bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association of the COVID-19 Pandemic on VA Resident and Fellow Training Satisfaction and Future VA Employment: A Mixed Methods Study
Authors: Northcraft Heather , Bai Jia , Griffin Anne R. , Hovsepian Sona , Dobalian Aram 
Published: October 2022

ABSTRACT

Background
The COVID-19 pandemic altered learning experiences of residents and fellows worldwide, including at the US Department of Veterans Affairs (VA). Because the VA is the largest training provider in the United States, understanding VA trainee experiences is vital to understanding the pandemic's impact on graduate medical education nationwide. Additionally, understanding the pandemic's potential impacts on future employment allows for a better understanding of any future disruptions in the supply of physicians.

Objective
To examine whether COVID-19 affected the satisfaction with VA training experiences and likelihood to consider future VA employment among residents and fellows.

Methods
Responses from the VA Trainee Satisfaction Survey were collected for 3 academic years (2018-2021). Quantitative analysis (bivariate logistic regression) and qualitative content analysis were conducted to determine COVID-19′s impact on satisfaction and likelihood of future VA employment.

Results
Across 3 academic years, 17 900 responses from a total of 140 933 physician trainees were analyzed (12.7%). Following COVID-19, respondents expressed decreased satisfaction (84.58% vs 86.01%, P=.008) and decreased likelihood to consider future VA employment compared to prior to the pandemic (53.42% vs 55.32%, P=.013). COVID-19-related causes of dissatisfaction included the onboarding process, which slowed due to the pandemic, limited workspace that precluded social distancing, and reduced learning opportunities.

Conclusions
Since the pandemic, physician trainees expressed decreased training satisfaction and decreased likelihood to seek future VA employment. Causes of dissatisfaction included increased difficulties with onboarding, further limitations to accessible workspaces, and the direct obstruction of learning opportunities including decreased patient volume or case mix.
Evaluating the Teaching Health Center Graduate Medical Education Model at 10 Years: Practice-Based Outcomes and Opportunities
Authors: Davis Caitlin Smith , Roy Tuhin , Peterson Lars E. , Bazemore Andrew W. 
Published: October 2022

ABSTRACT

Background
Since 2011, the Teaching Health Center Graduate Medical Education (THC GME) program has sought to expand access to care by training residents in safety net settings.

Objective
To examine impact on physician scope, location, and patient population served using a unique data set.

Methods
Using 2017-2020 data from the American Board of Family Medicine National Graduate Survey, we compared demographics, practice location, populations served, and scope of practice between graduates of THC GME programs and graduates of other family medicine programs.

Results
Our sample comprised 8608 (out of 13 465) eligible family medicine graduates 3 years after completion of residency training, for a response rate of 63.9%. THC graduates were significantly more likely than other graduates to practice in a rural location (17.9% to 11.8%), within 5 miles of their residency program (18.9% to 12.9%), and to care for medically underserved populations (35.2% to 18.6%). Their scope of practice was wider than other graduates and more likely to comprise services like buprenorphine prescribing, behavioral health care, and outpatient gynecological procedures. Regression results suggest that THC training is independently correlated with a broader scope of practice.

Conclusions
Graduates of THC programs were significantly more likely than graduates of other programs to practice close to their training sites and in rural areas, and to care for underserved patients while maintaining a broader scope of practice than other graduates.
INVENTORY MANAGEMENT AND SUSTAINABLE PERFORMANCE OF STATE CORPORATIONS IN KENYA
Authors: Gatari Catherine , Shale Noor , Osoro Anthony 
Published: October 2022

Purpose: The purpose of this study was to examine the effect of inventory management on sustainable performance of state corporations in Kenya.
Methodology: The descriptive research design was applied in carrying out the study. The respondents of the study included the heads of finance and procurement department in all 187 state corporations in Kenya. Census was used in this study where the head of procurement department and the head of finance in each state corporation that resulted to 374 study respondents. This study used a questionnaire as the main research tool to collect primary data. Descriptive analysis and inferential analysis was carried out which was made possible through the use of Statistical Package for Social Sciences (SPSS) version 26.
Findings: Inventory management significantly affected the sustainability of state corporations in Kenya at p<0.05. This shows that upholding inventory management would be essential in steering the sustainable performance of the state corporations. The regression model established that the R value was 0.633 while the R2 was 0.401 which indicated that the variability of the inventory management on the sustainable performance of the state corporations in Kenya could be explained by up to 40.1% of the model and the P-value was 0.000<0.05. This implies that the model was fit to determine the relationship between the inventory management and sustainable performance and therein make conclusions and recommendations.
Unique contribution to theory, practice and policy: While the existing inventory management theory used in this study was validated, the study recommends that the accounting as well as procurement officer in each state procuring entity need to ensure that all proper stock levels are kept as per the regulation through proper verification and processing of all requirements, adhering to prescribed stock policies in the Regulation and ensuring that they duly consider safety stock and lead time when replenishing to ensure appropriate stock levels are kept at all time. The study recommended that public procuring entities policy makers need to establish a policy framework to expedite effective adoption of best inventory management systems to facilitate sustainable performance.
Методика обучения русскому языку младших школьников
Authors: Турсунова Саида 
Published: October 2022

