bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical tutoring for nursing students: analysis of the Barletta-Andria-Trani Health Facility experience
Authors: Ruta Federico , Massaro Michele , Dibenedetto Beatrice , Lombardi Valeria , Biscosi Francesca , Barile Elena , Dibenedetto Gioacchino , Papagni Giuseppe , Tortora Nicola , Bolgeo Tatiana , Dicuonzo Vincenzo , Parozzi Mauro , Ferrara Paolo , Stefano Terzoni , Gjini Enkeleda 
Published: May 2024

BACKGROUND: University nursing tutoring from clinical nurses is an essential and necessary component in supporting students to be successful in curricular activities in support of classroom learning. The aim of this study was to describe the experience of the nurse involved in clinical tutoring of students in the Bachelor of Science in Nursing course at an Italian university.
METHODS: A survey questionnaire created on the basis of a literature review was sent to all nurses involved in clinical tutoring within the ASL Bt.
RESULTS: 67.44% reported that they had never received any kind of specific training despite the fact that 92.51% considered it essential for the correct performance of the role. 82.13% believe that this activity is not adequately valued
CONCLUSIONS: The results obtained represent beginning of an educational pathway aimed at standardising the training processes of the clinical tutor, oriented towards improving the learning pathway of the future nursing class.
FREQUENCY OF EARLY STENT THROMBOSIS (ACUTE AND SUBACUTE) IN PATIENTS PRESENTING WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION (STEMI) UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION (PCI)
Authors: KHAN AU , ZEB H , ULLAH S , KHAN A , AFZAL Z 
Published: May 2024

Sudden cardiac stent thrombosis (ST) is a severe clinical risk that can lead to high fatality rates. However, data are scarce on the prevalence of early ST events following ‘primary percutaneous coronary intervention’ (pPCI) and the characteristics that predict it, particularly among Pakistani patients. Objective: The objective is to determine possible indicators and evaluate ‘the frequency of acute and sub-acute stent thrombosis’ (ST) after ‘primary percutaneous coronary intervention’ (PCI). Methods: Five hundred individuals who had undergone primary PCI were enrolled from July 2022 to December 2023. Telephone follow-up assessments were used to gather information on 30-day results, including death rates, recurrence of symptoms, and episodes of ST. ‘ST was classified as acute’ (occurring ‘during the procedure’) or ‘sub-acute’ (‘occurring within 30 days post-procedure) using standardised criteria established by the ‘Academic Research Consortium. Results: In this study, 500 patients were enrolled, primarily male (80.4%, 362 patients). ‘Stent thrombosis’ (either acute or sub-acute) was observed in 6.8% of patients, with 10.1% (4) classified as definite ST and the remaining 91.9% (34) as probable ST. Male patients were more prevalent among those who developed ST, along with a higher incidence of hypertension, diabetes, reduced left ventricular ejection fraction (LVEF) pre-PCI, and higher Killip Class. Patients with ST experienced a higher in-hospital mortality rate compared to those without ST, with a p-value of 0.02. Notably, ‘Killip Class’ (‘III-IV’) emerged as ‘an independent ST predictor in this patient cohort. These findings underscore the importance of risk assessment and vigilant management, particularly in patients presenting with higher Killip Class and other associated risk factors, to mitigate ST occurrence and adverse outcomes following primary PCI. Conclusion: Early stent thrombosis (ST) appears relatively common in patients undergoing primary PCI. Those with diabetes and hypertension face an elevated risk of ST, while patients presenting in ‘Killip Class III-IV’ demonstrate an ‘independent predictive’ factor for early ST.
Readability Analysis of Patient Education Material on Rotator Cuff Injuries From the Top 25 Ranking Orthopaedic Institutions
Authors: Miskiewicz Michael , Capotosto Salvatore , Ling Kenny , Hance Frederick , Wang Edward 
Published: May 2024

