bluuebunny/crossref_metadata_2025_split huggingface dataset:
Purpose, Quality, and Value in Critical Realist Research within Nurse Education
Authors: Coleman Phil 
Published: June 2019

Background: There have been a wide range of practice fields in nursing research including education; however, the quality of research in these disciplines has often failed to provide a sufficiently robust foundation. Purpose: This paper explores the purpose of educational research, how quality can be assured in such research and how the value of a research study in nurse education can be determined; focusing predominantly on arguments associated with the use of qualitative, and to a lesser extent, mixed methods research. Methods: A Critical Realist review drawing upon relevant literature from the fields of nursing, education, and healthcare was undertaken to examine issues of purpose, quality, and value in such research.Results: A wide range of criteria were identified to evaluate the purpose, quality, and value of Critical Realist research using qualitative and mixed methods research within nurse education.Conclusion: The holistic, theoretically-eclectic, pragmatic, and solution-focused nature of nursing as a discipline means that Critical Realist research in nursing, and more specifically, nurse education should explicitly reflect these principles.
The Civil Society War: Fundraising Conflict Popularizes Financial Ratios and Uniform Accounting Standards through Public Policy
Authors: Cleveland William Suhs 
Published: June 2019

AbstractThe Civil Society War involved powerful interests clashing over fundraising policies for 25 years. The United Funds coerced leading health agencies to join their federated campaigns. These health agencies insisted on independent fundraising campaigns to maintain awareness of their causes, volunteers, and funds raised. Through the 1950s and 1960s, the United Funds expanded their focus from social services by entering the health field. An important tactic in this conflict was the development of fundraising permitting regulations across the country. These regulations often included fundraising efficiency ratios, limiting the percentage spent on fundraising divided by the donations received. These fundraising efficiency ratios, along with permitting regulations giving preferential treatment to United Funds resulted in numerous lawsuits. Ultimately, the fundraising regulations were declared unconstitutional by the U.S. Supreme Court based on freedom of speech under the First Amendment and equal representation under the Fourteenth Amendment. While the courts struck down the use of financial ratios, these metrics continue to be used in rating charities. One positive outcome of the conflict was the development of widely used uniform accounting standards. The health agencies drove development of these standards as a way to address a legitimate concern among a barrage of criticisms of their practices influenced by the conflict with the United Funds. The Civil Society War had lasting impacts on three main areas affecting nonprofit policy: fundraising regulation, use of financial ratios in charity evaluation, and uniform accounting standards.
FIBROSE AURICULAR SECUNDÁRIA A OTOHEMATOMA EM FELINO: TERAPÊUTICA COM GLICOCORTICÓIDE – RELATO DE CASO
Authors: Tillmann Mariana Teixeira , De Mello Mendes Claudia Beatriz , Campello  Felix Anelize De Oliveira , Mueller Eduardo Negri , Nobre Márcia De Oliveira 
Published: June 2019

O otohematoma se caracteriza pelo acúmulo sanguíneo na face convexa da orelha podendo desenvolver fibrose cicatricial quando não tratado adequadamente. O objetivo deste trabalho foi relatar o caso de um felino com presença de fibrose no pavilhão auditivo esquerdo, submetido à terapia com acetato de metilprednisolona infiltrativo. O paciente apresentava histórico de otohematoma não tratado cirurgicamente, presença de aumento de volume no pavilhão auricular esquerdo e leve inclinação da cabeça para o mesmo lado. A massa foi tratada por dois meses com 1 mg/kg de acetato de metilprednisolona intralesional em 2 doses com intervalos de 30 dias. O conduto auditivo do felino foi avaliado a cada 30 dias por otoscopia e a massa fibrótica foi mensurada com um paquímetro. Na inspeção da massa fibrótica, foi constatada redução gradativa da área de fibrose a cada avaliação (200, 140 e 137 mm2) sendo que na segunda avaliação o paciente apresentava a cabeça ereta. Dessa maneira, conclui-se que a aplicação por 2 meses de 1 mg/kg de acetato de metilprednisolona infiltrativo em duas doses com intervalo de 30 dias entre as aplicações, apresentou resultado satisfatório para o tratamento de fibrose auricular decorrente de otohematoma.
ESTUDO RETROSPECTIVO DE DEZ CASOS DE PERITONITE INFECCIOSA FELINA DIAGNOSTICADOS ENTRE 2000-2013 NA REGIÃO SUL DO RIO GRANDE DO SUL
Authors: Sapin Carolina Fonseca , Silva-Mariano Luisa Cerqueira , Fialho-Xavier Aline Galiza , Grecco-Corrêa Luisa , Bassi Jordana Nunes , Scheid Haide Valeska , Grecco Fabiane Borelli 
Published: June 2019

