bluuebunny/crossref_metadata_2025_split huggingface dataset:
Surveillance of Nosocomial Infections in a Bulgarian Neonatal Intensive Care Unit
Authors: Rangelova Vanya , Raycheva Ralitsa , Kevorkyan Ani , Krasteva Maya , Dermendzhiev Tihomir 
Published: December 2020

Introduction: Nosocomial infections (NI) are frequent complications in neonatal intensive care units (NICU) which result in high morbidity and mortality.
Aim: To determine and analyze the incidence, risk factors and etiologic agents of NI in newborns admitted in the NICU to help plan-ning future surveillance and prevention strategies.
Materials and methods: A prospective cohort study was carried out at the NICU of St George University Hospital, Plovdiv, Bul-garia from January 1, 2017 to June 31, 2018. The number of neonates included in the study was 507. Descriptive statistics such as count, &nbsp;percent, mean and standard deviation was used. Chi-square test was performed to prove associations. Odds ratios, with 95% confidence intervals, were computed from the results of the binominal logistic regression analyses.
Results: Of the 507 hospitalized newborns in NICU, 48 presented with 54 NI. The incidence and the density incidence rates were 9.5% and 7.67 per 1,000 patient-days, respectively. Nosocomial infections were detected in neonates from all birth weight (BW) classes, but it was low BW and premature neonates that were at major risk to acquire them. The most common infection sites were ventilator-asso-ciated pneumonia (VAP) (67.27%), bloodstream infection (23.64%) and conjunctivitis (9.09%). Major pathogens were Gram-negative such as Klebsiella pneumoniae, E. coli, Pseudomonas aeruginosa and Acinetobacter baumannii. In the multivariate logistic regression analysis NIs were strongly associated with intubation, presence of a venous catheter, the duration of antibiotic treatment and increased CRP> 10 mg/l.
Conclusions: This report highlights the burden of NIs, identifies the major focus for future NI control and prevention programs.
Epidemiological Characteristics of Post-exposure Prophylaxis of Rabies in Varna Region for the Period 2014-2018
Authors: Kolarova-Dimitrova Miglena 
Published: December 2020

Introduction: Rabies is a viral zoonosis still posing a significant threat to public health worldwide, especially in developing countries. The disease can be controlled by animal vaccination and appropriate post-exposure prophylaxis in humans administered in the earliest possible time.
Aim: To study and analyze animal-related injuries and post-exposure prophylaxis for rabies.&nbsp;
Materials and methods: Between 2014 and 2018, a retrospective epidemiological study was conducted in Varna region, which in-cluded 1462 persons who suffered injuries from animals. The study was based on the official data in the annual analysis of the Regional Health Inspectorate (RHI) in Varna. The information was summarized, analyzed, and graphically illustrated. The results were statisti-cally analysed using SPSS v. 20 employing variational and comparative (&chi;2) analyses. The statistical significance level was set at p <0.05.
Results: Of 1462 registered post-injury care seekers, 642 (42.7%) had to be given post-exposure prophylaxis on an emergency basis. The latter were mainly city residents (91.8%). Immunization against rabies was given in the first two days after exposure in 477 (76.4%) subjects. The average number of doses per immunized person was 3.63. The injuries were mainly from stray dogs (58.14%), followed by domestic (37.41%) and wild (4.45%) animals. According to the anatomical site of injury, limb injuries predominated in 88.65% (lower limbs 45% and upper limbs 43.64%). Most of the injuries were light (71.54%), followed by moderate (18.91%) and severe injuries (9.61%).&nbsp;
Conclusions: Rabies prevention can be much more facilitated by the combined efforts of doctors, veterinarians, animal welfare orga-nizations and, last but not least, responsible population behavior. Post-exposure prophylaxis is an integral part of successfully curbing rabies programs but effective disease control can be achieved only through health education and vaccination of animals.
Does Chronic Low-grade Systemic Inflammation Change Tumor Markers Levels in Patients on Hemodialysis?
Authors: Pereira Silva Gilmar , Xavier Grangeiro Vítor Pereira , Dantas de Oliveira Carmelita Félix 
Published: December 2020

