bluuebunny/crossref_metadata_2025 huggingface dataset:
Socioeconomic Inequalities in Utilizing Facility Delivery in Bangladesh: A Decomposition Analysis Using Nationwide 2017- 2018 Demographic and Health Survey Data
Authors: Rahman Md. Ashfikur , Kundu Satyajit , Rashid Harun Or , Shanto Hasibul Hasan , Khan Bayezid
Published: February 2022

Background
In many low- and middle-income countries (LMICs), including Bangladesh, socioeconomic inequality in access to maternity care remains a substantial public health concern. As there is a paucity of research, we sought to determine the factors affecting the facility delivery, quantify wealth-related inequality, and find potential components that explain the inequality.
Methods
The current study made use of the most recent Bangladesh Demographic and Health Survey (BDHS 2017-18) data. We used logistic regression to examine the associated factors of facility delivery. To examine the inequality in-facility delivery, the concentration curves (CC), concentration index (CIX) and decomposition of CIX techniques were used.
Results
Women living in the urban area, age at first birth after (18–24 years ≥ 25 years), being Overweight/Obese, having secondary and higher-level education of the women and their husband, seeking four or more ANC, from more affluent households and women with high enlightenment were significant determinants of facility delivery. The concentration curve was below the line of equality, and the relative concentration index (RCIX) was 0.205 (p < 0.001), indicating that facility delivery was disproportionately more prevalent among women from rich groups. The decomposition analysis reveals that wealth status of women (57.40%), age at first birth (10.24%), husband’s education (8.96%), husband’s occupation (7.35%), education of women (7.13%), women’s enlightenment (6.15%), residence (8.64%) and ANC visit (6.84%) are mainly contributed to the inequality in utilizing facility delivery.
Conclusion
The study demonstrates that there is a certain disparity in the use of facility delivery among women in Bangladesh; hence, immediate action is required to reduce the inequality, with a special emphasis on the contributing factors.
Ethical considerations around volunteer payments in a malaria Human Infection Study in Kenya: An embedded empirical ethics study
Authors: Chi Primus Che , Owino Esther Awuor , Jao Irene , Bejon Philip , Kapulu Melissa , Marsh Vicki , Kamuya Dorcas
Published: February 2022

Human Infection Studies (HIS) have emerged as an important research approach with the potential to fast track the global development of vaccines and treatments for infectious diseases, including in low resource settings. Given the high level of burdens involved in many HIS, particularly prolonged residency and biological sampling requirements, it can be challenging to identify levels of study payments that provide adequate compensation but avoid ‘undue’ levels of inducement to participate. Through this embedded ethics study, involving 97 healthy volunteers and other research stakeholders in a malaria HIS programme in Kenya, and using in-depth interviews, focus group discussions and observations during and after a malaria HIS, we give a grounded account of ethical issues emerging in relation to study payments in this setting. While careful community, national, international scientific and ethics review processes meant that risks of serious harm were highly unlikely, the levels of motivation to join HIS seen could raise concerns about study payments being too high. Particular value was placed on the reliability, rather than level, of study payment in this setting, where subsistence livelihoods are common. Ethical concerns emerged in relation to volunteers’ attempts to conceal symptoms, hoping to prolong residency periods and increase study payments; and volunteers making decisions that compromised important family relationships and personal values. In our analysis, we show that such ethical concerns can be addressed through practical measures, hinged on reducing burdens and strengthening communication, raising important issues for research policy and planning.
Genomic analyses identify key molecules and biological processes in cancer-derived-extracellular vehicles treated muscles
Authors: Zhang Tingting , Wang Jing , Gu Hanming , Zhang Mason
Published: February 2022

Cancer cells can produce extracellular vehicles (EVs) to the tumor microenvironment to further promote cell-cell communication and drive cancer cell proliferation, migration, and invasion. However, the mechanism and signaling of EVs affected tissues such as muscles are still unknown. In this study, our aim is to identify the significant molecules and signaling by analyzing the RNA-seq data. The GSE156909 was created by the Illumina NovaSeq 6000 (Mus musculus). The KEGG and GO analyses indicate that focal adhesion and Salmonella infection are the main signaling pathways in the processes of EVs infected muscles. Moreover, we discovered ten key molecules including FN1, JUN, ACTG1, MAPK3, CCND1, COL1A1, CCNB1, CAV1, MMP2, and TLR4. Thus, this study may further guide the clinical work on the treatment of cancer by targeting EVs and the microenvironment.
Use of Clinical Indicators in Municipal Hospitals in Japan: An Analysis Based on a Nationwide Questionnaire Survey Concerning Medical Information Management
Authors: Moteki Yasutoshi
Published: February 2022

We conducted a mail-in questionnaire survey of public hospitals across Japan to analyze the issues and challenges faced by medical institutions managed by local municipalities, concerning personal data protection. Public hospitals were chosen because they are more likely to have implemented the regional medical care plan. Questionnaires were sent to all municipal hospitals (887 hospitals—with 20 or more beds—that are members of the Japan Municipal Hospital Association). This study summarizes and analyzes the unpublished portion of the 2016 survey conducted by Hashimoto and Moteki (2018). The analysis of the results focuses on the characteristics of the municipal hospitals surveyed by the size of hospitals and the use of clinical indicators. We found differences between large and small/medium hospitals in the use of clinical indicators. Several small and medium-sized hospitals use a common consent form for the use of personal information, whereas larger hospitals use individual consent forms for different departments (26.4%). The most used indicator was the average length of hospitalization and the rate of hospital bed utilization (80.4%). The “clinical path coverage rate” and “number of ambulances received and refusals (rate)” were more than 40%. There is a clear distinction in the clinical indicators that are measured.
Pairwise Q∗O - Compact Spaces in Bitopological Spaces
Authors: Padma P.
Published: February 2022

