bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of Single-Agent Versus 3-Additive Regional Anesthesia for Foot and Ankle Surgery
Authors: Dang Debbie Y. , McGarry Sean M. , Melbihess Eric J. , Haytmanek Craig T. , Stith Andrew T. , Griffin Matthew J. , Ackerman Katherine J. , Hirose Christopher B. 
Published: July 2019

Background: This study compared the results of regional blocks containing a single anesthetic, bupivacaine, with those containing bupivacaine and 3 additives (buprenorphine, clonidine, and dexamethasone) in patients undergoing foot and ankle surgery. Methods: Eighty patients undergoing foot and ankle surgery over a 9-month period were prospectively enrolled and randomized to receive a peripheral nerve block containing either a single anesthetic (SA) or one with 3 additives (TA). Patients, surgeons, and anesthesiologists were blinded to the groups. Patients maintained pain diaries and were evaluated at 1 and 12 weeks postoperatively. Fifty-six patients completed the study. Results: The TA group had a longer duration of analgesic effect than the SA group (average 82 vs 34 hours, P < .05). Forty-eight hours after surgery, 93% of SA blocks, compared with 34% of TA blocks, had completely worn off. The TA group had a longer duration of sensory effects. At 3 months, 10 of 26 (38.5%) TA patients, compared with 3 of 30 (10%) SA patients, reported postoperative neurologic symptoms. Pain scores in both groups were not statistically different at 1 week or 3 months after surgery. Patients in both groups were similarly satisfied with their blocks. Conclusion: Both types of nerve blocks provided equivalent pain control and patient satisfaction in patients undergoing foot and ankle surgery. The 3-additive agent blocks were associated with a longer duration of pain relief and a longer duration of numbness, as well as higher rates of postoperative neurologic symptoms. Longer pain relief may be obtained at the cost of prolonged sensory deficits. Level of Evidence: Level II, prospective comparative study.
Risk Factors for Continuation of Atypical Antipsychotics at Hospital Discharge in Two Intensive Care Unit Cohorts
Authors: Levine Alexander R , Lemieux Steven M , D’Aquino Daniela , Tenney Analise , Pisani Margaret , Ali Syed 
Published: July 2019

Introduction: Atypical antipsychotics are frequently initiated in the intensive care unit (ICU) to treat delirium. Many patients continue on these agents at hospital discharge despite a lack of data to support long-term use. Objectives: The primary aim of this study was to determine underlying risk factors for continuation of antipsychotics at hospital discharge in medical intensive care unit (MICU) and surgical intensive care unit (SICU) patients when evaluated as separate cohorts. Methods: A single-center, retrospective study in patients newly initiated on quetiapine, risperidone, or olanzapine in a 22-bed mixed medical-surgical ICU admitted from January 2017 to July 2018. Results: A total of 78 (62.9%) MICU patients and 46 (37.1%) SICU patients met the inclusion criteria during this time frame. A total of 29 MICU patients (37.2%) were prescribed antipsychotics at hospital discharge compared to 25 SICU patients (54.3%), P = .063. The percentage of MICU patients prescribed antipsychotics at hospital discharge was significantly higher in patients ⩾60 years of age (22 [75.9%] vs 26 [53.1%], P = .045), with a history of dementia (5 [17.2%] vs 1 [2%], P = .015), admitted with hemorrhagic stroke (5 [17.2%] vs 2 [4.1%], P = .049), and initiated on risperidone (3 [10.3%] vs 0%, P = .022). The risk of pre-existing dementia remained significant in a multivariate logistic regression that controlled for confounding variables, odds ratio (OR) = 10 (95% confidence interval [CI]: 1.11-90.5, P = .040). The percentage of SICU patients prescribed antipsychotics at discharge was significantly higher in those with severe traumatic brain injury (TBI; 8 [72.7%] vs 0%, P = .004) and initiated on quetiapine (19 [76%] vs 9 [42.9%], P = .022). Conclusion: Antipsychotics were commonly continued at hospital discharge in both MICU and SICU patients. Several risk factors for continuation of antipsychotics were identified in these two cohorts. Future efforts assessing the appropriateness of antipsychotics at transitions of care are warranted.
Minimization of Surgical Site Infections in Patients With Delayed Sternal Closure After Pediatric Cardiac Surgery
Authors: Yabrodi Mouhammad , Hermann Jeremy L. , Brown John W. , Rodefeld Mark D. , Turrentine Mark W. , Mastropietro Christopher W. 
Published: July 2019

