bluuebunny/crossref_metadata_2025 huggingface dataset:
Je ne comprends pas encore trop le système’ : ressources de soutien en employabilité pour de jeunes adultes d’immigration récente à Montréal-Nord
Authors: Blain Marie-Jeanne , Rodriguez del Barrio Lourdes , Caron Roxane , Parent André-Anne , Bouqentar Lamiae , Lezeau Marianne
Published: April 2022

Cet article présente les analyses d’une recherche en partenariat avec un organisme de soutien à l’intégration socioprofessionnelle – un Carrefour Jeunesse-emploi de Montréal. L’objectif est de mieux comprendre les expériences et besoins de jeunes adultes d’immigration récente concernant l’utilisation des services et es enjeux intersectoriels de l’employabilité. Notre approche est qualitative (entrevues et groupes de discussions auprès de 30 personnes – jeunes ou intervenant.es des organisations communautaires et institutionnels du territoire). Les analyses sont présentées sous trois angles : la complexité des accompagnements, les dimensions territoriales des actions intersectorielles; et les conditions pour mettre en place ces actions.
Un programme intégré novateur auprès d’élèves présentant des troubles émotionnels et comportementaux : comment les recherches sur le trauma influencent l’intervention en milieu scolaire et les collaborations intersectorielles
Authors: Ross Joseph , Desbiens Nadia
Published: April 2022

Cet article présente un programme d’intervention développé pour répondre aux besoins complexes des élèves présentant des troubles émotionnels et comportementaux. Il s’appuie sur l’intégration d’une approche sensible aux traumas et structure les pratiques selon une organisation de services multi-paliers en intégrant des mécanismes de soutien aux intervenants appuyés par la recherche sur l’implantation de pratiques. Ce programme transforme graduellement les pratiques et influence la collaboration à l’intérieur du milieu scolaire, ainsi que les collaborations intersectorielles afin de rendre plus complète et efficiente l’offre de services à ces élèves vulnérables et ainsi, espérer un impact plus positif.
L’implication des parents dans les pratiques dispensées en vertu de la LSJPA : le point de vue d’intervenants sociaux
Authors: Tremblay Kim , Pouliot Ève
Published: April 2022

Cet article présente les résultats d’une étude qualitative menée auprès de neuf intervenants œuvrant en contexte de délinquance juvénile au Québec. Les résultats de l’étude permettent de documenter le point de vue de ces intervenants sur l’implication des parents à la suite d’un délit commis par leur jeune. Ces derniers jugent positivement l’implication des parents dans les services qu’ils dispensent et l’associent à de nombreuses retombées positives dans l’intervention. Toutefois, des obstacles à l’implication des parents sont identifiés par les intervenants et concernent principalement les caractéristiques des familles.
L’emprise conjugale
Authors: Rome Isabelle , Taïbi Nadia
Published: April 2022

En mai 2020, Isabelle Rome publie l’essai Liberté, égalité, survi e où elle fait retour sur son travail en tant que juge pénal et présidente de cour d’assises. Elle recueillait alors les paroles de femmes victimes de violences conjugales, et jugeait leurs assassins. L’entretien revient sur cette expérience
Charmes, possession et sorcellerie
Authors: Cavaillé Jean-Pierre
Published: April 2022

Deux livres récents sont consacrés à l’affaire de possession et de sorcellerie dite Demandols / Gaufridy (1610-1611), patronymes des protagonistes principaux, une jeune religieuse ursuline marseillaise de noble extraction, Madeleine Demandols (ou de la Palud), et Louis Gaufridy, le curé de la paroisse des Accoules. Dans cette affaire, qui a suscité nombre d’écrits et sur laquelle il nous reste une très importante documentation judiciaire, à chaque page ou presque, il est question de « charme », entendu dans un sens, non d’abord directement de paroles et formules magiques, nous le verrons, mais d’objets maléficiés, par invocation des démons…
La conversion face aux charmes sensibles selon Plotin
Authors: Tresnie Corentin
Published: April 2022

Le rapport aux charmes dont Plotin appelle à se détourner est très différent d’une religion des idoles à rejeter, tout comme la façon dont s’opère le retournement. Il pourrait être porteur des semences d’un autre rapport à la conversion que celui-ci a hérité de l’augustinisme…
Is DSM-5 a Failure? Analyzing the Controversies Surrounding the Current American Mental Health Diagnostic Manual
Authors: Mehdi Syed Muhammad Ahsan , Meyers Barnett , Devanand D. P.
Published: April 2022

The goal of achieving a universally acceptable and empirically sound diagnostic manual in psychiatry remains an ongoing challenge. From the time of its production to the present day, DSM-5 has been criticized for its diagnostic criteria, timeline, scope, clinical and research utility, and scientific validity. The level of such criticism ranges from constructive and scholarly to destructive and impractical. Deluged by the vastness of such levels of criticism, it becomes difficult for both mental health professionals and consumers to sort the nature of such arguments. It is prudent that professionals should become educated about the historical perspectives and the scientific limitations that are barriers in the development of a consensual diagnostic manual without ignoring and while appreciating the practical and educational benefits of the imperfect DSM-5. This article serves this purpose by analyzing the major controversies surrounding DSM-5.

