bluuebunny/crossref_metadata_2025_split huggingface dataset:
Plugging in the safety gaps: an exploration of patients’ attitudes towards an integrative approach to gathering safety information via Electronic Health Records (EHRs)
Authors: Albutt Abigail , Louch Gemma , O’Hara Jane , Shire Katy , Khatoon Binish 
Published: June 2019

BackgroundIt is now widely accepted that patients can meaningfully provide feedback on the safety of their care, and recent efforts have concentrated on novel ways of gathering this feedback. Increasingly, patients are encouraged to access their electronic health record (EHR), with access associated with improved patient satisfaction and enhanced patient safety through identifying medication errors.AimWith a view to developing a novel intervention to gather safety information from patients in primary care, this study aimed to explore patients’ views on the feasibility and acceptability of inputting feedback on care experiences directly into their EHR.MethodA qualitative design and opportunity sampling strategy was used. Fifteen primary care users participated in semi-structured interviews which focused on inputting feedback into EHRs. Thematic analysis was utilised to analyse transcribed interviews.ResultsThe majority of participants were interested in viewing their EHR and felt they would benefit from providing feedback about their care experiences directly into their EHR. Three key themes were identified: monitoring EHR for improvement; security of EHR; and centralising EHR across care settings. Specific barriers and levers were recognised within each theme.ConclusionAllowing patients to have access to their EHR has the potential to improve patient experience and safety from a primary care user perspective. Nevertheless, there are barriers to consider such as, potential to increase staff workload as additional capacity may be required to interpret and act on feedback to produce service improvements.
Fertility awareness based contraceptive apps: a case study in the digital age
Authors: Shemtob Lara , Littlewood Rebecca 
Published: June 2019

BackgroundFertility awareness based (FAB) contraceptive mobile applications (apps) rely on women logging their menstrual cycle data to predict non-fertile days. Paid social media advertisements for these apps have led to hundreds of thousands of downloads. This rapidly expanding market lacks quality assurance, reflective of wider issues surrounding innovation versus regulation of digital health interventions.AimTo present the results of a literature review carried out to bring together data on FAB contraceptive apps, to better understand the validity of evidence for their use as contraceptive methods. This is combined with context on the climate of advertising and regulation, to illustrate the challenges of innovation in the digital age.MethodDatabases Medline and Embase were searched according to the strategy: ‘fertility-based awareness AND app*’. Eight articles were included in the final thematic analysis.ResultsThis study found apps being used for contraception that were not developed for this purpose; apps inaccurately reporting reliability for preventing pregnancy; there is a need for further training for women using FAB contraceptive apps; and there are limitations of current evidence base and challenges to improving this. In the context of poor regulation and advertising loop holes there is significant risk of misleading users of FAB contraceptive apps.ConclusionThe limited evidence on FAB contraceptive apps should be applied to the public with caution. Incongruities between women’s understanding and expectations of FAB apps compared to reality demonstrate the need for robust regulation around paid advertising, issues echoed elsewhere with other digital health interventions.
How the Health and Social Care Act 2012 has affected commissioning of mental health in England
Authors: Patel Alisha 
Published: June 2019

BackgroundNHS mental health services are under pressure due to chronic underfunding and constrained resources. The Health & Social Care Act implemented an extensive restructure of the NHS and introduced three new legal duties: duty to arrange, promote competition, and integrate services.AimTo establish how the Health and Social Care Act 2012 affected commissioning of mental health services in England and how the duties are being fulfilled.MethodFreedom of Information (FOI) requests were sent to all 211 clinical commissioning groups in England. The number, value, and length of all contracts for mental health services were requested from 2013 to 2016 by type and name of provider; as well as a range of quality and performance data.ResultsThe FOI received a 93% response rate. CCGs commissioned between 1–127 contracts each: 65.3% of all contracts were awarded to the third sector (private for profit, not for profit, and voluntary organisations), amounting to 6% of the total value of contracts commissioned. NHS foundation trusts were awarded 25% of contracts, worth 70% of the total value of contracts. 71% of contracts had no evidence of quality monitoring.ConclusionThe high volume and low value of contracts commissioned to third sector organisations fulfils the new duty to arrange but not to integrate; showing considerable fragmentation of mental health provision. The emerging external market is a result of the Health & Social Care Act promoting diversification of the provider market. Finally, the lack of quality and performance data raises concerns over the transparency and accountability of an NHS that is increasingly being provided by companies.
The outcomes of triaging rheumatology referrals at a single point of access
Authors: Forgie Bethan , Mallett Lisa , Pritchard Helen , Turner Lauren 
Published: June 2019

