bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hospital's preparedness in road traffic injuries with mass casualties: Exploring a valid and reliable checklist
Authors: Safarpour Hamid , Safi‐Keykaleh Meysam , Eskandari Zahra , Yousefian Shiva , Faghisolouk Farshad , Sohrabizadeh Sanaz 
Published: September 2019

Background:The most important functional factor of hospitals is having a preparedness plan for dealing with disasters and emergencies such as road traffic injuries. There is a gap in the design and the development of a valid and reliable tool to evaluate the levels of hospital preparedness during road traffic injuries with mass casualty.Objectives:The aim of this study was to explore a valid and reliable tool for measurement of hospital preparedness in road traffic injuries with mass casualties.Methods:This study was conducted in two phases, each comprising different steps: tool design and judgmental evidence. In the first step, the determination of the content domain, sampling from content (item generation), and the formation of the tool and in the second stage, validity and reliability of the tool were performed.Results:From the 139 items that were finally set, nine dimensions including command and control, infrastructure and medical equipment, information and communication systems, surge capacity, triage and medical services, safety and security, human resources management, coordination and cooperation, and training and exercise were identified. Content validity index and content validity ratio of the tool were 0.97 and 0.98, respectively. The reliability of the tool was 0.89 with the kappa coefficient, respectively.Conclusion:The tool has sufficient reliability and validity for measuring hospital preparedness in road traffic injuries with mass casualties. Thus, this tool can be used for assessing the preparedness of hospitals for better planning, preparedness, and response to road traffic injuries with mass casualties.
Lessons From the Development and Implementation of a Palliative Care Elective for Fourth-Year Medical Students: A Pilot Study
Authors: Stepanyan Katelyn D. , Weiss Timothy E. , Pessegueiro Antonio M. , Pietras Christopher J. 
Published: September 2019

Background: Although palliative care is recognized as an important component of medical school curricula, the content and structure of education in the field is variable and often lacks outpatient exposure. We aimed to develop and implement a palliative care clinical elective for fourth-year medical students incorporating both inpatient and outpatient learning. Methods: Fourteen medical students participated in a palliative care elective which included 2 weeks on an inpatient consult service and 1 week of outpatient clinic and home hospice visits. The elective was evaluated using a focus group and previously validated surveys assessing self-rated competency and attitudes toward caring for palliative care patients. Data were analyzed using paired t tests to compare survey response means before and after the elective. Results: Of the 14 participating students, 7 completed both the pre- and postelective surveys. Significant improvements in self-rated competency were seen in pain and symptom management ( P < .001), communication ( P < .001), and advance care planning ( P < .01). Survey results also showed improvement in attitudes toward caring for dying patients ( P < .001), with lower scores at the end of the elective suggesting reduced emotional distress. Although the outpatient component was hypothesized to be a major benefit of the curriculum, qualitative data revealed the most highly valued component to be direct observation and feedback during inpatient time. Conclusion: Given the highlighted importance of direct observation and feedback as a unique and powerful learning experience, future work should be targeted toward enhancing the quality and timeliness of feedback delivered by the palliative care interdisciplinary team.
Association of Nutritional Assessment by Phase Angle With Mortality in Kidney Transplant Patients in an 8-Year Follow-Up
Authors: kaya Eda , Bakir Alev , Koseoglu Yusuf Kenan , Velidedeoglu Mehmet , Trabulus Sinan , Seyahi Nurhan 
Published: September 2019

