bluuebunny/crossref_metadata_2025_split huggingface dataset:
Total laparoskopik histerektomi sonrası dren uygulamasının etkileri
Authors: ÇIKMAN Muzaffer Seyhan , SAKİN Önder , ANĞIN Ali Doğukan , GÖKKAYA Mustafa , PİRİMOĞLU Zehra Meltem , GÜN İsmet 
Published: August 2019

Amaç: Benign nedenlerle yapılan total laparoskopik histerektomiden (TLH) sonra dren kullanımı rutin bir uygulama olmayıp tartışılan bir konudur. Amacımız dren kullanımının hasta kan değerlerine, postoperatif takip parametrelerine ve taburcu olma sürelerine etkisini araştırmaktır.Gereç ve Yöntemler: Kartal Dr. Lütfi Kırdar Eğitim ve Araştırma Hastanesi’nde Ocak 2015 ile Aralık 2017 arasında benign jinekolojik nedenlerle TLH yapılan hastalar retrospektif olarak tarandı. Çalışmaya 103 hasta dahil edildi. Hastalar dren kullanılan (n:57) ve kullanılmayan (n:46) olmak üzere iki gruba ayrıldı. Gruplar; operasyon süresi, kullanılan port sayısı, hemoglobin-hematokrit düşüşü, ateş, ilave analjezik ihtiyacı ve taburcu olma süresi açısından karşılaştırıldı. Bulgular SPSS 15 programı ile analiz edildi.Bulgular: Dren kullanılan vakalarda hemoglobin ve hematokrit değerleri istatistiksel olarak anlamlı şekilde düşük izlendi. Postoperatif analjezik ihtiyacında artış, kan transfüzyonu ihtiyacı ve taburcu olma süreleri açısından anlamlı farklılıklar olmadığı belirlendi. Hastaların hiçbirinde relaparatomi ihtiyacı olmadı.Sonuç: Benign jinekolojik nedenlerle TLH yapılan hastalarda dren kullanılması hemoglobin ve hematokrit değerlerinde düşüş ile birliktelik göstermektedir. Bu tip operasyonlarda dren kullanılmasını gerekli görülmedikçe önermiyoruz.
Тезаурусный подход в аспекте изучения культуры
Authors: Луков Валерий Андреевич , Луков Сергей Валерьевич 
Published: August 2019

Статья основана на докладах, представленных на Общероссийской (национальной) научной конференции «III Академические чтения памяти Вл. А. Лукова “Тезаурусы и проблемы культуры”» (4 апреля 2019 г.). Описаны направления применения тезаурусного подхода в исследованиях культуры, основанные на первоэлементах тезаурусов, которые составляют концепты «свой», «чужой», «чуждый». Показано также, что тезаурусный подход в публикациях Московского гуманитарного университета постепенно перешел из зоны филологии в зону общенаучной методологии гуманитарных наук.<em> </em>
Pore Water Pressure Response of Fully Saturated Soil Beds during Earthquake–Tsunami Multi‐Hazards
Authors: Qiu Yingqing , Mason Henry Benjamin 
Published: August 2019

AbstractSoil liquefaction causes significant damage to coastal infrastructure and buildings worldwide. Strong earthquake shaking can cause soil liquefaction in fully saturated sand deposits. Also, tsunamis can induce liquefaction, as well as enhanced sediment transport and scour, in coastal areas. To understand soil liquefaction potential during an earthquake–tsunami multi‐hazard, we develop a numerical model to predict the multi‐hazard induced excess pore water pressures. We calibrate and verify the numerical model by comparing results with laboratory experiments. Then, we perform numerical experiments using a recorded earthquake motion and hypothetical tsunami wave heights. The numerical experiments show that beach sand liquefies during earthquake loading. The sand then resediments during the quiescent period and the tsunami runup stage. Finally, during rapid tsunami drawdown, liquefaction can occur again, and liquefaction potential during tsunami drawdown primarily depends on the soil’s hydraulic conductivity, as well as the duration of the quiescent period. The results emphasize the need for predictions of earthquake–tsunami loading, as well as measurements of soil properties in coastal areas.
Reklam ve Perakende Çabalarının Genç Tüketicilerin Karar Alma Tarzları Üzerindeki Etkisi
Authors: KÖSE Mehmet Said , BAŞKOL Melih 
Published: August 2019

