bluuebunny/crossref_metadata_2025 huggingface dataset:
Facial Palsy and Contemporary Reanimation Surgery: A Short Review
Authors: Shemshadi Hashem
Published: July 2020

The primary purpose of this mini-review article is to introduce modern issues of reanimation surgeries in patients with facial palsies. Modern methods of reanimation surgeries are discussed for mentioning patients` benefits, and their more satisfactions and hopeful horizons for the future of such cases with facial palsies. Facial paralysis, associated to implementing new reanimation surgery techniques, is presenting new advanced methods of facial nerve palsy reforms, through reanimation surgeries. Facial palsy, which occur by a diversity of reasons, need to be evaluated for their etiologies and prepare a proper surgical plan for their reconstructions. Stroke, trauma, congenital, neoplasia, neurological, immunological, viral infections, and psychological reasons, are some potential causes of patients with facial palsies. Brief reviews were done, based on recent evidences` results in reanimation surgery practices. Due to any of above cited reasons, patients with facial palsies get physically and mentally disturbed and are willing to search ways, for solving their facial distressing problems. Consequently, mentioned patients are eagerly searching means to receive new available promotions to improve their facial palsies. In concluding, patients who undergo reanimation surgeries, if good results of their operations obtained, they will be motivated in gaining self-confidence, self-care, self-respect and therefore getting a cumulative their effective social bond, and raising their quality of life, after reanimation operations.
Effective and Efficient LDA+ELM Model for Supervised Classification of Brain Tumor Types Using 2D MRI Scans
Authors: Jia Qi Lim , Alias Norma
Published: July 2020

Application of machine learning in multiclass classification of brain tumor types has contributed to the development of computer aided diagnosis (CAD) system that can potentially enhance accuracy and speed up diagnosis of the disease. LDA+ELM model with different activation functions were investigated to achieve the optimum performances in terms of accuracy, Kappa statistic, sensitivity, precision, F-measure, training time and test time.  We also proposed a user-friendly GUI in characterizing brain tumor types using MR images. First, a total of 3064 slices of CE T1-weighted brain MR images with ground truth were downloaded from a free online database. The manually segmented tumor region was augmented and then undergo several feature extraction techniques. All the feature descriptors obtained were then concatenated, followed by LDA dimensionality approach. Performance of different number of LDA features and ELM activation functions were investigated by repeated training and test. The ELM output of training data for each class was used to fit GMM and these probabilistic models used to estimate posterior probabilities of test data. LDA+ELM model with 5 LDA feature input, utilizing sigmoid function as hidden nodes activation functions achieves the best generalization performance with accuracy of 98.92% and corresponding F-scores for meningioma, glioma and pituitary tumor of 97.81%, 99.1% and 99.5% respectively. The proposed method (LDA+ELM) model performs better compared to other previous works using the same dataset and performing the same classification task.
Rabbit Dietary Supplementation with Echinacea purpurea L.: The Quality Profile of Rabbit Meat
Authors: Voroshilin Roman , Kurbanova Marina , Rassolov Sergey , Ul'rih Elena
Published: July 2020

Introduction. Rabbit meat is an excellent source of dietetic food. High-quality and safe meat production is a priority of the scientific and technological development of the Russian Federation. The research objective was to determine the optimal dose of Echinacea purpurea L. extract in the rabbit diet and study its effect on the physicochemical and morphological quality parameters of rabbit meat.

Study objects and methods. At 70 days of age, the experimental animals started to receive various doses of a phytobiotic feed additive based on the Echinacea purpurea extract. The experiment lasted 30 days.

Results and discussion. The daily dose of 1.0 g and 1.5 g per animal proved to stimulate the redox processes in the rabbit metabolism. The body weight of the test animals significantly increased compared with the control group. The test slaughter revealed a high level of meat productivity. The animals in experimental groups II and III showed the best slaughter indicators. Each animal received 1.5 g of the extract per day. The morphological composition of chilled carcass indicated that the additive had a positive effect on the mass indicators. According to the physical and chemical analysis, the contents of water, protein, and ash in the experimental group was the same as in the control group. The ratio of unsaturated and saturated fatty acids in the control group was 1.34:1, while in the experimental group III is was 1.39:1. This optimal proportion proved a high biological value of rabbit meat, which makes it a dietary product. The phytobiotic additive proved commercial as the test animals demonstrated an intensive weight gain compared with the control group. Experimental groups II and III showed the best slaughter indicators.

Conclusion. 1.5 g of the extract of Echinacea purpurea had a positive effect on the composition and physicochemical parameters of rabbit meat, as well as meat production.
Technological Composition Analysis of the Rabbitfish (Chimaera monstrosa) in the North Atlantic
Authors: Mukhortova Anna , Uzbekova Olga , Lyzhov Ivan
Published: July 2020

Introduction. Deep-sea fauna of the North Atlantic has a great potential for the development of food industry. Rabbitfish (Chimaera monstrosa) is a hydrobionts that makes up a significant proportion of bycatch in the traditional trawl and longline fishery. The research objective was to determine the technochemical composition and biochemical properties of organs and tissues of rabbitfish.