Murugalingam and Lalitha [18, 19] introduced the concepts of Q∗-closed sets in a topological space. The same concept was extended to bitopological spaces by K. Kannan and K. Chandrasekhara Rao [16]. In this paper we introduced a new type of compact spaces called pairwise Q∗O - compact spaces and study its properties .
Education could be a protective factor against gastro-oesophageal reflux disease: a Mendelian randomization study
Authors: Chen Gui , Xie Junyang , Liang Tianhao , Liao Wenjing , Song Lijuan , Zhang Xiaowen
Published: February 2022

Background
Patient education has been shown to be beneficial for a variety of diseases. Similarly, observational studies have shown that education contributes to the prevention and treatment of gastroesophageal reflux disease (GORD). However, this relationship is not supported by strong evidence.
Methods
We used publicly available genetic summary data from two large consortia, the Psychiatric Genomics Consortium, with data from 1,271 single-nucleotide polymorphisms (SNPs) closely associated with educational attainment (EA), and the UK Biobank, including 41 024 patients with GORD and 410 073 control cases. For Mendelian randomization (MR) analysis, we used the inverse-variance weighted method, weighted median method, MR-Egger regression, MR pleiotropy residual sum, and outlier test to retrieve summary data. Analyses were performed using the ‘Two Sample MR’ package in R.
Results
Our results showed that the potential causal relationship between education and lower risk of GORD was statistically significant (OR 0.979, 95% CI 0.975–0.984, P = 0.002). Similar results were obtained using the methods of weighted median and weighted mode. The sensitivity analysis is consistent with the causal explanation. Longer education tended to be associated with lower body mass index, lower risk of hypertension, lower risk of type 2 diabetes, less cigarettes per day and more alcoholic intake per week.
Conclusions
Our analysis shows that education may have a negative causal effect on GORD, which can be a protective factor for the prevention of GORD.
Clinicopathological characteristics of pancreatic acinar cell metaplasia associated with Helicobacter pylori infection
Authors: Fuchino Takafumi , Wada Yasuhiro , Kodama Masaaki , Mukaisho Ken-ichi , Mizukami Kazuhiro , Okimoto Tadayoshi , Kushima Ryoji , Murakami Kazunari
Published: February 2022

Background:Pancreatic acinar cell metaplasia (PACM) has been rarely reported in the gastric mucosa. In the present study, we aimed to elucidate the clinical and pathological characteristics of PACM associated with Helicobacter pylori (H. pylori).Method6655 patients who underwent two- or five-point gastric biopsy according to the updated Sydney system (USS) by upper gastrointestinal endoscopy were enrolled. The patients were categorized into current H. pylori infection (CHI), post-H. pylori eradication (PHE), and non-H. pylori infection (NHI) groups according to the H. pylori infection status, and the frequency and location of PACM were compared. Additionally, a case-control study was performed to compare the USS scores between patients with CHI and PACM and those with CHI but not PACM. ResultThe frequencies of PACM were 0.49% (10/2039), 0.75% (25/3332), and 0% (0/559) in the CHI, PHE, and NHI groups, respectively. PACM was found in the greater curvature of the antrum in 33 of the 35 patients with PACM. Among the patients with CHI, the inflammation scores in the greater curvature of the antrum and the greater curvature of the corpus were lower in patients with PACM than in those without PACM. ConclusionAlthough rarely reported in the gastric mucosa, PACM was closely related to H. pylori infection, especially in the antrum, and was associated with relatively mild inflammation.
Multi-stage metasomatic Zr mineralization in the world-class Baerzhe rare earth element Nb-Zr-Be deposit, China
Authors: Wu Mingqian , Samson Iain M. , Qiu Kunfeng , Zhang Dehui
Published: February 2022

Magmatic and metasomatic zircon occurs in many alkaline igneous rocks and both are potential economic reservoirs of Zr, and in some places, rare-earth elements. The Baerzhe deposit in China is an example of a system where both types of zircon occur. Previous studies recognized deuteric and variably altered magmatic zircon in a transsolvus miaskitic granite, as well as four types of metasomatic zircon in a transsolvus agpaitic granite. In this study, the relationships among, and origins of, zircon and how these relate to models for rare-metal mineralization are assessed. In situ backscattered electron (BSE) and cathodoluminescence (CL) imaging, Raman spectroscopy (including mapping), and chemistry of zircon from the agpaitic granite were conducted, combined with evaluation of published data on zircon from Baerzhe. Their textural, spectroscopic, and chemical characteristics suggest that the four types of metasomatic zircon in the agpaitic granite were not subjected to metamictization or intense alteration, with trace-element accommodation largely following a xenotime substitution mechanism. The most abundant type of metasomatic zircon in the agpaitic granite occurs in zircon-quartz pseudomorphs and exhibits comparable CL, Raman spectral, and chemical features to rare zircon that has partially replaced elpidite. This confirms that the pseudomorphs formed by complete replacement of elpidite. The pseudomorph zircon occurs in association with snowball quartz that contains inclusions of zircon, aegirine, and albite, and with secondary quartz containing aegirine. This is consistent with their coeval formation during Na metasomatism. The restriction of Na metasomatism to the agpaitic granite indicates that this event and the associated zircon formation resulted from early autometasomatism of the agpaitic phase. REE- and Be-rich zircon that replaced magmatic amphibole crystallized as a result of reaction with a REE- and Be-rich fluid that most likely was responsible for the later REE-Nb-Be mineralization that affected both the miaskitic and agpaitic granites. The miaskitic granite contains deuteric and altered magmatic zircon with different chemical characteristics to the four types of metasomatic zircon in the agpaitic granite. This suggests that secondary Zr mineralization in the miaskitic granite formed from different fluids to those that metasomatized the agpaitic granite and may also have resulted from autometasomatism. This study reveals a complex picture for the formation of zircon at Baerzhe, the character of which can vary significantly, both temporally and spatially. Such variable chemistry of the various types of zircon resulted not only from their different origins (magmatic vs. metasomatic), but also from localized water-rock interaction that involved multiple stages of fluids. Zircon in both the miaskitic and agpaitic phases was mainly the product of autometasomatism that was constrained to their parental granites.
Algebraic Bethe Ansatz for spinor R-matrices
Authors: Regelskis Vidas
Published: February 2022

