bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect of Concerns About COVID-19 on Anxiety, Stress, Parental Burnout, and Emotion Regulation: The Role of Susceptibility to Digital Emotion Contagion
Authors: Prikhidko Alena , Long Haiying , Wheaton Michael G. 
Published: December 2020

Background and aims: The COVID-19 pandemic has caused social and economic turmoil, which has led to enormous strain for many families. Past work with pandemic outbreaks suggests that media attention can increase anxiety and compensatory behaviors. Social isolation can lead to increase in online communication and parents who use social media may be affected by other people's emotions online through what is known as digital emotion contagion (DEC). The current study aimed to examine the role of DEC in the relationship between stress, concern about COVID-19, parental burnout and emotion regulation (ER).Methods: In April 2020, an online survey was advertised in Social Media Parenting Groups and published on FIU Psychology online research system SONA. Data were analyzed using correlational analysis, linear and multiple linear regression, and moderation analysis.Results: Concern about COVID-19 predicted stress, depression, and parental burnout. Susceptibility to DEC significantly increased the impact of stress on parental burnout. Having relatives infected with COVID-19 increased the effect of DEC on parental burnout. A higher level of ER buffered the relationship between emotion contagion and concern about COVID-19.Conclusion: These findings suggest that susceptibility to digital emotion contagion may have a negative effect on parents. Digital emotion contagion may increase parental burnout and is tied to stress.
Medical Liability in Cancer Care During COVID-19 Pandemic: Heroes or Guilty?
Authors: Barranco Rosario , Messina Carlo , Bonsignore Alessandro , Cattrini Carlo , Ventura Francesco 
Published: December 2020

Background: The COVID-19 outbreak rapidly became a public health emergency affecting particularly the frail category as cancer patients. This led oncologists to radical changes in patient management, facing the unprecedent issue whether treatments in oncology could be postponed without compromising their efficacy.Purpose: To discuss legal implications in oncology practice during the COVID-19 pandemic.Perspective: Treatment delay is not always feasible in oncology where the timing often plays a key role and may impact significantly in prognosis. During the COVID-19 pandemic, the oncologists were found between the anvil and the hammer, on the one hand the need to treat cancer patients aiming to improve clinical benefits, and on the other hand the goal to reduce the risk of COVID-19 infection avoiding or delaying immunosuppressive treatments and hospital exposure. Therefore, two rising scenarios with possible implications in both criminal and civil law are emerging. Firstly, oncologists may be “accused” of having delayed or omitted the diagnosis and/or treatments with consequent worsening of patients' outcome. Secondly, oncologists can be blamed for having exposed patients to hospital environment considered at risk for COVID-19 transmission.Conclusions: During the COVID-19 pandemic, clinical decision making should be well-balanced through a careful examination between clinical performance status, age, comorbidities, aim of the treatment, and the potential risk of COVID-19 infection in order to avoid the risk of suboptimal cancer care with potential legal repercussion. Moreover, all cases should be discussed in the oncology team or in the tumor board in order to share the best strategy to adopt case by case.
Uncoupling Foam Fractionation and Foam Adsorption for Enhanced Biosurfactant Synthesis and Recovery
Authors: Blesken Christian C. , Strümpfler Tessa , Tiso Till , Blank Lars M. 
Published: December 2020

The production of biosurfactants is often hampered by excessive foaming in the bioreactor, impacting system scale-up and downstream processing. Foam fractionation was proposed to tackle this challenge by combining in situ product removal with a pre-purification step. In previous studies, foam fractionation was coupled to bioreactor operation, hence it was operated at suboptimal parameters. Here, we use an external fractionation column to decouple biosurfactant production from foam fractionation, enabling continuous surfactant separation, which is especially suited for system scale-up. As a subsequent product recovery step, continuous foam adsorption was integrated into the process. The configuration is evaluated for rhamnolipid (RL) or 3-(3-hydroxyalkanoyloxy)alkanoic acid (HAA, i.e., RL precursor) production by recombinant non-pathogenic Pseudomonas putida KT2440. Surfactant concentrations of 7.5 gRL/L and 2.0 gHAA/L were obtained in the fractionated foam. 4.7 g RLs and 2.8 g HAAs could be separated in the 2-stage recovery process within 36 h from a 2 L culture volume. With a culture volume scale-up to 9 L, 16 g RLs were adsorbed, and the space-time yield (STY) increased by 31% to 0.21 gRL/L·h. We demonstrate a well-performing process design for biosurfactant production and recovery as a contribution to a vital bioeconomy.
¿Educación intercultural? A propósito del fenómeno migratorio venezolano en Medellín
Authors: Baena Robledo Natalia , Cardona Zuleta Elvigia 
Published: December 2020