Study objects and methods. The size-mass and total chemical composition was performed by standard methods. The amino acid composition of proteins was determined by chromatographic separation of amino acid derivatives obtained by reaction with orthophthalic aldehyde and β-mercaptoethanol. The method of one-dimensional thin-layer chromatography made it possible to determine the fractional composition of lipids. The fatty acid composition was determined using an S-180 gas-liquid chromatograph (Yanaco, Japan). The fat-soluble vitamins were determined by the saponification of samples with alkali, extraction, and separation of the unsaponifiable part. The fractional composition of proteins became clear after a planar polyacrylamide gel electrophoresis on (MultiPhor II, Sweden).

Results and discussion. The research featured the size-mass and chemical composition of body parts, the fractional and amino acid composition of proteins, as well as the fractional and fatty acid composition of lipids, vitamins, heavy metals, and organochlorine compounds in the tissues and organs of the rabbitfish. The sensory properties of the samples proved quite high. Hot smoked rabbitfish meat can be recommended for snack foods. Waste (heads, entrails, skin, cartilage, fins) makes up more than 50% of total body weight and can be used in feed production or as a protein-containing raw material for hydrolysates in microbiology, medicine, and food industry.

Conclusion. The research involved a complex biochemical study of the rabbitfish organs and tissues. The performed technochemical studies made it possible to give preliminary recommendations on the directions of its most rational integrated use.
Prospects for Using Amaranth and Native Buckwheat in Dry Gluten-Free Mixes for Children with Gluten Intolerance
Authors: Urubkov Sergey , Khovanskaya Svetlana , Smirnov Stanislav
Published: July 2020

Introduction. Diet therapy is one of the main approaches to the treatment of various diseases of the digestive system. A strict lifetime diet is the main method of treatment for gluten intolerance. However, young patients, who are particularly sensitive to dietary restrictions, often fail to follow the diet due to the limited menu of recommended foods and dishes. The diet for children with gluten intolerance should include a sufficient amount of gluten-free grain-based products. They provide children with carbohydrates, dietary fibers, vegetable proteins, fats, B vitamins, and minerals, e.g. potassium, magnesium, selenium, etc. In this regard, it is urgent to develop new types of specialized gluten-free products to expand the diet both in terms of nutritional value and taste diversity.

Study objects and methods. The research is part of a project on the development of dry gluten-free mixes based on buckwheat and amaranth with fruit, vegetable, and berry raw materials. The new formulations are intended for children older than three years of age with gluten intolerance. The research objective was to study the main nutrients in amaranth and buckwheat flours. The study involved the method of infrared spectroscopy using a SpectraStar 2500 analyzer. The data obtained made it possible to calculate the nutritional and energy value of products based on amaranth and buckwheat flours, as well as fruit, vegetable, and berry powders intended for children older than three years of age with gluten intolerance.

Results and discussion. Amaranth flour proved to be rich in protein (13.4%), lipids (5.1%), and ash (2.8%). Native buckwheat flour contained 7.5% of protein, 3.6% of lipids, and 1.4% of ash. The carbohydrate content appeared approximately the same in both samples (56–58%). The dry gluten-free mixes can serve as an important source of vegetable protein (up to 9.44 g per 100 g of the finished product), carbohydrates (up to 40.08 g per 100 g of the finished product, and energy (from 158.12 to 221.85 kcal per 100 g of the finished product).

Conclusion. The high nutritional and biological value of amaranth and buckwheat flours, as well as fruit, vegetable, and berry powders, confirmed the prospect of using them as the main components for functional foods. Amaranth and buckwheat contain no gluten but are rich in protein, amino acids, saturated and unsaturated fatty acids, minerals, and biologically active elements, which makes them an important source of nutrition for children with gluten intolerance.
SERVQUAL Method in Retail Service Assessment
Authors: Gryaznova N. , Konovalova Olga , Pleshkova Nataliya
Published: July 2020

Introduction. Service quality and variety is currently the key success factor in retail trade. Retail service assessment can improve customer experience. The SERVQUAL method makes it possible to evaluate the service quality and solve the detected problems in customer service, thus securing the brand loyalty.

Study objects and methods. The present research was based on a customer service survey conducted among 500 customers of the Lenta hypermarket in Kemerovo (Russia) in 2018. The results of the questionnaire underwent a SERVQUAL analysis. The obtained data on the customers’ needs and the degree of their satisfaction with the hypermarket customer service made it possible to develop recommendations for the retail chain.

Results and discussion. The respondents answered three groups of questions: expectations, experience, and importance. The assortment of goods proved to be the most important factor, and there were no complaints in this respect regarding the Lenta retail chain. The attended time was rated second. Its assessment demonstrated a gap between the expectations and the experience (Q = –1.3). Retail space service also proved important; however, this aspect of service quality demonstrated the greatest gap between expectations and experience.

Conclusion. The three-part SERVQUAL questionnaire helped to reveal the problems in the organization of the shopping service. The subsequent improvement will be important for consumers and the retail chain.
New Technology for Functional Dessert Production Based on Soy and Pumpkin
Authors: Statsenko Ekaterina , Litvinenko Oksana , Korneva Nadezhda , Shtarberg Mikhail , Borodin Evgeniy
Published: July 2020

Abstract. Introduction. Domestic food production based on the regional market characteristics can expand the range of functional foods. The research objective was to develop a new technology for desserts based on soy and pumpkin.

