bluuebunny/crossref_metadata_2025_split huggingface dataset:
Enhancing Chemotherapy Capabilities in Rural Hospitals: Implementation of a Telechemotherapy Model (QReCS) in North Queensland, Australia
Authors: Sabesan Sabe , Senko Clare , Schmidt Andrew , Joshi Abhishek , Pandey Ritwik , Ryan Corinne A. , Lyle Megan , Rainey Natalie , Varma Suresh , Otty Zulfiquer , Ansari Zia , Vaughan Kerrie , Vangaveti Venkat , Black Jason , Brown Amy 
Published: July 2018

Introduction: The Queensland Remote Chemotherapy Supervision (QReCS) model enables rural nurses to administer chemotherapy in smaller rural towns under supervision by health professionals from larger centers using telehealth. Its implementation began in North Queensland, Australia (population, 650,000), in 2014 between two regional cancer centers (Townsville and Cairns as primary sites) and six rural sites (125 to 1,000 kilometers from primary sites). Our study examined the implementation processes, feasibility, and safety of this model. Methods: Details of implementation and patients’ clinical details for the period of 2014 to 2016 for descriptive analysis were extracted from telechemotherapy project notes and oncology information systems of North Queensland, respectively. Results: After a successful pilot study in Townsville Cancer Centre, statewide rural and cancer networks of Queensland Health, in collaboration with clinicians and managers across the state of Queensland, developed the QReCS model and a guide for operationalizing it. QReCS was implemented at six sites from 2014 to 2016. Main enablers across North Queensland included collaboration among clinicians and managers, availability of common electronic medical records, funding from Queensland Health, and installation of telehealth infrastructure by statewide telehealth services. Main barriers included turnover of senior management and nursing staff at two rural towns. Sixty-two patients received 327 cycles of low- to medium-risk chemotherapy agents. Rates of treatment delays, adverse events, and hospital admissions were similar to those in face-to-face care. Conclusion: Implementation of the QReCS model across a large geographic region is feasible with acceptable safety profiles. Leadership by and collaboration among clinicians and managers, adequacy of resources and common governance are key enablers.
Promocja demokracji przez Zachód we wschodniej części Europy w XXI wieku
Authors: ZIĘBA RYSZARD 
Published: July 2018

Państwa zachodnie i ich instytucje międzynarodowe (Unia Europejska i NATO), kierując się liberalną ideologią kontynuowały w XXI wieku politykę promowania demokracji, rządów prawa, praw człowieka i gospodarki rynkowej wobec byłych państw socjalistycznych na terenie Bałkanów Zachodnich oraz byłego ZSRR. Największe przeszkody stawia ich polityce Rosja, która uważa, że państwa zachodnie w rzeczywistości realizują cele poszerzania strefy swoich wpływów i narażają na uszczerbek jej interesy bezpieczeństwa. Do największej konfrontacji między Zachodem a Rosją doszło w 2014 roku na Ukrainie, kiedy UE i USA wsparły prozachodnie aspiracje nowych władz tego państwa, wyłonione w wyniku kilkumiesięcznych demonstracji ulicznych w Kijowie. Kryzys ukraiński spowodował trudności we współpracy międzynarodowej i pogarszanie się stanu bezpieczeństwa międzynarodowego w strefie euroatlantyckiej.
OPTIMALISASI PENERAPAN KONSEP ANDRAGOGI DALAM PENDIDIKAN DAN LATIHAN APARATUR PEMERINTAH SEBAGAI UPAYA PENINGKATAN MUTU LULUSAN
Authors: Hiryanto Hiryanto 
Published: July 2018

The Government could perform its functions and tasks if it has qualified personnel. To improve its personnel’s competence, the Government has been conducting several kinds of training which have not brought satisfactory results. This research aimed at exploring the possibility of implementing andragogic concept in a training model to improve the training graduates’ competence. This case study was conduced in The Education and Training Center of Yogyakarta Province and found an andragogy-based training model with detailed steps. Anticipating some hindrances that could be faced by the trainers in implementiation of this model, this research recommended some alternative solutions.
Radionuclide X-ray fluorescence spectrometry of medical plant samples
Authors: Lukačovičová Oľga 
Published: July 2018

