bluuebunny/crossref_metadata_2025_split huggingface dataset:
A telephone assessment and advice service within an ED Physiotherapy clinic: A single-site quality improvement cohort study
Authors: Kelly Marie , Higgins Anna , Murphy Adrian , McCreesh Karen 
Published: January 2021

Abstract
BackgroundIn response to issues with timely access and high non-attendance rates for Emergency Department (ED) physiotherapy, a telephone assessment and advice service was evaluated as part of a quality improvement project. This telehealth option requires minimal resources, with the added benefit of allowing the healthcare professional streamline care. A primary aim was to investigate whether this service model can reduce wait times and non-attendance rates, compared to usual care. A secondary aim was to evaluate service user acceptability.MethodsThis was a single-site quality improvement cohort study that compares data on wait time to first physiotherapy contact, non-attendance rates and participant satisfaction between patients that opted for a service based on initial telephone assessment and advice, versus routine face-to-face appointments. 116 patients were referred for ED physiotherapy over the 3-month pilot at the ED and out-patient physiotherapy department, X, Ireland. 91 patients (78%) opted for the telephone assessment and advice service, with 40% (n=36) contacting the service. 25 patients (22%) opted for the face-to-face service. Data on wait time and non-attendance rates was gathered using the hospital data reporting system. Satisfaction data was collected on discharge using a satisfaction survey adapted from the General Practice Assessment Questionnaire. Independent-samples t-test or Mann Whitney U Test was utilised depending on the distribution of the data. For categorical data, Chi-Square tests were performed. A level of significance of p ≤ 0.05 was set for this study.ResultsThose that contacted the telephone assessment and advice service had a significantly reduced wait time (median 6 days; 3 – 8 days) compared to those that opted for usual care (median 35 days; 19 – 39 days) (p ≤ 0.05). There was no significant between-group differences for non-attendance rates or satisfaction.ConclusionA telephone assessment and advice service may be useful in minimising delays for advice for those referred to ED Physiotherapy for musculoskeleltal problems. This telehealth option appears to be broadly acceptable and since it can be introduced rapidly, it may be helpful in triaging referrals and minimising face-to-face consultations, in line with COVID-19 recommendations. However, a large scale randomised controlled trial is warranted to confirm these findings.
Examining the effectiveness of telemonitoring with routinely acquired blood pressure data in primary care: challenges in the statistical analysis
Authors: Parker Richard , Padfield Paul , Hanley Janet , Pinnock Hilary , Kennedy John , Stoddart Andrew , Hammersley Vicky , Sheikh Aziz , McKinstry Brian 
Published: January 2021

Abstract
Background Scale-up BP was a quasi-experimental implementation study, following a successful randomised controlled trial of the roll-out of telemonitoring in primary care across Lothian, Scotland. Our primary objective was to assess the effect of telemonitoring on blood pressure (BP) control using routinely collected data. Telemonitored systolic and diastolic BP were compared with surgery BP measurements from patients not using telemonitoring (comparator patients). The statistical analysis and interpretation of findings was challenging due to the broad range of biases potentially influencing the results, including differences in the frequency of readings, ‘white coat effect’, end digit preference, and missing data. Methods Four different statistical methods were employed in order to minimise the impact of these biases on the comparison between telemonitoring and comparator groups. These methods were “standardisation with stratification”, “standardisation with matching”, “regression adjustment for propensity score” and “random coefficient modelling”. The first three methods standardised the groups so that all participants provided exactly two measurements at baseline and 6-12 months follow-up prior to analysis. . The fourth analysis used linear mixed modelling based on all available data. Results The standardisation with stratification analysis showed a significantly lower systolic BP in telemonitoring patients at 6-12 months follow-up (-3.42, 95% CI -1.72 to -5.11, p<0.001). For the standardisation with matching and regression adjustment for propensity score analyses systolic BP was also significantly lower (-5.96, 95% CI -3.55 to -8.36, p<0.001) and (-3.73, -5.34 to -2.13, p<0.001) respectively, even after assuming that -5 of the difference was due to ‘white coat effect’. For the random coefficient modelling, the improvement in systolic BP was estimated to be -4.68 (95% CI -3.12 to -6.24, p<0.001) after one year.Conclusions The four analyses provide additional evidence for the effectiveness of telemonitoring in controlling BP in routine primary care. The random coefficient analysis is particularly recommended due to its ability to utilise all available data. However, adjusting for the complex array of biases was difficult. Researchers should appreciate the potential for bias in implementation studies and seek to acquire a detailed understanding of the study context in order to design appropriate analytical approaches.
The Majelis Tarjih Muhammadiyah’s Fatwa on the Pregnant Marriage: A Maqāṣid Approach
Authors: Mutmainah Nurul Afiyah Hikmatul 
Published: January 2021