Study objects and methods. The research featured soybeans of the “Yurna” variety and pumpkin of the “Nadezhda” variety. Soaked soybeans were mixed with mashed pumpkin and drinking water. The mass was heated and kept at 100°C for 30 min with simultaneous grinding and extraction of soluble dry matter. The soy and pumpkin liquid fraction was separated by filtration. A 2.5% aqueous solution of ascorbic acid was added to the liquid fraction at 75–80°C to coagulate protein and other substances. The soy and pumpkin coagulate had a moisture content of 75.0 ± 1%. It was mixed with sea buckthorn syrup and homogenized. The finished product was called “Nadezhda+”. The “Nezhnyi” dessert consisted of gelling solution mixed with soy and pumpkin coagulate and sea buckthorn syrup, after which the mass was homogenized.

Results and discussion. The expert assessment helped to identify the most significant indicators of the sensory evaluation of the desserts, namely taste and consistency. The sensory evaluation also made it possible to define the optimal homogenization time for the mix: 60 s for “Nadezhda+” and 90 s for “Nezhnyi”. The developed desserts contained protein (5.75 and 4.70 g/100 g), phosphatides (334 and 102 mg/100 g), β-carotene (2.86 and 1.62 mg/100 g), vitamin E (28.60 and 16.00 mg/100 g) and vitamin C (35.10 and 10.60 mg/100 g), respectively.

Conclusion. The content of β-carotene and vitamin E exceeded 15 % of the daily intake in one portion (100 g) of the desserts, as well as vitamin C in “Nadezhda+”. According with State Standard R 52349-2005, the new desserts could be referred to functional foods.
Food Processing from Mechanically Deboned Minced Cod
Authors: Gorbatovskiy Andrey , Rakityanskaya Irina , Kaledina Marina
Published: July 2020

Introduction. Cod is of great importance for fishing and fish processing. The main cod-based food products are frozen fish, frozen fillet, and canned cod liver. To increase the degree of processing and reduce the amount of waste, fish producers obtain minced cod from mechanically deboned leftovers of filleting. Minced fish has specific technological parameters, which limits its use in food industry. The research objective was to develop a new commercial technology of minced cod products.

Study objects and methods. The research featured minced Atlantic cod. The fish was processed without thawing to reduce losses from defrosting, microbiological spoilage, and oxidation. The final product was obtained by cutting blocks of frozen minced cod on a cutter and then stabilizing the food mass with vegetable textures and food additives. The methods included selection and determination of the rheological and sensory properties of samples processed on industrial equipment. The optimal formulation was chosen according to the best results of coextruder processing.

Results and discussion. Using a cutter improved the processing quality of the mechanically deboned minced cod. The samples of cold minced cod proved easier to process at a lower temperature of –7°C and below, if compared to the samples of warm minced fish (0°C and above). Adding 15% of a sunflower oil and water emulsion improved the sensory properties of finished products, e.g. fish balls in bread crumbs. Adding 4% of wheat fiber improved the texture of the products, while a higher dose made them dry and crumbly. 20% of crushed soy granules resulted in a rough texture, typical of chopped fish products.

Conclusion. Rheological and organoleptic properties of highly watered mechanically deboned minced cod, as well as the texture of the finished products, could be improved by adding vegetable fillers and emulsions at a low temperature.
PARADOXO ENTRE PASSADO E PRESENTE NO CAIS DO VALONGO: Aspectos sob a ótica da hospitalidade
Authors: Corrêa Thamiris Saldanha , FONSECA FILHO ARI DA SILVA
Published: July 2020

O presente artigo buscou analisar a relação entre o passado e o presente do Cais do Valongo, tendo como base aspectos hospitaleiros. Como fonte de análise histórica, temos o período do final do século XVIII ao século XIX, que corresponde do auge ao fim do tráfico negreiro no Rio de Janeiro. Para análises atuais, o objeto de pesquisa foi o grupo de estudos da cultura afro-brasileira “Tambor de Cumba”, que realiza mensalmente o evento “Tambor no Valongo” no Cais, apresentando manifestações culturais com danças, músicas e artes. O intuito deste artigo foi identificar a percepção dos aspectos da hospitalidade na cultura afro-brasileira, considerando o paradoxo entre determinado momento histórico e o atual. Esperava-se entender como é possível transformar a “memória negativa” de um local em momentos agradáveis, por meio da música e dança, tendo em vista que o Cais do Valongo remete à porta de entrada dos escravos traficados para o Rio de Janeiro e hoje está sendo utilizado como fonte de sensibilização e inclusão. Para tanto, foi realizada entrevista estruturada com parte dos membros do grupo Tambor de Cumba. A bibliografia utilizada baseou-se em autores da literatura que falam sobre hospitalidade em geral, além de outros que relatam a história do local. Identificou-se que, através das manifestações culturais, é possível valorizar a identidade negra, porém sem perder o viés de luta e resistência. Além disso, verificou-se que o grupo “Tambor de Cumba” se relaciona com a hospitalidade em seu evento, transformando estigmas ligados ao passado da escravidão em fonte de luta e visibilidade ao movimento negro no Rio de Janeiro.
TEM ACESSIBILIDADE AQUI? UM ESTUDO DE CASO EM UM HOTEL NA ZONA SUL DO RIO DE JANEIRO
Authors: Correia Larissa Maria da Silva , Dos Santos Rodrigo Amado
Published: July 2020

