bluuebunny/crossref_metadata_2025_split huggingface dataset:
Depression, Stigma, and Quality Of Life among Elderly with HIV/AIDS in Bali
Authors: Pendet Ni Made Diah Pusparini , Yona Sri , Yulia  
Published: November 2020

Introduction: Quality of life is a significant aspect of care among the elderly with HIV/AIDS. The aging process affects their physical, physiological, and social function. Depression due to perceived stigma from the community also influences their quality of life. This study aimed to analyze the correlation between depression and stigma on the quality of life among the elderly with HIV/AIDS.
Methods: This was a cross-sectional study employed 67 participants were selected by purposive sampling.
Results: Results showed that the majority of participants experienced depression (64.2%) and stigma (76.1%), but they are still classified on good quality of life category (64.2%). Analysis showed that there was a significant correlation between quality of life and depression, & and stigma (p=0.021, p=0.031, α=0.05). Result from logistic regression statistical analysis also revealed that stigma and depression affected the poor quality of life after controlled by gender, occupational status, education, clinical stadium, comorbidities, duration of disease, living and marital status, with the p-value 0.029 and 0.014 (CI=95%), respectively.
Conclusion: Promotive and preventive efforts required to be implemented in reducing stigma on the elderly with HIV/AIDS. Screening program also would help prevent depression among this vulnerable group.
First record of Epicymatoceras vaelsense (Nautilida) from the Maastrichtian white chalk of northern Denmark
Authors: Malchyk Oksana , Machalski Marcin 
Published: November 2020

The atypical Late Cretaceous nautilid Epicymatoceras vaelsense (Binkhorst van den Binkhorst, 1862) is described and illustrated on the basis of three specimens from the Maastrichtian white chalk of Denmark. One of these is probably from the lower/upper Maastrichtian boundary interval at Frejlev, while the other two originate from the uppermost Maastrichtian chalk as exposed in the Dania quarry; both localities are in Jylland, northern Denmark. These are first reports of E. vaelsense from Denmark; the species has previously been recorded from the uppermost Campanian and lower Maastrichtian of the Netherlands, Belgium, northern Germany and Poland. The presence of E. vaelsense in the topmost Maastrichtian white chalk in the Dania quarry is considered the youngest record of Epicymatoceras known to date, suggesting the persistence of the genus until the end of the Cretaceous. The diameter of the embryonic conch of the Danish E. vaelsense may be estimated at c. 30 mm, based on an individual from the Dania quarry, confirming earlier observations that the species possessed one of the largest embryonic conchs amongst Late Cretaceous nautilids.
Innovative Approach to Procedure Skills: A Nurse Practitioner Educator's Response to COVID-19
Authors: Sharpe Elizabeth Li 
Published: November 2020

Background:
The The Neonatal Nurse Practitioner program at The Ohio State University transitioned from a traditional face-to-face program to a distance-enhanced hybrid model providing course content online with campus visits for procedural skills and simulation in 2017. Although the 2020 COVID-19 pandemic necessitated cancellation of all in-person events across the university, the neonatal nurse practitioner students' learning needs remained the same.

Method:
The onsite experience was redesigned for virtual delivery. Procedural content was accomplished through student-led small-group collaborative critical thinking activities surrounding procedural complications, and other faculty-led scenario discussions.

Results:
Students collaborated for a Complications Rounds activity (1-day) that promoted learning about procedural skills from a global perspective including safe techniques, monitoring, risks, and troubleshooting complications.

Conclusion:

Procedural content can be achieved when in-person learning is not possible. The Complications Rounds approach can mitigate delays or gaps in practical experiences. Examining complications in-depth increases preparedness, promoting greater awareness of harm prevention when these present in future practice.

[
J Nurs Educ
. 2020;59(12):692–696.]
Improving Portfolio Assessment: Addressing Challenges in Transition to Eportfolio
Authors: Sabio Cristan , Chen Jie , Moxley Elizabeth Annette , Taylor Linda , Kuchinski Anne-Marie , Peters Bradley T. 
Published: November 2020

Background:
As health care education programs adopt electronic portfolios (eportfolios), a midwestern university baccalaureate nursing program faces challenges in transitioning from a 25-year-old paper-based system to eportfolio.

