bluuebunny/crossref_metadata_2025_split huggingface dataset:
BabyNoggin Pre-implementation Phase: Understanding How Clinical Teams and Parents Will Respond to BabyNoggin
Authors: Watkins Sarah W. , Chen Elizabeth Z. , Swec Katie , Huskins Jordan , Lee Jin , Miller Andrew D. , Bauer Nerissa S. 
Published: January 2019

Background and Purpose: Mobile health (mHealth) apps hold potential to transform healthcare, but their adoption in clinical settings takes time and how providers and families use them is unknown. Three clinics at Riley Hospital for Children are preparing to implement BabyNoggin, an app that collects developmental screening tools typically collected via paper forms. The purpose of this study was two-fold: 1) to understand pre-implementation processes and provider perspectives of integrating BabyNoggin into clinic workflow; and 2) to examine parental attitudes towards the use of apps for child development.
Project Methods: Pre-implementation clinical observations of workflow were performed in participating clinics. Semi-structured interviews informed by the Consolidated Framework for Implementation Research (CFIR) were conducted with each clinical team to understand perceived implementation facilitators and barriers. Lastly, parents with children aged 0-5 were recruited from study clinics and social media to participate in a 26-item survey to gauge their attitudes towards using apps in place of paper screening forms and for tracking their child’s development.
Results: Implementation workflows were co-created with each clinical team that should not increase visit length. Five CFIR interviews highlighted facilitators and barriers towards implementation of BabyNoggin to be considered during implementation. Out of 199 parents who completed the survey, 72.9% (n=145) reported a higher likelihood of downloading a child health app that was recommended by their pediatrician.
Conclusion and Future Steps: This study constituted the pre-implementation phase of a larger project involving the implementation of BabyNoggin. Future research will use these findings as a guide during implementation.
Impact of ED Scribes in a Residency Program
Authors: Munshi, BS Mumtaz , Corson-Knowles, MD Daniel , Whitaker Nash 
Published: January 2019

Background and Hypothesis: In the electronic medical record era, clerical documentation has become a significant source of burden in the emergency department (ED). Medical scribes have been advocated as a method to reduce clerical documentation burden while improving physician productivity and satisfaction. The impact of scribes in a non-academic ED setting has been found to be beneficial, and a small survey suggested resident physicians found scribes to be a valuable fatigue-mitigation strategy. The goal of this study was to assess the impact of ED scribes on residents, including time burden of documentation, signals of emotional impact that contribute to burnout, and learning/teaching opportunities.
Experimental Design or Project Methods: This observational time motion analysis assesses scribe impact on emergency medicine residents. Observations were pseudo-randomized in a 1:1 fashion to shifts without or with scribes. Trained observers tracked the activity of upper level residents in the high acuity section of a busy urban county ED for 4 hours of each shift. At the end of each shift, residents self-reported post-shift documentation time and completed a survey assessing residents’ perception of their shift and the impact of scribes.
Results: Residents reported that scribes improved their overall experience during their shift. They also reported that scribes reduced documentation time (0:11:33 [Symbol]0:04:24 v. 0:08:56 [Symbol]0:05:36) and allowed them to better connect with and care more for their patients (9.6 [Symbol]0.8 v. 8.7[Symbol]1.3).
Conclusion and Potential Impact: Scribes improved emergency medicine residents’ perceptions of their educational experience and reduced symptoms of burnout during shifts.
Causes of bullying in the workplace among primary school teachers of your paper
Authors: Cech Tomas , Kvintova Jana , Cakirpaloglu Simona Dobesova 
Published: January 2019

Workplace bullying is a subtle manifestation of disturbed relationships in the workplace and it is considered an extreme type of social stressor at work. The present study is based on research regarding bullying in the workplace, specifically involving teachers in elementary schools in the Czech Republic. The sample consisted of 13 elementary school teachers who had been exposed to regular bullying by their colleagues or senior executives for at least six months. Based on in-depth interviews and subsequent coding and categorization of statements, the main aim of the research is to analyse the factors causing bullying in the workplace. The teachers who experienced bullying in the role of victims state that the main reasons for this kind of aggressive behaviour lie in the personality of the bully, personality of the victim, mutual antipathy of the perpetrator and the victim, and in the job selection process.
Keywords: School; school climate; aggression; bullying in the workplace; causes of bullying.
Comparison effectiveness of cognitive-behavioural therapy and relaxation technique on curing premenstrual syndrome
Authors: Mahmoudi Farah 
Published: January 2019