Abstract
The method of samples processing and subsequent their analysis using Radionuclide X-ray Fluorescence Spectrometry for medical plant samples and drugs has been developed. Technical aspects of the measurement such as mutual geometrical arrangement of tablets (of various size and mass), semiconductor Si/Li detector and the primary source of radiation, 238Pu, are discussed. Technique of Radionuclide X-ray Fluorescence Spectrometry (RXFS) has been applied on samples of medical products and medicines used to treat liver diseases. Medicinal herbs, teas in infusion bags and the drug from this group, were analysed in the solid state (in the form of tablets) or as the leachate, applied to the ion exchanger resin. Chelating Extraction Disks EmporeTM have proven the ability to extract elements from liquid samples under certain conditions and thus to prepare samples for RXFS analysis and evaluation. To ensure correct results, an optimal pH environment has been found. The detection limits of selected elements (Cr, Mn, Fe, Ni, Cu, Zn and Pb) have been calculated for both solid and liquid state samples. Standard addition method and calibration curve parameters have been used to evaluate the concentration of each element in studied samples. Determined concentrations of the examined elements were compared with permissible contaminant limits for the relevant food law in Slovak Republic.
Giant Basal Cell Carcinoma: A Case Report
Authors: Popović Danijela , Jović Andrija , Tiodorović Danica , Vidović Nataša , Graovac Ivana 
Published: July 2018

Abstract
Basal cell carcinoma (BCC) is the most common type of skin cancer and the most common type of tumor in the human population in general. Clinical variants of BCC include nodular, superficial, pigmented, morpheaform, cystic, metatypical types and fibroepithelioma of Pinkus. Giant BCC is a rare type of carcinoma, accounting for less than 1% of all cases of BCC. Most often they occur on the trunk. BCC belongs to the group of aggressive tumors, leading to the invasion of deeper tissues, and examples of metastasis of this type of tumor can be found in the reference literature. In this case report, we present a case of a 76-year-old female patient with a giant ulcerous form of basal cell carcinoma on the back.
Dihydroxyacetone as a definitive treatment for aluminium phosphide poisoning in rats
Authors: Ahmadi Jafar , Joukar Siyavash , Anani Hussein , Karami-Mohajeri Somayyeh 
Published: July 2018

Abstract
Aluminium phosphide (AlP), a very toxic pesticide also known as the rice tablet, releases phosphine gas upon contact with water, moisture, or gastric acid. Its mortality rate in humans is 70-100 % due to cardiogenic shock and refractory hypotension. Dihydroxyacetone (DHA) is a simple ketonic carbohydrate, mainly used for sunless skin tanning. It also plays a beneficial role in the treatment of hypotension and cardiogenic shock by restoring blood volume and cellular respiration. The aim of this study was to investigate the its effect on the haemodynamics and electrocardiogram (ECG) in male rats poisoned with AlP. The animals were divided into the following groups: control (received 1 mL corn oil, orally), AlP (received 15 mg kg−1 AlP solved in corn oil, orally), AlP plus DHA (treated with 50 mg kg−1 of DHA 30 min after receiving AlP), and AlP plus N-acetyl cysteine (NAC) (treated with 200 mg kg−1 of NAC 30 min after receiving AlP). The animals were then anaesthetised and ECG, blood pressure, and heart rate were recorded for 120 min. Treatment with AlP alone and in combination with NAC was associated with progressive hypotension, tachycardia, and ECG disturbances in rats, resulting in 100 % mortality 3 h after poisoning. However, DHA achieved 100 % survival in the poisoned rats and prevented AlP-induced ECG and haemodynamic abnormalities. The main mechanism of DHA in the treatment of AlP poisoning is unclear, but the findings suggest the promising therapeutic potential of DHA against AlP poisoning.
Use of a new LC-MS method for the determination of pyrrolizidine alkaloids in feeds
Authors: Kowalczyk Ewelina , Kwiatek Krzysztof 
Published: July 2018

Abstract

Introduction
Pyrrolizidine alkaloids (PAs) are secondary metabolites produced by many plant species. Due to their toxicity PAs can pose a risk to human and animal health. To detect the toxic compounds in feed materials a sensitive method based on liquid chromatography coupled with mass spectrometry has been developed.