A partir de un ejercicio de investigación, que arrojó información diagnóstica acerca de la situación de derechos de la población migrante en la ciudad de Medellín, el presente artículo tiene como propósito analizar el Derecho a la Educación de los migrantes venezolanos en Medellín desde una postura intercultural, permitiendo una reflexión que interrogue a las Instituciones de Educación sobre sus procesos de adaptación a los fenómenos migratorios y evidenciar las contribuciones (o no), las oportunidades y desafíos que exige una adaptación de la Educación en términos del acceso. La Educación es un eje aporta para transformar la mirada del fenómeno migratorio, y entenderlo como algo que nutre la construcción colectiva, una oportunidad para enriquecer los procesos sociales existentes a partir de la diversidad y el pluralismo, como una respuesta a la necesidad de acceso a derechos de la población migrante.
Penerapan Enterprise Architecture pada Penerimaan Mahasiswa Baru menggunakan TOGAF di Universitas X Palembang
Authors: Lathifah Lathifah 
Published: December 2020

Enterprise architecture sangat diperlukan oleh semua organisasi salah satunya yaitu universitas, universitas memiliki banyak sektor bisnis didalamnya salah satunya yaitu pada sistem penerimaan mahasiswa baru. Sistem penerimaan mahasiswa baru yang dimiliki oleh universitas X Palembang memiliki beberapa kendala dalam mengelolanya. Apakah dengan diterapkannya proses enterprise architecture proses bisnis yang ada bisa terintegrasi dengan baik? Metodologi penilaian penerapan tersebut menggunakan TOGAF yang mengacu pada proses architecture business, architecture data, architecture application, dan architecture technology. Hasil penerapan yang didapat dari nilai tersebut yaitu memiliki nilai rata-rata 2,23% dengan kata lain penerapan enterprise architecture pada Universitas X Palembang telah digunakan dengan baik pada sistem penerimaan mahasiswa baru sehingga dapat berjalan dan terintegrasi menjadi satu, serta bisa dijadikan referensi dalam menerapkan enterprise architecture berikutnya pada sistem-sistem yang lain di universitas x. Adapun masalah yang muncul yaitu data pada penerimaan mahasiswa baru belum dikelola dengan baik dokumentasinya, sehingga Universitas X Palembang mengalami kesulitan dalam mengelolanya.
Differentiated Instructions in Teaching English for Students with Autism Spectrum Disorder
Authors: Sandra Lifia Alex , Kurniawati Lemmuela Alvita 
Published: December 2020

This study aims to explore the use of differentiated instructions in teaching English for students with Autism Spectrum Disorder (ASD) and investigate English teachers’ views on the extent of differentiated instructions in teaching English for students with ASD. The participants of this study was two English lecturers of English language education department in a private inclusive university in Indonesia. Employing qualitative method, this study used the data gathered from the interviews with the participants. This study used thematic analysis and generated five themes regarding to the use of differentiated instructions and teachers’ views on it. The first three themes were used to explain the extent of differentiated instructions in teaching English for students with ASD. The first three themes are the participants used differentiated class-assignments for students with ASD in their English class, they used differentiated content materials for students with ASD, and lastly, they provided outside-class assistance for students with ASD. The last two themes were used to reveal teachers’ vi.ws on the extent of differentiated instructions in teaching English for students with ASD. First, differentiated instructions lessened the level of anxiety of students with ASD, and second, differentiated instructions provided a positive learning environment for students with ASD. Based on the results and limitation of the study, some implications, contributions, and suggestions for future studies are presented.
Accuracy Of Transperineal Sonography And Distal Loopogram In Determining Distal Rectal Pouch-Perineal Distance And Fistula On Anorectal Malformation Post Colostomy Patients At Dr. Mohammad Hoesin Palembang
Authors: Saksono Sindu , Erial Bahar  , Halomoan Sejahtera  , Uli Hanna Marsinta  
Published: December 2020