Method:
Process improvements and faculty development were implemented through collaboration with the information technology (IT) department and the involvement of students as ambassadors. Pre- and posttransition surveys and portfolio benchmarks were used to evaluate the efficacy of the new eportfolio system.

Results:
Results of faculty and student surveys revealed improved positive experiences regarding the value, clarity, and ease of use of the eportfolio system. Benchmark deficits decreased from six of eight portfolio criteria in Fall 2017 to none in Fall 2019.

Conclusion:

Buy-in through faculty and student involvement, along with a user-centered design, are essential for a successful eportfolio transition. Student and faculty engagement would be secured when they are well-informed in the transition process.

[
J Nurs Educ
. 2020;59(12):705–708.]
Evaluation of the blue code system established in the health campus of a university hospital
Authors: Topeli Arzu , Cakir Banu 
Published: November 2020

OBJECTIVE:
We report the hospital outcomes after implementing the blue code system in our hospital and health campus. We also aimed to determine factors related to mortality.

METHODS:
This is a retrospective observational study of the patients who received cardiopulmonary resuscitation (CPR). All blue code calls for all age groups between March 15, 2013, and April 30, 2015 were analyzed. Logistic regression analysis was performed to find independent predictors of in-hospital mortality.

RESULTS:
A total of 155 patients from the blue code calls were evaluated. Return of spontaneous circulation was achieved in 45.5% of patients, and 54.8% of the patients had died at the end of the CPR. The hospital discharge rate was 20%. Of all patients, 65% were adults with a survival rate of 7.9%, whereas pediatric patients had a 44.2% survival rate. Asystole and pulseless electrical activity were the predominant electrocardiography rhythms in 92.4% of patients. The comparison of survivors and nonsurvivors revealed that nonsurvivors were older, had more cancer as the comorbidity, had a more cardiac arrest, and sepsis as the underlying cause and had >20 min of CPR. The logistic regression analysis demonstrated the independent risk factors for mortality as arrest at a hospital ward, and sepsis as the underlying cause and being adult patient.

CONCLUSION:
The performance of the blue code system should be evaluated periodically. Every effort should be made to prevent unexpected cardiac arrests and increase hospital discharge with good neurologic outcomes.
Yeni İpekyolu Projesi ve Türkiye – Kazakistan - Çin İlişkileri Kapsamında Ulaştırma Koridorları
Authors: MARANGOZ Mehmet , TUNCER Büşra 
Published: November 2020

Yeni İpek Yolu projesi, kazan kazan anlayışı ile ülkelerin katılımını teşvik eden bir küresel kalkınma projesi olarak ilk kez Çin Devlet Başkanı Xi Jinping tarafından 2013 yılında kamuoyuna duyuruldu. Tarihi İpek Yolundan ilham alınarak geliştirilen bu girişimin temel amacı, Asya’yı karadan ve denizden Avrupa’ya bağlayacak ticaret ve altyapı ağı oluşturarak ekonomik faaliyetlerin küreselleşmesini sağlamak; kazan-kazan anlayışı ile küresel işbirliğini arttırmak ve geçtiği güzergahta toplumsal refah yaratarak bölgesel ekonomik kalkınmayı teşvik etmektir. Kapsayıcılığı ve ‘altyapı’ya odaklanıyor oluşu ise bu girişimi, diğer uluslararası işbirliklerinden ayıran en temel özelliğidir. Bu çalışmada, Çin’in öncülüğünde başlayan Yeni İpek Yolu projesinin geçiş güzergahında yer alan Türkiye ve Kazakistan’ın önemi analiz edilirken aynı zamanda iki ülke arasındaki ticari ilişkiler Çin bağlamında değerlendirilmektedir.	The New Silk Road project was announced to the public in 2013 for the first time by Chinese President Xi Jinping as a global development project that encourages the participation of countries with a win-win approach. The main purpose of this initiative, which is inspired by the historical Silk Road, is to create a trade and infrastructure network that will connect Asia to Europe from land and sea, and to ensure the globalization of economic activities. In addition, this initiative aims to encourage regional economic development by creating global cooperation and social welfare on the route it passes through with a win-win approach. Its inclusiveness and focus being 'infrastructure' is the main feature that distinguishes this initiative from other international collaborations. In this study, the importance of Turkey and Kazakhstan will be discussed in terms of New Silk Road’s transit routes while the commercial impact on Turkey and Kazakhstan relations will be evaluated with a view from China perspective.
PERJODOHAN DAN ISU EKOKRITIK DALAM METROPOP DIMI IS MARRIED KARYA RETNI SB
Authors: Intan Tania , Mariamurti Prima Agustina , Saefullah Nurul Hikmayaty 
Published: November 2020