Pessoas com deficiência, mobilidade reduzida, gestantes e idosos necessitam ter um amplo leque de necessidades respeitadas para que suas qualidades de vida, bem-estar e segurança possam ser garantidos. Justamente por isso, há o Decreto 9.296 de 01 de março de 2018 que estabelece o prazo de quatro anos para que os hotéis possam adequar suas infraestruturas, equipamentos e serviços, tendo como parâmetro a ABNT NBR 9050. Em vista disso, este artigo buscou averiguar a relação de um meio de hospedagem com hóspedes com deficiência, analisando a aplicabilidade de sua acessibilidade. Para tanto, optou-se pela pesquisa exploratória, baseada em um estudo de caso na Zonal Sul do Rio de Janeiro, que foi conduzido por preceitos quanti-qualitativos sustentados por análises in loco e entrevistas semiestruturadas que identificaram das ações de acessibilidade do estabelecimento investigado. Nesse sentido, observou-se que há ainda muito o que se fazer para que o estabelecimento hoteleiro seja plenamente acessível. Ademais, pontuou-se que a temática da acessibilidade hoteleira é por deveras complexa e que, para que esta efetivamente se cumpra, é preciso que setores privados e públicos se sensibilizem sobre a vitalidade deste tema, adequando plenamente seus projetos às particularidades e necessidades destes sujeitos.
A Convenient Protocol for the Oxidation of Benzyl and Secondary Alcohols to Carbonyl Compounds by Trichoroisocyanuric Acid
Authors: dos Santos Carlos Vinícius P. , de Mattos Marcio C.S.
Published: July 2020

A very convenient methodology to oxidize benzyl alcohols to benzaldehydes (9 examples,
up to 95%) and secondary alcohols to ketones (8 examples, up to 99%) using trichloroisocyanuric acid
in CH2Cl2 / MeCN (1:1) as co-solvent in the presence of water at room temperature is presented in this
study.
Comparison of Helicobacter pylori Detection Methods: It’s Association with Leukocytosis and Monocytosis
Authors: Rahimkhani Monireh , Mordadi Alireza , Kazemian Kiana , Khalili Hourieh
Published: July 2020

Background:

Helicobacter pylori is a slow-growing micro-aerophilic gram-negative organism
found in the stomach and duodenum. It is also associated with a number of stomach-duodenal
diseases.

Material and Methods:

There are invasive and non-invasive methods to detect Helicobacter pylori
infections. In a 13-months period, 101 patients with clinical signs of infection confirmed by biopsy
and Rapid Urease test as well as a culture were included in this study.

Results:

There were significant correlations between breath urease test, anti-Helicobacter pylori
serum IgG and IgA as well as fecal Helicobacter pylori Ag with the gold-standard method,
(P=0.001) Moreover, there was a significant correlation between Monocytosis (P= 0.05) and goldstandard
method.

Conclusion:

Based on studies conducted on patients with Helicobacter pylori infection, noninvasive
diagnostics methods can be useful in the diagnosis of Helicobacter infections rather than evaluating
anti-Helicobacter pylori serum IgM and also increased blood monocytes could be a reliable
confirmation for detection. Furthermore, Monocytosis must be considered as a Helicobacter pylori
infection at the first step in an area with a high infected percentage.
Epidemiological Characteristics and Risk Factors of Tinea Pedis Disease Among Adults Attending Tikrit Teaching Hospital/ Iraq
Authors: Al-Mahmood Abid , Al-Sharifi Ehan
Published: July 2020

Background:

Tinea pedis is one of the commonest skin infections of interdigital toe webspace as well as feet skin and may affect the nail or the hand. It is caused by dermophytes fungi especially Trichophyton species. Direct contact with a contaminated environment or animal is the main mode of transmission. Tinea pedis is more frequent among adults than children and more among those with the previous infection with the disease, diabetes mellites, abnormally increased sweating, and the disease is common among individuals who wear unventilated (occlusive) footwear. Tinea pedis is more often in men than females 2-4 times.

Aim of the study:

To study the epidemiological characteristics and risk factors of tinea pedis disease.

Methods:

Descriptive study was conducted on patients attending the dermatology outpatient clinic in Tikrit Teaching Hospital, Tikrit, Iraq. The study was done during the period from 1st November 2018-10th June 2019. The sample included (680) persons. The cases were diagnosed clinically and by a direct microscope. The demographic information of patients was obtained according to a certain design questionnaire. The study was done to reveal the epidemiology of tenia pedis disease among affected patients.

Results:

The frequency of tinea pedis cases among the study sample was (48/ 680) (7%). It has been documented that there is no significant association as a result of the difference in gender, body weight, positive family history, history, presence of fungal skin disease, and presence of nail trauma. Otherwise, there is a significant association as a result of the presence of the young age group, diabetes mellitus, and history of wearing occlusive shoes.