Данная статья посвящена теоретическому изучению методик преподавания современного русского языка в начальной школе. На уроках русского языка должны учитываться возрастные, психофизические и индивидуальные особенности обучающихся, в том числе их особые образовательные потребности. Организовать процесс обучения русскому языку необходимо с применением современных методов и технологий, проводить диагностику качества языкового образовательного процесса.
Цели, поставленные учителем перед учащимися на уроке, должны быть сформулированы конкретно, корректно и в сфере деятельности учащихся. Все выполняемые на уроке упражнения должны соответствовать теме урока и способствовать достижению поставленной цели, каждое новое упражнение должно опираться на предыдущее и делать шаг вперёд. Методы и формы организации учебной деятельности должны быть адекватны теме, цели и содержанию урока. В статье рассмотрены: методы обучения русскому языку в начальной школе, в том числе с учетом особых образовательных потребностей; информационные технологии в области начального языкового образования. Даны рекомендации по организации культурно-просветительской деятельности на русском языке.
PERFIL EPIDEMIOLÓGICO DE CASOS E ÓBITOS DE PACIENTES INTERNADOS POR COVID-19 NA UNIDADE DE TERAPIA INTENSIVA E NA ENFERMARIA EM UM HOSPITAL UNIVERSITÁRIO
Authors: Remor Eduardo Antônio , Carniatto Irene 
Published: October 2022

A doença causada pelo novo Coronavírus – COVID-19 (Sars-CoV-2) pode acarretar sintomas variados no sistema respiratório do paciente, que vão desde leves, até uma insuficiência respiratória, que pode levar o paciente a óbito. O Boletim Informativo do Hospital Universitário do Oeste do Paraná, uma referência regional na ALA-COVID-19, mostra que a distribuição e a tendência de casos confirmados são maiores entre os homens e entre pacientes de 50-59 anos. Na distribuição de número de óbitos e na mortalidade, o valor é correspondente, sendo maior entre homens e entre pacientes acima de 60 anos, no entanto, há casos confirmados ou óbitos registrados em todas as faixas etárias estudadas. Ressalta-se assim a relevância da proteção individual a partir do uso correto dos equipamentos de proteção, bem como as demais medidas de higiene, de isolamento social e a vacinação, impedindo que o indivíduo se torne um vetor de transmissão e que ocorra outros colapsos nos sistemas públicos de saúde, visto que o agravamento da pandemia se deu sobretudo pela contaminação cruzada e pela irresponsabilidade humana.
Occurrence of pharmaceuticals and risk assessment in urban groundwater
Authors: Jurado Anna , Labad Francesc , Scheiber Laura , Criollo Rotman , Nikolenko Olha , Pérez Sandra , Ginebreda Antoni 
Published: October 2022

Abstract. Due to the fast urbanization and climate change, urban aquifers are
considered as a strategic source of potable water. However, a potential
limitation is the presence of contaminants, such as pharmaceuticals, which
might deteriorate groundwater quality. This work investigated the occurrence
of pharmaceuticals and evaluated their human health risk in an alluvial
urban aquifer recharged by a polluted river that receives discharges from
wastewater treatment plants (WWTPs). To this end, river and groundwater
samples were collected from February to May 2021 for the analysis of 92
pharmaceuticals using a solid-phase extraction and a high-pressure liquid
chromatography coupled to a high resolution mass spectrometric methodology
(HPLC-HRMS). Results showed that 35 pharmaceuticals, including 6
transformation products (TPs), were detected in all groundwater samples and
the range of concentrations was from the low ng L−1 to 44.5 µg L−1.
Moreover, the concentrations of some substances decreased along the flow
path during bank filtration, suggesting the occurrence of natural
attenuation processes (e.g., adsorption or oxidation-reduction). Finally,
most of the measured substances did not pose a risk to human health since
estimated risk quotients were low.
Oral symptoms of patients tested positive for COVID-19 with mild severity- a cross-sectional study
Authors: Tavakoli Fatemeh , Lavaee Fatemeh , TazarviFardShirazi Maryam , Fattahi Shirin 
Published: October 2022

