bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association of lifestyle elements with self-rated wellness and health status in patients with Behcet’s disease
Authors: Masoumi Maryam , Tabaraii Reihane , Shakiba Saeed , Shakeri Mansoureh , Smiley Abbas 
Published: September 2020

Abstract
Background
Assessment of the association of various lifestyle factors and wellness and health status in patients with Behcet’s disease was the main goal of this study.

Methods
Demographic information, body mass index, smoking habit, mood status, sleep quality, physical activity levels, nutritional data, symptoms, signs, laboratory findings and patient reported outcome (self-rated wellness and health) in 52 patients with Behcet’s disease were collected in this cross-sectional study. A multivariable linear regression model was used to assess the association of self-rated wellness and health status and lifestyle factors, adjusted for age, sex, BMI, major symptoms and signs, as well as laboratory findings.

Results
Female to male ratio was 21/31, and the mean age of participants was 44 years. Mean self-rated wellness and health score was 14.6 out of 20. Oral and genital aphthous, ocular involvement, pathergy, and skin involvement were observed in 100, 52, 92, 36.5, and 9.5% of patients, respectively. The mean values of sleep, mood and nutrition quality scores were 17.7 (out of 70), 13.8 (out of 35), and 9 (out of 21), respectively. Univariable regression analysis showed a significant association between sleep quality, mood status, and disease duration, with patients’ status in terms of self-rated wellness and health. In multivariable linear regression, sleep quality was the only significant predictive variable associated with self-rated wellness and health.

Conclusion
Sleep quality was the most important factor associated with low self-rated wellness and health status in patients with Behcet’s disease.
Impacts of Type 2 Diabetes on Disease Severity, Therapeutic Effect, and Mortality of Patients With COVID-19
Authors: Wang Xiaoli , Liu Zhengru , Li Jiao , Zhang Jixiang , Tian Shan , Lu Shimin , Qi Mingming , Ma Jingjing , Qiu Bo , Dong Weiguo , Xu Yu 
Published: September 2020

Abstract

Purpose
Coronavirus disease 2019 (COVID-19) has become a topic of concern worldwide; however, the impacts of type 2 diabetes mellitus (T2DM) on disease severity, therapeutic effect, and mortality of patients with COVID-19 are unclear.

Methods
All consecutive patients with COVID-19 admitted to the Renmin Hospital of Wuhan University from January 11 to February 6, 2020, were included in this study.

Results
A total of 663 patients with COVID-19 were included, while 67 patients with T2DM accounted for 10.1% of the total. Compared with patients with COVID-19 without T2DM, those with T2DM were older (aged 66 years vs 57 years; P &lt; 0.001) and had a male predominance (62.7% vs 37.3%; P = 0.019) and higher prevalence of cardiovascular diseases (61.2% vs 20.6%; P &lt; 0.001) and urinary diseases (9% vs 2.5%; P = 0.014). Patients with T2DM were prone to developing severe (58.2% vs 46.3%; P = 0.002) and critical COVID-19 (20.9% vs 13.4%; P = 0.002) and having poor therapeutic effect (76.1% vs 60.4%; P = 0.017). But there was no obvious difference in the mortality between patients with COVID-19 with and without T2DM (4.5% vs 3.7%; P = 0.732). Multivariate logistic regression analysis identified that T2DM was associated with poor therapeutic effect in patients with COVID-19 (odd ratio [OR] 2.99; 95% confidence interval [CI], 1.07-8.66; P = 0.04). Moreover, having a severe and critical COVID-19 condition (OR 3.27; 95% CI, 1.02-9.00; P = 0.029) and decreased lymphocytes (OR 1.59; 95% CI, 1.10-2.34; P = 0.016) were independent risk factors associated with poor therapeutic effect in patients with COVID-19 with T2DM.

Conclusions
T2DM influenced the disease severity and therapeutic effect and was one of the independent risk factors for poor therapeutic effect in patients with COVID-19.
An Exercise Prescription for COVID-19 Pandemic
Authors: AKTUĞ Zait Burak , AKTUĞ DEMİR Nazlım 
Published: September 2020