This study aims to analyse the Majelis Tarjih Muhammadiyah’s fatwa on the case of pregnant marriage applying the maqāṣid al-sharī’ah approach. There are three rationales why this research is important. First, this issue is considered controversial as opinions regarding the law of pregnant marriage among Islamic scholars are quite diverse. Second, Muhammadiyah as an Islamic organisation in the largest Muslim majority country (Indonesia) has a semi-authoritative body, namely the Majelis Tarjih Muhammadiyah; to provide religious views for its members. Third, this research is important to examine the council’s fatwa whether it is in accordance with maqāṣid al-sharī’ah. Based on the author’s analysis, it has been argued that the Majelis Tarjih Muhammadiyah’s fatwa on the law of pregnant marriage is in accordance with maqāṣid al-sharī’ah. This research also studies various opinions and methods used by Muhammadiyah. Finally, this research concludes that pregnant women should not be married except by men who cause pregnancy or by their ex-husbands.
Autologous fat grafting in the face and neck-Multinational trends and knowledge of the safety, applications and indications considering oncologic risk potential
Authors: Fiedler Lukas S , Saleh Daniel B , Mukrowsky Alicia 
Published: January 2021

Introduction Autologous fat grafting (AFG) has both aesthetic and
reconstructive applications. Described by Neuber in 1893 there are
numerous applications of AFG as the body of evidence for its use
has expanded. The earliest controversies were evident in lipofilling for
breast defects post-oncological treatment, and to this day some
countries do not allow it for fear of inducing tumourogenesis in an
oncologically ablated field. Adipose-derived stem cells (ASCs) have been
shown pro-oncologic behaviour in xenografts, however, this has not been
reproduced in clinical observations thus far.
Material and Methods We sought to review contemporary harvesting
and processing techniques for AFG in the craniofacial region,
therefore distributed a survey to evaluate the opinion and clinical
impact of oncological risk across four European countries with possibly
differing clinical attitudes.
Results In the craniofacial region AFG is mostly used for
aesthetic indications, cannula hand-held aspiration and centrifugation
seem to be the predominant harvesting and processing techniques. Half of
our respondents tell patients about the possibility of pro-oncologic
behaviour of AFG. We found no significant geographical
differences between the German-speaking and the English groups
concerning their harvesting and processing technique. German
participants seem to perform AFG more often and mostly use it for
cosmetic and post-cancer treatment sequelae, English participants
homogenically use AFG for cosmetic reasons.
Conclusion Theoretical pro-oncologic behaviour of craniofacial
AFG does not deter surgeons. Perhaps, we shouldn’t consider
discussing this complex area of oncogenesis with patients as there is no
elevated risk from what we know.
Escritos do Visconde de Ouro Preto e outros Autores sobre o Golpe Republicano
Authors: Rangel Ronaldo Raemy , Raemy Rangel Gabriel Dolabela 
Published: January 2021

Afonso Celso de Assis Figueiredo, Visconde de Ouro Preto, foi o ultimo Presidente do Gabinete Ministerial (ou Primeiro-ministro) do Império do Brasil. Após a Proclamação da República, no exílio, escreveu um folhetim intitulado Advento da ditadura militar no Brasil, no qual oferece sua versão sobre o que chamou de “sublevação militar que derrubou a monarquia brasileira”. Baseado no texto de Ouro Preto e em outros autores que relatam os eventos que deram origem a República, o artigo pretende sustentar que a verdadeira causa que esteia o do movimento republicano não é a republica em si, mas a descentralização do poder e o estabelecimento de um pacto federativo no país. O texto defende também, que os eventos que geraram o estabelecimento da república, em certo sentido, se deram de forma precipitada, sem comando e, principalmente, sem envolvimento popular, caracterizando-se como um golpe, sendo que o relato do Visconde de Ouro Preto, a despeito de contra-argumentos que lhe possam ser apresentados, é o fio condutor da argumentação que o artigo apresenta.
Mental Illness and Moral Discernment: A Clinical Psychiatric Perspective
Authors: Angus Duncan A. P. , Carson Marion L.S. 
Published: January 2021