Bu
araştırmanın amacı, tüketicilerin karar alma tarzları envanterine dayalı olarak
genç tüketicilerin karar alma tarzlarını belirlemek ve şirketlerin reklam ve
perakende çabalarının belirlenen karar alma tarzları üzerindeki etkilerini
ölçmektir. Kolayda örnekleme yöntemi kullanılarak seçilen 443 üniversite
öğrencisine yapılandırılmış bir anket uygulanmıştır. Tüketici karar alma tarzı
envanterini doğrulamak için açıklayıcı ve doğrulayıcı faktör analizi
kullanılmıştır. Verilerin analizi Yapısal Eşitlik Modeli (YEM) ile
gerçekleştirilmiş ve orijinal tüketici karar verme tarzları envanterinde yer
alan (mükemmeliyetçi/yüksek kalite odaklı, seçenek karmaşası, alışkanlık/marka
bağımlısı odaklı, marka odaklı, yenilikçi/moda odaklı ve fiyat odaklı) altı
karar alma tarzı sonuçlarla desteklenmiştir ve yeni bir karar alma tarzı (ünlü kabulüne dayanan karar alma tarzı)
belirlenmiştir. Araştırma sonuçlarına göre reklam ve perakende çabalarının
tüketicilerin karar alma tarzlarını anlamlı şekilde etkilediği belirlenmiştir.
Türkiye’nin Suriye Politikasında Turgut Özal Dönemi
Authors: GÖKCAN Özkan 
Published: August 2019

1980'lerin
ikinci ve 1990'ların ise ilk yarısı boyunca Türkiye-Suriye ilişkilerine yön
veren en önemli siyasal aktörlerden birinin Turgut Özal olduğunu söylemek
mümkündür. Özal’ın komşu ülkelerle iyi ilişkiler kurma ve siyasi
uzlaşmazlıkları ekonomik ilişkiler geliştirerek çözme arayışı Türkiye-Suriye
ilişkilerini doğrudan etkilemiştir. Suriye’deki PKK varlığı ve su sorunu gibi
nedenlerle gergin seyreden Türkiye-Suriye ilişkileri, Özal’ın öncülüğünde
gerçekleşen karşılıklı ziyaretler ve imzalanan güvenlik ve ekonomik işbirliği
protokolleri ile aşılmaya çalışılmıştır. Özal döneminde atılan somut adımlar
iki ülke ilişkilerinde kalıcı bir işbirliğine neden olmasa da tarafların
sorunları müzakere edebilmelerine olanak tanımış olması bakımından önemlidir.
Bu çalışmada Turgut Özal dönemi olarak adlandırılan 1983-1993 döneminde
Türkiye-Suriye ilişkilerinin nasıl bir seyir izlediği ele alınmaktadır. Söz
konusu yıllar, tüm somut girişimlere rağmen Türkiye-Suriye ilişkilerinde
uzlaşmazlıkların hakim olduğu bir dönem olarak
tarihe geçmiştir.
INNOVATIVE PACKAGING ATTRIBUTES AND CUSTOMER PURCHASE INTENTION IN SNACK FOODS
Authors: Andi Gholamreza , Xiaokang Song , Nellikunnel Syriac 
Published: August 2019

Purpose of Study: The purpose of this study is to determine what kind of innovative packaging attributes will influence the purchase intention of customers on snack food in Malaysia
Methodology: The study has used Stimulus (S) - Response (R) model and AIDA Model to identify the packaging attributes which are packaging material, information on the package and the basic appearance of the package that have a positive and strong relationship with the purchase intention of customers towards snack food. The data were collected through questionnaire from 250 respondents. PLS has been used to analyse the data.
Results: Packaging is now an important aspect of marketing and is treated as one of the most influential factors concerning consumer purchase decisions at the point of purchase. All of the three independent variables of the research have significant as well as positive relationships with the dependent variable which is purchase intention.
TURNING A NEW APPROACH FOR COOPERATIVE DEVELOPMENT IN JUNIOR HIGH SCHOOL: CONCEPTS, EVIDENCE, AND BEST PRACTICE MODEL
Authors: Rufaidah Erlina , Thahir Andi 
Published: August 2019

Purpose: Cooperatives nowadays have become an alternative to the large-scale corporate entity as well as to independent unaffiliated small private business model. This article presents a depth modelling narrative on cooperative organizational forms' development in business-school model. This speaks to issues of both developments of cooperatives in educational institutions and how it will have linked to schools' entity as part of human resource development and organizational reforms.
Methodology: The case is made based on the findings of Brog and Gall which construct in two stages of activity. The first stage is a model development which is based on observation of the initial model based on related theories. The second stage is enhancing social and economic model of cooperatives at the school to validate the remaining rules and regulations. Regarding cooperatives’ development, the theory says institutional framework and design analysis does matter as the critical points for development and sustainability of cooperative at the school now and the future.
Results: Therefore, finding the best formula for cooperative in the educational organization deserve a huge attention for academician, practitioners as well as government. In addition, the implementation and practice of cooperative at the school will fit business-school model and create greater impact for school’s members. Overall, finding a new approach will generate the development of cooperatives to the next level.
EDUCAÇÃO EM SAÚDE NO ENSINO DE GRADUAÇÃO EM ENFERMAGEM
Authors: Moreira Marcela Nojiri , Silva Maria Paula Custódio , Duarte Ana Paula Geralda Moreira , Resende Marina Pereira , Amaral Jesislei Bonolo do , Contim Divanice 
Published: August 2019

