bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perception Versus Reality: The Use of Teach Back by Medical Residents
Authors: Feinberg Iris , Ogrodnick Michelle M. , Hendrick Robert C. , Bates Kimberly , Johnson Kevin , Wang Bingyan 
Published: July 2019

Background:
Health care providers (HCPs) may ask patients if they understand their diagnosis or instructions during clinic visits; patients often simply say yes. However, many patients leave with little idea of their medication and discharge instructions. Teach Back (TB) is a patient-centered health-literate technique that allows HCPs to confirm patient understanding during clinic visits.

Objective:

The purpose of this pilot study was to determine a relationship between perception and actual use of TB by medical residents in primary care outpatient clinics (providers,
N
= 16; clinic visits,
N
= 80) and, if the observed rate of TB was discordant with perception, did a TB skills training intervention have any impact on use of TB (clinic visit,
N
= 78). We were also interested in language used during TB and if use of TB was related to patient demographics or health literacy level.

Methods:

Medical residents' perception was measured using the “Always Use Teach-Back Confidence and Conviction Scale” (
N
= 16). Clinic visits were audiotaped and scored for use of TB (pre-intervention,
N
= 80; post-intervention,
N
=78). The intervention was a 1-hour TB skills training course. Content analysis was performed to understand the use of TB language.

Key Results:

Despite the high level of confidence/conviction about TB (
r
[16] = .669,
p
<. 05) TB was only used twice out of 80 visits during pre-intervention clinic visits. During post-intervention, use of TB increased to 41 times by 10 residents (c2[1,
N
= 16] = 6.533,
p
<. 05). TB language after the intervention was more collaborative; there was a relationship between gender and use of TB.

Conclusion:

Results from our pilot study identified three important observations that may be critical to improving health-literate physician communication: residents believe they are using TB in the clinic for many patients; use of TB was discordantly low at 2.5%; and a single 1-hour skills training intervention dramatically increased TB use to 53%. Residents used patient-centered TB language after the training intervention.

[
HLRP: Health Literacy Research and Practice
. 2019;3(2):e117–e126.]

Plain Language Summary:
Medical residents believe they are using Teach Back to confirm patient understanding in the clinic 60% of the time when they actually used Teach Back only 2.5% of the time. After an educational intervention, they used Teach Back 53% of the time; Teach-Back language was collaborative and patient-centered, and all but two patients confirmed their medication and discharge plan.
DUCTILITY RESPONSE OF HYBRID FIBRE REINFORCED CONCRETE BEAMS
Authors: Natarajan Eswari 
Published: July 2019

Abstract:	The effect of fibre content on the Strength and ductility behaviour of hybrid fibre reinforced concrete (HFRC) beams having different fibre volume fractions was investigated. The parameters of this investigation included service load, ultimate load, service load deflection, ultimate load deflection, crack width, deflection ductility and energy ductility. The fibre volume fraction (Vf) ranged from 0.0 to 2.0 percent. Steel and polyolefin fibres were combined in different proportions and their impact on the above parameters was studied. The ductile response of hybrid fibre reinforced concrete beams was compared with that of control beam. The test results show that addition of 2.0 percent by volume of hybrid fibres improve the strength and ductility appreciably. Empirical expressions for predicting the strength and ductility of hybrid fibre reinforced concrete (HFRC) are proposed based on regression analysis. A close agreement has been obtained between the predicted and experimental results.
Correlates of sedentary behaviour among adolescents and adults with hazardous, harmful or dependent drinking in South Africa
Authors: Peltzer Karl , Phaswana-Mafuya Nancy , Pengpid Supa 
Published: July 2019

Background: There is lack of information on the correlates of sedentary behaviour among persons with alcohol use disorders. The study aimed to examine socio-demographic and health correlates among adolescents and adults with hazardous, harmful or probable dependent alcohol use (= problem drinking).Method: Data from the cross-sectional South African National Health and Nutrition Examination Survey (SANHANES-1) 2011–12 were analysed. From a total sample of 15 085 persons aged 15 years and older, 2849 adolescents and adults (mean age = 37.1 years, standard deviation [s.d.] = 15.1) were identified as problem drinkers, based on the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C). Multivariable logistic and linear regression were used to determine the associations between socio-demographic characteristics, health variables and high sedentary behaviour (≥8 h/day) and total minutes of sedentary behaviour a day.Results: The prevalence of high sedentary behaviour (≥ 8 h/day) was 11.9% overall (11.9% among men and 12.1% among women), and the mean (s.d.) duration of sedentary behaviour was 263 (169) min/day. In bivariate analysis, older age, population group, functional disability, cognitive impairment, having hypertension, having had a stroke and posttraumatic symptoms were correlated with high sedentary behaviour. In adjusted logistic regression analysis, older age and being Indian or Asian were positively, and having been diagnosed with angina was negatively, associated with high sedentary behaviour. In linear regression analysis, older age, not employed and having had a stroke were positively, and being of mixed race and having angina were negatively, associated with total minutes (up to 960 min/day) of sedentary behaviour in a day.Conclusion: The study provides socio-demographic and health correlates of sedentary behaviour among problem drinkers. This information can guide possible future interventions in reducing sedentary behaviour among problem drinkers.
Depressive symptoms and associated factors in medical interns at a tertiary hospital
Authors: Naidu Kaveshin , Torline John R. , Henry Michelle , Thornton Helena B. 
Published: July 2019