COVID-19 is an alarming public health concern worldwide. COVID-19 is highly contagious and has no approved treatment or vaccine yet. Therefore, the best strategy is prevention. Studies have shown that a healthy lifestyle, regular exercise, balanced eating, and quality sleep are the key elements for protection from this disease. We are going through a distressful period as a nation and as the human race in general. We need to manage this period in the best way possible in physiological and psychological terms. Physical activity is one of the major steps in managing this period in a healthy way. Individuals should be provided information about exercise so that they can perform correct physical activities within their means. This article presents an exercise prescription that can be followed in the days of the COVID-19 pandemic.
doi: https://doi.org/10.12669/pjms.36.7.2929
How to cite this:Aktug ZB, Demir NA. An Exercise Prescription for COVID-19 Pandemic. Pak J Med Sci. 2020;36(7):1732-1736. doi: https://doi.org/10.12669/pjms.36.7.2929
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Study on the Correlation between Metabolism, Insulin Sensitivity and progressive weight loss change in Type-2 Diabetes
Authors: Kong De-Xian , Xiao Yan-xin , Zhang Zhen-Xi , Liu Ya-Bin 
Published: September 2020

Objective: To observe the changes of lipid metabolism, blood glucose level and insulin sensitivity in patients with Type-2 diabetes after progressive weight loss of their body weight, so as to lay a theoretical foundation for diabetes treatment and education in the future.
Methods: One hundred obese patients with Type-2 diabetes (BMI ≥ 25 kg/m2) who visited the endocrinology department of our hospital from April 2017 to April 2018 were given diabetes health education, diabetic diet, exercise and other measures to control their weight. The changes of blood glucose, blood lipid, insulin level and insulin release test before weight loss (T1), and at the time points of weight loss reached 5% (T2), 10% (T3) and 15% (T4) were recorded respectively to understand the influence of progressive weight loss on relevant indexes of patients.
Results: With the decrease of body weight, the differences of TC, TG, LDL-C and HDL-C at different weight loss points were significant (p < 0.05), and the changes of fasting blood glucose in 5% and 10% weight loss were significant (p = 0.02). The 2h postprandial blood glucose showed the most significant difference when the weight loss reached 15% (p = 0.00). There was no statistical difference in the change of glycosylated hemoglobin among different weight loss points (p = 0.08). When the weight loss reached 10%, the blood insulin level was significantly lower than that before the weight loss, while the insulin level was not significantly changed when the weight loss reached 15%, but the peak of secretion was shifted forward. It is suggested that insulin sensitivity gradually increases with weight loss.
Conclusion: Obese patients with Type-2 diabetes can benefit from weight loss, with abnormal blood glucose and lipid metabolism improved, insulin resistance relieved, and insulin sensitivity increased.
doi: https://doi.org/10.12669/pjms.36.7.3027
How to cite this:Kong DX, Xiao Y, Zhang Z, Liu Y. Study on the Correlation between Metabolism, Insulin Sensitivity and progressive weight loss change in Type-2 Diabetes. Pak J Med Sci. 2020;36(7):1523-1528. doi: https://doi.org/10.12669/pjms.36.7.3027
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Common Cancers in Karachi, Pakistan: 2010-2019 Cancer Data from the Dow Cancer Registry
Authors: Qureshi Muhammad Asif , Khan Saeed , Sharafat Shaheen , Quraishy Mohammed Saeed 
Published: September 2020

Objectives: To present 2010-2019 cancer data from the Dow Cancer Registry representing all districts of Karachi (~17.4 million).
Methods: The study was conducted at the Dow University of Health Sciences. After ethical approval, the Dow Cancer Registry was established at the largest government-run diagnostic and reference center of Karachi (Dow Labs). All cancers registered during 2010-2019 were analyzed. Patients >18years of age were labeled as adults while those with ages ≤18years were classified as children/young adults.
Results: During 2010-2019, a total of 22,858 cancers were registered. Of these, 9,112(39.9%) cancers were diagnosed in males while 13,746(60.1%) in females. Incidence rates for all cancers (all ages) were 108/1,00,000 for males and 188.6/1,00,000 for females. In adult males, cancer of lip and oral cavity was the most frequently diagnosed cancer (33.6%), followed by non-melanoma –skin-cancer (NMSC) (7.2%), oesophagus (6.8%), colorectum (6.7%) and stomach (4.9%). In adult females, breast cancer was the most frequently recorded malignancy (53.2%), followed by cancers of lip and oral cavity (10.4%), oesophagus (5.3%), colorectum (3.3%) and NMSC (3%). In children, most common malignancy was that of brain and nervous system (15.3%), followed by Hodgkin’s lymphoma (14.2%), colorectum (8.1%), endocrine-&-related organs (8%) and non-Hodgkin’s lymphoma (7.8%)
Conclusion: Cancers of lip and oral cavity and breast cancer were the most common malignancies in males and females respectively. In paediatric group, cancers of brain and nervous system were most common. Alarmingly, Karachi males have highest ASR of cancers of lip and oral cavity compared to any other city of Pakistan.
doi: https://doi.org/10.12669/pjms.36.7.3056
How to cite this:Qureshi MA, Khan S, Sharafat S, Quraishy MS. Common Cancers in Karachi, Pakistan: 2010-2019 Cancer Data from the Dow Cancer Registry. Pak J Med Sci. 2020;36(7):1572-1578. doi: https://doi.org/10.12669/pjms.36.7.3056
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Effect of group counseling on the attitude among the family caregivers of patients with mental disorders
Authors: Sadeghian Efat , Pourmoradi Farnaz , shamsaei Farshid , Tapak Lily 
Published: September 2020

