bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ortaokul Matematik Öğretmenlerinin Ders Tasarımlarının Öğretime Entegrasyonu
Authors: TANIŞLI Dilek , AYBER Gözde , KARAKUZU Burcu 
Published: February 2019

Bu
çalışmada farklı mesleki deneyimlere sahip ortaokul matematik öğretmenlerinin
ders tasarımlarının ve bu tasarımlarını öğretimlerine entegre etme süreçlerinin
Dörtlü Bilgi Modeli (DBM) bağlamında incelenmesi amaçlanmıştır. Araştırmada
nitel araştırma yöntemlerinden durum çalışması deseni benimsenmiştir.
Araştırmanın katılımcılarını Milli Eğitim Bakanlığı (MEB)’na bağlı okullarda
çalışan ve mesleki deneyimleri 2 ve 18 yıl olan iki ortaokul matematik
öğretmeni oluşturmuştur. Katılımcıların sahip oldukları alan ve alan öğretim
bilgilerinin ve ders sırasında bu bilgilerini öğretimlerine entegre etme
süreçlerinin incelenmesi amacıyla öğretmenlerin ikişer ders saati gözlemlenmiş
ve kaydedilmiş, gözlem öncesinde öğretmenlerle yarı yapılandırılmış görüşmeler
gerçekleştirilmiştir. Verilerin analizi ve yorumlanmasında ise tematik analiz
kullanılmış, temalar DBM’nin birimleri ve kodları esas alınarak belirlenmiştir.
Verilerin analizi sonucunda her iki öğretmenin işlenen konuya ilişkin alan
bilgilerinin yeterli olmadığı, alan öğretim bilgileri bağlamında ise özellikle
öğrenci düşüncesini sorgulamada deneyimli öğretmenin daha başarılı olduğu
belirlenmiştir. Öğretim sırasında deneyimli öğretmenin kavramlar arasındaki
ilişkiyi daha iyi kurabildiği, diğer öğretmenin ise işlem odaklı bir öğretim
gerçekleştirdiği tespit edilmiştir. Ayrıca mesleğe yeni başlayan öğretmenle
karşılaştırıldığında deneyimli öğretmenin planlarında öğretimi sırasında
karşılaşabileceği beklenmeyen durumları göz önünde bulundurduğu ve gerektiğinde
ders planını revize ettiği görülmüştür
Psychometric Properties of the Brazilian Version of the Nurses' Knowledge of High-Alert Medications Scale: A Pilot Study
Authors: Apolinário Priscila Peruzzo , da Silva Juliana Bastoni , de Oliveira Deborah Cristina , Gonçalves Natália , Rodrigues Roberta Cunha Matheus , de Melo Lima Maria Helena 
Published: February 2019

Background and Purpose:High-alert medication is considered to be a medication that presents a high risk of causing significant patient harm when used erroneously and its consequences can be fatal. The Nurses' Knowledge of High-Alert Medication scale (NKHAM) is a tool available to evaluate the knowledge of nurses in practice about this issue.Aim:This pilot study aimed to measure the reliability and known-groups validity of the Brazilian version of the NKHAM.Methods:This pilot psychometric study was carried out at the Faculty of Nursing and University Hospital of the University of Campinas, São Paulo, Brazil. Forty nursing students and 44 registered nurses working in complex clinical or surgical settings completed a sociodemographic questionnaire and the Brazilian version of the NKHAM. The Kuder–Richardson 20 (KR-20) coefficient and Mann–Whitney test were used to establish reliability and known-groups validity. A significance level of ≤ 0.05 was adopted for all the analyses.Results:Analyses demonstrated preliminary acceptable reliability scores of 0.55 and 0.60 in domains A and B of NKHAM, respectively. A significant difference was found between the nursing students' and the registered nurses' knowledge of high-alert medications, demonstrating the scale's ability to discriminate between the two groups.Implications for Practice:Although this is pilot study, results suggest that the Brazilian version of the NKHAM might be a reliable and valid tool to measure nurses' knowledge of high-alert medications.
A Program Model Describing a Community-Based Mother and Infant Health Program
Authors: Guo Yuqing , Rousseau Julie , Bender Miriam , Lee Jung-Ah , Pimentel Pamela , Bojorquez Yvette , Silva Michele , Olshansky Ellen 
Published: February 2019