Background: It is known that medical doctors suffer from increased rates of depression with medical interns being most at risk. Despite this, little is known about the prevalence of depression in interns in South Africa.Objectives: This study aimed to assess the prevalence of depressive symptoms in interns employed at Groote Schuur Hospital, a tertiary hospital in the Western Cape.Method: The study was a cross-sectional study. All 91 interns were invited to participate in the study and consenting interns were required to complete a demographic and related questionnaire and the Beck Depression Inventory 2 (BDI-2).Results: Fifty-four (59.3%) of all invited interns participated in the study. Twenty-two interns (40.7%) reported a BDI-2 score of 14 or greater, indicating at least mild self-reported symptoms of depression. Features associated with a BDI-2 score of 14 or greater, included female gender, a previous diagnosis of depression, seeing a psychotherapist and previously being on antidepressant medication during internship. Other features also significantly associated with higher BDI-2 scores included suicidal ideation, thoughts of emigration, wanting to leave medicine and using substances to cope. The most significant associated feature of high BDI-2 scores was a subjective feeling of being ‘burnt out’.Conclusion: Interns had a higher prevalence of depressive symptoms when compared to the general population. The feeling of being ‘burnt out’ was the most significant factor associated with the severity of depressive symptoms. It is imperative that the mental health of both medical students and newly qualified doctors be prioritised, supported and monitored.
Sea salt aerosol production via sublimating wind-blown saline snow particles over sea ice: parameterizations and relevant microphysical mechanisms
Authors: Yang Xin , Frey Markus M. , Rhodes Rachael H. , Norris Sarah J. , Brooks Ian M. , Anderson Philip S. , Nishimura Kouichi , Jones Anna E. , Wolff Eric W. 
Published: July 2019

Abstract. Blowing snow over sea ice has been proposed as a
significant source of sea salt aerosol (SSA) (Yang et al., 2008). In this
study, using snow salinity data and blowing snow and aerosol particle
measurements collected in the Weddell Sea sea ice zone (SIZ) during a winter cruise, we perform a comprehensive model–data comparison with the aim of
validating proposed parameterizations. Additionally, we investigate possible
physical mechanisms involved in SSA production from blowing snow. A global
chemical transport model, p-TOMCAT, is used to examine the model sensitivity
to key parameters involved, namely blowing-snow size distribution, snow
salinity, sublimation function, surface wind speed, relative humidity, air
temperature and ratio of SSA formed per snow particle. As proposed in the parameterizations of Yang
et al. (2008), the SSA mass flux is proportional to the bulk
sublimation flux of blowing snow and snow salinity. To convert the bulk
sublimation flux to SSA size distribution requires (1) sublimation function
for snow particles, (2) blowing-snow size distribution, (3) snow salinity
and (4) ratio of SSA formed per snow particle. The optimum model–cruise aerosol data agreement (in diameter range of 0.4–12 µm) indicates two possible microphysical processes that could be
associated with SSA production from blowing snow. The first one assumes that
one SSA is formed per snow particle after sublimation, and snow particle
sublimation is controlled by the curvature effect or the so-called “air
ventilation” effect. The second mechanism allows multiple SSAs to form per
snow particle and assumes snow particle sublimation is controlled by the
moisture gradient between the surface of the particle and the ambient air
(moisture diffusion effect). With this latter mechanism the model reproduces
the observations assuming that one snow particle produces ∼10
SSA during the sublimation process. Although both mechanisms generate very
consistent results with respect to observed aerosol number densities, they
correspond to completely different microphysical processes and show quite
different SSA size spectra, mainly in ultra-fine and coarse size modes.
However, due to the lack of relevant data, we could not, so far, conclude
confidently which one is more realistic, highlighting the necessity of
further investigation.
Cloud identification and classification from high spectral resolution data in the far infrared and mid-infrared
Authors: Maestri Tiziano , Cossich William , Sbrolli Iacopo 
Published: July 2019

