bluuebunny/crossref_metadata_2025_split huggingface dataset:
Study on utilization of personal protective equipments by paramedical staffs: an institutional study at RIMS, Ranchi
Authors: Kiran Asha , Kumari Sushma , Kujur Manisha , Kashyap Vivek 
Published: September 2019

Background: Personal protective equipment (PPE) continues to play an integral role in prevention of transmission of infection in the healthcare setting. The objective of this study is to determine the level of knowledge, attitude and practice of universal precautions for control of infection among health care workers.Methods: Cross sectional study were conducted at Rajendra Institute of Medical Sciences, Ranchi during the period of November 2018 to January 2019. 151 paramedical staffs were included as study population. Sampling method was consecutive sampling.Results: The present study included 151 paramedical staffs, based on our criteria about knowledge of PPEs, 88.7% (134) of participants had the knowledge, while 11.3% (17) did not have. 77% (116) of paramedical staffs received formal training while 23.2% (35) didn’t. 95.68% had the knowledge about PPEs who received training (116), while out of untrained person 65.71% already had knowledge about PPEs which is statistically significant. Departments which always use PPEs are emergency (50%) followed by pathology (16.6%) and Neurosurgery (13.3%) which is statistically significant. Those who frequently use PPEs, 89.6% had knowledge while 10.4% did not have. 85.4% of paramedical staff change gloves between procedures on same patient. Non availabilityof PPEs inhibit maximum percentage of Paramedical staffs 72% towards use of PPEs followed by lack of information and education 12% and uncomfortable PPEs 5%.Conclusions: Proper training should be provided to healthcare workers for universal precaution. Information about universal precaution can be spread in the form of posters in different wards.
Especialização inteligente e a descoberta empreendedora em Pernambuco
Authors: Pinto Hugo , D'Emery Raphael , Nogueira Carla , Laranja Manuel 
Published: September 2019

As estratégias de especialização inteligente (RIS3) têm-se assumido como um novo paradigma de políticas regionais de inovação na União Europeia. Suas características diferenciadoras operam numa dupla dialética entre um processo planeado top-down e na participação profunda bottom-up dos atores para definir prioridades de investimento por meio de processos de descoberta empreendedora. Este artigo parte da experiência recente de adaptação dos princípios RIS3 ao Brasil, no estado de Pernambuco. São analisados dois setores – confecções e atividades no cruzamento das tecnologias de informação com o setor automotivo (automotivo-TI) – para testar a metodologia RIS3, identificar necessidades e utilização de serviços de inovação e gerar potenciais “atividades transformadoras” para o desenvolvimento dos referidos setores. O artigo mobiliza informação de um questionário e de sessões participativas, para evidenciar semelhanças e diferenças entre ambos os setores e identificar pistas para ideias-parcerias para a promoção da dinâmica inovadora neste estado brasileiro.
KAJIAN VARIASI KONSENTRASI CMC (CARBOXYL METHYL CELLULOSE) TERHADAP KARAKTERISTIK SENSORIS, FISIK DAN KIMIA SELAI UMBI BIT (Beta vulgaris L.) DENGAN PENAMBAHAN EKSTRAK KAYU MANIS (Cinnamomum sp.)
Authors: Wardani Ridya , Kawiji Kawiji , Siswanti Siswanti 
Published: September 2019

<p>This research aims to determine the effect of CMC (Carboxyl Methyl Cellulose) concentration on the sensory, physical and chemical properties of beetroot jam (Beta vulgaris L.) cinnamon extract. This research used Completely Randomized Design (RAL) with 1 factor and 4 treatment variation. The results showed that the variation of CMC concentration given on beetroot jam has an effect on the sensory characteristics of color parameters, total dissolved solids, viscosity, water content, water activity and antioxidant activity. The preferred formulation of the panelis is beetroot jam with 1% and 1.5% CMC concentration. The total value of total soluble solids on the beetroot jam with the addition of 1% CMC of 42.54oBrix and CMC 1.5% of 50.73oBrix. The value viscosity addition of CMC concentration 1% and 1.5% respectively amounted 9774,68 cP and 9858,1 cP. The value of water content with 1% addition of CMC is 46,81% and addition of CMC 1,5% is 51,57%. The activity of water on the beetroot jam with the addition of 1% CMC concentration is 0.88 and CMC 1.5% is 0.92. In testing of antioxidant activity of beetroot jam with addition of CMC1% and CMC 1,5% respectively 52,48% and 55,45%.</p>
PERAN PEREMPUAN DALAM PELESTARIAN LINGKUNGAN DI KEPULAUAN KARIMUNJAWA
Authors: Widjanarko Mochammad 
Published: September 2019

