bluuebunny/crossref_metadata_2025_split huggingface dataset:
Open heart surgery patients’ education. a source of anxiety?
Authors: Kadda Olga 
Published: December 2019

In recent years the interest of health care professionals has focused on the process of patient pre and post operative education and in what way the psychological status is affected. They particularly emphasized the need to design effective and individualized trainings programs which concern preoperative and postoperative information, cardiac rehabilitation after open heart surgery so as to enhance patient’s comfort and anxiety reduction.The main idea of the programme is to change patient’s behaviour regarding modifiable risk factors and improve their quality of life. Moreover, the aim of the individual educational programme is to understand the surgical procedure, complications may occur, maintaining treatment compliance at a high level, the improvement of psychological status and quality of life not only for the patient but for its family too.Cardiac surgery is a very difficult process that causes a lot of stress and one of the most important nurse’s roles is to provide information and patient support throughout their recovery period.
Effectiveness of negative pressure wound healing systems applying in sternotomy after cardiac surgery: a systematic review
Authors: Christodoulou Eleni , Vasilopoulos Georgios , Kalogianni Antonia , Jahaj Edison 
Published: December 2019

Introduction: Despite the progress of prevention and peri-operative care of cardiac surgery patients, complications of the surgical wound still occur to 1-3% of patients and they are connected with high rates of hospital mortality.Aim: The present systematic review aims to investigate the effectiveness of the application of negative pressure wound therapy in median sternotomy wounds after cardiac surgery that occur deep infections.Material and Method: All the relevant Greek and International bibliography was searched to Pubmed, Cinahl, Sciverse Scopus and Proquest database. The Key words that were used were negative pressure wound treatment AND sternotomy AND cardiac surgery regarding the pursuit of the title, the abstract or the key words for publications from 2012 and after.Results: From 123 articles, 7 articles were finally chosen for studying of the full text. According to the results of the review, negative pressure wound treatment’s use to median sternotomy wounds provide the healing, the treatment and the prevention of infections and contributes to the reduction of the time and cost of hospitalization.Conclusions: The need to carry out more randomized clinical trials is highlighted so that the results can be generalized.
Mortality rate of ICU patients according to APACHE II and SAPS II score
Authors: Kostoglou Ariadni , Kotanidou Anastasia , Marvaki Christina , Orfanos Stylianos 
Published: December 2019

Introduction: Two of the most important systems measuring the severity of disease classification in Intensive Care Unit (ICU) are APACHE II and SAPS II. The scores that the two systems generate can be the cause of increased mortality.Aim: of subject study is to record mortality of 28 days in ICU of a Hospital located in Piraeus and to investigate its dependence on the variables APACHE II and SAPS II. Material and Methods: Population of the study consisted of 200 patients, older than 18 years, admitted to ICU. The application of normal distribution for continuous variables has been evaluated based on Kolmogorov-Smirnov parametric analysis.Results: 62, 5% of the sample were male, while 37,5% were female. The average age of patients participating in the study was 58,02 years ± 19,085, average APACHE II score 22,33 ± 8,038 and average SAPS II score 37,03 ± 16,169. 51,5% of those patients were diagnosed with pathological problems, 25,5% with surgical problems and 23% had trauma. Mortality in ICU was 32%. The area below ROC curve for the prediction of mortality from APACHE II score was 0.748 (95% confidence interval: 0.684-0.808, p<0.001). Conclusions : From the regression ran based on multiple confounding variables (age, gender, diagnosis, APACHE II and SAPS II scores) we conclude that mortality of 28 days in a polyvalent ICU is affected only by APACHE II score, which predicted independently (p= 0.036) the mortality of the patients of the present study.
Dog therapy for people with dementia: a systematic review
Authors: Posadas Laura Tejedor , Hançerlioğlu Sadic , Fountouki Antigoni , Theofanidis Dimitrios 
Published: December 2019