Introduction:Rotator cuff injuries (RCIs) are incredibly common in the US adult population. Forty-three percent of adults have basic or below-basic literacy levels; nonetheless, patient educational materials (PEMs) are frequently composed at levels exceeding these reading capabilities. This study investigates the readability of PEMs on RCIs published by leading US orthopaedic institutions.Methods:The top 25 orthopaedic institutions on the 2022 U.S. News & World Report Best Hospitals Specialty Ranking were selected. Readability scores of PEMs related to RCI were calculated using the www.readabilityformulas.com website.Results:Among the 25 analyzed PEM texts, all exceeded the sixth-grade reading level. Only four of 168 scores (2.4%) were below the eighth-grade level.Discussion:This study indicates that PEMs on rotator cuff injuries from top orthopedic institutions are too complex for many Americans, with readability levels ranging from 8.5 to 16th grade, well above the CDC-recommended eighth-grade level. The research highlights a widespread issue with high reading levels across healthcare information and underscores the need for healthcare providers to adopt patient-centered communication strategies to improve comprehension and accessibility.Conclusion:PEMs on rotator cuff injuries from leading orthopedic institutions often have a reading level beyond that of many Americans, exceeding guidelines from the NIH and CDC that recommend PEMs be written at an eighth-grade reading level. To increase accessibility, enhance healthcare literacy, and improve patient outcomes, institutions should simplify these materials to meet recommended readability standards.
Evaluation of Antibiotics by Disk Diffusion and Minimum Inhibitory Concentration Breakpoints in Urinary Tract Infections
Authors: Qadir Hussain , Rehman Muhammad Abdur , Nasir Sadaf , Alam Muhammad Adeel , Ibrar Muhammad , Shuaib Syed Luqman 
Published: May 2024

Antibiotic resistance (ABR) has made it more challenging to treat uropathogenic organisms. It is impossible to compromise antimicrobial susceptibility testing (AST), which is essential and has a significant impact on infection treatment strategies. Although labor-intensive and technically challenging for everyday laboratory use, the agar dilution technique is appropriate for monitoring and assessing novel antimicrobials. Objective: To determine the minimum inhibitory concentration (MIC), Agar dilution technique and disk diffusion as susceptibility test methodologies. Methods: This study was carried out at Khyber Girls Medical College (KGMC) Peshawar. Keeping in view the Clinical and Laboratory Standards Institute (CLSI) guidelines AST was executed. BIOMÉRIEUX® API® kits and gram staining were utilized for identification of bacteria. The disk diffusion was performed using Thermo ScientificTM OxoidTM antibiotic discs of Co-trimoxazole, Levofloxacin, Nitrofurantoin and Fosfomycin. The MIC and zone of inhibitions for disk diffusion were noted according to the CLSI protocol. Results: 158 culture positive samples were isolated out of 680 total received. Esherechia Coli (E. coli) (74.1%) being the most isolated organism. In comparison of disk diffusion and agar dilution, categorical agreement for Levofloxacin, Cotrimoxazole, Nitrofurantoin and Fosfomycin were (82.28%, 72.15 %, 87.97% and 82.28%) respectively. Kappa coefficients of (0.64, 0.43, 0.57 and 0.37) (p < 0.0001) were calculated for Levofloxacin, Co-trimoxazole, Nitrofurantoin, and Fosfomycin respectively, revealing considerable level of agreement for these antibiotics. Conclusions: It was concluded that Agar dilution is more precise than disk diffusion but being more labor intensive and technical. Disk diffusion can still produce significantly accurate results with less resource consumption.
O CARÁTER AMBIVALENTE DO PENTECOSTALISMO BRASILEIRO
Authors: Silva Alexandre da 
Published: May 2024