The main purpose of this study was to compare the efficacy of cognitive-behavioural therapy and relaxation technique in the treatment of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). For this purpose, after screening 82 girls students, they were randomly divided into three groups: relaxation, cognitive-behavioral and control. Results showed the amelioration of PMS and PMDD with cognitive-behavioural therapy and relaxation technique but relaxation technique was a superior method. It can be recommended that the relaxation technique for relief of PMS and PMDD.

Keywords: Cognitive-behavioral therapy, relaxation technique, premenstrual syndrome.
Guatiní: un proyecto para fomentar el conocimiento de la avifauna cubana en las nuevas generaciones
Authors: Sepúlveda-Peña Juan Carlos , Vejo-Paula Bislandry , Villanueva-Hedesa Carlos , González-Guerra Juan Ramón , González-Alfonso Alieny , García-Lau Ianela , Hernández-Horta Gladis , Borrego Manuel , Socorro Gilberto , Amat-Álvarez Alberto , González-Moreno Maritza 
Published: January 2019

En Cuba existen 29 especies de aves amenazadas o casi amenazadas, tres en peligro crítico, ocho en peligro, siete vulnerables, y once cercanas a la amenaza. Además de la pérdida y degradación de los hábitats, las aves de Cuba se ven amenazadas por la cacería, la colecta de huevos y el comercio ilegal. Revertir esta situación va más allá de las leyes y acciones de las autoridades competentes, es necesaria una educación medioambiental desde las edades tempranas. Se necesita que los individuos y las colectividades se identifiquen con su entorno y adquieran los conocimientos, los valores, los comportamientos y las habilidades para participar responsable y eficazmente en la prevención y la solución de los problemas ambientales. En la actualidad, niños y jóvenes hacen un gran uso de los teléfonos móviles, tabletas y computadoras principalmente para jugar; en su mayoría, estos juegos solo entretienen y no educan, y en algunos casos se podría decir que enajenan. ¿Por qué no aprovechar estas tecnologías para incentivar desde edades tempranas el conocimiento y el amor por la flora y la fauna? El proyecto Guatiní tiene como objetivo desarrollar juegos y aplicaciones multimedia que permitan divulgar la información científica acumulada sobre la avifauna cubana y educar así principalmente a las nuevas generaciones en el cuidado del medio ambiente.
Calibración del plato forrajero en praderas de kikuyo (Pennisetum Clandestinum Hochst.ex Chiov) en el trópico alto colombiano
Authors: Moreno Diego , Fonseca Carolina , Rodríguez-Molano Carlos Eduardo , Pulido-Suarez Néstor Julián 
Published: January 2019

La región andina colombiana, en el departamento de Boyacá a 2560 msnm en el cordón lechero colombiano, las explotaciones ganaderas se caracterizan por tener la especie forrajera perenne predominante conocida como Kikuyo (Pennisetum clandestinum Hochst.ex Chiov), gramínea de crecimiento estolonífero. El objetivo de este estudio, fue obtener la ecuación de regresión lineal para la adecuada calibración del plato forrajero con el fin de predecir la disponibilidad de materia seca por hectárea. Esta investigación se realizó en el trascurso del año 2014, (desde marzo hasta diciembre); para esta investigación se realizaron mediciones con un Plato Forrajero en 21 predios ganaderos pertenecientes a la región del Alto Chicamocha. Se tomaron un total de cuatrocientas (400) muestras en época seca y de lluvias. Se procedió a desarrollar la formula por medio de un método matemático de regresión lineal simple, relacionando la altura comprimida del forraje y la disponibilidad real de materia seca obtenida mediante corte y posterior secado. %. De acuerdo a la formula se determinó que por cada unidad de medida del plato forrajero, la disponibilidad de fitomasa total se incrementó en 259.42 kg de Materia Seca (MS) y se obtuvo un intercepto de 2978.92. Estos resultados conllevan al uso de la ecuación como una alternativa de cálculo de la materia seca disponible durante todo el año en praderas de Kikuyo. La ecuación resultante para la calibración del Plato Forrajero en praderas de Kikuyo (Pennisetum clandestinum) fue Kg Ms/Ha = 259.42x + 2978.9 donde se reemplazó la altura comprimida por el plato forrajero y con un coeficiente de determinación (R2) de 77.67 %.
Embodied Cognition: Laying the Foundation for Early Language and Literacy Learning
Authors: Roessingh Hetty , Bence Michelle 
Published: January 2019