[
Psychiatr Ann
. 2022;52(4):161–169.]
Clinical Features and Differential Diagnosis of Obsessive-Compulsive Disorder
Authors: Fontenelle Leonardo F.
Published: April 2022

As psychological literacy increases and people become more acquainted with the availability of effective treatments for mental health problems, psychiatrists tend to see more individuals who would usually avoid clinical contact for reasons including shame, embarrassment, and the fear of stigma. Although a treatment gap is still a problem, individuals with obsessive-compulsive disorder (OCD) are probably more common in the psychiatrist's office now than in the previous decades. In this article, we review the epidemiology of OCD, the typical presentation of the OCD patient, and the diagnostic process (including the list of differential diagnoses) involved in the assessment of individuals with OCD. Emphasis is given to how to differentiate obsessions and compulsions from symptoms of other neuropsychiatric conditions, such as schizophrenia, depression, anxiety disorders, post-trauma-related disorders, body dysmorphic disorder, autism spectrum disorders, addictions, and organic mental disorders. The psychiatrist should be mindful of these OCD mimickers, so as to avoid inadequate treatments.

[
Psychiatr Ann
. 2022;52(4):133–137.]
On spectral and fractional powers of damped wave equations
Authors: Belluzi Maykel , Bezerra Flank D. M. , Nascimento Marcelo J. D.
Published: April 2022

In this paper we explore the theory of fractional powers of positive operators, more precisely, we use the Balakrishnan formula to obtain parabolic approximations of (damped) wave equations in bounded smooth domains in \begin{document}$ \mathbb{R}^N $\end{document}. We also explicitly calculate the fractional powers of wave operators in terms of the fractional Laplacian in bounded smooth domains and characterize the spectrum of these operators.
A moving boundary problem for reaction and diffusion processes in concrete: Carbonation advancement and carbonation shrinkage
Authors: Bretti Gabriella , Ceseri Maurizio , Natalini Roberto
Published: April 2022

The present work is devoted to modeling and simulation of the carbonation process in concrete. To this aim we introduce some free boundary problems which describe the evolution of calcium carbonate stones under the attack of \begin{document}$ {CO}_2 $\end{document} dispersed in the atmosphere, taking into account both the shrinkage of concrete and the influence of humidity on the carbonation process. Indeed, two different regimes are described according to the relative humidity in the environment. Finally, some numerical simulations here presented are in substantial accordance with experimental results taken from literature.
A Review on Data Privacy and Security in the Time of COVID-19
Authors: Ben Chehida Douss Aida , Chikahoui Ons , Abassi Ryma
Published: April 2022

In December 2019, Wuhan was reported to have had the virus's first human infection. By January 2022, there had been over 351 million cases worldwide and over 5.6 million deaths. To deal with the rapid spread of the virus, many measures have been taken by governments and start-ups. The measures adopted are based essentially on digital technologies. Hence, new platforms and applications were developed to enable contact tracing, density reports, etc. However, the major problem caused by the use of digital technologies in COVID-19 is the personal data privacy concerns. In this context, the authors propose in this chapter to deal with data privacy and security in COVID-19 era. They discuss measures adopted by governments to prevent COVID-19 pandemic. Then, they expose the data privacy problem in the time of COVID-19. They present also a review of digital technologies proposed in literature to preserve the users' privacy. Finally, they expose lessons learned from COVID-19 to deal with data privacy.
The Legal Protection of National Cyberspace and the COVID-19 Pandemic
Authors: Rezgui Kamel
Published: April 2022

The resurgence of cybercrime and threats to the security of the Tunisian national cyberspace during the period of the COVID-19 pandemic represents a new era requiring new responses tailored to this environment. In addition to the protection offered by technology to this space, it is necessary to focus first on the legal protection that involves legal and institutional mechanisms relating to the definition and rules of prosecution and criminal punishments of cyber offenses. It is also a question of analyzing other legal and institutional mechanisms such as the audit of computer security or electronic certification. The examination of the legal protection of the national cyberspace allows in fact to evaluate its effectiveness in particular in this critical period of the COVID-19 pandemic in the light of the best legislative practices in the world in order to detect its insufficiencies and to see which were the answers of the Tunisian public authorities to these limits in order to guarantee a more secure national cyberspace.
Privacy and Healthcare During COVID-19
Authors: Bhardwaj Aashish , Kumar Vikas
Published: April 2022

The ambiguity related to transmission of disease in humans and the lack of health infrastructure to tackle the needs and shortage of healthcare providers has resulted in adoption of new means to tackle COVID-19. Technologies were used for contact tracing, case identification, population surveillance, and evaluations. Such rapid responses have leveraged large data sets, connected devices, machine learning, deep learning, and natural language processing. A huge amount of data collected by the processes for healthcare led to many privacy breach incidents. This chapter aims to capture the digital innovations to healthcare during COVID-19 like high user uptake, integration with existing system, ability for impact analysis, notification to agencies, and quarantine for infectious people. Privacy concerns of these healthcare innovations related to location, biometrics, personal information, and comorbidities have been identified. The chapter also presents taxonomies of privacy related to online health collaboration which increased during the COVID-19 era.
Cell-Free Cooperative Non-Orthogonal Multiple Access for 6G Wireless Systems
Authors: Ram B. Ganapathy , Priyadharsini Naveena A. , Selvi S. Tamil , M. Dhinakaran , Malaisamy Pandi , Madasamy Senthil
Published: April 2022