Conclusion:

The frequency of tinea pedis disease among the study sample was (7%). There was a significant association between age group and the presence of diabetes mellitus disease and wearing occlusive shoes.
Effects of an Overground Walking Program With a Robotic Exoskeleton on Long-Term Manual Wheelchair Users With a Chronic Spinal Cord Injury: Protocol for a Self-Controlled Interventional Study
Authors: Bass Alec , Aubertin-Leheudre Mylène , Vincent Claude , Karelis Antony D , Morin Suzanne N , McKerral Michelle , Duclos Cyril , Gagnon Dany H
Published: July 2020

Background

In wheelchair users with a chronic spinal cord injury (WUSCI), prolonged nonactive sitting time and reduced physical activity—typically linked to this mode of mobility—contribute to the development or exacerbation of cardiorespiratory, musculoskeletal, and endocrine-metabolic health complications that are often linked to increased risks of chronic pain or psychological morbidity. Limited evidence suggests that engaging in a walking program with a wearable robotic exoskeleton may be a promising physical activity intervention to counter these detrimental health effects.

Objective

This study’s overall goals are as follows: (1) to determine the effects of a 16-week wearable robotic exoskeleton–assisted walking program on organic systems, functional capacities, and multifaceted psychosocial factors and (2) to determine self-reported satisfaction and perspectives with regard to the intervention and the device.

Methods

A total of 20 WUSCI, who have had their injuries for more than 18 months, will complete an overground wearable robotic exoskeleton–assisted walking program (34 sessions; 60 min/session) supervised by a physiotherapist over a 16-week period (one to three sessions/week). Data will be collected 1 month prior to the program, at the beginning, and at the end as well as 2 months after completing the program. Assessments will characterize sociodemographic characteristics; anthropometric parameters; sensorimotor impairments; pain; lower extremity range of motion and spasticity; wheelchair abilities; cardiorespiratory fitness; upper extremity strength; bone architecture and mineral density at the femur, tibia, and radius; total and regional body composition; health-related quality of life; and psychological health. Interviews and an online questionnaire will be conducted to measure users’ satisfaction levels and perspectives at the end of the program. Differences across measurement times will be verified using appropriate parametric or nonparametric analyses of variance for repeated measures.

Results

This study is currently underway with active recruitment in Montréal, Québec, Canada. Results are expected in the spring of 2021.

Conclusions

The results from this study will be essential to guide the development, implementation, and evaluation of future evidence-based wearable robotic exoskeleton–assisted walking programs offered in the community, and to initiate a reflection regarding the use of wearable robotic exoskeletons during initial rehabilitation following a spinal cord injury.

Trial Registration

ClinicalTrials.gov NCT03989752; https://clinicaltrials.gov/ct2/show/NCT03989752

International Registered Report Identifier (IRRID)

DERR1-10.2196/19251
Accelerating Innovation in Health Care: Insights From a Qualitative Inquiry Into United Kingdom and United States Innovation Centers
Authors: Cresswell Kathrin , Williams Robin , Carlile Narath , Sheikh Aziz
Published: July 2020

Background

Digital health innovations are being prioritized on international policy agendas in the hope that they will help to address the existing health system challenges.

Objective

The aim of this study was to explore the setup, design, facilities, and strategic priorities of leading United Kingdom and United States health care innovation centers to identify transferable lessons for accelerating their creation and maximizing their impact.

Methods

We conducted qualitative case studies consisting of semistructured, audio-recorded interviews with decision makers and center staff in 6 innovation centers. We also conducted nonparticipant observations of meetings and center tours, where we took field notes. Qualitative data were analyzed initially within and then across cases facilitated by QSR International’s NVivo software.

Results

The centers had different institutional arrangements, including university-associated institutes or innovation laboratories, business accelerators or incubators, and academic health science partnership models. We conducted interviews with 34 individuals, 1 group interview with 3 participants, and observations of 4 meetings. Although the centers differed significantly in relation to their mission, structure, and governance, we observed key common characteristics. These included high-level leadership support and incentives to engage in innovation activities, a clear mission to address identified gaps within their respective organizational and health system settings, physical spaces that facilitated networking through open-door policies, flat managerial structures characterized by new organizational roles for which boundary spanning was key, and a wider innovation ecosystem that was strategically and proactively engaged with the center facilitating external partnerships.

Conclusions

Although innovation in health care settings is unpredictable, we offer insights that may help those establishing innovation centers. The key in this respect is the ability to support different kinds of innovations at different stages through adequate support structures, including the development of new career pathways.
Knowledge and Psychological Stress Related to COVID-19 Among Nursing Staff in a Hospital in China: Cross-Sectional Survey Study
Authors: Huang Huaping , Zhao Wen-Jun , Li Gui-Rong
Published: July 2020

Background

Since December 2019, coronavirus disease (COVID-19) has been rapidly spreading worldwide. Nurses play a key role in fighting this disease and are at risk of COVID-19 infection. Therefore, there is an urgent need to assess the mental health condition of nurses and establish appropriate interventions to reduce the negative psychiatric outcomes of the pandemic.

Objective

The objectives of this study were to evaluate the knowledge and psychological stress related to COVID-19 among nursing staff and to provide evidence of the need for targeted training and psychological intervention.

Methods

This cross-sectional web-based survey study was performed in a class 3 grade A general hospital in a southwest province of China from March 1 to March 15, 2020. A self-designed questionnaire with questions about COVID-19–related prevention and control knowledge and the Triage Assessment Form (TAF) were used to assess nursing staff’s knowledge of COVID-19 and their degree of psychological stress, respectively. SPSS 23.0 was applied for statistical analysis of the collected data.

