bluuebunny/crossref_metadata_2025_split huggingface dataset:
Treinamento e Desenvolvimento: Foco na área de vendas
Authors: Santos Natani Amorin dos , Estender Antônio Carlos 
Published: September 2019

O presente trabalho busca gerar conhecimentos para a aplicação prática, visa também solucionar problemas específicos, no caso, avaliar a eficiência dos treinamentos oferecidos para a área de vendas. Objetivo: analisar a metodologia de aplicação dos módulos de treinamento para área de vendas no ramo de Construção Civil. Método: o trabalho foi realizado por meio de estudo de caso, entrevistas, de natureza qualitativa e exploratória, sendo a coleta de dados realizada através de um questionário destinado aos colaboradores. Resultados: o levantamento de dados realizado na empresa XYZ (nome fictício) possibilitou identificar a importância da customização dos treinamentos, ou seja, tornar colaboradores da área de vendas verdadeiros especialistas em seu mercado de atuação e treiná-los de acordo com a complexibilidade do produto ou serviço oferecido para o cliente. Conclusão: a força de vendas é o oxigênio da empresa; o treinamento e desenvolvimento é uma das diversas ferramentas para desenvolver habilidades e competências capazes de fazer diferença no resultado de uma organização.Palavras-chave: Treinamento. Desenvolvimento. Vendas. Capacitação.AbstractThis study seeks to generate knowledge for practical application, also aims to solve specific problems, in this case, to assess the training effectiveness provided to the sales area. Objective: To analyze the application of training modules methodology for the sales area, in the Construction industry. Method: The study was conducted through case studies, interviews, qualitative and exploratory nature, with data collection conducted through a questionnaire for employees. Results: The data survey in XYZ Company (fictitious name) enabled us to identify the importance of training customization, that is to make sales are employees experts in their market, train them according to the complexity of the product or service offered to the customer. Conclusion: the sales force is the oxygen of the company; training and development is one of several tools to develop skills and abilities capable of making a difference in the outcome of an organization.Keywords: Training. Development. Sales. Capacity.
Representação do Trabalho na Construção Civil Pesada: Prazer ou Sofrimento?
Authors: Gasperini Edna , Rigotti Priscila Regina , Derrosso Giuliano 
Published: September 2019

O trabalho sempre foi visto como uma tarefa complicada e que necessita de dedicação para conseguir realizar e finalizar. Quando esta palavra associada ao emprego, nota-se a importância que traz ao significado e a vida das pessoas, além de colaborar para a mudança na visão de mundo. Este artigo quer compreender a representatividade do seu trabalho/emprego para os trabalhadores da construção civil pesada no trecho da BR 277, além de tentar entender a maneira como eles vivenciam e dão sentido as suas experiências ao longo da vida nesta atividade, que é visto pela sociedade como árduo. Buscou-se observar como os trabalhadores classificavam seu trabalho em prazer e/ou sofrimento, fazendo indagações e entrevistas no próprio local de trabalho, para que pudesse complementar e vivenciar o seu dia-a-dia. A subjetividade também foi abordada com o intuito de salientar a importância da individualidade na leitura das produções por cada sujeito.Palavras-chave: Representação. Subjetividade. Construção Civil.Abstract Work has always been a complicated task and requires dedication to be accomplished and finished. When work associated with employment results in an important matter that brings meaning for people’s lives, besides it collaborates with the change in world’s view. This article aims to understand the representativeness of work / employment for heavy construction workers who work at BR 277 and try to understand how they experience and give meaning to their lifelong experiences on this activity, which is seen by society as arduous. We observed how the workers classified their work in pleasure and / or suffering, making inquiries and interviews in their workplace, so it could complement the experiences of their daily lives. Subjectivity was also approached in order to emphasize the importance of individuality in reading the productions by each subject.Keywords: Representation. Subjectivity. Heavy Construction.
A randomized controlled trial of sublingual Misoprostol - 600µg versus intravenous Oxytocin - 10IU in prevention of post partum hemorrhage during cesarean section
Authors: Yaliwal Rajasri G. , Bidri Shailaja R. , Navani Ashwini S. 
Published: September 2019