Background: Delayed sternal closure (DSC) following pediatric cardiac surgery is commonly implemented at many centers. Infectious complications occur in 18.7% of these patients based on recent multicenter data. We aimed to describe our experience with DSC, hypothesizing that our practices surrounding the implementation and maintenance of the open sternum during DSC minimize the risk of infectious complications. Methods: We reviewed patients less than 365 days who underwent DSC between 2012 and 2016 at our institution. Infectious complications as defined by the Society of Thoracic Surgeons Congenital Heart Surgery Database were recorded. Patients with and without infectious complications were compared using Wilcoxon rank sum tests or Fisher exact tests as appropriate. Results: We identified 165 patients less than 365 days old who underwent DSC, 135 (82%) of whom had their skin closed over their open sternum. Median duration of open sternum was 3 days (range: 1-32 days). Infectious complications occurred in 15 (9.1%) patients—13 developed clinical sepsis with positive blood cultures, one patient developed ventilator-associated pneumonia, and one patient developed wound infection (0.6%). No cases of mediastinitis occurred. No statistical differences in characteristics between patients with and without infectious complications could be identified. Conclusion: Infectious complications after DSC at our institution were notably less than reported in recent literature, primarily due to minimization of surgical site infections. Practices described in the article, including closing skin over the open sternum whenever possible, could potentially aid other institutions aiming to reduce infectious complications associated with DSC.
Testing the Limits of Colonial Parenting: Navajo Domestic Workers, the Intermountain Indian School, and the Urban Relocation Program, 1950–1962
Authors: O’neill Colleen 
Published: July 2019

AbstractClosely examining the experiences of mostly female Navajo students, this article demonstrates that the Intermountain Indian School played a pivotal role in carrying out postwar Indian Policy. Like Progressive Era Indian boarding schools, its gendered curriculum prepared students to assimilate as low-status workers into American society and move away from their reservation communities. However, beginning with the first graduating class, Navajo students took advantage of the training but did not necessarily conform to policy makers’ expectations.
A controlled study on an instrument that couples active learning with technology: student video creation
Authors: Nascimento Gyzelle P.V. , Moreira Daniel C. , Welker Alexis F. 
Published: July 2019

Background: Active learning strategies and the use of technology in classes have been widely indicated to enhance learning. Although much has been discussed on these topics, few studies have addressed them with adequate experimental designs. Therefore, this study investigated the effect of a strategy coupling active learning methodology and technology –video lectures production by students – on the students’ learning in comparison with traditional approaches. Methods: To investigate the impact of video production on students’ learning, approximately half of one class of undergraduate students in a Pharmacy program attended traditional classes on one of its modules, while the other half was instructed to elaborate video lectures about the same content. We recorded their scores in two exams on the topic covered by the video lectures, one prior to intervention and the second after the intervention. We also recorded their score in a final exam at the end of the course, which covered all modules in the course, and applied a questionnaire to assess students’ perceptions about the applied methodology. Results: The average score of the students in the video group became 46% higher than the control group’s score. The score on the final exam at the end of the course showed no difference between groups. Most of the students reported that the video lectures they produced in class improved their academic performance. Conclusions: The video lecture production activity, a teaching instrument that relies on active learning and technology, was able to improve learning indicators of a group of randomly selected students in comparison with a control group of students who attended traditional expository classes given by an instructor.
Health care providers’ perspectives on delivering gender equity focused family planning program for young married couples in a cluster randomized controlled trial in rural Maharashtra, India
Authors: Nair Saritha , Dixit Anvita , Ghule Mohan , Battala Madhusudana , Gajanan Velhal , Dasgupta Anindita , Begum Shahina , Averbach Sarah , Donta Balaiah , Silverman Jay , Saggurti Niranjan , Raj Anita 
Published: July 2019