Objetivo: identificar as disciplinas que nos seus conteúdos apresentam temas sobre educação em saúde. Método: Estudo qualitativo, na modalidade documental, constituído de fontes primárias produzidas entre 2010 e 2015. Os dados foram submetidos à técnica de Análise Textual Discursiva. Resultados: duas disciplinas apresentam na ementa o descritor exato educação em saúde, esses componentes situavam-se no quinto e no décimo período, nove referências básicas traziam nos seus títulos o descritor educação em saúde e um objetivo do plano pedagógico expressava o descritor educação em saúde. Conclusão: constatou-se que a educação em saúde é importante ferramenta de construção profissional, ocupando posição de destaque na formação de acadêmicos de enfermagem, no entanto, sendo necessário rediscutir seu conceito.
Sistem Informasi Pendaftaran Pasien Berobat Pada Rumah Sakit Khusus Paru-Paru Palembang Berbasis Android
Authors: Trisnawati Rika , Kadafi Muhamad , Fadilah Evi 
Published: August 2019

Rumah Sakit Khusus Paru Provinsi Sumatera Selatan merupakan rumah sakit khusus yang menangani pasien dengan gangguan pernafasan, adapun masalah dalam pendaftaran berobat yaitu pasien harus datang langsung ke rumah sakit untuk melakukan pendaftaran dan menunggu di panggil satu per satu hal ini memerlukan waktu yang lama dan antrian yang sangat panjang. Tujuan penelitian ini untuk membangun sistem informasi pendaftaran pasien berobat pada rumah sakit khusus paru-paru palembang berbasis android, agar mempermudah para pasien untuk melakukan pendaftaran berobat yang dapat mengambil antrian, membatalkan antrian, melihat jadwal praktik dokter serta mengelola laporan menggunakan metode prototype dan menggunakan Unified Modeling Language (UML) untuk memvisualisasikan pemodelan, sedangkan bahasa pemrograman menggunakan PHP dengan MySQL untuk pengolahan database-nya. Penelitian ini menghasilkan data pasien, data dokter, jadwal praktik dokter, jenis pembayaran dan antrian serta dapat membantu dalam pengelolaan laporan.
Magnitude of Type 2 Diabetes Mellitus, Dyslipidemia and Hypertension Among Young Adults in Urban Settings: A Cross Sectional Survey in Mwanza, Tanzania
Authors: MALINDISA EVANGELISTA KENAN , Balandya Emmanuel , Njelekela Marina Alois , Mashiri Fredirick 
Published: August 2019

Abstract
Background
Non-communicable diseases (NCDs), accounting for nearly one third of global deaths were diseases of public concern in developed countries. Due to economic transition, now NCDs are becoming more prevalent in middle and low-income countries (LMICs). However, little has been done about NCDs among young adults in LMICs, Tanzania in particular. Traditionally, health systems thought that this subpopulation has an active life style and therefore not at risk of NCDs hence left without intervention. But current research evidences indicated a gradual increase of NCDs among young adults especially to those living in urban. Therefore, a study was conducted to determine the magnitude of diabetes mellitus, obesity, dyslipidemia and hypertension among young adults from Mwanza urban areas.
Methods
A community based cross-sectional was conducted between May and August 2018 from an urban settings in Mwanza, Northern Tanzania. Case report forms (CRFs) were used to collect participants’ demographic information, clinical assessment and laboratory measurements. Descriptive statistics were summarized using frequencies and percentages. The association between dependent and independent variables were analyzed using Chi-square test. All statistical analysis was performed using STATA version 13 and type 1 error for signifi¬cance was 0.05.
Results
Overall 259 young adults were recruited. The median age [interquartile range (IQR)] was 21 (IQR: 19 -27), the prevalence of diabetes mellitus (DM) and impaired glucose tolerance (IGT) were 8% (259) and 16% (259) respectively. Overweight, obesity and dyslipidemia were present in 17%, 8.1% and 44.4% of the studied population (259) respectively. The prevalence of hypertension was 35.1%, more prevalent in males than females (52.4% vs. 32.7%; p = 0.002). Physical inactivity was significantly associated with isolated systolic hypertension (p = 0.009) and elevated mean arterial pressure (MAP) (p = 0.004). High Body Mass Index (BMI) was significantly associated with elevated mean arterial pressure (MAP) (p = 0.03) and dyslipidemia (p = 0.018).
Conclusion
Alarmingly high prevalence of diabetes, impaired glucose tolerance, hypertension, overweight, obesity and dyslipidemia was observed among young adults in Mwanza. This study highlights the need for concerted efforts targeting young adults in combating NCDs in Tanzania.
Key Words: Diabetes, Hypertension, Obesity, Dyslipidemia, Young Adults
The ECM and CAFs interact to differentially regulate PDAC parenchymal (CPC) and CSC phenotypes to determine pancreatic ductal adenocarcinoma (PDAC) progression
Authors: Cannone Stefania , Greco Maria Rafaella , Guizouarn Hélène , Soriani Olivier , Tomasini Richard , Casavola Valeria , Zeeberg Katrine , Reshkin Stephan Joel , Cardone Rosa Angela 
Published: August 2019

