bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Language of Health Reform and Health Management: critical issues in the management of health systems
Authors: Briggs David , Isouard Godfrey 
Published: February 2019

Health reform has been a constant feature of most health systems for a number of decades and has often focused on structural change. The lexicon of health reform and health management has also become intertwined with managers reporting that reform has become a constant and that rather than influencing that change they are in fact influenced by it and by its impact on their role, professional development and career.
There is a challenge for health service managers to return to a leadership role in enabling health reform. In doing so will this challenge us to think differently about management?
This article addresses the significant body of research into health reform and health management through the lens of language used in reporting the context and the significant impact that it has had on the management role. It describes what directions that role might take, the qualities required in selecting capable managers and questions the current status quo in the education, training and development of this significant sector of the health system workforce.
It concludes by proposing a way forward that acknowledges that contemporary health reform is shifting the paradigm of healthcare delivery in a way that requires the dominant view of health management to be challenged. This might be achieved by the use of a critical lens on the language of management, a focus on a grounded approach about what managers need to do and an acceptance of variability in that role in adaptive complex contexts.
Abbreviations: DNOP – Distributed Networks of Practice; MDG – Millennium Development Goals; PHC – Primary Healthcare; PHN – Primary Health Network; SDG – Sustainable Development Goals; SEDOH – Social Economic Determinants of Health; SHAPE – Society for Health Administration Programs in Education.
Health Workforce Migration in the Asia Pacific: implications for the achievement of sustainable development goals
Authors: Short Stephanie , Marcus Kanchan , Balasubramanian Madhan 
Published: February 2019

The maldistribution of health workers globally and within the Asia Pacific region remains problematic. While globalisation, and the increasing mobility of capital and labour, helps to reduce inequalities between countries, it increases inequality within countries. This study examines health workforce data and densities in the Asia Pacific region through a health workforce migration lens. The main implication relevant to achievement of sustainable development goals is the need for countries to work in a co-ordinated way in this region to increase substantially health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing states, most notably the Maldives, Timor- Leste, Kiribati, Samoa, Solomon Islands, Tuvalu and Vanuatu.
Abbreviations: OECD – Organisation of Economic Co-operation and Development; SDG – Sustainable Development Goals; SIDS – Small Island Development States.
Leadership in Allied Health: A Review of the Literature
Authors: Bradd Patricia , Travaglia Joanne , Hayen Andrew 
Published: February 2019

Background: It is well established that effective clinical leadership improves the quality of healthcare service provision and promotes leadership outcomes. [1,2] Leadership capacity and capability of allied health professionals is needed for successful clinical service provision, [3] but less is known about allied health leadership than about other clinical groups.
Aims: The literature review aimed to identify research about leadership and leadership development of allied health practitioners in healthcare settings.
Methods: A database review was undertaken using SCOPUS, CINAHL, Medline and Business Elite databases from December 2014-September 2015. Three leadership journals were also hand searched. A total of 1665 articles were identified. These were scanned and 129 articles were retrieved with 70 articles shortlisted for indepth review.
Results: After application of inclusion and exclusion criteria, seven journal articles were included in the literature review. Review of the studies identified two areas of primary focus: leadership styles and outcomesand leadership development programs.
Conclusions: Findings showed that there are currently a limited number of robust published reports in relation to leadership and allied health practitioners. Implications for Practice: Well-designed research studies to further evaluate leadership skills of allied health practitioners as well as to determine the effectiveness of leadership programs in developing transformational leaders are required.
Abbreviations: CASP – Clinical Appraisal Skills Program; NHMRC – National Health and Medical Research Council.
Health Assistant in Nursing: a Victorian health service pilot
Authors: Davies Sarah , Keenan Cathryn , Redley Bernice 
Published: February 2019