Background: There is increasing programming and research on male engagement and gender-equity (GE) counselling in family planning (FP) services. However, there is a lack of data on healthcare provider’s perspectives on delivering these interventions. The objective of the paper is to present providers’ perspectives on delivering a GE-focused FP intervention, CHARM, to married couples in rural India.Methods: In-depth interviews were carried out with 22 male village health care providers who were delivering a GE-focused FP intervention, CHARM, to 428 husbands (247 couples) rural Maharashtra, India. Providers were interviewed on their experiences and perspectives during delivery of CHARM. Major domains were identified during a thematic analysis.Results: Local male health providers are interested and can be engaged in delivering a GE-focused FP intervention. Providers believed that the CHARM intervention improves couples’ communication, contraceptive use and strengthened their own capacity to provide FP services in accordance with national FP programmatic efforts. Providers found the low-tech flipchart including pictures and information helpful in supporting their service provision. Providers reported some challenges including lack of privacy and space for counselling, limited access to contraceptive options beyond pill and condom, numerous myths and misconceptions about contraceptives. Providers also reported persistent social norms related to expectancy of pregnancy early in marriage, and son preference.Conclusions:Providers in rural areas with high fertility and related maternal health complications are interested in and can successfully implement a GE-focused FP intervention. Future efforts using this approach may benefit from greater focus to support broader array of spacing contraceptives particularly among first time parents, none or one child parents. There is a need to better support engagement of wives possibly through female provider led sessions parallel to male programs, i.e. gender synchronized rather than couples’ sessions.Trialregistration: ClinicalTrials.gov NCT01593943, May 8, 2012.
Cost-effectiveness of oral versus intravenous antibiotics (OVIVA) in patients with bone and joint infection: evidence from a non-inferiority trial
Authors: McMeekin Nicola , Geue Claudia , Briggs Andrew , Rombach Ines , Li Ho Kwong , Bejon Philip , McNally Martin , Atkins Bridget L. , Ferguson Jamie , Scarborough Matthew ,   OVIVA collaborators
Published: July 2019

Background: Bone and joint infections are becoming increasingly common and are usually treated with surgery and a course of intravenous antibiotics. However, there is no evidence to support the superiority of intravenous therapy and there is a growing body of literature showing that oral therapy is effective in treating these infections.Given this lack of evidence the clinical trial ‘Oral Versus Intravenous Antibiotics’ (OVIVA) was designed to assess the clinical and cost-effectiveness of intravenous versus oral antibiotics for the treatment of bone and joint infections, using a non-inferiority design. Clinical results from the trial indicate that oral antibiotics are non-inferior to intravenous antibiotics. The aim of this paper is to evaluate the cost-effectiveness of intravenous compared to oral antibiotics for treating bone and joint infections, using data from OVIVA. Methods: A cost-utility analysis was carried out, the main economic outcome measure was the quality adjusted life-year, measured using the EQ-5D-3L questionnaire, combined with costs to estimate cost-effectiveness over 12-months follow-up. Results: Results show that costs were significantly lower in the oral arm compared to the intravenous arm, a difference of £2,740 (95% confidence interval £1,488 to £3,992). Results of four sensitivity analyses were consistent with the base-case results. QALYs were marginally higher in the oral arm, however this difference was not statistically significant; -0.007 (95% confidence interval -0.045 to 0.031). Conclusions: Treating patients with bone and joint infections for the first six weeks of therapy with oral antibiotics is both less costly and does not result in detectable differences in quality of life compared to treatment with intravenous antibiotics. Adopting a practice of treating bone and joint infections with oral antibiotics early in the course of therapy could potentially save the UK National Health Service over £17 million annually.
A Feasibility Study on partially substituted Coarse Aggregate with Oil Palm Shell in Coconut Fiber Reinforced Concrete
Authors: Wee Ong Siaw , Leong Lau Teck , Wai Yeong Tuck , Parvez Anwar Mohammed , Elleithy Wael 
Published: July 2019