O pentecostalismo enquanto descendente direto da Reforma Protestante do século XVI, absorve desse movimento seu caráter plural e difuso. Ele é o que se tornou e o que continua a ser, multifacetado. À exemplo, as centenas se não milhares de denominações pentecostais diferentes que se espalham por todo o nosso Brasil. Como compreender esse movimento? Partindo dessa premissa, somos interpelados pela seguinte questão: qual a constituição e o rosto do pentecostalismo brasileiro, se é que ele possui? A metodologia a ser utilizada será pesquisa e bibliográfica e documental. O referencial teórico será constituído por autores que pesquisam o tema do pentecostalismo, tais como: Gedeon Alencar, Allan Anderson, Elben César, Paul Freston entre outros. E para analisar o pentecostalismo sobre uma perspectiva ambivalente, Zygmunt Bauman será referência com sua obra. O que encontraremos como resultado dessa pesquisa é um pentecostalismo hibrido, ambivalente e plural, um movimento de várias faces e muitos rostos, que se moldou ao jeito brasileiro de ser, mas, também capaz de influenciar consideravelmente a cultura nacional.
THE INFLUENCE OF EMPLOYEE SELECTION ON WORK PRODUCTIVITY AT REYHAN SQUARE HOTEL SELAYAR ISLANDS DISTRICT
Authors: Putra Mandala Utama Muchtar  , Sitti Nurbaya  , Muhiddin Daweng  
Published: May 2024

HR development is not just about recruitment and training, but also involves career management, performance management, rewards, and inter-employee relations. Organizations that successfully build an inclusive culture and focus on employee development will create an environment where every individual feels valued and has opportunities to grow.The main objective of this study is to analyze the effect of employee selection on work productivity in the hotel industry. By analyzing the factors that influence employee selection as well as their impact on productivity, this research is expected to provide useful insights for HR practitioners in improving employee selection and management strategies. In addition, this research is also expected to contribute to the development of HR management theory. The population in this study was employees of the Reyhan Square Hotel which amounted to 40 people. The population used was also a sample in this study. Where the sampling technique used is saturated sampling. Saturated sampling is a sampling technique when all members of a population are used as samples. The method used in this study is quantitative, quantitative data that focuses on measuring and analyzing statistical number-based data. By using a survey method approach to find the cause and effect. The conclusion of this study, Variable X, namely Selection, has a positive and significant effect on the work productivity of Reyhan Square Hotel with a Selection coefficient (X) value of 0.437 and a calculated t value of 2,824 t table 2,024 with a significant value of 0.008 0.05.
Toezicht en handhaving onder de Omgevingswet: bespiegelingen vanuit bestuursrechtelijk en strafrechtelijk perspectief
Authors: van ’t Lam V.M.Y. , van der Linden M. 
Published: May 2024

Toezicht en handhaving onder de Omgevingswet: bespiegelingen vanuit bestuursrechtelijk en strafrechtelijk perspectief
Hoewel de Omgevingswet wat betreft toezicht en handhaving geen grote wijzigingen beoogt, verwachten wij dat de introductie van de Omgevingswet impact zal hebben. Zo zijn er (nog) meer zorgplichten en gelden deze (specifieke) zorgplichten naast de vergunning. Ook zal er een onwenselijke verschuiving plaatsvinden van vergunningverlening vooraf naar toezicht achteraf. Overtredingen zijn ook eerder bestuurlijk beboetbaar. In navolging van de conclusie van A-G Wattel over het overtredersbegrip hopen wij dat de bestuursrechtspraak meer in lijn komt met de strafrechtelijke jurisprudentie. Ten slotte verwachten wij onverminderde aandacht voor bestuurdersaansprakelijkheid, waarbij wij de hoop uitspreken dat hiertoe niet (te) lichtvaardig zal worden overgegaan.
Zorgplichten, ei van Columbus of zorgenkindje?
Authors: Bloos M.J. , Mattheijer F. , Wildeboer L.J. 
Published: May 2024

Zorgplichten, ei van Columbus of zorgenkindje?
De Omgevingswet bevat een aantal algemene en specifieke zorgplichten die voldoende zorg voor de fysieke leefomgeving eisen, al dan niet vanwege een specifieke activiteit. Er wordt ingegaan op enkele verschillen met reeds bestaande zorgplichten in het omgevingsrecht en welke bezwaren er bestaan tegen de strafrechtelijke handhaving van de zorgplicht in artikel 1.7a Omgevingswet. En er wordt aandacht besteed aan de verhouding tussen de specifieke zorgplichten voor milieubelastende activiteiten en de omgevingsvergunning of algemene regels en de vraag in hoeverre dit tot extra eisen kan leiden.
Een bedrijfsinspectie in het kader van de Awb en de toepasselijkheid van het nemo tenetur-beginsel
Authors: van der Vorm B. 
Published: May 2024