Aim of the studyIntroduction: Incorrect beliefs and negative thinking of society and in the family affect psychiatric patients over the process of treatment, care and recovery. The aim of this study was to investigate the effect of group counseling on the attitude of family caregivers in patients with mental disorders.Subject or material and methodsMethod: This quasi experimental study was conducted in psychiatric wards of Farshchian Hospital in Hamadan in Iran in 2018. 49 family caregivers were randomly selected to the study. Data were collected using a researcher-made mental attitude questionnaire. At first, family caregivers' attitudes were evaluated; then, they held 4 groups and for each group done 4 sessions of 60 minutes of group counseling. The questionnaire was completed again by the family caregivers immediately after the intervention. Data analysis was done using SPSS software version 16 using descriptive and inferential statistics.ResultsResults: The mean of the attitude of the family caregivers before the group counseling was (12.59 ± 13.49). The mean of the attitude score of family caregivers after group counseling was (24.45 ± 8.32). Paired t-test showed that the attitude score of caregivers increased significantly after group counseling (p <0.001).DiscussionThe results of the study indicate that group counseling improves the attitude of family caregivers towards mental illness.ConclusionsTherefore, it is recommended that psychiatric nurses use this method to educate families of mental patients.
The health behaviour of homosexual and heterosexual women in context of theory of salutogenesis
Authors: Kotowska Joanna , Nizio Ewa , Kurpisz Jacek 
Published: September 2020

Aim of the studyComparison of the particular health behaviours and levels of sense of coherence between groups of women who have sex with women (WSW) and women who have sex only with men.Subject or material and methodsThe groups of 33 WSW and 31 women who have sex only with men were investigated. The health behaviours were studied with Inventory of Health Behaviours and the author’s survey, physical activity the Polish version of the International Physical Activity Questionnaire, the sense of coherence with SOC-29 scale. Probability of harmful or risky alcohol drinking was verified by the screening test CAGE (abbreviation from: Cut, Angry, Guilty, Empty).ResultsWomen who have sex exclusively with men scored higher than WSW in the positive mental attitude. WSW reported more frequent sexual contacts with strangers, admitted using more various psychoactive substances. WSW had lower rates of sense of comprehensibility and manageability and higher level of physical activity.DiscussionWSW and women who have sex only with men show many similarities in their health behaviour and sense of coherence. All the observed differences concern some aspects of less traditional and less healthy lifestyle and less positive mental attitude among WSW. It can be explained by a psychosocial situation and experienced minority stress in this population. Our observation coincides with the results of previous studies.ConclusionsWSW present characteristics which predispose to having more health problems, than women who have sexual contacts exclusively with men. We conclude that WSW should become receivers of special health prevention programs, adjusted to their specific needs.
Communication competence and the intensity of anxiety and stress in medical staff – a preliminary report
Authors: Szułdrzyński Konstanty , Cyranka Katarzyna , Nowina Konopka Maria , Dudek Dominika , Makara-Studzińska Marta 
Published: September 2020

Aim of the studyCommunication competencies are crucial in healthcare. Medical staff is exposed to increased emotional stress. It is still unclear, whether the level of communication competencies correlates with stress associated with professional work in healthcare providers. The aim of this study was to determine this relationship and investigate the models of coping with stress among different professional groups in the hospital wards.Subject or material and methodsMethods: The study involved interviewing medical personnel (N=93, 69 female, doctors, nurses, psychologists) to collect the psychological parameters including stress, anxiety, coping strategies and communication skills.ResultsResults: Nurses use less often task oriented coping with stress than doctors, while psychologists have higher level of avoidance-oriented style than doctors and nurses. Important associations between readiness for cooperation and the stress levels in doctors (positive) and psychologists (negative) were detected.DiscussionThe level of communication barriers correlated strongly negatively with the level of stress in psychologists.
There are important relationships between cooperation and stress levels, individual communication style and anxiety levels.ConclusionsHealthcare professionals use various coping strategies when exposed to stressful situations which depend partly on their profession. The coping strategies used correlate with the communication strategies. Moreover, the level of anxiety is associated with communication competence.
Familism – the concept, measure and importance for mental health
Authors: Walęcka-Matyja Katarzyna 
Published: September 2020