Peritonite Infecciosa Felina (PIF) é uma doença viral imunomediada, caracterizada por serosite e vasculite fibrinosas disseminadas. O objetivo deste trabalho foi descrever um estudo de dez casos da doença, diagnosticados entre 2000-2013 na região sul do Rio Grande do Sul. Neste período foram analisados materiais de 318 felinos, dos quais, dez casos (3,14%) tiveram diagnóstico de PIF. Destes casos, 70% dos animais apresentaram a forma efusiva da enfermidade e 30% a forma não-efusiva. Não houve preponderância em relação a raça dos animais afetados. A idade dos felinos variou entre seis meses e quatro anos. A evolução clínica da doença até a morte esteve entre 7 e 45 dias e os sinais clínicos encontrados foram: anorexia, emagrecimento, icterícia, ascite, vômitos, anemia e hálito amoniacal. As lesões macroscópicas observadas foram variáveis e incluíam peritonite e focos esbranquiçados sobre as serosas de diversas vísceras nas duas formas de apresentação da doença. Histologicamente, em ambas formas diagnosticadas, havia vasculite e perivasculite granulomatosas ou piogranulomatosas em diversos órgãos. O diagnóstico nos casos analisados foi realizado com base na história clínica, achados de necropsia e histopatologia. Conclui-se que a Peritonite Infecciosa Felina ocorre na zona de abrangência do Laboratório Regional de Diagnóstico, na região sul do Rio Grande do Sul, porém o número real de animais afetados pode ser maior que o descrito neste trabalho, em virtude da confirmação do diagnóstico por necropsia ou histopatologia não ser realizado em todos os casos suspeitos.
Maria S. Guarino, 'Listen with the Ear of the Heart: Music and Monastery Life in Weston Priory'
Authors: Penicka-Smith Sarah 
Published: June 2019

Maria S. Guarino, Listen with the Ear of the Heart: Music and Monastery Life in Weston Priory. Rochester, NY and Suffolk: University of Rochester Press, 2018, pp. xiv + 183, ISBN: 978-1-58046-910-4 (hbk).
Platelet Indices as Useful Indicators of Urinary Tract Infection
Authors: Akya Alisha , Rostami-Far Zahra , Chegene Lorestani Roya , Khazaei Sedigheh , Elahi Azam , Rostamian Mosayeb , andayeshgar Bahare , Ghadiri Keyghobad 
Published: June 2019

Background: The changes of platelet parameters can be a useful index for rapid diagnosis of urinary tract infection (UTI), since platelet changes are routinely determined through complete blood count (CBC) test. The correlation between platelet indices, included number (PLTs), mean platelet volume (MPV) and platelet distribution width (PDW), which are the indicators of production and function of platelets, with UTI was evaluated in this study.
Materials and Methods: In this descriptive-analytical study, 97 patients with UTI (patient group) and 117 healthy people (control group). The average age for the patient and the control group was 10.84±6.68 and 11.34±7.1 years old, respectively. This study was done during 2016-2018 in Imam Reza Hospital, Kermanshah, west of Iran. The PLT, MPV, PDW, and other inflammatory indices, including white blood cell, neutrophils, lymphocytes, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were evaluated. The diagnosis of bacteria was done using routine microbiological and biochemical methods. The platelet indices were statistically compared between the patients and the control groups (T test and Chi square test).
Results: The most common isolated gram negative and gram positive bacteria were E. coli, Citrobacter, and Staphylococcus aureus, respectively. In the patient group, PLT number was significantly higher than that in the control group (p=0.0007), while difference of other indices such as MPV, PDW, neutrophils, lymphocytes, CRP, and ESR were not statistically significant between the two groups. In case of UTI with gram positive bacteria, PLT number (p=0.05) was lower but MPV (p=0.02) and PDW (p=0.045) was higher compared to the UTI with gram negative bacteria.
Conclusion: The results of this study showed that the platelet number could be a useful diagnostic index for urinary tract infection. However, more studies need to be done with higher number of patients to evaluate the more details of platelet changes during UTIs.
Metastatic Melanoma (Secondary Malignancy) after Recovery from Acute Lymphoblastic Leukemia in a 10-year-old Girl: a case report
Authors: Yousofian Saeed , Miri-Aliabad Ghasem , Rostami Tahere , Mehrazma Mitra , Nematollahi Pardis 
Published: June 2019