Een bedrijfsinspectie in het kader van de Awb en de toepasselijkheid van het nemo tenetur-beginsel. Annotatie bij ABRvS 26 juli 2023, ECLI:NL:RVS:2023:2862
Op welk moment in een bestuursrechtelijke procedure kan een overtreder met succes een beroep doen op het nemo tenetur-beginsel? En hoe dient het nemo tenetur-beginsel evenwel te worden geïnterpreteerd in een bestuursrechtelijke procedure? Deze vragen komen aan de orde in een uitspraak van de Afdeling bestuursrechtspraak van de Raad van State van 26 juli 2023, ECLI:NL:RVS:2023:2862.
Avaliação quanto ao uso de bebidas alcoólicas pelo score de audit em pacientes submetidos à cirurgia bariátrica
Authors: Santos Beatriz Oliveira , Trindade Leda Maria Delmondes Freitas , Trindade Yasmin Tourinho Delmondes , Resende Luana Teles de , Oliveira Rosa Carolina Santos de , Santos Eduarda Lavínia Carneiro , Silva Francisca Roberta Oliveira 
Published: May 2024

Introdução: a relação entre cirurgia bariátrica e alcoolismo é complexa. Após a cirurgia bariátrica, algumas pessoas podem ser mais suscetíveis ao alcoolismo devido a mudanças metabólicas e psicológicas. Objetivo: identificar a prevalência do uso de bebida alcoólica e fatores de risco em pacientes submetidos a cirurgia bariátrica através do score AUDIT. Metodologia: estudo transversal, retrospectivo, tipo survey realizado entre 2020-2021. A amostra foi composta por 5.160 pacientes submetidos a cirurgia bariátrica. Resultados: do total da amostra, 3.354 responderam ao teste de AUDIT, sendo divididos em dois grupos segundo a classificação do score AUDIT. Foram classificados como uso nocivo/provável dependência (zona III/IV) 509 (15,18%) participantes (Grupo A) e como baixo risco/uso de risco (zona I/ II) 2.845 (84,82%) identificados como Grupo B. No grupo A, a média de idade foi de 38,60 anos, sendo 460 (91,45%) do sexo feminino, 284 (56,57%) procedentes do sudeste, 309 (60,95%) se identificaram de cor branca, 279 (54,92%) tinha ensino superior completo, 439 (86,93%) foram submetidos a bypass gástrico, 229 (45,35%) estavam com sobrepeso de acordo com o Índice de Massa Corporal pós bariátrica. O uso de álcool apenas após bariátrica (13,41%) e o uso antes e depois (86,19%) do procedimento foi mais prevalente no grupo A. Conclusão: fatores de risco como sedentarismo, tabagismo, drogas ilícitas, uso prévio de bebida alcoólica, sobrepeso pós bariátrica, intervalos temporais mais longos após o procedimento cirúrgico e a técnica cirúrgica Bypass gástrico, podem representar fatores de risco para o uso nocivo ou provável dependência de álcool.
UMA VISÃO ACERCA DAS MANIFESTAÇÕES AGUDAS E CRÔNICAS DA NEURITE ÓPTICA
Authors: Santos Pedro Arturo Bismara Carneiro , Freire Rodrigo José Bumussa , Rolim Felipe Barbosa Botelho , Martins Ana Caroline Paraguay , Carvalho João Pedro Santana de , Carvalho Marina Santana de , Silva Allan Christian Lima da , Amaral Jader Nunes , Araújo Stanley da Silva , Barreto Tiago Strazzi , Moreira Giovanna Mariotti , Kuklinski Anderson Ademir , Fragoso Raíssa , Rosa Carolina Camargo de Mello , Brito Claudia Klecyanne Rodrigues de , Góis Vítor Emílio de , Queiroz Thiago Penaforte de Oliveira , Cerqueira Pedro Henrique , Morais Luisa Thieme de , Gois Gustavo Emilio de , Martins Petrus Bezerra , Araújo Rodrigo Herman Costa de , Nascimento Anna Christiany Brandão , Siracava Kioshe Rodrigues , Souza Wállex Matias Pedroso , Carvalho Lilian Barroso , Almeida Caroline Souza de , Viana Gustavo Arlen de Freitas , Vieira Yago Magrini dos Santos 
Published: May 2024

