bluuebunny/crossref_metadata_2025_split huggingface dataset:
Engaging physicians and nurses in balanced scorecard evaluation—An implication at Palestinian hospitals and recommendations for policy makers
Authors: Amer Faten , Kurnianto Arie Arizandi , Alkaiyat Abdulsalam , Endrei Dóra , Boncz Imre 
Published: March 2023

IntroductionHealthcare workers (HCWs) are seldom involved in balanced scorecard (BSC) deployments. This study aims to incorporate Palestinian HCWs in the BSC to create health policy recommendations and action plans using BSC-HCW1, a survey designed and validated based on BSC dimensions.MethodologyIn this cross-sectional study, the BSC-HCW1 survey was delivered to HCWs in 14 hospitals from January to October 2021 to get them involved in PE. The differences between physicians' and nurses' evaluations were assessed by the Mann–Whitney U-test. The causal relationships between factors were analyzed using multiple linear regression. The multicollinearity of the model was checked. Path analysis was performed to understand the BSC strategic maps based on the Palestinian HCWs' evaluations.ResultsOut of 800 surveys, 454 (57%) were retrieved. No evaluation differences between physicians and nurses were found. The BSC-HCW1 model explains 22–35% of HCW loyalty attitudes, managerial trust, and perceived patient trust and respect. HCWs' workload time-life balance, quality and development initiatives, and managerial performance evaluation have a direct effect on improving HCWs' loyalty attitudes (β = 0.272, P &lt; 0.001; β = 0.231, P &lt; 0.001; β = 0.199, P &lt; 0.001, respectively). HCWs' engagement, managerial performance evaluation, and loyalty attitudes have a direct effect on enhancing HCWs' respect toward managers (β = 0.260, P &lt; 0.001; β = 0.191, P = 0.001; β = 0.135, P = 0.010, respectively). Quality and development initiatives, HCWs' loyalty attitudes, and workload time-life balance had a direct effect on improving perceived patient respect toward HCWs (β = 254, P &lt; 0.001; β = 0.137, P = 0.006, β = 0.137, P = 0.006, respectively).ConclusionThis research shows that it is important to improve low-performing indicators, such as the duration of time HCWs spend with patients, their knowledge of medications and diseases, the quality of hospital equipment and maintenance, and the inclusion of strengths and weaknesses in HCWs' evaluations, so that HCWs are more loyal and less likely to want to leave. For Palestinian hospital managers to be respected more, they must include HCWs in their action plans and explain their evaluation criteria. Patients will respect Palestinian HCWs more if they prioritize their education and work quality, spend more time with patients, and reflect more loyalty. The results can be generalized since it encompassed 30% of Palestinian hospitals from all categories.
Investigating metformin-active substances from different manufacturing sources by NIR, NMR, high-resolution LC-MS, and chemometric analysis for the prospective classification of legal medicines
Authors: Raimondo Mariangela , Prestinaci Francesca , Aureli Federica , D’Ettorre Giulia , Gaudiano Maria Cristina 
Published: March 2023

Introduction: The characterisation of active substances is an essential tool to ensure the traceability and authenticity of legal medicines. Metformin is a well-established biguanide derivative recommended in oral formulations as a first-line treatment for type 2 diabetes. With its increasing demand, metformin is likely to be an attractive target for falsification and substandard production, thus posing health risks to consumers. Methods that are able to identify even small differences in active pharmaceutical ingredients (APIs) are deemed necessary. The detection of fraudulent practices in APIs is not straightforward, and a single technique that can provide sufficient information to unambiguously address this issue is still not available.Methods: This study investigated an integrated analytical platform based on NIR, 1H-NMR, 13C-NMR, and high-resolution LC-MS combined with chemometrics to profile 32 metformin hydrochloride samples originating from several global authorised manufacturers. The study's aim was to explore differences in the chemical characteristics of metformin hydrochloride APIs to identify or predict a possible classification for each manufacturer in view of prospective authenticity studies. Different pre-processing methods were applied; bucket tables for 1H- and 13C-NMR were obtained, while mass spectrometry data were processed in targeted and untargeted modes. Datasets were individually analysed and merged by a multivariate unsupervised method and performing principal component analysis (PCA). Results and Discussion: The results evidenced differences in cluster behaviour, depending on manufacturers. Each technique has shown a specific clustering tendency, highlighting how different analytical approaches are able to characterise metformin APIs. Some manufacturers’ samples, however, showed similar behaviour independently of the techniques. NIR and 1H-NMR were confirmed as the more predictive techniques if taken individually; 1H-NMR, in particular, achieved good separation between the samples of the two most representative manufacturers. For LC-MS, the targeted approach resulted in a separation in groups clearer than that of the untargeted approach. Nevertheless, the untargeted LC-MS approaches presented in this paper could be a possible alternative to obtaining different information for drug substances, with several different and complex synthetic pathways leading to several unknown impurities. Further grouping of manufacturers emerged by data fusion, highlighting its potential in the traceability of metformin.
Global research trends and hotspots analysis of hallux valgus: A bibliometric analysis from 2004 to 2021
Authors: Wang Shulong , Deng Ping , Sun Xiaojie , Han Jinglu , Yang Shanshan , Chen Zhaojun 
Published: March 2023

