bluuebunny/crossref_metadata_2025_split huggingface dataset:
Anticholinergic burden and most common anticholinergic-acting medicines in older general practice patients
Authors: Gorup Eva , Rifel Janez , Petek šter Marija 
Published: June 2018

Abstract

Introduction
Anticholinergic burden in older adults has been correlated with cognitive decline, delirium, dizziness and confusion, falls and hospitalisations. Nevertheless, anticholinergic-acting medications remain commonly prescribed in up to a third of older adults in primary care population. Our aim was to study the anticholinergic burden in older adults in Slovenian ambulatory setting and explore the most commonly involved medications which could be avoided by the physicians.

Methods
A cross-sectional study was conducted in 30 general practices in Slovenia as part of a larger trial. Data on prescribed medications were collected for randomly chosen adults of over 65 years of age visiting general practice, who were taking at least one regularly prescribed medication. Anticholinergic burden was calculated using Duran’s scale and Drug Burden Index.

Results
Altogether, 622 patients were included, 356 (57.2%) female, average age of 77.2 (±6.2), with an average of 5.6 medications. At least one anticholinergic medication was present in 78 (12.5 %) patients. More than half (N=41, 52.6%) of anticholinergic prescriptions were psychotropic medications. Most common individual medications were diazepam (N=10, 1.6%), quetiapine (N=9, 1.4%) and ranitidine (N=8, 1.3%).

Conclusions
Though the prevalence of anticholinergic medications was low compared to international research, the most commonly registered anticholinergic prescriptions were medications that should be avoided according to guidelines of elderly prescriptions. It would be probably clinically feasible to further decrease the anticholinergic burden of older adults in Slovenian primary care setting by avoiding or replacing these medications with safer alternatives.
Empathy and burnout in Slovenian family medicine doctors: The first presentation of jefferson scale of empathy results
Authors: Penšek Lea , Selič Polona 
Published: June 2018

Abstract

Background
Study aimed to assess the burnout prevalence and level of empathic attitude in family medicine doctors (FMDs) and its associations with demographic factors, working conditions and physician health, using the Jefferson Scale of Empathy – Health Professional version (JSE-HP).

Methods
Slovenian FMDs (n=316, response rate 56%) completed an online socio-demographic questionnaire, with questions on working conditions, physician health, and the Slovenian versions of the Maslach Burnout Inventory (MBI) and the JSE-HP. Univariate and multivariate analyses were used, applying linear regression to calculate associations between demographic variables, factors of empathy and burnout dimensions, P<0.05 was set as a limit of statistical significance.

Results
Of the 316 participants, aged 40±10.2 years, 57 (18%) were men. The FMDs achieved mean scores on the JSE-HP (JSEtot of 112.8±10.2 and on the MBI 27.8±11.6 for EE, 10.8±5.5 for D and 33.5±6.0 for PA. High burnout was reported in one dimension by 24.8% of participants, in two by 17.2%, and by 6% in all three dimensions. Multivariate analysis revealed a higher EE and D and lower PA in specialists as opposed to trainees. Higher EE was also identified in older physicians having longer work experience, working in a rural setting, dealing with more than 40 patients/day and having a chronic illness. The latter was also associated with higher JSEtot. JSEtot was negatively associated with D, while PA was positively associated with JSEtot and Perspective Taking.

Conclusion
The incidence of burnout warns both physicians and decision-makers against too heavy workload, especially in older professionals.
Seleksiyon ve damızlık boğa seçim kriterleri
Authors: Tirpan Mehmet Borga , TEKİN Necmettin 
Published: June 2018