Abstract
Summary

CAFs and acellular stromal ECM components interact to drive metastatic progression by stimulating the hallmark behaviors of each tumor cell type that contribute to metastasis: invasion in the CPCs and growth and angiogenesis in the CSCs.
Time to death from chronic heart failure among outpatient Treatment: a retrospective cohort study
Authors: Mitiku Habtamu Deissie , Bayileyegn Yenefenta Wubie , Wobesie Belete Adelo , Kassahun Eskeziaw Abebe 
Published: August 2019

Abstract
Abstract Objective: Chronic heart failure is a complex clinical syndrome of functional or structural impairment in the heart. Even though the occurrences of heart failure is increasing in the world, there has been limited researches on the management of chronic heart failure in outpatient, particularly in the study area. Therefore, this studywas amed for the management of outpatients with chronic heart failure. A Retrospective cohort study was conducted from January 1, 2010, to December 30, 2016,on outpatient’s follow-up at Wollo governmental hospitals. A required sample of 487 patients were selected by using a simple random sampling method. Proportional hazard with weibull distribution was modelled since its coefficients more precise than other parametric Cox models. Result: Weibull proportional hazard model result showed that risk factors related to mortality were Age (HR=1.04,p=0.000),Rural in residence (HR=1.74,p=0.003),having poor Nutritional status(HR=3.12, p=0.000),Systolic blood pressure(HR=1.01,p=0.037),having Coronary Artery disease (HR=3.70, p=0.006), having Pneumonia (HR=1.91, p=0.015 and infection with Tuberculosis bacillus (HR=1.87, p=0.000) were found statistically significant. Hence, early identifying and treating of Chronic heart failure and improving a strategies of frequent monitoring and follow up for outpatients is highly recommended . Keywords:Chronic heart failure, Retrospective cohort study, Outpatient, treatment, Wollo, Ethiopia
Examiner Variability in Clinical Assessments: Do Examiner Pairings Influence Candidate Ratings?
Authors: Faherty Aileen , Finn Yvonne , Counihan Tim 
Published: August 2019

Abstract
Background The reliability of clinical assessments is known to vary considerably and inter-examiner variability is a key contributor. This may result in significant differences in scores between comparable candidates, a serious challenge in medical education. An approach frequently adopted to avoid this and improve reliability is to pair examiners and ask them to come to an agreed score. Little is known however, about what occurs when these paired examiners interact to generate a score.Methods A fully-crossed design was employed with each participant examiner observing and scoring. A quasi-experimental research design used candidate’s observed scores in a mock clinical assessment as the dependent variable. The independent variables were examiner numbers, demographics and personality. Demographic and personality data was collected by questionnaire. A purposeful sample of medical doctors who examine in the Final Medical examination at our institution was recruited.Results Variability between scores given by examiner pairs (N=6) was less than the variability with individual examiners (N=12). 75% of examiners (N=9) scored below average for neuroticism and 75% also scored high or very high for extroversion. Two thirds scored high or very high for conscientiousness. The higher an examiner’s personality score for extroversion, the lower the amount of change in his/her score when paired up with a co-examiner; reflecting possibly a more dominant role in the process of reaching a consensus score.Conclusions While the variability between scores given by examiner pairs (N=6) was less than the variability with individual examiners (N=12), the reliability statistics for both assessments were comparable. Using paired examiners resulted in a more accurate and robust score than simply averaging two independent examiners scores. The higher an examiner’s personality score for extroversion, the lower the amount of change in his/her score when paired up with a co-examiner; reflecting possibly a more dominant role in the process of reaching a consensus score. These findings could have implications for the organisation and administration of clinical assessments. Further studies with larger numbers of participants might establish if personality testing before choosing examiner pairs could be utilised to help pair examiners and improve examiner variability.
Perspectives of General Practitioners and Nursing Staff on Acute Hospital Transfers of Nursing Home Residents in Germany: Results of two cross-sectional Studies
Authors: Fassmer Alexander Maximilian , Pulst Alexandra , Spreckelsen Ove , Hoffmann Falk 
Published: August 2019