Objective: Develop and evaluate pilot of a new role to support nursing care delivery in hospital settings.
Design: A naturalistic, three-stage pre-post, multimethod pilot design used data collected from hospital administrative datasets, and surveys and focus groups with staff participants.
Setting: Three wards at three hospital sites of a large tertiary health service in Victoria, Australia.
Subjects: Staff performing the new role and registered nurses working on participating wards.
Intervention: Pilot of a new Health Assistant in Nursing (HAN) role.
Main outcome measures: Staff outcomes were work satisfaction and workload of registered nurses; quality outcomes included reported patient falls and medication errors; organisational outcomes included service costs and sick leave.
Results: Work satisfaction and workload of registered nurses remained stable after introducing the new role. The frequency of reported patient falls reduced in two of the three wards. Costing outcomes suggested potential for cost benefits attributed to reduced falls in acute wards.
Conclusions: This pilot identified the new HAN role has capacity to contribute to improved patient quality and safety outcomes without compromising nurse job satisfaction and workload. Potential cost benefits of thenew role warrant further consideration in the acute care sector.
Abbreviations: CPO – Constant Patient Observer; CSN – Clinical Support Nurse; HAN – Health Assistant in Nursing. NWSQ – Nursing Workplace Satisfaction
Effects of Clinical Placements on Paramedic Students’ Learning Outcomes
Authors: Wongtongkam Nualnong , Brewster Lyle 
Published: February 2019

Background: Clinical placements are of major importance in students’ learning processes through creating supportive environments and fostering independence into paramedic professional roles. The study aimed to explore whether clinical experiences in out-of-hospital emergency services affected students’ learning outcomes and satisfaction.
Methods: A retrospective study was carried out using preceptors’ evaluations (n=160) and students’ feedback forms (n=21). Descriptive and non-parametric inferential statistics were used to analyse quantitative items, and open-ended questions were analysed using content analysis.
Results: Findings showed that more than 70% of students were satisfied with the quality of preceptors and the fieldwork atmosphere. Preceptors reported that students’ clinical skills across all categories improved significantly in the last two weeks of training. Qualitative data indicated that students displayed appropriate behaviour and professional socialisation and were keen to learn, and demonstrated competence in paramedicskills.
Conclusion: A supportive atmosphere and positive student–preceptor relationships are key attributes for clinical placements if students are to accomplish learning outcomes in out-ofhospital environments.
Does Consultation Time Influence Patient Perception of Provider Communication Style, Patient Satisfaction, and Word of Mouth Recommendation in India? A mediation analysis
Authors: Mehra Payal 
Published: February 2019

Background: In medically underserved developing countries such as India, the length of the consultation is often compromised; providers, it appears, have lost their natural empathetic tendencies and try to substitute talk with techniques and procedures. Despite this, surprisingly, patient satisfaction is high in India. This raises questions on the importance of understanding how patients feel about the clinical consultation length and the way it affects their satisfaction. In this context, this study analysed if the time spent with the patient predicted different changes to patient satisfaction with the provider and word of mouth recommendation.Methods: This cross sectional study comprised a sample of working Indian adults (N=501), completing communication competence measures and indicating their satisfaction and word of mouth recommendation potential. The four step Baron and Kenny’s model of mediation analysis, apart from the GLM and factor analysis, was used for the analysisResults: Findings showed that the communication style of the providers positively influenced the health outcomes such as patient satisfaction and word of mouth recommendation, and the length of direct consultation time mediated this relationship. Gender wise, male patients were more likely to complain about poor communication competency of the providers and less consultation time than female patients Conclusion: We conclude that patients positively associate a longer clinical consultation time with empathetic and competent providers and be willing to recommend him/her to others. However due to extreme paucity of qualified providers in India, patients generally ignore or suffer problems related to time or communication style.
The Impact of Shared Versus Individual Office Space on Therapist Appraisal of Their Work Environment
Authors: Rogers Shane L , Edwards Stephen J , Perera Rebecca 
Published: February 2019