Background: Mortality related to pregnancy and childbirth causes half a million women around the world to die annually. About 35% of these deaths are from postpartum hemorrhage (PPH). Prevention of PPH has been advised by the WHO by the use of Oxytocin 10 IU IM or IV and Misoprostol 600 µg in low resource settings in vaginal delivery. However there have been only a few reports on the use of Misoprostol during cesarean section. The best route and dose of Misoprostol is still being debated.Methods: One hundred women with term singleton pregnancy undergoing elective or emergency cesarean section under spinal anesthesia were randomly allocated to receive either Misoprostol 600µg sublingually or intravenous oxytocin 10 IU soon after delivery of the baby. Estimated blood loss and comparative change in preoperative hemoglobin to post operative hemoglobin levels and side effects were evaluated.Results: Blood loss was found to be more in Misoprostol than Oxytocin. Eight patients of the Misoprostol group required additional oxytocics. Oxytocin group did not receive any additional drugs. No surgical intervention was made in either of the groups. The most common side effect with Misoprostol was shivering (46%) and in Oxytocin group fever (4%).Conclusions: Sublingual Misoprostol of 600µg works to prevent postpartum bleeding. In our study Oxytocin was more effective than Misoprostol in preventing PPH during cesarean section. Late onset of action of Misoprostol in comparison to Oxytocin may render suturing of the uterus difficult due to pooling of blood. In settings in which use of Oxytocin is not feasible, Misoprostol might be a suitable alternative for post-partum hemorrhage.
Knowledge about stroke among adults in Sharjah, United Arab Emirates
Authors: Karkout Rami A. , Shamaa Omar , Al Ammour Sara T. , Abd Elmaged Rana S. , Al Kassar Lujain A. , Al Ali Meera N. 
Published: September 2019

Background: In UAE, stroke is the second leading cause of disability after RTA, where annually 8,000 to 10,000 patients get a stroke. Our aim is to identify the knowledge levels of stroke among Sharjah’s adult citizens.Methods: Using self-administered questionnaires, in a cross-sectional design, a non-probability convenience sampling method was used to enrol subjects. Eligible subjects were above 18 years of age, comprehended Arabic or English, and are currently residing in Sharjah. The questionnaire was 17 questions structured in 5 sections which included: demographics, general knowledge, knowledge of signs and symptoms, risk factors, and appropriate response towards stroke. SPSS V.22 was used to analyse the data. Percentages, means, and ANOVA were used. A P-value less than 0.05 was considered to be statistically significant.Results: The study included 426 subjects, mean age was 35.1 years, 65.2% were females. 51.8% of the subjects claimed they know what stroke is, out of whom 24.3% provided incorrect descriptions. The mean knowledge level of signs and symptoms was 55.4%, and of risk factors was 40.6%. Visual disturbance was the least identified of the five signs and symptoms (38.0%). Female gender, African American race, and age above 60, were the least identified of the 8 risk factors (4.7%, 3.5%, 19.8% respectively). Better knowledge was associated with increased age and higher education. Conclusion: The majority of the sample showed an average to low level of knowledge. Such results indicate the importance of implementing more awareness programs that target younger age groups in the community.
The Relationship between Attitude toward Research and Research Self-efficacy in MSc Students of Medical Sciences
Authors: ShahriaryKalantary Manijeh , Nasiriani Khadijeh 
Published: September 2019

Introduction: Positive attitude towards research can increase the students’ interest in research. Research self-efficacy is an effective factor on attitude towards research. It seems that higher research self-efficacy can influence students’ interest in research. Therefore, this study was conducted to determine the relationship between attitude to research and research self-efficacy in MSc students of medical sciences.
Methods: In this descriptive study, 176 graduate students in medical sciences were selected through stratified random sampling. The data collection tool was the questionnaires of attitude toward research and research self-efficacy. Data analysis was conducted using parametric statistical tests by SPSS version 15.
Results: Most samples were female (80.1%) and studied nursing (10.8%), while a minority of them was studying parasitology and physiology (1.1%). A significant statistical correlation was observed between the mean scores of attitude towards research and research self-efficacy of students. Moreover, a significant correlation was found between the mean scores of attitude towards research and the students' age and gender.
Conclusions: Based on the results, existence of a positive relationship between attitude and research self-efficacy suggests that creation of a positive attitude towards research creates higher research self-efficacy beliefs in students and provides a basis for more student research.
Development of self-directed learning readiness with experiential learning model in analytical chemistry laboratory
Authors: Alkan Fatma 
Published: September 2019