As a contribution to a wider discussion on moral discernment in theological anthropology, this paper seeks to answer the question “What is the impact of mental illness on an individual’s ability to make moral decisions?” Written from a clinical psychiatric perspective, it considers recent contributions from psychology, neuropsychology and imaging technology. It notes that the popular conception that mental illness necessarily robs an individual of moral responsibility is largely unfounded. Most people who suffer from mental health problems do not lose the capacity to make moral decisions, and mental illness on its own rarely explains anti-social or criminal behaviour. Moreover, the assumptions of some scientists, that recent developments in neuropsychology and brain imaging suggest biological determinism, must be treated with caution.
Analisis Motor Brushless Direct Current Aksial Fluks 3 Fasa Menggunakan Magenet Permanen Neodymium Sebagai Prime Mover Generator
Authors: Sari Mayang Karlia , Hadi Widyono , Cahyadi Widya 
Published: January 2021

Peningkatan penggunaan motor konvensional menyebabkan peningkatan minyak bumi yang merupakan sumber daya alam yang tidak bisa diperbarui. Untuk mengatasi hal tersebut maka penggunaan motor konvensional diganti dengan motor listrik. Motor listrik yang sering digunakan adalah motor brush namun masih memiliki kekurangan yaitu terdapat rugi – rugi sikat. Sehingga dibuatlah motor brushless direct current untuk mengatasi hal tersebut. Motor yang dirancang pada penelitian memiliki spesifikasi 6 kumparan dengan jumlah magnet pada rotor 4 dan 8. Lilitan pada masing – masing kumparan adalah 450 lilitan dengan kawat email berdiameter 0,3 mm.
Penelitian dilakukan dengan cara pengukuran dan perhitungan. Pengukuran meliputi pengukuran medan magnet, nilai tegangan motor, frekuensi dan kecepatan putar. Nilai perhitungan meliputi daya, torsi, frekuensi dan kecepatan putar motor. Pengujian dilakukan menggunakan 4 (empat) dan 8 (delapan) magnet bergantian serta dalam dua kondisi yaitu berbeban dan tanpa beban. Pengujian pertama pada tegangan sumber 24 Volt saat menggunakan 4 magnet dalam kondisi tanpa beban menghasilkan nilai torsi 1,09x10-3 Nm dan kecepatan putar 2794 RPM, saat keadaan berbeban menghasilkan nilai torsi 2,25x10-3 dan nilai kecepatan putar 1171 RPM. Pengujian kedua tengan tegangan sumber 24 Volt menggunakan 8 magnet dihasilkan nilai torsi 3,38x10-3 Nm dan kecepatan putar 2484 RPM, saat keadaan berbeban dihasilkan nilai torsi 7,4x10-3 Nm dan kecepatan putar motor 1410 RPM. Nilai torsi tertinggi yang dihasilkan yaitu 7,4x10-3 Nm dan nilai kecepatan putar tertinggi yang dihasilkan yaitu 2794 RPM.
Kata Kunci—motor brushless direct current, torsi, kecepatan putar, magnet Neodymium
Effectiveness of Rapid Urease Diagnostic Test in Diagnosing Helicobacter Pylori Infection in Patients with Dyspepsia in Gastrointestinal Endoscopy Centre
Authors: Maulahela Hasan , Syam Ari Fahrial , Abdullah Murdani 
Published: January 2021

Background: Helicobacter pylori is one of the most important infectious agents in the world. These bacteria infect 50% of the world population. Gastritis due to H. Pylori has been associated with the incidence of peptic ulcer, B cell primary lymphoma in the stomach, and gastric carcinoma. In dyspepsia, eradication of H. Pylori helps symptoms improvement and treatment cost efficiency. This study aimed to evaluate urease test in diagnosing H. Pylori infection in dyspepsia patients. It is expected that we could obtain a scientific evidence which can become the basis of routine use of urease examination in diagnosing H. Pylori infection.Method: This study used diagnostic study design. This study was performed in adult dyspepsia patients who underwent endoscopy examination in Gastrointestinal Endoscopy Centre Cipto Mangunkusumo General Hospital in January – November 2018. One biopsy sample was intended for rapid urease test using Helicotec which was performed according to the standard procedure and was interpreted 2 hours later. Biopsy for histopathological examination was preserved in formalin solution and sent to Histopathology Department for analysis and identification of H. Pylori bacteria. Results: Prevalence of H. pylori infection based on histopathology examination was 7.2%. From seven positive results in histopathology examination, four samples were Helocitec positive. The sensitivity and specificity of Helicotec was 57.1% and 98.9%. The positive predictive value and negative predictive value were 80% and 96.7%. Conclusion: Rapid urease examination using Helicotec is one of H. pylori diagnostic tools that is good enough to diagnose faster and cheaper. Interpretation of rapid urease test also need to consider clinical condition of patients who are tested.
Polskie międzywojenne poradnictwo w zakresie wnętrz mieszkalnych jako obszar relacji niemiecko‑polskich
Authors: Korduba Piotr 
Published: January 2021

