bluuebunny/crossref_metadata_2025 huggingface dataset:
Pop-up book as a media for dental promotion to increase knowledge of dental health in elementary school students
Authors: Haryani Wiworo , Siregar Irma HY
Published: January 2022

Background: Elementary school children have a high risk of dental caries. The use of pop-up books as a medium so that elementary school students better understand the importance of dental health knowledge and how to brush their teeth properly and correctly. Purpose: This study was to analyze the effect of pop-up book media on increasing the dental health knowledge of elementary school students. Methods: The design of this study was a quasi-experimental with a pretest-posttest with one group design. The sampling technique was purposive sampling as many as 56 students. This research was conducted at SDN Nglengking, Minggir District, Sleman Regency, Yogyakarta Province from June to August 2019. The influence variable is the pop-up book media, and the affected variable is the level of dental health knowledge of elementary school students. Results: The results of the analysis of material experts and pop-up book media design experts showed a value of 35.5, meaning that it was very valid and suitable to be used as a dental health education media. The significant value of the level of dental health knowledge before and after dental health education was carried out with pop-up book media (p=0.000). Conclusion: pop-up book media about dental health is effective in increasing the dental health knowledge of elementary school students.

Keywords: Pop-up media, knowledge, dental health, elementary school students.
Spectrum of Biopsy Proven Primary Tubulointerstitial Diseases of the Kidney: A Single Centre Study
Authors: Wani Asif Sadiq , Zahir Zafirah , Krishnani Narendra
Published: January 2022

Background: The tubulointerstitial diseases can be due to a wide variety of etologies and mechanisms which vary with age, race and geographical area. In this study we aim to study the clinicopathological spectrum of biopsy proven primary tubulointerstitial diseases among patients in North India.

Methods: This is a 5 year retrospective, single centre cohort, observational study.The data base was searched to identify all patients with primary tubulointerstitial diseases in their native kidney biopsies.

Results: A total of 3091 renal biopsies were studied of which 283 were primary tubulointerstitial diseases. The mean age of patients was 43.2 (±14.6) years. Most of the patients were males with acute kidney injury as the most common presentation. Tubulointerstitial nephritis was the most common disease occurring in 126 patients. Acute interstitial nephritis was seen in 81 patients and chronic interstitial nephritis was seen in 45 patients. Granulomatous interstitial nephritis was seen in 27 patients. There were four patients of pigment nephropathy, 83 cases of acute tubular necrosis and 19 cases of cast nephropathy.

Conclusion: Primary tubulointerstitial diseases comprise about 9.1% of the total cases. Tubulointerstitial nephritis is the most common diagnosis in these patients. Tuberculosis is still a leading cause of granulomatous interstitial nephritis in our country followed by fungal etiology. Acute cortical necrosis affects mostly females post obstretric complications in our setup. Given the enemic nature of malaria in India, G-6PD deficiency is an important differential in patients presenting with pigment nephropathy.

Keywords: Biopsy, Tubulointerstitial Diseases of the Kidney, Tuberculosis, Acute cortical necrosis
Reporting Cases of Telogen Effluvium as a sequelae of COVID‐19 Infection
Authors: Allaqaband Shafia Mushtaq , Naqashbandi Farooq
Published: January 2022

Objective: to report cases of Telogen effluvium (T.E) as a sequele of COVID 19

Material and methods: Ten patients were reported between May and august 2021with median age group of 21years. There were five males and five females in the study. All the cases were diagnosed with positive RTPCR when they had COVID and recovered fully without need for hospitalization. T.E occurred in our group after median of two months (range 1-2months) following COVID 19 infection. Detailed medical history of all the patients was taken.

Results: all the ten cases showed early onset of T.E within three months of infection.

Keywords: Telogen Effluvium, Covid 19, RTPCR
Reinforcement Learning with Neural Networks for Quantum Multiple Hypothesis Testing
Authors: Brandsen Sarah , Stubbs Kevin D. , Pfister Henry D.
Published: January 2022

Reinforcement learning with neural networks (RLNN) has recently demonstrated great promise for many problems, including some problems in quantum information theory. In this work, we apply RLNN to quantum hypothesis testing and determine the optimal measurement strategy for distinguishing between multiple quantum states {ρj} while minimizing the error probability. In the case where the candidate states correspond to a quantum system with many qubit subsystems, implementing the optimal measurement on the entire system is experimentally infeasible. We use RLNN to find locally-adaptive measurement strategies that are experimentally feasible, where only one quantum subsystem is measured in each round. We provide numerical results which demonstrate that RLNN successfully finds the optimal local approach, even for candidate states up to 20 subsystems. We additionally demonstrate that the RLNN strategy meets or exceeds the success probability for a modified locally greedy approach in each random trial.While the use of RLNN is highly successful for designing adaptive local measurement strategies, in general a significant gap can exist between the success probability of the optimal locally-adaptive measurement strategy and the optimal collective measurement. We build on previous work to provide a set of necessary and sufficient conditions for collective protocols to strictly outperform locally adaptive protocols. We also provide a new example which, to our knowledge, is the simplest known state set exhibiting a significant gap between local and collective protocols. This result raises interesting new questions about the gap between theoretically optimal measurement strategies and practically implementable measurement strategies.
An individually-controlled multi-tined expandable electrode using active-cannula-based shape morphing for on-demand conformal radiofrequency ablation lesions
Authors: Chai Zhiping , Lyu Liangxiong , Pu Menghao , Liang Huageng , Ding Han , Wu Zhigang
Published: January 2022