The diversified opportunities and challenges in various sectors necessitate development of sixth-generation (6G) wireless systems with extremely high data rate, massive connectivity, minimal latency, good coverage, high reliability, optimal resource allocation, good spectral and energy efficiency. Multiple access is a key technique in the wireless technological evolution that provides access to multiple users with the available resources. Even though 5G system promises data rate in Gbps and latency below 1 ms with a wide bandwidth ranges from 30 GHz to 300 GHZ, its range of coverage was limited. Hence, the infrastructure needs to be rebuilt to overcome the limitation. NOMA is the key enabler for bringing down the interference effects and sharing the spectrum among multiple users in an efficient way. Cooperative communication is another promising technology that can improve coverage and capacity of the wireless system. Cell free communication with cooperative NOMA architecture is proposed in this chapter to meet 6G requirements at THz band.
Vision, Challenge, Futuristic Approach of Machine Learning in 6G Wireless Technology
Authors: Lavadiya Sunil Prabhatbhai , Sorathiya Vishal , Das Sudipta , Zaki Rashed Ahmed Nabih , V. Shunmughavel , P. Deepthi
Published: April 2022

In recent years, the machine learning approach has been a major surge of research interest in intelligence, data-driven advanced dynamic approaches, and automation of low-powered gadgets. The goal for 6G is a massively linked complex network capable of reacting quickly to user service requests by real-time learning of network status as given by the network edge, user-side, and air interface. Most machine learning application 6G vehicular networks are intended to generate a rapidly evolving and intelligent system that allows networks to adapt to various application requirements and service types. In the autonomous driving age of 6G, ML is used to design a route, and 6G's improvements in response time, roaming range, network energy efficiency, and connectivity provide a better experience for users. Scholars are afraid about this problem due of privacy concerns. Overall, the chapter includes the basic and advanced levels of machine learning including the unsupervised, supervised, and reinforced learning and the challenges of ML for 6G.
Boat Detection in Marina Using Time-Delay Analysis and Deep Learning
Authors: Scherrer Romane , Aulnette Erwan , Quiniou Thomas , Kasarherou Joël , Kolb Pierre , Selmaoui-Folcher Nazha
Published: April 2022

An autonomous acoustic system based on two bottom-moored hydrophones, a two-input audio board and a small single-board computer was installed at the entrance of a marina to detect entering/exiting boat. Windowed time lagged cross-correlations are calculated by the system to find the consecutive time delays between the hydrophone signals and to compute a signal which is a function of the boats' angular trajectories. Since its installation, the single-board computer performs online prediction with a signal processing-based algorithm which achieved an accuracy of 80 %. To improve system performance, a convolutional neural network (CNN) is trained with the acquired data to perform real-time detection. Two classification tasks were considered (binary and multiclass) to both detect a boat and its direction of navigation. Finally, a trained CNN was implemented in a single-board computer to ensure that prediction can be performed in real time.
Z-Test-Based Analysis for Validating the Effectiveness of NPTEL E-Learning Modules
Authors: Srivastava Manoj Kumar , Kumar Rajesh , Khare Ashish
Published: April 2022

The present article proposes use of a z-model to validate learning progress after experimenting on student’s performance. A statistical map of z-values is used to calculate the z-value. This paper is divided into two parts - First examine the students' learning outcomes in various computer science and engineering (CSE) subjects during regular classroom instruction as well as examine the students by an interactive learning model in which traditional classroom instruction and e-learning modules are combined and then, the second part administers a related exam to the same group of students. Z-test is used as a tool for evaluating the results. Based on the findings we found that students' performance increased dramatically after incorporating an e-learning module into their classroom instruction. The e-learning module has now been introduced into the classroom. Each subject would have a separate test paper with a higher degree of difficulty. It has been found that a substantial increase in the learning outcome of the students after Appling the proposed approach.
Organizational Supports and Developing a Healthy Workforce
Authors: McCart Andrew , Bergman Matt , Green Ehren R. , Rose Kevin
Published: April 2022

This case study seeks to understand workplace wellness activities in organizations in Southern Indiana and Greater Louisville. Utilizing the Center for Disease Control (CDC) Workplace Wellness Health Scorecard, a 125-question survey that covers a diverse set of workplace wellness initiatives, twenty-four organizations participated in the study, with one to four participants from each organization. This study looks at the question of context and how an organization’s supports impacts the health of their workforce. The results found that leveraging the knowledge of experts, implementing a variety of wellness programs, removing obstacles to wellness, and having a caring attitude toward employees lead to a higher score regarding organizational supports on the CDC Health Scorecard.
E-Learning Readiness Assessment on Distance Learning
Authors: Mushi Renatus Michael , Lashayo Deogratius Mathew
Published: April 2022

The adoption of E-learning systems has been associated with various challenges to the users, particularly the Higher Learning Institutions (HEI). During the Covid19 pandemic, the majority of the HEIs were subjected to lockdowns that resulted in the stimulation of using e-learning to deliver learning materials and perform assessments. This adoption of e-learning technologies has been associated with several challenges that span from the unfamiliarity of the technologies to the implementation or usage challenges. This study employed a qualitative research method which involved conducting interviews with the lecturers, students and ICT experts to gain an understanding of the key issues associated with the use of E-learning systems at Tanzanian HEIs. Among others, this study has identified the key distance learning alternatives, the challenges which are associated with the use of such techniques and the impacts of using e-learning on HEIs.
Acceptance of Mobile Phone Technology in SMEs
Authors: Mushi Renatus Michael
Published: April 2022