Introdução: Este artigo de revisão explora as manifestações da neurite óptica, uma inflamação do nervo óptico que impacta significativamente a visão. Objetivo: Analisar as manifestações agudas e crônicas da Neurite Óptica. Metodologia: Essa revisão integrativa da literatura, foi realizada por busca em base de dados de artigos que correspondessem ao tema proposto. Incluiu-se avaliação dos artigos elegíveis na íntegra, excluindo aqueles que não se enquadram nos objetivos do estudo, teses e dissertações, sem contabilizar duplicatas. Resultados e Discussão: A neurite óptica geralmente apresenta-se de forma monocular com sintomas de perda rápida de visão e dor, potencialmente evoluindo para deficiências visuais crônicas, apesar da recuperação da acuidade visual inicial. É reforçado que a persistência de sintomas como defeitos de campo visual e descoloração visual pode indicar danos axonais prolongados, com implicações significativas para o manejo clínico a longo prazo. Conclusão: Ressalta a necessidade de uma abordagem individualizada para o tratamento da neurite óptica, envolvendo avaliação oftalmológica contínua e intervenções adaptadas às fases aguda e crônica da doença. Além disso, sublinha a importância de avanços no entendimento das bases patológicas da neurite óptica para melhorar as estratégias terapêuticas e, consequentemente, os resultados clínicos para os pacientes acometidos.
Identificación de las características morfológicas de la raza bovina brahmán y su adaptabilidad en la zona Mezcalapa, México
Authors: Gómez Marín Roybin Alberto , Jimenez Gutiérrez Ximena Montserrat , Jimenez Deferia Bladimir 
Published: May 2024

La investigación acerca de la identificación de las características morfológicas de la raza bovina brahman y su adaptabilidad en la zona Mezcalapa, presenta la evaluación sobre las características morfológicas y físicas de esta especie, como también la alta resistencia que tiene al clima tropical húmedo de la región de Mezcalapa , también se evidencian encuestas que se realizaron a los productores que tienen este tipo de ganado, de la misma forma se evalúa sus características , cabeza, patas, altura, giba, prepucio, testículos y orejas, se considera que este tipo de bovino es escogido por los productores de la región por su resistencia a los cambios climáticos bruscos al no afectar la ganancia de peso diaria. A pesar de que existen diferentes colores rojo, gris y blanco, el más preferido por productores es el blanco por su estética.
Climate Change 2022 Mitigation of Climate Change: Urban System
Authors: LIMMEECHOKCHAI Bundit , Kongphunphin Chompoonut , Winyuchakrit Pornphimol , Pita Piti , Misila Pemika 
Published: May 2024

The Sixth Assessment Report of the Intergovernmental Panel on Climate Change (IPCC-AR6) assesses literature on the scientific, technological, environmental, economic, and social aspects of mitigation of climate change. The IPCC-AR6 integrates factors of developments in the UN Framework Convention on Climate Change (UNFCCC) process. It includes the Kyoto Protocol and the Paris Agreement, and the UN 2030 Agenda for Sustainable Development including the Sustainable Development Goals (SDGs). This paper reviews the urban system and its pathways in transition to the net zero emissions. The key messages of urban mitigation in the IPCC-AR6 are presented. It is found that the urban green and blue infrastructure can contribute to climate resilience through carbon sequestration, emissions reduction, and energy and material efficiency. It also contributes multiple co-benefits. To achieve urban transformational changes, it requires climate finance and engagement of multiple scales of governance. This includes governments and non-state actors. A knowledge gap to achieve net-zero-emissions cities is highlighted, and a case study of climate resilient development in Thailand’s building sectors towards a low carbon society is discussed.
Upaya Pengurangan Perilaku Prokrastinasi Akademik Melalui Layanan Konseling Individu di SMA Negeri 2 Rantau Selatan Kabupaten Labuhanbatu
Authors: Wardani Ritonga Juhro Ulya , Nurhayani Nurhayani , Khairuddin Khairuddin 
Published: May 2024