Abstract
Background

Visits in emergency departments and hospital admissions are common among nursing home (NH) residents and they are associated with significant complications. Many of these transfers are considered inappropriate. This study aimed to compare the perceptions of general practitioners (GPs) and NH staff on hospital transfers among residents and to illustrate measures for improvement.

Methods

Two cross-sectional studies were conducted as surveys among 1,121 GPs in the German federal states Bremen and Lower Saxony and staff from 1,069 NHs (preferably nursing staff managers) from all over Germany, each randomly selected. Questionnaires were sent in August 2018 and January 2019, respectively. The answers were compared between GPs and NH staff using descriptive statistics, Mann-Whitney U tests and χ2-tests.

Results

We received 375 GP questionnaires (response: 34%) and 486 NH questionnaires (response: 45%). GPs estimated the proportion of inappropriate transfers higher than NH staff (hospital admissions: 35.0% vs. 25.6%, p<0.0001; emergency department visits: 39.9% vs. 20.9%, p<0.0001). The majority of NH staff and nearly half of the GPs agreed that NH residents do often not benefit from hospitalisations (NHs: 61.4% vs. GPs: 48.8%; p=0.0009). Both groups rated almost all potential measures for improvement differently (p<0.0001). The two most important measures for GPs were more nursing staff (91.6%) and better communication between nursing staff and GP (90.9%). NH staff rated better care / availability of GP (82.8%) and medical specialists (81.3%) as most important. Both groups agreed on the importance of explicit advance directives (GPs: 77.2%, NHs: 72.4%; p=0.1492).

Conclusions

A substantial proportion of hospital transfers from NHs were considered inappropriate. Particularly, the ratings of possible areas for improvement differed between GPs and NH staff indicating that both groups seem to pass the responsibility to each other. These findings, however, support the need for interprofessional collaboration.
The Year of Care approach: developing a model and delivery programme for care and support planning in long term conditions
Authors: Roberts Sue , Eaton Simon , Finch Tracy , Lewis-Barned Nick , Lhussier Monique , Oliver Lindsay , Rapley Tim , Temple-Scott Dawn 
Published: August 2019

Abstract
Background:
People with long term conditions (LTCs) make most of the daily decisions and carry out the activities which affect their health and quality of life. Only a fraction of each contact with a health care professional (HCP) is spent supporting this.
This paper describes how care and support planning (CSP) and an implementation framework to redesign services, were developed to address this in UK general practice. Focussed on what is important to each individual, CSP brings together traditional clinical issues and the person’s lived experience in a solution focussed, forward looking conversation with an emphasis on ‘people not diseases’.
Methods:
The components of CSP were developed in three health communities using diabetes as an exemplar. This model was extended and refined for other single conditions and multimorbidity across 40 sites and two nations, over 15 years. Working with local teams and communities the authors used theoretical models of care, implementation and spread, developing and tailoring training, support and resources to embed CSP as usual care, sharing learning across a community of practice.
Results:
The purpose, content, process, developmental hurdles and impact of this CSP model are described, alongside an implementation strategy. There is now a robust, reproducible five step model; preparation, conversation, recording, actions and review. Uniquely, preparation, involving information sharing with time for reflection, enables an uncluttered conversation with a professional focussed on what is important to each person. The components of the Year of Care House act as a checklist for implementation, a metaphor for their interdependence and a flexible framework. Spreading CSP involved developing exemplar practices and building capacity across local health communities. These reported improved patient experience, practitioner job satisfaction, health behaviours and outcomes, teamwork, practice organisation, resource use, and links with wider community activities.
Conclusions:
Tested in multiple settings, CSP is a reproducible and practical model of planned care applicable to all LTCs, with the capacity to be transformative for people with LTCs and health care professionals. It recaptures relational dimensions of care with transactional elements in the background. Options for applying this model and implementation framework at scale now need to be explored.