Being minimally invasive and highly effective, radiofrequency ablation
(RFA) is widely used for small size malignant tumors treatment. However,
in clinical practice, a large number of tumors are found in irregular
shape, while the current RFA devices are hard to control their
morphologic appearance of RFA lesions on demand, which usually ends up
excessively ablating the tissues and often brings excessively
irreversible damage to the organs’ functions. Here, we introduce active
cannulas for each of individually-controlled sub-electrodes to achieve
an on-demand shape morphing and thus conformal RFA lesion. The shape as
well as the length of inserted sub-electrode can be precisely controlled
by tuning the expanded length of the active stylet and relative position
of the active cannula. Furthermore, owing to independent movement and
energy control of each sub-electrodes, our electrode is shown to be not
only efficient enough to accomplish accurate trajectory to target tissue
in a single insertion, but also adaptive enough to ablate target tissues
with diverse morphologic appearances and locations. Potentially, our RFA
electrode is a better choice in the future clinical practice for
minimally invasive treatments of malignant tumors of which preferred
treatment is conformal ablation.

Corresponding author(s) Email:   zgwu@hust.edu.cn
Unsafe Care and Misunderstanding Diagnosis in Freeman-Burian syndrome: Problems in Writing Case Reports Involving Rare Conditions and Strategies for Improvement
Authors: Poling Mikaela I , Dufresne Craig R
Published: January 2022

For rare conditions, avoiding hastily publishing case reports,
conducting a thorough literature search, and ensuring the patient’s
presentation aligns with accepted diagnostic criteria are each
essential. Failure to heed the above can lead to serious inaccuracies,
as illustrated by four articles we reviewed in the past year.
Fusobacterium nucleatum bacteremia with liver abscess following administration of anti-COVID-19 vector-based vaccine
Authors: Wu Jiun-Ting , Lai Yung-Fa , Chiu Chien-Tung
Published: January 2022

Immunization of the population through vaccination against COVID-19 is
recognized as a public health priority. The most difficult scientific
challenge for vaccines is the clinical safety and efficacy. We report a
patient presenting with Fusobacterium nucleatum bacteremia and liver
abscess formation following administration of anti-COVID-19
viral-vectored vaccine.
Fifty years of data show the effects of climate on overall skull size and the extent of seasonal reversible skull size changes in the common shrew
Authors: Taylor Jan , Muturi Marion , Lázaro Javier , Zub Karol , Dechmann Dina
Published: January 2022

1. Global climate change affects many aspects of biology and has been
shown to cause body size changes in animals. However, suitable datasets
allowing the analysis of long-term relationships between body size and
climate are rare. 2. The size of the skull, often used as a proxy for
body size, does not change much in fully grown vertebrates, but some
soricine shrews shrink their skull and brain in winter and regrow it in
spring. This is thought to be a winter adaptation in these
high-metabolic, nonhibernating animals, as a smaller brain size reduces
energy requirements. 3. Climate could thus affect not only the overall
size but also the pattern of the size change, i.e., Dehnel’s Phenomenon,
in these shrews. 4. We assessed the impact of the changes in climate on
the overall skull size and the different stages of Dehnel’s phenomenon
in skulls of the common shrew, Sorex araneus, collected over 50 years in
the Białowieża Forest, NE Poland. 5. Overall skull size decreased, along
with increasingly mild winters and decreasing soil moisture, which
determined the availability of the shrews’ main food source, earthworms.
The magnitude of Dehnel’s phenomenon increased over time, indicating an
increasing selection pressure on animals in winter. Overall, climate
clearly affected the common shrew’s overall size as well as its seasonal
size changes. With the current acceleration in climate change, the
effects on the distribution range of this cold-adapted species may be
quite severe.
NLRP3 INFLAMMASOME: A PROMISING THERANOSTIC TARGET IN INFLAMMATORY DISEASES
Authors:   Dept. of Microbiology, College of Medicine, Al-Nahrain University, Baghdad, Iraq, Ghazi Haider F.
Published: January 2022

