bluuebunny/crossref_metadata_2025_split huggingface dataset:
Results From the 2020 Canadian Rheumatology Association’s Workforce and Wellness Survey
Authors: Kulhawy-Wibe Stephanie C. , Widdifield Jessica , Lee Jennifer J.Y. , Thorne J. Carter , Yacyshyn Elaine A. , Batthish Michelle , Jerome Dana , Shupak Rachel , Jilkine Konstantin , Purvis Jane , Shamis Justin , Roberts Janet , Kur Jason , Burt Jennifer E. , Johnson Nicole A. , Barnabe Cheryl , Hartfeld Nicole M.S. , Harrison Mark , Pope Janet E. , Barber Claire E.H. 
Published: February 2022

Objective.The Canadian Rheumatology Association (CRA) launched the Workforce and Wellness Survey to update the Canadian rheumatology workforce characteristics.Methods.The survey included demographic and practice information, pandemic effects, and the Mini Z survey to assess burnout. French and English survey versions were distributed to CRA members electronically between October 14, 2020, and March 5, 2021. The number of full-time equivalent (FTE) rheumatologists per 75,000 population was estimated from the median proportion of time in clinical practice multiplied by provincial rheumatologist numbers from the Canadian Medical Association.Results.Forty-four percent (183/417) of the estimated practicing rheumatologists (149 adult; 34 pediatric) completed the survey. The median age was 47 years, 62% were female, and 28% planned to retire within the next 5–10 years. Respondents spent a median of 65% of their time in clinical practice. FTE rheumatologists per 75,000 population were 0.62 nationally and ranged between 0.00 and 0.70 in each province/territory. This represents a deficit of 1–78 FTE rheumatologists per province/territory and 194 FTE rheumatologists nationally to meet the CRA’s workforce benchmark. Approximately half of survey respondents reported burnout (51%). Women were more likely to report burnout (OR 2.86, 95% CI 1.42–5.93). Older age was protective against burnout (OR 0.95, 95% CI 0.92–0.99). As a result of the pandemic, 97% of rheumatologists reported spending more time engaged in virtual care.Conclusion.There is a shortage of rheumatologists in Canada. This shortage may be compounded by the threat of burnout to workforce retention and productivity. Strategies to address these workforce issues are needed urgently.
Improving Corrected QT Interval Monitoring in Critical Care Units: A Single Center Report
Authors: Schwimer Danielle , Al-Zaiti Salah , Beach Michael 
Published: February 2022

Background
Corrected QT (QTc) interval prolongation is a type of ventricular tachyarrhythmia. Recommendations for QTc interval monitoring for critical care nurses are limited and variable.

Local Problem
The intensive care unit at the study institution had no policies for QTc interval monitoring. A quality improvement initiative for identifying and monitoring at-risk patients was begun.

Methods
A QTc interval monitoring protocol was developed according to current recommendations for electrocardiogram monitoring and input from experts. Nursing staff received education on the QTc monitoring protocol. Numbers of patients with indications for monitoring were collected for 60 days before and 60 days after implementation. The rate of protocol adherence was collected for 60 days after implementation. Aknowledge assessment was administered to nurses at baseline, immediately after education, and 4 months after education.

Results
Before protocol implementation, 537 patients had indications for monitoring. No QTc intervals were documented by nurses. After protocol implementation, 544 patients had indications for monitoring. Protocol adherence was higher during day shifts than during night shifts (45.3% and 38.4%, respectively). Of 170 documented QTc prolongation events, 26 (15%) were reported to physicians. Nurses’ knowledge significantly improved after education and was retained 4 months after education (correct responses to assessment questions: 59% at baseline, 96% immediately after education, and 86% at 4 months after education).

Conclusions
This QTc interval monitoring protocol improved nurses’ ability to identify and monitor patients with increased risk of QTc interval prolongation. Adherence was less than desired, suggesting that further protocol revisions are required.
Evaluación de tecnología sanitaria: informe de respuesta rápida. Tocilizumab para el tratamiento de la artritis idiopática juvenil poliarticular
Authors: García Munitis Pablo 
Published: February 2022

El grupo de las AIJ son afecciones raras con consecuencias sobre la calidad de vida de los pacientes afectados y los costos para los pacientes y los sistemas de salud. El abordaje actual incluye la utilización de corticoides intraarticulares, metotrexato semanal y agentes biológicos.
Objetivo: Evaluar la evidencia disponible acerca de la eficacia y seguridad para el uso de tocilizumab en pacientes con Artritis Idiopática Juvenil poliarticular.
La ultrasonografía (US), una amiga para no olvidar
Authors: Rosemffet Marcos 
Published: February 2022