BACKGROUND: The pandemic of Coronavirus disease (COVID-19) has a major effect on the world. It has several signs and symptoms and the cause of some oral lesions may be related to this virus.OBJECTIVES: The aim of the study is to determine the proportion, and evaluate the different oral symptoms and their time of presentation in patients with mild COVID -19 infectionMATERIALS AND METHODS: The present study included 55 participants (40%) females and (60%) males, with an average age of 38.52 ± 10.46 years. RESULTS: About 80% (43 patients) had oral symptoms such as Xerostomia, Recurrent Herpes simples, aphthous stomatitis, gingival pain, or other symptoms.Conclusion: COVID-19 has been shown to have some effects on the mouth because a large proportion of COVID-19 patients had oral symptoms.CLINICAL SIGNIFICANCE: This research showed a high percentage of COVID-19 patients experienced dry mouth, after that the most likely lesions were Herpes; also, other lesions may occur. In addition, dentists should be conscious of oral manifestation, particularly during the Coronavirus pandemic.
Memahami Pola Pendidikan Islam Masa Rasulullah SAW dan Khulafaur Rosyidin
Authors: Muthoharoh Miftakhul , Lazim Achmad 
Published: October 2022

Pendidikan Islam merupakan hal yang paling utama bagi warga suatu negara, karena maju dan keterbelakangan suatu negara akan ditentukan oleh tinggi dan rendahnya tingkat pendidikan warga negaranya. Salah satu bentuk pendidikan yang mengacu kepada pembangunan tersebut, yaitu pendidikan agama adalah modal dasar yang merupakan tenaga penggerak yang tidak ternilai harganya bagi pengisian aspirasi bangsa, karena dengan terselanggaranya pendidikan agama secara baik akan membawa dampak terhadap pemahaman dan pengalaman ajaran agama.Pendidikan Islam yang bersumber pada Al-Qur’an dan Hadist untuk membentuk manusia yang seutuhnya, yakni manusia yang beriman dan bertaqwa terhadap Allah SWT, dan untuk memelihara nilai-nilai kehidupan sesama manusia agar dapat menjalankan pendidikan dapat menjalankan seluruh kehidupannya, sebagaimana yang telah ditentukan Allah dan Rasulnya demi kebahagiaan hidup di dunia dan akhirat.
Pada masa Nabi, pendidikan Islam berpusat di Madinah, setelah Rasulullah wafat kekuasaan pemerintahan Islam di pegang oleh Khulafaurrasyidin. Wilayah Islam telah meluas diluar jazirah Arab para khalifah ini memusatkan perhatiannya pada pendidikan keagamaan syiar agama dan kokohnya pendidikan.
Tahun-tahun pemerintahan khulafaurrasyidin merupakan perjuangan terus-menerus antara hak yang mereka bawa dan dakwahkan kebatilan yang mereka perangi dan musuhi. Pada zaman khulafaurrasyidin seakan-akan kehidupan Rasulullah SAW itu terulang kembali. Pendidikan Islam masih tetap memantulkan al-Qur’an dan Sunnah di ibu kota khilafah di Makkah, di Madinah dan di berbagai negeri lain yang ditaklukan oleh orang-orang Islam.
Bat algorithm optimisation technique for feature selection on different dimension of datasets
Authors: Almazini Hussein Fouad 
Published: October 2022