<p>The aim of this study is to analyze the role of women in preserving the environment in the Karimunjawa Islands. This research is a qualitative research with a phenomenological approach. The data collection used are in-depth interviews and observations. The data analysis research used is coding, by putting the codes on the material obtained. Coding is intended to be able to organize and systemize data in a complete and detailed manner so that data can appear in the description of the topic under study.</p><p>From the findings of the study it can be concluded: one of the roles of women in preserving the environment in Karimunajawa Islands is to manage waste, which is done by forming a waste bank and inviting families and other people to manage waste. While informants who have lodging houses also use water wisely and sort waste in the form of organic and non-organic waste. For informants who are teachers, besidesplanting crops that is needed everyday, they are able to invite their students to take care of the environment around the school and clean the beach.</p><p> </p><p><strong>Keywords:</strong> karimunjawa, environmental conservation, women's role</p><p> </p><p> </p><p align="center"><strong>Abstrak</strong><strong></strong></p><p>Tujuan Penelitian adalah menganalisis peran perempuan dalam melestarikan lingkungan di Kepulauan Karimunjawa. Penelitian ini adaah penelitian kualitatif dengan pendekatan fenomenologis. Pengumpulan data yang digunakan adalah wawancara mendalam dan pengamatan. Dalam penelitian analisis data yang digunakan adalah koding, dengan membubuhkan kode-kode pada materi yang diperoleh. Koding dimaksudkan untuk dapat mengorganisasi dan mensistemasi data secara lengkap dan mendetail sehingga data-data dapat muncul gambaran tentang topik yang diteliti. Dari hasil temuan penelitian dapat disimpulkan: salah satu peran perempuan dalam melestarikan lingkungan di Kepulauan Karimunajawa adalah mengelola sampah, yang dilakukan dengan membentuk bank sampah dan mengajak keluarga serta orang lain untuk mengelola sampah. Sedangkan informan yang memiliki rumah penginapan juga menggunakan air secara bijak dan memilah sampah dalam bentuk sampah organik dan nonorganik. Untuk informan yang berprofesi guru selain menanam tanaman yang bisa diperlukan sehari-hari juga mengajak muridnya dalam menjaga lingkungan di sekitar sekolah dan upaya melakukan bersih-bersih pantai.</p><p> </p><p> </p>
Pengembangan Petunjuk Praktikum IPA Fisika-Kimia Berbasis Learning Cycle 5E untuk Meningkatkan Keterampilan Proses Sains Calon Guru MI/SD
Authors: Adriyani Zuanita , Purwanti Kristi Liani 
Published: September 2019

Penelitian ini bertujuan untuk mengembangkan petunjuk praktikum IPA Fisika-Kimia berbasis <em>learning cycle 5E </em>yang valid dan implementasi petunjuk praktikum IPA Fisika-Kimia tersebut diharapkan dapat meningkatkan keterampilan Proses Sains Calon guru. Prosedur pengembangan dalam penelitian ini mengadopsi berbasis pengembangan Cennamo dan Kalk dengan langkah - langkah (1) fase pendefinisian yang meliputi studi pustaka, observasi awal; (2) fase perencanaan petunjuk praktikum IPA Fisika-Kimia dan instrumen penelitian; (3) fase peragaan atau uji coba skala kecil; (4) fase pengembangan petunjuk praktikum IPA Fisika-Kimia; dan (5) fase penyajian pada skala luas. Desain penelitian yang digunakan adalah “<em>one group</em><em> pretest posttest design</em>”. Pengambilan sampel dilakukan dengan teknik <em>purposive sampling</em>. Populasi sample yang terpilih adalah mahasiswa Pendidikan Guru Madrasah ibtidaiyah (PGMI) UIN Walisongo Semarang semester IV angkatan 2016/2017. Hasil simpulan bahwa Petunjuk praktikum IPA Fisika-Kimia yang dikembangkan memenuhi kriteria sangat valid. Petunjuk praktikum IPA Fisika-Kimia yang dikembangkan dapat meningkatkan keterampilan proses sains calon guru MI/SD dengan nilai N-gain sebesar 0,51 dengan kategori sedang. Respon mahasiswa terhadap petunjuk praktikum IPA Fisika-Kimia yang dikembangkan adalah sangat baik dengan rerata skor 26,6.
Wettability and Flow Rate Effects on Mass Transfer for Simulation of Fractured Reservoirs
Authors: R. Soler Sharon A. 
Published: September 2019