We present a supermatrix realisation of
qq-deformed
spinor-spinor and spinor-vector RR-matrices.
These RR-matrices
are then used to construct transfer matrices for
U_{q^2}(\mathfrak{so}_{2n+1})Uq2(𝔰𝔬2n+1)-
and U_{q}(\mathfrak{so}_{2n+2})Uq(𝔰𝔬2n+2)-symmetric
closed spin chains. Their eigenvectors and eigenvalues are computed.
STUDY OF THE RESISTANCE TO RUPTUREAND DEFORMATION OF A BENT BEAM MADE OF OIL PALM KERNEL SHELL (OPKS) CONCRETE REINFORCED WITH BORASSUS AETHIOPUM MART (RONIER)
Authors:   LaboratoiredEnergetique Et De MecaniqueAppliquee (LEMA) - EPAC - Benin., C. S. Gahou Sylvestre ,   Laboratoire De Mecanique Et Structures (LAMS) - ESGC VERECHAGUINE A.K. - Benin., F. Godonou Gildas ,   LaboratoiredEnergetique Et De MecaniqueAppliquee (LEMA) - EPAC - Benin., C. Houehanou Ernesto ,   Universite Nationale Des Sciences, Technologies, Ingenierie Et Mathematiques (UNSTIM) - Benin., Gibigaye Mohamed ,   LaboratoiredEnergetique Et De MecaniqueAppliquee (LEMA) - EPAC - Benin., L. Gbaguidi Aisse Gerard ,   LaboratoiredEnergetique Et De MecaniqueAppliquee (LEMA) - EPAC - Benin.,   Laboratoire De Mecanique Et Structures (LAMS) - ESGC VERECHAGUINE A.K. - Benin.
Published: February 2022

The present study is related to the simple bending performance of a structural element made of Oil Palm Kernel Shell Concrete (OPKSC) reinforced with Borassus Aethiopum Mart (ronier). An experimental program with the use of three (03) distinct approaches of formulation was developed. These are respectively the formulation approaches proposed by Gibigaye et al (Gibigaye et al., 2017) and Yasmine et al (Traore et al., 2015) for OPKSC and the one proposed by DreuxGorisse for conventional aggregate concretes that served as control concrete. Reinforced roast concrete beams of size 150 mm Ã— 150 mm Ã— 910 mm were developed in accordance with NF EN 12390-1 and subjected to four (04) point bending until failure. It was observed an improvement of the bending strength of the OPKSC compared to the conventional aggregate concrete with a rate ranging from 3 to 80% depending on the type of formulation used. Similarly, the use of plasticizers improves the bending strength of OPKSC by more than 75%. Moreover, we notice the appearance of the first cracks as soon as the applied load reaches 60% of the breaking strength in bending which emphasizes the ductile behavior of OPKSC reinforced with roast. The OPKSC reinforced with ronier is a material suitable for use in the bent elements of the structure of lightly loaded buildings.
ANALYSE AND CLASSIFY VARIOUS BREAST LESIONS ON FNAC WITH SPECIAL REFERENCE TO IAC STANDARDISED REPORTING SYSTEM: A RETROSPECTIVE ANALYSIS OF 300 CASES
Authors:   Associate Professor, Department of Pathology, GSVM Medical College, Kanpur., Purwar Neetu , Dwivedi Sobha ,   Assistant professor, Department of Pathology, GSVM Medical College, Kanpur., Omhare Anita ,   Associate Professor, Department of Pathology, Government Medical College, Kannauj., Gupta Swapnil ,   Assistant professor, Department of Pathology, GSVM Medical College, Kanpur., Prakash Shivhare Dev ,   Assistant Professor, Department of Skin and VD, GSVM Medical College, Kanpur., Kala Chayanika ,   Assistant professor, Department of Pathology, GSVM Medical College, Kanpur., Lata Verma Suman ,   Professor, Department of Pathology, GSVM Medical College, Kanpur.
Published: February 2022

Introduction: Breast lumps are the common manifestations in clinical practice. For uniform reporting, better diagnostic clarity and uniform patient management International Academy of Cytology (IAC) has classified reporting of breast Fine needle aspiration cytology (FNAC) into 5 tier yokohama reporting system (C1 to C5). Material and Methods: Present study is a retrospective study done in Department of Pathology, GSVM medical college, Kanpur over a period of 12 month (December 2020 to November 2021). Total 300 cases of FNAC breast smears were reviewed and classified according to IAC reporting system (C1 to C5). Results: In our study we had total 300 cases in 12 month period with female patients (285) out numbered male patients (15). On age wise distribution we get maximum no of cases in 2nd and 3rd decade. On categorization of breast lesions according to IAC Yokohama reporting system out of total 300 cases we get C1 lesions in 09(3.0%)cases , C2 lesions in 184(61.3%) cases, C3 lesions in 26(8.6%) cases, C4 lesions in 11(3.6%) cases and C5 lesions in 70(23.3%) cases. Conclusion: Use of FNAC method for evaluation of breast lump for preoperative management is quick, simple and cost effective, with IAC reporting system we can uniformily classify breast FNA cytology for better patient management and better guidance to clinician.
DELAYED REPLANTATION OF AVULSED TOOTH- A CASE REPORT
Authors: Yawalikar Desai Priya , Patel Surbhi
Published: February 2022

Aim- Background-Trauma to the oral region occurs frequently and comprise 5% of all injuries. Among all facial injuries, dental injuries are the most common of which avulsions occur in 1â€“16% of cases. Avulsion is defined as total displacement of the tooth out of its socket. An avulsed tooth can usually be retained by replantation; however, the prognosis depends on the extraoralduration, the condition of the avulsed tooth, patientâ€™s age and root development. In many cases, a replanted tooth survives only a matter of years, during this period it serves as a natural space maintainer whilst growth occurs, and also enables alveolar height to be preserved. Case Description- This case report describes delayed replantation of an avulsed maxillary central incisor in an eleven year old child after trauma.
THE ROLE OF VITAMIN D IN PRE ECLAMPSIA AND ASSOCIATION OF ITS DEFICIENCY WITH SEVERITY OF PRE ECLAMPSIA
Authors: Singh Tarini , a Anuradha , Thakyal Abhilasha , Rana Parikh
Published: February 2022