Material and Methods
PAs were extracted with sulphuric acid and purified with cation exchange cartridges. A newly developed solvent mixture consisting of ethyl acetate, methanol, acetonitrile, ammonia, and triethylamine was used to wash alkaloids from the cartridges. After evaporation the residues were reconstituted in water and methanol mixture and subjected to LC-MS analysis.

Results
The developed method was validated according to SANTE/11945/2015 guidelines. The recovery was from 84.1% to 112.9%, the repeatability ranged from 3.0% to 13.6%, and the reproducibility was from 4.8% to 18.9%.

Conclusions
A sensitive and selective method for determination of PAs in feed materials has been developed and validated. All evaluated validation parameters were in accordance with EU Reference Laboratories document no. SANTE/11945/2015. Almost 41% of the analysed feed samples were positive for the presence of at least one PA.
GLP-1 localisation and proglucagon gene expression in healthy and diabetic mouse ileum
Authors: Taşçı Serap Koral , Bingöl Seyit Ali 
Published: July 2018

Abstract

Introduction
Glucagon-like peptide-1 (GLP-1) is a polypeptide that is mainly produced by intestinal L cells and is encoded by the proglucagon gene. In this study, GLP-1 localisation was investigated in the ileum of healthy and diabetic mice by immunohistochemistry and proglucagon gene expression was assayed by reverse transcription-polymerase chain reaction.

Material and Methods
This study included 18 male Balb/c mice that were divided into diabetic, sham, and control groups. Mice in the diabetic group received 100 mg/kg of streptozotocin. Immunohistochemical expression of GLP-1 was determined using the avidin–biotin–peroxidase complex technique, and proglucagon gene expression was determined by RT-PCR.

Results
Analysis of GLP-1 immunohistochemical localisation showed that GLP-1-immunopositive cells (L cells) were present between epithelial cells in the intestinal crypts. The intensity and localisation of GLP-1 immunoreactivity were similar among the mice in all the groups. Proglucagon gene expression levels were also statistically similar among the mice in all the groups.

Conclusion
No difference was demonstrated among the mice in the diabetic, sham, or control groups with respect to proglucagon gene expression and GLP-1 localisation in the ileum, suggesting that diabetes does not affect proglucagon gene expression in the ileum.
Propagation of Ship-Generated Noise in Shallow Sea
Authors: Kozaczka Eugeniusz , Grelowska Grażyna 
Published: July 2018

Abstract
Contamination of sea environment by noise and any energy radiated to water constitutes today a problem to which more and more attention is paid, in view, a.o., of consequences of an impact of these factors onto marine fauna. European Union has introduced a directive by which EU countries are made responsible to undertake efforts aimed at reaching a good envirenmental status of European seas by 2020. A main source of underwater noise is sea transport of any kind. Propagation of underwater acoustic disturbances in the Baltic Sea highly differs from the course of the phenomenon in a deep sea. Model of spherical propagation cannot be applied to this case in view of water environment limitation by seabed and free water surface, i.e. a reduction of the problem to wave propagation in a water layer of the depth comparable with acoustic wave length. This paper is aimed at demonstration of possible assessment of range of acoustic disturbances generated by a ship sailing in shallow sea, by using a method described in the work [13]. The research was made on the basis of results of own measurements of underwater noise produced by ships in the Gdansk Bay area. An important factor which decIdes on a range of underwater disturbances is a kind of seabed sediments. In this paper there are presented results of numerical investigations based on real data dealing with noise produced by a selected floating unit (ship) for selected characteristic spectral components. The simulations were conducted for the shallow sea model of definite physical parameters such as acoustic wave propagation velocity, geometrical dimensions (water depth) and seabed acoustic parameters as well.
Experimental and Numerical Validation of the Improved Vortex Method Applied to CP745 Marine Propeller Model
Authors: Król Przemysław , Tesch Krzysztof 
Published: July 2018

Abstract
The article presents a numerical analysis of the CP745 marine propeller model by means of the improved vortex method and CFD simulations. Both numerical approaches are validated experimentally by comparing with open water characteristics of the propeller. The introduced modification of the vortex method couples the lifting surface approach for the propeller blades and the boundary element method for the hub. What is more, a simple algorithm for determination of the propeller induced advance angles is established. The proposed modifications provide better results than the original version of the vortex method. The accuracy of the improved method becomes comparable to CFD predictions, being at the same time a few hundred times faster than CFD.
QUALITY LIFE OF WOMEN WITH HIV/AIDS BASED ON CD4 AND DISCLOSURE HIV STATUS IN BANDUNG AND CIMAHI
Authors: Safarina Lina , Oyoh Oyoh 
Published: July 2018