Penelitian ini ditujukan untuk mengungkap fenomena perjodohan dan isu ekokritik dalam novel metropop Dimi is Marriedkarya Retni SB. Metode yang digunakan dalam penelitian ini adalah deskriptif kualitatif dengan pendekatan kritik sastra feminis dan ekologi sastra. Data berupa kata, frasa, dan kalimat dari objek penelitian dikumpulkan dengan teknik simak-catat setelah melalui pembacaan tertutup. Data kemudian diklasifikasi berdasarkan permasalahan, diinterpretasi, dan dianalisis dengan teori-teori yang relevan. Hasil penelitian menunjukkan bahwa perjodohan diperantarai oleh kedua orang tua dengan motif menjaga “keningratan” dalam konteks modern. Perjodohan dilakukan dengan menerapkan pertimbangan atas kriteria tradisional, yaitu bibit, bebet, dan bobot. Standar perempuan yang diinginkan sebagai calon istri adalah yang sesuai dengan stereotipe peran gender, yaitu berkarakter manis, sopan, patuh, dan sayang pada orang tua. Permasalahan dalam perjodohan terjadi karena relasi yang tidak homogen di antara pasangan berkaitan dengan alasan menikah, status sosial, dan pandangan hidup. Isu ekokritik yang dibahas dalam novel melibatkan elemen hutan, bencana, binatang, dan bumi. Perempuan menyuarakan kerusakan alam dan kerugian yang dialami rakyat lokal akibat pengelolaan industri yang abai pada lingkungan. Dalam pandangan feminis, ideologi patriarki bekerja melalui perlakuan manusia terhadap alam yang menyerupai tindakan laki-laki pada perempuan, yaitu sebagai objek eksploitasi.
Controle valorativo dos atos de autonomia praticados por pessoas com deficiência intelectual ou psíquica
Authors: Brochado Teixeira Ana Carolina , Teixeira Leal Livia 
Published: November 2020

O presente estudo tem por objetivo analisar os reflexos do Estatuto da Pessoa com Deficiência sobre o regime das
incapacidades e consequentemente sobre a teoria das invalidades, buscando uma análise funcional, que compatibilize a
exclusão das pessoas com deficiência intelectual ou psíquica dos arts. 3º e 4º do Código Civil de 2002 com as finalidades
da Lei Brasileira de Inclusão. Propõe-se que o intérprete module a invalidação do ato, diante da situação concretamente
analisada, a partir da verificação do grau de vulnerabilidade e discernimento em concreto da pessoa com deficiência
intelectual ou psíquica no momento da prática do ato, bem como se o ato e seus efeitos atendem ou não aos valores do
ordenamento, realizando-se um controle de merecimento de tutela.
Evaluation of optical particulate matter sensors under realistic conditions of strong and mild urban pollution
Authors: Masic Adnan , Bibic Dzevad , Pikula Boran , Blazevic Almir , Huremovic Jasna , Zero Sabina 
Published: November 2020