Background: Phase angle is a bioimpedance analysis parameter that indirectly shows body cell mass. Its association with mortality has been shown in patients receiving dialysis treatment. However, assessment with mortality in kidney transplant recipients has not been studied previously. Methods: We examined 158 kidney transplant recipients who underwent bioimpedance analysis 8 years ago in a cross-sectional study. We contacted them again and investigated the presence of cardiovascular events, cancer, angina pectoris, and claudication. Data regarding mortality, graft failure, and creatinine values were collected from recipients’ files. Findings: During the follow-up period, 15 recipients died, 26 lost graft function, 36 experienced cardiovascular events, and 4 developed cancer. Phase angle was significantly associated with mortality during the 8-year follow-up period of kidney transplant recipients ( P < .001). The cutoff value for phase angle as a predictor of mortality was ≤5.85. Moreover, a phase angle value lower than 5.85 indicated 5.33 times higher risk of mortality. Discussion: Phase angle was a predictor of mortality in kidney transplant recipients. Since phase angle is an inexpensive, easy-to-perform, and noninvasive method, it might be considered as an additional tool to assess survival in kidney transplant recipients.
Single application of airway stents in thoracogastric-airway fistula: results and prognostic factors for its healing
Authors: Wang Hongwu , Tao Meimei , Zhang Nan , Zou Hang , Li Dongmei , Ma Hongming , Zhou Yunzhi 
Published: September 2019

Background: Thoracogastric-airway fistula (TGAF) post-thoracic surgery is a rare and challenging complication for esophagectomy. The aim of this study was to explore the effectiveness of airway stenting for TGAF patients and find related factors coupled with healing of fistula. Methods: This is a retrospective study involving patients with TGAF who were treated with airway stentings. Based on different TGAF locations and sizes on chest computed tomography, covered metallic or silicon airway stents were implanted to cover orifices under interventional bronchoscopy. TGAF healing was defined as the primary outcome, and complete sealing of TGAF as the second outcome. The predictors for TGAF healing were analyzed in univariate and multivariate analysis. Results: A total of 58 TGAF patients were included, of whom 7 received straight covered metallic stents, 5 straight silicon stents, 3 L-shaped covered metallic stents, 21 large Y-shaped covered metallic stents, 17 large Y-shaped silicon stents, and 5 with Y-shaped covered metallic stents. Healing was achieved in 20 (34.5%) patients, and complete sealing in 45 (77.6%) patients. There were no significant differences in healing rate and complete sealing rate between patients receiving metallic stents and those with silicon stents. In univariate analysis, lacking a previous history of radiotherapy or chemotherapy, nonmalignant fistulas, small fistulas, and shorter postesophagectomy duration were found associated with a higher rate of TGAF healing. Only shorter postesophagectomy duration was associated with TGAF healing in multivariate analysis. Conclusions: Both silicon and covered metallic airway stenting are effective methods to close TGAF. A shorter postesophagectomy period may predict better TGAF healing. The reviews of this paper are available via the supplemental material section.
A novel protocol for three-dimensional rotational venography with low-dose contrast media in preoperative angiography of brain tumours
Authors: Kashimoto Kimiaki , Asai Katsunori , Kinoshita Manabu , Okita Yoshiko , Tanabe Shogo , Yamane Yasuhiko , Kawamata Minoru , Yoneda Akitoshi , Nakanishi Katsuyuki 
Published: September 2019

Aim The most appropriate imaging protocol for three-dimensional rotational venography (3D RV) has not been established. The aim of this study was to optimise the protocol for 3D RV with low-dose contrast media using time–density curve analysis. Methods Twenty-five consecutive patients with brain tumours who received preoperative assessment with 3D RV were retrospectively collected and included in this study. To optimise the imaging delay time of 3D RV with low-dose contrast media, time–density curve analysis was performed on two-dimensional conventional angiography. The image quality for depicting cortical veins and venous sinuses was compared to that of magnetic resonance (MR) venography in five cases. Results A total of 27 3D RVs were performed in 25 patients. The time–density curves of cortical veins were different from those of cerebral arteries or sinuses. The mean time to peak of cortical veins was significantly longer than the time to peak of cerebral arteries (2.47 ± 0.35 seconds vs. 6.44 ± 1.14 seconds; p < 0.0001) and shorter than the time to peak of venous sinuses (6.44 ± 1.14 seconds vs. 8.18 ± 1.12 seconds; p < 0.0001). The optimal imaging delay time could be determined as the phases in which cortical arterial opacities disappeared and cortical veins started to appear. The mean dose of injected contrast media was 5.3 mL. The image quality of cortical veins in 3D RV was superior to that in MR venography in all cases. Conclusions Three-dimensional RV with low-dose contrast media was useful for the preoperative assessment of cortical veins in patients with brain tumours.
Exploring an Association of Demographic, Oral, and Systemic Health Factors Among Patients Attending a Teaching Dental Center
Authors: Mian Farrukh Imran , Hamza Syed Ameer , Bokhari Syed Akhtar Hussain 
Published: September 2019

