bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Care for Life Family Preservation Program: Outcome Evaluation of a Holistic Community Development Program in Mozambique
Authors: Panos Angelea , Panos Patrick , Gerritsen-McKane Ruth , Tendai Tiago 
Published: May 2019

Objective: In 2016, Mozambique ranked 13th worldwide in infant mortality (67.9 deaths/1,000 live births) and 20th worldwide in maternal mortality (489 deaths/100,000 live births). This study’s objective was to determine whether a comprehensive program, incorporating the International Association for Community Development’s recommended holistic elements was effective in a country such as Mozambique. Method: Over a 5-year period (2012–2017), an independent, randomized between-group outcome study was conducted to determine whether the holistic Care for Life ( CFL) Family Preservation Program was effective in reducing infant mortality ratios (IMRs) and maternal mortality ratios (MMRs) in Mozambique. Results: At preintervention assessment, intervention and comparison villages were statistically equivalent in both IMR and MMR. After 5 years, intervention villages were significantly below the comparison villages in both IMR (odds ratio = 2.3) and MMR (odds ratio = 4.6). Conclusion: The use of comparison groups demonstrated the CFL program comprehensive, holistic, and sustainable approach is effective.
The Safety Profile of Intentional or Iatrogenic Sacrifice of the Artery of Adamkiewciz and Its Vicinity’s Spinal Segmental Arteries: A Systematic Review
Authors: Tan Terence , Rutges Joost , Marion Travis , Fisher Charles , Tee Jin 
Published: May 2019

Study Design: Systematic review. Objectives: There is paucity of consensus on whether (1) the artery of Adamkiewicz (AoA) and (2) the number of contiguous segmental spinal arteries (SSAs) that can be safely ligated without causing spinal cord ischemia. The objective of this review is to determine the risk of motor neurological deficits from iatrogenic sacrifice of the (1) AoA and (2) its vicinity’s SSAs. Methods: Systematic review of the spine and vascular surgery was carried out in accordance to PRISMA guidelines. Outcomes in terms of risk of postoperative motor neurological deficit with occlusion of the AoA, bilateral contiguous SSAs, or unilateral contiguous SSAs were analyzed. Results: Ten articles, all retrospective case series, were included. Three studies (total N = 50) demonstrated a postoperative neurological deficit risk of 4.0% when the AoA is occluded. When 1 to 6 pairs of SSAs (without knowledge of AoA location) were ligated, the postoperative neurological deficit risk was 0.6%, as compared with 5.4% when more than 6 bilateral pairs of SSAs were ligated (relative risk [RR] = 0.105, 95% CI 0.013-0.841, P = .0337). For unilateral ligation of SSAs of two to nine levels, the risk of postoperative neurological deficit does not exceed 1.3%. Conclusion: The current best evidence indicates that (1) occlusion of the AoA and (2) occlusion of up to 6 pairs of SSAs is associated with a low risk of postoperative neurological deficit. This limited number of low quality studies restrict the ability to draw definitive conclusions. Ligation of AoA and SSAs should only be undertaken when absolutely required to mitigate the small but devastating risk of paralysis.
Strain wave elastography in response assessment to neo-adjuvant chemotherapy in patients with locally advanced breast cancer
Authors: Katyan Amit , Mittal Mahesh Kumar , Mani Chinta , Mandal Ashish Kumar 
Published: May 2019

Objective:
The study was conducted to study the role of strain wave elastography in evaluating the response to neo-adjuvant chemotherapy (NACT) in patients with locally advanced breast cancer (LABC).

Methods:
In this Institutional review board approved study, 86 patients of LABC were investigated with strain wave elastography. Females receiving NACT had the affected breast scanned by strain wave elastography before each cycle of chemotherapy and immediately before surgery by two independent observers. Changes in elastographic parameters (size ratio, strain ratio) were documented and then compared to clinical and pathologic tumor response as evaluated after mastectomy.

Results:
Elastographic strain ratio parameters demonstrated high sensitivity and moderate specificity for determining response even after the first cycle of neo-adjuvant chemotherapy [97.7% sensitivity (Sn), 68.7% specificity (Sp)]. Elastographic size ratio parameters showed moderate sensitivity and specificity for response detection after second and third cycle of neo-adjuvant chemotherapy (Sn, Sp: after second cycle of NACT Sn 83.3% Sp 80%; after third cycle of NACT Sn 77.8% Sp 100%).