BackgroundEast Surrey Clinical Commissioning Group established a musculoskeletal triage service for primary care referrals in December 2017 in order to reduce pressure on secondary care.AimTo analyse the processing of rheumatology referrals through the single point of access.MethodA total of 158 referrals over an 8-month period were triaged, 50 of which had available final outcome data. Using a standardised form for GPs, data including initial GP diagnosis, appropriateness for secondary care, any requirement for additional information, relevant blood tests needed before the appointment, and if the patient could be seen by a GP with an extended role in rheumatology were recorded. The resultant rheumatological diagnosis from secondary care was recorded.ResultsOf 158 referrals, 86% were triaged to secondary care, the remainder were referred back to primary care or an alternative healthcare professional. Additional information from the EMIS record was added to 67% of all referrals and additional blood tests were requested in 26%. Of the 50 patients with outcome data, 40% were thought to have non-inflammatory conditions and could be seen in the community setting; this was confirmed in 85% after rheumatology assessment. The most frequent diagnosis in this group was fibromyalgia. Where an inflammatory condition was suspected by the referrer this was confirmed in 68%.ConclusionA significant number of referrals could be seen by a specialist GP in a community setting, the biggest single sub-set of these patients have chronic non-inflammatory pain. The provision of community GP-led rheumatology clinics could improve patient experience, reduce costs, and reduce the burden on secondary care.
Does applicant specialty ambition influence medical school choice?
Authors: Rees Eliot , Harrison David , Mattick Karen , Woolf Katherine 
Published: June 2019

BackgroundThe NHS is critically short of doctors. The sustainability of the UK medical workforce depends on medical schools producing more future GPs who are able and willing to care for under-served patient populations. The evidence for how medical schools should achieve this is scarce. We know medical schools vary in how they attract, select, and educate future doctors. We know some medical schools produce more GPs, but it is uncertain whether those school recruit more students who are interested in general practice.AimThis study seeks to explore how applicants’ future speciality ambitions influence their choice of medical school.MethodOne-to-one semi-structured interviews and focus groups were conducted with medical applicants and first year medical students at eight medical schools around the UK. Interviews were audiorecorded and transcribed verbatim. Transcripts were analysed through thematic analysis by one researcher. A sample of 20% of transcripts were analysed by a second researcher.ResultsSixty-six individuals participated in 61 individual interviews and one focus group. Interviews lasted a mean of 54 minutes (range 22–113). Twelve expressed interest in general practice, 40 favoured other specialities, and 14 were unsure. Participants’ priorities varied by speciality aspiration; those interested in general practice described favouring medical schools with early clinical experience and problem-based learning curricula, and were less concerned with cadaveric dissection and the prestige of the medical school.ConclusionMany applicants consider future speciality ambitions before applying to medical school. Speciality aspiration appears to influence priority of medical schools’ attributes.
The Royal College of General Practitioners (RCGP) quality improvement initiative using Clinical Practice Research Datalink (CPRD) data: Lessons learned
Authors: Booth Helen , Yelland Eleanor , Mullett David , Gallagher Arlene , Padmanabhan Shivani , Welburn Stephen , Valentine Janet , Myles Puja 
Published: June 2019

BackgroundQuality improvement (QI) is a priority for general practice, and GPs are expected to participate and provide evidence of QI activity. Pressures on the primary care workforce require approaches to QI to prioritise efficiency and effectiveness.AimThis project aimed generate and scale up bespoke QI reports for GP practices contributing data to CPRD.MethodCPRD is a UK government research service facilitating public health research using anonymised primary care data. A pilot report was designed with stakeholders and covered two indicators from the RCGP Patient Safety Toolkit. The reports enabled GPs to identify patients needing case review and to benchmark data on practice-level prescribing. Reports for 12 practices, containing real patient data, were sent to GPs and feedback was obtained via interviews. The report was scaled up to 457 practices and a survey sent out to request feedback.ResultsGPs used the reports to review the care of individual patients, and to implement QI actions such as adding flags to patients notes. One participant used the report as evidence for their annual appraisal. Survey response was limited (n = 31.7%) but overwhelmingly positive. Responders highlighted the importance of clinical input when developing indicators and ensuring the tone of the reports is supportive.ConclusionThe collaborative RCGP/CPRD QI reports are unique in their ability to provide benchmarking and case-finding on a national scale. The indicators selected must lead to actionable reports. Clinical input is required to ensure code lists are appropriate and that reports are clinically relevant. CPRD aims to send out two reports annually.
Досвід українців східної галичини у побудові системи місцевого самоврядування (кінець ХІХ – початок ХХ ст.)
Authors: Панфілова Т. О. 
Published: June 2019