Background: Dogs in particular have been singled out as a non-pharmacological means to help those with Alzheimer’s Disease (AD). Hence, Dog Assisted Therapy (DAT) has emerged as a direct intervention where a dog that meets specific criteria for treatment purposes may assist and benefit a person with AD.Aim: to synthesize research on DAT for AD, in order to investigate if this therapy has a positive influence on people with this disease.Methods: A systematic literature search on Medline, Scopus, Google scholar, Cochrane Library and CINAHL was conducted. The search was carried out in November-December 2018 for papers meeting the following inclusion criteria: articles published in English and Spanish, research articles and not reviews, within the last 30 years (1989-2019) that were available in their entirety, rather than just an abstract.Results:Twenty two studies were examined and all showed a favorable effect on patient status following DAT i.e. positive impact on patient outcomes due to while none reporting a negative effect. Yet, the studies did vary in terms of the intervention, i.e. in some, a small dog was used to improve patient outcomes, while others used a real dog, compared to a robotic dog or a video.Discussion:DAT programs are becoming increasingly popular as supplementary to drug therapies. They were found to increase positive social behaviors, increased interaction and engagement amongst those with dementia resulting in fewer incidents requiring staff intervention. Also, conversation, touches, looks, smiling and laughing was stimulated by dog visits. All these positive effects were attributed to the presence of the animal which patients were encouraged to pet, touch and talk to the dogs. Furthermore, most authors acknowledge that DAT benefits blood pressure management and increases neuro-chemicals associated with relaxation and bonding. Hence, these benefits may influence behavioral and psychological symptoms of dementia by reducing aggression, agitation and anti-social behaviour.Conclusions:People with dementia show a more cheerful mood with DAT and show significant increase in a variety of positive social behaviors such as smiles, looks, tactile gestures and verbalizations, i.e. DAT enhances pro-social behaviour. Furthermore, DAT is suggested to have a beneficial impact on physiological parameters as well, such as blood pressure management, heart rate and skin temperature. Yet, the psychological state of the patients is also noteworthy as DAT minimizes agitation, anxiety, apathy and aggression.
BOSC 2019, the 20th annual Bioinformatics Open Source Conference
Authors: Harris Nomi L. , Cock Peter J.A. , Fields Christopher J. , Greshake Tzovaras Bastian , Heuer Michael , Hokamp Karsten , Munoz-Torres Monica , Peltzer Alexander , Rieck Bastian , Wiencko Heather , Yehudi Yo 
Published: December 2019

The Bioinformatics Open Source Conference is a volunteer-organized meeting that covers open source software development and open science in bioinformatics. Launched in 2000, BOSC has been held every year since. BOSC 2019, the 20th annual BOSC, took place as one of the Communities of Special Interest (COSIs) at the Intelligent Systems for Molecular Biology meeting (ISMB/ECCB 2019). The two-day meeting included a total of 46 talks and 55 posters, as well as eight Birds of a Feather interest groups. The keynote speaker was University of Cape Town professor Dr. Nicola Mulder, who spoke on “Building infrastructure for responsible open science in Africa”. Immediately after BOSC 2019, about 50 people participated in the two-day CollaborationFest (CoFest for short), an open and free community-driven event at which participants work together to contribute to bioinformatics software, documentation, training materials, and use cases.
Relationship with the mother and closeness to grandparents in relation to resilience in adolescents in families of single mothers. Significance of the absence of the father
Authors: Napora Elżbieta 
Published: December 2019

Aim of the studyThe father leaving the family is undoubtedly an example of those new experiences, and one that disturbs functioning of the family members. Observations confirm that children suffer most as a result of changes in the family life and in an atmosphere of conflict. Such changes often lead to separation and divorce, after which the parents remain in conflict and the mother experiences negative emotional states, which might be harmful to the children. The purpose of the study was to determine the relationship between a subjective assessment of adolescents’ relationship with the mother and emotional closeness with the grandparents, and resilience in adolescents from single mother families, with consideration of the context provided by the role of the absence of father.Subject or material and methodsThe study was conducted on a sample of 309 participants, with the Questionnaire of Family Relationships, Resilience Scale (SPP-18), and the original Scale of Closeness to Grandparents.ResultsThe results indicated that, aside from consistency with the mother, closeness with the grandparents also stimulates resilience in adolescents.DiscussionThe dimension of control over an adolescent significantly lowers resilience of the individual. The duration of the absence of the father was not a significant determinant of resilience in young people.ConclusionsThe results obtained in the study may prove useful to psychologists in constructing assistance programs for youth and families of single mothers; they can also be treated as a starting point for future research.
Perceived social support and depression among pregnant and child-rearing teenagers in Ile-Ife, Southwest Nigeria
Authors: Ayamolowo Sunday Joseph , Olajubu Aanuoluwapo Omobolanle , Akintola Funke Elizabeth 
Published: December 2019