Abstract
Background : Imperforated anus is a congenital abnormality which is better known as anorectal malformation. The incidence of anorectal malformations is 1 in 4000 to 5000 live births. The incidence of anorectal malformations in Europe varies from 1.14 to 5.96 per 10,000 people and can change each year.1-3 The surgical approach in the management of anorectal malformations depends on the classification of anorectal malformations based on low, intermediate and high location. The distal loopogram or distal colostrography / colostrogram examination is an examination that is very important to determine the location of the distal rectum before definitive repair, but this examination has the disadvantage of using contrast and x-ray radiation. One alternative radiological examination that can be used for faster initial management is sonographic.7
Method : This study was a diagnostic test study to assess the diagnostic accuracy of the distal loopogram / colostrography examination and sonographic examination with the transperineal approachon post-colostomy Anorectal Malformations patients at Mohammad Hoesin Hospital, Palembang in August 2019-October 20120 or until the number of research samples is met.
Result : There were 21 samples in this study, 11 (52.4%) samples were dominated by clinical appearance without fistula. On the results of ultrasound examination, the majority of samples of rectouretral fistulas were 7 (33.3%). Loopogram examination found the majority of samples without fistulas as many as 10 (47.6%) samples. On intraoperative examination, 7 (33.3%) samples were obtained for rectouretral fistulas. The result of pouch-perineum measurement on ultrasound examination was 1.15 ± 0.6 cm, loopogram was 0.7 ± 1.5 cm, intra-operasionem was 1.8 ± 1.6 cm. In this study, USG has a very high accuracy value with a sensitivity of 100% and a specificity of 93.8% while the Loopogram has a sensitivity of 100% and a specificity of 68.8%.
Conclusion : Transperineal ultrasound has a very high accuracy value with a sensitivity of 100% and a specificity of 93.8% while the Loopogram has a sensitivity of 100% and a specificity of 68.8%. Although there is a significant difference between the distal rectum -perineal distance calculation with a difference of -0.38 ± 0.70 cm, these two methods are equally accurate in assessing the distal rectal pouch -perineal distance and the location of the fistula.
Association of OCT Angiography Parameters With Age in Cognitively Healthy Older Adults
Authors: Polascik Bryce W. , Thompson Atalie C. , Yoon Stephen P. , Powers James H. , Burke James R. , Grewal Dilraj S. , Fekrat Sharon 
Published: December 2020

BACKGROUND AND OBJECTIVE:
To evaluate the association of changes in retinal anatomy and micro-vasculature with age and sex in cognitively healthy older adults.

PATIENTS AND METHODS:
Cross-sectional study of cognitively healthy subjects aged 50 years and older who underwent optical coherence tomography angiography (OCTA) to estimate the association between age and sex with ganglion cell layer-inner plexiform layer (GC-IPL); central subfield thickness (CST); subfoveal choroidal thickness (CT); foveal avascular zone (FAZ) size; and superficial (SCP), deep (DCP), and whole capillary plexus (WCP) vessel density (VD) and perfusion density (PD) measured in the ETDRS 3-mm and 6-mm circle and rings.

RESULTS:

Among 141 older adults (72.9% female; median age: 69 years), 282 eyes were imaged. Females had a greater CT, GC-IPL thickness, and FAZ size and a lower CST than males. After controlling for sex, both CT (
P
= .001) and GC-IPL thickness (
P
< .001) decreased with age, whereas FAZ size and CST did not. There was a reduction in VD and PD in SCP, DCP, and WCP with age in the 3-mm circle, 3-mm ring, and 6-mm circle (all
P
< .05).

CONCLUSIONS:
There is a significant reduction in both VD and PD, as well as decreased choroidal and GC-IPL thickness associated with aging, even beyond the fifth decade, in cognitively healthy adults.

[
Ophthalmic Surg Lasers Imaging Retina
. 2020;51:706–714.]
Contestation, mutineries et évasions. Les registres de mobilisation dans les prisons (Burundi, Cameroun, Côte d’Ivoire)
Authors: Deslaurier Christine , Marcis Frédéric Le , Morelle Marie 
Published: December 2020