Çeşitli
yetiştirme biçimlerinin incelenmesi doğrultusunda
ıslah çalışmalarının ayrıntılı ve anlaşılır bir biçimde planlanması ve
yönetilmesi başarının ön koşuludur. Bu planlamayla uygulamaya konulacak çalışma
takvimine “ıslah programı” adı verilir. Hayvan ıslahının amacı, tüketiciye
sunulacak olan hayvansal ürünlerin üretiminde verimliliğin arttırılması ve ürün
kalitesinin yükseltilmesidir. Islah programlarında mevcut populasyonun ıslahına, üzerinde
durulan verim/verimler bakımından varyasyonun tesbiti ve analizi ile
başlanmakta ve istenen özelliklere sahip olan boğalar
damızlık olarak ayrılmaktadır. Böylelikle sürü içindeki bu bireylere, diğerlerine göre daha fazla döl
verme olanağı sağlanır. Gelişmekte olan hayvancılık
sektöründe en önemli unsurlardan biri damızlık hayvanların seçilmesidir. Yüksek verim potansiyeline
sahip damızlık sürülerin genetik kapasitelerini yavrularına aktarması ile
ilgili karakterde işletme ve ülke bazında karlılık artmaktadır. Bu süreçte damızlık seçiminde bazı
kriterlerin göz önünde bulundurulması ve bu kriterlerin nasıl değerlendirilmeye
alınacağının bilinmesi büyük önem arz etmektedir. Özellikle suni
tohumlamada kullanılacak damızlık boğa adayının spermalarının ne gibi
özellikler taşıdığı iyi analiz edilmeli ve en önemlisi uygulanacak sürüye
uygunluğunun belirlenmesi gerekmektedir. Bu derlemede damızlık
bir boğanın hangi yöntemlerle seçildiği ve kullanıma sunulan spermaların nasıl
değerlendirilmesi gerektiği anlatılmaya çalışılmıştır.
Leadership Succession at Regional Medical Campuses: What incoming leaders might want to know from their predecessors
Authors: Cooper Gerry , Awuku Mark , Kadri Dema 
Published: June 2018

Succession planning and changeover between outgoing and incoming leaders within medical education is an important but largely neglected topic (Rayburn, Grigsby & Brubaker, 2016). The paucity of literature is even more apparent regarding leadership transitioning at regional medical campuses (RMC). With this paper, perhaps one of the first to inform this topic, we hope to bridge this gap by assembling the shared perspectives of an administrator, senior faculty member and a learner from the same RMC. Specifically, this work will focus on the following two questions:

Based on our collective experiences what are the critical issues facing an incoming RMC dean?
Are there practical strategies which might assist an incoming RMC dean with the leadership transition process?

This commentary is the result of our collective experience at Western University’s Windsor Campus, a 10-year old regional medical campus of the Schulich School of Medicine & Dentistry located in southwestern Ontario, Canada. We make the assumption that RMC’s encountering leadership transitions are adequately funded, in this way incoming deans can properly attend to effective leadership succession processes. This paper might be of particular interest to those who are personally transitioning as new RMC deans or who will soon take on such a leadership role. We have no conflicts of interest to declare.
Busíris, um drama satírico de Eurípides
Authors: Alves Ribeiro Jr. Wilson 
Published: June 2018

<em><span lang="PT-BR">Busíris </span></em><span lang="PT-BR">é um dos dramas satíricos de Eurípides, incompleto e de data incerta. Este artigo contém um panorama dos mitos sobre Héracles e Busíris e sua iconografia; a tradução dos testemunhos e fragmentos conhecidos; e uma reconstrução conjetural do drama satírico, baseada nos escassos dados disponíveis.</span>
As leis Augustanas e o amor Ovidiano: um jogo de adesões e confrontos
Authors: Coelho Ana Lucia Santos 
Published: June 2018