Penelitian ini bertujuan untuk mengetahui upaya pengurangan prokrastinasi akademik siswa SMA Negeri 2 Rantau Selatan melalui layanan konseling individu, kemudian untuk mendeskripsikan faktor-faktor yang mempengaruhi terjadinya prokrastinasi akademik siswa di SMA Negeri 2 Rantau Selatan, serta mendeskripsikan perilaku prokrastinasi akademik siswa di SMA Negeri 2 Rantau Selatan setelah diberikan layanan konseling individu. Jenis penelitian ini adalah penelitian kualitatif deskriptif. Subyek penelitian ini adalah guru Bimbingan Konseling dan siswa yang mengalami prokrastinasi akademik dan sudah mendapatkan layanan konseling individu dari guru Bimbingan Konseling. Adapun teknik pengumpulan data berupa teknik observasi, wawancara, dan dokumentasi. Analisis data yang dilakukan adalah penghimpunan data, reduksi data, penyajian data, serta penarikan kesimpulan data. Hasil dari penelitian ini menunjukkan bahwa upaya pengurangan perilaku prokrastinasi akademik di SMA Negeri 2 Rantau Selatan Kabupaten Labuhanbatu yang dilakukan oleh guru BK menunjukkan perubahan sesuai yang diharapkan walaupun belum sepenuhnya tercapai.
Pengaruh Lingkungan Kerja Terhadap Produktivitas Pegawai Pada CV Sukses Karya Lestari Kota Gunungsitoli
Authors: Gulo Andiyus , Hulu Fatolosa , Waruwu Sukaaro , Batee Maria Magdalena 
Published: May 2024

Lingkungan kerja adalah segala sesuatu yang ada di sekitar karyawan pada saat bekerja, baik yang berbentuk fisik maupun nonfisik, yang dapat mempengaruhi dirinya dalam menjalankan tugas-tugas dan pekerjaannya sehari-hari. Lingkungan kerja yang kondusif memberikan rasa aman yang memungkinkan pegawai bekerja optimal. Lingkungan kerja dapat mempengaruhi emosional pegawai. Jika pegawai menyenangi lingkungan kerja dimana dia bekerja, maka pegawai tersebut akan betah di tempat kerjanya. Lingkungan kerja yang kondusif akan berdampak baik bagi perusahaan, sebaliknya jika lingkungan kerja kurang kondusif akan berdampak negatif bagi perusahaan. Rumusan masalah dalam penelitian adalah untuk mengetahui apakah ada Pengaruh Lingkungan Kerja terhadap Produktivitas Pegawai pada CV. Sukses Karya Lestari Kota Gunungsitoli. Penelitian ini menggunakan jenis penelitian kuantitatif yakni untuk mengetahui pengaruh suatu variabel independen terhadap variabel dependen dalam suatu penelitian serta seberapa besar peranannya dengan tujuan untuk menguji hipotesis yang telah ditetapkan.Sampel penelitian ini merupakan keseluruhan jumlah populasi karena keterbatasan jumlah responden yang diteliti. Dari hasil penelitian diketahui hal-hal yaitu Tingkat validitas variabel X dan variabel Y memenuhi standar ketentuan yang berlaku dengan hasil keseluruhan item pertanyaan dinyatakan valid karena rhitung > rtabel (0,334), pada interval kepercayaan 95% dengan N = 35. Instrumen penelitian untuk masing-masing variabel juga dinyatakan reliabel dengan r hitung X (0,495) > r tabel (0,334) dan r hitung Y (0,526) > r tabel (0,334) pada interval kepercayaan 95% dengan N = 35. Perhitungan korelasi determinasi menunjukkan bahwa ada pengaruh variabel X (lingkungan kerja) terhadap variabel Y (produktivitas pegawai bagian produksi) sebesar 23,9 % sedangkan 76,1 % dipengaruhi oleh faktor lain yang tidak turut dibahas dalam penelitian ini.