Background and Purpose:The objective of this study was to formulate a MOMS Orange County program model to describe the components and function of a successful community-based maternal and infant health program.Methods:A logic framework was used to guide the development of the MOMS program model. Twenty-five MOMS staff members were interviewed; MOMS documents and existing research literature were reviewed. Content analyses were used to identify themes of interviews and the review guide was used to summarize the documents.Results:The key components of the MOMS program were identified to formulate a narrative and graphic model. The main elements of this model included: target population (underserved women who have low socioeconomic status and have limited access to healthcare in Orange County); theoretical assumptions (social determinants of health, human ecology, self-efficacy); goals (empower women, enhance health of infants, strengthen families); inputs (funded by public and private sources; 50 staff members); activities (care-coordination home visitation community-center group health education); outputs (the number of home visitations, referrals to medical and/or psychological services, and group health education classes); and outcomes (short-term: healthy pregnancy, birth outcomes, family support; medium-term: postpartum well-being, infant development, family functioning; long-term: women's well-being, children's development, family relationships. Future research should test how this model functions to empirically improve maternal, newborn, child, and family health.Implications for Practice:The MOMS program provides a new approach to community-based maternal and infant health interventions focusing on health promotion and disease prevention for underserved families in socioeconomically disadvantaged communities.
Discovering Associations Among Older Adults' Characteristics and Planned Nursing Interventions Using Electronic Health Record Data
Authors: Gao Grace , Kerr Madeleine J. , Lindquist Ruth A. , Chi Chih-Lin , Mathiason Michelle A. , Monsen Karen A. 
Published: February 2019

Background and Purpose:Little is known about how nursing assessments of strengths and signs/symptoms inform intervention planning in assisted living communities. The purpose of this study was to discover associations among older adults' characteristics and their planned nursing interventions.Methods:This study employed a data-driven method, latent class analysis, using existing electronic health record data from a senior living community in the Midwest. A convenience sample comprised de-identified data of well-being assessments and care plans for 243 residents. Latent class analysis, descriptive, and inferential statistics were used to group the sample, summarize strengths and problems attributes, nursing interventions, and Knowledge, Behavior, and Status scores, and detect differences.Results:Three groups presented based on patterns of strengths and signs/symptoms combined with problem concepts: Living Well (n= 95) had more strengths and fewer signs/symptoms; Lower Strengths (n= 99) had fewer strengths and more signs/symptoms; and Resilient Survivors (n= 49) had more strengths and more signs/symptoms. Some associations were found among group characteristics and planned interventions. Living Well had the lowest average number of planned interventions per resident (Mean = 2.7; standard deviation [SD] = 1.7) followed by Lower Strengths (Mean = 3.8;SD= 2.6) and Resilient Survivors (Mean = 4.1;SD= 3.4).Implications for Practice:This study offers new knowledge in the use of a strengths-based ontology to facilitate a nursing discourse that leverages use of older adults' strengths to address their problems and support their living a healthier life. It also offers the potential to complement the problem-based infrastructure in clinical practice and documentation.
English-to-Spanish Translation of the Nijmegen Professionalism Scale
Authors: García-Moyano Loreto , Altisent Rogelio , Delgado-Marroquin María Teresa , Pellicer-García Begoña , Arrazola-Alberdi Oihana , Antón-Solanas Isabel 
Published: February 2019

Background and purpose:The aim of this investigation was to perform the cross-cultural and linguistic translation and adaptation of the Nijmegen Professionalism Scale for Spanish nursing. Originally designed by Tromp et al. (2010) for its use by general practitioners, the new Spanish version of this tool assesses professional commitment, allowing for the comparison, prevention, association, and longitudinal monitoring of commitment among nursing professionals.Methods:The linguistic translation from English to Spanish was performed using the translation–back-translation method; the process of cross-cultural adaptation to the Spanish nursing context was carried out following the recommendations given by a panel of experts comprised of 24 practicing nurses with different professional backgrounds. The data for the feasibility study were collected between December 2015 and January 2016.Results:The original English version of the instrument contains 106 items and was originally developed for assessing professional behavior of general practitioner trainees; the new version, with a significant reduction in the initial number of items, comprises 49 items and is now ready for pilot testing and validation in our context.Implications for practice:The Nijmegen Professionalism Scale in its Spanish version will act not only as a tool for measuring professional commitment among Spanish nurses but also as a motivational resource and means for reflection which will, in turn, increase the quality of the care provided by these professionals.
Real-world safety profile of abiraterone acetate in patients with castration-resistant prostate cancer and cardiovascular comorbidities: a retrospective, single center study
Authors: Fuca Giovanni , Verzoni Elena , Mennitto Alessia , Prisciandaro Michele , Ratta Raffaele , Procopio Giuseppe 
Published: February 2019