Abstract. In this paper we evaluate characteristics of three optical particulate matter sensors/sizers (OPS): high-end spectrometer
11-D (Grimm, Germany), low-cost sensor OPC-N2 (Alphasense, United Kingdom) and in-house developed MAQS
(Mobile Air Quality System), which is based on another
low-cost sensor – PMS5003 (Plantower, China), under realistic conditions of strong and mild urban pollution. Results were compared against a reference
gravimetric system, based on a Gemini (Dadolab, Italy), 2.3 m3 h−1 air sampler, with two channels (simultaneously measuring PM2.5 and PM10 concentrations).
The measurements were performed in Sarajevo, the capital of Bosnia-Herzegovina, from December 2019 until May 2020.
This interval is divided into period 1 – strong pollution – and period 2 – mild pollution. The city of Sarajevo is one of the most polluted cities in Europe in terms of particulate matter: the average concentration of PM2.5
during the period 1 was 83 µg m−3, with
daily average values exceeding 500 µg m−3. During period 2, the average concentration of
PM2.5 was 20 µg m−3. These conditions represent a good opportunity to test optical devices against the reference instrument in a wide range of ambient particulate matter (PM) concentrations. The effect of an in-house developed diffusion dryer for 11-D is discussed as well. In order to analyse the mass distribution of particles, a scanning mobility particle sizer (SMPS), which together with the 11-D spectrometer gives the full spectrum from nanoparticles of diameter 10 nm to coarse particles of diameter 35 µm, was used.
All tested devices showed excellent correlation with the
reference instrument in period 1, with R2 values between 0.90 and 0.99 for daily average PM concentrations. However, in period 2, where the range of concentrations was much narrower,
R2 values decreased significantly, to values from 0.28 to 0.92. We have also included results of a 13.5-month long-term comparison of our MAQS sensor with a nearby beta attenuation monitor (BAM) 1020 (Met One Instruments, USA) operated by the United States Environmental Protection Agency (US EPA), which showed similar correlation and no observable change in performance over time.
A Quick-Look Model to Predict Gas Hydrate Formation in Gas Pipelines using Modified Navier-Stokes Correlation
Authors: Oluwatoyin Akinsete O. , Olatunji Oladipo O. , Sunday Isehunwa O. 
Published: November 2020

Major challenges associated with the smooth production operations in the oil and gas industry that has raised technical curiosity are formation of natural gas hydrates in production facilities and flow lines which introduces significant cost to operators. Accurate modeling is therefore paramount; most existing models are based on constitutive conservation laws neglecting other dissipative energy types.
To predict “if” and “where” gas hydrate would be formed in gas pipeline, the Navier-Stokes equation was modified by incorporating dissipative forces of viscosity and gravity; the equation that emerged was solved analytically to determine the hydrate formation pressure (HFP) and the position of hydrate formation along gas pipelines.
The developed model, used as a quick-look tool for where and if hydrates will form revealed that when the predicted HFP is positive hydrates was formed but when it is negative hydrates were not formed. The model also showed that HFP is a function fluid composition, mass flowrate, changes in fluid and surrounding conditions and changes in elevation and direction confirming the results of earlier work done.
Comparison between Cuff Leak Test and Ultra Sound Assessment of Laryngeal Edema in Predicting Successful Extubation in Mechanically Ventilated Patients
Authors: Ismail Manar Mohammed , Soliman Sohair Mostafa , Ezz Hoda Alsaid Ahmed , Elbadry Amr Arafa 
Published: November 2020

Objects: Endotracheal intubation commonly leads to local complications, including mechanical lesions, such as friction and compressions between the tube and the anatomic structures of the larynx leading to laryngeal edemamanifested as ‘‘stridor’’ after extubation. There is no standard method to predict patients at risk of post-extubation stridor. This study was conducted to compare between cuff leak test and ultra sound in predicting successful extubation in mechanically ventilated patients.
Patients and Methods: We included a total of 83 mechanically ventilated patients with endotracheal intubation > 24 hours. They were divided according to the outcome after extubation into 72 patients who didn’t develop laryngeal edema and 11 patients who developed laryngeal edema. The patients were extubated when they fulfilled the criteria of extubation and become negative to cuff leak test. All patients underwent both cuff leak test (CLT) and ultra-sound to assess air column width difference (ACWD) after intubation and before extubation.
Results: All patients were matched as regard demographic data. There was a significant increase in the duration of mechanical ventilation in the LE group. No significant difference was detected between the two groups regarding CLT and ACWD after intubation. However, cases with laryngeal edema had significantly lower CLT and ACWD before extubation. Using a cut off value of 1.52 mm, ACWD had sensitivity and specificity of 90.9 and 91.7% respectively to predict laryngeal edema after extubation.
Conclusions: Laryngeal Ultrasonography could be a useful, reliable, non-invasive method in the evaluation of vocal cords, laryngeal morphology and airflow passing through the vocal cords or subglottic area in intubated patients in comparison with cuff leak test.
Balancing risks of injury and disturbance to marine mammals when pile driving at offshore windfarms
Authors: Thompson Paul M. , Graham Isla M. , Cheney Barbara , Barton Tim R. , Farcas Adrian , Merchant Nathan D. 
Published: November 2020

