bluuebunny/crossref_metadata_2025_split huggingface dataset:
Self Care Management-Holistic Psychospiritual Care on Independence, Glucose Level, and Hba1c of Type 2 Diabetes Mellitus Patient
Authors: Kusnanto Kusnanto 
Published: July 2022

Introduction: Diabetes mellitus is a kind of incurable chronic disease that actually manageable. The global prevalence tends to increase due to less self management of the disease and the impact of it was health condition declines physically, psychologically, socially, and spiritually. There were so many interventions implemented but failed to give positive improvement in patient's holistic condition which is lead to complications. The purpose of this research was to improve patient independency in managing the disease and to explain changes in blood glucose and HbA1C levels through self care management-holistic psychospiritual care model.Method: Patient newly diagnose with type 2 diabetes mellitus at Public Health Centre Kebonsari was selected with purposive sampling and divided into two groups. Each group contains 25 patients. Intervention group was given self care management model development with self diabetes management module. The intervention was given ﬁve times in three months. Before and after intervention patient was observed for blood glucose level of 2 hours before and after meal, and also HbA1C level. Questionnaire was given to patient. The data then analyzed using wilcoxon, mann whitney, and student-t test.Result: The result of this research showed patient with type 2 diabetes have independency improvement and lower blood glucose level of 2 hours before and after meal and also decreased HbA1C after intervention.Discussion: Self Care Management-Holistic Psychospiritual Care Model improves patient independency in managing their disease, lowering blood glucose and HbA1C levels.
Development of Nosocomial Infection Prevention Measured by Nurses at Hospital Based on Health Belief Model
Authors: Nurseha Djaafar 
Published: July 2022

Introduction: Nosocomial infections are defined as infection that develop during hospital stay of a patient. All patients have 20% risk of getting nosocomial infection from both health care providers and visitors. The objective of the research was to examine nurse attitude in effort to prevent nosocomial infection at hospital based on health believe model.Methods: This was a descriptive analytic with a cross sectional study approach. The total respondents were 80 people matched to the criteria. Data was collected by direct observations, interview and questionairs. Independent variable was health belief model consist of susceptibility, seriousness, benefits and barrier variables. Dependent variable was nurse’s practice to prevent nosocomial infection. Data then analyzed using correlations product moment test. Results: The results showed that, susceptibility variable, severity of infection variable and benefit variable have correlation with nosocomial infection prevention (p value=0,000<0,05). While barrier variable did not have correlation with nosocomial infection prevention (p value=0,201>0,05).Conclusion: Variables of health belief model that can be used as determinants of nosocomial infection prevention were susceptibility, seriousness and benefits. Future studies are expected to be done in some hospitals to look at other factors such as hospital management, facilities and infrastructure, and policies that may affect the implementation of prevention and control of nosocomial infections.Development of Nosocomial Infection Prevention Measured by Nurses at Hospital Based on Health Belief Model
THE REGIME CHOICE WITH EFFECTIVE GRINDING BY THE WAY CONTROL INTER-AXIS DISTANCE MACHINE TOOLS
Authors: Rudyk Andrei , Rudyk Vladislav 
Published: July 2022

The problem of effective grinding of rotating surfaces is to improve the quality and increase productivity, while reducing costs. The problem can be solved by controlling the distance H between of the rotation tool axes with the part on CNC machines and rational choosing of a shape tool. The purpose of the article is to increase the grinding efficiency of the rotation surfaces with the end face of the conical abrasive tool by rational choice of mode parameters when controlling the inter-axis distance machine tools. To achieve this goal, the following research objectives should be solved. Determine the modes of grinding by limiting the kinematic factors. To find the influence of the dependence of the angular spatial orientation of the contact line of the tool and the part on the angle of small taper of its formed fragment by choosing the dimensions of the machine adjustment. To analyze the influence of the relative position and size of the contact area depending on the kinematics and technical requirements for processing. For the first time, the kinematic constraints of the limit value of the projection of the speed of relative motion in the normal direction, which is used as the grinding intensity, taking into account the rotational and translational motions of the feed. The spatial angular position of the contact line of the tool with the part is determined taking into account the dimensions of the machine adjustment, namely, the wheelbase and the angle of the circle profile. The algorithm of definition of modes of deep grinding is established. The graphical dependences of the angles of orientation of the contact line on the angle of editing of the circle and the wheelbase of the machine are obtained. The dependences of the reduction of the radial dimensions of the conical surface of the part during grinding in the direction opposite to the axial feed of the wheel are described. The dimensions of the contact area determine the quality: the length along the axis of the part, the number of passes, and the width - the conditions of heat release and cooling
DEVELOPMENT OF MEAT BREAD RECIPE USING TASTE - AROMATIC FILLERS
Authors: Kholod Artem , Pasichnyy Vasil' 
Published: July 2022