Results

A total of 979 nurses completed the questionnaire. The results showed that the nursing staff provided the fewest correct answers to questions about continuous viral nucleic acid testing specifications (379/979 correct answers, 38.7%), isolation/discharge criteria (539/979 correct answers, 55.1%), and management measures for patients with suspected symptoms (713/979 correct answers, 72.8%). The median total score of the TAF was 7.0 (IQR 5.0-12.0), and there were statistically significant differences in scores between different nursing roles, years of work experience, and hospital departments (P<.05).

Conclusions

This study indicated that nursing staff have insufficient knowledge about COVID-19. Meanwhile, although the psychological damage to nurses during the pandemic was found to be low, nurse managers must continue to monitor the mental health of nursing staff and perform timely interventions.
General Public’s Information-Seeking Patterns of Topics Related to Obesity: Google Trends Analysis
Authors: Pawar Aditya S , Nagpal Sajan , Pawar Neha , Lerman Lilach O , Eirin Alfonso
Published: July 2020

Background

Obesity is a major public health challenge, and recent literature sheds light on the concept of “normalization” of obesity.

Objective

We aimed to study the worldwide pattern of web-based information seeking by public on obesity and on its related terms and topics using Google Trends.

Methods

We compared the relative frequency of obesity-related search terms and topics between 2004 and 2019 on Google Trends. The mean relative interest scores for these terms over the 4-year quartiles were compared.

Results

The mean relative interest score of the search term “obesity” consistently decreased with time in all four quartiles (2004-2019), whereas the relative interest scores of the search topics “weight loss” and “abdominal obesity” increased. The topic “weight loss” was popular during the month of January, and its median relative interest score for January was higher than that for other months for the entire study period (P<.001). The relative interest score for the search term “obese” decreased over time, whereas those scores for the terms “body positivity” and “self-love” increased after 2013.

Conclusions

Despite a worldwide increase in the prevalence of obesity, its popularity as an internet search term diminished over time. The reason for peaks in months should be explored and applied to the awareness campaigns for better effectiveness. These patterns suggest normalization of obesity in society and a rise of public curiosity about image-related obesity rather than its medical implications and harm.
Effectiveness of a Transdiagnostic Guided Internet-Delivered Protocol for Emotional Disorders Versus Treatment as Usual in Specialized Care: Randomized Controlled Trial (Preprint)
Authors: González-Robles Alberto , Díaz-García Amanda , García-Palacios Azucena , Roca Pablo , Ramos-Quiroga Josep Antoni , Botella Cristina
Published: July 2020

BACKGROUND

Anxiety disorders and depression (emotional disorders) are highly prevalent mental disorders. Extensive empirical evidence supports the efficacy of cognitive behavioral therapy (CBT) for the treatment of these disorders. However, there are still some barriers related to their dissemination and implementation, which make it difficult for patients to receive these treatments, especially in public health care settings where resources are limited. Recent advances in improving CBT dissemination encompass different perspectives. One is the transdiagnostic approach, which offers treatment protocols that can be used for a range of emotional disorders. Another approach is the use of the internet to reach a larger number of people who could benefit from CBT.

OBJECTIVE

This study aimed to analyze the effectiveness and acceptability of a transdiagnostic internet-delivered protocol (EmotionRegulation) with human and automated guidance in patients from public specialized mental health care settings.

METHODS

A 2-armed randomized controlled trial (RCT) was conducted to compare the effectiveness of EmotionRegulation with treatment as usual (TAU) in specialized mental health care. In all, 214 participants were randomly assigned to receive either EmotionRegulation (n=106) or TAU (n=108). Measurement assessments were conducted at pre- and postintervention and at a 3-month follow-up.

RESULTS

The results revealed the superiority of EmotionRegulation over TAU on measures of depression (d=0.41), anxiety (d=0.35), and health-related quality of life (d=−0.45) at posttreatment, and these gains were maintained at the 3-month follow-up. Furthermore, the results for expectations and opinions showed that EmotionRegulation was well accepted by participants.

CONCLUSIONS

EmotionRegulation was more effective than TAU for the treatment of emotional disorders in the Spanish public mental health system. The implications of this RCT, limitations, and suggestions for future research are discussed.

CLINICALTRIAL

ClinicalTrials.gov NCT02345668; https://clinicaltrials.gov/ct2/show/NCT02345668
BurnOut: an App for Diagnosing Burnout (Preprint)
Authors: Godia Jordi , Solsona Francesc , Abella Francesc , Vilaplana Jordi , Calvo Antoni , Mitjans Anna , González-Olmedo Maria Pau
Published: July 2020

BACKGROUND

Health specialists take care of us, but who takes care about them? These professionals are the most vulnerable to suffer the increasingly common syndrome known as burnout. Burnout is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully man- aged. Recently, given the Covid-19 pandemic, this syndrome has even increased. New ICT tools would be of great help in supporting the health community. Re- cent research focused on improving efficiency in monitoring these habits by mobile-app burnout services

OBJECTIVE

To develop a useful app providing burnout self-diagnosis and tracking through a simple, intuitive and user-friendly interface

METHODS

We present BurnOut App, an Android and iOS Cross-Platform app developed using the Xamarin and MvvmCross platforms that allows users to detect critical cases of psychological discomfort implementing the Goldberg [1] and Copenhagen Burnout Inventory [2] tests. Download from: https://play.google.com/store/apps/details?id=com.jordi.medical.AwesomeApp