Currently, the evaluation and treatment of chronic inflammatory diseases relies on specific clinical signs accompanied with single or multiple marker(s) for that disease. Despite that, these diseases share a common innate immune mechanism involved upregulation of “Inflammasome” that have been proved in its implication in the pathologic mechanism (s) and direct irreversible conversion of pro-interleukin 1β and pro-interleukin 18 into active IL-1b and active IL-18 contributing in disease progression and tissue damage, suggesting a common theranostic target to reduce inflammatory mechanism. Keywords NLRP3, inflammasome, theranostic marker
Adipocyte-Specific Modulation of KLF14 Expression in Mice Leads to Sex-Dependent Impacts on Adiposity and Lipid Metabolism
Authors: Yang Qianyi , Hinkle Jameson , Reed Jordan N. , Aherrahrou Redouane , Xu Zhiwen , Harris Thurl E. , Stephenson Erin J. , Musunuru Kiran , Keller Susanna R. , Civelek Mete
Published: January 2022

Genome-wide association studies identified single nucleotide
polymorphisms on chromosome 7 upstream of KLF14 to be associated with
metabolic syndrome traits and increased risk for Type 2 Diabetes (T2D).
The associations were more significant in women than in men. The risk
allele carriers expressed lower levels of the transcription factor KLF14
in adipose tissues than non-risk allele carriers. To investigate how
adipocyte KLF14 regulates metabolic traits in a sex-dependent manner, we
characterized high-fat diet fed male and female mice with
adipocyte-specific Klf14 deletion or overexpression. Klf14 deletion
resulted in increased fat mass in female mice and decreased fat mass in
male mice. Female Klf14-deficient mice had overall smaller adipocytes in
subcutaneous fat depots but larger adipocytes in parametrial depots,
indicating a shift in lipid storage from subcutaneous to visceral fat
depots. They had reduced metabolic rates and increased respiratory
exchange ratios consistent with increased utilization of carbohydrates
as an energy source. Fasting and isoproterenol-induced adipocyte
lipolysis was defective in female Klf14-deficient mice and concomitantly
adipocyte triglycerides lipase mRNA levels were downregulated. Female
Klf14-deficient mice cleared blood triglyceride and NEFA less
efficiently than wild type. Finally, adipocyte-specific overexpression
of Klf14 resulted in lower total body fat in female but not male mice.
Taken together, consistent with human studies, adipocyte KLF14
deficiency in female but not in male mice causes increased adiposity and
redistribution of lipid storage from subcutaneous to visceral adipose
tissues. Increasing KLF14 abundance in adipocytes of females with
obesity and T2D may provide a novel treatment option to alleviate
metabolic abnormalities.
Hodgkin Lymphoma in Nigeria: Prevalence, Mechanisms of Tumorigenesis and Diagnosis
Authors: Dokunmu Titilope Modupe
Published: January 2022

Hodgkin lymphoma (HL) is an uncommon neoplasm where tumor stems from a certain kind of leukocytes known as B-cell. This lymphoid malignancy involves outlying lymph gland which may extend to tissues. Research estimates 40% of patients are diagnosed from constitutive signs while early detection is a challenge. The Hodgkin Reed-Stenberg cells is established as the hallmark of Hodgkin lymphoma but multiple underlying mechanisms are involved. Hodgkin lymphoma spreads across different regions with limitations of effective control, hence there is a need to fully understand its tumorigenesis and diagnosis. We reviewed the multiphase deregulated signalling pathways and several interactions amongst cells, these characteristics can proffer new breakthrough to target therapeutics either through direct inhibition of affected signalling pathways or Hodgkin Reed-Stenberg cells associated with diverse cellular infiltrates within the lymph cell. HL incidence in Nigeria is similar to the incidence in other regions but there is a higher death rate in Nigeria. Nigeria bears the second highest burden of HIV globally which contributes to incidence of HL. Also, Epstein-Barr virus increases the risk of the disease, which is also prevalent in Nigeria. Lymphomas are associated with higher cancer-related deaths especially in HIV-infected persons with 2.5times lower 2-year survival chance compared to HIV-uninfected persons and late stage of lymphoma was also a contributing factor to the survival outcomes. Hence, to reduce the burden of the disease, an understanding of the aetiology, epidemiology, and biochemical mechanisms of the lymphoma is needed which are herein reviewed.
A New Generation of Translational Tools designed to Monitor Multiple Sclerosis (MS) at Clinical and Subclinical Stages
Authors: Suchkov Sergey
Published: January 2022