Aim: To assess the association of vitamin D status in preeclamptic and normal healthy pregnant women. Materials and Methods: Prospective case control study included 50 women with preeclampsia and 50 normotensive pregnant women. Serum vitamin D estimation was done. Correlation between vitamin D deficiency and preeclampsia was analysed statistically. Results: Prevalence of vitamin D deficiency was comparable in both groups. Mean vitamin D level (19.7ÃƒÂ‚Ã‚Â±2.79 ng/ml) was statistically low in preeclampsia group while in that of control was 24.3ÃƒÂ‚Ã‚Â±1.89 ng/ml. Severity of vitamin D deficiency correlated with the severity of preeclampsia. Age, parity and BMI were similar in both the groups. No statistically significant difference seen regarding mode of delivery in both the groups. Conclusion: Vitamin D deficiency is significantly associated with preeclampsia. Further studies are needed to document the role of vitamin D supplementation in prevention of preeclampsia.
MUCORMYCOSIS IN COVID 19- 2ND WAVE : CLINICAL PROFILE IN CENTRAL INDIA
Authors:   Associate Professor Department of ENT GMC, Nagpur., Patel Seema , Bokare B.D ,   Associate Professor Department of ENT GMC, Nagpur., Keche A. ,   Assistant Professor Department of ENT GMC, Nagpur., Birhade D. ,   Junior Resident Department of Ent GMC, Nagpur., Kuthe A. ,   Junior Resident Department of Ent GMC, Nagpur., Darokar R. ,   Junior Resident Department of Ent GMC, Nagpur.
Published: February 2022

A sudden surge of Rhino-Orbito-Cerebral Mucormycosis (ROCM) was observed following second wave of Covid-19 in India. Diabetes mellites (DM) , steroids, hypoxia, hyperglycemia ,metabolic acidosis or Diabetic ketoacidosis, high serum iron levels, zinc supplementation, immunosuppression along with other risk factors have been found to facilitate fungal germination. Patients diagnosed with ROCM, a total of 273, were included in the study. Detailed history was noted and assessment was done. Male:Female ratio was 2.59:1. Most common presenting age group was 31 to 50 yrs (51.65%). The commonest presenting symptom was nasal obstruction (58.97%) followed by ipsilateral facial swelling (53.11%). Palatal ulceration, blood stained nasal discharge ,orbital swelling, diminution or loss of vision, headache, loosening of teeth were among other presentations. Common associated comorbidity was diabetes(84.61%), hypertension (HTN) , anemia, immunocompromised state etc. History of associated past covid infection was seen in 75.52% while 18.68% had coexisting mucor with covid. History of steroid use was in 86.81%, O2 administration by mask in 64.10%, ventilatory support in 5.12 % and tablet zinc intake in 86.45%. Covid-19 along with DM, HTN, anemia, steroid therapy and oxygen therapy are the risk factors for ROCM. Thus regular blood sugar monitoring , judicious use of corticosteroids, maintaining hygiene of mask and circuit during oxygen therapy is recommended while treating covid.
COMPARISON BETWEEN TWO SUPRA GLOTTI CAIR WAY DEVICE SI-GEL AND LMA-SUPREME IN SHORT LAPROSCOPIC SURGERIES UNDER GENERAL ANAESTHESIA
Authors:   Professor & HOD Dept.of Anaesthesia, SKNMCGH, Pune., a Shalinisardesai , b Gauravbaviskar ,   Junior Resident, Dept of Anaesthesia, SKNMCGH, Pune.
Published: February 2022

Aims And Objectives: In short laproscopic surgeries , 2nd generation supraglottic airway devices are recommended as good and safe alternative to intubation .We compared I gel and LMA supreme in short laproscopic surgeries under general anaesthesia with respect to ease and time for insertion ,the number of attempts, seal pressure under general anaesthesia Secondary- To compare hemodynamic changes and post of complications like sore throat ,blood staining of device ,bronchospasm , laryngospasm . Materials And Method Study Design: Randomized , prospective, single blind, comparative interventional study METHODS- Eighty patients between 18-60 years of age of either sex, BMI < 30, ASA- I and ASA- II undergoing short laproscopic surgeries of less than one hour duration under general anaesthesia were included in this study after approval of institutional ethical committee. They were randomly allocated to I gel [ n=30] and supreme [n= 30] group .They were compared with respect to primary and secondary objectives ANALYSIS PLAN- Collected data were analysed using statistical package IBM SPSS version 16. Result: Both groups were comparable with respect to demographic data , number of attempts, incidence of complications and hemodynamic response. Insertion of LMA supreme was significantly easy than I gel[ p =0.038] Conclusion: LMA-Supreme is safe and effective device which is easier to insert than I-GEL and causes less airway trauma.
COLOBOMA OF IRIS AND CHOROID: A CASE REPORT
Authors:   Ophthalmology Department A, Ibn Sina University Hospital (Hopital Des Specialites), Mohammed V University, Rabat, Morocco., Amine Ennejjar , Moutamani Salma ,   Ophthalmology Department A, Ibn Sina University Hospital (Hopital Des Specialites), Mohammed V University, Rabat, Morocco., Boutaj Taha ,   Ophthalmology Department A, Ibn Sina University Hospital (Hopital Des Specialites), Mohammed V University, Rabat, Morocco., Amazouzi Abdellah ,   Ophthalmology Department A, Ibn Sina University Hospital (Hopital Des Specialites), Mohammed V University, Rabat, Morocco., Cherkaoui Ouafa ,   Ophthalmology Department A, Ibn Sina University Hospital (Hopital Des Specialites), Mohammed V University, Rabat, Morocco.
Published: February 2022