During the interwar period, Polish interior design consulting stimulated our national achievements; however, it did not happen in isolation from foreign trends. One of the most distinct influences were the accomplishments of German residential culture. The previous German influence had been coloured by negative associations: with the period under German occupation on the one hand, and with the outdated apartment functions and aesthetics based on the residential culture of the late 19th century and its neo-style furnishings on the other. Yet as early as in the late 1920s, a completely different German horizon began to appear, gaining popularity in the 1930s. Ever since then German interior design and furnishing achievements became synonymous with rationality, functionality, and even, broadly speaking, general modernity. It is therefore difficult to present an unambiguous diagnosis of the German-Polish relationship relating to habitation during the interwar period. On the one hand it was difficult to escape the tensions generated by political and national prejudices, and on the other, to evade the neighbouring German cultural achievements and their real and positive impact on many Polish accomplishments, especially in the realms of architecture and habitation. One may say that the emotional antagonism which could be seen during the 1920s faded with time and was displaced, at least among experts, by an awareness of the nearby existence of successful models which, thanks to specialist literature and books, along with visiting fairs and exhibitions, were well known and appreciated.
Coincidencias en el período de aislamiento en sobrevivientes de COVID-19.
Authors: Feregrino Carreon María Cristina , Ledezma Trujillo María Columba , Nieves Monroy Omara Sharetj , Villuendas Zamorano Laura 
Published: January 2021

El presente artículo muestra los resultados de un estudio exploratorio en sobrevivientes al COVID-19, en el que se buscó identificar los pensamientos, emociones y sentimientos presentes en el período de aislamiento por sospecha y/o diagnóstico, así como los pormenores de su proceso de reincorporación a sus actividades cotidianas.
Se identificaron coincidencias en los sujetos entrevistados, sobre los pensamientos y emociones en el momento de la validación clínica de la sospecha por COVID-19, así como en la reincorporación. El miedo, la incertidumbre y la frustración se encuentran relacionados directamente con síntomas de estrés, depresión y ansiedad, así como con los estilos de afrontamiento y apoyo recibido durante este período.
TRI-GUNAS (SATTVA, RAJAS AND TAMAS) AND RISK-TAKING BEHAVIOR AMONG UNDERGRADUATE STUDENTS
Authors: Kumar Yadav Santosh , Prakash Shiv , Kumar Jain Rajat 
Published: January 2021

Tri-Gunas is considered an important personality factors in the eastern philosophy. Objective of the present study is to find out co-relation between Tri-Gunas factors of personality and risk- taking behavior among undergraduate students. Sample consists of 192 under graduate students (94 male & 98 female) selected by adopting random sampling method. The tools used for the study are Personality Assessment Profile by Dr. UpendraDhar, Dr. SapanaParashar and Dr. Santosh Dhar and Risk taking Questionnaire constructed by Verendra Sinha and P.N. Arora.
Statistical analysis was done by computing person’s product moment co-relation. Findings of the study are -
1) Sattvic personality and risk-taking behavior are not correlated to each other significantly.
2) Rajsic personality and risk-taking behavior are not correlated to each other significantly.
3) Tamsic personality and risk-taking behavior are not correlated to each other significantly in male students but in case of female students there exists a positive and significant co-relation.
The potential of Tamarindus indica seed extract as anti-snake venom against Ophiophagus hannah, Naja kaouthia and Daboia russelli in mice
Authors: Ismail Soraya , Syed Ahamed Pakeer Oothuman , Maung Khin Maung 
Published: January 2021