Performing daily activities in SMEs requires the effective utilization of existing technologies. In developing countries, SMEs play great roles in stimulating economies as well as the creation of employees. One of the technologies which are mainly relied upon by the employees of SMEs is mobile phone technology due to the low readiness in desktop computing. Literature has provided insights on the factors which influence the successful use of mobile phone technology and various recommendations were presented which highlights the issues which if are worked on properly will eventually fuel the acceptance of mobile phone technology in SMEs. However, the literature lacks the insights which discuss the relevance of the job which is performed by the employees to the acceptance of mobile phone technology. The essence of this is that it is unclear whether the roles of employees within SMEs might have an impact on the uptake of mobile phone technology. This research involves triangulation of qualitative and quantitative methods.
Soft Computing-Based Schemes for Handover Management in Future Networks
Authors: Bassi Sandeep , Rattan Punam , Dhand Pooja
Published: April 2022

The progression to next generation networks is replete with abundant co-existing technologies. To comply with the always best connected paradigm, several vertical handover decision approaches have been proposed in literature, using advanced techniques and tools. This paper discusses the application of soft computing techniques in the vertical handover decision-making process with emphasis on the state-of-the-art techniques. For a comprehensive evaluation, the algorithms are classified into three sets based on the soft computing technique used, namely fuzzy logic, machine learning, and evolutionary algorithms, and representative handover algorithms in each group are discussed. These papers are categorized in a well-defined structure to bring out their contribution, to underline the pretermitted notions, and to bring forth the emerging issues for future research. This paper summarizes the soft computing concepts and reviews its applications in candidate network selection, QoE enhancement, and reducing the unnecessary handovers.
Evolutionary Optimization for Prioritized Materialized View Selection
Authors: Madaan Heena , Gosain Anjana
Published: April 2022

Selecting appropriate views that provide faster query response time is a critical decision in data warehouse design. Top-level users expect quick results from a data warehouse for faster decision-making to gain a competitive edge in business. Prioritizing a view can distinguish views required to answer top-level users' queries from regular users and provide a better selection chance. The prioritized materialized view selection (PMVS) problem addresses how to utilize the given space to materialize prioritized views more relevant to users. Particle swarm optimization algorithm has been used to achieve minimized query processing costs. Evolutionary algorithms are widely known to solve complex optimization problems quickly by reaching a semi-optimal solution. This paper explores the performance of six evolutionary algorithms: particle swarm optimization, coral reef optimization, cuckoo search, ant colony optimization, grey wolf optimization, and artificial bee colony. The results of empirical and statistical analysis show that PSO, CRO, and GWO algorithms are best suited to solve PMVS.
A Fingerprint-Based Indoor Localization System Using IEEE 802.15.4 for Staying Room Detection
Authors: Puspitaningayu Pradini , Funabiki Nobuo , Huo Yuanzhi , Hamazaki Kazushi , Kuribayashi Minoru , Kao Wen-Chung
Published: April 2022

Nowadays, indoor localization systems using IEEE 802.11 have been actively explored for location-based services, since GPS cannot identify floors or rooms in buildings. However, the user-side device is usually large and consumes high energy. In this paper, the authors propose a fingerprint-based indoor localization system using IEEE 802.15.4 that allows the use of a small device with a long-life battery, named FILS15.4. A user carries a small transmitter whose signal is received by multiple receivers simultaneously. The received signal strengths are compared with the fingerprints to find the current location. To address signal fluctuations caused by the low-power narrow-band signal, FILS15.4 limits one room as the localization unit, prepares plural fingerprints for each room, and allocates a sufficient number of receivers in the field. For evaluations, extensive experiments were conducted at #2 Engineering Building in Okayama University and confirmed high detection accuracy with sufficient numbers of receivers and fingerprints.
International efforts against the infodemic: some bioethical reflections
Authors: Attademo Gianluca
Published: April 2022

Disinfodemic works “diametrically against” the concept of a Knowledge Society, destabilizing its deep-layered structural interdependencies. It’s a phenomenon whose costs can be measured in lost human lives. Indeed, without trust and correct information «diagnostic tests go unused, immunization campaigns (or campaigns to promote effective vaccines) will not meet their targets, and the virus will continue to thrive» (WHO 2020). Thus, international documents about infodemic management point out the role of listening to communities and the need for flows which aim to actively involve the addressees of institutional communication in order to prevent them from rejecting it. Infodemic management will necessitate a huge level of transdisciplinary synthesis, in this perspective bioethics shall play its part into countering the effect of the disinfodemic.
Lithium-induced bilateral flapping tremors (asterixis) in geriatric mania
Authors: Kulkarni Ranganath R. , Pandurangi Swapna A. , Patil Raghavendra C. , Divyashree N. S.
Published: April 2022

Asterixis (flapping tremors) is a movement disorder due to cortical or subcortical pathology that usually indicates serious underlying disease processes such as encephalopathy secondary to severe hepatic dysfunction, metabolic derangements, toxic agents, or serious adverse drug events. Mood stabilizers such as valproate and carbamazepine with or without concomitant administration of antipsychotics such as clozapine and risperidone have been implicated to induce asterixis. Lithium, a first-line mood stabilizer drug for geriatric mania, with its unique profile of side-effects due to narrow therapeutic window, is very rarely implicated to induce asterixis, especially when used as a monotherapy. We report a case of lithium-induced asterixis, ataxia, acute cognitive impairment, and altered sensorium in an elderly male with first-episode of mania, both during toxic and therapeutic serum levels of lithium. This case highlights the association between asterixis, ataxia, delirium, and lithium, substantiating the dictum “start low and go slow” in geriatric psychopharmacology.
Association of systemic complications with mortality in coronavirus disease of 2019
Authors: Ashraf Mohammad Ali , Sherafat Alireza , Naderi Zohre , Sami Ramin , Soltaninejad Forogh , Khodadadi Saba , Mashayekhbakhsh Sanaz , Sharafi Negar , Ahmadi Somayeh Haji , Shayganfar Azin , Zand Iman , Ajami Ali , Shirani Kiana
Published: April 2022

Background:

Since the beginning of the coronavirus disease of 2019 (COVID-19) pandemic, concerns raised by the growing number of deaths worldwide. Acute respiratory distress syndrome (ARDS) and extrapulmonary complications can correlate with prognosis in COVID-19 patients. This study evaluated the association of systemic complications with mortality in severely affected COVID-19 patients.