Background: Abiraterone acetate became a referral treatment for metastatic castration-resistant prostate cancer (mCRPC) in a post-docetaxel setting despite a remarkable percentage of cardiovascular adverse events (AEs). As a consequence, the evaluation of cardiovascular safety in patients at risk should be mandatory. We aimed to assess the cardiovascular safety of abiraterone acetate in a real-world series of mCRPC patients treated at our institution.
Materials and Methods: We retrospectively included mCRPC patients with at least 1 active cardiovascular comorbidity or risk factor according to the European Society of Cardiology (ESC) guidelines and who started treatment with abiraterone acetate from April 2011 to July 2012. Cardiac assessment with electrocardiogram and echocardiogram was performed at baseline and at treatment discontinuation. AEs were defined according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. Statistical analyses were performed by descriptive statistics as appropriate.
Results: We included 51 patients of whom 18% had an ESC score risk for a major cardiovascular event ≥4%. At a median follow-up of 36 months, no cardiac AEs (rhythm abnormalities or left ventricular function decrease) were observed. The most frequent grade 1-2 AE reported was fluid retention (18%) followed by hypertension and asthenia (16%). The most frequent grade 3-4 AEs were asthenia and pruritus/rash. No patients discontinued abiraterone because of toxicity.
Conclusions: Abiraterone acetate showed a favorable safety profile in mCRPC patients with cardiovascular comorbidities or risk factors in a post-docetaxel setting, but further studies are needed to confirm our findings and to explore other settings of disease.
The Reliability of Commonly Used Radiographic Parameters in the Evaluation of the Pre-Arthritic Hip
Authors: Carreira Dominic S. , Emmons Brendan R. 
Published: February 2019

Background:
Radiographs play a central role in the evaluation of the extent of arthritic change and the quantification of morphological parameters characteristic of femoroacetabular impingement (FAI) and/or dysplasia. Reporting of these parameters is widespread in the literature, occasionally as an instrument for data pooling in collaborative research endeavors. Yet, the metrological properties of commonly used radiographic descriptors of acetabular and femoral architecture relevant to the field of hip preservation have not been reviewed systematically. The purpose of the present review was twofold: (1) to identify the current body of data available on the reliability of commonly used radiographic descriptors of the pre-arthritic hip and (2) to collate best practices and methodological pearls and pitfalls from the existing investigations that have explored the reliability of these radiographic measures.

Methods:
Article screening methodology involved an extensive search of 2 databases (PubMed Central, Embase). Metrological reliability data and best practices and frequencies with which these practices have been reported in existing investigations were extracted from the methods of the included studies. The radiographic parameters that were chosen as a focus for the present review were based on a discussion among a number of experienced hip-preservation surgeons.

Results:
Forty-three articles met all inclusion criteria and were included in this review. Eleven recurring components of study design were isolated from the included investigations as being critical for minimizing bias in the assessment of the reliability of these radiographic morphological parameters. Sixteen (37.2%) of the included studies reported the use of at least 1 quality-control measure for ensuring radiographic integrity. The radiographic parameters with the most reliability data included the lateral center-edge angle (22 studies), the Tönnis angle (14 studies), and the alpha angle (18 studies). Categorical markers of acetabular retroversion and the extent of osteoarthritis have been less-frequently studied with respect to their reliability, with the exception of the crossover sign, which was evaluated in 11 of the included studies.