Висвітлено складні події кінця ХІХ – початку ХХ ст., які відбувалися на теренах Східної Галичини. Йдеться про процеси, що стосуються історичного досвіду українців у побудові системи місцевого самоврядування, формування Галицького Крайового Сейму, міських, сільських органів виконавчої влади, про вічовий рух за загальне виборче право як важливий етап боротьби за становлення структур громадянського суспільства. Проаналізовано перспективи українського державoтвoрення початку ХХ ст., які переконливо вказують на наявність і готовність українства власними силами будувати кооперацію, банківську та кредитну справу, а також необхідні управлінські структури, які наприкінці ХІХ – початку ХХ ст. вражали бажанням змін і давали приклад українцям по інший бік Дніпра.
RESSIGNIFICAÇÃO DA PESQUISA ESCOLAR: O ALUNO-PESQUISADOR, INVESTIGANDO E PROMOVENDO REFLEXÃO EM SEU MEIO, ATRAVÉS DE GÊNEROS MULTIMODAIS
Authors: Cateluber Deuzina Elaine Melo , Resende Patrícia Santos 
Published: June 2019

Vivemos em uma sociedade cercada por linguagens icônicas. Compreender essa particularidade da língua é fator fundamental na produção do sentido. Na escola, elas precisam ser apreendidas pelos alunos para que possam fazer o uso contínuo dessas linguagens. Nesse contexto, a concepção de língua e a mediação do professor são fundamentais para o sucesso escolar. Assim, surge a ideia de ressignificar a pesquisa escolar, tornando o aluno um pesquisador, que promove reflexões. Foram selecionados dois gêneros multimodais, para analisar até que ponto esses gêneros produzidos pelos alunos podem promover reflexão crítica, mediante aos temas encontrados em seu meio. Destacamos os pressupostos de Dell’Isola (20010), Dionísio (2006), Rojo (2004, 2009), Zuin & Reyes (2010), Barbosa, Mori (2012). Os resultados comprovaram que as atividades interdisciplinares permitiram ao aluno a compreensão e a apreensão do gênero como evento social capaz de atender suas necessidades de leitor e como possibilidade de ler criticamente o mundo. Palavras-chave: gênero multimodal, mediação, aluno-pesquisador.
FORMAÇÃO CONTINUADA E POLÍTICAS EDUCACIONAIS: RELAÇÃO DE UM GRUPO DE PEDAGOGAS COM A PROGRESSÃO CONTINUADA
Authors: Fernandes Anoel 
Published: June 2019

O presente estudo tem por objetivo verificar se a formação continuada realizada por um grupo de professoras atuantes no ciclo I da rede pública estadual paulista interfere nas percepções que possuem sobre a política educacional que, no ano de 1998, organizou o ensino em ciclos com progressão continuada. O referencial teórico para análise dos dados é à teoria critica da sociedade. Busca-se responder a seguinte questão: de que maneira a formação continuada interfere nas percepções de professoras atuantes no ciclo I da rede pública estadual paulista sobre a organização do ensino em ciclos com progressão continuada? Como procedimento de pesquisa, aplicou-se um questionário para 37 professoras. Os dados apontaram que a formação continuada das professoras é realizada, em sua maior parte, pelo próprio lócus de trabalho em que estão inseridas. Tais dados, ao serem cotejados com o referencial adotado, sublinham que a formação no âmbito do trabalho é pseudoformação por ser uma formação voltada para atender às demandas do sistema.
Docencia y Acción Tutorial en la Educación Tecnológica Superior: Experiencia y Reflexiones
Authors: Bell Rodríguez Rafael Felix , Zaldívar Almarales Daniel Austin , Alvarez Perez Alicia Valentina 
Published: June 2019