Introduction: Women become most vulnerable groups of contracting HIV from a partner or husband. This study aimed to explore the different of quality of life of women with HIV/AIDS based on CD4 levels and exposure status. Method:Sampling technique with purposive sampling, 60 samples were obtained according to criteria. Variable data using the WHO Quality of life (QOL), CD4 levels of data using secondary data and data disclosure using the status of closed questions. Univariate analysis of the frequency distributions and bivariate analysis used t tests. Results: The average of quality of life of respondents with HIV is 82.92 (SD = 4,534), while for respondents with AIDS is 80.45 (SD = 4284).There was statistically significant difference between average quality of life of respondents with HIV with respondents with AIDS (P value = 0.043). Averagequality of life of respondents who did not open status disclosure is 81.07 (SD 4,128), while the open status of respondents openness average quality of life was 85.14 (SD = 4,688). There was statistically significant difference between average quality of life of respondents who openness status is not open to the respondent that the openness of the open status (P value = 0.003). Discussion: Suggestions for nurses were to increase the role in providing motivation for PLHIV women to regularly check the levels of CD4, to assist PLWHA in ARV consumption through home care, as a health educator for PLWHA families and communities and as a researcher in identify measures that can improve the quality of life of women with HIV/AIDS. Keywords: HIV/AIDS, CD4, disclosure of status, Quality of life
STUDENT NURSES’ EXPERIENCES OF CARING FOR BASIC NURSING SKILLS DURING CLINICAL PRACTICE IN RAJAWALI HOSPITAL BANDUNG
Authors: Harini Mira , Kusmran Eny 
Published: July 2018

Introduction. Clinical teaching is the means by which student nurses learn to apply the theory of nursing, facilitating integration of theoretical knowledge and practical skills in the clinical setting which becomes the art and science of nursing. Caring is values essential to professional practice and become socialized into the nursing profession. The purpose of this study was to explore nursing students’ experiences of caring for basic nursing skills during clinical practice in Rajawali hospital Bandung. Method. A qualitative research design was used and data were collected by in-depth interview. Six students from third semester who had completion of their fundamental of nursing clinical practice experience. Two instructors as key informants. Result. Analysis of collected information suggested that students do learn about caring in the clinical areas. Information analysis also revealed several common, such as feel fear and anxious, feel disgusted when helping defecation or bathing. Most students get the positive experience such as learning and respect of patients and their families. Most students were afraid to take nursing skills, poor theory-practice integration and feared looking foolish, had difficulty communicating and poor interpersonal relationships with the patients. The professional nurse challenges were to provide the best services and respect to the patients needs. Discussion. The results of the information analysis suggest some implications for nurse educators. Positive learning environments should be developed that enable students to retain clear caring values and to realize the potential of caring practice. Students require time to reflect about their clinical experience in order to integrate the experience with practicing sense of caring professional. Keywords: student nurses, caring, clinical practice
THE INCREASE IN COLOSTRUM SECRETION ON EARLY SKIN-TO-SKIN CONTACT ON POSTPARTUM MOTHER
Authors: Yuliatun Laily , Choiriyah Muladefi , Riza Yulaily 
Published: July 2018

Introduction. Colostrum contains a large number of protective factors providing passive and active protection to a wide variety of known pathogens. Its production could be stimulated by early skin-to-skin contact between mother and baby. Hence, this study aimed to investigate the effect of early skin-to-skin contact on the onset of colostrum secretion in postpartum mother. Methods. This study was cross sectional. The data were analyzed by Mann–Whitney test. Literate postpartum mothers, underwent pervaginam delivery in >37 weeks of gestational age with clear amniotic fluid, having baby with > 2500 gr of weight, Apgar score 6 – 8, and no congenital defects were included in this study. The onset of colostrum secretion was measured through observation sheet. 26 samples were recruited in this study. Results. The onset of colostrum secretion was faster in mother underwent early skin-to-skin contact (p=0.002). Discussion. Thus, this study suggested that early skin-to-skin contact enhanced the onset of colostrum secretion. Keywords: Early skin-to-skin contact, Colostrum, Postpartum
COGNITIVE THERAPY GROUP DYNAMICS MODEL FOR REDUCING THE LEVEL OF DEPRESSED PATIENTS IN MENTAL HOSPITAL
Authors: Pratiwi Arum 
Published: July 2018