Background The mental strain of pregnancy and child-rearing can lead to depression, especially when the expectant mother is also a teenager who will need robust social support to adequately cope with motherhood at this vulnerable stage of life. In Nigeria, teenage pregnancy and motherhood can prevent them from acquiring an education or the skills to earn money, and many teenage mothers struggle with depression and other health issues. Aim To assess the relationship between perceived social support and level of depression among pregnant and child-rearing teenagers in the Ife East Local Government Area, Southwest Nigeria. Methods A descriptive study design was employed and a structured questionnaire was used to elicit response from 120 pregnant and child-rearing teenagers who were selected using a multistage sampling technique. Descriptive statistics were computed on sociodemographic characteristics, level of perceived social support, and level of depression among respondents. The Pearson correlation test was used to assess the relationship between perceived social support and level of depression. Findings More than half (54.2%) of the respondents reported a moderate level of perceived social support, and few respondents (12.5%) reported that they received low social support. Many (44.2%) of the respondents reported no depression, and few respondents (10.0%) were categorised as severely depressed. The study found a significant, moderately strong, negative correlation between respondents' level of social support and depression (r=−0.510, P=<0.0001). Conclusion There is a significant association between the level of perceived social support received and the development of depression among pregnant and child-rearing teenagers in Nigeria. Hence, there is an urgent need for appropriate community health information, education and programmes to facilitate support for pregnant and child-rearing teenagers. This will help to reduce depression and improve health outcomes for teenage mothers.
Moon with amethyst hues during full eclipse from tropical region
Authors: Strojnik Marija 
Published: December 2019

We report on the first documented observations, to the best of our knowledge, of the amethyst (super wolf) Moon recorded in the region just south of the northern Tropic of Cancer (latitude

21

∘

7.745
′

N

), at about 2000 m height above the sea level during the lunar eclipse on 20 January 2019. During the color transition from the brownish red to amethyst blue (a mixture of dark blue and some red), the moon in the center of the Earth shadow (mid-eclipse) was nearly in zenith in Leon, Mexico. We interpret the amethyst color as arising from the inability of red rays to curve into the axial regions of the lunar spherical surface, while the scarce, randomly distributed blue rays are still incident there.
Three-dimensional nanoscale localization of point-like objects using self-interference digital holography
Authors: Marar Abhijit , Kner Peter 
Published: December 2019

We propose localizing point-like fluorescent emitters in three dimensions with nanometer precision throughout large volumes using self-interference digital holography (SIDH). SIDH enables imaging of incoherently emitting objects over large axial ranges without refocusing, and single molecule localization techniques allow sub-50 nm resolution in the lateral and axial dimensions. We demonstrate three-dimensional localization with SIDH by imaging 100 and 40 nm fluorescent nanospheres. With 49,000 photons detected, SIDH achieves a localization precision of 5 nm laterally and 40 nm axially. We are able to detect the nanospheres from as few as 13,000 detected photons.
Desafios contemporâneos da Atenção Primária à Saúde
Authors: Magalhães Júnior Helvecio Miranda 
Published: December 2019

O artigo, resultado de conferência proferida na 1ª Oficina do Comitê Gestor APS – Inovações para APS forte no SUS, realizada na Faculdade de Ciências Econômicas FACE/UFMG –em março de 2019, discute os desafios atuais da APS através do resgate histórico até o momento atual. A implementação do SUS, desde os seus primeiros passos, se deu concomitante a um novo papel para os municípios brasileiros, também nascidos como entes federados na mesma Constituição e à expansão de cobertura assistencial, em especial da atenção básica ou primária, já em curso desde os movimentos pré SUS. A partir de 1994, com o formato do PSF – Programa de Saúde da Família e dos ACS- Agentes Comunitários de Saúde, sustentado por experiências internacionais e iniciativas de vários municípios brasileiros, tudo isto corolário da trajetória, ainda que com idas e vindas, do movimento sanitário brasileiro. Esta brevíssima histórico é importante, por deixar como imagem um vetor de sempre crescimento da APS no país, em diferentes modalidades, com variadas tecnologias e potências, mas, progressivamente vertebrada a partir da Estratégia de Saúde da Família. Fato é que as robustas evidências internacionais e resultados de investigações no Brasil.
Educational smartphone apps for language learning in higher education: Students’ choices and perceptions
Authors: Nami Fatemeh 
Published: December 2019