Acute lymphoblastic leukemia is the most common malignancy in children with a 5-year survival rate, accounting for 80% of cases. Melanoma is rare in children and has been reported as a sporadically occurring secondary malignant neoplasm in children with acute lymphoblastic leukemia. This study presented a 10-year-old Iranian child with pre-B-cell acute lymphoblastic leukemia that was diagnosed at age 6. She was fully recovered after 2 years of treatment. One year and six months after cessation of treatment, she was referred with a 1×2 cm mass in her right parietal region of scalp. Biopsy of the lesion confirmed the diagnosis of malignant melanoma. Computed tomography scan of the chest and abdomen also confirmed extensive liver metastasis which was corroborated by liver biopsy. Bone scan also revealed bone metastases. Early diagnosis and treatment of these tumors is extremely important and these patients should be closely monitored and undergo regular physical examination.
ОЦЕНКА ВЛИЯНИЯ РАЗЛИЧНЫХ СПОСОБОВ И АППАРАТОВ ЗАЩИТЫ ОТ ИМПУЛЬСНЫХ ПЕРЕНАПРЯЖЕНИЙ В ЭЛЕКТРИЧЕСКОЙ СЕТИ НАПРЯЖЕНИЕМ 6–10 кВ НЕФТЯНЫХ ПРОМЫСЛОВ
Authors: Сидоров Сергей Владимирович , Сушков Валерий Валентинович , Сухачев Илья Сергеевич 
Published: June 2019

Актуальность. Одной из основных причин высокой аварийности и отключений в распределенных системах электроснабжения 6–10 кВ нефтяных промыслов являются перенапряжения вследствие грозовых воздействий. Подавляющее количество грозовых отключений в распределительных сетях 6–10 кВ, связанных с перенапряжениями, обусловлено недостаточным уровнем импульсной прочности линейной изоляции, которое приводит к перекрытию изоляторов и в дальнейшем к обесточиванию нефтепромысловых потребителей. Для обеспечения требуемой грозоупорности распределенной системы электроснабжения нефтяных промыслов различными способами устанавливается защитное оборудование: ограничители перенапряжений, разрядники различных видов. При этом защитная аппаратура изменяет электрические характеристики распределительной сети, что влияет на характеристики переходных процессов при грозовых воздействиях. Следовательно, необходимо провести оценку влияния наиболее часто применяемых защитных аппаратов на перенапряжения в распределенной системе электроснабжения нефтяных промыслов при грозовых воздействиях. Цель: оценить влияние защитного оборудования на уровни перенапряжений в электрических сетях 6(10) кВ нефтегазодобывающего предприятия при грозовых воздействиях. Методы. Проведена оценка влияния защитной аппаратуры на уровни перенапряжений путем анализа переходного процесса и частотных характеристик для участка системы электроснабжения на грозовое воздействие с использованием алгоритмов пакета Linear Analysis Tools в MATLAB Simulink. Результаты. Установлена зависимость уровня перенапряжений от вида защитных аппаратов. Получены частотные и временны́е характеристики входных перенапряжений потребителей, которые необходимо знать при выборе защитной аппаратуры. Определена зависимость резонансных частот от установленных искровых разрядников. Разработана в среде MATLAB Simulink схема имитационной модели типового участка распределенной системы электроснабжения нефтегазодобывающего предприятия Западной Сибири, включая модели ограничителя перенапряжений, разрядника и грозового импульса. Предложены мероприятия по защите нефтепромысловых потребителей от импульсных перенапряжений.
К ВОПРОСУ ИССЛЕДОВАНИЯ СОСТАВА УГЛЕВОДОРОДНЫХ ГАЗОВ УГОЛЬНЫХ ПЛАСТОВ И ПЫЛИ С ЦЕЛЬЮ ВОЗМОЖНОГО ПРОГНОЗИРОВАНИЯ ИХ ПОТЕНЦИАЛЬНОЙ ОПАСНОСТИ
Authors: Ганова Светлана Дмитриевна , Скопинцева Ольга Васильевна , Исаев Олег Николаевич 
Published: June 2019