<p><span lang="PT-BR">Neste artigo, analisamos as relações de amor e de poder protagonizadas pelas mulheres representadas pelo poeta Públio Ovídio Naso na <em>Vrbs </em>de Augusto. Para tanto, tomamos como fonte a obra<span class="apple-converted-space"> </span><em>Ars amatoria</em>, escrita por esse autor entre os anos I a.C. e I d.C. Nosso objetivo foi compreender as adesões e os confrontos realizados pelo poeta diante das Leis Júlias impostas pelo imperador. Consideramos que Ovídio não confrontou, de modo público e explícito, o poder do soberano e seu programa de Reforma Moral, mas propôs, ao mesmo tempo, conselhos que estimulavam comportamentos conflitantes com a reformulação dos costumes sociais. </span></p>
O sonho em Quéreas e Calírroe, de Cáriton de Afrodísias
Authors: Duarte Adriane Da Silva , López Isabel Passos 
Published: June 2018

<p class="Default"><span lang="PT-BR">Este artigo propõe a análise dos sonhos que ocorrem em <em>Quéreas e Calírroe</em>, de Cáriton de Afrodísias (I d.C.). O sonho está presente na literatura grega desde os poemas homéricos, o que atesta a sua relevância na cultura e no imaginário. Os nove sonhos relatados no romance serão examinados de uma perspectiva narratológica, levando-se também em conta o contexto cultural e a <em>Onirocrítica</em>, de Artemidoro (II d. C.).</span></p>
Antimicrobial Susceptibility Pattern of Pathogenic Bacteria Causing Urinary Tract Infections at Azadi Hospital In Duhok City\Kurdistan Region of Iraq
Authors: Abdulrahman Ibtesam Salih 
Published: June 2018

Urinary tract infections represents one of the most common diseases encountered in medical practice affecting people of all ages from the neonate to the geriatric age group. The aim of this study was to determine and evaluate the antimicrobial susceptibility patterns for most common strains of bacterial urine isolates taken from patients at Azadi teaching hospital laboratories in Duhok city/Kurdistan region in Iraq, for two years (2014 and 2015). A retrospective survey study was conducted and 1003 data of urine culture sensitivity test were collected from recorded archives of the Azadi hospital of two years; 2014 and 2015. The study included all recorded positive urine samples cultures isolated from inpatients and outpatients. Results revealed that the female to male ratio for urinary tract infection was 2.7:1 and the most common microorganisms isolated were Escherichia coli (52%), Staphylococcus aureus (11%), Staphylococcus haemolyticus (9.6%) and Klebsiella pneumoniae (8.1%). In general maximum sensitivity was seen for Meropenem (94.9%), followed by Imipenem (89.7%) and Ertapenem (88.7%). The maximum resistance was seen against Cefazolin (79.7%) and Amoxicillin/clavulanic acid (77.5%). The antibiotic sensitivity pattern of E. coli reveals that the maximum sensitivity was seen for Meropenem (97.3%) and Imipenem (95.6%). The maximum resistance was seen against Amoxicillin/clavlanic acid (83.1%). The resistance against many commonly used antibiotics have been increased which limit the options for treating urinary tract infection. This is resulted from uncontrolled use of the antibiotics and lack of policies and guidelines for their use in public health.
Pertinencia de la teoría institucional del arte y el capital social para explicar el rol de la Facultad de Artes Visuales (FAV) de la Universidad Autónoma de Nuevo León (UANL) en la práctica artística de Monterrey, México
Authors: Alonso González Tania Gissel , Morado Macías César 
Published: June 2018

El proceso del arte en Monterrey conllevó un crecimiento heterogéneo. La posición geográfica de la ciudad, rasgos industriales y sus atributos culturales configuraron la práctica artística de la región, así como a los protagonistas en esta escena. Tomando en consideración a la Universidad Autónoma de Nuevo León (UANL) como pionera en la profesionalización de los especialistas en artes visuales, se abordará a la Facultad de Artes Visuales (FAV) desde la teoría institucional del arte propuesta por George Dickie para entender la naturaleza de uno de los agentes clave en la historia del arte de la ciudad de Monterrey. A partir de este enfoque teórico se vinculará el concepto de capital social de Pierre Bourdieu, para explicar la formación y composición de las redes de contacto que ayudan en la proyección profesional de los artistas visuales.
УДОСКОНАЛЕННЯ ТЕОРЕТИЧНИХ ПІДХОДІВ ОЦІНЮВАННЯ РИЗИКІВ ЯК ІНСТРУМЕНТА УПРАВЛІННЯ ФІНАНСОВОЮ БЕЗПЕКОЮ АКЦІОНЕРНИХ ТОВАРИСТВ
Authors: Stashchuk Olena 
Published: June 2018

