5–5.5), р < 0,001),
and RR 2.3 (95% CI 1.5–3.6), р<0,001; (3) serosa invasion by
primary GC (pT4) – RR 2.5 (95% CI 1.8–3.6), р<0,001; (4) combined surgical treatment vs. standard surgery – RR 1.8 (95% CI
1.2–2.7), р=0.005; and (5) performing gastrectomy vs. distal
resection – RR 1.6 (95% CI 1.2–2.2), р=0.004.
A multivariate analysis (Fine-Grey model) was done to
propose a prognostic model for an intraoperative estimate of
the MPD development probability to determine indications
for intraoperative intraperitoneal chemotherapy (concordance index of 0.75).
Conclusion: The proposed nomogram- or formula-based
prognostic model allows a differentiated approach to administering intraoperative intraperitoneal chemotherapy taking
into account the existing probability of peritoneal dissemination development.
Correlation between p53 expression and
hepatocellular carcinoma differentiation grade
Authors: ISSAMATOV B. K. , YENIN E. A. , MEDEUBEKOV U. Sh. , BAYMAKHANOV B. B. 
Published: September 2021

Relevance: Hepatocellular carcinoma (HCC) is one of the world’s most common liver cancers and fatal malignant neoplasms. According to GLOBOCAN 2018, liver cancer ranks sixth in incidence (842,000 new cases) and fourth in mortality
(782,000 deaths) globally. In Kazakhstan, there is an increase in HCC incidence from 879 cases in 2016 up to 984 cases in 2017,
which amounted to 5.5 cases per 100 000 population. In 2017, the five-year survival rate was 23.7%.
The mutations in the p53 gene that encodes the p53 protein are most frequent in HCC (35.2%). A high level of nuclear expression of p53 and a decrease in apoptosis of tumor cells with a simultaneous increase in their proliferative activity, noted in
HCC cells, are important for the prognosis of the disease. There is a correlation between poor prognosis, a decreased survival of
patients with HCC, and high expression of the p53 oncoprotein in HCC.
U. Nzeako et al. have revealed a strong correlation of HCC histological differentiation with the patient survival rate. Therefore, a study of the correlation between p53 expression and HCC differentiation grade is very relevant.
The purpose of this study was to analyze the correlation between p53 expression and HCC differentiation grade.
Results: p53 was overexpressed in 18% of HCC cases; the expression was high in 62% and low in 20% of HCC cases. In
well-differentiated HCC (G1), the p53-immunopositive nuclei expression was low in 10 cases and high in 2 cases. In moderately
differentiated HCC (G2), p53 was highly expressed in 21 cases and overexpressed in 2 cases. In poorly-differentiated HCC (G3),
p53 was overexpressed in 7 cases and highly expressed in 8 cases of HCC. The analysis of the correlation between p53 expression and HCC differentiation grade by Spearman showed a high correlation (r=0.79, p<0.01), evidencing a direct dependence
of p53 expression level on HCC gradation.
Conclusion: HCC differentiation grade highly correlates with p53 expression level in immunopositive nuclei of HCC cells.
The obtained data evidences a dependence between p53 expression level and HCC gradation.
Multiple primary thyroid cancer
in combination with malignant paraganglioma
of the neck complicated by acute cerebrovascular
event in the postoperative period:
Clinical case
Authors: ADILBAYEV G. B. , KAIBAROV M. E. , KYDYRBAYEVA G. Z. , MYKHAMADIEV B. T. , SLONEVA N. V. 
Published: September 2021

Actuality: Paraganglioma originates from the nerve ganglia along a.carotis, the ganglion of n.vagus, and the nerve plexuses around the sigmoid sinus, and has a rich tumor vasculature. Paraganglioma accounts for 0.8% of all CNS tumors and occurs
most often at 40-60 years. Chemodectoma is located in the common carotid artery bifurcation zone and accounts for 2/3 of all
glomus tumors.
Purpose: The article describes a clinical case of multiple primary thyroid cancer in combination with malignant paraganglioma of the neck complicated by acute cerebrovascular event (ACE) in the postoperative period treated at the Head and Neck
Tumor Department of the Kazakh Institute of Oncology and Radiology.
Results: The presented clinical case demonstrates the results of the treatment of multiple primary cancer complicated by
an ACE in the postoperative period. The qualification of doctors, adequate diagnostics contributed to choosing the right ACE
treatment tactics taking into account all the patient-specific features, the tumor localization, and possible postoperative complications.
Conclusion: The presented clinical case confirms the available data on the necessity of all diagnostic procedures and their
effectiveness in the assessment of the prevalence of the process and the involvement of the adjacent anatomical structures in
the suspected chemodectoma to avoid postoperative consequences that can lead to disability and fatal outcome. A wrong
choice of the volume of surgical intervention can result in severe postoperative complications. Timely diagnosis and knowledge
of the clinical course of the ACE helped restore the patient’s general condition and stop signs of cerebral ischemia. Successful
recovery of a patient depends on the qualifications of the doctors and the prevalence of the tumor process. Adequate symptomatic therapy has a huge impact on the course of a complicated postoperative period.
Religious Concerns of Dowry and Marriage Gifts Regarding Determination of their Limits: Study of Malaysian law
Authors: Kamal Ahmad Haziq Haikal , Sitiris Miszairi , Razali Mohamad Afiq 
Published: September 2021

In 2010, the Islamic religious department of a state in Malaysia issued a fatwa, which ruled that the dowry rate in the state would be regulated at a minimum value of RM300, with no indication of a maximum amount. In this instance, the community appears to be more concerned with the function of the provision of gift money, which is used solely to fund wedding expenses, rather than with the potential of dowry, which plays a more significant role for women. While this research does not challenge the fatwa’s decision, it does attempt to elucidate the issue of determining the minimum dowry rates from the perspective of fiqh and the Islamic Religious Administration Enactment. The library technique and inductive reasoning are by far the most often used ways of data collection by the author. On the whole, dowry has no specific limit while there are opinions of scholars on this, the setting of this dowry restriction, in particular, was never specified by Islām. People in the community misinterpret the meaning of the minimum and maximum limits, which leads to the low dowry and the high importance given to the provision of gift money.
y el clarinete en los conservatorios de la Comunidad Autónoma de Madrid
Authors: FERNANDEZ COBO CARLOS JAVIER 
Published: September 2021

La situación de la música de vanguardia dentro de los conservatorios ha estado muy condicionada tanto por los desarrollos legislativos de la enseñanza musical en estos centros, como por una serie de programaciones basadas en un repertorio barroco, clásico y decimonónico cuya finalidad era "conservar" una serie de estilos muy determinados que hacían necesaria la incorporación de un catálogo más moderno.Esta investigación estudia la visión de los profesores de conservatorio en la especialidad de clarinete de las posibilidades de la música de vanguardia dentro de la enseñanza en un conservatorio profesional de Música.Se pretende mostrar diferentes puntos de vista. A los profesores el conocimiento de la situación de los docentes. A los alumnos para poder mejorar la formación en este aspecto. A los compositores para incentivar la producción metodológica de enseñanza y composiciones para ser incluidas en una programación anual.En un futuro dicho estudio podría ser extrapolable al resto de etapas educativas donde la asignatura de Música está presente, como en la educación primaria, secundaria o las escuelas de Música.