Materials and Methods:

This retrospective study was done on 51 intensive care unit (ICU)-admitted COVID-19 adult patients who were admitted to the ICU ward of Khorshid hospital, affiliated with Isfahan University of Medical Sciences. Only the patients who had a definite hospitalization outcome (dead vs. survivors) were included in the study. Daily clinical and paraclinical records were used to diagnose in-hospital complications in these patients.

Results:

The sample was comprised of 37 males (72.5%) and 14 females (27.4%). The median age of patients was 63 years (Min: 20, Max: 84), with the mortality rate of 47.1%. In total, 70.6% of patients had at least one coexisting disorder. Chronic kidney disease was associated with the worse outcome (29.16% of dead patients against 3.70 of survived ones). Mechanical ventilation was used in 58.8% of patients. Patients who had received invasive ventilation were more likely to die (87.50% of dead patients against 7.40 of survivors), Complications including sepsis and secondary infections (odds ratio: 8.05, confidence interval: 2.11–30.63) was the strongest predictors of mortality.

Conclusion:

Complications including sepsis and secondary infections can increase the risk of death in ICU-admitted COVID-19 patients. Therefore, it is substantial that the physicians consider preventing or controlling these complications.
Psychometric Properties and Validation of the Arabic Maslach Burnout Inventory-Student Survey in Saudi Dental Students
Authors: AlShahrani Ibrahim , Eroje Alezi Braimoh Ifindon , Tikare Shreyas , Togoo Rafi Ahmad , Soliman Abd El-Nasser Mahmoud , Rao G. Rajesh
Published: April 2022

Background:

Few studies have studied burnout among dental students worldwide, and no such study is available from Saudi Arabia. In addition, an Arabic version of the Maslach Burnout Inventory-Student Survey (MBI-SS) has not yet been validated for use among students.

Objectives:

This study aimed to translate and validate an Arabic version of the MBI-SS questionnaire and to examine the psychometric properties of burnout among dental college students at a university in Saudi Arabia.

Materials and Methods:

This cross-sectional questionnaire study included all dental students at King Khalid University, Saudi Arabia, and was conducted between December 2019 and January 2020. After the MBI-SS questionnaire was translated, its face validity was determined and the test–retest reliability was assessed. Confirmatory factor analysis and reliability analysis were performed following the full-scale study to validate the Arabic MBI-SS.

Results:

A total of 433 dental students responded in the full-scale study (mean age: 21.9 ± 1.6 years). Emotional exhaustion was present in 32.3% (95% confidence interval: 28%–36.9%), cynicism in 33.7% (29.3%–38.4%), and poor academic efficacy in 34.2% (29.8%–38.9%) of the dental students. Emotional exhaustion and cynicism were significantly associated with academic level, a history of medication due to academic stress, and thoughts of quitting the course (for all, P < 0.05). The reliability of MBI-SS was found to be adequate for all three subscales: Emotional exhaustion, Cronbach's α = 0.827; cynicism, α = 0.855; academic efficacy, α = 0.704.

Conclusions:

All three subscales of burnout were highly prevalent in the study cohort. The Arabic version of the MBI-SS inventory was shown to be a valid and reliable tool for assessing the psychometric properties of burnout among dental students, and its use may aid in identifying burnout in the early stages.
Situation-Background-Assessment-Recommendation Technique Improves Nurse–Physician Communication and Patient Satisfaction in Cataract Surgeries
Authors: Chen Yu , Chen Hung-Yi , Jong Gwo-Ping
Published: April 2022

Background:

Implementation of the Situation–Background–Assessment–Recommendation (SBAR) communication technique has been shown to increase nurse–physician communication and collaboration. However, data regarding its implementation in ophthalmology settings are limited.

Objective:

The purpose of this study was to evaluate the impact of implementing SBAR on nurse–physician communication and on the safety and satisfaction of patients undergoing cataract surgery.

Materials and Methods:

This cross-sectional study was conducted in the Ophthalmology Department of Zhongshan Hospital, Xiamen University, Xiamen, China, from April 2016 to December 2018. SBAR was implemented through a 1-h course that was repeated every 2 months for 2 years. All nurses and physicians completed the Physician–Nurse Communication Satisfaction Questionnaire before SBAR implementation and 1- and 2-year post-implementation. In addition, all patients who underwent cataract surgery during the defined pre-implementation and 1- and 2-year post-implementation periods were invited to complete a patient satisfaction questionnaire.

Results:

In total, 10 nurses and 6 physicians completed all three pre- and post-implementation surveys. In addition, 1215 patients undergoing cataract surgery participated: 358 in the pre-implementation phase, 425 in the 1-year post-implementation, and 432 in the 2-year post-implementation. Physician–nurse communication significantly improved in both 1- and 2-year post-implementation periods compared with the pre-implementation phase (P < 0.01). In addition, there was a significant increase in patient satisfaction scores (P < 0.01) and a decrease in medical complaints and malpractices (P < 0.01) between the pre- and post-implementation phases.