Abstract1. Offshore windfarms require construction procedures that minimize impacts on protected marine mammals. Uncertainty over the efficacy of existing guidelines for mitigating near‐field injury when pile‐driving recently resulted in the development of alternative measures, which integrated the routine deployment of acoustic deterrent devices (ADD) into engineering installation procedures without prior monitoring by marine mammal observers.2. We conducted research around the installation of jacket foundations at the UK's first deep‐water offshore windfarm to address data gaps identified by regulators when consenting this new approach. Specifically, we aimed to (a) measure the relationship between noise levels and hammer energy to inform assessments of near‐field injury zones and (b) assess the efficacy of ADDs to disperse harbour porpoises from these zones.3. Distance from piling vessel had the biggest influence on received noise levels but, unexpectedly, received levels at any given distance were highest at low hammer energies. Modelling highlighted that this was because noise from pin pile installations was dominated by the strong negative relationship with pile penetration depth with only a weak positive relationship with hammer energy.4. Acoustic detections of porpoises along a gradient of ADD exposure decreased in the 3‐h following a 15‐min ADD playback, with a 50% probability of response within 21.7 km. The minimum time to the first porpoise detection after playbacks was > 2 h for sites within 1 km of the playback.5. Our data suggest that the current regulatory focus on maximum hammer energies needs review, and future assessments of noise exposure should also consider foundation type. Despite higher piling noise levels than predicted, responses to ADD playback suggest mitigation was sufficiently conservative. Conversely, strong responses of porpoises to ADDs resulted in far‐field disturbance beyond that required to mitigate injury. We recommend that risks to marine mammals can be further minimized by (1) optimizing ADD source signals and/or deployment schedules to minimize broad‐scale disturbance; (2) minimizing initial hammer energies when received noise levels were highest; (3) extending the initial phase of soft start with minimum hammer energies and low blow rates.
Development of a New International Antiphospholipid Syndrome Classification Criteria Phase I/II Report: Generation and Reduction of Candidate Criteria
Authors: Barbhaiya Medha , Zuily Stephane , Ahmadzadeh Yasaman , Amigo Mary‐Carmen , Avcin Tadej , Bertolaccini Maria Laura , Branch D. Ware , de Jesus Guilherme , Devreese Katrien M. J. , Frances Camille , Garcia David , Guillemin Francis , Levine Steven R. , Levy Roger A. , Lockshin Michael D. , Ortel Thomas L. , Seshan Surya V. , Tektonidou Maria , Wahl Denis , Willis Rohan , Naden Ray , Costenbader Karen , Erkan Doruk ,   the New APS Classification Criteria Collaborators
Published: November 2020

ObjectiveAn international multidisciplinary initiative, jointly supported by the American College of Rheumatology and European Alliance of Associations for Rheumatology, is underway to develop new rigorous classification criteria to identify patients with high likelihood of antiphospholipid syndrome (APS) for research purposes. The present study was undertaken to apply an evidence‐ and consensus‐based approach to identify candidate criteria and develop a hierarchical organization of criteria within domains.MethodsDuring phase I, the APS classification criteria steering committee used systematic literature reviews and surveys of international APS physician scientists to generate a comprehensive list of items related to APS. In phase II, we reviewed the literature, administered surveys, formed domain subcommittees, and used Delphi exercises and nominal group technique to reduce potential APS candidate criteria. Candidate criteria were hierarchically organized into clinical and laboratory domains.ResultsPhase I generated 152 candidate criteria, expanded to 261 items with the addition of subgroups and candidate criteria with potential negative weights. Using iterative item reduction techniques in phase II, we initially reduced these items to 64 potential candidate criteria organized into 10 clinical and laboratory domains. Subsequent item reduction methods resulted in 27 candidate criteria, hierarchically organized into 6 additive domains (laboratory, macrovascular, microvascular, obstetric, cardiac, and hematologic) for APS classification.ConclusionUsing data‐ and consensus‐driven methodology, we identified 27 APS candidate criteria in 6 clinical or laboratory domains. In the next phase, the proposed candidate criteria will be used for real‐world case collection and further refined, organized, and weighted to determine an aggregate score and threshold for APS classification.