This paper aims to analyse the effect of quantitative analysis practices in analytical chemistry laboratory designed according to the experiential learning model on the self-directed learning readiness of prospective teachersâ€™. In the research, experiential learning model has four steps that are concrete experience, reflective observation, abstract conceptualisation and active participation. A single group, pre-test post-test experimental design was used. The study group consists of 14 prospective chemistry teachersâ€™. The self-directed learning readiness scale and focus group interviews were used as a data collection tool. After the application increase, the level of self-directed learning readiness. Difference between pre-test and post-test scores of the study group was significant. When the sub-scales of the scale examined, there was a meaningful difference in the â€˜willingness to learn and self-controlâ€™ sub- scales. In the focus group interviews, the prospective teachersâ€™ emphasised that experiential learning provided an understanding of the purpose of quantitative applications of analytical chemistry.
Keywords: Self-directed learning readiness, experiential learning model, analytical chemistry laboratory.
Outcomes of Posterior Glenoid Bone-Grafting in Anatomical Total Shoulder Arthroplasty
Authors: Gates Stephen , Cutler Holt , Khazzam Michael 
Published: September 2019

Background:Total shoulder arthroplasty offers a reliable means with which to treat glenohumeral joint arthritis. Posterior glenoid bone loss presents a unique challenge with an increased risk of glenoid component failure. The use of posterior bone-grafting is one method to address glenoid bone loss in patients undergoing anatomical total shoulder arthroplasty. The purpose of the present study was to assess the outcome and survival of the glenoid component following the use of bone graft to address posterior glenoid bone loss in patients undergoing anatomical total shoulder arthroplasty.Methods:A systematic review of posterior glenoid bone-grafting in patients undergoing anatomical total shoulder arthroplasty was performed. Studies evaluating patient-reported outcomes, complications, and imaging assessments of the glenoid component as well as of bone graft structural healing and integrity following posterior glenoid bone-grafting were included. Data extracted included demographic characteristics, Walch classification, bone-grafting method, clinical outcomes measures, complications, radiolucency around the glenoid component, graft failure, posterior humeral head subluxation, and time of the latest follow-up.Results:Six studies met the inclusion and exclusion criteria. Ninety-four patients from these 6 studies underwent posterior glenoid bone-grafting with anatomical total shoulder arthroplasty. The mean age was 59.7 years, and the mean duration of follow-up was 5.7 years. Overall, 57% of the patients had an excellent postoperative Neer score. At the time of the latest follow-up, 28.7% had evidence of radiolucency and 35% had humeral head subluxation or instability. Thirteen patients (14%) underwent revision of the glenoid component by the time of the latest follow-up.Conclusions:The present study demonstrated a 28.7% complication rate, a 14% revision rate, a 17% graft failure rate, and a 35% rate of recurrence of posterior humeral head subluxation. Posterior glenoid bone-grafting to correct bone loss is associated with a substantial risk of postoperative complications. The treatment of posterior glenoid bone loss remains a challenge in patients undergoing anatomical total shoulder arthroplasty.Level of Evidence:TherapeuticLevel IV. See Instructions for Authors for a complete description of levels of evidence.
Awareness of Myopia: A Survey Among Parents Residing in Singapore
Authors: Salim Arief Tjitra , Keel Stuart , Foreman Joshua , Dirani Mohamed 
Published: September 2019