In recent years, there have been constant changes in the quality of raw meat conditions for keeping and fattening farm animals and poultry, storage and transportation, production technology, which affects the technological and consumer characteristics of meat and, accordingly, the quality of meat products. Changing the properties of raw meat, the use of intensive methods of processing, and the use of food additives in the manufacture of meat products lead to a decrease in its organoleptic properties. Increasingly, manufacturers are paying attention to and increasing the quality requirements of prescription components that give products a traditional taste and aroma. Compared to cooked sausages, meat loaves have a denser texture and thus have a lower moisture content and a pleasant special taste. They are a source of trace elements, complete proteins and vitamins that harmoniously combine taste, aroma, color and form. Having listed the above advantages, this type of product is becoming increasingly popular among the population. In the food industry, flavoring compositions are one of the most important ingredients in the production of meat and sausage products. Their use has become widespread in the world market. This is due to the emergence of advanced technologies that are related to the production of food products based on the processing of raw materials. One of the ways to improve organoleptic indicators, namely: taste and aroma, meat loaves, is the use of flavoring compositions, namely spice oleoresin as alternative analogs of natural spices and spices, mustard and ketchup, as biologically valuable products. Over the last decade, the use of flavoring compositions, namely oleoresin spices, has successfully "supplanted" natural ground spices in the field of food production due to significant advantages in use. The possible uses of oleoresins, spices, ketchup and mustard in the form of gel inclusions (giving the effect of "marbling") for the manufacture of meat loaves are described. Meat breads with a filling inside provide an opportunity to enrich and diversify the diet of consumers, and also they allow the manufacturer to increase the yield by introducing filler. A rational concentration of oleoresins on a mixture of carriers (0.3-0.4%), milk protein concentrate (10-20 g) and rice flour (10-20 g) was chosen, which ensures the formation of the best taste qualities in the finished product. Experimental data for black pepper oleoresins with which model formulations of meat loaves are developed are given. These results make it possible to compare the effectiveness of the use of natural spices and encapsulated oleoresins in the technology of production of meat loaves with semi-fat pork.
Outcomes After Anatomic and Reverse Shoulder Arthroplasty for the Treatment of Glenohumeral Osteoarthritis
Authors: Kirsch Jacob M. , Puzzitiello Richard N. , Swanson Daniel , Le Kiet , Hart Paul-Anthony , Churchill Ryan , Elhassan Bassem , Warner Jon J.P. , Jawa Andrew 
Published: July 2022

Background:
Reverse shoulder arthroplasty (RSA) is increasingly being utilized for the treatment of primary osteoarthritis. However, limited data are available regarding the outcomes of RSA as compared with anatomic total shoulder arthroplasty (TSA) in the setting of osteoarthritis.

Methods:
We performed a retrospective matched-cohort study of patients who had undergone TSA and RSA for the treatment of primary osteoarthritis and who had a minimum of 2 years of follow-up. Patients were propensity score-matched by age, sex, body mass index (BMI), preoperative American Shoulder and Elbow Surgeons (ASES) score, preoperative active forward elevation, and Walch glenoid morphology. Baseline patient demographics and clinical outcomes, including active range of motion, ASES score, Single Assessment Numerical Evaluation (SANE), and visual analog scale (VAS) for pain, were collected. Clinical and radiographic complications were evaluated.