According to tremendous translational researchers, biomarkers as a part of the ligand-receptor tandems have induced an impulse to prompt the development of an upgraded concept of the targeted therapy. It is health indicators that justifying the necessity to create targeted drug of the next-step generation to be implemented at the clinical and sub-clinical key stages of the disease pathogenesis and to be involved into a multi-stage process to get the shifts appeared modified. Catalytic antibodies (CatAbs) have emerged as powerful tools for the efficient and specific catalysis of a wide range of chemical transformations. Generating antibody catalysts that achieve enzymatic efficiency remains a challenging task to be implemented in the designed translational applications. We also comment on recent developments in the screening CatAbs-related process that allow for a more efficient identification of Ab-based catalysts to be used further as native ones or engineered and/or designed bioproducts in clinical practice. The generation of an edited Abs, Eezyme or artificial ABZYME through transition state stabilization by Abs has been thus demonstrated. So, we may consider Ab-proteases as unique translational probes to diagnose, to monitor, to control and to treat and rehabilitate MS patients at clinical stages and to prevent the disorder at subclinical stages in personsat-risks to secure the efficacy of regenerative manipulations. There is an evident-based outcome of the latest studies in multiple sclerosis (MS) related fields that illustrates the proved targeted activity of Ab-proteases. High impact of Ab-proteases can be used to monitor both clinical and subclinical courses of chronic autoimmune inflammation (MS) to predict stepwise transformations of the course and to prognosticate the clinical illness finally. In this sense, Ab-proteases can be programmed and reprogrammed to suit the requests and standards of regenerative medicine and re-myelination, in particular. This information can allow to design the algorithms for combinatorial (preventive, prophylactic, therapeutic and rehabilitative) treatment, whilst developing unique tools for individually therapy for a number of diseases, such as a group of autoimmune diseases which holds a particular position.
Pigmented Villonodular Synovitis of the Wrist Simulating Carpal Tunnel Syndrome
Authors: Plain Pazos Claribel
Published: January 2022

Diffuse pigmented vellonodular synovitis in the wrist region behaving like a carpal tunnel syndrome is rare. The objective of this article is to present a patient with diffuse pigmented vellonodular synovitis of the right wrist simulating a carpal tunnel syndrome resolved with surgical treatment, obtaining optimal results. The patient began with pain in the area of the right wrist, accompanied by paresthetic sensations as well as a diffuse increase in volume in the distal third of the forearm that increased with work activity. During surgery, diffuse proliferation of the synovium of the sheath of the flexor tendons of the fingers was verified, it was resected and sent to Pathology, diagnosing diffuse pigmented vellonodular synovitis. After surgery, the symptoms disappeared with a very satisfactory evolution.
Antimicrobial Assessment of a Novel Humectant-Hand-Sanitizer against Microbes Transferred To Human Palms from Mobile Phones With/Without Flip Covers
Authors: Majumder Satwik
Published: January 2022

The lack of proper sanitation and hygiene over the years has contributed to a rapid increase in communicable diseases, especially in developing nations like India. This problem warrants investigation of the potential routes responsible for transmitting microbes and infections to an individual. In this study, we have assessed bacterial and fungal load in covered (with flip covers) and uncovered (without flip covers) mobile phones, and the potential transfer of these microbes from phone surfaces to human palm surfaces. The bacterial load (in cfu) in mobile phones with flip covers was 13-fold higher than that of the uncovered phones meanwhile, the fungal load was relatively higher in the uncovered phones. The transfer of bacterial population (in cfu) from the covered mobile phones to the palm surfaces was 14.5-fold higher than that of the uncovered phones. Similarly, fungal transfer was relatively higher from the uncovered phones to the palm surfaces. We further developed a novel alcohol-based Humectant-Hand-Sanitizer (HH-sanitizer) and its sanitization efficiency (in %) was compared with one of the most popular Hygiene products in India, Dettol, against microbes obtained from human palm surfaces (before and after rubbing over mobile phones), and a group of opportunistic pathogens: Enterobacter aerogenes, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus, Enterococcus sp., Bacillus cereus, Listeria monocytogenes, Candida albicans, and Aspergillus sp. The sanitization efficiency (SE %) of the HH-sanitizer on palm surfaces was 98.78±1.82% and 91.27±4.24% against bacterial and fungal isolates respectively, whereas the SE % for the Dettol sanitizer was 94.62% against bacteria and 45.89% against fungi. In vitro antimicrobial assessment against the tested organisms showed the minimum inhibitory concentration of the HH-sanitizer to be 8-fold lower than the Dettol sanitizer. Thus, the HH-sanitizer has the potentiality to be an alternative option. Since bacterial adherence to mobile phones with flip covers and their transfer to human hands was significantly higher and as the common infections, we are prone to are caused more by bacteria than fungus, either way, avoidance of flip covers in phones/laptops/tablets, etc. is recommended to avoid transmittable infections and achieve better hygiene.
Estrategia basada en la evaluación auténtica para el desarrollo de competencias digitales en la formación inicial docente
Authors: Camacho-Navarro Araceli , Salinas-García Rolando Javier
Published: January 2022