BackgroundHallux valgus (HV) is a common foot and ankle surgery disease. The correction of HV deformity relies on a highly challenging surgical treatment. Thus, widely adopted evidence-based clinical guidelines are still needed to guide the selection of the most appropriate interventions. Recently, the study of HV has been growing and scholars are increasingly paying particular attention to this area. However, bibliometric literature remains lacking. Therefore, this study aims to reveal the hotspots and future research trends in HV via bibliometric analysis to fill this knowledge gap.MethodsLiterature related to HV from 2004 to 2021 was retrieved from the Science Citation Index Expanded (SCI-expanded) of the Web of Science Core Collection (WoSCC). Quantitative and qualitative analyses of scientific data are performed using software such as CiteSpace, R-bibliometrix, and VOSviewer.ResultsA total of 1,904 records were identified for analysis. The United States had the most number of published articles and total citations. Thus, the United States has made an essential contribution to the field of HV. Meanwhile, La Trobe University in Australia was the most productive institution. Menz HB and Foot &amp; Ankle International were the most influential authors and the most popular journals among researchers, respectively. In addition, “older people,” “chevron osteotomy,” “Lapidus,” and “hallux rigidus” have always been the hotspots of attention. Changes and developments in the surgery of HV have gained researchers' interest. Future research trends are more focused on “radiographic measurement,” “recurrence,” “outcome,” “rotation,” “pronation,” and “minimally invasive surgery.” Thus, focusing on these subject directions can facilitate academic progress and provide the possibility of better treatments for HV.ConclusionThis study summarizes the hotspots and trends in the field of HV from 2004 to 2021, which will provide researchers with an updated view of essential information and somehow guide future research.
Studi Komparatif terhadap Implikasi Kenosis dalam Filipi 2:7 dan Jalan Menuju Pengosongan Diri dalam Buddhisme
Authors: Mordekai Mordekai 
Published: March 2023

Abstrak : Kenosis merupakan suatu konsep yang lahir dengan berdasar pada narasi Paulus dalam Filipi 2:7 tentang “mengosongkan diri”. Dalam teorinya ditekankan, bahwa Yesus relah mengenakan bagi diri-Nya natur kemanusiaan. Tetapi Ia dalam inkarnasi-Nya sama sekali tidak melepaskan natur keilahian-Nya. Sekalipun dalam konteks itu, Ia sendiri telah menjadi manusia sejati. Adapun tujuan penelitian ini adalah untuk menguraikan kenosis Yesus Kristus dalam Filipi 2:7 dan pengosongan diri dalam spritual Buddhisme, sebagai usaha menemukan perbedaan ataupun persamaannya. Metode yang digunakan dalam penelitian ini adalah komparatif, yaitu dengan membandingkan konsep kenosis dalam Filipi 2:7 dan pengosongan diri dalam Buddhisme. Kenosis adalah tindakan Allah mengosongkan diri dengan menjadi manusia. Jalan seperti itu ditempuh oleh Allah, sebagai alternatif dalam mewujudkan misi penyelamatan-Nya bagi dunia. sedangkan pegosongan diri dalam Buddhisme adalah tindakan melepaskan diri dari kemelekatan terhadap materi dan semua yang bersifat sementara. Pengosongan diri dalam Buddhisme dikenal dengan istilah sunyata. Pengosongan diri adalah jalan membebaskan diri dari penderitaan dengan memfokuskan diri pada ilahi. Kenosis Yesus Kristus dan pengosongan diri dalam Buddhisme berjumpa pada usaha mencapai kebenaran. Kenosis adalah usaha Allah mendamaikan diri-Nya dengan dunia termasuk membenarkan manusa, sedangkan pengosongan diri dalam Buddhisme pembenaran yang dikerjakan oleh manusia sendiri. Para Buddhis mengosongkan diri agar dapat mencapai kesucian dengan berpijak pada ilahi.
International Banking Institute named after Anatoliy Sobchak
Authors: Grishkov V. F. 
Published: March 2023