Background: Updated information on oral health status could be used to monitor oral disease patterns, as widespread variations in oral health outcomes within and between different countries are reported. Aim: The objective was to examine the status of oral and systemic health and their association with demographic characteristics of the population attending a public dental center. Methods: A cross-sectional secondary analysis of the patients’ record was conducted during June 2017 attending the dental center of Madina Teaching hospital Faisalabad, Pakistan. Study variables were analyzed using the t test and the c2 test with a significance level of P ≤ .050. Results: The mean age of the study sample was 31.9 ± 14.5 years; 56% were females; 48% had primary or higher education; 9% were hypertensive; 5% had hepatitis; and 5% diabetes mellitus; 52% were with poor oral hygiene, 68% had dental caries, 84% had no fillings, 27% had tooth loss, and 99% functional dentition; 74% patients had calculus, 67% had gingivitis, and 5% had periodontitis. Age was the strongest risk indicator. Dental caries, tooth loss, poor oral hygiene, gingivitis, periodontitis, and tooth mobility were significantly associated with diabetes mellitus; tooth loss and tooth mobility were associated with cardiac disease; tooth loss, periodontitis, and tooth mobility were associated with hypertension, whereas tooth loss and calculus were associated with hepatitis. Higher age and lower income were positively associated with poor oral hygiene. Conclusion: Age and gender remain to be the strongest predictors for both oral and systemic conditions. Poor oral health and tooth loss showed a strong relationship with chronic systemic conditions.
Como medir o tempo ?
Authors: Martins Vitor 
Published: September 2019

Este trabalho parte da prática da confecção de três vídeo-artes, sob a luz de um pensamento e de um fazer foto-imagético, para refletir sobre a capacidade da arte técnica, e do manuseio da câmera, de usar o tempo como insumo. Palavras-chave: Vídeo; Imagem; Arte Contemporânea; Tempo Abstract: This essay is based on the practice of making three video-arts, thought a photo-imaging thinking, to reflect on the ability of technical art, and the handling of the camera, to use time as an input. Key-words: Video; Image; Contemporary art; Time
Observing and evaluating nursing handover practice and culture in a coronary care unit
Authors: Titu Helen Louise 
Published: September 2019

Background/Aims To observe and compare existing nursing handover practice with national recommendations and establish a local model to facilitate the implementation, monitoring and maintenance of best practice. Methods Nursing handover practice was observed using a defined format, collecting qualitative data on structure, safety issues, communication, transfer of information, relevance, and record accuracy and timeliness. Focus groups employed structured interviews regarding effective nursing handover practices based on open-ended questions. These sessions were audio-recorded using transcription conventions that indicate basic conversational turn taking. Results The observed handovers revealed several deficiencies including an inadequate location for the handover, a lack of a structured model and failures in communication. However, in 80% of cases, time was set aside for a handover and this was well attended. Conclusion Current handover practice is inadequate and needs improvement. Nursing culture is shaped by many internal factors, including barriers such as poor communication and leadership. Additionally, a shared mental model among the nursing team offers effective information transfer by concise, factual communication. Structuring a handover using the situation, background, assessment, and recommendations can provide a standard communication framework for patient care handovers.
Reference Values for 30 Common Biochemistry Analytes Across 5 Different Analyzers in Neonates and Children 30 Days to 18 Years of Age
Authors: Hoq Monsurul , Matthews Susan , Karlaftis Vicky , Burgess Janet , Cowley Jessica , Donath Susan , Carlin John , Yen Tina , Ignjatovic Vera , Monagle Paul 
Published: September 2019