El desarrollo de las competencias digitales en la formación inicial docente es importante para las instituciones que están preocupadas porque sus egresados estén actualizados y capacitados para cumplir con las exigencias de la sociedad actual. El presente trabajo se centró en la planeación e implementación de tres materias optativas para estudiantes de la licenciatura en Psicopedagogía de la Universidad Autónoma de San Luis Potosí (UASLP). La propuesta curricular se basó en la metodología de la investigación evaluativa. El objetivo fue desarrollar las asignaturas con base en el enfoque de la evaluación auténtica de los aprendizajes: desde la selección del contenido hasta la evaluación de las competencias a desarrollar en cada materia. Los resultados demostraron que al cursar las tres materias se desarrollaron las siguientes competencias en los estudiantes: información y alfabetización informacional, comunicación y colaboración, creación de contenido digital, seguridad y resolución de problemas. Además, la autopercepción de las competencias digitales fue de un nivel intermedio a avanzado, y los estudiantes reconocieron el vínculo entre lo que aprenden en su proceso formativo y lo que realizarán en su práctica profesional.
The significance of geographic location in island studies: a rejoinder(1)
Authors: W. Armstrong Harvey , Read Robert
Published: January 2022

This rejoinder seeks to build upon McElroy and Lucas’ excellent paper by exploring further the relationship between distances from small islands to their main markets and economic performance. It is argued that the nature of this relationship is not only statistically very strong but also that it is nuanced and multifaceted. A very fruitful set of areas for further future research awaits any researcher brave and energetic enough to pick up the baton and run (or swim – we are talking islands here) with it.
The significance of geographic location in island studies: a rejoinder (2)
Authors: Poirine Bernard
Published: January 2022

The results pointed out in the note ‘The significance of geographic location in island studies’ by McElroy & Lucas (2014) suggest that the economic performance of small islands is inversely related to their remoteness from the rest of the world and positively related to their political affiliation to a large country. In this note, I propose some policy implications and review some theoretical explanations for this result. I also present similar results obtained with a gravity model of tourism demand for small islands.
A Response to Armstrong and Read, Poirine and Bertram
Authors: L. McElroy Jerome
Published: January 2022

This is a brief response to Armstrong and Read, Poirine, and Bertram, synthesizing their welcome thoughtful remarks in response to my paper, and briefly outlining the way forward that research in this area of island studies could take.
The Dutch Caribbean municipalities in comparative perspective
Authors: P. Veenendaal Wouter
Published: January 2022

Upon the dissolution of the Netherlands Antilles in 2010, the smallest islands in this federation – Bonaire, St. Eustatius, and Saba – became special municipalities of the Netherlands, and were hence politically and constitutionally integrated into the Dutch metropolis. The present article seeks to understand this development in the context of the broader academic literature on small, non-sovereign island jurisdictions in the Caribbean and elsewhere. After a description of the reforms and a discussion of the perceived benefits and drawbacks of the new political status, the newly created Dutch Caribbean municipalities are compared with other non-sovereign jurisdictions in the Caribbean. Whereas the choice for political integration in itself can be compared with the French postwar policy of départementalisation, in terms of the historical significance and the direction of the reforms, the new political situation on Bonaire, St. Eustatius, and Saba could rather be better likened to that of the British Overseas Territories and their relationship with the United Kingdom.
Solving problems, the island way: human resourcefulness in action among the islanders of Gozo
Authors: G. Azzopardi Joseph
Published: January 2022

This paper offers glimpses into how businesspersons, entrepreneurs and small business managers resolve their most pressing problems under conditions characterized by smallness and islandness in order to survive. Applying a nissological approach complemented by an action-oriented grounded method, the researcher explores and inductively analyses the mind-sets of islanders to explicate the basic socio-psychological process that influences how they resourcefully overcome problems associated with mistrust and powerlessness, transforming these into opportunities of trust-building and empowerment. Two concurrent and seemingly contradictory processes emerge from the analysis, suggesting that Gozitans – the residents of the small Mediterranean island of Gozo – apply both overt formal and covert informal processes to solve their problems.
Satisfaction with the quality of life on Croatian small islands: Zlarin, Kaprije and Žirje
Authors: Podgorelec Sonja , Gregurović Margareta , Klempić Bogadi Sanja
Published: January 2022

The purpose of this study is to determine the levels of satisfaction with various life domains that constitute objective conditions of the quality of island life, and which influence the perception of islanders’ personal well-being among the inhabitants of three small islands (Zlarin, Kaprije and Žirje) in Croatia. The obtained results are based on a resident survey (N=141). A quality of life assessment was carried out by recognizing the specificity of an island’s surface area and its population (small communities, mostly elderly people), as well as by evaluating choices that respondents perceive to be important for their well-being. Based on applied multivariate analyses, the research suggests that life satisfaction, besides a significant correlation with material status (income), is also greatly affected by the extent of preserved social values, common to the rural communities to which the observed islands belong, such as the closeness of personal relationships (level of acceptance in the local community, solidarity) and the social order maintained through informal control (which provides a sense of security). Both islanders who have never lived off their island, as well as returnees and in-migrants, positively value the way of life in island communities.
On the representation of the island in my artwork
Authors: Nobe Astrid
Published: January 2022

This essay explores the development of an art project with the island as its central theme. The process is explained through a selection of background material and other considerations that have led to the work. As a starting point for this project, the author worked on the island of Ameland, The Netherlands, where she was born and raised. To experience the island from an outsider’s point of view, she also stayed for a period of time on Grímsey, North Iceland. The work that resulted from this period of experiencing and gathering information around islands, Iland / Us, consists of two sculptures that deal with borders, protection, self and community. Among selected fragments are texts from literature and science, photos and sketches, underpinned by personal experience.
Croatian Use of The Hospital Survey on Patient Safety Culture
Authors: Friganović Adriano , Krupa Sabina , Rotim Cecilija , Kurtović Biljana , Civka Kristian , Režić Slađana
Published: January 2022

Introduction. Patient safety during hospitalisation is one of the biggest
concerns for hospitals worldwide and one obligation of all medical
professionals is to create a safe environment for patients and prevent accidents.
Approximately 50% of adverse events can be prevented with a systematic
approach.