Ocular coloboma is a rare malformation which occurs as an isolated defect in healthy individuals or be part of a complex malformation syndrome of known or unknown etiology. Patients with coloboma of iris and choroid complicated with cataract should have a cataract surgery to improve their BCVA, if there is no retinal detachment.We report the case of a coloboma of iris and choroid in the right eye of a male following a consultation.The patient had a inferonasal coloboma of iris, which resulted in the pear-shaped pupil in the left eye, and opaqueness of lens, may result in the lower visual acuity. Fundus examination revealed a large inferior choroidal coloboma under the optic disc in the left eye, which was about seven-disc areas.
Environmental behavior practice in government agencies: Evidence from Kingdom of Saudi Arabia
Authors: Taher Alhajj Abdulmalek
Published: February 2022

Environmental behavior (EB) is a kind of organizational behavior that seeks to protect the natural environment and conserve resources, such as saving energy, recycling wastes, duplex printing, reducing water use, non-smoking in the workplace, and designing environmentally friendly products. This study aims to identify the degree of environmental behavior practice and examine its constraints in Saudi government agencies. This study is based on a single design of cross-sectional research. 436 responses were collected from employees of government agencies in Saudi Arabia. The study results indicated that the EB practice is generally high in government agencies.Furthermore, the results revealed that female employees in government agencies have no statistical difference from male employees. In other words, the EB practice of men and women in government agencies is equal. The study also found a significant difference between married, unmarried, and divorced groups. Divorced employees report a higher level of EB than other employee groups. However, the study indicated a significant difference between the high school, graduate, and postgraduate groups. In other words, employees with high school education have a higher level of EB. Receiving and not receiving leadership support have a significant difference, whereas employees who received environmental training reported higher levels of EB than others. The outcomes also indicated a difference between the group of employees who have religious values. The outcomes of this study may be of benefit to researchers, regulators, policymakers, managers, and governors.
AcknowledgmentThe author thanks the Deanship of Scientific Research at King Saud University for supporting this study.
AUTOIMAGEM GENITAL, FUNÇÃO SEXUAL E DESCONFORTO NO ASSOALHO PÉLVICO EM MULHERES JOVENS UNIVERSITÁRIAS
Authors: Braz Melissa Medeiros , Rister Emiláini Sacerdote
Published: February 2022

Introdução: Mulheres com autoimagem genital negativa podem apresentar disfunções sexuais (DS). Ainda, as DS podem estar relacionadas a desconfortos no assoalho pélvico. Objetivo: Investigar a relação entre autoimagem genital, função sexual e desconforto no assoalho pélvico em mulheres jovens universitárias. Métodos: Estudo observacional e transversal com 102 acadêmicas de graduação e pós-graduação entre 18 a 29 anos, sexualmente ativas. Foram aplicadas uma ficha de identificação, os questionários Female Sexual Function Index (FSFI), Pelvic Floor Distress Inventory (PFDI-SF-20) e Female Genital Self-Image Scale (FGSIS). Resultados: O escore total do FGSIS indicou autoimagem genital positiva, FSFI boa função sexual e o PFDI-20 desconforto no assoalho pélvico baixo. Observou-se relação positiva entre autoimagem genital e função sexual e relação inversa com o desconforto no assoalho pélvico. Conclusão: As mulheres apresentaram autoimagem genital positiva, boa função sexual e baixo desconforto no assoalho pélvico, e as variáveis se relacionavam entre si.
CORRELAÇÃO ENTRE EQUILÍBRIO POSTURAL E FORÇA DE PREENSÃO MANUAL EM IDOSAS APÓS PILATES NA ÁGUA
Authors: Iop Tavares Deise , Bordin Viera Schlemmer Gessica , Daros dos Santos Tamires , Dos Santos Machado Aline , Barbosa da Silva Janine , Medeiros Braz Melissa , Pinheiro Vendrusculo Alecsandra
Published: February 2022

Este estudo tem como objetivo investigar se há associação entre a imagem corporal, autoestima, percepção acerca do envelhecimento, equilíbrio postural e força de preensão palmar em idosas após a prática de Pilates na Água. Estudo descritivo, quasi-experimental, com amostra composta por idosas sedentárias com cognitivo preservado e independentes funcionais. Utilizou-se os instrumentos Body Appreciation Scale (BAS), Escala de Autoestima de Rosenberg, Aging Perceptions Questionnaire (APQ), TUG (Timed up and go) e o dinamômetro manual. O protocolo de PA foi dividido em aquecimento, fortalecimento em geral e alongamentos. A análise estatística se deu pelo coeficiente de correlação de Pearson e teste de correlação de Spearman e a intensidade foi classificada pelo critério de Malina. Participaram deste estudo 33 idosas (71,5±5,48 anos), com sobrepeso (27,02±4,42) e boa imagem corporal, autoestima e percepção sobre o envelhecimento. Ainda, apresentaram baixo risco de quedas e baixa força de preensão palmar. As idosas apresentaram, após o protocolo de exercícios de Pilates na Água, associação moderada entre imagem corporal e percepção sobre o envelhecimento no que diz respeito às crenças positivas sobre como lidar com o envelhecimento. Ainda, observou-se uma associação alta entre o equilíbrio postural e a força de preensão manual. Conclui-se que esses dados são importantes pois se deve direcionar meios para proporcionar um envelhecimento saudável e qualidade de vida as idosas.
ASSOCIAÇÃO ENTRE ADESÃO À MEDICAÇÃO PARA O HIV E ASPECTOS SOCIODEMOGRÁFICOS, ECONÔMICOS, COMPORTAMENTAIS E CLÍNICOS
Authors: Zuge Samuel Spiegelberg , Brum Crhis Netto de , Valente João Vitor , Covalski Danieli , Graczyk Daniela , Rossoni Carina
Published: February 2022

