bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mobilizing registry data for quality improvement: A convergent mixed-methods analysis and application to spinal cord injury
Authors: Krysa Jacqueline A. , Pohar Manhas Kiran J. , Loyola-Sanchez Adalberto , Casha Steve , Kovacs Burns Katharina , Charbonneau Rebecca , Ho Chester , Papathanassoglou Elizabeth 
Published: April 2023

IntroductionThe rising prevalence of complex chronic conditions and growing intricacies of healthcare systems emphasizes the need for interdisciplinary partnerships to advance coordination and quality of rehabilitation care. Registry databases are increasingly used for clinical monitoring and quality improvement (QI) of health system change. Currently, it is unclear how interdisciplinary partnerships can best mobilize registry data to support QI across care settings for complex chronic conditions.PurposeWe employed spinal cord injury (SCI) as a case study of a highly disruptive and debilitating complex chronic condition, with existing registry data that is underutilized for QI. We aimed to compare and converge evidence from previous reports and multi-disciplinary experts in order to outline the major elements of a strategy to effectively mobilize registry data for QI of care for complex chronic conditions.MethodsThis study used a convergent parallel-database variant mixed design, whereby findings from a systematic review and a qualitative exploration were analyzed independently and then simultaneously. The scoping review used a three-stage process to review 282 records, which resulted in 28 articles reviewed for analysis. Concurrent interviews were conducted with multidisciplinary-stakeholders, including leadership from condition-specific national registries, members of national SCI communities, leadership from SCI community organizations, and a person with lived experience of SCI. Descriptive analysis was used for the scoping review and qualitative description for stakeholder interviews.ResultsThere were 28 articles included in the scoping review and 11 multidisciplinary-stakeholders in the semi-structured interviews. The integration of the results allowed the identification of three key learnings to enhance the successful design and use of registry data to inform the planning and development of a QI initiative: enhance utility and reliability of registry data; form a steering committee lead by clinical champions; and design effective, feasible, and sustainable QI initiatives.ConclusionThis study highlights the importance of interdisciplinary partnerships to support QI of care for persons with complex conditions. It provides practical strategies to determine mutual priorities that promote implementation and sustained use of registry data to inform QI. Learnings from this work could enhance interdisciplinary collaboration to support QI of care for rehabilitation for persons with complex chronic conditions.
Doctor-diagnosed sleep disorders in the United States: Prevalence and impact of tobacco smoke exposure and vitamin D deficiency. A population-based study
Authors: Kum-Nji Philip , Taylor Samuel , Tanwi Bah 
Published: April 2023

Background and purpose:We determined the prevalence of physician-diagnosed sleep disorder and its association with tobacco smoke exposure and vitamin D deficiency.MethodsThe National Health and Nutrition Examination Survey (NHANES) of 2011–2012 data base was used for the study. Subjects were asked two questions: “Ever told your doctor you had trouble sleeping?” and “Ever told by doctor have sleep disorder?” The answer “yes” to the second question indicated presence of a doctor-diagnosed sleep disorder (DSD) and “no” indicated its absence. Tobacco smoke exposure was defined by serum cotinine levels while vitamin D levels were measured by serum 25(OH) D. Eight selected variables included in the analyses were BMI, age, gender, smoking exposure, vitamin D levels, income, insurance, and race. Univariate and multivariate analyses were conducted to determine if tobacco smoke exposure and Vitamin D were each predictive of DSD.ResultsOf 5,470 subjected aged 16 to 80+ years about 9% had doctor-diagnosed sleep disorder (DSD). In a multiple regression analysis, active tobacco smoking was predictive of DSD (OR 1.92; 95% CI = 1.38–2.69), while passive smoke exposure was not, even after controlling for all the other significant variables (OR 0.93; 95% CI = 0.57–1.52). The other variables significantly associated with DSD were by order of importance BMI (P &lt; 0.001), Age (P &lt; 0.001) and race (P ≤ 0.001). Vitamin D deficiency was not predictive of DSD.ConclusionThe prevalence of physician-diagnosed DSD was about 9%. Active smoking but not passive smoking as defined by cotinine levels was significantly associated with DSD. Vitamin D was not predictive of DSD. Future studies are therefore needed to demonstrate whether smoking cessation could help reduce DSD.
Can elderly patients regain their preoperative functional level after distal radius fracture type A? Results from a fracture register study using PROM
Authors: Von Matthey F. , Rammensee J. , Müller M. , Biberthaler P. , Abel H. 
Published: April 2023