Results:
One hundred and thirty-four patients (67 patients per group) were included; the mean duration of follow-up (and standard deviation) was 30 ± 10.7 months. No significant differences were found between the TSA and RSA groups in terms of the baseline or final VAS pain score (p = 0.99 and p = 0.99, respectively), ASES scores (p = 0.99 and p = 0.49, respectively), or SANE scores (p = 0.22 and p = 0.73, respectively). TSA was associated with significantly better postoperative active forward elevation (149° ± 13° versus 142° ± 15°; p = 0.003), external rotation (63° ± 14° versus 57° ± 18°; p = 0.02), and internal rotation (≥L3) (68.7% versus 37.3%; p < 0.001); however, there were only significant baseline-to-postoperative improvements in internal rotation (gain of ≥4 levels in 53.7% versus 31.3%; p = 0.009). The overall complication rate was 4.5% (6 of 134), with no significant difference between TSA and RSA (p = 0.99). Radiolucent lines were observed in association with 14.9% of TSAs, with no gross glenoid loosening. One TSA (1.5%) was revised to RSA for the treatment of a rotator cuff tear. No loosening or revision was encountered in the RSA group.

Conclusions:
When performed for the treatment of osteoarthritis, TSA and RSA resulted in similar short-term patient-reported outcomes, with better postoperative range of motion after TSA. Longer follow-up is needed to determine the ultimate value of RSA in the setting of osteoarthritis.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Current State of Platelet-Rich Plasma and Cell-Based Therapies for the Treatment of Osteoarthritis and Tendon and Ligament Injuries
Authors: Su Charles A. , Jildeh Toufic R. , Vopat Matthew L. , Waltz Robert A. , Millett Peter J. , Provencher Matthew T. , Philippon Marc J. , Huard Johnny 
Published: July 2022

➤ Orthobiologics encompass numerous substances that are naturally found in the human body including platelet-rich plasma (PRP), isolated growth factors, and cell therapy approaches to theoretically optimize and improve the healing of cartilage, fractures, and injured muscles, tendons, and ligaments.➤ PRP is an autologous derivative of whole blood generated by centrifugation and is perhaps the most widely used orthobiologic treatment modality. Despite a vast amount of literature on its use in osteoarthritis as well as in tendon and ligament pathology, clinical efficacy results remain mixed, partly as a result of insufficient reporting of experimental details or exact compositions of PRP formulations used.➤ Mesenchymal stromal cells (MSCs) can be isolated from a variety of tissues, with the most common being bone marrow aspirate concentrate. Similar to PRP, clinical results in orthopaedics with MSCs have been highly variable, with the quality and concentration of MSCs being highly contingent on the site of procurement and the techniques of harvesting and preparation.➤ Advances in novel orthobiologics, therapeutic targets, and customized orthobiologic therapy will undoubtedly continue to burgeon, with some early promising results from studies targeting fibrosis and senescence.
Applying Deep Learning to Establish a Total Hip Arthroplasty Radiography Registry
Authors: Rouzrokh Pouria , Khosravi Bardia , Johnson Quinn J. , Faghani Shahriar , Vera Garcia Diana V. , Erickson Bradley J. , Maradit Kremers Hilal , Taunton Michael J. , Wyles Cody C. 
Published: July 2022

Background:
Establishing imaging registries for large patient cohorts is challenging because manual labeling is tedious and relying solely on DICOM (digital imaging and communications in medicine) metadata can result in errors. We endeavored to establish an automated hip and pelvic radiography registry of total hip arthroplasty (THA) patients by utilizing deep-learning pipelines. The aims of the study were (1) to utilize these automated pipelines to identify all pelvic and hip radiographs with appropriate annotation of laterality and presence or absence of implants, and (2) to automatically measure acetabular component inclination and version for THA images.

Methods:
We retrospectively retrieved 846,988 hip and pelvic radiography DICOM files from 20,378 patients who underwent primary or revision THA performed at our institution from 2000 to 2020. Metadata for the files were screened followed by extraction of imaging data. Two deep-learning algorithms (an EfficientNetB3 classifier and a YOLOv5 object detector) were developed to automatically determine the radiographic appearance of all files. Additional deep-learning algorithms were utilized to automatically measure the acetabular angles on anteroposterior pelvic and lateral hip radiographs. Algorithm performance was compared with that of human annotators on a random test sample of 5,000 radiographs.