In the search of alternative materials for the replacement of conventional coarse aggregate, the feasibility of utilizing agricultural waste products was looked into in the effort of producing a more environmentally friendly and less dense concrete. Mechanical properties of partially substituted coarse aggregates using oil palm shell (OPS) in a concrete composite reinforced with a low volume fraction of coconut fibre (CF) have been studied for its feasibility as an alternative solution to the problem. Analysis on the impact of compressive strength, flexural strength, density and Youngâ€™s modulus have been conducted on hardened coconut fibre reinforced concrete (CFRC) at 15% and 25% substitution by volume of conventional coarse aggregates with OPS. The properties of the composite concrete were evaluated with reference to the control sample, CFRC reinforced with 0.2% fibre volume fraction. The results have shown that it is feasible to produce a sustainable grade 30 concrete of lower density with CFRC at 25% level of OPS substitution.Â Â
Strengthening Youths Skill: Wiring Workshop in Rural Area
Authors: Mad Kaidi Hazilah , Fazilah Mohd Hashim Nor , Nabil Muhtazaruddin Mohd , Aini Bani Nurul , Ahmad Norulhusna , Mohamed Norliza , Musa Rafizah , Salim Fatimah 
Published: July 2019

Youth is known as an energetic people with a high potential, and eager to try something new. Therefore, it is such a loss if the abilities that they have been wasted and not fully utilised in a proper way. Project of the electrical wiring workshop is one of the great initiatives as it provides a knowledge base and develops skills in technology and engineering especially in a rural area. In addition, the workshop also aims to develop interpersonal, communication and lifelong learning skills. The ability of youth also increases in generating side income and entrepreneurship nowadays. Through involvement, participants in the wiring workshop have been exposed with a variety of basic installation and wiring techniques whereby they are able to shape their personalities with the advantage of skills in technology and engineering acquired. As a result, return on investment (RoI) can be achieved in the workshop which being conducted at Kampung Pasir Puteh, Kalumpang Hulu Selangor, Malaysia.Â Â Â
Form-Finding of Tensegrity Model with Triangular Cells
Authors: Farizah Filzah Naing Nur , Chai Lian Oh , Akmar Abu Bakar Ilyani , Raizamzamani Md Zain Mohd 
Published: July 2019

Tensegrity structures is a light-weight structure compared to concrete structures that are heavy and rigid in shape. The studies on form-finding for tensegrity configuration are still ongoing and have been extensively conducted. Additionally, many proposed tensegrity structures have not been built for real applications. This study aims to determine potential self-equilibrated configurations of three-stage Class I tensegrity model assemblage with triangular cells, which may be applied as deployable towers. The form-finding methodology involves phases in establishment of desired form and formulation for the self-equilibrated state. The system of equilibrium equations was solved by Moore-Penrose generalized inverse method.Â A range of twist angles 10o â€“ 50o for triangular cells was investigated in the form-finding process.Â It was found that the form-finding method via changing of twist angles has successfully search self-equilibrated tensegrity models.Â Â
Creating a Blended Learning Model for Online Learning System in Indonesia
Authors: Anis Chaeruman Uwes , Wibawa Basuki , Syahrial Zulfiati 
Published: July 2019

Online system born out of technological advances benefits the world of education. This system utilizes the internet to disseminate information and act as a communication tool. The application of Blended Learning is generally able to improve the result of the learning process by changing learning habits and methods in many countries. By involving 7 e-learning instructors and 235 respondents, a formative research was conducted to investigate the increase in learning characteristics, i.e. innovation, compatibility and complexity to determine the appropriate model for the application of Blended Learning in an online learning system (SPADA) in Indonesia. The result of this research can be used as a guideline in the lesson plan design component, learning experience management and the balance interaction between lecturers and students during the learning process.Â Â
PELUANG DAN TANTANGAN JURU DAKWAH WANITA DALAM MEMBINA AKHLAK REMAJA DI KECAMATAN NGLIPAR, GUNUNGKIDUL, YOGYAKARTA
Authors: Sodik Abror 
Published: July 2019