Dans le contexte de restaurations autoritaires ou de situations de post-conflit auxquelles se heurtent maintes sociétés africaines, les incarcérations politiques s’accompagnent de prises de paroles à la radio, dans la presse ou dans des essais et des témoignages publiés. Ce sont des occasions de construire la prison comme problème public sur les agendas nationaux et internationaux, au-delà de la seule dénonciation des pouvoirs en place. Toutefois, hors de ces moments explicites de politisation de la prison, celle-ci demeure le domaine de l’intervention humanitaire, axée sur le soin. S’il importe bien sûr de rendre compte des effets de cette action sur les images et le fonctionnement du système carcéral, cet article propose de faire un pas de côté en observant d’autres modalités de contestation de l’incarcération et de ses conditions, révélant des tactiques de résistance et de subversion émanant de détenus de droit commun. Partant de recherches conduites dans trois pays (Burundi, Cameroun, Côte d’Ivoire), cet article discute du rapport au politique en prison, appréhendé dans sa dimension informelle, en marge des arènes officielles, et s’attache à révéler les processus de légitimation comme de délégitimation des acteurs et des registres de la critique carcérale. Finalement, que tolère-t-on du fonctionnement carcéral ? Quels éléments en seraient, à l’inverse, intolérables ?
HIV/AIDS knowledge and attitude towards people living with HIV/AIDS (PLWHA): a cross-sectional study of primary school teachers
Authors: O Nwimo Ignatius , A Elom Nwamaka , I Ilo Cajetan , N Ojide Rita , A Ezugwu Uchechukwu , U Eke Vitalis , E Ezugwu Lazaus 
Published: December 2020

Background: Teachers are in advantage position to propagate correct information with regard to HIV/AIDS thereby influencing attitude towards PLWHA. With correct information stigmatization leading to spread of the scourge might be prevented.
Aims & Objectives: The study was conducted to determine knowledge and attitude of primary school teachers towards PLWHA.
Methods & Materials: The cross-sectional survey was used to study a sample of 400 primary school teachers in Ebonyi State, Nigeria. The instrument used for data collection was researchers’ designed questionnaire. Out of 400 copies of ques- tionnaire administered; 394 representing 98.5% return rate, were used for analysis of data.
Results: Results showed respondents had moderate (57.4%) knowledge concerning HIV/AIDS and positive attitude (3.09 ± 0.98) to PLWHA. Female teachers’ dispositions to PLWHA were better than the males based on their attitude scores and the difference was not significant in general knowledge of HIV/AIDS and attitude to PLWHA.
Conclusion: Our findings underscore the need for a universal health education programme, focusing on HIV/AIDS educa- tion, in education institutions that train teachers in Nigeria so as to possibly mitigate the discrepancy in knowledge regarding curability of AIDS and any undesirable attitude towards PLWHA that may arise among teachers.
Keywords: HIV/AIDS; knowledge; attitude; PLWHA; primary school; teachers.
Association between osteoporosis and hepatitis B cirrhosis: a case-control study
Authors: Zhang Yijin , Gao Xuesong , Liu Ting , Gao Ping , Li Hongjie , Liu Nan , Gao Lili , Wan Gang , Zhang Yaonan , Duan Xuefei 
Published: December 2020

Background and aims: Hepatitis B virus (HBV)-related cirrhosis is associated with decreased bone mineral density (BMD); however, the mechanism is yet unknown. To assess the incidence of osteoporosis in patients with HBV-associated cirrhosis and relevant mechanisms.
Methods: A total of 80 hospitalized patients with HBV-associated cirrhosis and 80 healthy controls were enrolled. The levels of serum osteocalcin, total procollagen type 1 amino-terminal propeptide, β-C-terminal telopeptide of type I collagen (β-CTX), and 25-hydroxy vitamin D3 (25(OH)D3) was evaluated in the cirrhosis group.
Results: The BMDs of the lumbar spine (P<0.001) and hip joints (P=0.015) in the cirrhosis group were significantly lower than those in the controls. The incidence of osteoporosis in the cirrhosis group was significantly higher than that in the con- trol group (P<0.001). Compared to the patients of the Child-Pugh grade A and B, the BMD of lumbar spine and 25(OH)D3 was significantly decreased in patients of grade C, while β-CTX was elevated. Patients in the cirrhosis group faced a higher risk of osteoporosis as compared to the controls(P<0.001).
Conclusion: Enhanced bone resorption accounted for increased risk of osteoporosis in severe cirrhosis. Thus, HBV-asso- ciated cirrhosis was a risk factor for osteoporosis.
Keywords: Liver cirrhosis; bone density; osteoporosis; osteopenia; hepatitis B, chronic.
Clinical and microbiological profile of adult inpatients with community acquired pneumonia in Ilorin, North Central, Nigeria
Authors: Babatope Ojuawo Olutobi , Olumuyiwa Desalu Olufemi , Emmanuel Fawibe Ademola , Boluwatife Ojuawo Ayotade , Olatunji Aladesanmi Adeniyi , Muyiwa Opeyemi Christopher , Obafemi Adio Mosunmoluwa , Olayemi Jimoh Abdulraheem , Ohinoyi Amadu Dele , Fadeyi Abayomi , Alakija Salami Kazeem 
Published: December 2020