Introduction: End-stage renal disease (ESRD) patients are known to have a high risk of developing cancer-related inflammation. Elevated serum levels of tumor markers in ESRD/hemodialysis patients makes analysis and interpretation difficult.&nbsp;
Aim: To verify the possible relationship between chronic low-grade systemic inflammation serum levels determined by C-reactive protein (CRP) and the tumor biomarkers in patients on hemodialysis.&nbsp;
Materials and methods: A prospective study of prevalence was conducted in the Hemodialysis Sector of the University Hospital of the University of Bras&iacute;lia between July 2016 and December 2016 in men aged 18 to 60 years without clinically detectable cancer. We assessed inflammation by serum high-sensitivity CRP test (hs-CRP) and serum tumor in the case groups and controls. The hemodialysis group was split into two subgroups: group 1: patients with inflammation (CRP > 5 mg/L, n=27), and group 2: patients without inflam-mation (CRP &le;5 mg/L, n=33).
Results: There was no significant difference in age mean levels between case groups and controls (44.00&plusmn;08.00 vs. 41.00&plusmn;07.00, p=0.08). There was no difference or correlation (p>0.05) between tumor markers levels and patients with and without inflammation.&nbsp;
Conclusions: The results of this study suggest that chronic low-grade systemic inflammation defined by C-reactive protein serum levels does not promote elevated serum PSA levels in chronic hemodialysis patients.
Youths’ coping with cyberhate: Roles of parental mediation and family support
Authors: Wright Michelle F. , Wachs Sebastian , Gámez-Guadix Manuel 
Published: December 2020

Adolescents around the world are increasingly exposed to cyberhate. More knowledge is needed to understand how adolescents cope with cyberhate and how they can be supported when exposed. To this end, the present study investigated the associations between parental mediation of Internet use and adolescents’ problem-focused coping strategies for hypothetical cyberhate victimization while considering family support as a moderator of these relationships. The sample consisted of self-reports of 5,960 adolescents between 12-18 years old (M=14.94; SD=1.61; females: 50.7%) from Cyprus, Germany, Greece, India, Spain, South Korea, and Thailand. A structural equation model was used to investigate the relationship among parental mediation, family support, and coping with cyberhate. Findings showed a positive relationship between instructive parental mediation and adolescents’ problem-focused coping strategies, and a negative relationship between restrictive parental mediation and adolescents’ capability to cope productively with cyberhate. In addition, family support strengthened the positive relationship between instructive parental mediation and adolescents’ use of coping strategies and attenuated the negative relationship between restrictive parental mediation and adolescents’ use of coping strategies. The findings highlight the need for parental education training and underscore the importance of family support for increasing adolescents’ ability to cope productively with cyberhate.Adolescentes de todo el mundo están cada vez más expuestos al ciberodio. Se necesita más conocimiento para comprender cómo los y las adolescentes afrontan estas experiencias. El presente estudio investigó la relación entre la mediación parental en el uso de Internet y las estrategias de afrontamiento entre adolescentes centradas en el problema en una hipotética victimización en ciberodio, al tiempo que se consideró el apoyo familiar como moderador de estas relaciones. La muestra estuvo formada por 5.960 adolescentes de entre 12 y 18 años que completaron autoinformes (M=14,94; DE=1,61; mujeres: 50,7%) de Chipre, Alemania, Grecia, India, España, Corea del Sur y Tailandia. Se estimó un modelo de ecuaciones estructurales para investigar la relación entre mediación parental, apoyo social y afrontamiento. Se halló una relación positiva entre la mediación parental instructiva y el uso de estrategias de afrontamiento centradas en el problema y una relación negativa entre la mediación parental restrictiva y la capacidad de los adolescentes para afrontar de forma adecuada el ciberodio. Además, el apoyo familiar moderó estas relaciones, incrementando la relación entre mediación instructiva y afrontamiento y disminuyendo la relación entre mediación restrictiva y afrontamiento de ciberodio. Los hallazgos enfatizan la necesidad de proporcionar información a los padres y ponen de manifiesto la importancia de que las familias fomenten la habilidad de los adolescentes para afrontar de manera adecuada el ciberodio.
Motivation and perception of Hong Kong university students about social media news
Authors: Kong Qiuyi , Lai-Ku Kelly-Yee , Deng Liping , Yan-Au Apple-Chung 
Published: December 2020