Aim.The presented study aims to analyze the organization and results of the industrialization of the USSR economy in 1928–1940 and to evaluate the possibilities of using this experience for the restructuring of the modern domestic economy developing under the conditions of antiRussian sanctions.Tasks.The authors examine the features of the current stage of economic development in Russia and the impact of economic sanctions on it; analyze the experience of socialist industrialization in the USSR; provide recommendations for improving the manageability of the modern domestic economy and accelerating its industrial development.Methods.This study uses the methods of historical and economic analysis, comparison, statistical processing of economic data, monographic method, expert assessment, and institutional approach.Results.Nowadays, the Russian economy is developing turbulently due to the numerous political and economic sanctions imposed on the country. That said, the current stage of economic development in the Russian Federation is in many ways similar to the period of Soviet industrialization carried out in the USSR before World War II (1941–1945) in terms of the totality of influencing factors and mechanisms of their manifestation. This makes it possible to take into account the lessons of Soviet industrialization in the modern economic policy of the Russian Federation. Soviet industrialization was based on centralized public administration and directive five-year planning. Such approaches are not applicable in modern Russia without institutional restructuring. Therefore, the experience of Soviet industrialization should be used selectively.Conclusions.In the context of increasing sanctions pressure, it is advisable to strengthen state intervention in the economy — not only to preserve its stability, but also to set the vector of long-term development. Such development is associated with the increasing importance of industrial production based on a new technological base. This calls for an approach to the modernization of economic macro-regulation that would be differentiated by industry and region. Such an approach can be developed using the experience of Soviet industrialization. However, it should be used selectively based on an assessment of the ratio of public and private interests. Today, the transition to a full-scale mobilization economy in Russia is impractical.
Implementation of Pre-Marriage and Parenting Education Information System with Android-Based Agile Method
Authors: Fahlevi Reza , Riyanto Joko 
Published: March 2023

A lot of couples do early marriage, but most of them do not understand what marriage really means. The unpreparedness of the couple in marriage can have a big impact on their married life which leads to divorce and also have a negative impact on their children. An Android-based pre-marriage and parenting education information system can be an alternative to simplify the preparation and learning process for couples and parents. The method used for the analysis and design of the pre-marriage and parenting education information system uses the literature study method and data collection methods such as: observation and questionnaires to married couples and their parents, the aimed as a source for designing and building information systems related to pre-marriage and parenting education. The results of the method used include couples and parents being able to learn and prepare for married life as well as increasing knowledge about child parenting through their Android smartphones with the materials sourced from experts and there was a forum that can be used to discuss with other users or discussion with educator.
The method used for the analysis and design of the pre-marriage and parenting education information system uses the literature study method and data collection methods such as: observation and questionnaires to married couples and their parents, the aimed as a source for designing and building information systems related to pre-marriage and parenting education.
The results of the method used include couples and parents being able to learn and prepare for married life as well as increasing knowledge about child parenting through their Android smartphones with the materials sourced from experts and there was a forum that can be used to discuss with other users or discussion with educator.
Tecnologias disponí­veis para o manejo de ostomia intestinal: revisão integrativa de literatura
Authors: Reis Bianca Leal , Brandão Euzeli da Silva , Garcia Karina Rangel da Silva 
Published: March 2023