Cel pracyCelem przeprowadzonych badań było określenie psychometrycznych właściwości polskiej adaptacji Skali Familizmu.MetodaW badaniach uczestniczyło 580 osób (339 kobiet i 241 mężczyzn) od 18 do 81 roku życia (M=35; SD=15,49). Zastosowano następujące narzędzia badawcze: Skala Familizmu, Skala Materializmu oraz Skala do Pomiaru Orientacji Sprawczej i Wspólnotowej.WynikiAnaliza struktury czynnikowej Skali Familizmu z wykorzystaniem konfirmacyjnej analizy czynnikowej (CFA) nie potwierdziła adekwatności dopasowania zakładanego modelu do danych. Rezultaty eksploracyjnej analizy głównych składowych (EFA) wskazały na występowanie pięciu wymiarów wyjaśniających 51,14% wariancji wyników. Należały do nich: Szacunek (α=0,91), Sukces materialny i osiągnięcia (α=0,87), Religia (α=0,95), Indywidualizm (α=0,63) i Wsparcie rodzinne (α=0,70). Trafność teoretyczną Skali Familizmu zweryfikowano analizując korelacje pomiędzy wyodrębnionymi skalami a wynikami na Skalach do Pomiaru Orientacji Sprawczej i Wspólnotowej oraz na Skali Materializmu. Otrzymane wartości współczynników korelacji były o słabej sile, ale zgodne z oczekiwanym kierunkiem.WnioskiPolska adaptacja skali do badania familizmu jest narzędziem o dobrych właściwościach psychometrycznych, pozwalającym na wielowymiarowy pomiar psychologicznych aspektów familizmu w okresie dorosłości. Może być rekomendowana do użytku w badaniach naukowych jak i stosowana praktyce terapeutycznej.
Polish adaptation of the Prodromal Questionnaire–Brief version PQ–B(PL) in psychiatric patients and healthy persons
Authors: Starkowska Anna , Kucharska-Mazur Jolanta , Mak Monika , Samochowiec Jerzy 
Published: September 2020

Cel pracyTypowe dla zaburzeń z kręgu psychoz doświadczenia poznawcze i afektywne mogą występować w lżejszym nasileniu również w ogólnej populacji. Umiejętność odróżniania ich od stanów prodromalnych, poprzedzających wybuch pełnoobjawowej psychozy, stanowi ważny element profilaktyki i wczesnego wykrywania oznak wysokiego ryzyka nagłego pogorszenia stanu zdrowia psychicznego. W odpowiedzi na dotychczasowy brak narzędzi kwestionariuszowych pozwalających na ocenę doświadczeń para-psychotycznych (PLE) podjęto próbę adaptacji kwestionariusza PQ-B do warunków polskiej populacji.MetodaBadaniem pilotażowym objęto 652 osoby (66% kobiet) w wieku 18 – 78 lat, z czego około 10% stanowili pacjenci leczeni psychiatrycznie. Wykorzystano polskie tłumaczenie PQ-B(PL) oraz kwestionariusze O-LIFE, HCL-33, SWLS i TCT-DP.WynikiPotwierdzono jednoczynnikową strukturę narzędzia, jego zadowalającą rzetelność (α>0,85) oraz trafność teoretyczną, pozyskując 21-itemowy samoopisowy kwestionariusz pozwalający ocenić częstotliwość występowania PLE w ciągu ostatniego miesiąca oraz nasilenie towarzyszącego im dystresu. Wykazano istotne zależności pomiędzy wynikami PQ-B a przejawami schizotypii (zwłaszcza niecodziennymi doświadczeniami i poznawczą dezorganizacją), typową dla hipomanii labilnością (p<0,05) i pogorszeniem nastroju (p>0,001) oraz myśleniem niestereotypowym (p>0,05).WnioskiPQ-B może być narzędziem przydatnym w polskiej praktyce klinicznej i badaniach naukowych, wypełniając lukę w dostępnych w Polsce narzędziach pomiaru cech z pogranicza zdrowia i psychopatologii.
Stigmatization of individuals suffering from mental illness and methods of counteraction – analysis of the statements of the elderly
Authors: Bańbura Anna , Opoczyńska-Morasiewicz Małgorzata 
Published: September 2020