With the prevalence of social media in a digital age, accessing news on social media has become a daily routine of university students’ lives. However, little research has been done to examine their social media news use in detail, especially in Asian countries. To fill this gap, we aimed to examine what motivated university students to seek news on social media, to what extent they perceived they were in control of the influences of news, and whether news motives were related to their levels of news media literacy across three domains: (a) authors and audiences; (b) messages and meaning, and (c) representation and reality. One hundred and forty-seven university students from a university in Hong Kong participated. Among the four news motives, socializing was the most powerful predictor for news use on social media. Most students believed they were in control of news influences and demonstrated a high level of news media literacy, and those who believed themselves to be in control of news influences showed a higher level of news media literacy. In this sense, high news-literate students were more likely to seek news for socializing as compared to their low news-literate counterparts. Insights on educating students to use social media in a positive and smart way were discussed.Con la prevalencia de las redes sociales en la era digital, acceder a las noticias en redes sociales se ha convertido en una rutina cotidiana en la vida de los universitarios. Sin embargo, se ha realizado mínima investigación sobre el uso de noticias en redes sociales, especialmente en los países asiáticos. Para colmar esta laguna, pretendemos examinar qué motivó a los universitarios a buscar noticias en redes sociales, en qué medida percibían que controlaban las influencias noticieras, y si las motivaciones noticieras se relacionaban con su nivel de alfabetismo mediático en tres dominios: a) autores y audiencias; b) mensajes y significados, y c) representación y realidad. Participaron 147 estudiantes de una universidad de Hong Kong. Entre las cuatro motivaciones, la socialización fue el indicador más poderoso. La mayoría de los estudiantes creían que podían controlar la influencia noticiera, demostrando un alto alfabetismo mediático. Los estudiantes con alto nivel de alfabetismo mediático son más propensos a buscar noticias para socializar, en comparación con las contrapartes con bajo nivel de alfabetismo. Se debatieron perspectivas sobre cómo educar a los estudiantes para emplear de una forma positiva e inteligente las redes sociales.
Anxiety and self-esteem in cyber-victimization profiles of adolescents
Authors: Núñez Andrea , Álvarez-García David , Pérez-Fuentes María-C. 
Published: December 2020

This study has two objectives: (1) Identify profiles of victimization in adolescence, depending on the levels of offline or online peer aggression suffered, along with the prevalence of each profile; and (2) Analyse the association of the victimization profiles with adolescents’ social anxiety and self-esteem. The sample was comprised of 3120 adolescents aged 12 to 18 (M=14.03; SD=1.40) from Asturias (Spain), who completed self-report questionnaires about traditional peer victimization and cyber-victimization, as well as social anxiety and self-esteem. We performed descriptive analyses, Latent Profile Analyses, and multivariate analyses of variance. We found a positive, moderate correlation between being a cyber-victim and being a traditional victim, along with four profile types: non-victims (77.8%), mainly cyber-victims (13.5%), mainly traditional victims (4.5%), and dual victims (4.3%). Traditional victims and dual victims exhibited greater social anxiety and less self-esteem than cyber-victims, who exhibited greater social anxiety and less self-esteem than non-victims. Dual victims and traditional victims do not differ in social anxiety and self-esteem. The results contribute to the identification of patterns of victimization in school-age adolescents, and their relationship with social anxiety and self-esteem.
Este trabajo parte de dos objetivos: 1) Identificar perfiles de victimización en la adolescencia, en función del grado de padecimiento de violencia offline u online por parte de sus iguales, así como la prevalencia de cada perfil; 2) Analizar la asociación de los perfiles de victimización obtenidos con la ansiedad social y la autoestima del adolescente. Para ello, se aplicaron cuestionarios de autoinforme sobre victimización tradicional entre iguales, cibervictimización, ansiedad social y autoestima a 3.120 adolescentes de Asturias (España), de 12 a 18 años (M=14.03; DT=1.40). Se realizaron análisis descriptivos, análisis de perfil latente y análisis multivariado de la varianza. Se obtuvo una correlación positiva y moderada entre ser cibervíctima y ser víctima de violencia tradicional; y una tipología de cuatro perfiles: no víctimas (77,8%), principalmente cibervictimas (13,5%), principalmente víctimas de violencia tradicional (4,5%) y víctimas duales (4,3%). Cuanto mayor es el nivel de victimización, mayor la ansiedad social y menor la autoestima, siendo más fuerte esta asociación con la victimización tradicional que con la cibervictimización. Tanto las víctimas tradicionales como las duales presentan una mayor ansiedad social y una menor autoestima que las cibervíctimas, y estas que las no víctimas. Víctimas duales y tradicionales no difieren en ansiedad social y autoestima. Los resultados obtenidos contribuyen a identificar patrones de victimización en la adolescencia, y su relación con la ansiedad social y la autoestima.
Parents' and children's perception on social media advertising
Authors: Feijoo Beatriz , Bugueño Simón , Sádaba Charo , García-González Aurora 
Published: December 2020