Objetivo: identificar quais são as inovações tecnológicas disponí­veis para o manejo da ostomia intestinal descritos na literatura. Método: revisão integrativa da literatura, utilizou-se as bases de dados LILACS, Scielo, CINAHL e COCHRANE, buscando artigos no perí­odo de 2013 a 2018 utilizando os descritores "equipment and supplies" e "ostomy". Dos artigos encontrados foram selecionados 6 que tratam de tecnologias diversas no contexto das ostomias. Resultados: as tecnologias apresentadas se modulam em torno do eixo flexibilidade versus segurança. A dicotomia apresentada em todos eles é a de que as barreiras cutâneas precisam ao mesmo tempo fornecer aderência í pele, liberdade de mobilidade e a sensação de segurança. Conclusão: foi possí­vel observar que as inovações tecnológicas se detiveram, quase em sua totalidade, no formato e material utilizado em produtos anteriormente existentes.
A judicialização no sistema único de saúde: pesquisa integrativa
Authors: Chrizostimo Raquel Marinho , Silvino Zenith Rosa , Chrizostimo Miriam Marinho , Sanchez Maritza Consuelo Ortiz , Xavier Maria Lelita 
Published: March 2023

O estudo objetiva analisar as demandas judiciais que abordam a judicialização da saúde no âmbito do Sistema Único de Saúde (SUS). A pesquisa integrativa foi realizada em 2017. Os resultados foram 13 produções emergindo duas categorias: a judicialização da saúde para obtenção dos produtos de saúde e a judicialização da saúde relacionada í s demandas de gestão que visam alocação de recursos. Os procedimentos; medicamentos; tratamentos; exame; consulta geral e especializada; leitos de hospitais, inclusive CTI; e insumos estão entre os serviços de saúde não atendidos. Em relação í gestão, houve a citação de alocação de recursos, função e interligação entre os três poderes. A conclusão no âmbito do SUS é que as demandas judiciais são evidenciadas nas produções cientí­ficas, ao considerar que o indiví­duo apela ao sistema judiciário para obter o que necessita para recuperar a saúde. Há de se pensar na reestruturação administrativa para atender as demandas da população.
Condição de Saúde e utilização da árvore dos problemas em pacientes hipertensos na atenção primária
Authors: Vercezi Giovanna Dante , Dias Raphaela Ferrari , Antunes Marcos Benatti , Almeida Caroline Rodrigues de , Bolsoni Ludmila Lopes Maciel , Silva Juliana Dalcin Donini e , Charlo Patrí­cia Bossolani 
Published: March 2023

Objetivou-se identificar a autonomia do paciente frente a doença e caracterizar os desafios para controle dos ní­veis pressóricos. O estudo foi realizado com 40 adultos acima de 18 anos pertencentes í s áreas de abrangência de duas Unidades Básicas de Saúde, selo Ouro, em Maringá-PR. Avaliou-se o conhecimento dos usuários sobre os programas preventivo e a patologia envolvida, por meio de metodologias ativas com abordagem quali-quantitativa. Foram analisados os conteúdos e opiniões, bem como a frequência relativa e absoluta de dados sóciodemográficos dos entrevistados. Os resultados se refletiram na efetividade da intervenção educacional com a comparação dos dados coletados frente aos problemas direcionados pela árvore. Constataram-se a relevância do acompanhamento básico somado a capacidade de enfrentamento da doença frente í integralidade do sistema e í s particularidades de cada famí­lia.
O Núcleo de Segurança do Paciente e a Vigilância Cirúrgica
Authors: Regadas Claudia Tavares , Motta Deise Luci Batista , Escosteguy Claudia Caminha 
Published: March 2023

Este trabalho discute os desafios encontrados para implementação do Protocolo de Cirurgia Segura, a partir da experiência de um hospital público no municí­pio do Rio de Janeiro, por meio de revisão documental interna do Núcleo de Segurança do Paciente e de documentos normativos nacionais e internacionais. O Protocolo de Cirurgia Segura foi parcialmente implantado, com adesão baixa, impactada pela frágil cultura de segurança e parcos recursos para monitoramento e retorno de informação í s equipes cirúrgicas. Isto corrobora a necessidade de qualificação em estratégias de treinamento de equipes e informações de retorno sobre o funcionamento das mesmas, assim como recursos adicionais e mudanças nos sistemas clí­nicos para garantir a conformidade com a lista de verificação e seus princí­pios.
Educação em saúde mental no ambiente escolar: relato de caso
Authors: Lima Ana Luí­sa de Oliveira , Santos Beatriz Ferreira de Toledo dos , Almeida Giulia Lemos de , Ferreira Hikari Watanabe , Mota Cristina Portela da , Messias Cláudia Maria , Silva Jorge Luiz Lima da 
Published: March 2023