Background: The optimal management of community acquired pneumonia (CAP) depends on the clinical and microbio- logical profile in the locality.
Objectives: To determine the clinical and microbiological profile of patients admitted with CAP in Ilorin, Nigeria.
Methods: One hundred and two consenting consecutively selected patients with clinical and radiologic confirmation of CAP were recruited in 12 months. The socio-demographic, physical examination and laboratory/radiologic parameters were documented in a questionnaire. Microbiological evaluation of their sputum was done and blood samples were taken for complete blood count, culture, serum urea and serological evaluation for atypical bacteria and some viral pathogens.
Results: CAP constituted 5.9% of the total medical admissions during the one-year study period. The mean age of the pa- tients was 49 ± 22 years with the largest frequency in those aged 65 years and above. The commonest symptoms were short- ness of breath (96.1%) and cough (94.1%), with a median duration of 3 days from symptom onset to admission. Systemic hypertension was the commonest comorbid illness (25/102; 24.5%). Klebsiella pneumoniae was the predominant pathogen iso- lated (20/102; 28.1%). The susceptible antibiotics were Imipenem, Ceftazidime and Ceftriaxone. Intra-hospital mortality was 17.6%. CURB – 65 score of ≥ 2 and the presence of complications of CAP were the independent predictors of mortality.
Conclusion: CAP constitutes a significant disease burden in Ilorin, Nigeria. Typical bacteria accounted for over half of the pathogens isolated from the patients with gram negative agents predominating. This highlights a possible shift in the micro- biological profile which could guide empirical treatment.
Keywords: Community acquired pneumonia; microbiological profile; Nigeria.
Effects of body weight and posture on pulmonary functions in asthmatic children
Authors: Emad Emil Ghobrial , Mohamed Saad El Baz , Fattah Mohammed Abdel , Manar Mohamed Haroun 
Published: December 2020

Background: Asthma is one of the most common chronic illnesses in the world. Pulmonary function tests are important tools in monitoring of asthmatic patients. There is need for investigating if spirometric indices were affected by body weight or posture or not. Objectives: The aim of this study was to evaluate the spirometric measurements in standing and sitting positions in a group of Egyptian asthmatic children with different body weights. Methods: Sixty patients were included. They were stable asthmatics and were following up in the allergy clinic. Spirometry was conducted at pulmonary functions laboratory of Pediatric Allergy and Chest Unit of New Children’s University Hospi- tal, Cairo. The one-way analysis of variance was used to test the differences between groups. The Duncan multiple compar- ison test was used to test the significant differences between each pair of groups. Results: The study found that sitting FEV1/FVC is significantly lower in overweight/obese asthmatic children compared to normal weight asthmatic children (p value=0.046). Conclusion: There was no effect of weight on standing spirometric data. Weight showed significant negative correlation with asthma control level. We concluded that in overweight/obese asthmatic children, spirometric position might affect the results.
Keywords: Body weight; posture; asthmatic children.
Transverse cerebellar diameter: a reliable predictor of gestational age
Authors: Mishra Sanjay , Ghatak Surajit , Singh Pratibha , Agrawal Dushyant , Garg Pawan 
Published: December 2020

Objectives: To determine accuracy of transverse cerebellar diameter (TCD) measurement in the prediction of gestational age (GA) in normal fetuses; to develop reference chart for TCD according to GA in Indian population.
Design: A retrospective cross-sectional study.
Method: Ultrasonographic measurements in 300 singleton pregnant women included biparietal diameter (cm), head circum- ference (cm), abdominal circumference (cm), femur length (cm) and transverse cerebellar diameter (cm). Reference chart with mean TCD for corresponding gestational age (GA) in weeks was developed.
Results: Statistically significant relationship found between TCD and gestational age (R2=0.92, p=0.0006). Regression for- mulae based on TCD with other parameter can be used to predict gestational age of foetus. When TCD is compared with findings in other studies in different ethnic population, it is found that there is significant difference exists.
Conclusion: In normally developing fetuses the TCD has linear correlation with advancing gestational age. A separate refer- ence chart is required for every different population because ethnicity, nutrition and environmental factors can have impact on normal TCD values. This will help to avoid misinterpretation of data to determine gestational age.
Keywords: Transverse cerebellar diameter; ultrasonography; gestational age.