En este artículo se reflexiona en torno a los retos a los que se enfrenta la labor docente del profesorado de las Instituciones de la Educación Tecnológica Superior en la actualidad, a la luz de las exigencias que se derivan del incesante desarrollo de las tecnologías de la información y de las comunicaciones y de la creciente complejidad de los hechos y fenómenos que configuran el diario quehacer de la humanidad.
En este contexto se exponen las principales pautas para redimensionar las funciones del profesorado, en particular las relacionadas con la docencia y más concretamente con las tutorías, llamadas a convertirse en un espacio privilegiado para la interacción y el crecimiento conjunto de estudiantes y profesores. la viabilidad en el ingreso y la promoción de la carrera
La Interdisciplinariedad Comunicativa: Una Vía para el Desarrollo de la Lengua Materna y la Profesionalidad de los Universitarios en Cuba
Authors: Rodríguez Cosme María , Salazar Silvia 
Published: June 2019

Los problemas de la lengua tanto en el código oral como escrito, constituyen una irregularidad en los estudiantes de los centros educacionales e incluso en la educación superior, los cuales deben desarrollar la comunicación tanto oral como escrita de modo que demuestren competencia comunicativa, esencial para un mayor nivel de aprendizaje en las diferentes materias que reciben durante sus años en la universidad. Desde esta óptica el trabajo metodológico de los Departamentos y de los Colectivos de Disciplinas resulta esencial, para precisar en los aspectos teórico- didácticos del español que se revierta en las diferentes asignaturas, por ser el idioma el macroeje del currículo, y no deja de haber comunicación en todo el proceso de enseñanza aprendizaje. Por consiguiente, el objetivo del presente artículo es desarrollar una orientación teórico- didáctica desde el currículo en la carrera de modo que se promuevan modos de actuación en los estudiantes en formación para su futura labor profesional y que potencie la competencia comunicativa
La relación universidad – empresa a la luz del desarrollo de las prácticas Pre - Profesionales
Authors: Asín Cala Maribel , Fuentes Almaguer Daniel 
Published: June 2019

La formación de profesionales, como cualquier otra función de la educa- ción superior, está relacionada con procesos sociales más generales y cons- tituye una función que está determinada por los propios objetivos del sistema socioeconómico y político en que se encuentra insertada, de la cual es pro- ducto y agente de su desarrollo; por lo que está estructurada y obedece al di- seño de un conjunto de relaciones sociales que entrelazan diversos com- ponentes e instituciones de una situación social dada. Es propósito de este artículo reflexionar acerca de las potencialidades y oportunidades del víncu- lo universidad- empresa en la formación de los profesionales competentes.
El trabajo metodológico mediado por el enfoque comunicativo en la universidad de oriente: validación de una experiencia renovadora
Authors: Fonseca Arias Bárbara , Montenegro Moracén Elsa Iris 
Published: June 2019

La actual Universidad de Oriente es resultado del proceso de integración de tres instituciones de educación superior en Santiago de Cuba, lo cual condujo a replantearse las maneras de interactuar metodológicamente para incidir, a través de una labor coherente y pertinente, en la calidad del proceso formativo de pregrado en el eslabón de base: el enfoque comunicativo constituyó premisa esencial para su concreción. El presente trabajo tiene como objetivo mostrar una experiencia renovadora a través del trabajo metodológico colectivo implementado desde la Dirección de Formación del Profesional cuyos resultados tuvieron un efecto significativo en el proceso docente educativo desarrollado por el claustro universitario en las carreras.
Методика оцінки гідродинамічних характеристик і мореплавності швидкісних транспортних засобів
Authors: Расстригін О. О. 
Published: June 2019

Запропоновано методику чисельних досліджень гідродинамічних характеристик для оцінки мореплавності транспортних засобів водного й амфібійного базування у разі поздовжнього руху по водній поверхні на дозвукових швидкостях, який реалізовано з використанням синтезу різних методів та методик.
KONEKSI PETA GOOGLE MAP DENGAN DATA ASET PEMERINTAH KOTA SEMARANG PADA WEBSITE BPKAD PEMERINTAH KOTA SEMARANG MENGGUNAKAN API GOOGLE MAPS
Authors: Ardhianto Eka , Lestariningsih Endang , Handoko Widiyanto Tri , Supriyanto Edy 
Published: June 2019