Aim. This
study aimed to examine the underlying dimensions and psychometric properties of
the Hospital Survey on Patient Safety Culture questionnaire in Croatian
hospital settings, and to compare the results with the original questionnaire
from the United States of America.

Methods. The
sample consisted of 438 nurses from four Croatian university hospitals. All participants
signed an informed consent document, and the questionnaires were provided to
the nurses in their units by the head nurses of their departments. Data
analysis was performed using IBM SPSS 25.0. Bartlett's test of sphericity and
the Kaiser-Meyer-Olkin (KMO) indicator were performed with Cronbach’s alpha test and sample standard deviation.

Results. All
factors explain the total of 59% of variance of the measured questionnaire. Additionally,
the reliability of the entire questionnaire was determined by using the
internal consistency coefficient (Cronbach’s alpha) on
the Hospital Survey on Patient Safety Culture with 12 of 0.88 particles, which
is high internal consistency reliability. Our results show that the particles
that make up the questionnaire are very homogeneous according to their object
of measurement.

Conclusion. The results of our study found that the survey can be applied
to Croatian settings and used in hospitals. We also believe that more research
on this topic is needed and is crucial for improving patient safety in
hospitals. It is necessary to emphasize continuous education of nurses regarding
patient safety in hospitals.
Nursing and Ethics
Authors: Abou Aldan Damjan
Published: January 2022

Introduction. Emmanuel Levinas' ethics had an impact on Jean Watson's 1979 Theory of Human caring. Watson suggests that nursing ethics may be closest to the
ethics of care as determined by Levinas.

Aim. To
establish arguments for and against abovementioned thinking.

Methods. After
an initial comparison of the statements made by Watson and the statements made by
Levinas, a review of scientific articles was made to establish the link between
nursing ethics and the ethics of Levinas.

Results. About
20 articles and books were analyzed. A dozen references have been singled out
to establish a link in argumentation, one paper presented a partial critique,
while one suggested that nursing ethics should be based on some other ethical
theory.

Conclusion. Watson suggested that nursing ethics could be based on the
ethics of Levinas. Since the 1990s some authors have made affirmative claims to
this proposal, while others question the real possibility of its application in
practice. Most authors agree that nursing ethics should not be based on the
virtues of Christian charity, nor on deontological foundations or bioethical principlism.
No other theory invokes that level of responsibility to another human being as
Levinas does. Critics say his ethics are extremely abstract and as such are
difficult to apply in a practical discipline such as nursing.
Occupational Therapists on The Front Line
Authors: Ricko Iva , John Joy , McManus Edel , McAulife Ellen , Basra Jessie
Published: January 2022

Introduction. There is a growing focus on the need for an increased number
of allied health professionals to reduce the pressure on acute hospitals
through admission avoidance. There is little in the way of guidelines on how
services should be delivered and a lack of evidence base demonstrating
effectiveness.

Methods. An
audit has been carried out by the occupational therapy team in the Emergency Department
to capture the total number of referrals to the occupational therapy service in
the Emergency Department at Royal Berkshire Hospital and to capture discharge
decisions made following occupational therapy input.

Results. The
occupational therapy team in the Emergency Department focuses particularly on admission
avoidance using a home first approach to prevent patients from being admitted
to acute wards. The results showed that the service was beneficial regarding both
the number of referrals and the utilisation of various discharge destinations
from the Emergency Department.

Conclusion. The report has identified several areas for further research
by the same team and implications for the wider literature base. The hope is
that this report would highlight the role of occupational therapists working in
the emergency department at Royal Berkshire Hospital and encourage the
completion of further research in this area of practice.
Malaysian medical tourism communication in shaping Indonesian public opinion
Authors: Damayanti Trie , Dida Susanne , Hidayat Dadang Rahmat , Cho Sung Kyum
Published: January 2022