Conclusions:
The radiographic parameter with the most metrological evidence in support of its reliability was the lateral center-edge angle (with 22 [100%] of 22 studies reporting acceptable reliability), whereas the Tönnis grade of osteoarthritis consistently demonstrated subpar interrater and intrarater reliability. Side-arm investigations for testing reliability may be needed by individual studies to prove the validity of data-pooling practices as collaborative endeavors continue to become more widespread.
ANÁLISE DE CORRELAÇÃO ENTRE FORÇA MUSCULAR, IGF-1 E AUTONOMIA FUNCIONAL EM IDOSAS COM EXCESSO DE PESO SUBMETIDAS A EXERCÍCIOS RESISTIDOS AQUÁTICOS
Authors: Castro Juliana Brandão Pinto de , Brum Rosana Dias de Oliveira , Pernambuco Carlos Soares , Vale Rodrigo Gomes de Souza 
Published: February 2019

Contexto: Dentre as alterações orgânicas que tendem a ocorrer com o envelhecimento, tem-se a redução da força muscular, dos níveis séricos de IGF-1 e da autonomia funcional (AF). Contudo, esses efeitos deletérios podem ser amenizados por meio da prática de exercícios físicos, como a hidroginástica.Objetivos: Analisar a correlação entre força muscular, IGF-1, IGFBP3 e AF em idosas com excesso de peso submetidas a exercícios resistidos aquáticos.Método: A amostra foi composta por 14 idosas (idade: 68,93 ± 4,46 anos; IMC: 28,55 ± 2,08 kg/m2) submetidas a exercícios resistidos aquáticos durante 12 semanas. A intervenção ocorreu 3 vezes por semana, com 50 minutos por sessão de treinamento. A força muscular foi mensurada através de dinamometria, incluindo força de membros inferiores e de preensão palmar direita (FMD) e esquerda (FME). A coleta de sangue para análise do IGF-1 e seu principal carreador, o IGFBP3, foi realizada através do método quimioluminescência. A AF foi avaliada por meio do protocolo de autonomia GDLAM.Resultados: O teste de correlação de Pearson apresentou correlação (r) positiva e significativa entre FMD e FME, FMD e IGF1, FMD e IGFBP3, FME e IGF1, FME e IGFBP3, e IGF1 e IGFBP3.Conclusoes: A prática de exercícios resistidos aquáticos pode melhorar os níveis de força muscular de preensão manual, de IGF1 e de IGFBP3 em idosas com excesso de peso.
CARACTERIZAÇÃO DOS UTILIZADORES DE PISCINAS EM PORTUGAL: PRÁTICAS USUAIS E MOTIVAÇÕES
Authors: Pereira Neiva Henrique , Brandão Faíl Luís , José Silva António , Almeida Marinho Daniel 
Published: February 2019

Contexto: A realização de exercício em contexto aquático apresenta numerosos benefícios. Contudo, a sua prática pode ser condicionada por alguns constrangimentos.Objetivos: Pretendemos assim verificar quais os hábitos e as motivações dos portugueses relativamente à utilização das piscinas, procurando assim perceber as condicionantes para a prática do exercício físico em contexto aquático.Método: Foi aplicado um inquérito a 530 indivíduos, utilizadores de piscinas cobertas, de ambos os sexos, com idades compreendidas entre os 18 e os 88 anos de idade. O questionário incluía informações sobre a caraterização pessoal e também acerca da realização de atividades aquáticas por parte de cada indivíduo. Os dados resultantes foram posteriormente analisados por métodos estatísticos descritivos.Resultados: Verificou-se uma prevalência dos indivíduos para a prática de natação (62%) seguido da hidroginástica (35%), sendo motivados na sua grande parte pela procura da melhoria da saúde (47%). Na sua maioria, os sujeitos são experientes, frequentando a piscina há mais de 2 anosConclusoes: Observou-se que os portugueses avaliados praticam essencialmente natação e hidroginástica, ao final do dia e motivados pela melhoria da saúde e do bem-estar individual.
Recruitment for Clinical Trials – A Challenge for Electronic Support?
Authors: Becker Linda , Gansland Thomas , Prokosch Hans-Ulrich , Newe Axel 
Published: February 2019

Abstract
Introduction

One of the most challenging and most meaningful designs in medical research are clinical trials (CTs). One essential step before a CT can start is recruitment, i. e., to identify patients that fit to the study design and which fulfill the inclusion and do not fulfill the exclusion criteria. The recruitment for CTs might be supported by means of modern information technologies. The aims of the present work were 1) to evaluate which tools (not necessarily electronical) are actually used in clinical routine and 2) to evaluate in which way and of which kind electronic support would be helpful for the clinical staff.