For children, hands are the critical conduit for learning the world and constructing mental models of its size and shape. Such embodied cognition (EC) is mediated through language in the social environment. In this paper we review the literature and develop the conceptual underpinnings for a framework for play-based pedagogy that integrates sensorimotor, cognitive, and linguistic systems that lay the foundations for early literacy experiences expected in the kindergarten and Grade 1 year. We provide suggestions for incorporating games and tasks in a play-based program that will promote EC.
Effect of intramyocardial injection of erytropetin stimulated autologus bone marrow cells on myocardial perfusion using 99mТC-MIBI spect in long-term
Authors: Chernyavskiy A. M. , Fomichev A. V. , Nikitin N. A. , Poveshchenko O. V. , Kareva J. E. , Gulyaeva K. K. , Minin S. M. 
Published: January 2019

Purpose.To evaluate the changes of myocardial perfusion using 99mТс-MIBI single-photon emission computed tomography (SPECT) after the intramyocardial implantation of erythropoietin preconditioned autologous bone marrow cells (ABMC) in laser channels during coronary artery disease (CAD) surgery.Materials and methods.Randomized study of 40 patients (mean age 58.0 ± 6.9, 9 females) with diffuse and (or) distal right coronary artery disease (RCA). Patients of the study group (n= 23) underwent coronary artery bypass grafting (CABG) of the left coronary artery (LCA) system and intramyocardial implantation of erythropoietin preconditioned ABMC in the left ventricular (LV) inferior wall. Patients of the control group (n= 17) underwent CABG of the LCA system only. 99mТс-MIBI SPECT performed 1–2 days before and 12 months after surgery.Results.In study group after 12-month follow-up the summed stress score in a typical RCA supply area (SSSRCA) improved from 7.0 [5.5; 10.5] to 4.0 [1.0; 5.5] (p<0.01), summed rest score (SRSRCA) improved from 3.0 [0.0; 7.0] to 1.0 [0.0; 3.5] (p<0.01), and summed different score (SDSRCA) improved from 3.0 [1.0; 4.0] to 1.0 [0.0; 2.0] (p= 0.03). Control group patients after 12-month follow-up showed significant improvement of SSS RCA only – from 8.0 [6.0; 12.0] to 5.0 [4.0; 7.0] (p<0.01).Conclusion.After 12-month follow-up in patients with diffuse and (or) distal RCA disease, the procedure of intramyocardial implantation of the erythropoietin preconditioned ABMC in laser channels is demonstrated to be safe and induces the improvement of myocardial perfusion.
Morphophenotypic predictor of the development of visceral obesity in patients with schizophrenia receiving antipsychotic therapy
Authors: Kornetova E. G. , Dubrovskaya V. V. , Kornetov A. N. , Lobacheva O. A. , Ivanova S. A. , Semke A. V. 
Published: January 2019