Objective: The primary objective was to investigate the impact of shared versus individual office space on therapist appraisal of the work physical and social environment, and overall appraisal of working conditions.
Method: Therapists (n = 59) from Child and Adolescent Mental Health Services in Western Australia were surveyed about their appraisal of the social and physical work environment, in addition to their overall appraisal of working conditions.
Results: Compared to therapists with individual offices, therapists occupying shared office space reported lower appraisal of the work physical environment and lower overall appraisal of working conditions. No difference was found between groups for appraisal of the work social environment. Additionally, when statistically controlling for office space, both the appraisal of the social and physical environment made an independent contribution to the prediction of overall work satisfaction.
Conclusion: This research reveals that shared office space can negatively impact therapist appraisal of their work environment and reduce overall appraisal of working conditions. Additionally, results reveal the high importance of the physical environment for staff satisfaction in a mental health service.
A Study on Management of Health Care Infrastructure Development in Rural India: Critical analysis of current status and future challenges
Authors: Sreenu Nenavath 
Published: February 2019

The study has focused on the role of rural health infrastructure development in India. Currently the health infrastructure development of India is poor and it needs fundamental reforms to deal with new emerging challenges. The role of private providers is increasing but simultaneously healthcare facilities are becoming costly. The study surveys the present position of rural health care infrastructure growth, the development of infrastructure, health care facilities, position of human resource, and quality of service delivery.
The paper suggests future challenges of Indian healthcare infrastructure development in rural area, as the burden of disease, financial deficiency in a large section of the population, vaccination policy and poor access to health care. Longevity, literacy and per capita income are further considerations.
PENGEMBANGAN PERANGKAT PEMBELAJARAN MATEMATIKA BERBASIS PENDIDIKAN KARAKTER KREATIF DI SEKOLAH DASAR
Authors: Anugraheni Indri 
Published: February 2019

Penelitian ini bertujuan untuk menghasilkan perangkat pembelajaran matematika yang berupa Rencana Pelaksanaan Pembelajaran dan Lembar Kerja Siswa berbasis karakter kreatif di kelas IV Sekolah Dasar, mengetahui kepraktisan perangkat pembelajaran matematika berbasis karakter kreatif di Sekolah dasar yang dikembangkan. Penelitian ini merupakan penelitian pengembangan yang mengacu pada model pengembangan 4-D dari Thiagarajan, Semmel, & Semmel yang telah diadaptasi menjadi tiga prosedur pengembangan yaitu: 1) define, 2) design, dan 3) develop. Penelitian ini hanya sampai pengembangan perangkat pembelajaran yang menghasilkan produk dan penelitian ini tidak dilakukan implementasi secara luas. Kemudian perangkat pembelajaran di uji validitasnya. Hasil validasi ahli dan praktisi menunjukkan bahwa Rencana Pelaksanaan Pembelajaran yaitu 87,62 berada pada kategori baik dan Lembar Kerja Siswa (LKS) yaitu 81,90 berada pada kategori baik. Oleh karena itu perangkat pembelajaran matematika berbasis pendidikan karakter kreatif layak digunakan di kelas IV Sekolah Dasar
TIPE DAN FUNGSI PERTANYAAN DALAM PEMBELAJARAN BAHASA INDONESIA KURIKULUM 2013
Authors: Rahman Mahda Haidar , Subyantoro Subyantoro , Mulyani Mimi 
Published: February 2019