En los últimos años, numerosas publicaciones ponderaron el uso de la US en el manejo diario de los pacientes con Artritis Reumatoidea (AR).
Sin embargo, existe una tendencia actual de poner en dudas las diferentes posibilidades que brinda esta técnica, basados en algunas publicaciones, fortaleciendo el manejo clínico como principal sostén de nuestra práctica diaria.
THE STUDY OF ADOPTING ECOMMERCE PLATFORMS IN GHANA BASED ON IMPULSIVE BUYING BEHAVIOUR THEORY
Authors: Mohammed Rabiu , Zakari Mariama 
Published: February 2022

Purpose: This study concentrated on the adoption of e-commerce platforms base on impulsive buying behavior, using technology for sustainable development of governments’ institutions, small medium enterprises and individual consumers or customers in Ghana.
Methodology: The research adopted quantitative approach design and primary data were collected based on survey questionnaire and respondent were selected using non- probability sampling technique where respondent is selected based on convenience sampling technique. The focus of this research was on the buyer (the individual who is involved in any buying and selling of goods over the internet). The theoretical deduced model fit is tested using survey data obtained from five hundred (500) respondents of E-commerce adoption platform in Ghana.
Findings: Findings revealed that the model for this study is not a very good fit to describe the factors affecting the behavioral intention to adopt e-commerce in Ghana.
Distribución anatómica de ramas subendocárdicas en mamífero no humano, primer reporte
Authors: Coello Cuntó Rafael , Carranza zambrano Liz , Gonzales Arreaga Oscar , Marmolejo Araujo Maria Auxiliadora , Rodriguez Salazar Andrea , Badillo Torres Jostin , Moreira Vinueza Maytte , Plaza Alvarado Katherine , Lopez Holguin Jessenia , Velasquez Apolinario Juan , Valverde Montes de Oca Adrian , Pinela Chavez Moises , Lopez Gomez Daniel 
Published: February 2022

Establecer la organización de las fibras subendocárdicas es útil para determinar la conducción y propagación normal o anormal del impulso cardiaco y tiene trascendencia en el campo educativo, hemodinámico y cardiológico; su identificación ha sido posible habiéndose encontrado patrones similares en muchas especies mamíferas. Históricamente denominadas fibras de Purkinje, las ramas subendocárdicas (A.12.1.06.008) de Terminologia Anatomica son inidentificadas macroscópicamente y han sido evidenciadas con varias técnicas con distinto valor y limitaciones. Como componente de la formación académica, en el laboratorio de Anatomía Humana de la Universidad de Guayaquil se ha replicado su identificación utilizando tinta china en corazones adultos de vacunos y porcinos frescos mostrándose macroscópica e histológicamente su presencia. El nodo sinoatrial y atrioventricular son uniformes en su constitución, las fibras subendocárdicas muestran una estructura reticular con múltiples interconexiones, esto ha permitido realizar una descripción aproximada. Sus detalles de distribución y organización son importantes para interpretar los problemas de conducción como las arritmias.
PARTICIPAÇÃO DE IDOSOS EM FÓRUNS DE CIDADANIA - SÃO PAULO, SP
Authors: Barroso Áurea Eleotério Soares , Sanches Maria Cecilia Teodoro 
Published: February 2022

A pesquisa buscou compreender como Fóruns de Cidadania localizados no Município de São Paulo, SP vêm se constituindo como um sujeito coletivo, na direção da conquista e efetivação de direitos de cidadania. Foi utilizado o método qualitativo, compreendendo a coleta de depoimentos, levantamento documental e pesquisa bibliográfica. O marco teórico teve como base os seguintes autores: Beauvoir (1990); Freire (2005); NERI (2007); Gohn (2013); Faleiros (2014), entre outros. Trata-se de estudo longitudinal, as autoras orientam-se por suas vivências, enquanto educadoras em gerontologia nesses espaços. O estudo revelou que as principais discussões e lutas empreendidas nesses espaços estão voltadas para ampliação do acesso e melhoria nos atendimentos de saúde, lazer, esporte, transporte público entre outros. A criação de redes nos territórios constituídas por Conselheiros de direitos dos idosos, pesquisadores, profissionais, agentes do poder público entre outros tem contribuído para colocar questões vivenciadas no cotidiano pelos idosos na agenda da cidade de SP. Uma conquista alcançada nesse processo diz respeito à ampliação do diálogo entre o Estado e os representantes da população idosa.
ENSEÑANZA DEL ESPAÑOL COMO LENGUA EXTRANJERA PARA NIÑOS: CLASES MÁS INTERACTIVAS
Authors: Soares Dércia Thays Araújo 
Published: February 2022