У статті виявлено, що досягнення бажаного рівня фінансової безпеки акціонерних товариств вимагає підвищення рівня їх інвестиційної привабливості на основі нарощення домінант розвитку. Доведено, що практика оцінювання ризиків як інструмента управління фінансовою безпекою акціонерних товариств потребує вдосконалення в частині оцінювання впливу ризикоутворювальних чинників на індикатори стану фінансової безпекикорпоративних структур. Систематизовано основні методичні підходи до оцінювання ризиків підприємства.Запропоновано авторський підхід до оцінки ризиків застосуванням нормативного й фундаментального методів
Mechanical properties of Cr-containing PM steels sintered in industrial conditions
Authors: Mincheva Desislava Yordanova , Petrov Plamen Nedkov 
Published: June 2018

The objectives of this present research work are Cr-containing PM steels sintered in industrial conditions. The sintering was carried out in industrial furnace with 85%N2+15%H2 atmosphere at temperature of T=1140oC, during 40min. It is obtained information about the mechanical properties of the investigated alloys, which serve to further studies connected with the application of chemical heat treatments such as oxidation and gas carbonitriding.
Using Crossword Puzzle to increase Students’ Vocabularies for Writing Skill in Descriptive Text
Authors: Rusmawan Putu Ngurah 
Published: June 2018

The purpose of the study is to know using media puzzle improve the students writing descriptive text for the second graders at SMP Negeri 5 Pasuruan. The researcher used a classroom action research. This research was conducted on April 05th 2017 to May 06th 2017. To get the information about the implementation of the crossword puzzle in descriptive text for writing skill, the researcher used interview, observation, questionnaire, test and documentation. The result of the test at the end of the first cycle showed that 26 students got under 76. It was not successful because it was still below criteria of success which required at least 76 as minimum score. In the cycle two, there were 27 students who got at least or more 76. It can be concluded that all students got the criteria of success, which required at least 76 as the minimum score. Finally, it can be concluded that the result of this research showed that using crossword puzzle can improve the students’ writing skill in teaching learning English. It can help the students to memorize the material easily and it can give positive effect for the students
Keywords: Writing, Descriptive, Crossword Puzzle.
Padlet as Media to Improve Writing Mastery of English Department Students of Uniska 2015-2016
Authors: Lestari Pritantina Yuni , Kurniawan Erwin Hari 
Published: June 2018

Multimedia has been spread out and used by many students in their live, but it is rarely to use multimedia as one of media used in teaching learning process. The objective of this study is to know whether the use of Padlet as media can improve students’ descriptive writing mastery of students of English Department of Uniska in the third semester. The research design used is Classroom Action Research consisting of two cycles. Each cycles consisted of three opportunities for students to have interaction using Padlet. The cycle consisted of planning, implementing, observing and reflecting. The instruments used in this research were observation check list and writing test using Padlet. Padlet was introduced from the first time of teaching learning process in the class and the following interactions were using Padlet without having direct interaction in the classroom. The first cycle was not successful because of the students got difficulty in managing time in accessing Padlet and some errors in their grammatical used. Then in the second cycle, the result showed that 18 from 20 students passed the minimum score and all students did all assignment using Padlet. From the result, it can be concluded that the implementation Padlet as media can improve students’ writing mastery.
Keywords: Padlet, writing mastery, descriptive writing
Patients with Achilles tendon injuries – how are function and quality of life affected?
Authors: Albuquerque Bruno Mota , Borges Vinícius Quadros , Ferraz Gabriel Ferreira , Stéfani Kelly Cristina 
Published: June 2018