Conclusion:
Strain ratio is the earliest predictor of treatment response in patients of LABC. Serial imaging with elastography has the potential to predict treatment response early during the course of NACT, which may prove vital in management of patients with breast cancer.

Advances in knowledge:
Strain wave elastography is a powerful tool to predict chemoresponse early during the course of management, thereby providing an optimal window to change treatment protocols.
“Walt antes do Mickey”: um estudo observacional das características empreendedoras de Walt Disney
Authors: Vasconcelos Douglas Albuquerque , Machado Diego De Queiroz , Moreira Márcia Zabdiele , Guimarães Daniel Barboza , Silva Luís Matheus Tavares 
Published: May 2019

Este trabalho tem como objetivo geral analisar as características empreendedoras de Walt Disney presentes no filme “Walt Antes do Mickey” e como objetivos específicos, Busca-se apresentar os principais modelos de empreendedores na literatura; identificar, na narrativa, elementos dos modelos de empreendedores da literatura abordada e traçar um perfil das características empreendedoras em Walt Disney. A metodologia alicerça-se na análise do filme “Walt Antes do Mickey”, abordando qualitativamente e com coleta de dados através de observação fílmica respaldada pelo estudo observacional indireto e não participante, com o intuito de realizar um paralelo entre o filme e as características do empreendedor situadas no referencial teórico. A pesquisa possui, como resultados, a identificação de características em Walt Disney, como disposição a correr riscos e compromisso, que são apontadas como essenciais ao sucesso empreendedor. Conclui-se, através do filme, a existência de várias características atreladas ao perfil do empreendedor em Walt Disney.
Diálogos consistentes em tempos líquidos
Authors: Luna Sóstenes 
Published: May 2019

Este ensaio pretende apresentar um texto provocativo e, ao mesmo tempo, ensejar uma reflexão comportamental sobre a situação hodierna dos relacionamentos humanos na gestão empresarial, tendo como fulcro, a espiritualidade cristã e o respeito à dignidade da pessoa humana, nas relações interpessoais, dentro do ambiente de trabalho. Tomamos como referência e fundamentação teórica, a citação bíblica do Evangelho de João capítulo 4 e versículos de 1 a 29. Ali, são abordadas as realidades da cultura líquida e os influxos dessa realidade, na problemática do ser humano como ente de relações. Ajudou-nos a aprofundar o tema o contributo teórico de Bauman (2009) e Ravasi (2014) dentro do paradigma do pensamento líquido e da hermenêutica teológica da fonte bíblica Joanina. O aludido trabalho apresenta de forma humilde e despretensiosa o diálogo de Jesus de Nazaré e uma mulher estrangeira à margem de um poço, onde se desvela o método mais humano de dialogar, acolher e corrigir de um líder amoroso, que vai além da realidade líquida oferecendo um sólido projeto vida interior, para aquela mulher e para a pessoa humana, que se compromete com o bem de seu empreendimento e daqueles que colaboram consigo, em um projeto administrativo e existencial bem sucedido.
Data-Driven Patient Scheduling in Emergency Departments: A Hybrid Robust-Stochastic Approach
Authors: He Shuangchi , Sim Melvyn , Zhang Meilin 
Published: May 2019

Emergency care necessitates adequate and timely treatment, which has unfortunately been compromised by crowding in many emergency departments (EDs). To address this issue, we study patient scheduling in EDs so that mandatory targets imposed on each patient’s door-to-provider time and length of stay can be collectively met with the largest probability. Exploiting patient flow data from the ED, we propose a hybrid robust-stochastic approach to formulating the patient scheduling problem, which allows for practical features, such as a time-varying patient arrival process, general consultation time distributions, and multiple heterogeneous physicians. In contrast to the conventional formulation of maximizing the joint probability of target attainment, which is computationally excruciating, the hybrid approach provides a computationally amiable formulation that yields satisfactory solutions to the patient scheduling problem. This formulation enables us to develop a dynamic scheduling algorithm for making recommendations about the next patient to be seen by each available physician. In numerical experiments, the proposed hybrid approach outperforms both the sample average approximation method and an asymptotically optimal scheduling policy. This paper was accepted by Yinyu Ye, optimization.
Dynamic Mechanism Design with Budget-Constrained Buyers Under Limited Commitment
Authors: Balseiro Santiago R. , Besbes Omar , Weintraub Gabriel Y. 
Published: May 2019