The advanced of Information Technology has resulting in the generation of numerous datasets with different dimensions. However, dealing with multi-dimensional datasets which typically contain large number of attributes, p has cause problems to classification process. Classifying different dimensional numerical data is a difficult problem as dealing with various feature spaces, could cause the performance of supervised learning method to suffer from the curse of dimensionality. This condition eventually degrades both classification accuracy and efficiency. In a nutshell, not all attributes in the dataset can be used in the classification process since some features may lead to low performance of classifier. Feature selection (FS) is a good mechanism that minimises the dimensions of high-dimensional datasets and solve classification problems. This paper proposed Bat Algorithm (BA) for FS that were trained using a Support Vector Machine (SVM) classifier. The proposed algorithm was tested on six public datasets with different sizes and compared with other benchmark algorithms, such as Particle Swarm Optimisation (PSO) and Genetic Algorithm (GA). The experimental results indicated that the BA has outperformed the other two algorithms. In addition, the comparison details showed that binary BA is more competitive in terms of accuracy and the number of features when assessed on datasets with different sizes.
The Impact of a Non-Compete Clause on Patient Care and Orthopaedic Surgeons in the State of Louisiana: Afraid of a Little Competition?
Authors: Sherman William F. , Patel Akshar H. , Ross Bailey J. , Lee Olivia C. , Williams Claude S. , Savoie Felix H. 
Published: October 2022

Background Non-compete clauses (NCC) are commonly required for physicians practicing in an employed model. With growing pressures driving surgeons to practice in an employed model instead of physician-led practices, the purpose of this survey was to determine the impact of NCCs on orthopaedic surgeons and their patients in Louisiana. Methods A voluntary, single-mode online survey containing 23 questions was created using the Qualtrics XM Platform (Qualtrics, Provo, UT) and distributed to 259 orthopaedic surgeons who are members of the Louisiana Orthopaedic Association. Survey questions assessed the prevalence and details of existing NCCs and perceptions of their impact on surgeons’ practice, patients, and personal life. Results 117 members responded (response rate: 45.2%), of which 91 (77.8%) finished the survey. Nearly half (44%) of respondents had an expired or active NCC in their contract. Most (84.3%) believed NCCs give employers unfair leverage during contract negotiations. NCCs have deterred or would deter 71.4% of respondents from accepting another job offer. Respondents believed NCCs negatively impact patients, including forcing patients to drive long distances to maintain continuity of care (64.4%) and forcing surgeons to abandon their patients if they seek new employment (76.7%). Many respondents reported NCCs also exert significant detrimental effects on their personal life, including mandatory relocation of their family (67.0%). Nearly all (97.8%) believed such clauses have become unreasonable over the last decade with the rise of large hospital conglomerates. Most surgeons (83.7%) believed that removal of NCCs from all orthopaedic surgeons’ contracts would improve the overall healthcare of orthopaedic patients in Louisiana. Conclusion Perceptions of NCCs were overwhelmingly negative among orthopaedic surgeons in Louisiana. Such clauses give employers an unfair advantage during contract negotiations and exert a significant detrimental impact on surgeons and their patients. While NCCs may be reasonable in the business sector and other professions, it is unclear how such clauses benefit surgeons or improve patient care and may be detrimental to both. Study Design Cross-sectional Survey
Going a Step Further Than Open Access and Open Source: COVE and the Promise of Open Assembly
Authors: Felluga Dino Franco 
Published: October 2022

Abstract
This articles asks if the principles of open source and open access are sufficient to safeguard our intellectual labor and to guard against the predatory logic of a world dominated by capitalist systems of production and dissemination. Both open source and open access face a similar problem, as it happens: neglect and obsolescence, as well as the most pernicious Achilles’ heel of the vast majority of digital humanities initiatives: long-term sustainability. COVE offers an alternative to both long-term sustainability and the collective sharing of content.
O porquê & onde publicar
Authors: Fernandes Valdir 
Published: October 2022

Essa reflexão sobre porquê e onde publicar parte do pressuposto de que a comunicação científica é um elemento essencial do processo de construção dialógica do conhecimento no contexto de cada comunidade. Publicar a qualquer custo desvirtua esse processo, resultando em métricas distorcidas e abrindo caminho para práticas editoriais duvidosas.
"Ela chegou lá!": Percepções da desigualdade social na mídia
Authors: Schnorr Júlia Mello 
Published: October 2022

Este artigo tem como objetivo compreender como os jovens de escola pública percebem a desigualdade social em mídias que noticiam o acesso à educação superior. Foram entrevistados 31 estudantes do 3º ano de uma escola pública de Brasília (Distrito Federal) por meio de um questionário e, posteriormente, realizamos entrevista semiestruturada com seis deles para aprofundamento. Percebe-se que há um alinhamento entre defender o esforço meritocrático e compreender a importância da tecnologia, por si, nos estudos. Quanto mais se prioriza a resposta do esforço individual, mais se acredita que a tecnologia seja protagonista nos estudos, sem grandes problematizações sociais.
Sobre o ensino de língua portuguesa no Brasil no período de 1808 a 1830
Authors: Poll Margarete Von Mühlen , Silva Lullyana Bezerra da , Pereira Alexandre Macedo 
Published: October 2022