Abstract
Background: Given the rising public health burden of myopia, population-based data on the level of awareness about myopia amongst parents in Singapore are required for planning future awareness campaigns and public health interventions. This study aimed to evaluate the level of awareness of myopia amongst a group of parents residing in Singapore.
Methods: This study was a cross-sectional survey. A sample of 326 participants aged 19 to 69 years with at least 1 child were recruited at The Kidz Academy (TKA) 2018 exhibition in Singapore. Socio-demographic characteristics, smart device use and awareness of myopia (prevalence and mitigation strategies) were collected via an interviewer-administered online questionnaire.
Results: 56.7% (185/326) of survey respondents were aware of the high prevalence of myopia amongst secondary school-going Singaporean children. 18.1% (59/326) of the respondents reported that an eye-to-screen distance of less than 30 cm was acceptable and 27.0% (88/326) were unaware of the importance of regular eye examinations among children. Less than half of the respondents [46.6% (152/326)] correctly identified that Singaporean children spend at least 6.5 hours a day on digital screens. 87.7% (286/326) were aware of the importance of outdoor activity as an intervention to slow the progression of myopia, with female respondents significantly more likely to be aware of its importance [odds ratio (OR) = 2.12, 95% confidence interval = 1.09 – 4.13, χ2 = 4.86, P = .03].
Conclusion: Survey respondents demonstrated a good level of awareness of the high prevalence of myopia in Singapore and the protective role of outdoor activity in its development and progression. Awareness campaigns may be beneficial for promoting regular eye examinations amongst children and educating the public on the risk of excessive time spent on smart devices.
Ability of Real-time PCR for Differential Diagnosis of Various Forms of Cutaneous Leishmaniasis: A Comparative Study with Histopathology
Authors: Abadi Maryam Fekri Soofi , Fekri Meisam , moradabadi alireza , Vahidi Reza , Meymandi Simin Shamsi , Dabiri Donya , dabiri shahriar 
Published: September 2019

Abstract
objective: Histopathological studies suggest that parasite load is different between acute and chronic forms of cutaneous leishmaniasis (CL). However, highly sensitive detection methods are still needed to distinguish different forms of leishmaniasis. In the present study, we developed a quantitative real-time polymerase chain reaction (PCR) to detect and quantify leishmania tropica parasites in paraffin-embedded tissue samples.
Results: The ability of real-time PCR for leishmania detection was higher than histopathological evaluation. The parasite loads were quantified by qPCR assay and microscopic evaluation were highly correlated ( r =0.598; P <0.001). Among patients, the parasite load was inversely correlated with disease duration (acute CL lesions had very higher parasite loads than chronic CL lesions), but there was no difference in parasite load according to the patients’ age and sex as well as location of the lesions. In contrast to Ridley scoring system (P<0.001), there were no statistically significant differences in the relative number of parasites among the lupoid and non-lupoid forms of chronic lesions in real-time PCR (P=0.549), which indicates the superiority of histopathological evaluation in CL forms differentiation.
Fetal pulmonary valvuloplasty in fetuses with right ventricular outflow tract obstructive disease: experience and outcome of the first five cases in China
Authors: Pang Chengcheng , Pan Wei , Zhang Zhiwei , Zhou Chengbin , Li yufan , Zhang Xu , Han Fengzhen , Sun Yunxia , Wang Cheng , Zhuang Jian 
Published: September 2019

Abstract
Background To report our initial experience of fetal pulmonary valvuloplasty (FPV) in fetuses with pulmonary atresia with intact ventricular septum (PA/IVS) or critical pulmonary stenosis (CPS), including the experiences of case selection, technical feasibility, post-FPV effects in utero and the postnatal outcome. Methods Two cases with fetal PA/IVS and three cases with fetal CPS were enrolled between September 2016 and April 2018, and all cases were diagnosed with severe right ventricular dysplasia and growth arrest by fetal echocardiogram. Parameters of right heart structure development and hemodynamics from echocardiography included tricuspid /mitral annulus ratio (TV/MV), right ventricle/left ventricle long-axis ratio (RV/LV), tricuspid valve inflow duration/cardiac cycle ratio (TVI/CC), degree of tricuspid regurgitation (TR), blood flow direction of arterial duct and ductus venosus. FPV procedure was performed trans-abdominally under ultrasound-guidance. Echocardiography was performed post-procedure immediately and every 2-4 weeks until delivery. Results Seven FPV have been performed in the five fetuses with PA/IVS or CPS. The median gestational age at the time of FPV was 28 weeks. From technical perspective, pulmonary balloon valvuloplasty was successfully performed in all cases. The opening of pulmonary valve improved in these five cases in 2-4 weeks. However, progressive restenosis was detected in four fetuses during advancing gestation and re-atresia occurred in two PA/IVS cases at 36 weeks and 37 weeks gestation, respectively. The growth trajectories of TV/MV, RV/LV, and TVI/CC improved in the first weeks, and then slowed down along with the pulmonary valve restenosis. All fetuses were born alive and underwent postnatal interventions, including pulmonary balloon valvuloplasty in 3 cases and surgical procedures in 2 cases. During the follow-up, three fetuses became biventricular, one case became one and a half ventricular at one year of age and the other one died of neonatal infection. Conclusion FPV is feasible and safe for fetuses during the second and third trimester of pregnancy. PV restenosis may occur as pregnancy advances, but overall, FPV still improved the growth trajectories of fetal right heart structures and has the potential to alter the natural history of PA/IVS and CPS.
The effect of Liv-52 on liver ischemia reperfusion damage in rats
Authors: Cimen Orhan , Eken Huseyin , Cİmen Ferda Keskin , Cekic Arif Burak , Kurt Nezahat , Bilgin Asli Ozbek , Suleyman Bahadir , Suleyman Halis , Mammadov Renad , Pehlivanoglu Kamil , Kurnaz Eray 
Published: September 2019