Los niños tienen facilidad para aprender, esto es un hecho. La enseñanza de español en la educación infantil ya viene conquistando un espacio. Las estrategias lúdicas son muy adecuadas para esta etapa de la enseñanza. Pero lo lúdico no quiere decir “fijo” tampoco “improviso”. Es necesario que el profesor de la enseñanza infantil se mantenga al día con las nuevas tecnologías, estrategias y materiales didácticos ofrecidos por las investigaciones lingüísticas. Teniendo en cuenta que los profes de la enseñanza infantil suelen seguir un material didáctico fijo, designado por la escuela, proponemos clases flexibles de base en la Lingüística Aplicada. Basado en los estudios de Elena Benitiz Rodriguez (2020) y anclado en las investigaciones de Ausubel (1968). Propondremos 3 clases usando estrategias de diferentes campos lingüísticos, bajo las investigaciones propias de la Lingüística aplicada.
Homeopathy and health assistance in public facilities.
Authors: Dantas Flávio 
Published: February 2022

Homeopathy has a long tradition of use in Latin America, particularly in Brazil, where it has been used since 1840.
Prescription of homeopathic medicines by specialized medical doctors in Brazilian public health services was legally established in 1988, and has been recently confirmed with the publication of the National Policy on Integrative and Complementary Practices by the Ministry of Health. Together with long-time and well succeed 25-years experience in developing educational programs to teach medical doctors after their graduation, it is time to teach the essentials of homeopathy to primary care doctors working in public health services. This Program would enable doctors to use homeopathy in a small number of conditions and to refer patients with more complex situations to homeopathic doctors in special centers. This strategy could be an important step in reducing social exclusion of people to accessing health care and in the expansion of homeopathy for the benefit of mankind.
Weakening of Antarctic stratospheric planetary wave activities in early austral spring since the early 2000s: a response to sea surface temperature trends
Authors: Hu Yihang , Tian Wenshou , Zhang Jiankai , Wang Tao , Xu Mian 
Published: February 2022

Abstract. Using multiple reanalysis datasets and modeling simulations, the trends of
Antarctic stratospheric planetary wave activities in early austral spring
since the early 2000s are investigated in this study. We find that the
stratospheric planetary wave activities in September have weakened
significantly since the year 2000, which is mainly related to the weakening of the tropospheric wave sources in the extratropical Southern Hemisphere. As the Antarctic ozone also shows clear shift around the year 2000, the impact of ozone recovery on Antarctic planetary wave activity is also examined through numerical simulations. Significant ozone recovery in the lower stratosphere changes the atmospheric state for wave propagation to some extent, inducing a slight decrease in the vertical wave flux in upper troposphere and lower stratosphere (UTLS). However, the changes in the wave propagation environment in the middle and upper stratosphere over the subpolar region are not significant. The ozone recovery has a minor contribution to the significant weakening of stratospheric planetary wave activity in September. Further analysis indicates that the trend of September sea surface temperature (SST) over 20∘ N–70∘ S is well linked to the weakening of stratospheric planetary wave activities. The model simulations reveal that the SST trend in the extratropical Southern Hemisphere (20–70∘ S) and the tropics (20–20∘ S) induce a weakening of the wave 1 component of tropospheric geopotential height in the extratropical Southern Hemisphere, which subsequently leads to a decrease in stratospheric wave flux. In addition, both reanalysis data and numerical simulations indicate that the Brewer–Dobson circulation (BDC) related to wave activities in the stratosphere has also been weakening in early austral spring since the year 2000 due to the trend of September SST in the tropics and extratropical Southern Hemisphere.
Does maximization of net carbon profit enable the prediction of vegetation behaviour in savanna sites along a precipitation gradient?
Authors: Nijzink Remko C. , Beringer Jason , Hutley Lindsay B. , Schymanski Stanislaus J. 
Published: February 2022