We study the dynamic mechanism design problem of a seller who repeatedly auctions independent items over a discrete time horizon to buyers who face a cumulative budget constraint. A driving motivation behind our model is the emergence of real-time bidding markets for online display advertising in which such budgets are prevalent. We assume the seller has a strong form of limited commitment: she commits to the rules of the current auction but cannot commit to those of future auctions. We show that the celebrated Myersonian approach that leverages the envelope theorem fails in this setting, and therefore, characterizing the dynamic optimal mechanism seems intractable. Despite these challenges, we derive and characterize a near-optimal dynamic mechanism. To do so, we show that the Myersonian approach is recovered in a corresponding fluid continuous time model in which the time interval between consecutive items becomes negligible. Then we leverage this approach to characterize the optimal dynamic direct-revelation mechanism, highlighting novel incentives at play in settings with buyers’ budget constraints and seller’s limited commitment. We show through a combination of theoretical and numerical results that the optimal mechanism arising from the fluid continuous time model approximately satisfies incentive compatibility for the buyers and is approximately sequentially rational for the seller in the original discrete time model.Supplemental material is available at https://doi.org/10.1287/opre.2018.1830 .
Diet and physical activity in pregnancy: a study exploring women's beliefs and behaviours
Authors: Chana Rebecca , Haith-Cooper Melanie 
Published: May 2019

Background Being obese or gaining excessive weight during pregnancy can increase health risks for mother and baby. Adopting a healthy diet and increasing physical activity reduces these risks and has long-term health benefits for women. Despite this, women do not always maintain a healthy lifestyle during pregnancy. Aim To explore the factors that encouraged and prevented a diverse group of women to maintain a healthy lifestyle during pregnancy. Methods A total of 12 women participated in semi-structured qualitative interviews, underpinned by the theory of planned behaviour. Interviews were audio recorded, transcribed verbatim then subject to deductive thematic analysis. Findings Four themes emerged: women's knowledge of a healthy lifestyle, sociocultural influences, physical health and health professional support. These influenced women's intentions and actual behaviours during pregnancy. Conclusions Enhanced health professional advice may motivate women to adopt a healthy lifestyle during pregnancy. This could be through new means such as health technology.
Have interventions been effective at increasing the rates of breastfeeding in the UK?
Authors: Shortis Elizabeth 
Published: May 2019

Background The World Health Organization recommends exclusive breastfeeding for the first 6 months of life; however, UK breastfeeding rates are some of the lowest worldwide. As such, various interventions have been trialled, aiming to increase breastfeeding rates. Aims To evaluate the effectiveness of interventions to increase breastfeeding rates in the UK and determine the features of successful interventions. Methods A literature search was performed, using four databases. The results were refined by applying inclusion and exclusion criteria. Two additional articles were recognised by scanning the references sections of identified studies, resulting in 12 articles for review. Findings Support-based interventions had predominantly insignificant effects upon breastfeeding rates. Incentives were associated with increases in rates, while combined interventions had mixed success. The interventions were well received by mothers and clinicians and may help to normalise breastfeeding. Conclusions Future interventions should provide targeted, personalised support to overcome breastfeeding difficulties, and reward mothers for their efforts.
Preventing the spread of contagious diseases
Authors: Bacon Peter 
Published: May 2019

Peter Bacon, technical director at Dentisan, teaches readers about the challenges of combatting the most contagious infectious diseases in the dental practice Aim To understand how droplet-borne pathogens can spread in a dental practice Objectives To be aware of the recent rise in measles cases in the UK and know how to identify the symptoms To understand some effective ways of managing the risk of pathogen spread in the dental practice
Pregnancy and diabetes: efforts by the multidisciplinary team
Authors: Todd Diane 
Published: May 2019

Diabetes effects many pregnancies; some women may have existing type 1 or type 2 conditions or they may develop gestational diabetes. Practice nurses should be aware of the associated complications and the potential treatments their patients may be having. Diabetes is an increasingly common condition observed in antenatal clinics. It describes not only those women with pre-existing diabetes, but also a significant number of women who develop diabetes during their pregnancy (gestational diabetes), which may resolves postnatally. These high-risk pregnancies are known to be associated with maternal, fetal and neonatal complications and require specialist care. This happy time in a woman’s life can also be one of anxiety and concern over their baby’s health. Having diabetes in pregnancy requires daily monitoring of blood glucose levels, adaptions to dietary intake, frequent hospital visits, additional ultrasound scans and the fear of the baby growing ‘too big’. This article describes the woman’s journey from pre-conception to postnatal care and the management, guidance and support offered by the multidisciplinary team, to keep her and her baby safe and achieve a successful pregnancy outcome.
Improving mental healthcare in multi-cultural communities
Authors: Morgan Ashley 
Published: May 2019