Este artigo aborda o tratamento que o Estado brasileiro deu às questões relacionadas à língua portuguesa e ao ensino desta de 1808 a 1830. A pesquisa foi realizada em documentos legislativos oficiais publicados entre os anos de 1808 e 1830, cujo marco histórico compreende a chegada da família real portuguesa à colônia (1808) até o fim do Primeiro Reinado (1830). Como objetivo geral, pretendemos analisar as políticas linguísticas da Coroa portugesa para Brasil. Especificamente, objetivamos apresentar um histórico das ações da Coroa portuguesa para a língua portuguesa no Brasil e, especialmente, para o ensino da língua portuguesa no Brasil nos anos que compreendem esta pesquisa. Metodologicamente, a pesquisa é de cunho bibliográfico e documental, haja vista que ela trabalha com textos teóricos das áreas de História, Educação e Língua Portuguesa e analisa documentos legislativos. Após a leitura e análise dos documentos, percebemos que o ensino de língua portuguesa, no período que compreende esta pesquisa, era destinado a fins eclesiásticos e à formação de trabalhadores que serviriam à Coroa lusitana. Outrossim, constatamos a presença e o prestígio de gramática latina na formação da elite e a criação de inúmeras cadeiras de Primeiras Letras para a educação da juventude da elite.
Аnalysis of designs of strippers
Authors: Ростовцев Р.А. , Черников В.Г. , Соловьев С.В. , Казаков И.Б. 
Published: October 2022

Анализ очесывающих аппаратов льноуборочных машин дает возможность выбрать самый надежный аппарат по чистоте очеса, потере семян, повреждениям стеблей льна и производительности. В настоящее время производятся работы по разработке установки для очеса льна на льнозаводе. Это позволит повысить производительность уборочных работ в 2,5 раза и сократить количество задействованной техники, особенно на обработке вороха и очистке семян льна.
The flax harvesters combers analysis makes it possible to choose the most reliable machine in terms of tow cleanliness, seed loss, damage to flax stalks and productivity. Now the flax tow device, can be used directly on a flax mill, development is ongoing. This will increase the productivity of harvesting by 2.5 times and reduce the involved equipment quantity, especially in the heaps processing and flax seeds cleaning.
Pelatihan Strategi Komunikasi di Masa Pandemi Bagi Pengurus Bank Sampah Hidup Sejahtera untuk Meningkatkan Minat Masyarakat Menabung Sampah di Kelurahan Pagesangan
Authors: Untary Dyah Ayu Tri , Ikhtiara Tarisa , Ningrum Herlina Kusuma 
Published: October 2022

Bank sampah â€œHidup Sejahteraâ€ merupakan bank sampah kelompok atau unit yang bekerjasama dengan Bank Sampah Induk Surabaya. Bank sampah â€œHidup Sejahteraâ€ berdiri dengan tujuan untuk mengajak warga memilah dan menabung sampah khususnya di Desa Pagesangan, Kecamatan Jambangan, Kota Surabaya. Untuk itu pengurus bank sampah â€œHidup Sejahteraâ€ harus mampu menarik minat warga dengan menggunakan strategi tertentu. Tim pengabdi Universitas 17 Agustus 1945 Surabaya menyelenggarakan kegiatan pelatihan bagi pengurus bank sampah tentang strategi komunikasi yang akan diterapkan guna menarik minat warga agar lebih banyak nasabah yang bergabung di bank sampah â€œHidup Sejahteraâ€. Sebelum melakukan pelatihan kepada pengurus bank sampah tim pengabdi melakukan observasi dan wawancara dengan pengurus bank sampah. Hal ini dilakukan untuk menggali data dan hal-hal yang menjadi kendala bagi pengurus Bank Sampah â€œHidup Sejahtera.â€ Setelah melakukan observasi tim pengabdi membuat rancangan dan melakukan pemaparan materi terkait pengertian strategi komunikasi, pentingnya menggunakan strategi komunikasi, model strategi AIDDA, dan pengenalan media sebagai alat sosialisasi. Pelatihan ini diikuti oleh pengurus Bank Sampah â€œHidup Sejahteraâ€ berjumlah 12 orang.