AbstractBACKGROUNDAge-specific reference intervals (RIs) have been developed for biochemistry analytes in children. However, the ability to interpret results from multiple laboratories for 1 individual is limited. This study reports a head-to-head comparison of reference values and age-specific RIs for 30 biochemistry analytes for children across 5 analyzer types.METHODSBlood was collected from healthy newborns and children 30 days to &lt;18 years of age. Serum aliquots from the same individual were analyzed on 5 analyzer types. Differences in the mean reference values of the analytes by the analyzer types were investigated using mixed-effect regression analysis and by comparing maximum variation between analyzers with analyte-specific allowable total error reported in the Westgard QC database. Quantile regression was used to estimate age-specific RIs using power variables in age selected by fractional polynomial regression for the mean, with modification by sex when appropriate.RESULTSThe variations of age-specific mean reference values between analyzer types were within allowable total error (Westgard QC) for most analytes, and common age-specific reference limits were reported as functions of age and/or sex. Analyzer-specific reference limits for all analytes on 5 analyzer types are also reported as functions of age and/or sex.CONCLUSIONSThis study provides quantitative and qualitative measures of the extent to which results for individual children can or cannot be compared across analyzer types, and the feasibility of RI harmonization. The reported equations enable incorporation of age-specific RIs into laboratory information systems for improving evidence-based clinical decisions in children.
HAKIKAT MONOTEISME ISLAM (KAJIAN ATAS KONSEP TAUHID “LAA ILAAHA ILLALLAH”)
Authors: Ismail Roni 
Published: September 2019

According to Islam, all humans are bor n in a state of fitrah or an innate inclination of tawhid (Oneness). In a further development, some people deviated from their fithrah, some remains in their desposition depending on the milieu affecting them, especially their parent. The concept of divinity or theology taught by Islam are monotheistic, and it is in line with the pure human nature. The monotheistic theology of Muslims, known as “tauhid” is formulated in the in the confession of faith saying “laa ilaha illallah”, meaning “there is no god, but Allah.” This paper describes the concept of monotheism in Islam based on the meaning of “La ilaha Illallah” and their implications in ever yday life.
ULAMA ARAB DI TANAH MELAYU: SATU ANALISA PADA AWAL ABAD KE-20
Authors: Zain Farid Mat , Fauzi Nurulwahidah 
Published: September 2019

Arab community groups who migrated to the Archipelago through trade and propagation of Islam has been assimilated into the local community in helping the development of Islamization of Sciences. This paper seeks to explore their migration to the Malay Land along 20th centur y and to explore the involve- ment of scientists that has been involved in administrative affairs and Islamic education in the life of the local community.
DASAR-DASAR TEOLOGIS SUNNI UNTUK KONTEKS USAHA (Studi Gagasan Kyai Saleh Darat)
Authors: Fajri Rahmat 
Published: September 2019

Most of Indonesian Muslims are adherents of ahlu as-sunnah wa al-jama’ah (Sunni). It is therefore easily to be assumed that Indonesian Muslim business- men are also the adherent of the Sunni Muslims groups. This paper explores theological belief systems of Asy’ariyah on work, responsibility and wealth. Muslim’s theological beliefs could explain the motivation of Muslims to work and obtain the wealth. Functionally, a belief that work is a form of individual responsibility, that work is the way to gain wealth, and that all Muslims must work would drive Muslims to active in productive ventures, instead of being fatalistic and mushy. Muslims should realize the important of wealth, because by owning the wealth they could actualize themselves and preclude them from scoundrelly conditions, while at the same time they should also aware that the wealth is belong to God.
Qu'est-ce que l’identité gamer ?
Authors: Peyron David 
Published: September 2019