Patients from marginalised or minority communities often experience health inequalities. Ashley Morgan explains how practice nurses are best placed to use their cultural competency skills to relieve these failings in primary care Patients from marginalised or minority populations presenting with mental health problems in primary care often struggle to access appropriate and timely support. Communication problems, confusion among primary care professionals and inconsistent definitions of cultural competence contribute to prevailing health inequalities among these patient groups. Training to increase the cultural competence of the nursing workforce goes some way to reducing barriers to effective and appropriate care, although evidence suggests that training alone may be insufficient. This article explores the rationale for cultural competence and encourages practice nurses to develop a sense of cultural curiosity in order to engage with the mental health of their diverse patient population.
FROM BENTINHO TO DOM CASMURRO: PATHOLOGICAL JEALOUSY AND PSYCHIC SUFFERING IN THE WORK OF MACHADO DE ASSIS
Authors: Feitosa Pedro Walisson Gomes , Maia Maria Andrezza Gomes , Aragão Mariana Oliveira , Cunha Pedro Lourenzo Oliveira , Caracas Heloísa Fernandes , Oliveira Fabio Gomes de , Brito Eulina Alves Sousa , Rolim Neto Modesto Leite 
Published: May 2019

Abstract: Dom Casmurro was published for the first time in 1899 by the writer Machado de Assis. This novel, since that time, causes doubts and uncertainties in his readers about the fidelity of the character Capitu and the veracity of the information narrated by Bentinho. Therefore, a brief description of the narrative of this enigmatic Brazilian book is necessary. We seek to analyze the descriptions about the psychic suffering of the character of Bentinho and his narrowing with the pathological jealousy. This article followed a method of documentary analysis, using, in addition to the masterpiece of Machado de Assis, bibliographic studies related to the research theme. Moreover, we include a brief history and theoretical foundation on psychic pain and pathological jealousy. We highlight as a latent difficulty, the reduced number of researches in this methodological line that could contribute to the inferences about the Machado de Assis’s literary work. Keywords: Dom Casmurro, Machado de Assis, Literature, Psychology
Safevîler Devrinde Şiîliğin Yayılmasında Tasavvufun Rolü: Tasavvuf Tarihi Açısından Bir Değerlendirme
Authors: Gökbulut Süleyman 
Published: May 2019

Şiîlik ile tasavvuf arasındaki ilişki karmaşık bir yapı arz etmektedir. Ortak şahıslara ve kavramsal dünyalara sahip olan bu iki yol neredeyse aynı zamanlarda ortaya çıkmış ve gelişme kaydetmiştir. Fakat tasavvuf kendisini başlangıçtan itibaren Sünnî bir paradigmaya dayandırdığı için Şiîliğin ona bakışı genellikle menfî olmuştur. İmamlardan sûfîler aleyhine aktarılan bazı rivayetler bu düşmanlığı daha da arttırmıştır. Seyyid Haydar Âmülî gibi Şiîlik ile tasavvuf arasını telif etmeye çalışan bazı âlimler çıksa da tarih boyunca bu olumsuz tavırda pek yumuşama meydana gelmemiştir. Bilindiği üzere Safevîlerin tarih sahnesine çıkışıyla birlikte On İki İmam Şiîliği resmî bir hüviyete kavuşmuştur. Bazı araştırmacılar Safevîlerin bu mezhebi yaymasında ve halkın Sünnîlikten Şiîliğe geçişinde tasavvufun önemli bir rol oynadığını öne sürmüşlerdir. Kanaatimizce tarihin belirli bir kesitine odaklanan bu görüş bazı abartıları ve eksiklikleri içermektedir. Bu makalenin temel amacı Safevîlerin Şiîliği yaymasında tasavvuf ve tarîkatların etkisinin bulunup bulunmadığını tarihî süreci dikkate alarak anlamaya çalışmaktır.
Les réponses syndicales au précariat
Authors: Scalvinoni Benoît 
Published: May 2019

Si la France est marquée par une précarisation et une dualisation tendancielles de l’emploi, plusieurs projets de réforme ont cherché, à partir des années 2000, à redéfinir l’équilibrage entre la flexibilité de l’emploi et la sécurité des travailleurs. Des organisations syndicales, la CGT et la CFDT, ont également porté des revendications en la matière, soutenant respectivement un nouveau statut du travail salarié et une sécurisation des parcours professionnels. Basée sur une étude de la presse syndicale, cette contribution démontrera que la première intervention syndicale promeut le maintien de la qualification de l’individu dans ou en dehors de l’emploi alors que la seconde soutient son employabilité.
PEMETAAN BUDAYA ORGANISASI PADA PT ASTRA GRAPHIA, Tbk. (Cabang Semarang)
Authors: Mahesa Deewar 
Published: May 2019