Objetivo: descrever a experiência obtida por meio de roda de conversa, acerca de temas como depressão, ansiedade e automutilação. Método: estudo descritivo, expondo as experiências no ambiente escolar, no qual foi trabalhado o tema de saúde mental com alunos de idade entre dez e doze anos, dividido em quatro momentos: interação entre coordenação pedagógica e acadêmicos; definição dos temas; construção do material e roda de conversa, em 2/2018. Resultados: a roda de conversa em semicí­rculo incentivou o debate sobre os temas e assuntos correlatos sob demanda. A relação de confiança criada permitiu canal de diálogo franco e o aumento da participação. Conclusão: a consciência da existência dessas disfunções entre as crianças, assim como postura de passividade, mediante í s realidades das doenças mentais, mostra a sua vulnerabilidade.
Spectroscopically Identified Cataclysmic Variables from the LAMOST Survey. II. Period Estimates
Authors: Hou 侯 Wen 文 , Luo 罗 A-Li 阿理 , Dong 董 Yi-Qiao 义乔 , Chen 陈 Xiang-Lei 向蕾 , Bai 白 Zhong-Rui 仲瑞 
Published: March 2023

Abstract
We examine a sample of 340 cataclysmic variables (CVs) from the latest data release of the Large Sky Area Multi-Object Fiber Spectroscopic Telescope (LAMOST) survey, along with 18 objects that are newly classified as CVs. In this paper, we focus on investigating the photometric behaviors of these CVs using data from time-domain surveys. The orbital periods of three new and five previously known objects are determined from the long-term light curves displaying eclipses or ellipsoidal variations, and/or time-resolved spectra from LAMOST. For another 16 CVs with measured periods, it is more reliable to obtain consistent periods using light curves from different surveys, as the periods derived from single-site data are still questionable. Follow-up observations are needed to confirm whether the periods have physical meanings or are orbital-related. In our sample, we find that most of the objects have longer periods above the 2 ∼ 3 hr gap. Besides period estimates, we also carry out a separate detailed analysis of some valuable CVs, in terms of spectral characteristics and subtype determination. Finally, we discuss the observational properties of this sample, including the distributions of orbital periods, absolute magnitudes, and the statistical properties of each subclass of CVs. In addition, we pick out six non-CV systems, including five illumination-effect binaries, as well as one hot subdwarf, that we came across when searching for CVs, and we investigate their properties based on the spectra and photometric data.
Synthesizing Spectra from 3D Radiation Hydrodynamic Models of Massive Stars Using Monte Carlo Radiation Transport
Authors: Schultz William C. , Tsang Benny T.-H. , Bildsten Lars , Jiang 姜 Yan-Fei 燕飞 
Published: March 2023

Abstract
Observations indicate that turbulent motions are present on most massive star surfaces. Starting from the observed phenomena of spectral lines with widths that are much larger than their thermal broadening (e.g., micro- and macroturbulence), and considering the detection of stochastic low-frequency variability (SLFV) in the Transiting Exoplanet Survey Satellite photometry, these stars clearly have large-scale turbulent motions on their surfaces. The cause of this turbulence is debated, with near-surface convection zones, core internal gravity waves, and wind variability being proposed. Our 3D gray radiation hydrodynamic (RHD) models previously characterized the convective dynamics of the surfaces, driven by near-surface convection zones, and provided reasonable matches to the observed SLFV of the most luminous massive stars. We now explore the complex emitting surfaces of these 3D RHD models, which strongly violate the 1D assumption of a plane-parallel atmosphere. By post-processing the gray RHD models with the Monte Carlo radiation transport code Sedona, we synthesize stellar spectra and extract information from the broadening of individual photospheric lines. The use of Sedona enables the calculation of the viewing angle and temporal dependence of spectral absorption line profiles. By combining uncorrelated temporal snapshots together, we compare the turbulent broadening from the 3D RHD models to the thermal broadening of the extended emitting region, showing that our synthesized spectral lines closely resemble the observed macroturbulent broadening from similarly luminous stars. More generally, the new techniques that we have developed will allow for systematic studies of the origins of turbulent velocity broadening from any future 3D simulations.