This article presents the results of research that seeks to analyze the ability of minors to identify the advertising messages received through the most used social networks by this audience (YouTube and Instagram). Children’s aptitude to recognize persuasive intent was measured in a selection of examples taken for this study, as well as the perception that parents or guardians had about the minor's ability to recognize advertising on the platforms analyzed. Results were obtained from a survey applied to dyads in 501 homes in the Metropolitan Area of Santiago de Chile, to children aged 10 to 14 and to one of their parents or guardians. Main results include the notion that more than 50% of children were not able to detect advertising in examples containing ads. Lower recognition percentages were obtained in cases that combined persuasive content and entertainment and were not classified as advertising. For their part, adults perceived that their children recognize persuasive intent to a lesser extent than indicated by the children themselves. An explicit and clear signaling of advertising messages, as well as advertising literacy according to the age of minors could help them discern the content they consume on social networks.
Este artículo presenta los resultados de una investigación que analiza la capacidad del menor para identificar los mensajes publicitarios que recibe a través de las redes sociales de más uso entre este perfil de audiencia (YouTube e Instagram). Se midió la aptitud de niños y niñas para reconocer la intencionalidad persuasiva en una selección de ejemplos tomados para este estudio. Adicionalmente se analizó también la percepción que sus padres o adultos responsables declararon tener sobre dicha capacidad de los menores. Los resultados provienen de una encuesta aplicada en díadas en 501 hogares del Área Metropolitana de Santiago de Chile tanto a niños y niñas entre 10 y 14 años como a uno de sus padres o adulto responsable. Entre los principales resultados destaca que en los ejemplos propuestos la mayoría de los encuestados (más de un 50%) no fue capaz de detectar publicidad en contenidos que sí la integraban. Los porcentajes de reconocimiento fueron incluso inferiores en aquellos casos que entremezclaban contenido persuasivo y entretenimiento y que no estaban catalogados como publicitarios. Por su parte, padres y madres percibieron que sus hijos reconocen la intencionalidad persuasiva en menor medida que lo indicado por ellos. Una señalización explícita y clara de los mensajes publicitarios, así como una alfabetización publicitaria acorde a la edad de los menores podrían ayudarles a discernir los contenidos que consumen en redes sociales.
Human leukocyte antigen associations with acute leukemia: An indian perspective
Authors: Solanki Hina , Mishra Vikash C. , Tiwari Aseem K. , Kakkar Nipun , Vashisht Naveen , Raina Vimarsh , Sharma Girish 
Published: December 2020

Abstract
Objective: Acute lymphoid leukemia (ALL) and acute myeloid leukemia (AML) are neoplastic blood disorders in which the cancerous white blood cells accumulate, resulting in a significant morbidity and mortality. Human leukocyte antigen (HLA) association is observed as one of the factors in the development of leukemia. The objective of the present study was to analyze the allele frequency of HLA Class I (HLA-A, HLA-B, and HLA-C) and Class II (HLA-DRB1 and HLA-DQB1) in Indian acute leukemia patients and to compare them with the frequencies in healthy, unrelated Indian individuals. Materials and Methods: We included 500 Indian leukemic patients (AML = 324 and ALL = 176) and 1000 unrelated, healthy, Indian individuals as controls. The HLA typing was performed using polymerase chain reaction with sequence-specific oligonucleotide probes. Results: On univariate analysis, allele frequencies of HLA-AFN*0111 and HLA-DRB1FN*0111 were lower in patients with ALL (P = 0.0181 and P = 0.0025, respectively). Whereas of HLA-AFN*0111, HLA-DRB1FN*0111, and HLA-BFN*0151, these frequencies were relatively lower in patients with acute leukemia (AML + ALL) (P = 0.0382, P = 0.0093 and P = 0.0384, respectively) and HLA-CFNx0101 (P = 0.0304) in AML when compared with control individuals. In contrast, the HLA-BFN*0139 and HLA-CFN*0107 allele frequency was higher in acute leukemia (P = 0.00372 and P = 0.0463, respectively) and in AML (P = 0.0010 and P = 0.0178, respectively) than that in controls. On multivariate analysis, BFNx0139 showed positive associations with acute leukemia (P = 0.006) and AML (P = 0.002). HLA-AFN*0111 and-DRB1FN*0111 showed a negative association with acute leukemia (P = 0.009 and P < 0.0001, respectively) and ALL (P = 0.013 and P < 0.0001, respectively). Conclusions: The HLA-BFN*0139 has a positive association with AML and acute leukemia, whereas HLA-AFN*0111 and HLA-DRB1FN*0111 alleles have negative association with ALL and HLA-BFN*0151 along with these two alleles with acute leukemia. No positive association was observed with ALL. HLA-CFN*0101 frequency was lower in AML patients than that in controls.
Diffuse anterior retinoblastoma masquerading as complicated cataract - A case report
Authors: Chhabra Prashant , Handa Sabia , Singh Manpreet , Balyan Monika , Kumar Nitin , Rohilla Manish , Gupta Kirti , Trehan Amita 
Published: December 2020