Budaya organisa­si berkenaan dengan upaya pencapaian tujuan pendidikan sekolah dan peningkatan mutu sekolah. Budaya organisasi da­pat dikatakan baik jika mampu menggerakkan seluruh personal secara sadar dan mampu mem­berikan kontribusi terhadap keefektifan serta pro­duktivitas kerja yang optimal. Berkaitan dengan sekolah sebagai sebuah organisasi maka tentu sangat perlu untuk memahami bagaimana men­getahui ketidak efektifan di dalam organisasinya sehingga dapat meningkatkan mutu organisasi. Penelitian ini menggunakan metode kualitatif, dengan instrumen penelitian yang digunakan adalah OCAI (Organizational Culture Assesment Instrument) sebagai alat bantu dalam penelitian ini. Objek penelitian ini adalah PT Astra Graphia Tbk, Cabang Semarang, Jawa Tengah. Jabatan yang disurvei adalah seluruh karyawan PT Astra Graphia Cabang Semarang yang terlibat langsung dan berada pada struktur organisasi perusahaan. Metode kualitatif beserta pendalaman dengan metode wawancara dengan kuesioner yang kembali sebanyak 64 kuesioner. Informan penelitian berjumlah 3 orang, informan penelitian dipilih berdasarkan yang memiliki banyak pengetahuan tentang kondisi budaya pada Astra Graphia Cabang Semarang. Hasil yang diperoleh secara keseluruhan skor OCAI dimana terdapat signifikasi budaya yaitu pada Branch Manager saat ini Hierarchy dan di masa mendatang Clan dan Adhocrachy, bagian sales di masa mendatang budaya Adhocrachy, bagian teknik saat ini Market dan di masa mendatang Clan, serta Karyawan dengan masa kerja 21 sampai 30 tahun dengan budaya yang diharapkan Clan di masa mendatang.
THE EFFECT OF PRICE PERCEPTION AND SERVICE QUALITY ON BRAND IMAGE FOR IMPROVING INTEREST IN USING GO-JEK (Study On GO-JEK In Semarang City)
Authors: Nugraha Septy Setia 
Published: May 2019

This research is conducted to test how big influence of price perception and service quality to brand image in increasing interest to use go-jek. Samples were taken from the company's services go-jek number of 110 respondents, Structural Equation Modeling (SEM) was run by AMOS software, was used to analyze the data obtained, the analysis shows that the perception of price and service quality has a positive effect on the image of the brand in increasing interest in using. The most dominant variable in influencing interest in using with the mediation of brand image is the perception of price and service quality. The suggested implications are that the mock companies are able to create a brand image through competitive prices, easy payment systems and improved service quality
A EXTENSÃO COMO SUPRIMENTO DE NECESSIDADES: REFLEXÕES SOBRE A RELAÇÃO DAS INSTITUIÇÕES DE ENSINO SUPERIOR E DA EXTENSÃO COM O MACROAMBIENTE
Authors: Oliveira Erinaldo Silva , Nascimento-e-Silva Daniel 
Published: May 2019

O presente ensaio teórico busca refletir sobre os objetivos e a conceituação de uma prática extensionista. Também busca refletir sobre o ensino e a extensão entendidos como suprimentos de necessidades. Sendo um recorte da pesquisa de trabalho de conclusão de curso em andamento “Criação de um portfólio de cursos de extensão para suprimento das necessidades do ambiente de atuação da Universidade Federal do Oeste do Pará Campus Itaituba”. Trazendo uma análise sobre as funções de suprimento de necessidades ambientais das instituições de ensino e da prática extensionista. As reflexões permitem constatar: 1) a importância das instituições de ensino para com o desenvolvimento do ambiente no qual estas se encontram; 2) a extensão universitária é o espaço acadêmico de formação social e científico que visa o desenvolvimento de novos conhecimentos profissionais para a transformação da sociedade. A contribuição deste estudo para a área da extensão se dá em dois aspectos: primeiro porque permite uma discussão e a tentativa de trazer novas definições sobre a prática extensionista e segundo porque apresenta uma nova cultura ambiental para a universidade, a atuação participativa.