Abstract. A new cloud identification and classification algorithm named CIC is presented. CIC is a machine learning algorithm, based on principal component analysis, able to perform a cloud detection and scene classification using a univariate distribution of a similarity index that defines the level of closeness between the analysed spectra and the elements of each training dataset. CIC is tested on a widespread synthetic dataset of high spectral resolution radiances in the far- and mid-infrared part of the spectrum, simulating measurements from the Fast Track 9 mission FORUM (Far-Infrared Outgoing Radiation Understanding and Monitoring), competing for the ESA Earth Explorer programme, which is currently (2018 and 2019) undergoing industrial and scientific Phase A studies. Simulated spectra are representatives of many diverse climatic areas, ranging from the tropical to polar regions.
Application of the algorithm to the synthetic dataset provides high scores for clear or cloud identification, especially when optimisation processes are performed. One of the main results consists of pointing out the high information content of spectral radiance in the far-infrared region of the electromagnetic spectrum to identify cloudy scenes, specifically thin cirrus clouds. In particular, it is shown that hit scores for clear and cloudy spectra increase from about 70 % to 90 % when far-infrared channels are accounted for in the classification of the synthetic dataset for tropical regions.
Sustainability in the Hospitality Industry: A Social Factor Dimension
Authors: Nair Girish K , Choudhary Nidhi 
Published: July 2019

This research focuses on the influence of social factors on the sustainability of hospitality industry in the context of Qatar. The significance of this research lies in its ability to empirically study the impact of social factors on the sustainability of hospitality industry in Qatar. The hypotheses building has been through the process of finding evidence through the theoretical models available in the literature for the linkages between the various social factors and sustainability. While there are several social factors which influence sustainability of any business in general, the ones which are most relevant to the hospitality industry are: Education, Life Expectancy, Income, TV index, Newspaper index, and PC index. Structural Equation Modeling using Partial Least Square Method was used as the research methodology. This method was specifically chosen for its ability to undertake factor analysis and regression analysis simultaneously and address the issue of multi-collinearity. The sample size of 213 managers was chosen from various hotels. The results based on the hypothesis testing would lead to the implications and also suggestions for the benefit of the hotel managers, so that sustainability of hospitality industry could be ensured.
Beneficios de la distribución de cuestionarios web de valoración docente a través de mensajería SMS en el ámbito universitario: tasas de participación, inversión de tiempo al completar el cuestionario y plazos de recogida de datos
Authors: Matosas-López Luis , García-Sánchez Beatriz 
Published: July 2019

El empleo de cuestionarios web en los procesos de valoración docente presenta importantes ventajas, entre las que destacan la reducción de costes de gestión, la flexibilidad para abordar la evaluación en remoto o la sencilla personalización del formulario para adaptarlo a las necesidades de diferentes materias. No obstante, aunque el uso de cuestionarios web presenta beneficios sustanciales, estos no están exentos de inconvenientes.
El presente trabajo analiza los resultados obtenidos con la administración de cuestionarios web a través de dos sistemas diferentes en una muestra de estudiantes universitarios. Por un lado, se emplea un sistema de administración de cuestionarios mediante servicios de mensajería SMS y, por otro, se administran los cuestionarios a través del Portal de Servicios del alumno.
La administración de cuestionarios web, a través de servicios de mensajería SMS, permite salvar algunos de los escollos planteados por los sistemas de administración convencionales, posibilitando mejoras en tres planos: a) tasas de participación, b) inversión de tiempo al completar el cuestionario, c) plazos de recogida de datos. El sistema de administración descrito incrementa las tasas de participación; contribuye a recabar valoraciones más ajustadas al desempeño real del docente gracias al aumento de la inversión en tiempo realizada por el alumno; y posibilita una rápida implementación del fin formativo de la evaluación gracias a una notable reducción en los plazos de recogida de datos.
Asimismo, los resultados subrayan la buena predisposición del estudiante universitario a la hora de abordar las valoraciones del profesorado mediante dispositivos móviles o Smartphones.
Het werk van Wibo van Rossum – een bloemlezing
Authors: Simon Thomas Marc , Verschoof Rick 
Published: July 2019

The work of Wibo van Rossum: An anthology
This article is about the work of Wibo van Rossum who passed away in April 2018. Trained as a legal anthropologist he has conducted empirical research on the administration of justice in the Netherlands for many years. This anthology is about four research reports he produced and many articles he has written in two decades. This article provides an academic as well as a practical review of his work.
HRM-Performance Perspectives: An overview of Theoratical Challenges and Prospects
Authors: Shah Ahmed Ullah , Ishfaq Khan Muhammad 
Published: July 2019