Bertanya merupakan kegiatan penting dalam pembelajaran, khususnya pembelajaran bahasa. Hal ini dikarenakan pertanyaan dapat mengawali sebuah interaksi. Interaksi yang baik merupakan awal pembelajaran yang baik. Penelitian ini bertujuan untuk mengetahui tipe dan fungsi pertanyaan dalam pembelajaran Bahasa Indonesia Kurikulum 2013. Penelitian ini merupakan penelitian deskriptif kualitatif dengan metode padan yang dilanjutkan dengan teknik dasar Pilah Unsur Penentu (PUP) untuk mengklasifikasikan tipe dan pertanyaan. Berdasarkan pengamatan, tipe pertanyaan yang sering digunakan guru secara berturut-turut yakni: factual, perceiving & initiating action, conceptual convergen, conceptual divergen, valuing, evaluative, dan actualizing. Adapun fungsi pertanyaan berdasarkan fungsi yang sering muncul secara berturut-turut yakni: elisitasi faktual, memeriksa pemahaman, menejemen kelas, membangun pemikiran, konfirmasi, memeriksa pengetahuan, menyuruh/ melarang, membangun konten, isyarat elisitas, klarifikasi, merekap, mengembangkan kosakata, sanjungan/ sindiraan, refleksi dan mempraktikkan keterampilan. Fungsi pertanyaan dapat berbeda bergantung pada konteks interaksi, tidak bergantung pada tipe pertanyaan. Pertanyaan yang baik adalah pertanyaan yang sesuai dengan konteks interaksi dalam kelas.
Qualitative Detection and Isolation of Bacteria from Surfaces of Canned Drinks Sold in Ugbor, Benin City
Authors: Abraham Ogofure G. , Idowu Bello-Osagie O. , Barbara Aduba U. , Veadams Ighodaro E. , Alexander Emoghene O. 
Published: February 2019

Abstract
The qualitative assessment of putative bacterial pathogens on the surfaces of canned drinks sold in Benin metropolis was evaluated in this study. Standard bacteriological culture-based techniques employing the use of selective and differential media (Oxoid) such as Bacillus cereus agar, mannitol Salt agar, Pseudomonas cetrimide agar, bile esculin agar and MacConkey agar were used for isolation and identification of bacteria from swabbed surfaces of canned drinks. Kirby-Bauer disc diffusion technique was used for antibacterial susceptibility testing. The multiple antibiotic resistance (MAR) index was deduced from the antibiogram characterization to evaluate the public health importance of the bacterial isolates. Refrigerated samples had 25% contamination while 75% were not contaminated and about 15.39% contamination was observed for non-refrigerated samples (stored in crates or cartons) compared to the counterpart 84.61%. The bacterial species include Staphylococcus aureus, Pseudomonas aeruginosa, Escherichia coli, Bacillus cereus, Bacillus sp. and Enterococcus sp. The bacteria were found to be sensitive to ciprofloxacin (92.5%) and gentamicin (90.1%) and least susceptible to cefixime (23.1%) and vancomycin (26.4%). They were found to be multi-resistant because they have an MAR index above the tolerable permissible limit (0.2) for common antibiotics usually used for their eradication. It is important to ensure that the surfaces of canned drinks must be rinsed with water before consumption.
Urban Densification of Large Housing Estates in the Context of Privatisation of Public Open Space: the Case of Imanta, Riga
Authors: Treija Sandra , Bratuškins Uģis , Koroļova Alisa 
Published: February 2019

Abstract
Urban regeneration with a view to efficient use of urban areas has been a strategy for urban development for decades. Densification is used as a planning approach to promote the implementation of the compact city model and to discourage urban sprawl. The central parts of the city are usually of high density, so the areas outside the city’s historic centre are seen as potential sites for urban densification. In many European cities large-scale residential areas built after the Second World War occupy a significant part of the territory outside of the city’s historic centres. Today, these housing areas are in most cases sleeping areas with great potential for development. Densification of urban areas outside of urban nuclei is not an easy task, and deals with a whole series of challenges.
The paper examines the existing approaches focused on densification in large housing estates. In order to define the typical challenges of this process, the examples of infill developments in large housing area Imanta in Riga are analysed. The analysis of infill development in Imanta showed four possible approaches. Some approaches contribute to the improvement of public space for neighbourhood inhabitants in general, still some approaches tend to isolate the new development and inhabitants from the surrounding territory.
An Algorithm for the Calculation of the Dwell Time Constraint for Switched ℋ∞ Filters
Authors: Horváth Zsolt , Edelmayer András 
Published: February 2019