Malaysia is developing medical tourism as a tourism industry aimed at foreign tourists. For this tourism industry, Malaysia makes Indonesia as one of the tourist targets that are expected to bring foreign exchange for the country. Data shows that Indonesians are the largest contributor of tourists visiting Malaysia for treatment. This shows the trust of Indonesian citizens in the health services of the neighboring country. The concept of tourism communication mentions that to achieve the success of medical tourism at least several things are needed that can be fulfilled, namely: competitive prices, available human resources for medical services, the existence of research and development of medical capabilities, infrastructure development, state institutions that support medical tourism, a supportive market economy, the ability to bring together present-day medical technology with traditional, and tourist attractions. Things that are built through tourism communication itself are expected to produce a public opinion about tourist destinations, where this public opinion is the first step in the formation of a country’s brand. This study uses a survey method, which involves about 96 respondents who are on the islands of Sumatra and Java. Use descriptive analysis techniques to explore results. The results obtained by not all components in tourism communication for medical tourism are seen as influencing Indonesian opinion on Malaysian medical tourism. The strangest thing that comes to the view of the Indonesian people is Malaysia’s credibility on health services, the credibility of doctors, the equipment used, the ability to convey information, adequate infrastructure, and the beauty of tourist destinations. Most opinions state that Malaysia can show as a country that successfully develops tourist confidence in the health services offered. The implication of this research is that the opinion of foreign nationals in a country greatly affects the image of that country in the international world.
Effectiveness Blended Learning in Reducing HIV-related Stigma and Discrimination among Nurses: A Queasy Experimental Design
Authors: Purnama Heni , Calisanie Nyayu Nina Putri , Lindayani Linlin , Taryudi Taryudi
Published: January 2022

Scale-up of stigma-reduction programs in healthcare settings has been slow in part due to lack of understanding and social norm associated with pre-existing stigma in HIV population. The application of blended learning can bridge the gap between theory and practice and make the learning experience more meaningful so that it can be applied as a way of learning to reduce stigma against PLWHA from healthcare professional. The aimed of this study was to determine the effectiveness of blended learning in reducing the stigma of nurses toward people with HIV/AIDS (PLWHA). This study used a quasi-experimental pre-post-test design with two groups (the intervention group and the control group). The samples in this study were nurses who worked at the public health center in Bandung. HIV-related stigma and discrimination (S&D) questionnaire was used to measure HIV-related stigma among nurses. Mean, standard deviation, frequency was used to explain demographic data and main variables. In the intervention (blended learning) group, there was a significant different of the mean score of HIV-related S&D before and after blended learning intervention with ∆ mean was 4.37 and (p = 0.001). In the control group, there was no significant different of those ∆ mean was 3.39 (p=0.459). A significant difference found in the post test mean score of HIV-related stigma and discrimination between intervention and control group [F=569.018, (p= 0.000)]. This study found that blended learning could reduce the HIV-related stigma and discrimination from nurses. This underscores the utility of this intervention to change the perceived of stigma and discrimination of health workers, as well as potential to generalize or adapt this intervention to other settings in the region and beyond.
The Experience of Health Care Workers Infected by Corona Virus Diseases-19
Authors: Rochanah Siti , Nurbaeti Irma
Published: January 2022

Background. The number of healthcare workers in front line has affected by COVID-19 and some of them infected by COVID-19 since COVID-19 outbreak. Understanding healthcare workers experience is important to get their meaning and expression.  Purpose. The purpose this study was to explore the experiences of health workers infected by COVID-19. Methods. A Qualitative phenomenological approach was carried out in this study with phenomenological analysis for interpretation data. Data were collected using in-depth interviews of 12 health workers who were infected by COVID-19 either during their treatment or after being treated at non-government hospital in Jakarta, Indonesia. Results. We found five themes followed by fourteen subthemes. The themes were (1) The meaning of COVID-19 for her/his self, (2) The first feelings of being infected with COVID-19, (3) Experience of Clinical symptoms, (4) Experience of psychological and social disorders, (5) Experience in accessing health services. Conclusions. Health workers who infected by COVID-19 had some positive and negative experience. This research may provide a deep understanding about the life of health workers infected by COVID-19. Proper planning and support are important to reduce health workers’ problems both physical and psychological.
Stress Levels and High School Adolescents Coping Mechanism during the Covid-19 Pandemic
Authors: Maharani Mustika Sajida , Mustikasari Mustikasari
Published: January 2022