RESULTS

BurnOut App is robust, user-friendly and efficient. We have demonstrated the good performance of the app by comparing its features with similar apps in the literature

CONCLUSIONS

BurnOut App is a very useful app for health specialists or users in general to early detect burnout and track their evolution
A Shared Cancer Follow-Up Model of Care Between General Practitioners and Radiation Oncologists for Patients With Breast, Prostate, and Colorectal Cancer: Protocol for a Mixed Methods Implementation Study (Preprint)
Authors: Sandell Tiffany , Schütze Heike , Miller Andrew
Published: July 2020

BACKGROUND

The rising incidence of cancer and increasing numbers of cancer survivors have resulted in the need to find alternative models of care for cancer follow-up care. The acceptability for follow-up care in general practice is growing, and acceptance increases with shared-care models where oncologists continue to oversee the care. However, a major barrier to this model is the effective exchange of information in real time between oncologists and general practitioners. Improved communication technology plays an important role in the acceptability and feasibility of shared cancer follow-up care.

OBJECTIVE

The aim of this study is to evaluate the feasibility and acceptability of a shared cancer follow-up model of care between patients, general practitioners and radiation oncologists.

METHODS

This is a mixed methods, multisite implementation study exploring shared follow-up care for breast, colorectal, and prostate cancer patients treated with curative radiotherapy in New South Wales, Australia. This study uses web-based technology to support general practitioners in performing some aspects of routine radiotherapy follow-up care, while being overseen by a radiation oncologist in real time. The study has two phases: Phase 1 is designed to establish the level of agreement between general practitioners and radiation oncologists and Phase 2 is designed to implement shared follow-up care into practice and to evaluate this implementation.

RESULTS

Recruitment of radiation oncologists, patients, and general practitioners commenced in December 2020 and will continue until February 2021. Data collection will occur during 2021, and data will be ready for analysis by the end of 2021.

CONCLUSIONS

Few studies have investigated the role of health technologies in supporting communication deficiencies for shared cancer follow-up care. The implementation and evaluation of models of care need to be conducted using a person-centered approach that is responsive to patients’ preferences and needs. Should the findings of the study be acceptable and feasible to radiation oncologists, general practitioners, and patients, it can be quickly implemented and expanded to other tumor groups or to medical oncology and hematology.

CLINICALTRIAL

Australian New Zealand Clinical Trials Registry ACTRN12620001083987; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380057

INTERNATIONAL REGISTERED REPORT

PRR1-10.2196/21752
Why clinical trials may not help patients make treatment decisions: results from focus group discussions with 22 patients
Authors: Concannon Thomas W , Lundquist Christine M , Lutz Jennifer S , Kent David M , Paulus Jessica K
Published: July 2020

Aim:Despite broad interest in advancing personalized medicine, most evidence is currently derived from average results of clinical trials that may obscure heterogeneity of trial participants. Little is known currently about how patients view heterogeneity in trials and whether they can participate in methodological discussions about this concept.Materials & methods:In structured discussions with three focus groups involving 22 participants, we assessed how representatives of patient communities have used research to guide individual treatment decisions. Discussion themes were organized into a framework describing patient decision-making in four steps: decisions patients make in the course of care; information used to make decisions; sources for information; and quality of information.Results/conclusion:Patients prioritize information that reflects their own characteristics, preferences and values. They struggle applying clinical research to their own case.
El papel de la nanociencia y la nanotecnología en el marco de la pandemia de COVID-19
Authors: Durán Álvarez Juan Carlos , Martínez Avelar Carolina , Mejía Almaguer Daniel
Published: July 2020

En diciembre de 2019 surge en China el virus SARS-CoV-2, causante de la enfermedad COVID-19, un síndrome respiratorio agudo severo. Este virus resultó más contagioso que sus predecesores, lo que desató una pandemia tras cuatro meses del primer caso reportado. De cara a ello se prioriza el desarrollo de un tratamiento y una vacuna, así como la optimización de los métodos de diagnóstico. Este artículo de revisión explora los esfuerzos que se han hecho desde la nanociencia y la nanotecnología para mejorar los métodos de diagnóstico con el fin de incrementar su sensibilidad, selectividad y confianza. Se muestra como se ha aprovechado la resonancia del plasmón de superficie (RPS) para mejorar y miniaturizar a los sistemas de medición. Finalmente, se muestra el desarrollo de una potencial vacuna basada en nanomateriales y ARN mensajero, explicando los métodos de síntesis, la formulación y el mecanismo de acción. De acuerdo con la información disponible, es posible que esta vacuna logre una inmunización eficiente contra el SARS-CoV-2, lo que sería uno de los mayores hitos en los campos de la nanociencia y la nanotecnología.
Nanomateriales integrados para el desarrollo de equipo de prevención primaria ante la COVID-19
Authors: De la Torre S. Rocío G. , Betancourt Israel
Published: July 2020