Objective:revealing the role of morphophenotypic indices in the development of visceral obesity in patients with schizophrenia receiving quetiapine and risperidone therapy.Materials and methods.56 indoor patients with schizophrenia who received quetiapine (n= 23) or risperidone (n= 33) at medium doses were examined. Included persons were from 18 to 65 years old with at least a 1 year history of disease, the condition of which met the criteria of schizophrenia according to ICD-10. The Basis map of sociodemographic and clinical-dynamic signs for patients with schizophrenia was filled in, PANSS in the adapted Russian version – SCI-PANSS, noninvasive bioimpedancemetry, measurement of growth, transversethoracic, biacromial and bicrystal diameter, with calculation of body mass indexes, Tanner and Rees – Eysenk and definition of integral morphophenotypic indicators were carried out. Statistical processing was performed using Student’s t-test with a preliminary estimate of Pearson’s χ2 normal distribution, the Mann – Whitney U test to compare independent samples, the Spearman correlation analysis, the two-sided Fisher test.Results.There were no significant differences in both subgroups in terms of bioimpedancemetry. The correlation between the level of visceral fat and the Rees – Eysenk index in patients receiving risperidone was a moderate inverse: the greater the value of the Rees – Eysenk index, the lower the level of visceral fat (r= –0.73381,t= –4.70833,p= 0.00015). The correlation between the Tanner index and the level of visceral fat in the quetiapine subgroup was strong: the larger the Tanner index, the higher the visceral fat level (r= 0.7763,t= 4.08481,p= 0.00181); in the risperidone subgroup, there was an average direct correlation (r= 0.48133,t= 2.39356,p= 0.02716).Conclusion.The magnitude of the Rees – Eysenk index of schizophrenic patients can be considered among other factors in the management of risperidone in individuals with asthenic physique. The determination of the Tanner index at the beginning of treatment can play the role of a prognostic factor in the development of visceral obesity in patients with schizophrenia in the planned use as a basic therapy for quetiapine.
Different Types of Blood Pressure Variability in Hypertensive Patients with Chronic Lower Airway Diseases
Authors: Smirnova M. I. , Gorbunov V. M. , Kurekhyan A. S. , Koshelyaevskaya Ya. N. , Deev A. D. 
Published: January 2019

In hypertensive patients, blood pressure variability (BPV) and comorbidity are associated with prognosis. However, there have been no complex prospective studies of BPV in patients with hypertension and chronic lower airway diseases (CLAD). Aim. To investigate specific features of different BPV types and their prognostic value in hypertensive patients with and without CLAD in a prospective study. Material and methods. This prospective cohort study included hypertensive patients, approximately half of whom had asthma or chronic obstructive pulmonary disease (COPD). Clinic blood pressure (BP) measurements, ambulatory and home BP monitoring (ABPM, HBPM), spirometry, clinical blood analysis and blood chemistry, and a standard questionnaire and physical examination were performed at baseline and 12 months later. Clinical BP measurements and HBPM were also repeated 6 months after the baseline visit. At 12 months from the last study visit, we collected the information about cardiovascular complications and deaths. Statistical methods included ANOVA and survival analysis. The BPV indices were calculated as SD for different time periods, ARV (average real variability), and VIM (variation independent of mean). The inter-group comparisons were adjusted for age and sex. The assessment of intra-visit and long-term BPV was based on clinical BP measurement. The assessment of 24-hour BPV and mid-term BPV was based on ABPM and HBPM, respectively. Results. The BPV levels, assessed by ABPM and HBPM, were higher in patients with CLAD. There were no long-term BPV differences between two groups, in according to clinical BP data. Higher levels of daytime BPV were associated with orthostatic systolic BP, baseline forced expiratory volume in 1 second (FEV1), and glomerular filtration rate (GFR). An increase in nighttime BPV was associated with COPD, serum creatinine, FEV1 after β2-agonist inhalation, and GFR. In the CLAD group, the cumulative survival was lower, while the total risk was higher. The following endpoint predictors were identified: supraventricular arrhythmias, SD of nighttime diastolic BP, blood leukocyte count and nocturnal BP fall (Wald Chi-Square 14.780- 4.257; p<0.0001-0.026). Conclusion. The main BPV indices are higher in patients with asthma and COPD, in comparison with CLAD-free hypertensive patients. ABPM is the most reliable method of BPV assessment in hypertensive patients with CLAD, according to our data. The increase in BPV is associated with irreversible airway obstruction and renal function. Adverse outcomes were associated with both nighttime BPV and nocturnal BP fall, as well as with rhythm disorders and leukocyte count as a marker of systemic inflammation. BPV in patients with CLAD warrants further investigation.
The Impact of Using Ice on Quality of Pain Associated with Chest Drain Removal in Postcardiac Surgery Patients: An Evidence-Based Care
Authors: Mazloum Seyed Reza , Gandomkar Fatemeh , Tashnizi Mohammad Abbasi 
Published: January 2019