Conclusion:

SBAR is a useful tool for enhancing nurse–physician communication and for improving the safety and satisfaction of patients undergoing cataract surgery.
Post-bariatric contour deformity correction: an endeavour to establish objective criteria nationally
Authors: Brühlmann Jérémy , Lese Ioana , Grobbelaar Adriaan O. , Fischlin  Claudia , Constantinescu Mihai , Olariu Radu
Published: April 2022

BACKGROUND: A marked increase in bariatric surgery has led to higher numbers of patients with contour deformities after massive weight loss seeking plastic surgical correction. Insurance coverage for these post-bariatric interventions is highly subjective and a common set of objective criteria has not yet been established.
AIM: The aim was to evaluate the factors influencing insurance coverage for post-bariatric surgery, focusing on finding objective, reproducible criteria.
METHODS: This was a retrospective single centre chart review of all post-bariatric patients with redundant skin requesting body contouring surgery from 2013 to 2018. Demographic, bariatric and surgical, as well as insurance information were collected. A logistic regression model was used to identify predictors of successful insurance coverage.
RESULTS: 116 Patients were included in the study. Insurance approval for post-bariatric body contouring surgery was obtained for only 47 patients (41%). Mentioning the term “medical indication” in the application letter was associated with a 15.2 times higher rate of receiving a positive answer (p <0.001), whereas mentioning “mental suffering” was associated with 82.3% lower chance of getting a positive response (p <0.001). A high body mass index (BMI) (p <0.009) before the bariatric operation as well as a high BMI reduction (p <0.021) were associated with a higher approval rate by insurance companies . An additional application letter to the insurance company (p <0.024) as well as mentioning mechanical restriction (p <0.022) were associated with a positive response from the insurance companies.
CONCLUSIONS: We were able to establish certain objective predictive criteria for insurance coverage of post-bariatric surgery. However, it appears that the decisions of insurance companies for this condition are still rather randomly taken. Therefore, the establishment of objective criteria for insurance coverage may allow fairer treatment for this growing patient population.
Mortality 7 years after prolonged treatment on a surgical intensive care unit
Authors: Meyer-Zehnder Barbara , Erlanger Tobias E. , Pargger Hans
Published: April 2022

AIMS OF THE STUDY: Long-term intensive care treatment confers a substantial physical, psychological and social burden on patients, their relatives and the treatment team. It is essential to know the outcome of patients with long-term treatment and to establish factors that possibly can predict mortality. Only few Swiss studies have previously addressed this issue. METHODS: This retrospective observational study at a Swiss tertiary academic medical care centre included patients who were treated for ≥7 consecutive days at the surgical intensive care unit (ICU) between 1 January 2011 and 31 December 2012. Follow-up ended on 30 September 2018. RESULTS: Two-hundred and fifty patients were included, and three were lost to follow-up. Fifty-two patients (21.1%) died in the ICU, 25 (10.1%) after transfer to the normal ward. Thirty-one patients (12.5%) died within one year after the beginning of intensive care treatment. Altogether, the one-year mortality was 43.7% (108 patients). At the end of follow-up, 99 patients (40.1%) were still alive. Polytrauma patients represent a special group with a survival of more than 90%. Median patient age was 66 years (interquartile range 56–75); two thirds were men. Patients who died within one year of beginning treatment in the ICU were significantly older (median 71 vs 63 years, p <0.001), had a higher Charlson comorbidity index (mean 2.3 vs 1.2, p <0.001), a longer intensive care stay (median 13.9 vs 10.6 days, p = 0.001), a higher SAPS-II score (mean 52.7 vs 45.6, p = 0.001), a higher NEMS score (mean 1772.4 vs 1230.4, p <0.001) and more complications (mean 2.9 vs 2.0, p <0.001) than patients who survived at least 1 year. Those who died within 1 year more often developed pneumonia (50.9% vs 29.5%, p = 0.001), pleural empyema (13.0% vs 2.9%, p = 0.005), septic shock (51.9% vs 20.1%, p <0.001) or critical illness polyneuropathy (16.7% vs 2.9%, p <0.001). Moreover, they more frequently (30.6% vs 15.1%, p = 0.006) required a renal replacement therapy. CONCLUSIONS: Long-term mortality of patients with prolonged intensive-care treatment is high. Scores combined with factors shown to be associated with an increased short- and long-term mortality can help to identify patients at risk for death within one year after ICU treatment.
Government recommendations during the COVID-19 epidemic in Switzerland: clarity, compliance and impact on the daily life of seniors in a population-based cohort
Authors: Poroes Camille , Henchoz Yves , Seematter-Bagnoud Laurence
Published: April 2022

CONTEXT: In March 2020, the Swiss Federal Council issued recommendations for a partial lockdown, with an emphasis on people aged 65 years and over because of their vulnerability to COVID-19. This study investigated whether seniors clearly understood the meaning of four recommendations (do not go grocery shopping; do not use public transport; avoid personal contact; stay at home), whether they complied with them, and what was the impact of the partial lockdown on their daily life, including difficulties and opportunities.
METHODS: In April 2020, a questionnaire about how seniors experienced the partial lockdown was sent to the participants in the Lausanne Cohort Lc65+, a population-based study. The response rate reached 89%, with 2746 participants aged 72–86 years included in the analysis. Bivariable analyses and multivariable logistic models were used to identify sociodemographic and health-related characteristics associated with each outcome (clarity; compliance; impact).
RESULTS: Most seniors rated the recommendations as clear (84–91%, depending on the recommendation) and complied with them (70–94%). In multivariable analyses, men were more likely to rate the recommendations as unclear. Perceiving the recommendation as unclear and having a low level of fear of the virus were associated with noncompliance. People who complied with the recommendations were more likely to experience difficulties, but also to seize opportunities during the partial lockdown.
CONCLUSION: Most seniors followed the recommendations and found them clearly worded. However, some subgroups, such as men and seniors who do not fear the virus, were less likely to clearly understand the recommendations. As a correct understanding is a key factor for compliance, the findings emphasise the importance of tailoring public health communications to the characteristics of the target group, and of testing whether they are correctly understood.
Differences in COVID-19 vaccination uptake in the first 12 months of vaccine availability in Switzerland – a prospective cohort study
Authors: Heiniger Sarah , Schliek Melanie , Moser André , Von Wyl Viktor , Höglinger Marc
Published: April 2022