Introduction: Globally, snakebite cases are estimated to be around 5 million annually affecting mainly the poorer countries like Africa and Asia, and in 2009 WHO has categorized it as a ‘neglected tropical disease’. Currently the standard treatment for snake envenomation is the anti-snake venom therapy, which is expensive, poor supply and species specific. This study was conducted to evaluate the potential of using Tamarindus indica seed extract (TSE) to inhibit the in-vitro and in-vivo effects of snake venom of three snakes; namely Ophiophagus hannah, Naja kaouthia and Daboia russelli. Methods: Methanolic extract of TSE was used. In-vitro enzymatic inhibition study i.e phospholipase A2, proteolytic and phosphomonoesterase were studied. In-vivo acute subcutaneous (SC) toxicity of TSE in ICR mice was conducted. Study on the SC TSE inhibition of lethality was also conducted. Results: Findings from enzymatic inhibition studies showed that, TSE was able to significantly reduce (p<0.05) all three enzymatic activities. SDS-PAGE experiment showed disruption of protein bands when venom reacted with TSE. No signs of toxicity were observed over 4 weeks when mice were exposed to SC TSE 60mg/20g except for superficial skin ulcers. Histological examination of the liver, both kidneys and skin showed no changes when compared to the control group. TSE was able to increase the mice survival rate. Conclusions: The study shows that SC TSE was safe to be injected up to 60mg/20g and has the potential to delay the effects of venoms from O. hannah, N. kaouthia and D. russelli.
Psoriasis - A Report of Disease Mimicry
Authors: Shalihin Mohd Shaiful Ehsan , Abd Rahman Mohd Aizuddin 
Published: January 2021

Introduction: Psoriasis is a chronic, noncontagious, multifactorial inflammatory skin condition that has several subtypes. Therefore, prior to actual diagnosis, it may mimics other similar illnesses. In acute condition, it typically presents with erythroderma macules associated with pain and itchiness rather than hypopigmented and numbness lesions that supposedly occurs in post-treatment or post-acute phase, rather than as initial presentation. Case report: We report a case of 18-year-old girl, who presented with nonspecific localized hypopigmented rash over her forehead and scalp associated with numbness for three weeks duration. She had no itchiness or rashes elsewhere. She had no history of atopy or recent exposure to new cosmetics. She had no joint pain or hair loss. She had no recent contact with anyone with similar lesion. No significant similar history among family members. Clinically, there is reduced in both soft touch and pin-prick sensation over affected areas. We refer this case to dermatologist with possibility of leprosy in view of her reduced sensation over the lesion. To our surprise, the skin biopsy revealed supportive points towards psoriasis. She responds well towards coal tar and topical corticosteroids-the first line treatment of psoriasis. Her numbness has also resolved. This case highlights that psoriasis do presents with localized numbness in which its diagnosis should be take into consideration before confining the disease towards leprosy only.
Pilgrims' Health Screening Profile from a FELDA Settlement in Pekan, Pahang
Authors: Kamaruzaman Nor Azam 
Published: January 2021

Introduction: Good physical health or istitha’ah is one of the shariah requisite to perform hajj pilgrimage. Hence, passing the health screening is mandatory for the pilgrim to-be in Malaysia. The aim of this study is to describe the pilgrims’ health screening profile from a FELDA settlement in Pekan, Pahang. Materials and method: All 26 candidates from Chini’s FELDA cluster who were selected for hajj pilgrimage in 2017 underwent health screening at a nearby health clinic. Data from this health screening were analysed descriptively using SPSS software version 23.0. Results: Candidates consists of 11 men and 15 women aged between 48 to 86 years with the mean age of 61. Result showed that both sexes have comparable mean age and body mass index. Most of the candidates (88.5%) have at least 1 chronic medical problem (excluding overweight) while 54% have at least 2 or more medical problems. Women have higher prevalence of non-communicable disease (NCD) conditions namely obesity, hypertension, and diabetes (40%, 60%, and 40%) compared to men (27%, 45% and 36% respectively). This figure is higher than 2015 national figure for age specific: 50 years group (obesity 36.6%, hypertension 49.3%, diabetes 27%). In addition, 20% of the women also have anaemia while none in men. Conclusion: Majority of the candidates in this group are elderly and have at least two chronic medical problems. Women have higher prevalence of NCD and anaemia than men. Thus, based on the findings, early and focused pilgrims’ health screening especially among elderly female is essential and appropriate action should be taken in order to reduce risk for morbidity and mortality during hajj pilgrimage.