IntroductionAlthough distal radius fractures (DRFs) are the most common fractures of the human body, there are still ongoing debates concerning the treatment for type A fractures, especially in elderly patients. In spite of good clinical outcomes, it remains unclear whether elderly patients, especially, could regain the preoperative functional level of the wrist. Therefore, we have quantified wrist function within a retrospective study design using patient-reported outcome measures (PROM) and we have analyzed the influence of age between control and patient collective and young vs. old, respectively.Patients and methodsThe retrospective study included all patients with a surgically treated DRF type A and a control group of healthy patients, age and gender matched. The function of the wrist was examined by using a self-assessment questionnaire called the Munich Wrist Questionnaire (MWQ) according to the patient-related outcome measurements PROM.ResultsWe could enroll 110 patients and controls, and the average follow-up was 66 months. Subgroup matching induced similar age group distribution: in both groups, 7 individuals &lt;30 years, 67 between 31 and 64 years, 29 between 65 and 79 years, and 7 individuals &gt;80 years, were enrolled, respectively. In the fracture group, women were significantly older than men (59 ± 15 vs. 47 ± 17 (M ± SD). There was no significant difference between the control and the patient groups (96 ± 6 vs. 95 ± 7). The function was significantly different between controls and patients &lt;30 years (100 ± 1 vs. 98 ± 2). In the control group, there was a functional difference in the age group &lt;30 compared with 65–79 and &gt;80 and in the age group 30–64 compared with 65–79 and &gt;80. In the control group, the function was found to be significantly decreasing with advancing age, whereas in the patient group, this influence was absent. A correlation analysis showed a worse function with increasing age in the control group and therefore a negative correlation. In the fracture group, a similar result could not be obtained.DiscussionAge has a relevant influence on wrist function. Although the wrist function decreases significantly with aging, in the patient group, this influence is absent, and the functional results after surgery are excellent. Even elderly patients can regain their preoperative functional level.
Calidad en la gestión de proyectos en las instituciones educativas
Authors: Hernandez Hector Andres , Echeverri-Buitrago Fernando , Parra-Burbano Alexander , Salas-Tosne Deyby Sebastián 
Published: April 2023

La educación como derecho fundamental, inscribe procesos a través de su historia. De acuerdo a estos procesos, el ser humano ha desarrollado competencias para la vida y para la sociedad, logrando paz e igualdad entre el mismo, el otro y lo otro. Es por tal motivo que, se identifica la importancia de la calidad en la gerencia de proyectos en instituciones educativas en especial de la básica primaria, básica secundaria y media técnica. Así mismo, desde los procesos en la dirección de proyectos, las diferentes áreas de conocimiento y sus grupos de procesos como la ejecución, seguimiento y control de los objetivos estratégicos propuestos por cada institución educativa.
Las instituciones educativas materializan sus propuestas formadoras y de impacto a la sociedad a través de la ejecución de sus proyectos educativos institucionales. Cada componente del proyecto gestiona aspectos esenciales que van desde lo académico, lo formativo, y lo administrativo hasta llegar a lograr estilos de vida no sólo de sus estudiantes, sino también de sus familias, lo que posibilita de alguna manera la transformación de sus entornos. Sin embrago, la herramienta metodológica utilizada para la gestión de estos proyectos se realiza desde una visión muy académica, en la mayoría de los casos. Lo cual deja abierta la posibilidad de indagar y experimentar la aplicación de metodologías más sistemáticas en la gerencia de proyectos, desde las teorías empresariales, ajustando y guardando las distancias, a los procesos de planeación, ejecución, seguimiento y control de los proyectos educativos institucionales.
El presente articulo tiene como propósito realizar una revisión de la forma como funcionan los proyectos educativos institucionales, en sus diferentes dimensiones y elementos, así como en el rol que desempeñan los directores o directivos, quienes son los encargados de la planeación y ejecución de los procesos y actividades que cada año se deben llevar a cabo para alcanzar los objetivos fundamentales de las instituciones educativas y cómo desde las lecciones aprendidas, implementan mejores estrategias para prestar un servicio educativo de calidad.
En este sentido, este artículo presenta una perspectiva Mixta, una investigación documental haciendo una revisión bibliográfica para identificar los elementos fundamentales que permitan conocer y avaluar el impacto de la gerencia de proyectos en las instituciones educativas. Además, involucra diferentes actores claves en el desarrollo de estrategias que puedan ser aplicadas en los proyectos educativos institucionales.
Gender Equality in the role of Independent Directors. Is it linked to sustainability?
Authors: BECK TOMMASO , ARDUINI SIMONA 
Published: April 2023