Abstract
Successful implementation of a recovery project in a fractured reservoir requires that the matrix fracture mass transfer is well understood. As a consequence, several processes involved in the mass transfer have been widely studied along time on account of its impact on the fractured porous media. Capillary imbibition is one of these significant phenomena and is considered through wettability in several mass transfer formulations (also called transfer functions) as the main mass driving force between matrix and fracture. This paper presents simulated results of waterflooding tests in a fractured core-plug model, evaluating the influence of wettability and flow rate alteration on the matrix-fracture mass transfer. The methodology applied is divided into three main parts. Initially, a single-porosity core model with an induced longitudinally fracture at laboratory scale is recreated. Secondly, three synthetically wettability scenarios (water-wet, intermediate-wet, and oil-wet) and two flow rates (0.1 and 1 cm³/min) are selected and applied in the core-plug model to perform, as a third step, a sensitivity analysis in terms of oil recovery factor, water cut and water saturation. Results show that the increase of rock preference for water leads to the highest oil recovery factors at low and high-water injection rate, benefiting mainly from the spontaneous imbibition of water. The spontaneous imbibition in these cases is notably critical in the low-rate scenario, due to its larger contact time with water and rock. However, the increment on production may not be economically feasible, because of the long time (high injected pore volumes) needed to get this increase. In contrast, intermediate and oil-wet scenarios exhibit low oil sweep and displacement efficiency at both water injection rates. Accordingly, these scenarios reach water breakthrough quickly and exhibit a less accentuated tendency to water saturation alterations if compared with the water-wet scenario. Results also show a good agreement between the water saturation distributions along the length and the effect of the induced fracture, validating its use.
In a numerical simulation study, this work shows the importance of close interaction between the wettability, flow rate changes, and the parameters that control matrix-fracture mass transfer. At last, the significance of these sensitive parameters is also demonstrated.
Vector analysis of Contoura Vision for the correction of myopia and myopic astigmatism
Authors: Lin Ying , Huanjun Su , Jianbin Wu , Xia Zhang , Xi Xu , Muzhi Yuan 
Published: September 2019

Abstract
Objective: To evaluate the visual outcomes of Contoura Vision with automatic eye tracking system in eyes with myopia and myopic astigmatism.

Methods: In this prospective study, 40 consecutive patients (80 eyes) with moderate myopia and irregular astigmatism were included from January to August 2018 at Liuzhou Worker’s Hospital. Subjects were randomly divided into an experimental group (40 eyes) that underwent Contoura Vision FS-LASIK and a control group (40 eyes) that underwent wavefront-optimized FS-LASIK. Target refractions of all subjects were plano. Visual outcomes and astigmatic vector analysis were evaluated and compared between preoperatively and 3 months post-operatively.

Results: The preoperative spherical and cylindrical refractive errors were similar in both groups (P>0.05). At 3 months postoperatively, cumulative uncorrected distance visual acuity (UDVA) was 20/16, 20/20, or 20/25 in 30 %, 95%, 100 % of patients in the experimental group, respectively. The experimental group was better than the control group in predictability of astigmatism correction at 3 months after operation. In the experimental group, 80% of eyes had deviation of astigmatic axis within 15° and 35% of eyes had deviation of astigmatic axis within 5°, both were better than those in the control group. The number of eyes with residual astigmatism within 0.5D were higher in the experimental group (60%, 24 eyes) than the control group (50%, 20 eyes). Compared with the preoperative, C7 significantly reduced to 0.056±0.030 in the experimental group at 3 months after the procedure (P<0.05), and were significantly lower than those in the control group (P<0.05).

Conclusion: Contoura Vision with automatic eye tracking system was safe and effective for the correction of myopia and myopic astigmatism.