The research on human resource management (HRM) and performance claims a significant positive relationship;However, some researchers doubt this relationship. This paper evaluates the literature on HRM-performance relationship and concludes that there exists significant theoratical challenges. The review of available literature pertaining to HRM practices reflects that there is a long list of HRM practices but researchers have no consensus on common practices. The review of high performance work system (HPWS) help us to conclude that inspite of heavy research work on bundling of HPWS; consensus could not be arrived at some common structure. similarly, we provide an overview of existing HRM-performance perspectives and concludes that some perspective provide good theoratical and practical base for HRM-performance linkages. However, there exist deficiency in literature concerning the alternative perspective (Boselie et al.,2005). This paper further reviews the concept of black box and concludes that there exist theoratical gaps and misconceptions in HRM-performance relationship. We also provide an insight of performance and conclude that majority of researchers have focused on share holder appraoch, while stake holder appraoch is largely disregarded. Finally, this paper reviews organization justice( OJ ) as an alternative option and concludes that majority of HRM practices are covered in OJ, and its four existing dimensions. OJ has a great scope to provide vast space to cover HRM practices not only in a greater number but it also gives a sense of ' fairness/ justice' and substantiates the value and importance of HRM practices.
Population demography of Oldham’s leaf turtle (Cyclemys oldhamii) in protected and disturbed habitats in Thailand
Authors: Seateun Sengvilay , Karraker Nancy E. , Stuart Bryan L. , Aowphol Anchalee 
Published: July 2019

Background
Freshwater turtle populations are vulnerable to a range of human activities because of particular life history attributes, and anthropogenic impacts can cause shifts in demographic traits, including survival, density and population structure. Asian freshwater turtles have undergone dramatic population declines in recent decades principally because of collection for food, pet, and traditional medicine markets. Despite this, few studies have been conducted on the population demography of these turtles, thereby limiting our understanding of population trends and the development of conservation actions. Oldham’s leaf turtle (Cyclemys oldhamii) is one of the most commonly traded turtles in Asian markets, but previous published studies have focused solely on systematics.

Methods
We conducted a mark-recapture study of C. oldhamii at three sites in northeastern Thailand—a protected stream, a degraded stream, and human-constructed ponds—and evaluated differences in survival, density, population structure, and sexual dimorphism among sites.

Results
We captured 77 turtles at the protected stream, 67 at the constructed ponds, and two in the degraded stream. Survival was 12% lower and density was 35% lower in the constructed ponds than in the protected stream. Size class structure was skewed toward smaller individuals at the constructed ponds, and both sites exhibited subadult-skewed age class structure. Sex ratios were not statistically different than 1:1 at either site and did not differ between sites. We did not document sexual dimorphism in either population.

Discussion
Explanations for lower survival, lower densities, and skewed size class structure at the constructed ponds include collection for consumption or Buddhist prayer release locally, collection for illegal export from Thailand, predation by domestic dogs associated with humans living nearby, or lower habitat quality. Evidence from our study suggests that collection, either for local use or export, is the most likely explanation for differences in demographic characteristics between the two sites. The information gained from this study may contribute to a status assessment for C. oldhamii and development of conservation actions should they become necessary to protect populations in Thailand.
Parent-Adolescent Relationship in Context of Gender of Adolescents and Social Class of Families: A Case Study of GBPUAT, Uttarakhand
Authors: Kumari Arti , Singh Ritu , Mehra Manisha , Mishra Amit Kumar 
Published: July 2019

The present study investigated gender differences in adolescents’ perceptions of parent-adolescent relationship among families (Class I, Class II, Class III, and Class IV) of G.B Pant University of Agriculture and Technology, Pantnagar, Uttarakhand across their gender. Families falling under social class I of the university had parent(s) working as Professor and Associate Professor in the university; those falling under social class II had parent(s) working as Assistant Professor or equivalent and Doctor in the university; those falling under social class III had parent(s) working as Accountant, Supervisor, Lab Technician and Clerk in the university and those falling under social class IV had parent(s) working as Attendant, Driver, Peon, CRC laborer, Gardner and Sweeper. In the present study, forty adolescents were randomly selected from each social class of which 63 were girls and 97 boys making a total of 160 respondents. Respondents from each socio- economic class were split across gender to analyze difference in perception of their relationship with parents. Parent-child Relationship Scale (PCRS) by Dr Nalini Rao (1989) was administered with the adolescents. The present findings revealed interesting gender variations in parent–adolescent relationship across four social classes of families under study. Boys and girls both, from all the social classes reported no gender difference in their parents’ practice of symbolic punishment. On the contrary, in comparison to boys, girls from all the social classes of families reported their parents, mother and father both, to be significantly more protecting. Second striking observation was that boys and girls from social class I, II and III reported no gender based parental (mother and father) differential attitude on symbolic reward, loving, object reward, rejecting, object punishment, demanding, indifferent and neglecting domains of parent-adolescent relationship. However, girls from social class IV perceived their parents to be significantly more rejecting, indifferent and neglecting and mothers in particular to be more demanding and practicing object punishment. Whereas, boys from social class IV reported parents to be significantly more symbolically rewarding, loving and object rewarding and fathers in particular to be more demanding and practicing object punishment.