The growing interest in social, environmental, and ethical aspects of business has underscored the need for a change of course from the typically male composition of Boards of Directors (BoD). Too often, in the past, management and board positions were delegated to men, not only based on competence, but also because of cultural biases and “male traditions”. Falling behind on this issue, and particularly with reference to gender equality related to the concepts of sustainability and ethics, would certainly mean missing new opportunities in value creation for companies. In this sometimes precarious, yet steadily increasing scenario, the important figure of the Independent Director (ID) and his gender, is too often overlooked. This figure, in fact, works concretely in the interest of the company and shareholders, overseeing and guiding the company itself in the right direction. Due to his non-executive role in the board, the ID, as opposed to the internal members of the BoD, enjoys an autonomous point of view.
The purpose of this paper, in a nutshell, is to examine this important profile from a gender perspective in order to observe the statistics with respect to the number, effectiveness, and performance of the female gender in this role. In addition to the phenomenon of detecting the performance of the IDs, the issue has also gained ethical importance, for example, in the same sustainable "good governance" strategies that have arisen in the past fifteen years. For this reason, in our view, the presence or absence of female IDs must necessarily also be read in terms of its impact on sustainability, as its cue for encouragement and outreach. The study concludes with a factual discussion of the empirical analysis conducted on a sample of thirteen banks in the Italian scenario, with reference to the present and the gender of the IDs. Through this statistical study, it was possible to draw a clear picture in support of the literature examined for the relationship between sustainable practices and female IDs, creating also a link between the theory analyzed and the practice identified in this field of research.
Do Women Have the Right Skills, Network and Support to Become CEOs?
Authors: Gunnarsdóttir Sigrún , Óladóttir Ásta Dís , Christiansen Þóra H. , Kristjánsdóttir Erla S. 
Published: April 2023

This study investigates how women board members in listed companies perceive the fit between women’s leadership skills and how the role of CEO in listed companies is defined in the recruitment process. Qualitative in-depth interviews were conducted with 22 women board members, representing all listed companies in Iceland, to obtain an understanding of their experiences regarding support of women candidates and whether they believe estimates of women’s leadership skills contribute to the small number of women holding the position of CEO in a listed company. Data analysis revealed three themes; the first theme concerns networks and their impact on the appointments of CEO; the second deals with support for women seeking CEO positions and the third considers assessment of women’s leadership skills in relation to CEO appointments. The findings provide a new insight into the experience of women board members as regards the assessment of women’s leadership skills and the support to take on the position of CEO in listed companies in Iceland, but only limited research is available about the topic. The findings indicate that when selecting the CEOs of listed companies, it is a matter of importance that the applicant is a member of a male network and complies with masculine stereotypes of leadership styles. The findings suggest that when appointing CEOs of listed companies there is more support for men’s overconfidence than women’s reserved demeanour and men’s overconfidence is perceived as a better fit to how the role of CEO is defined in the recruitment process. The study provides new insights into how these outdated ideas on effective leadership and gender roles impact decisions when CEOs of listed companies are selected with corresponding likelihood of women being overlooked as successful candidates in the selection process.
Keywords: Gender, effective leadership, CEO recruitment, listed companies, boards, stereotypes.
Challenges Facing Palestinian Women in Assuming Leadership Positions in Higher Education Institutions: Glass Ceiling
Authors: Najim Dr Munawwar 
Published: April 2023