Objetiva-se analisar os aspectos sociodemográficos, econômicos, comportamentais e clínicos e a associação entre a adesão à terapia antirretroviral para o HIV. Trata-se de um estudo transversal, das quais participaram 114 pessoas em terapia antirretroviral para o HIV. Para a coleta de dados utilizou-se um instrumento contendo aspectos sociodemográficos, econômicos, comportamentais e clínicos e o Cuestionário para la Evaluación de la Adhesión al Tratamiento Antiretroviral. Realizou-se análises bivariadas e de regressão de Poisson. Foi possível identificar melhor probabilidade de apresentar adesão em pessoas com idade superior a 40 anos, que estão de um a três anos em tratamento, que manifestaram facilidade em realizar o acompanhamento no serviço de saúde, que já apresentaram alguma doença oportunista e as pessoas que não apresentavam alguma condição psiquiátrica. Conclui-se a idade, o tempo de tratamento, o acompanhamento no serviço de saúde, apresentar alguma doença oportunista e não ter nenhuma condição psiquiátrica estão associados significativamente com a adesão à terapia antirretroviral.
EFEITOS DO EXERCÍCIO FÍSICO NA QUALIDADE DE VIDA E APTIDÃO FÍSICA DE PACIENTES EM HEMODIÁLISE
Authors: Rodrigues Bruna da Silva , Kupske Juliedy Waldow , Rasia Renan Felipe , Dutra Thais Severo , Krug Moane Marchesan , Moreira Paulo Ricardo , Keller Kalina Durigon , Krug Rodrigo de Rosso
Published: February 2022

O objetivo do estudo foi analisar os efeitos do exercício físico sobre a aptidão física e a qualidade de vida de pacientes com insuficiência renal crônica em hemodiálise. Trata-se de um estudo de intervenção, com uma amostra de 13 pacientes em hemodiálise. O programa foi aplicado em 2019/2 (agosto a dezembro) e ocorria durante as primeiras duas horas da sessão de hemodiálise (intradialítico), três vezes por semana com duração de 20/70 minutos. O mesmo consistia em alongamento ativo, aquecimento, treinamento em cicloergômetro, treinamento contra resistência e alongamento. A aptidão física foi avaliada por meio do teste de seis minutos de caminhada; do teste de sentar e levantar; do teste de flexibilidade, do teste de flexão de cotovelo e da dinamometria. Para avaliar a qualidade de vida foi utilizado o Questionário de Estado de Saúde SF36-V2. Os participantes do programa de exercícios físicos apresentaram melhora em todas as valências físicas avaliadas, ocorrendo de maneira significativa na resistência de membros superiores (pré-teste = 17,85±4,54; pós-teste = 20,69±7,62; p = 0,034) e na força de preensão manual (pré-teste = 28,15±9,39; pós-teste = 28,62±12,61; p = 0,048), assim como uma melhora significativa na qualidade de vida nos domínio dor (pré-teste = 73,15±26,92; pós-teste = 91,46±18,78; p = 0,016), vitalidade (pré-teste = 78,00±15,48; pós-teste = 90,08±9,03; p = 0,010) e aspectos sociais (pré-teste = 71,31±28,63; pós-teste = 85,92±22,42; p = 0,050). Concluímos que o programa de exercício resistido traz diversos benefícios para pacientes em Hemodiálise.
DEPRESSÃO E ANSIEDADE DE PESSOAS VIVENDO COM HIV/AIDS
Authors: Silva Ingrid Bergmam do Nascimento , Azevedo Minhaqui Ferreira Milenna , Patrício Anna Cláudia Freire de Araújo , Rodrigues Brenda Feitosa Lopes , Brasil Maria Hellena Ferreira , Nascimento João Agnaldo , Da Silva Richardson Augusto Rosendo
Published: February 2022

Objetivo: Analisar a presença de depressão e ansiedade de pessoas vivendo com HIV/AIDS, bem como a influencia da depressão sobre ansiedade. Método: Estudo transversal, quantitativo, realizado entre janeiro e julho do ano 2019. Participaram 100 pessoas vivendo com HIV que recebiam assistência ambulatorial em Hospital para Doenças Infecto Contagiosas, Nordeste, Brasil. Utilizaram-se questionário sociodemográfico, Escala de Depressão de Hamilton e Escala de Ansiedade de Beck. Houve análise estatística descritiva e inferencial com testes de Kruskl Wallis e teste t, considerando significativo quando p≤0,05. Resultados: Identificou-se que 64% eram homens, 70% heterossexual, 50% possuíam entre 20 e 30 anos e 90% contraíram HIV por contato sexual, 42% apresentaram depressão e 52% ansiedade mínima. Evidenciou-se influência da depressão sobre ansiedade (p=0,041), bem como associação entre os escores de depressão e ansiedade (p=0,001). Conclusão: Comprovou-se a hipótese que a depressão influencia a ansiedade de pessoas com HIV.
DIALEKTIKA RADIKALISME DAN ANTI RADIKALISME DI PESANTREN
Authors: Kusmanto Thohir Yuli , Fauzi Moh. , Jamil M. Mukhsin
Published: February 2022