Kota semarang merupakan daerah yang dikelola oleh pemerintah daerah kota semarang secara mandiri. Salah satu aset yang dikelola adalah aset berupa tanah dan bangunan milik pemerintah serta fasilitas umum yang ada di kota semarang. Aset tanah dan bangunan milik pemerintah kota semarang yang saat ini tercatat dalam Kartu Identitas Barang A terdapat sejumlah 3.092 bidang.
Permasalahan yang muncul adalah, bahwa masih ada aset aset milik pemerintah yang tidak diketaui lokasi nya, tidak jelas status penanggung jawabnya dan belum jelas status kepemilikannya. Selain itu petugas yang silih berganti personel, sehingga pengenalan dan pelacakan aset milik pemerintah kota semarang menjadi sulit. Pengelolaan aset tanah oleh pemerintah kota semarang, saat ini dirasa kurang maksimal. Untuk itu perlu dibagun sebuah aplikasi sistem informasi geografi lokasi dan manajemen aset pemerintah kota semarang. Pengkoneksian Application Programming Interface (API) Google Maps pada website BPKAD pemerintah kota semarang akan memberikan informasimengenai lokasi aset tanah dan bangunan milik pemerintah kota semarang pada website googlemap.
Website BPKAD yang terhubung ke googlemap memberikan kemudahan bagi operator untuk mengenali lokasi aset tanah dan bangunan milik pemerintah kota semarang. Keuntungan lain yang didapat yaitu meminimalkan kekeliruan dalam pengelolaan aset tanah dan bangunan.
Features of Accretion-phase Gravitational-wave Emission from Two-dimensional Rotating Core-collapse Supernovae
Authors: Pajkos Michael A. , Couch Sean M. , Pan Kuo-Chuan , O’Connor Evan P. 
Published: June 2019

Abstract
We explore the influence of progenitor mass and rotation on the gravitational-wave (GW) emission from core-collapse supernovae, during the postbounce, preexplosion, accretion phase. We present the results from 15 two-dimensional (2D) neutrino radiation-hydrodynamic simulations from initial stellar collapse to ∼300 ms after core bounce. We examine the features of the GW signals for four zero-age main sequence (ZAMS) progenitor masses ranging from 12 M
⊙ to 60 M
⊙ and four core rotation rates from 0 to 3 rad s−1. We find that GW strain immediately around core bounce is fairly independent of ZAMS mass and—consistent with previous findings—that it is more heavily dependent on the core angular momentum. At later times, all nonrotating progenitors exhibit loud GW emission, which we attribute to vibrational g-modes of the protoneutron star (PNS) excited by convection in the postshock layer and the standing accretion shock instability (SASI). We find that increasing rotation rates results in muting of the accretion-phase GW signal due to centrifugal effects that inhibit convection in the postshock region, quench the SASI, and slow the rate at which the PNS peak vibrational frequency increases. Additionally, we verify the efficacy of our approximate general relativistic (GR) effective potential treatment of gravity by comparing our core bounce GW strains with the recent 2D GR results of other groups.
De la pédagogie Montessori aux inspirations montessoriennes. Réflexion sur la question des emprunts pédagogiques partiels dans les pratiques enseignantes
Authors: Leroy Ghislain , Lescouarch Laurent 
Published: June 2019

Un nombre important d’enseignant(e)s de l’école maternelle remettent actuellement en cause ses modalités pédagogiques habituelles en instillant dans leur pratique des éléments issus de la pédagogie Montessori. Qu’il s’agisse de l’organisation spatiale, du matériel, des usages du temps, ou du rôle de l’adulte, ces pratiques « d’inspiration montessorienne » s’avèrent très hétérogènes et plus ou moins orthodoxe. Cet article cherche à les catégoriser en distinguant des pratiques relevant d’un faible ou d’un fort engagement montessorien. Dans les deux cas, il s’agit aussi de mettre au jour d’inexorables limites à l’importation de la pédagogie Montessori au sein de l’école maternelle publique, du fait des programmes et du cadrage institutionnel. L’ensemble du raisonnement est l’occasion d’une réflexion sur l es emprunts pédagogiques partiels, lorsque des éléments d’une pédagogie sont repris sans forcément l’ensemble de ses principes fondateurs.