The purpose of this study is to reveal the opinions of women leaders about the challenges facing Palestinian women that prevents women from being a leader, which is called the glass ceiling. Mix method was used in this research, using a survey and a questionnaire. The participants of the study consisted of (15) women leaders working in higher education universities in Palestine holding the following positions: heads, deans, committee chairpersons, administrative officers, and vice chancellors. The research came out with several results. The most important challenges came in descending order as follows: social cultural and political challenges, organizational and management challenges, family challenges, and finally the psychological and subjective challenges got the fourth rank. Women are excluded from assuming administrative positions due to several factors, including nepotism and male bias; Women have the ability and competence, but they need a supporter to strengthen them and enhance their confidence to take the step of candidacy for leadership; Lack of confidence in women’s capabilities and their scientific and practical competence from the point of view of men, and fear of the decisions they will make upon assuming higher positions. It is recommended that establishing formal and informal professional networks among women is necessary to strengthen communication, exchange experiences and information, discuss and analyse problems and provide solutions. Also, it is necessary for higher education institutions to provide an organizational climate supportive of women assuming leadership positions, providing them with the latest techniques and modern management methods, to overcome obstacles, and the consequent provision of training and qualification programs and courses that enable them to master their work.
An Exploration of Critical Incidents Impacting Female Students’ Attitude Towards STEM Subjects
Authors: Steffen Adrienne , Dodiya Janki , Heinisch Cornelia , Hess Claudia , Kunz Sibylle , Rebholz Sandra , Schlömer Inga , Vaas Silke , Rippich Karolin 
Published: April 2023

Science, Technology, Engineering and Math (STEM) subjects are extremely important to any nation's economy. For society to flourish sustainably there should be equal involvement of men and women in these professions. Even though the number of women in STEM areas has increased over the past several decades, there is still a sizable underrepresentation of women overall and in key positions. In the winter term 2020/21, among all the 1,090,804 students in STEM subjects at German universities, only 347,197 were female students (31,8%) (Statistisches Bundesamt, 2022). According to research by Corbett and Hill (2015), the following factors limit girls and women from majoring, for example, in computer science: Cultural prejudices, gender biases, and microinequities (subtle discriminatory actions) all contribute to a lack of sense of belonging in these sectors.
Overall, this study aims to better understand the key situations that affect girls' and young women's decision for or against a career in STEM. In particular, the research is interested in finding out about subtle or obvious discriminatory but also facilitating actions which influence attitude towards STEM subjects. An online questionnaire was distributed to a student panel via a market research institute, which was answered by 777 German female students aged 16-20 years in May 2022. The questionnaire collected female students’ memorable positive and negative critical incidents which had an impact on their attitude towards STEM subjects. On the one hand, female students reported a learning environment in school leading to fear, frustration or anxiety which result into them questioning their math or science competence. On the other hand, female students also reported very positive, memorable experiences and appraisal situations in and offsite the classroom which increase their positive attitude about STEM subjects and might lead to a future career choice in a STEM subject. The authors hope to spark a conversation about how institutions might better tailor their offers to a female audience.
MEMBERDAYAKAN REMAJA MENYUSUN MENU SEHAT UNTUK MENCEGAH DIABETES MELLITUS
Authors: Hasibuan Yusrawati , Hastuty Yulina Dwi , Mangkuji Betty 
Published: April 2023