Results:
Deep-learning algorithms enabled appropriate exclusion of 209,332 DICOM files (24.7%) as misclassified non-hip/pelvic radiographs or having corrupted pixel data. The final registry was automatically curated and annotated in <8 hours and included 168,551 anteroposterior pelvic, 176,890 anteroposterior hip, 174,637 lateral hip, and 117,578 oblique hip radiographs. The algorithms achieved 99.9% accuracy, 99.6% precision, 99.5% recall, and a 99.6% F1 score in determining the radiograph appearance.

Conclusions:
We developed a highly accurate series of deep-learning algorithms to rapidly curate and annotate THA patient radiographs. This efficient pipeline can be utilized by other institutions or registries to construct radiography databases for patient care, longitudinal surveillance, and large-scale research. The stepwise approach for establishing a radiography registry can further be utilized as a workflow guide for other anatomic areas.

Level of Evidence:
Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Deep Learning and Imaging for the Orthopaedic Surgeon
Authors: Hill Brandon G. , Krogue Justin D. , Jevsevar David S. , Schilling Peter L. 
Published: July 2022

➤ In the not-so-distant future, orthopaedic surgeons will be exposed to machines that begin to automatically “read” medical imaging studies using a technology called deep learning.➤ Deep learning has demonstrated remarkable progress in the analysis of medical imaging across a range of modalities that are commonly used in orthopaedics, including radiographs, computed tomographic scans, and magnetic resonance imaging scans.➤ There is a growing body of evidence showing clinical utility for deep learning in musculoskeletal radiography, as evidenced by studies that use deep learning to achieve an expert or near-expert level of performance for the identification and localization of fractures on radiographs.➤ Deep learning is currently in the very early stages of entering the clinical setting, involving validation and proof-of-concept studies for automated medical image interpretation.➤ The success of deep learning in the analysis of medical imaging has been propelling the field forward so rapidly that now is the time for surgeons to pause and understand how this technology works at a conceptual level, before (not after) the technology ends up in front of us and our patients. That is the purpose of this article.
Determinantes da Intenção de Rotatividade no Setor Público: um estudo em uma instituição federal de ensino
Authors: Pinho Ana Paula Moreno , Silva Clayton Robson Moreira da , Oliveira Evalda Rodrigues da Silva de 
Published: July 2022

Objetivo da pesquisa: Analisar os determinantes da intenção de rotatividade no setor público, verificando a influência das práticas de gestão de pessoas, da satisfação no trabalho e das características demográficas e ocupacionais na intenção de rotatividade dos servidores.
Enquadramento teórico: O desligamento voluntário de profissionais pode gerar consequências negativas para a organização, tais como: custos para contratação e treinamento de novos trabalhadores; perda da identidade organizacional; e redução na qualidade dos serviços prestados. Conhecer os determinantes da intenção de rotatividade dos servidores públicos pode contribuir para que os gestores públicos atuem na redução desses prejuízos à organização.
Metodologia: Trata-se de uma survey com 480 servidores técnico-administrativos de uma instituição federal de ensino. Utilizaram-se técnicas de estatística descritiva, análise fatorial exploratória e regressão linear múltipla.
Resultados: Verificou-se que a intenção de rotatividade no setor público é influenciada negativamente pelas práticas de envolvimento, condições de trabalho e remuneração e recompensas, assim como pela satisfação em relação ao salário e promoções e à natureza do trabalho. As práticas de recrutamento e seleção e a satisfação com os colegas influenciam positivamente a intenção de rotatividade. A idade e o gênero dos respondentes também estão associados à intenção de rotatividade, de modo que mulheres e pessoas mais velhas apresentam menor propensão em deixar a organização.
Originalidade: Este estudo se diferencia dos demais por explorar diferentes elementos organizacionais e variáveis relacionadas ao perfil dos trabalhadores, ampliando a discussão sobre os fatores que podem levar os servidores públicos a deixarem suas organizações.
Contribuições teóricas e práticas: Assim, esta pesquisa contribui para o campo da gestão pública, à medida em que traz evidências empíricas que podem servir de arcabouço para gestores público delinearem estratégias gerenciais, com foco nas práticas de gestão de pessoas e na satisfação, com o intuito de estimular a permanência de profissionais na organização.
Por uma Agenda de Pesquisa sobre o Trabalho de Investigação Policial em Administração Pública no Brasil: Homicídios
Authors: Alcadipani Rafael 
Published: July 2022