Abstract
This paper presents a numerical algorithm for determining the minimum dwell time constraint for switched linear ℋ∞ fault detection filters. When applying switched systems, ensuring the stability is a crucial target, which can be guaranteed, when we switch slowly enough between the subsystems, more precisely when the intervals between two consecutive switching instants, called dwell time, are large enough. The problem formulation is based on multiple Lyapunov functions and is expressed through a special form of linear matrix inequalities (LMIs), which include a nonlinear term of the dwell time. This represents a multivariable, time dependent optimization problem. As a result, the task cannot be treated as a simple feasibility problem involving a LMI solver as it is widely used in applications of the linear control. To solve these special LMIs, we propose a numerical algorithm, called 𝒯
d
-iteration, which combines the procedure of interval halving with an LMI solver. The algorithm implemented in MATLAB shows its applicability as well as suggest further benefits for the switched linear control and filter synthesis.
Model Predictive Control of a Differential-Drive Mobile Robot
Authors: Bouzoualegh Samir , Guechi El-Hadi , Kelaiaia Ridha 
Published: February 2019

Abstract
This paper presents a model predictive control (MPC) for a differential-drive mobile robot (DDMR) based on the dynamic model. The robot’s mathematical model is nonlinear, which is why an input–output linearization technique is used, and, based on the obtained linear model, an MPC was developed. The predictive control law gains were acquired by minimizing a quadratic criterion. In addition, to enable better tuning of the obtained predictive controller gains, torques and settling time graphs were used. To show the efficiency of the proposed approach, some simulation results are provided.
GA/PSO Robust Sliding Mode Control of Aerodynamics in Gas Turbine
Authors: Debbah Abdesselam , Kherfane Hamid 
Published: February 2019

Abstract
In gas turbine process, the axial compressor is subjected to aerodynamic instabilities because of rotating stall and surge associated with bifurcation nonlinear behaviour. This paper presents a Genetic Algorithm and Particle Swarm Optimization (GA/PSO) of robust sliding mode controller in order to deal with this transaction between compressor characteristics, uncertainties and bifurcation behaviour. Firstly, robust theory based equivalent sliding mode control is developed via linear matrix inequality approach to achieve a robust sliding surface, then the GA/PSO optimization is introduced to find the optimal switching controller parameters with the aim of driving the variable speed axial compressor (VSAC) to the optimal operating point with minimum control effort. Since the impossibility of finding the model uncertainties and system characteristics, the adaptive design widely considered to be the most used strategy to deal with these problems. Simulation tests were conducted to confirm the effectiveness of the proposed controllers.
A Bayesian Information System for Predicting Stator Faults in Induction Machines
Authors: Ramdane Ahmed , Lakehal Abdelaziz , Kelaiaia Ridha , Saad Salah 
Published: February 2019

Abstract
The approach adopted in this paper focuses on the faults prediction in asynchronous machines. The main goal is to explore interesting information regarding the diagnosis and prediction of electrical machines failures by the use of a Bayesian graphical model. The Bayesian forecasting model developed in this paper provides a posteriori probability for faults in each hierarchical level related to the breakdowns process. It has the advantage that it can give needed information’s for maintenance planning. A real industrial case study is presented in which the maintenance staff expertise has been used to identify the structure of the Bayesian network and completed by the parameters definition of the Bayesian network using historical file data of an induction motor. The robustness of the proposed methodology has also been tested. The results showed that the Bayesian network can be used for safety, reliability and planning applications.
Simulating Solid Tumors with a Microenvironment-Coupled Agent-Based Computational Model
Authors: Kiss Dániel , Lovrics Anna 
Published: February 2019

Abstract
In this paper, we introduce a three-dimensional lattice-based computational model in which every lattice point can be occupied by an agent of various types (e.g. cancer cell, blood vessel cell or extracellular matrix). The behavior of agents can be associated to different chemical compounds that obey mass-transfer laws such as diffusion and decay in the surrounding environment. Furthermore, agents are also able to produce and consume chemical compounds. After a detailed description, the capabilities of the model are demonstrated by presenting and discussing a simulation of a biological experiment available in the literature.