Background:Patients undergoing cardiothoracic surgery require the placement of at least one chest drain. Chest Drain Removal (CDR) has been considered to be a painful event in patient’s postoperative recuperation.Objective:This study aimed to evaluate the impact of using ice on quality of pain associated with CDR in adult patients undergoing cardiac surgeryMaterials and Methods:This randomized, observer-blind, crossover trial was done on 51 post-cardiac surgery patients who had two chest drains in the Mashhad Heart Center in Iran. The patients were assigned to ice, placebo, and control groups. Ice and placebo bags were used over the region around the chest drains for 20 minutes prior to CDR. The quality of pain was assessedviaShort-Form McGill Pain Questionnaire (SF-MPQ) before and after CRT. The data were analyzed through the SPSS software using ANOVA, Kruskal-Wallis, and Chi-square tests.Results:The study findings revealed that the three groups were not significantly different regarding pain quality before CDR (p=0.24). However, the ice bag group (4.6±4.4) was significantly different from the placebo (8.1±6.9) and control groups (7.1±5.3) concerning the pain quality score immediately after CDR (p<0.05). The results of chi-square test also showed that the three groups were significantly different regarding “hot-burning” (p=0.009). However, no significant differences were observed with regard to other items of SF-MPQ.Conclusion:The results indicated that ice bag application could be used as an effective, safe, and inexpensive non-pharmacological intervention to reduce patients’ pain and increase their comfort during CDR.
Looking Sharp. Dutch Bronze Age razors and tweezers in context
Authors: Arnoldussen Stijn , Steegstra Hannie 
Published: January 2019

Discussions on the presence, nature and apparel of (presumed) European Bronze Age warriors has traditionally focused on weapon graves, armour and rock art – the latter two regrettably absent in the Low Countries. This means that for this area, warrior identities need to be reconstructed on the basis of funerary assemblages that may even lack actual weapons. Since Paul Treherne’s seminal (1995) paper, particularly razors and tweezers have been recognized as reflecting the personal care typical of the warrior life-style. In this paper, Bronze Age and Early Iron Age razors and tweezers from the Netherlands are discussed as part of their wider West-European distribution. Razors of different shapes (pegged, tanged, symmetrical and asymmetrical) can be shown to date to different phases in the period of c. 1600 – 600 BC. Moreover, in variations in handle and blade shape, regional groups and supra-regional contact networks can be identified. Tweezers too show ample diachronic and regional variations: in addition to presumably local types, Nordic and Hallstatt imports are discernible. Razors and tweezers were part of toilet sets that differed in meaning and composition within the time-frame of 1600-600 BC. We argue that the short-hafted awls frequently found in association may represent tattooing needles. In the Hallstatt period, nail-cutters and ear-scoops complement the set (now often suspended from a ring and worn in leather pouches closed with rings or beads).Contextual analysis of the objects shows that razors could be placed in hoards, yet most originate from graves. Several urnfield razors (and some tweezers) originate from funerary monuments that must have stood out for their age, shape or dimensions (e.g. older tombs, long-bed barrows), hinting at a special status for those interred with the toilet sets. Remarkably, the association of razors and tweezers with weapons is infrequent for the Low Countries during most phases of the Bronze Age. Associations with swords are limited to the Ploughrescant-Ommerschans dagger from the famous Ommerschans hoard and the Gündlingen sword from the Oss chieftain’s grave. This means that in the Low Countries, a pars-pro-toto approach to the expression of warrior identity prevailed – one in which the interment of toilet sets instrumental to the expression of warrior identity took precedence over the interment of weaponry.
Why 7? Rules and exceptions in the numbering of dice
Authors: Küchelmann Hans Christian 
Published: January 2019

A seldom questioned rule is that opposite sides of dice add up to seven. A look through history reveals that this numbering rule has prevailed for more than 2000 years, from the first millennium BC up to the present. Nevertheless, exceptions occur in all periods, 159 of which are presented here. This paper will discuss the development of the numbering rule, possible motives for this arrangement and possible reasons for exceptions.