ABSTRAKLatar Belakang: DM merupakan masalah kesehatan yang penting bagi perempuan usia reproduksi (15-49 tahun). Tujuan dari kegiatan pengabdian kepada masyarakat ini untuk memberikan edukasi serta memberdayakan remaja khususnya siswi di SMA untuk berprilaku sehat dengan mengatur menu sehat harian yang dapat mencegah Diabetes MelitusMetode: Metode yang digunakan adalah penyuluhan tentang tanda dan gejala Diabetes Mellitus dengan media audio visual serta demonstrasi penyusunan menu sehat pencegah diabetes Mellitus pada siswa yang ada di SMA Swasta Dharma Pancasila Medan dan SMA Swasta Rakyat Yayasan Perguruan Rakyat Pancurbatu. Jumlah siswi yang mengikuti kegiatan penyuluh sebanyak 200 orang Hasil: Hasil pre dan post test menunjukkan adanya perubahan pengetahuan remaja dengan nilai perbedaan mean 0,43 dengan Standart Deviasi 1,06Kesimpulan: Dengan adanya kegiatan pengabdian masyarakat ini terjadi peningkatan pengetahuan pada sasaran, selain itu upaya pencegahan dapat dilakukan dengan memberdayakan sasaran menyusun menu sehat seimbang.
ABSTRACTBackground: DM is an important health problem for women of reproductive age (15-49 years). The purpose of this community service activity is to provide education and empower teenagers, especially female students in high school, to behave healthily by arranging daily healthy menus that can prevent Diabetes Mellitus.Method: The method used is counseling about the signs and symptoms of Diabetes Mellitus with audio-visual media as well as demonstrations of preparing healthy menus to prevent diabetes Mellitus for students at Dharma Pancasila Private High School Medan and People's Private High School at the Pancurbatu People's College Foundation. The number of students who participated in extension activities was 200 peopleResults: The pre and post test results show a change in adolescent knowledge with a mean difference value of 0.43 with a standard deviation of 1.06Conclusion: With this community service activity there is an increase in knowledge of the target, besides that prevention efforts can be carried out by empowering the target to develop a balanced healthy menu.
EDUKASI - SIMULASI JAGA DIRI (EDU-SIJADI) DARI HEPATITIS AKUT PADA ANAK SEKOLAH DASAR
Authors: Seulawah Dwi Okni , Gusvina Yayang , Agustiani Betri , Oktavia Lelga , Triana Winda 
Published: April 2023

ABSTRAKLatar Belakang: Penyakit Hepatitis akut misterius menyerang anak di beberapa negara termasuk Indonesia. Di katakan misterius, karena hingga saat ini belum diketahui penyebab pasti dari penyakit Hepatitis akut tersebut. Pengabdian masyarakat ini dberi nama Simulasi Jaga Diri (Edu-Sijadi) yang bertujuan untuk memberikan edukasi pencegahan terjadinya hepatitis akut pada anakMetode: PKM ini dilakukan pada bulan Juli-September 2022 dengan jumlah partisipan sebanyak 201 orang siswa dan 13 orang guru .Hasil: peningkatan pengetahuan dan keterampilan mencegah Hepatitis akut dari 25% (pretest) menjadi 100% (posttest) serta terbentuknya sekolah Siaga Wabah dan duta TABAH (Tanggap Wabah) mencegah hepatitis akut pada anak SDN 134/IV Kota Jambi.Kesimpulan: Dengan Edu-Sijadi, dapat meningkatkan pengetahuan dan keterampilan mencegah Hepatitis Akut pada anak serta mendorong keberlanjutan edukasi melalui pembentukan sekolah siaga wabah dan duta TABAH.
ABSTRACTBackground: Mysterious acute hepatitis attacks children in several countries including Indonesia. It is said to be mysterious, because until now the exact cause of acute hepatitis is not known. This community service is called Self Care Simulation (Edu-Sijadi) which aims to provide education on the prevention of acute hepatitis in children.Method: This community service was conducted in July-September 2022 with a total of 201 students and 13 teachers participating.Results: increased knowledge and skills in preventing acute hepatitis from 25% (pretest) to 100% (posttest) and the establishment of an Outbreak Alert school and TABAH ambassadors (Outbreak Response) to prevent acute hepatitis in children at SDN 134/IV Jambi City.Conclusion: With Edu-Sijadi, knowledge and skills in preventing acute hepatitis in children were improved and the continuation of education will be achieved through the establishment of an outbreak alert school and TABAH ambassadors.