L’objet de cet article est de démontrer qu’il ne suffit pas de jouer à des jeux vidéo pour se considérer comme gamer. Au contraire, cela passe par tout un ensemble d’attitudes et de discours vis-à-vis de la pratique qui impliquent la mise en place de normes d’authenticité d’un·e vrai·e gamer. Ces normes sont avant tout construites autour d’une double temporalité : synchronique (avoir été là avant) et diachronique (y passer beaucoup de temps), mais aussi de références fondatrices qui forment les bases du bon (et en creux du mauvais) goût dans ce que l’on peut alors qualifier de sous-culture gamer, qui s’est construite au fil de la massification de la pratique. La construction sociale de cette catégorie subculturelle est explorée ici à partir d’un corpus d’entretiens portant de manière générale sur la culture geek, et dans lequel la question de ce qu’est l’identité gamer s’est avérée centrale.
Identification of the interface between acoustic and elastic waves from internal measurements
Authors: Cui Yanli , Qu Fenglong 
Published: September 2019

Abstract
Consider the fluid-solid interaction problem for a two-layered non-penetrable cavity. We provide a novel fundamental proof for a uniqueness theorem on the determination of the interface between acoustic and elastic waves from many internal measurements, disregarding the boundary conditions imposed on the exterior non-penetrable boundary.
The proof depends on a uniform

H
1

{H^{1}}

-norm boundedness for the elastic wave fields and the construction of the coupled interior transmission problem related to the acoustic and elastic wave fields.
Вплив поліелементного складу батарейок на стан довкілля та визначення надійності екосистем
Authors: Petrushka I. M. , Ruda M. V. , Hyvlyud A. M. , Kovalj N. M. 
Published: September 2019

Здійснено класифікацію та стандартизацію хімічних джерел струму. Наведено результати паретто-аналізу показників небезпеки складу відпрацьованих алкалінових батарей. Реалізовано метод енергодисперсійного рентгенофлуоресцентного аналізу речовин. Відкориговано показники ступеня небезпеки з урахуванням частки (мас. %) кожного елемента досліджуваних батарейок та оцінено сумарні показники ступеня небезпеки поліелементного складу батарейок. Запропоновано новий підхід до оцінювання впливу не просто батарейки, як такої, а її полікомпонентного складу на стан довкілля, через визначення надійності екосистем, що дає змогу отримати кількісні показники стійкості та втрати природних екосистем, що можуть бути використані як індикатори стану довкілля, а відтак оцінки екологічної складової, важливої для визначення реального впливу поліелементного складу батарейок. В аспекті забезпечення переходу суспільства на засади сталого розвитку важливо оцінити ризики втрати, знищення екосистем, що тісно пов'язано з їхньою стійкістю. Стійкість екосистем розглянуто як здатність зберігати свою структуру і характер функціонування у просторі та часі за впливу змін умов зовнішнього середовища. На основі таких показників, які можна отримати за допомогою програмного забезпечення SimaPro, можливий розрахунок тих порогових величин, поза якими відбуваються негативні явища, прогнозування та моделювання ситуацій, картування джерел ризиків, моніторинг змін, а це дасть змогу виявити причини цих змін, або встановити чинники, що сповільнюють чи стримують наближення екосистем до критичного стану, тобто розробити превентивні заходи запобігання катастрофам. Використаний есо-індикатор 99 є одним із методів, який дає нам змогу прийняти одну оцінку для всього продукту – так званий екологічний індекс. Це сума всіх окремих еко-точок або часткових індексів для всіх процесів життєвого циклу. Обчислювальна процедура здійснюється шляхом підсумовування результатів зважування фаз життєвого циклу.