Cel pracyStygmatyzacja tych, którzy zdają się być odmienni na powierzchownym lub głębszym poziomie prowadzi do wielu negatywnych konsekwencji, jak np. utrudniony proces zdrowienia w przypadku osób chorujących psychicznie. Tendencja do stygmatyzacji przejawia się w większości grup wiekowych, ale grupa osób starszych zdaje się być pominięta zarówno w obszarze badań nad samym zjawiskiem jak i nad metodami przeciwdziałania mu. Celem badania był opis doświadczenia kontaktu seniorów z osobami chorującymi psychicznie oraz wyróżnienie zarówno przejawów stygmatyzacji jak i gotowości do spotkania się z nimi. Dodatkowym celem badania było podjęcie refleksji nad metodami przeciwdziałania stygmatyzacji, co ma miejsce w dyskusji.MetodaDane uzyskane w ramach czterech wywiadów grupowych były analizowane z użyciem metody jakościowej opartej na myśli hermeneutycznej i fenomenologicznej.WynikiWyodrębniłyśmy trzy główne wymiary: Przekonania na temat przyczyn zapadania na choroby psychiczne, Emocjonalne nastawienie do osób chorujących psychicznie i Zachowania przejawiane w kontaktach z osobami chorującymi psychicznie.
Zaobserwowałyśmy zarówno gotowość do stygmatyzacji osób dotkniętych chorobą psychiczną (obwinianie, chęć kontroli, towarzyszący im lęk) jak i do uznania i spotkania z uwzględnieniem ich autonomii.WnioskiProponujemy metody przeciwdziałania stygmatyzacji takie jak przybliżanie jej odbiorcom myśli egzystencjalnej i ewolucyjnej, rozwijanie wyobraźni czy też zachęcanie do konfrontowania powszechnych stereotypów z indywidualnymi historiami chorujących osób.
Development of Interactive Physics E-Module Using the SETS (Science, Environment, Technology, Society) Approach to Improve Science Literacy Dimension of Content and Process Dimensions in Fluid Dynamics Material
Authors: Syafutri Eka , Widodo Widodo , Pramudya Yudhiakto 
Published: September 2020

This development research produces interactive physic electronic products using the interactive physics SETS approach (Science, Environment, Technology and Society) in terms of presenting the components of illustration, language, and the suitability of the material. The validity results of the electronic module carried by experts and teachers develeop the average yield of 96.36% so it is feasible to use. The study design is pretest-posttest control group to see the improvement of literacy dimension process. Subject of the study consisted of two groups: the experimental group and the control group. The data collection formed by science literacy of dimension content and process is analyzed using MANOVA with significance level of 5%. The results showed that the electronic module using SETS approach significantly influence the improvement of science literacy dimension content and process.
Bach und das Symbol, insbesondere die Symbolik seines Kanons
Authors: Schering Arnold 
Published: September 2020

Darauf bezugnehmend: Arnold Schering: Bach und das Symbol (2. Studie). BJ 1928, S. 119-137
Arnold Schering: Bach und das Symbol. 3. Studie: Psychologische Grundlegung des Symbolbegriffs aus Christian Wolffs "Psychologia empirica". BJ 1937, S. 83-97
Der Picander-Jahrgang
Authors: Häfner Klaus 
Published: September 2020

Picanders Zyklus von Kantatentexten für das gesamte Kirchenjahr (1. Auflage 1728; Nachdruck 1732) ist als Leitfaden der Leipziger Kirchenmusik vom Johannestag 1728 bis zum 4. Sonntag nach der Dreifaltigkeit 1729 zu betrachten. Er bildete die textliche Grundlage für den vierten von Bachs fünf Kantatenzyklen. Die Musik dieser etwa 60 Kantaten ist größtenteils verloren. Was erhalten geblieben ist, reicht aus, um uns das Ausmaß unseres Verlustes bewusst zu machen. Einleitende Sinfonien scheinen ein Merkmal des Zyklus gewesen zu sein. Die Matthäuspassion BWV 244, deren freie poetische Texte ebenfalls von Picander stammen, bildet im Rahmen dieses Zyklus den Kern einer größeren Einheit, die als eine der größten künstlerischen Leistungen Bachs angesehen werden muss. (Übertragung des englischen Resümees am Ende des Bandes)

Darauf bezugnehmend: William H. Scheide: Bach und der Picander-Jahrgang - Eine Erwiderung. BJ 1980, S. 47-51
Vergleiche auch: William H. Scheide: Eindeutigkeit und Mehrdeutigkeit in Picanders Kantatenjahrgangs-Vorbemerkung und im Werkverzeichnis des Nekrologs auf Johann Sebastian Bach. BJ 1983, S. 109-113