Key words: vector analysis; irregular astigmatism; Contoura Vision
Management of Non-Muscle-invasive Bladder Cancer: Quality of Clinical Practice Guidelines and Variations in Recommendations
Authors: Zhang Jing , Wang Yunyun , Weng Hong , Wang Danqi , Han Fei , Huang Qiao , Deng Tong , Wang xinghuan , Jin Yinghui 
Published: September 2019

Abstract
Background: Bladder cancer (BC) has become a major worldwide public health issue, especially non-muscle-invasive bladder cancer (NMIBC). A flood of related clinical practice guidelines (CPGs) have emerged; however, the quality and recommendations of the guidelines are controversial. We aimed to appraise the quality of the CPGs for NMIBC within the past 5 years and compare the similarities and differences between recommendations for therapies.
Methods: A systematic search to identify CPGs for NMIBC was performed using electronic databases (including PubMed, Embase, Web of Science), guideline development organizations, and professional societies from January 12, 2014 to January 12, 2019. The Appraisal of Guidelines Research & Evaluation (AGREE) II instrument was used to evaluate the quality of the guidelines. Intraclass correlation coefficient (ICC) analysis was performed to assess the overall agreement among reviewers.
Results: Nine CPGs were included. The overall agreement among reviewers was excellent. The interquartile range (IQR) of scores for each domain were as follows: scope and purpose 69.44% (35.42%, 85.42%); stakeholder involvement 41.67% (30.56%, 75.00%); rigour of development 48.96% (27.08%, 65.63%); clarity and presentation 80.56% (75.00%, 86.11%); applicability 34.38% (22.92%, 40.63%) and editorial independence 70.83% (35.42%, 85.42%). The NICE, AUA, EAU and CRHA/CPAM clinical practice guidelines consistently scored well in most domains.
It was generally accepted that the transurethral resection of bladder tumour (TURBT) and intravesical chemotherapy should be performed in the management of bladder cancer. The application of chemotherapy was highly controversial in high risk NMIBC. The courses of BCG maintenance were similar and included 3 years of therapy at full maintenance doses.
Conclusions: The quality of NMIBC guidelines within the past 5 years varied, especially regarding stakeholders, rigour and applicability. Despite many similarities, the recommendations had some inconsistencies in the details.
Use of Student-generated Multiple Choice Questions to Enhance Team-based Learning of Anatomy at the University of Rwanda
Authors: SIBOMANA ISAIE , Karenzi Irenee David , Niyongombwa Irenee , Byiringiro Jean Claude , Gashegu Julien , Ntirenganya Faustin 
Published: September 2019

Abstract
Introduction: Teaching of human anatomy has undergone significant changes in last 3 decades. At the University of Rwanda, anatomy is being taught using team-based learning (TBL). While student generated multiple choice questions (MCQs) stimulate deeper thinking of a given topic, their impact on anatomy learning is not known. This study aimed to improve anatomy teaching and student satisfaction by combining both models. Methods: It was a comparative interventional study where two similar chapters of anatomy were selected and one taught using team based learning while the other one, in addition to TBL, student were encouraged to set MCQs while studying. Pre- and post-test scores were analysed using SPSS 23 and student t-test was used to compare the mean score obtained. Results: 31 medical students were recruited. Pre-test mean scores in both chapters were 25.10 and 25.19 over 50 for chapter 1 and chapter 2 respectively. Although the students’ post-test scores improved after teaching for each chapter, it was much more for chapter 2 than chapter one with mean score of 39.97 and 32.45 over 50 respectively (P<0.05). Despite such improvement, setting MCQs was not easy in almost a half of students. Conclusion: This study has found that student generated MCQs can be used as a simple and cost effective tool to enhance TBL learning of anatomy. Keywords: Anatomy, teaching, MCQs, TBL, University of Rwanda
Impact of a Postcrash First Aid Educational Program on Knowledge, Perceived Skills Confidence, and Skills Utilization Among Traffic Police Officers: A Single-Arm Before-After Intervention Study
Authors: Ndile Menti Lastone , Lukumay Gift G. , Bolenius Karin , Outwater Anne H. , Saveman Britt-Inger , Backteman-Erlanson Susann 
Published: September 2019