Methods

Semi-standardized interviews were performed in five wards (cardiology, gynaecology, gastroenterology, nephrology, and palliative care) in a German university hospital. The interviewees were all directly involved in patient recruitment. Three of them were clinicians, one was a study nurse, and one was a research assistant.

Results

All interviewees reported that either feasibility estimations as well as recruitment is mostly done from memory, although there would be many possibilities where IT support could assist. However, all participants reported some kind of IT support. Searches in ward-specific patient registers (data bases) and searches in Clinical Information Systems were reported. Furthermore, free text searches in medical reports were mentioned. There was no preference whether active or passive systems would be desired for potentially future applications. However, unless IT support, the most relevant factor for successful recruitment that was mentioned by all of the interviewees was personal motivation.

Conclusions

Overall, IT support has a minor standing in the recruitment for CTs today. The lack of IT usage and the estimations from memory that were reported from all of the participants, might bind cognitive resources which might district from clinical routine. We conclude that the recruitment for CT is still a challenge for electronic support and that education of the clinic staff about the possibilities is compellingly necessary.
Enhancing &amp; Mobilizing the POtential for Wellness &amp; Emotional Resilience Among Surrogate Decision-Makers of ICU Patients (EMPOWER): Study protocol for a randomized controlled trial
Authors: Prigerson Holly G. , Viola Martin , Brewin Chris R. , Cox Christopher , Ouyang Daniel , Rogers Madeline , Pan Cynthia X. , Rabin Shayna , Xu Jiehui , Vaughan Susan , Gordon-Elliot Janna S. , Berlin David , Lief Lindsay , Lichtenthal Wendy G. 
Published: February 2019

Abstract
Background Critical illness increases the risk for poor mental health outcomes among both patients and their informal caregivers or surrogate decision-makers. Surrogates who must make life-and-death medical decisions on behalf of incapacitated patients may experience additional distress. EMPOWER (Enhancing & Mobilizing the POtential for Wellness & Emotional Resilience among Surrogate Decision-Makers of ICU Patients) is a novel cognitive-behavioral, acceptance-based intervention delivered in the intensive care unit (ICU) setting to surrogate decision-makers designed to improve both patients’ quality of life and death and dying as well as surrogates’ mental health. Methods Clinician stakeholder and surrogate participant feedback (n=15), as well as results from an open trial (n =10), will be used to refine the intervention, which will then be administered as a multisite randomized controlled trial (n = 60) to examine clinical superiority to usual care. Feasibility, tolerability, and acceptability of the intervention will be evaluated through self-report assessments. Hierarchical linear modeling will be used to adjust for clustering within interventionists to determine the effect of EMPOWER on surrogate differences in the primary outcome, peritraumatic stress. Secondary outcomes will include symptoms of posttraumatic stress disorder (PTSD), prolonged grief disorder (PGD) and experiential avoidance. Exploratory outcomes will include symptoms of anxiety, depression, and decision regret, all measured at one-month and three-months from baseline. Linear regression models will examine the effects of assignment to EMPOWER versus the enhanced usual care group on patient quality of life or quality of death and intensity of care the patient received during the indexed ICU stay assessed at the time of the post-intervention assessment on. Participant exit interviews will be conducted at the three-month assessment time point and will be analyzed using qualitative thematic data analysis methods. Discussion The EMPOWER study is unique in its application of evidence-based psychotherapy targeting peritraumatic stress to improve patient and caregiver outcomes in the setting of critical illness. The experimental intervention will be strengthened through the input of a variety of ICU stakeholders, including behavioral health clinicians, physicians, bereaved informal caregivers, and open trial participants. Results of the RCT will be submitted for publication in a peer-reviewed journal and serve as preliminary data for a larger, multisite RCT grant application. Trial registration: ClinicalTrials.gov Identifier NCT03276559 (Retrospectively registered September 8th, 2017)