Objective: To evaluate the late postoperative results for quality of life after surgical treatment of Achilles tendon rupture by open surgery and peroneus brevis tendon transfer. Methods: This prospective cohort study included patients who underwent surgical treatment for Achilles tendon rupture by open surgery andperoneus brevis tendon transfer and evaluated these patients in outpatient follow-up. Functional and quality-of-life scores were determined in the late postoperative period. Results: The sample consisted of 32 patients with spontaneous tendon rupture primarily caused by practising recreational sports (81.1%). The mean age was 44.6 years, and the mean body mass index was 28.1Kg/m2; most of the patients were men. The rate of complications related to suture dehiscence in the immediate postoperative period was 31%. The World Health Organization Quality of Life-Abbreviated (WHOQOL-BREF) score was 15.2±2.45, the Foot Function Index Revised (FFI-R) score was 42.59±0.16, the Short Musculoskeletal Function Assessment (SMFA) score was 15.60±16.74, and the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was 80.16±15.08. Conclusion: The late postoperative functional results of open surgical treatment of tendon rupture were satisfactory using the AOFAS score and unsatisfactory using the FFI-R score. The quality-of-life outcomes were satisfactory using the WHOQOL-BREF score and unsatisfactory using the SFMA score. Both the FFI-R and SFMA scores indicated that the main patient complaints were stiffness of the affected limb and pain/ discomfort in the tendon that was surgically treated.
Level of Evidence II; Prospective Cohort Study.
Postoperative evaluation of posterior tibial tendon transfer
Authors: Vieira Larissa Miranda Xavier , Fleury Rodrigo Barra Caiado , Nunes Bruno Severino , Martins Jefferson Soares , Costa Edegmar Nunes 
Published: June 2018

Objectives: To analyse and report the advantages of posterior tibial tendon transfer amongst patients with drop-foot as well as evaluate the degrees of foot biomechanical restoration and patient quality of life improvement. Methods: Seven patients diagnosed with drop-foot received surgery in which the posterior tibial tendon was transferred via the syndesmotic membrane, and the tendon was fixed to the lateral cuneiform bone using an interference screw. Results: The patients completed the Stanmore questionnaire before and after surgery to report their improvements with regard to all of the questionnaire criteria.Conclusion: The adopted surgical technique is an effective method of disease correction, with associated pain improvement, resumption of wearing shoes, elimination of the regular use of an ankle-foot orthosis (AFO), muscle strength gain, and functional capacity improvement.
Level of Evidence IV; Therapeutic Study; Case Series.
What is the best approach to evaluating the reduction of the syndesmosis?
Authors: Paiva Mateus Ramos , Pinto Roberto Zambelli de Almeida , Magalhães João Murilo Brandão , Lopes Fernando Araújo Silva , Castilho Rodrigo Simões , Baumfeld Daniel Soares 
Published: June 2018

Objective: To evaluate the reliability, reproducibility, and intra- and interobserver correlation of eight tomographic methods used for assessing the reduction of the syndesmosis in high fractures of the fibula.Methods: A total of seven patients were selected. Eight tomographic methods of measurement were used in the axial plane of the ankle at 1cm proximal to the articular surface. Three orthopaedists from the surgical team were chosen to evaluate the reliability and reproducibility of the measurements. Preoperative and postoperative tomography was used, and measurements were made at two distinct time points, with an interval of 2 months between them. All correlations were assessed using the interclass correlation coefficient (ICC). Results: Method 3 (Zwipp) had ICC values >0.75 (excellent) in all measures by all examiners. Method 4 (Phisitkul) presented ICC values >0.95 (excellent) for the interobserver comparisons at the two time points. In the intraobserver comparison, method 4 had an ICC of 0.49 (satisfactory) in two preoperative evaluations, and the other comparisons presented an ICC >0.76 (excellent). Conclusion: The Zwipp and Phisitkul measurements presented high reliability and reproducibility and are useful for evaluating rotational andtranslational movements of the fibula at the level of the syndesmosis, respectively.
Level of Evidence III; Therapeutic Studies; Comparative Retrospective Study.
Clinical and functional outcomes of Lambrinudi arthrodesis for correcting fixed equinus deformity
Authors: Muniz Filho José Antônio Ribeiro , Pereira Cleber Jesus , Espinosa Eduardo Gomes , Buiatti Flávio Malagoli , Fernandes Rafael Teixeira , Coelho Danilo Vilela Pires 
Published: June 2018