Background: Adolescents are prone to psychological disorders due to theirpersonal nature that they cannot accept changes. It is further exacerbatedby the Covid-19 pandemic situation which requires all activities to be carriedout online from home.Purpose: This study aims to determine the relationship between stresslevels and coping mechanism in high school adolescents during the Covid-19pandemic in Halim Jakarta.Methods: Research design is a cross sectional used for adolescents aged15-19 years at SMA Negeri 67 Jakarta and SMA Angkasa 1. 342 sampleswere selected by using the quota sampling method. The measurementof stress levels is done by distributing the Perceived Stress Scale(PSS) questionnaire, while the coping mechanism uses the Brief Copequestionnaire. The research results include the results of univariate analysisand bivariate analysis with the Chi Square test.Results: The results of this study showed that there was a relationshipbetween stress levels and coping mechanism (p value 0.017), dysfunctionalcoping strategies (p value 0.000) in high school adolescents during theCovid-19 pandemic. Furthermore, there is no relationship between stresslevels and Emotion Focused Strategies (p value 0.703), and ProblemFocused Strategies (p value 0.816) in high school adolescents during theCovid-19 pandemic. The female adolescents are more dominant than maleadolescents. More respondents from class XII majoring in science are fromSMA Negeri 67 Jakarta. There are still teenagers with severe stress duringthe Covid-19 pandemic. There is a relationhip between stress levels withcoping mechanism and dysfunctional coping strategies. But the stress levelhas no relationship with Emotion Focused Strategies and Problem FocusedStrategies.Conclusion: The results of this study are expected to improve mentalhealth services through routine mental health screening and providingcounselling related to stress management in adolescents. Adolescents arealso expected to solve problems by optimizing the use of coping mechanism(Emotion Focused Strategies, Problem Focused Strategies) appropriatelyand avoiding the use of dysfunctional coping strategies.
Determining Behavioral to Uptake and Its Predictors toward Cervical Cancer Screening among Women: A Case-Control Multistage Study
Authors: Winarti Eko , Prasetyanti Dhita Kris , Alimansur Moh , Said Rozzana Mohd
Published: January 2022

Cervical cancer is a primary cause of mortality cancer among Indonesian women. Notwithstanding these threats, cervical cancer screening services have low uptake. Additionally, there was a lack of case-control study with multistage regarding positively behavioral and its determinants for cervical cancer screening. This study was to ascertain the behavioral to uptake and its predictors toward cervical cancer screening. A case-control study was done in the Kediri with sample size was 410 using multistage random sampling (ratio 1:1) from nine community health service. Data were obtained through questionnaires and assessed using Chi-square, Independent t-test, and multiple logistic regression with adjusted odds ratio (AOR). The behavioral to conduct cervical cancer screening was associated with knowledge (AOR= 1.61), husband support (AOR= 1.38), social support (AOR= 5.03), external motivation (AOR= 1.24), internal motivation (AOR= 1.37), perceived susceptibility (AOR= 1.49), perceived barrier (AOR= 0.74), perceived benefit (AOR= 0.73), perceived severity (AOR= 1.36), self-efficacy (AOR= 1.30), perceived threat (AOR= 1.26), and intention to screening (AOR= 3.06) with p value <0.05 after adjusted covariate factors. The knowledge, husband and social support, external and internal motivation, all domains of health belief, and intention to uptake screening were found strongly associated with behavioral to uptake cervical cancer screening.
Estimation of soil erosion in loess plateau based on geographic information system
Authors: Dang Xinghai , Sun Yajie
Published: January 2022

One of the core problems in soil erosion research is the estimation of soil erosion. It is a feasible method and technical approach to estimate soil erosion in Loess Plateau region by using USLE model, GIS and RS technology and using DEM data, meteorological data and land-use type data. With the support of GIS and RS technology, the USLE factors and soil erosion in Loess Plateau region were estimated, and the soil erosion intensity was classified according to the Chinese soil erosion intensity classification standard. The results can provide reference for the development of soil erosion control measures in the Loess Plateau.
Evaluation methods of regional bank slope stability based on geographic information systems and integrated information model
Authors: Yu Guo , Xie Mowen , Li Yong
Published: January 2022

Through the combination of the geographic information systems (GIS) and the integrated information model, the stability of regional bank slope was comprehensively evaluated. First, a regional bank slope stability evaluation index system was established through studying seven selected factors (slope grade, slope direction, mountain shadow, elevation, stratigraphic lithology, geological structure and river action) that have an impact on the stability of the slope. Then, each factor was rasterized by GIS. According to the integrated information model, the evaluation index distribution map based on rasterized factors was obtained to evaluate the stability of the regional bank slope. Through the analysis of an actual project, it was concluded that the geological structure and stratigraphic lithology have a significant impact on the evaluation results. Most of the research areas were in the relatively low stable areas. The low and the relatively low stable areas accounted for 15.2% and 51.5% of the total study area respectively. The accuracy of slope evaluation results in the study area reached 95.41%.
La discriminación múltiple en el derecho al acceso al empleo de la mujer: un análisis desde el enfoque de la justicia relacional y el feminismo
Authors: Ríos Pérez Alejandra
Published: January 2022

Este trabajo combina el enfoque de la justicia relacional con el feminismo para evidenciar los vacíos de justicia que surgen en el acceso al empleo de la mujer y que impiden la consecución de la igualdad real. El principio de igualdad de trato tiene cierto arraigo en el ordenamiento jurídico español, aún así se siguen dando situaciones de discriminación por razón de género. Existen medidas y políticas encaminadas a combatir este tipo de discriminación, si bien no hay un sistema establecido para aquellos supuestos en los que varias circunstancias interaccionan y originan discriminación múltiple. Es necesario conocer estas situaciones y adoptar los mecanismos jurídicos para combatirlas y poder optar a la igualdad.