Introduction. The worst impact of depression is suicide, it need comprehensive management. Model of cognitive therapy through group dynamics try to break the chain, so, that the body does not respond to stimuli that lead to increased serotonin. The purpose of this study was create a new model of nursing care, describe the personal characteristics of depressed patients, describe of the level of depressed patients and compare depressed patients between the control group and the treatment group. Method. The design of this study was quasi experiments with pre test and post test control group. The sample study used purposive sampling strategies, that was patients in mental hospitals and selected with screening and than they were chosen with mild and moderate categories. The samples were 32 patients, 16 patients were a control group and 16 patients were a treated group. Patients were given a therapy model for one month which is 2 times a week. After that the level of depression were measured by BECK questionnaires. The data were analyzed by using independent t test. Result. The results showed that the distribution of the level of depression at pretest, 62.5% of mild depression in the treatment group and 62.5% of moderate depression in the control group. The result of post test, the mild depression decreased to 25%, and the moderate depression to 37.5%. The t test results concluded that the two groups there was difference in rates of depression between the control group and the treated group with t value significance 7.000 and 0.000. Discussion. In future studies it would be better if the treatment done in the longer term and depression levels were analyzed periodically. Keywords: Cognitive Therapy, Group Dynamics, Depressed Patients
LEARNING MODEL OF HOSPITAL CLINICAL PRACTICE FROM STUDENT AND CLINICAL EDUCATOR POINT OF VIEW: A QUALITATIVE STUDY
Authors: Kamaryanti Ni Putu , Susanti Ni Luh Putu Dina , Darmini Anak Agung Ayu Yuliati 
Published: July 2018

Background and Purpose: Qualified education is characterized by qualified teaching and learning in the classroom, laboratory, and clinical practice. Producing nurses who are able to provide professional nursing care for patients requires learning process in practice by using learning models. The purpose of this study was to explore the experience and expectation of students and clinical instructors on practices learning model in Ners Program of STIKES Bali.Method: This study used qualitative design with phenomenology approach. There were 8 participants from students and clinical instructors selected by purposive sampling. Data were collected by in-depth interviews. Data was transcribed and analyzed using thematic analyses. Results: Findings indicated that there were five themes related to student and clinical instructor’s experience and expectation about practices learning model. The themes were supporting from institution and clinic, bed side teaching (BST), conference, lack of time of clinical instructor in supervising, and case study. BST, conference, and case study were some of learning models implemented in clinical practices. These methods will run properly if there are good supporting and optimal supervising. Conclusion and Recommendation: BST, conference, and case study are appropriate methods for clinical teaching. Lack of time in supervising is one of barriers found. It is essential for clinical instructors to spend sufficient time to supervise students in clinical practice.
INTERPROFESSIONAL ATTITUDES INFLUENCE THE READINESS OF HEALTH CARE PROFESSIONS STUDENTS FOR INTERPROFESSIONAL LEARNING
Authors: Wijayanti Catharina Dwiana , Lisum Kristina 
Published: July 2018

Background and Purpose: Collaboration among health care profession is required to create synergism in delivering health care at various clinical setting. This collaboration should be initiated at the academic setting through interprofessional learning. The Purpose of this research was to identify the influence of interprofessional attitudes to readiness of health care professions students for interprofessional learning.Method: Research method used quantitative with descriptive comparative design and cross sectional approaches. RIPLS and IPAS survey were completed by 180 medical and nursing students. Results: The majority of respondents were 20 years old, 134 were female and 53 respondents were in second year level. From Chi square statistic analysis, it was found that that there were no relationship between age, gender and level of academic with readiness for interprofessional learning (pvalue >.05). However, there was a significant relationship between interprofessional attitude of medical (p=.000; α=.05) and nursing students (p= .001 α=.05) with readiness for interprofessional learning. Conclusion and recommendation: It was suggested that interprofessional attitudes of health care professions students should be develop properly in the academic settings, thus it will bridge the gap between others health care professions.