Abstract. Most terrestrial biosphere models (TBMs) rely on more or less detailed information about the properties of the local vegetation. In contrast, optimality-based models require much less information about the local vegetation as they are designed to predict vegetation properties based on general principles related to natural selection and physiological limits. Although such models are not expected to reproduce current vegetation behaviour as closely as models that use local information, they promise to predict the behaviour of natural vegetation under future conditions, including the effects of physiological plasticity and shifts of species composition, which are difficult to capture by extrapolation of past observations. A previous model intercomparison using conventional TBMs revealed a range of deficiencies in reproducing water and carbon fluxes for savanna sites along a precipitation gradient of the North Australian Tropical Transect (Whitley et al., 2016). Here, we examine the ability of an optimality-based model (the Vegetation Optimality Model, VOM) to predict vegetation behaviour for the same savanna sites. The VOM optimizes key vegetation properties such as foliage cover, rooting depth and water use parameters in order to maximize the net carbon profit (NCP), defined as the difference between total carbon taken up by photosynthesis minus the carbon invested in construction and maintenance of plant organs. Despite a reduced need for input data, the VOM performed similarly to or better than the conventional TBMs in terms of reproducing the seasonal amplitude and mean annual fluxes recorded by flux towers at the different sites. It had a relative error of 0.08 for the seasonal amplitude in ET and was among the three best models tested with the smallest relative error in the seasonal amplitude of gross primary productivity (GPP). Nevertheless, the VOM displayed some persistent deviations from observations, especially for GPP, namely an underestimation of dry season evapotranspiration at the wettest site, suggesting that the hydrological assumptions (free drainage) have a strong influence on the results. Furthermore, our study exposes a persistent overprediction of vegetation cover and carbon uptake during the wet seasons by the VOM. Our analysis revealed several areas for improvement in the VOM and the applied optimality theory, including a better representation of the hydrological settings as well as the costs and benefits related to plant water transport and light capture by the canopy. The results of this study imply that vegetation optimality is a promising approach to explain vegetation dynamics and the resulting fluxes. It provides a way to derive vegetation properties independently of observations and allows for a more insightful evaluation of model shortcomings as no calibration or site-specific information is required.
EFISIENSI THERMAL ALAT PENGERING TIPE TRAY UNTUK PENGERINGAN PULP CAMPURAN TANDAN KOSONG KELAPA SAWIT DAN PELEPAH PISANG
Authors: Has Ratu Aqso , Purnamasari Indah , Fadarina Fadarina 
Published: February 2022

Pengeringan pulp yang dilakukan masyarakat pada industri skala rumah tangga saat ini masih secara manual (konvensional) yaitu dengan memanfaatkan energi cahaya matahari atau dijemur sehingga memakan waktu yang cukup lama. Menanggapi hal tersebut, perlu adanya suatu alat pengering yang dapat mempercepat proses pengeringan pulp. Tujuan penelitian ini adalah merancang alat pengering tipe tray untuk pengeringan pulp, menentukan kinerja dari alat pengering tipe tray ditinjau dari efisiensi thermal, dan mendapatkan pulp dari campuran tandan kosong kelapa sawit dan pelepah pisang yang memenuhi standar kadar air berdasarkan Standar Nasional Indonesia No. 6106-2006. Prototype alat pengering tipe tray memiliki ukuran 39,5 cm x 45 cm x 39 cm, berbahan stainlees steel dengan jumlah tray 4 tingkat dan menggunakan energi panas yang dihasilkan dari strip heater dan memiliki sistem konveksi paksaan. Variasi yang dilakukan pada penelitian ini di antaranya, variasi temperatur pengeringan 60oC, 70oC, dan 80oC serta variasi waktu pengeringan 30 menit, 60 menit, 90 menit, 120 menit, 150 menit, 180 menit, dan 210 menit. Efisiensi thermal tertinggi pada pengering tipe tray yang didapat yaitu pada temperatur pengeringan 60oC dengan waktu pengeringan 120 menit yaitu sebesar 93,485%. Pulp yang dihasilkan dari pengering tipe tray telah memenuhi standar mutu kadar air berdasarkan Standar Nasional Indonesia No. 6106-2006 yaitu pada temperatur pengeringan 80oC dengan waktu pengeringan 150 menit pada tray 1 didapatkan kadar air 7,5%.
Gambaran Kepatuhan Mahasiswa dalam Melaksanakan Protokol Pencegahan Covid-19 di Stikes Suaka Insan Banjarmasin
Authors: Jamini Theresia , Machelia Septi 
Published: February 2022