Any effort opoosing toward any form of radicalism is a part of the reactions to anti-radicalism. The spirit of anti-radicalism emerged as part of the people's resistance. Radicalism and anti-radicalism was dialectically interrelated. Although both are paradoxical, but always be united. Dialectic of radicalism and anti-radicalism interesting is once it was observed in boarding school life. The phenomena of Islamic radicalism is often associated with Islamic boarding schools in Indonesia. Some communities understood that the growing radicalism came from Islamic boarding schools. This view was based on the the many actors of violent Islamic radicalism were the alumni of boarding school. The reality may be true in certain cases, but they may not be generalized. This study explored the data on the perspective of Islamic boarding schools on the discourse and praxis of radicalism and anti radicalism and resistance patterns. The research results showed that the community of Islamic boarding schools rejected, oppossed and actively built the spirit of anti radicalism that was implemented in several patterns. The findings of these research was a synthesis of the thesis which had become the public discourse about radicalism and Islamic boarding school.***Upaya menentang segala bentuk radikalisme merupakan bagian dari reaksi anti radikalisme. Semangat anti radikalisme muncul sebagai bagian dari resistensi masyarakat. Radikalisme dan anti radikalisme saling berkaitan secara dialektis. Meski­pun keduanya merupakan sesuatu yang paradoks, namun selalu menyatu. Dialektika radikalisme dan anti radikalisme menarik ketika dilihat dalam kehidupan pesantren. Fenomena radikalisme Islam seringkali dihubungkan dengan masya­ra­kat pesantren di Indonesia. Beberapa kelompok masyarakat memahami radikal­isme tumbuh dari pesantren. Pandangan tersebut didasari oleh banyaknya pelaku radikalisme Islam dalam bentuk kekerasan alumni pesantren. Realitas tersebut bisa jadi benar dalam kasus tertentu, tetapi tidak bisa digeneralisasi. Penelitian ini ber­upaya menggali data pandangan pesantren tentang wacana dan praksis radikalisme dan anti radikalisme serta pola resistensinya. Hasil penelitian menunjukkan bahwa masyarakat pesantren menolak, menentang dan aktif membangun spirit anti radikalisme yang diwujud­kan dalam beberapa pola. Temuan penelitian tersebut merupakan sintesis dari tesis yang selama ini menjadi wacana masyarakat tentang radikalisme dan pesantren.
Avoidance of operational sampling errors in drinking water analysis
Authors: Fernandes Ana , Figueiredo Margarida , Ribeiro Jorge , Neves José , Vicente Henrique
Published: February 2022

The internal audits carried out in the first half of 2019 in water laboratories as part of quality accreditation in accordance with ISO/IEC 17025:2017 showed a high frequency of adverse events in connection with sampling. These faults can be a consequence of a wide range of causes, and in some cases, the information about them can be insufficient or unclear. Considering that sampling has a major influence on the quality of the analytical results provided by water laboratories, this work presents a system for reporting and learning adverse events. Its aim is to record nonconformities, errors, and adverse events, making possible automatic data analysis aiming to ensure continuous improvement in operational sampling. The system is based on the Eindhoven Classification Model and enables automatic data analysis and reporting to identify the main causes of failure. Logic programming is used to represent knowledge and support the reasoning mechanisms to model the universe of discourse in scenarios of incomplete, contradicting, or even unknown information. In addition to suggesting solutions to the problem, the system provides formal evidence of the solutions presented, which will help to continuously improve drinking water quality and promote public health.
Wavelet-based predictor screening for statistical downscaling of precipitation and temperature using the artificial neural network method
Authors: Hosseini Baghanam Aida , Norouzi Ehsan , Nourani Vahid
Published: February 2022

One of the challenging issues in statistical downscaling of climate models is to select dominant large-scale climate variables (predictors). Correlation-based methods have been revealed to be efficacious to select the predictors; however, traditional correlation analysis has shown limited ability due to the nonstationary and nonlinear nature of climatic time series. Hence, in this study, Wavelet Coherence Transform (WTC) was employed to assess the high common powers and the multi-scale correlation between two time series (i.e., predictand and predictor) as a function of time and frequency. To this end, a coefficient correlation (CC) and a wavelet-based method were used for predictor screening and the results were compared in statistical downscaling. To apply the wavelet-based method, Continuous Wavelet Transform (CWT) was utilized to identify the potent periodicity in the time series of predictands. WTC was applied to determine the coherence between predictors and predictands in the potent periodicities, and Scale Average (SA) wavelet coherency was applied to rank them. In order to implement statistical downscaling, the ANN model was developed. In this study, three climate models including BNU-ESM Can-ESM5, and INM-CM5 have been used. The projection of the future climate based on the ANN downscaling revealed that precipitation will undergo a 7.1–28.92% downward trend, while the temperature will experience a 2.25–4.21 °C increase.
Różne aspekty wypalenia zawodowego wśród personelu medycznego ze szczególnym uwzględnieniem grupy zawodowej pielęgniarek w domach pomocy społecznej
Authors: Komorowska Agnieszka
Published: February 2022

Wstęp. Domy opieki społecznej są instytucjami, do których kierowane są osoby wymagające całodobowej opieki z powodu niepełnosprawności, choroby czy wieku. Pracownicy domów pomocy społecznej obarczeni są dużą ilością pracy. Zaangażowanie emocjonalne w sprawy pensjonariuszy z równoczesnym brakiem dystansu wobec problemów innych ludzi niesie ze sobą ryzyko obarczenia psychicznego, co może skutkować pojawieniem się syndromu wypalenia zawodowego.
Cel. Celem badania było ukazanie różnych aspektów wypalenia zawodowego personelu medycznego w domach pomocy społecznej ze szczególnym uwzględnieniem grupy zawodowej pielęgniarek.
Materiał i metody. W badaniach zastosowano wykorzystanie metody sondażu diagnostycznego oraz metody szacowania; techniki badawcze: ankietowanie oraz technikę skali szacunkowej oraz kwestionariusze PSS-10 i DS-14. Badanie zostało zatwierdzone przez Komisję Bioetyczną przy Uniwersytecie Mikołaja Kopernika w Toruniu, Collegium Medicum w Bydgoszczy (nr KB 434/2017).
Wyniki. Badania wykazały istotną statystycznie zależność pomiędzy natężeniem stresu, a grupami wykonywanego zawodu w domach pomocy społecznej. Najwyższe natężenie stresu odnotowano w grupie zawodowej opiekunów medycznych, pielęgniarek oraz rehabilitantów.
Wnioski. Pielęgniarki oraz opiekunowie medyczni są grupami zawodowymi najbardziej narażonymi na wystąpienie syndromu wypalenia zawodowego na tle pozostałych pracowników domów pomocy społecznej. Istotna jest świadomość istnienia zagrożenia i zdecydowana postawa przeciwdziałania zjawisku wyczerpania emocjonalnego.
Popularność w grupie rówieśniczej osób z zaburzeniami masy ciała
Authors: Chmielewska Daria
Published: February 2022

Wstęp. Najczęstszymi zaburzeniami jakie występują u dzieci w wieku szkolnym są zaburzenia masy ciała. Zalicza się do nich nadwagę, otyłość, a także niedobór masy ciała. Oprócz powikłań somatycznych zaburzeń masy ciała dochodzi także do powikłań na tle psychicznym prowadząc do anoreksji, bulimii czy depresji. Głównym czynnikiem jest nietolerancja i odrzucenie przez grupę rówieśniczą, które negatywnie wpływa na rozwój i funkcjonowanie dzieci i młodzieży.