Abstract
Background An overwhelming proportion of road traffic deaths and injuries in low- and middle-income countries (LMICs) occur in prehospital environments. Lay first responders such as police officers play an important role in providing initial assistance to victims of road traffic injuries either alone or in collaboration with others. The present study evaluated a postcrash first aid (PFA) educational program developed for police officers in Tanzania.Method A 16-hour PFA educational program was conducted in Dar es Salaam, Tanzania, for 135 police officers. Participants completed training surveys before, immediately and six months after the training (before, N = 135; immediately after, N = 135; after six months, N = 102). The primary outcome measures were PFA knowledge, perceived skills confidence, and skills utilization. Parametric and nonparametric tests were used to analyse changes in outcome.Results The mean PFA knowledge score increased from 44.73% before training ( SD = 20.70) to 72.92% six months after training ( SD = 18.12), p ˂ .001, N = 102. The mean PFA perceived skills confidence score (measured on a 1–5 Likert scale) increased from 1.96 before training ( SD = 0.74) to 3.78 six months after training ( SD = 0.70), p ˂ .001, N = 102. Following training, application of the recovery position skill ( n = 42, 46%) and application of the bleeding control skill ( n = 45, 49%) were reported by nearly half of the responding officers. Less than a quarter of officers reported applying head and neck immobilization skills ( n = 20, 22%) following training.Conclusion A PFA educational program may be an effective means of imparting basic knowledge and skills for prehospital trauma care to lay first responders in contexts where resources are limited. Furthermore, the likelihood of applying such skills can be enhanced by the availability of the necessary resources.
A pilot study comparing ergonomics in laparoscopy and robotics: beyond anecdotes and subjective claims
Authors: Kuo Li-Jen , Ngu James Chi-Yong , Lin Yen-Kuang , Chen Chia-Che 
Published: September 2019

Abstract
Background: Minimally-invasive surgery has been shown to more demanding on the surgeon than open surgery. This can be manifested as physical fatigue and impaired dexterity, affecting the performance of the surgeon. In this study, we aimed to use hand dexterity and grip strength test as objective measures to compare the difference in surgeon fatigue associated with robotic and laparoscopic colorectal surgery. Methods: A pilot study was conducted between February 2019 and May 2019, recruiting consecutive colorectal patients operated on by a single surgeon using laparoscopy or robotics. We used the Purdue Pegboard Test (PBT) to assess hand dexterity, and the Camry Electronic Handgrip Dynamometer to assess hand grip strength. Before each operative procedure, the surgeon was tasked to perform both tests in a standardized sequence. These tests were repeated two hours into surgery.Results: Eighteen patients were operated on, including 10 robotic and 8 laparoscopic cases. Statistical analysis revealed no difference in dexterity or muscle fatigue after operating with the robot. In contrast, there was a significant difference in the hand grip strength of both hands after laparoscopic surgery (P = 0.04 and 0.02, respectively).Conclusions: Our results show that the resultant fatigue after laparoscopy affects both hands of the surgeon. In contrast, there was no difference in dexterity or muscle fatigue after operating with the robot. Given the demands of complex colorectal surgeries, robotics may be a means of optimizing surgeon performance by reducing fatigue.
Mortality among neonates admitted to Hawassa University comprehensive and specialized hospital, Hawassa, Southern Ethiopia.
Authors: Deressa Ababe , Yadate Shewangizaw Mekonnen , Yeba Zemu , Mekonnen Eden , Assefa Samuel 
Published: September 2019

Abstract
Background Neonatal mortality is defined as all deaths occurring before the 28th day of life. Neonatal death less than 7 days in Ethiopia reduced much slower than under 5 mortality recently. The objective of the study was to identify proportion of neonatal mortality and associated factors among neonates admitted to neonatal intensive care unit over the past five years.Methods Cross sectional study design with retrospective chart review was applied. Data entry was handled with EpiData 3.1 and exported to SPSS 22 for analysis. Bivariate and multivariate logistic regression analysis were applied to test factors associated with neonatal mortality.Results From the admitted neonates, 34.2% (111) deaths were recorded in the hospital. Neonatal sepsis was the leading diagnosis (36.9%) on admission. Neonates who born to mothers who had previous history of abortion [P=0.003, AOR=4.227, 95%CI: 1.653, 10.810] had almost 4 times more probability of death than those born to mothers whose previous pregnancy outcome was life birth.Conclusions Prevalence of neonatal mortality over the past five years was 34.2%. Previous pregnancy outcome, birth weight and 5th minute APGAR score had significant statistical association with neonatal mortality.