Актуальность работы обусловлена необходимостью обеспечения безопасности горных работ на высокогазоносных выбросоопасных угольных пластах, опасных по пыли. Это направление связано с исследованием всего состава газов угленосных отложений и, в частности, высших углеводородов, и оценкой их роли в возникновении взрывопожароопасных ситуаций и внезапных выбросов угля и газа в горные выработки. Определение количественного состава углеводородных газов является необходимой составляющей в процессе выявления степени выбросоопасности пластов, а также определения рациональных параметров обработки угольных пластов с целью снижения их газоносности и пылеобразующей способности для уменьшения риска возникновения пожаровзрывоопасных ситуаций в угольных шахтах. Цель: изучить состав и количество углеводородных газов высокогазоносных выбросоопасных угольных пластов, опасных по пыли; определить интервал температур при термодегазации для полного извлечения сорбированных углеводородов; сравнить полученные данные по углеводородам углей и пыли; оценить роль сорбированных углеводородов угольной пыли в создании пылевзрывоопасных ситуаций в угольных шахтах; рассчитать количество высших углеводородов в выбросоопасных угольных пластах. Методы: анализ отечественного и зарубежного опыта; сбор, систематизация и анализ имеющихся в литературных и фондовых источниках сведений по количеству и составу высших углеводородных газов угольных пластов; газовая хроматография с помощью хроматографа «Кристалл 5000.1», термодегазация проб угля и угольной пыли на газовом хроматографе «М-3700», ситовый анализ фракционного состава угольной пыли; методы математической статистики для оценки достоверности полученных результатов по количеству высших углеводородных газов в угле и угольной пыли. Результаты. Установлено, что основное количество сорбированных углеводородов выделяется из угля при термической дегазации в интервале температур 200–250 °С. Содержание предельных углеводородов от метана до гексана в газах, выделенных из углей средней стадии метаморфизма и угольной пыли, составило 13,4–29,1 см3/кг угля, пыли. Определено обогащение десорбированных углеводородов тяжелыми углеводородами, причем в основном преобладают пропан (С3Н8) и бутан (С4H10), выделение которых в шахтную атмосферу может привести к снижению температуры воспламенения пылегазовоздушной смеси, что представляет потенциальную опасность возникновения пожаровзрывоопасных ситуаций в угольных шахтах. Полученные данные по высшим углеводородам могут быть использованы для возможного прогнозирования степени выбросоопасности пластов.
Validity and Reliability of Quality of Nursing Work Life Instrument for Hospital Nurses
Authors: Utami Utami , Kusnanto Hari , Riyono Bagus , Alim Syahirul 
Published: June 2019

Introduction: The validity and reliability of the quality of nursing work life (QNWL) instrument in hospitals that suitable to treatment needs include: trust, care, respect, learn, and contribute need, have to be assessed. Therefore, in order to perform good care, it is necessary to notice QNWL aspect, which the implementation may be assessed by using valid and reliable instruments. This study aimed to evaluate the construct validity of the QNWL scale in hospital.Methods: The research used a cross-sectional approach and the respondents were 100 experts in nursing and 400 nurses working in four hospitals in Gresik, Indonesia, who have been working for minimum one year. The sampling technique was purposive sampling. We analyzed the data using content analysis, the validity of item discrimination using Pearson products moment, reliability with Cronbach’s alpha, and construct validity with Confirmatory Factor Analysis.Results: The results based on content validity index QNWL instrument was 0.2075-0.915, with an average 0.7059 (high). Item discrimination capacity was 0.339-0.79 (high), while the reliability was 0.9374 (very high) and the validity of the construct meets the goodness of fit criteria.Conclusion: All constructs are able to explain and support the QNWL instrument model. This research can be used to measure the quality of work life of nurses in all classes of hospitals in Indonesia.
Targeting Youth to Prevent Later Substance Use Disorder: An Underutilized Response to the US Opioid Crisis
Authors: Compton Wilson M. , Jones Christopher M. , Baldwin Grant T. , Harding Frances M. , Blanco Carlos , Wargo Eric M. 
Published: June 2019

The evolving US opioid crisis is complex and requires myriad different interventions. These include reducing opioid overprescribing and curtailing the supply of illicit opioids, overdose rescue interventions, and treatment and recovery support services for those with opioid use disorders. To date, more distal primary prevention strategies that have an evidence base are underutilized. Yet, the impact of early environments on later substance use disorder risk is increasingly well understood, including knowledge of the mechanistic linkages between brain development and subsequent risk behaviors. Applying this developmental framework to prevention shows promise, and some middle-school interventions have demonstrated significant reductions in prescription opioid misuse. Reducing these risks of initial misuse of opioids may be the “ounce of prevention” that makes a substantial difference in a society now reeling from the worst drug crisis our country has seen. The challenge is to continue to develop and test promising distal interventions and to support implementation fidelity through frameworks that ensure their cultural appropriateness and sustainability. In addition, research is needed to develop new prevention strategies for adults, including patients with pain at risk for transitioning from prescription to illicit opioids.
Social Marketing of Mental Health Treatment: California’s Mental Illness Stigma Reduction Campaign
Authors: Collins Rebecca L. , Wong Eunice C. , Breslau Joshua , Burnam M. Audrey , Cefalu Matthew , Roth Elizabeth 
Published: June 2019