Abstrak Salah satu fenomena yang ada di Kecamatan Nglipar, Gunungkidul, Yogyakarta adalah banyaknya anak putus sekolah, pergaulan bebas, buta huruf al-Qur’an, hamil di luar nilkah, terlibat judi dan narkoba, dan berbagai tindakan menyimpang lainnya. Usaha untuk membina akhlak anak-anak remaja di daerah ini tentu merupakan tanggung jawab semua pihak, termasuk juru dakwah dari kaum wanita. Dalam melaksanakan tugas mulia itu, juru dakwah wanita di daerah ini tentunya banyak menghadapi tantangan dan sekaligus merupakan peluang dalam beramar makruf dan nahi mungkar. Fokus adalah pertama, bagaimana potret juru dakwah wanita di Kecamatan Nglipar, Gunungkidul, Yogyakarta. Kedua, bagaimana peran juru dakwah waniata dalam pembinaan akhlak remaja di kecamatan Nglipar itu. Ketiga, bagaimana peluang dan tantangan yang dihadapi juru dakwah wanita dalam pembinaan akhlak remaja di kecamatan Nglipar. Kata kunci: juru dakwahwanita, akhlak remaja, nilai-nilai agama.
DEVELOPMENT OF ISLAMIC COUNSELING CONCEPT (Spiritual Issues in Counseling)
Authors: Subhi Muhamad Rifa’i 
Published: July 2019

Perdebatan panjang yang terjadi dalam pengembangan konsep konseling islam oleh para ahli dari berbagai negara menjadi isu aktual yang menarik untuk dibahas. Hal ini memperjelas kemana arah pengembangan konsep konseling islam, sehingga ditemukan ciri khas dari apa yang sebenarnya dikaji dalam konseling islam. Penelitian ini membahas tentang perdebatan tersebut yang bertujuan untuk memetakan konsep konseling islam dari berbagai ahli, dengan menggunakan 3 artikel utama dari 3 tokoh yang memiliki pendekatan berbeda dalam mengembangkan konsep konseling islam. Metode penelitian yang digunakan ialah analisis isi (content analysis), yakni proses penguraian data, pengkonsepan, dan penyusunan kembali dengan cara baru. Langkah-langkah yang ditempuh dalam analisis isi meliputi, Open coding, axial coding, dan selective coding.Hasil penelitian menunjukkan bahwa pengembangan konsep konseling islami merupakan suatu hal yang baru dalam dunia konseling. Oleh karena itu, sudah sewajarnya apabila dalam proses pengembangannya menuai pro dan kontra dari pihak-pihak pendahulu yang sudah memiliki metodologi dan konsep keilmuan yang sudah teruji, baik secara teoritis maupun praktis. Pihak-pihak yang kontra dengan pengembangan ini ialah mereka yang tidak mengakui adanya dimensi spiritualitas yang menjadi sasaran utama dalam konsep konseling islami, beberapa diantaranya ialah Freudian, Adlerian, dan lain-lain. Adapun pihak yang terus memperjuangkan pengembangan konsep konseling islami ialah para cendekiawan muslim yang sebagian besar berasal dari Afrika Selatan, Asia, dan Amerika. Dalam mengembangkannya pun tidak sedikit dari mereka yang menemukan hasil yang berbeda. Hal ini disebabkan oleh penggunaan sudut pandang atau pendekatan yang berbeda dalam merumuskan konsep konseling islami. Keadaan seperti ini semakin memperkuat posisi pengembangan ini sebagai isu dalam dunia konseling. Kata Kunci: Konsep, Konseling, Konseling Islam.
Субъективное благополучие научно-педагогических работников современных университетов в рамках концепции баланса жизни и труда
Authors: Филоненко Юлия Вячеславовна , Яковлева Елена Андреевна 
Published: July 2019

В статье представлены результаты исследования субъективного благополучия определенной социальной группы — научно-педагогических работников современных университетов. Приведены результаты качественного исследования — проведенных в сентябре-декабре 2018 г. 50 глубинных интервью научно-педагогических- работников шести российских вузов. В статье на основе междисциплинарного подхода (институциональной и поведенческой экономики, позитивной психологии, социологии) углублено понимание детерминант субъективного благополучия социально-профессиональной группой преподавателей высшей школы и идентифицирован вклад в этот феномен фактора баланса интенсивности работы и качества личной жизни и сделан вывод об их значимой обратной связи и связи с профессиональными характеристиками на основе аффективного компонента субъективного благополучия.
Благодарность. Исследование выполнено в рамках гранта РФФИ 18-010-00952 «Исследование субъективного благополучия россиян на примере научно-педагогических работников: факторы и динамика»