El interés de esta revisión surge del impacto que ha tenido el Covid-19 a nivel mundial. Se proporcionan antecedentes relacionados con la descripción general de los virus, hasta llegar al SARS-CoV-2. Dentro de estos se menciona el posible origen de la pandemia, las recomendaciones emitidas por la Organización Mundial de la Salud (OMS), y, finalmente, las alternativas que se tienen actualmente para combatir al SARS-CoV-2 a partir de la experiencia obtenida ante otros virus y bacterias. Dentro de estas opciones, se dan a conocer algunas posibles áreas de aplicación de la nanotecnología, como herramienta de diagnóstico, tratamiento y/o prevención. Finalmente, la revisión se enfoca en mencionar algunos de los desarrollos realizados en diferentes países para la elaboración de equipo de protección personal (EPP) y material filtrante en general, como mecanismo de prevención primaria ante infecciones virales.
De hombres y machos: el género y las masculinidades en la vida cotidiana
Authors: Ayllón González Ricardo Enrique
Published: July 2020

En el presente artículo se definen los conceptos de género, masculinidades, masculinidad hegemónica, machismo y códigos culturales. Asimismo, se aborda el tema de las masculinidades alternativas y se habla acerca de la posibilidad del cambio en los hombres.
Editorial
Authors: Perdomo Omar Paíno
Published: July 2020

No necesita un resumen.
Evaluación de las partículas en suspensión atmosférica y bioaerosoles fúngicos en parques urbanos de la ciudad de Santo Domingo, República Dominicana
Authors: Binet Álvarez Andri Jesús , Peira Ángel Guillemes
Published: July 2020

Este estudio determinó el nivel de partículas en suspensión con diámetros ≤10 µm e ≤ 2,5 µm, y oportunistas fúngicos asociados en los parques urbanos de Mirador Sur, Iberoamericano y Colón, de la ciudad de Santo Domingo en la República Dominicana. Para esto se realizaron dos muestreos con intervalo de 24 horas, utilizando un muestreador PCE-MPC 10 para cuantificar el particulado y un Kestrel 5500 para variables atmosféricas. Las esporas fueron colectadas mediante la técnica de sedimentación en placa con agar Sabouraud e identificadas utilizando un microscopio Olimpus CX33. Según los resultados en ambos muestreos, el nivel del particulado de rango PM 2.5 µm y 10 µm en los parques no supera el límite presente en el Reglamento Técnico Ambiental de Calidad del Aire del Ministerio de Medio Ambiente y Recursos Naturales de la República Dominicana. Entre los hongos identificados se encuentran: Alternaria alternata, Aspergillus sp. 1, Aspergillus niger, Cladosporium, Dreschlera, Penicillium sp. 1, P. sp. 2, Paecilomyces sp., Nattrasia sp., Fusarium sp., Rhizophus sp., y Ulocladium sp.
Analysis of vegetation cover area as an urban environmental quality factor
Authors: Calvache David Andrés , Navarro Angie , Ceballos F. Álvaro
Published: July 2020

The process of urbanization modifies and eliminates biological components of urban morphology by replacing vegetation cover with gray surfaces. In this study, we aimed to identify the changes in vegetation cover in the city of San Juan de Pasto between the periphery and commune 1, which has the lowest vegetation cover in the city. We performed a multi-temporal analysis with LANDSAT satellite images over a period of 27 years (1989-2016) using the soil-adjusted vegetation index (SAVI) to determine the loss of urban vegetation cover (UVC). We estimated the urban environmental quality index (UEQI) based on the methodology proposed by the Ministry of Environment and Sustainable Development of Colombia (MinAmbiente), obtaining a score of 42 points that indicates low environmental quality. Furthermore, we calculated a new UEQI by mathematically extrapolating and correlating the theoretical benefits of UVC with environmental quality indicators, such as air quality, urban population exposure to noise exceeding the permitted levels, and residential energy consumption per capita. We found an improvement in the score of all the indicators and, consequently, the UEQI. We obtained a high projected environmental quality score of 60, demonstrating that UVC is a transforming factor of urban environmental quality due to the benefits provided by vegetation cover.
AÇÃO EXTENSIONISTA DE CUIDADO À SAÚDE: A INFLUÊNCIA NA FORMAÇÃO PROFISSIONAL DE ESTUDANTES DIPLOMADOS
Authors: Musselin Lidiane , Vieira dos Santos Marilucia , Fassina Patrícia , Rocha da Trindade Fernanda , Lohmann Paula Michele
Published: July 2020

A extensão universitária busca modificar as realidades, melhorando a qualidade de vida da comunidade assistida por ela, além de proporcionar novos conhecimentos para a formação dos estudantes, desde os primeiros semestres da graduação, a partir da troca de experiências entre os sujeitos envolvidos. A esse respeito, o presente estudo busca analisar o impacto na formação profissional de estudantes diplomados após sua participação no projeto de extensão “Ações Interdisciplinares de Cuidado em Saúde (PI)”, vinculado à Universidade do Vale Taquari - Univates. Para isso, realizou-se uma pesquisa qualitativa com os estudantes já diplomados de cursos da área da saúde, com perguntas fechadas e abertas, para avaliação do impacto da experiência vivida no projeto durante a graduação, na vida profissional desses sujeitos. Ao final da pesquisa, foi possível perceber que a participação no projeto de extensão auxiliou os profissionais tanto no campo teórico quanto no campo prático no tocante à realização de atendimentos humanizados, multi e interdisciplinares, considerando sempre que, antes de serem profissionais de suas áreas específicas, são profissionais de saúde como um todo.