Objetivo da Pesquisa: O objetivo deste artigo é discutir a investigação criminal com atenção especial ao crime de homicídio a fim de propor uma agenda de pesquisa sobre o tema para a área de Administração Pública.
Marco Teórico: Discussões acadêmicas sobre trabalho policial e investigação criminal.
Resultados: Articulação conceitual a respeito dos principais elementos da investigação criminal em geral e de homicídios em particular, culminando em uma proposta de agenda de pesquisa para a Administração Pública.
Originalidade: Apresentar o tema do trabalho e da investigação policial para ser pensada na Administração Pública no Brasil.
Contribuições teóricas e práticas: Trazer para a ad
Objetivo da Pesquisa: O objetivo deste artigo é discutir a investigação criminal com atenção especial ao crime de homicídio a fim de propor uma agenda de pesquisa sobre o tema para a área de Administração Pública.
Marco Teórico: Discussões acadêmicas sobre trabalho policial e investigação criminal.
Resultados: Articulação conceitual a respeito dos principais elementos da investigação criminal em geral e de homicídios em particular, culminando em uma proposta de agenda de pesquisa para a Administração Pública.
Originalidade: Apresentar o tema do trabalho e da investigação policial para ser pensada na Administração Pública no Brasil.
Contribuições teóricas e práticas: Trazer para a administração pública em específico, e para a administração em geral, a discussão a respeito da investigação criminal e, em particular, de homicídio no Brasil. Esta contribuição teórica possui a contribuição prática de possibilitar a policiais a compreensão da literatura acadêmica sobre trabalho e investigação policial.

ministração pública em específico, e para a administração em geral, a discussão a respeito da investigação criminal e, em particular, de homicídio no Brasil. Esta contribuição teórica possui a contribuição prática de possibilitar a policiais a compreensão da literatura acadêmica sobre trabalho e investigação policial.
Desigualdades e Ações Públicas para seu Enfrentamento: uma Proposta de Abordagem Conceitual para o Campo de Públicas.
Authors: Marcondes Mariana Mazzini , Duarte de Araújo Maria Arlete , Cavalcante de Lima Ana Raquel , Cândido do Nascimento Clara Carolina 
Published: July 2022

Objetivo. Propor uma abordagem conceitual das ações públicas para enfrentamento das desigualdades para o Campo de Públicas.
Enquadramento teórico. O eixo articulador da abordagem é a interseccionalidade, que permite entender que relações produtoras de desigualdades estão imbricadas e, por isso, demandam ações articuladas para seu enfrentamento.
Metodologia. O ensaio teórico foi construído a partir de 43 verbetes do Glossário das Desigualdades do Observatório das Desigualdades da UFRN. Este material foi construído de forma colaborativa e interdisciplinar, reunindo verbetes fundamentais para a compreensão das desigualdades e das ações públicas para enfrentá-las. Os verbetes estão disponíveis ao acesso público (formatos audiovisual e textual).
Resultados. Reflete-se sobre as desigualdades, entendidas como problemas públicos complexos. Discute-se as ações públicas para o enfrentamento às desigualdades (estatais e não estatais) na perspectiva da integralidade e da inovação, destacando-se as estratégias da transversalidade e intersetorialidade.
Originalidade. A despeito dos avanços contemporâneos, ainda é incipiente a produção de conhecimento sistêmico que subsidie a introdução e/ou ampliação da discussão sobre desigualdades nas teorias e práticas do Campo de Públicas. Trabalhos teóricos que sistematizam o debate sobre desigualdades e ações públicas para enfrenta-las são necessários para a incorporação de novos conceitos e abordagens sobre desigualdades ao referido Campo.
Contribuição teórica. Ofertar uma abordagem conceitual para teorias e práticas sobre desigualdades para subsidiar atividades de ensino, pesquisa, extensão desigualdades no Campo de Públicas.