AbstractDiffuse anterior retinoblastoma (Rb) is a rare variant of this tumor which may involve the anterior chamber of the eye without any detectable mass in the posterior segment. The initial presentation of this tumor as anterior segment pathology may lead to misdiagnosis and erroneous management eventually delaying the definitive therapy. We describe an 8-year-old child presenting with complicated cataract who underwent lens aspiration and later found to have diffuse anterior Rb.
A Comparative Study of Teacher’s knowledge, Attitudes and Behavior’s Regarding Evidence Based Practices of Public and Private Universities in Lahore
Authors: MS.Tahseen Arshad  , Dr.Fakhra Aziz  , Dr.Ghazala Noureen  , MS.Sabeen Asghar  , MS.Kiran Karamat  
Published: December 2020

Abstract

This study “A comparative study of teacher’s knowledge, attitudes and behaviors regarding Evidence-based practices of public and private universities in Lahore” investigates the difference between knowledge, attitudes and behaviors of public and private university teachers by adopting questionnaire as a tool of data collection. The study targeted the three hundred teachers of public and private universities of Lahore. The main objective of the study was to compare the knowledge, attitudes and behaviors of public and private university teachers.
Data was analyzed using descriptive and inferential statistics. The results show that overall teachers have knowledge, positive attitudes and behaviors towards Evidence-based practices. Findings of comparison indicate public sector teachers have higher knowledge and more positive attitude towards EBP as compare to private sector teachers. But on the other hand, behavior of private sector teachers was more positive than public sector teachers.
Key words: Comparative, evidence-based practices, attitudes, behaviors
O acolhimento como princípio da mediação da informação
Authors: Prado Marcos Aparecido Rodrigues do 
Published: December 2020

Apresenta uma reflexão teórica que defende o acolhimento como um princípio fundamental no processo de mediação da informação. Trata-se de uma pesquisa estruturada na revisão de literatura que busca notabilizar a necessidade de percepções sociais visando ampliar o compromisso humanizador do bibliotecário. Na metodologia foi empregada a pesquisa bibliográfica em que a seleção de publicações continha o direcionamento temático sobre mediação da informação nos domínios da Biblioteconomia e Ciência da Informação. As definições conceituais de acolhimento foram extraídas de artigos científicos levantados em revistas especializadas de saúde pública disponíveis na fonte eletrônica SciELO. Este estudo tem como objetivo geral oferecer aportes teóricos que substanciam o embasamento nas atividades do fazer bibliotecário visando contemplar o usuário de bibliotecas e demais ambientes e equipamentos informacionais pela mediação da informação. Aborda o acolhimento considerando as diferenças e subjetividades individuais no usuário, enquanto sujeito histórico e social. Na conclusão oferece argumentações finais que remetem à necessidade do aprofundamento de estudos contínuos a fim de se priorizar o tratamento oferecido aos usuários pelas atividades de mediação da informação. Portanto, o presente artigo representa uma reflexão teórica visando expandir a potencialidade do compromisso social desempenhado pelo bibliotecário pela mediação da informação