BACKGROUND: Widespread vaccination uptake has been shown to be crucial in controlling the COVID-19 pandemic and its consequences on healthcare infrastructures. Infection numbers, hospitalisation rates and mortality can be mitigated if large parts of the population are being vaccinated. However, one year after the introduction of COVID-19 vaccines, a substantial share of the Swiss population still refrains from being vaccinated.
OBJECTIVES: We analysed COVID-19 vaccination uptake during the first 12 months of vaccine availability. We compared vaccination rates of different socioeconomic subgroups (e.g., education, income, migration background) and regions (urban vs rural, language region) and investigated associations between uptake and individual traits such as health literacy, adherence to COVID-19 prevention measures and trust in government or science.
METHODS: Our analysis was based on self-reported vaccination uptake of a longitudinal online panel of Swiss adults aged 18 to 79 (the “COVID-19 Social Monitor”, analysis sample n = 2448). The panel is representative for Switzerland with regard to age, gender, and language regions. Participants have been periodically surveyed about various public health issues from 30 March 2020, to 16 December 2021. We report uptake rates and age-stratified hazard ratios (HRs) by population subgroups without and with additional covariate adjustment using Cox regression survival analysis. 
RESULTS: Higher uptake rates were found for individuals with more than just compulsory schooling (secondary: unadjusted HR 1.39, 95% confidence interval [CI] 1.10–1.76; tertiary: HR 1.94, 95% CI 1.52–2.47), household income above CHF 4999 (5000–9999: unadj. HR 1.42, 95% CI 1.25–1.61; ≥10,000 HR 1.99, 95% CI 1.72–2.30), those suffering from a chronic condition (unadj. HR 1.38, 95% CI 1.25–1.53), and for individuals with a sufficient or excellent level of health literacy (sufficient: unadj. HR 1.13, 95% CI 0.98–1.29; excellent: HR 1.21, 95% CI 1.10–1.34). We found lower rates for residents of rural regions (unadj. HR 0.79, 95% CI 0.70–0.88), those showing less adherence to COVID-19 prevention measures, and those with less trust in government or science.
CONCLUSIONS: Vaccination uptake is multifactorial and influenced by sociodemographic status, health literacy, trust in institutions and expected risk of severe COVID-19 illness. Fears of unwanted vaccine effects and doubts regarding vaccine effectiveness appear to drive uptake hesitancy and demand special attention in future vaccination campaigns.
Assessing real-world vaccine effectiveness against severe forms of SARS-CoV-2 infection: an observational study from routine surveillance data in Switzerland
Authors: Anderegg Nanina , Althaus Christian L. , Colin Samuel , Hauser Anthony , Laube Anne , Mäusezahl Mirjam , Wagner Moritz , Zaffora Biagio , Riou Julien
Published: April 2022

BACKGROUND: In Switzerland, SARS-CoV-2 vaccination campaigns started in early 2021. Vaccine coverage reached 65% of the population in December 2021, mostly with mRNA vaccines from Moderna and Pfizer-BioNtech. Simultaneously, the proportion of vaccinated among COVID-19-related hospitalisations and deaths rose, creating some confusion in the general population. We aimed to assess vaccine effectiveness against severe forms of SARS-CoV-2 infection using routine surveillance data on the vaccination status of COVID-19-related hospitalisations and deaths, and data on vaccine coverage in Switzerland.
METHODS: We considered all routine surveillance data on COVID-19-related hospitalisations and deaths received at the Swiss Federal Office of Public Health from 1 July to 1 December 2021. We estimated the relative risk of COVID-19-related hospitalisation or death for not fully vaccinated compared with fully vaccinated individuals, adjusted for the dynamics of vaccine coverage over time, by age and location. We stratified the analysis by age group and by calendar month. We assessed variations in the relative risk of hospitalisation associated with the time since vaccination.
RESULTS: We included a total of 5948 COVID-19-related hospitalisations of which 1245 (21%) were fully vaccinated patients, and a total of 739 deaths of which 259 (35%) were fully vaccinated. We found that the relative risk of COVID-19 related hospitalisation was 12.5 (95% confidence interval [CI] 11.7–13.4) times higher for not fully vaccinated than for fully vaccinated individuals. This translates into a vaccine effectiveness against hospitalisation of 92.0% (95% CI 91.4–92.5%). Vaccine effectiveness against death was estimated to be 90.3% (95% CI 88.6–91.8%). Effectiveness appeared to be comparatively lower in age groups over 70 and during the months of October and November 2021. We also found evidence of a decrease in vaccine effectiveness against hospitalisation for individuals vaccinated for 25 weeks or more, but this decrease appeared only in age groups below 70.
CONCLUSIONS: The observed proportions of vaccinated among COVD-19-related hospitalisations and deaths in Switzerland were compatible with a high effectiveness of mRNA vaccines from Moderna and Pfizer-BioNtech against hospitalisation and death in all age groups. Effectiveness appears comparatively lower in older age groups, suggesting the importance of booster vaccinations. We found inconclusive evidence that vaccine effectiveness wanes over time. Repeated analyses will be able to better assess waning and the effect of boosters.
CÁC YẾU TỐ ẢNH HƯỞNG ĐẾN Ý ĐỊNH HỢP TÁC CỦA NÔNG DÂN TRONG VIỆC TRỒNG RAU AN TOÀN
Authors: BÙI VĂN QUANG
Published: April 2022