Abstract
Background: Liver ischemia reperfusion (I/R) damage is frequently seen in clinical hepatobiliary surgeries and there is no effective treatment for it. Liv-52, known to have hepatoprotective effects, is a natural antioxidant drug licensed by Ministry of Health of India. Therefore, the aim of our study is to investigate the effect of Liv-52 on liver damage induced by I/R in rats.Methods: Albino Wistar male rats were divided into three groups; liver I/R (IR), 20 mg/kg Liv-52 + liver ischemia reperfusion (LIR) and sham operation applied to control group (HG). Liv-52 was administered to the LIR group (n-6) one hour prior to I/R application and distilled water was given orally to IR (n-6) and HG (n-6) groups as a solvent. In animals, ischemia was determined as one hour, and reperfusion was identified as six hours.Results: Increased levels of alanine aminotransferase, aspartate aminotransferase and lactate dehydrogenase, malondialdehyde, myeloperoxidase, and decreased levels of superoxide dismutase, and glutathione related enzymes caused by I/R application have been converged to healthy group level with Liv-52 treatment and the damage occurred in liver tissue has been improved histopathologically.Conclusions: Liv-52 may be beneficial for preventing liver I/R damage in pre-surgery application.
Three Easily-Implementable Changes Reduce Median Door-To-Needle Time for Intravenous Thrombolysis by 23 Minutes
Authors: Tran Demi , Zhu Zhu , Shafie Mohammad , Abcede Hermelinda , Stradling Dana , Yu Wengui 
Published: September 2019

Abstract
Background:The benefit of intravenous thrombolysis (IVT) for acute ischemic stroke (AIS) is time dependent. Despite great effort, the median door-to-needle time (DNT) was 60 minutes at the U.S. stroke centers. We investigated the effect of a simple quality improvement initiative on DNT for IVT.
Methods: This is a single-center study of patients treated with IVT between 2013 and 2017. A simple quality improvement initiative was implemented in January 2015 to allow the Stroke team to manage hypertension in the emergency room, to make decision for IVT before getting blood test results unless patients were taking oral anticoagulants, and to give IV tPA in the CT suite. Baseline characteristics, DNT and outcomes at hospital discharge were compared between pre- and post-intervention groups.
Results: Ninety and 136 patients were treated with IVT in pre- and post-intervention groups, respectively. The rate of IVT was significantly higher in the post-intervention group (20% vs. 14.4%, p=0.007).The median DNT with interquartile range (IQR) was reduced significantly by 23 minutes (63[53-81] versus 40[29-53],p<0.001) with more patients in the post-intervention group receiving IVT within 60 minutes (81.6% versus 46.7%) and 45 minutes (64.0% versus 17.8%). There was no significant difference in symptomatic intracerebral hemorrhage rate (1.5% vs 1.1%), functional independence at discharge (mRS 0-1, 29.4% vs 23.3), and hospital mortality (7.4% vs 6.7%) between the 2 groups.
Conclusions:Three easily-implementable quality improvement initiative increases IVT rate and reduces DNT significantly. It is safe and can be easily adopted at other stroke centers.