Objectives. To understand the processes involved in effective social marketing of mental health treatment. Methods. California adults experiencing symptoms of probable mental illness were surveyed in 2014 and 2016 during a major stigma reduction campaign (n = 1954). Cross-sectional associations of campaign exposure with stigma, treatment overall, and 2 stages of treatment seeking (perceiving a need for treatment and use conditional on perceiving a need) were examined in covariate-adjusted multivariable regression models. Results. Campaign exposure predicted treatment use overall (odds ratio [OR] = 1.82; 95% confidence interval [CI] = 1.17, 2.83). Exposure was associated with perceived need for services (OR = 1.64; 95% CI = 1.09, 2.47) but was not significantly associated with treatment use in models conditioned on perceiving a need (OR = 1.52; 95% CI = 0.78, 2.96). Exposure was associated with less stigma, but adjustment for stigma did not affect associations between exposure and either perceived need or treatment use. Conclusions. The California campaign appears to have increased service use by leading more individuals to interpret symptoms of distress as indicating a need for treatment. Social marketing has potential for addressing underuse of mental health services and may benefit from an increased focus on perceived need.
Case report:Intravitreal Conbercept for treatment of choroidal neovascularisation secondary to choriodal osteoma
Authors: M  , y  
Published: June 2019

Abstract
Background: Choriodal osteoma is a rare condition. Although anti-VEGF treatment has been reported to be effective in managing choroidal neovascularisation secondary to choriodal osteoma, to the best of our knowledge, this is the first report of using conbercept in such condition.
Case presentation:This report describes a case of choroidal neovascularisation secondary to choriodal osteoma. A 37-year old female presented with decreased vision and distortion in left eye. Fundus image revealed an orange-yellow lesion with clear boundary in the macular area. Fluorescein angiography indicated choroidal neovascularization(CNV). OCT, B-scan and CT scan showed features of choroidal osteoma. Intravitreal Conbercept was given for four times over a period of 10 months, resulting stability of visual acuity and regression of CNV.
Conclusions:Intravitreal Conbercept can be an effective modality in short term in controlling choroidal neovascularisation secondary to choriodal osteoma.
Manual Therapy Versus Therapeutic Exercise in non-specific chronic neck pain: study protocol for a randomized controlled trial.
Authors: Bernal-Utrera Carlos , Gonzalez-Gerez Juan Jose , Saavedra-Hernandez Manuel , Lerida-Ortega Miguel Angel , Rodriguez-Blanco Cleofas 
Published: June 2019

Abstract
• Background: Underlying mechanisms of non-specific chronic neck pain relapses are not clear, but it could be associated with a deficit and alteration of neck muscles propioception that play a decisive role in cervical joint position, motor control of the head and postural stability. Numerous treatments for non-specific chronic neck pain have been described in the scientific literature. However, few studies analyze its influence on postural stability, since these alterations are not fully described, and various theories emerge about the reasons that cause it. Our mainly aim is analyze the differences in postural stability, pain, cervical disability and the relation between them produced by a treatment based on manual therapy and other based on therapeutic exercise.
• Methods: The short-term and mid-term changes produced by different therapies on subjects with non-specific chronic neck pain will be studied. The sample will be randomly divided into three groups, manual therapy, therapeutic exercise and placebo. As dependent variables of the study, we will take: a) overall balance index, measured through a dynamic stabilometric platform; b) pain, based on the visual analog scale and the pressure pain threshold; c) cervical disability, through the cervical disability index. The findings will be analyzed statistically considering a 5% significance level (p ≤ 0.05)
• Discussion: Our study aims to provide knowledge about postural stability and its relationship with pain in subjects with non-specific chronic neck pain. Analyzing the results produced by different types of therapy will allow us to draw conclusions about the mechanisms that may elicit these alterations, structural or central mechanisms.
• Trial registration: Brazilian Clinical Trial Registry, RBR-2vj7sw. Registered on 28 November 2018.