Cel. Celem pracy była ocena akceptacji osób z zaburzeniami masy ciała w grupie dzieci w wieku szkolnym.

Materiał i metody. Badania zostały przeprowadzone w grupie 100 dzieci w Szkole podstawowej. Udział w badaniach był dobrowolny i odbył się za zgodą rodziców dzieci. Badania polegały na wypełnieniu anonimowej ankiety zawierającej metryczkę i 16 pytań. Zaburzenia masy ciała zostały wyłaniane na podstawie wskaźnika BMI i wskaźnika Cole’a, a wszystkie dane zebrane były w arkuszu własnego autorstwa. W momencie przeprowadzenia badań respondenci biorący udział byli uczniami klas V-VII w przedziale wiekowym 11-14 lat. Dziewczęta stanowiły 51% badanej populacji, natomiast chłopcy pozostałe 49%.

Wyniki. Według wskaźnika Cole’a zaburzenia masy ciała występowały u 62% badanej populacji. Około 30% respondentów prawidłowo określiło swoją masę ciała, a 36% zauważyło problemy z zaburzeniami masy ciała u swoich rówieśników. Ponad 70% dzieci z zaburzeniami masy ciała przyznało, że doznało braku akceptacji z powodu swojej masy ciała. Prawie 65% dzieci będących świadkiem nietolerancji wobec swoich rówieśników zgłosiło ten fakt wychowawcą.

Wnioski. Odsetek dzieci z zaburzeniami masy ciała sięga ponad 50%. Dzieci w wieku szkolnym zauważają problemy z zaburzeniami masy ciała u siebie i swoich rówieśników. Dzieci w wieku szkolnym doświadczają braku akceptacji ze względu na zaburzenia masy ciała. Nauczyciele/opiekunowie odgrywają istotną role wobec uczniów nieakceptowanych w środowisku rówieśniczym.
Poziom wypalenia zawodowego wśród pielęgniarek pracujących w szpitalu
Authors: Wojciechowska Wioletta , Małecka Beata , Frąckowiak Beata
Published: February 2022

Wstęp. Występowanie zjawiska wypalenia zawodowego ma charakter wielowymiarowy i dotyczy różnych grup zawodowych i specjalności. Pielęgniarki to grupa zawodowa szczególnie zagrożona wypaleniem zawodowym, które wiąże się ze specyficznymi obciążeniami typowymi dla tego zawodu. Obciążenia te niosą za sobą duży potencjał negatywnych oddziaływań na psychiczną i fizyczną sferę funkcjonowania personelu pielęgniarskiego.

Cel. Celem pracy była ocena poziomu wypalenia zawodowego pielęgniarek pracujących na różnych oddziałach szpitalnych.

Materiał i metoda. Badaniami objęto 150 osobową grupę pielęgniarek pracujących w szpitalu w okresie od 6.01.2020 roku do 10.03.2020 roku. W badaniach posłużono się kwestionariuszem ankiety własnej liczącym 21 pytań i Kwestionariuszem Wypalenia Zawodowego MBI Ch. Maslach.

Wyniki. Analiza statystyczna nie wykazała istotnej zależności pomiędzy miejscem pracy ankietowanych a ich poziomem wypalenia zawodowego w depersonalizacji. Poziom wypalenia w podskali poczucia osiągnięć osobistych u wszystkich pielęgniarek/pielęgniarzy kształtował się na średnim poziomie. Specyfika oddziału i specyficzne dla niej problemy nie miały istotnego wpływu na poziom wypalenia. Poziom wypalenia wzrastał wraz z wiekiem i stażem pracy, ale wśród początkujących pielęgniarek widoczne były objawy wypalenia zawodowego. Większość badanych pielęgniarek/pielęgniarzy uważała swoją pracę za stresującą, co miało duży wpływ na występowanie wypalenia zawodowego. Głównym determinantem stresu były dla nich przepracowanie oraz nieadekwatne do pracy wynagradzanie. Badania nie wykazały istotnego wpływu „ciężkości” oddziału, na którym pracowali respondenci jako czynnika determinującego stres. Pielęgniarki/pielęgniarze byli często przepracowani, doświadczali silnego stresu, mimo to cechowali się ogromnym przywiązaniem do zawodu i nie deklarowali chęci jego zmiany.

Wnioski. Przeprowadzone badania wykazały, że pielęgniarki pracujące w szpitalu należały do grupy o średnim poziomie wypalenia zawodowego. Wśród badanych dominowały objawy emocjonalnego wyczerpania, szczególnie u pielęgniarek pracujących w oddziałach o dużym stopniu ciężkości.
A Shift in Corporate Social Responsibility Program to Support Vocational Education in Indonesia
Authors: Ramadhani Mgs Ahmad , Rahayu Ety
Published: February 2022

The high unemployment rate in Indonesia can be alleviated through Corporate Social Responsibility (CSR) program in the education sector. This paper is aimed to examine how could that figure derived from vocational school graduates be reduced by the program in education that taking an opportunity from current several regulations issued by central government and competency-based human resources development to equip students and graduates with a set of competencies hence they will be competent and able to compete in the job market. This article was produced by using a systematic literature review method to explore and provide an overview of CSR program shifting in the education setting. The authors recommended the switch from a traditional or philanthropic model to a contemporary or strategic one by deploying internship, apprenticeship, and teaching factory to surmount the aforementioned issue. Finally, this paper offers managerial implication in general and suggestion for future academic research to explore and to assess their effectiveness in tackling poverty and impact on corporations, schools, and students or graduates.