Virus Corona (Covid-19) merupakan penyakit yang menular melalui droplet dan aerosol yang mengandung virus SARS-CoV-2. Menjadi masalah bagi seluruh dunia bahkan di Kalimatan Selatan karena penyebarannya yang semakin hari semakin bertambah terlihat dari meningkatnya angka positif Covid-19. Di Kampus Stikes Suaka Insan Banjarmasin peneliti mengamati bahwa kepatuhan mahasiswa dalam melaksanakan protokol pencegahan perlu terus dijalankan dan ditingkatkan. Tujuan Penelitian ini adalah untuk mengetahui gambaran kepatuhan mahasiswa Stikes Suaka Insan Banjarmasin dalam melaksanakan protokol pencegahan Covid-19. Jenis Penelitian menggunakan penelitian kuantitatif dengan responden penelitian sebanyak 38 mahasiswa Stikes Suaka Insan Banjarmasin. Metode pengumpulan data menggunakan kuesioner yang diisi melalui google form. Data dianalisis menggunakan rumus distribusi frekuensi. Hasil penelitian menunjukkan bahwa dari 38 mahasiswa yang menjadi responden sebanyak 35 mahasiswa (92,10%) Patuh, 3 mahasiswa (7,90%) Tidak Patuh. Dari hasil penelitian didapat ditarik kesimpulan bahwa mahasiswa Stikes Suaka Insan Banjarmasin mayoritas patuh dalam melaksanakan protokol pencegahan covid-19.
The Intercultural Hermeneutics of Lamin Sanneh
Authors: Orji Cyril 
Published: January 2022

Abstract
The article examines the work of African historian Lamin Sanneh (1942–2019) on Christianity and world cultural process with a view to teasing out his intercultural hermeneutics and highlighting his contribution to World Christianity. Sanneh was one of the few historians and scholars of religion to recognize that the Enlightenment induced Christianity detached the notion of culture from Christian religious mooring. He also drew attention to the fact that Christianity has been used as a metanarrative to foster exclusion and therefore developed an intercultural hermeneutics as a counterforce. He insisted correctly that the Gospel of Christ, in its purest form, comes unclothed in a cultural garb. Thus, this paper argues that it was in fostering a historically-minded view of culture through emphasis on Bible translation and vernacular language that Sanneh resolved the dichotomy between religion and culture and made his major contribution to World Christianity.
EFEK PEMBERIAN TERAPI OZON DALAM PROSES PENYEMBUHAN ULKUS KAKI DIABETIK : STUDI LITERATUR
Authors: Hidayat Nur 
Published: February 2022

Pendahuluan: Indonesia mendapat peringkat dua negara dengan penderita diabetes melitus (DM) terbanyak di wilayah Pasifik Barat. Prevalensi DM di Indonesia naik secara signifikan dari 0,7% menjadi 2% dalam satu dekade. Salah satu komplikasi DM yang paling sering muncul dan berbahaya adalah ulkus kaki diabetik (UKD). Penyembuhan UKD mengalami keterlambatan dan penggunaan teknik konvensional tidak lagi efektif. Terapi ozon diklaim dapat menyembuhkan luka. Namun, penelitian terdahulu belum bisa memberikan kesimpulan mengenai peran ozon dalam penyembuhan UKD. Untuk mengetahui efek penggunaan ozon dalam perawatan UKD, studi literatur ini dilaksanakan.
Metode: Artikel ini merupakan literature review melalui Google Scholar. Literatur ditelusuri berdasarkan kata kunci dalam rentang waktu 5 tahun terakhir yaitu tahun 2016-2021. Data disintesis menggunakan syntesis matrix dan diintepretasikan dengan teknik kualitatif deskriptif.
Hasil: Proses eliminasi mendapatkan 5 artikel final dari total 747 artikel. Penelitian ini tidak menemukan adanya hasil yang negatif dari penggunaan ozon dalam perawatan UKD dan tidak melakukan observasi lebih dalam mengenai hal tersebut. Ozon berperan dalam menstimulasi growth factor dan ekspresi antioksidan tubuh sehingga proses penyembuhan UKD bisa dipercepat. Ozon juga berperan sebagai anti-bakteri yang mengontrol jumlah koloni bakteri secara signifikan. Penambahan ozon dalam terapi juga memberikan sensasi yang menyenangkan dan mengurangi nyeri perawatan.
Kesimpulan: Ozon memberikan efek yang positif dalam proses penyembuhan UKD.

Kata Kunci: Kaki Diabetes; Ozon; Penyembuhan Luka