Objective: To evaluate the clinical and functional outcomes of correction of fixed equinus deformity by Lambrinudi arthrodesis. Methods: Eight patients with fixed equinus deformity were retrospectively assessed. Of these patients, three cases developed secondary to Charcot-Marie-Tooth disease, and five cases developed secondary to fibular nerve injury following trauma. All patients underwent Lambrinudi arthrodesis using the open technique, and functional improvement was analysed postoperatively. The mean age of the patients was 27 years and six months, and six patients were men. Results: The results were evaluated using the ankle and hindfoot score of the American Orthopedic Foot and Ankle Society (AOFAS) scale. The mean score in the postoperative period was 61.71 points, ranging from 41 to 74 points. The difference in the tibia-ground angle in the pre- and postoperative period was measured, and there was a significant correction of this angle. Conclusion: The outcomes of Lambrinudi arthrodesis in patients with fixed equinus deformity were satisfactory concerning the improvement of pain, gait, a high degree of correction of the deformity according to the difference in the tibia-ground angle between the pre- and postoperative period, and preservation of the ankle joint.
Level of Evidence IV; Therapeutic Studies; Case Series.
SÜT ÜRETİM İŞLETMELERİNDE İÇ KONTROL SİSTEMİNİN ETKİNLİĞİNİN İNCELENMESİ: TÜRKİYE VE BREZİLYA’DAKİ SÜT ÜRETİM İŞLETMELERİNİN KARŞILAŞTIRILMASI
Authors: Özçetin Nigar , Uzay Şaban 
Published: June 2018

Süt işletmeleri,
gıda sektöründe en önemli piyasalardan biridir. Dünya nüfusunun hızla artması
ve besin değeri yüksek gıdaların insan yaşamı için büyük öneme sahip olmasından
dolayı, gıda sektörü önemini her zaman korumaktadır. Süt ve süt ürünleri ise bu
gıdalardan en önemlisidir. Süt ve süt ürünlerinin insan yaşamında vazgeçilmez
olması, AB ülkelerine süt ürünleri ihracatının serbestleştirilmesi, ülkemizde
süt tüketiminin özendirilmeye çalışılması gibi nedenler süt ve süt ürünleri
işletmelerini önemli hale getirmiştir. Çalışmanın amacı; süt ve süt ürünleri
işletmelerinde iç kontrol sistemlerinin, kendi yöneticilerinin yaklaşımları
doğrultusunda COSO (1992) iç kontrol modeli ile uyumlu olup olmadığını
belirlemektir. Çalışma sonucunda ulaşılan sonuçları, Brezilya süt endüstrisi
sonuçları ile karşılaştırmak çalışmanın bir başka amacıdır. Araştırmada
tanımlayıcı istatiksel yöntem kullanılmıştır. Araştırmanın örneklemi; 2014- 2016 yılları arasında İSO 1000 içine
girmiş süt ve süt ürünleri işletmeleridir. Veriler, belirlenen süt
işletmelerinde görev yapan yönetici, muhasebe müdürü, iç denetçi, finans
müdürü, insan kaynakları müdürü gibi işletme üst düzey yöneticilerine anket
uygulanmak sureti ile toplanmıştır.