Việc thay đổi sản xuất thực phẩm an toàn (như rau) từ truyền thống sang rau sạch được thực hiện chủ yếu thông qua hợp tác giữa nông dân trong các hợp tác xã hoặc nông dân với doanh nhiệp.  Nghiên cứu này nhằm xác định các yếu tố tác động đến ý định hợp tác của nông dân trong canh tác rau an toàn. Nghiên cứu được thực hiện thông qua khảo sát 239 những người đang trồng rau. Phần mềm PLS-SEM được ứng dụng và dữ liệu được xử lý thông qua Smart PLS. Kết quả nghiên cứu thể hiện các yếu tố tác động tích cực đến hợp tác của nông dân trồng rau an toàn bao gồm lợi ích kinh tế, hỗ trợ sản xuất, sự thành công và hoạt động giao tiếp. Những thông tin từ kết quả phân tích nhằm mở rộng kiến thức hiện tại về hợp tác trong sản xuất thực phẩm, đồng thời có ý nghĩa thiết thực đối với các doanh nghiệp và ban ngành thúc đẩy phát triển nông nghiệp an toàn tại Việt Nam.
CÁC YẾU TỐ TÁC ĐỘNG ĐẾN Ý ĐỊNH LỰA CHỌN HOMESTAY LÀM NƠI LƯU TRÚ KHI ĐI DU LỊCH CỦA NGƯỜI DÂN TP.HCM
Authors: NGUYỄN NGỌC THỨC  , NGUYỄN THỊ PHƯƠNG TRINH
Published: April 2022

Đề tài “Các yếu tố tác động đến ý định lựa chọn homestay làm nơi lưu trú khi đi du lịch của người dân TP.HCM” nhằm giúp cho chủ các cơ sở homestay có cái nhìn tổng quát về các yếu tố tác động đến ý định lựa chọn homestay làm nơi lưu trú khi du lịch của du khách, tác giả đề xuất các hàm ý quản trị để chủ các cơ sở homestay có thể tham khảo và cải thiện dịch vụ homestay của mình hơn. Dựa vào các lý thuyết nghiên cứu, các mô hình nghiên cứu trong nước và ngoài nước, nghiên cứu định tính thông qua phỏng vấn 10 du khách đã từng sử dụng homestay nhằm kiểm định mức độ phù hợp của các thang đo đối với du khách ở Thành phố Hồ Chí Minh. Nghiên cứu định lượng sơ bộ với 50 quan sát hợp lệ nhằm đánh giá độ tin cậy thang đo. Với mẫu nghiên cứu chính thức gồm 233 quan sát, mô hình hồi quy tuyến tính đa biến được sử dụng để kiểm định giả thuyết nghiên cứu. Kết quả nghiên cứu cho thấy quảng cáo có tác động lớn nhất đến ý định lựa chọn homestay của du khách, tiếp theo là tính kinh tế, động lực, phương tiện hữu hình, thái độ. Một số hàm ý quản trị được đề xuất nhằm giúp chủ các cơ sở homestay hiểu rõ hơn về tâm lý, ý định của du khách nhằm đáp ứng các nhu cầu, mong muốn để họ lựa chọn homestay làm nơi lưu trú khi du lịch, cũng như các hàm ý chính sách quản trị đảm bảo an toàn vệ sinh, an ninh trật tự, tạo điều kiện thuận lợi cho hoạt động homestay ngày càng phát triển.
TỔNG QUAN VỀ NGHIÊN CỨU KINH TẾ TUẦN HOÀN
Authors: HỒ THỊ VÂN ANH  , PHẠM TÚ ANH
Published: April 2022

Việc chuyển đổi sang nền kinh tế tuần hoàn (circular economy - CE) gần đây được xem như một vấn đề quan trọng giữa các quốc gia nhằm điều tiết sự cân bằng tự nhiên của hệ thống công nghiệp toàn cầu, nhưng sự hiểu biết hiện nay về CE giữa các học giả vẫn còn mơ hồ. Thông qua việc tìm hiểu các tài liệu về CE đang phát triển gần đây, nghiên cứu này với mong muốn xem xét ba khía cạnh chính về những hiểu biết phát sinh từ các cuộc tranh luận về CE. Cụ thể, nghiên cứu sẽ xem xét các khái niệm của các trường phái tư tưởng khác nhau về CE từ đó đề xuất một số xu hướng, mô tả quy trình chuyển đổi hệ thống của CE vào hệ thống công nghiệp, nhấn mạnh vai trò của hiệu quả sinh thái để thúc đẩy các phương pháp tiếp cận “lấy doanh nghiệp làm trung tâm” đối với tính bền vững. Đồng thời, nghiên cứu này cũng kỳ vọng sẽ góp phần giảm bớt sự mơ hồ của các cuộc tranh luận về CE và truyền tải sự rõ ràng cho các nghiên cứu tương lai trong bối cảnh Việt Nam.