The popularity and use of smartphone apps for language learning have significantly grown in Iran over the past years. Despite this growth, empirical data on students’ choice of such apps, their perception towards them, and the impact of external factors on their attitude remains scant. In an attempt to contribute to this research base, a descriptive survey study was carried out to explore the type of language learning apps commonly used by 381 university students at Amirkabir University of Technology and their perception towards the effectiveness of these apps for developing learning language skills. Dictionary and lexical apps appeared to be the most popular application types amongst participants. While students were generally positive about the use of apps for language learning, they had different viewpoints regarding the potential of apps for developing different language skills. The results of ANOVA indicate that gender did not play a significant role in participants’ perception. On the contrary, the type of apps used significantly shaped students’ attitudes towards app-based language learning. The findings contribute to research on mobile assisted language learning and educational app design, by shedding more light on students’ choice of apps for learning different language skills.
Clinical subtypes of breast cancer in Thai women: a population-based study of Chiang Mai province
Authors: Sripan Patumrat , Sriplung Hutcha , Pongnikorn Donsuk , Bilheem Surichai , Virani Shama , Waisri Narate , Hanpragopsuk Chirapong , Maneesai Puttachart , Tansiri Panrada , Chitapanarux Imjai 
Published: December 2019

Abstract

Background
The change over time of distribution of breast cancer subtypes using population-based data has not been reported.

Objective
To describe the change over time of the distribution of female breast cancer by clinical subtype among the population in Chiang Mai, Thailand.

Methods
Data of breast cancer patients from Chiang Mai Cancer Registry, diagnosed from 2004 to 2013 were combined with immunohistochemical status from medical record, and used to describe the proportions of clinical breast cancer subtypes: (1) luminal A-like (ER+/PR+ and HER2-), (2) luminal B-like (ER+/PR+ and HER2+), (3) HER2 (ER- and PR- and HER2+), (4) triple-negative (ER- and PR- and HER2-). The distribution of breast cancer subtypes by age group was also described.

Results
Among 3,228 female breast cancer cases diagnosed during 2004–2013, the median age was 52 years and most patients presented at the regional stage. The unknown tumor subtype was lower than 25% in the periods 2008– 2009, 2010–2011, and 2012–2013. In those periods, the proportions of luminal A-like were 33%, 36%, and 48%; the proportions of luminal B-like were 14%, 20%, and 16%, the proportions of HER2 were 15%, 14%, and 13%; and the proportions of triple-negative were 16%, 14%, and 13%, respectively. In comparison with other groups, women aged ≥60 years had a significantly higher proportion of luminal A-like (P = 0.001), while women aged <40 years tended to have a higher proportion of triple-negative (P = 0.10).

Conclusions
The proportion of breast cancer with luminal subtypes is increasing. Thus, in the future, treatment protocols with a variety of hormone therapies should be provided in order to improve efficacy and coverage of treatment for this population.
Time to blood cultures positivity of microorganisms using a continuous-monitoring automated blood cultures system
Authors: Krisanapan Pajaree , Chaiwarith Romanee 
Published: December 2019

Abstract

Background
Previous studies showed that clinically significant pathogens were detected within 3 days of incubation using a continuous monitoring automated blood culture instrument.

Objectives
To determine time to blood culture positivity (TTP) of microorganisms using a BD BACTEC™ FX.

Methods
A cross-sectional study was conducted at Maharaj Nakorn Chiang Mai Hospital, Thailand from October to November 2014.

Results
One-hundred and eighty-one patients with 195 episodes of infection and 436 cultures were included in the analysis. Among 181 patients, 55.2% were male and the median age was 61 years (interquartile range (IQR) 50, 76). Of the 195 episodes of infections, the most common source was genitourinary tract (15.4%). Overall, the median TTP was 17 hours (IQR 11.5, 24.5), the shortest TTP was observed in Streptococcus agalactiae. Four-hundred and seventy-eight cultures (97.6%) and all (100%) were detected at 3 days and 5 days of incubation. Factors associated with TTP ≤24 hour were blood drawn from patients who had hematologic malignancy (odds ratio (OR) 9.6, 95% confidence interval (CI) 1.2, 74.3, P = 0.030), endocarditis and vascular infection (OR 8.7, 95% CI 1.1, 67.2, P = 0.038), thrombocytopenia (OR 2.4, 95% CI 1.3, 4.4, P = 0.004), clinical of systemic inflammatory response syndrome (SIRS) (OR 2.3, 95% CI 1.2, 4.5, P = 0.014), and not receiving antimicrobials within 72 hours before cultures taken (OR 2.2, 95% CI 1.4, 3.6, P < 0.001).

Conclusions
TTP varied depends upon the pathogens and clinical settings. However, bacteria were isolated from almost, but not all of the blood cultures within 3 days of incubation.
Patient and injury characteristics associated with road traffic mortality in general hospitals in southern Thailand
Authors: Kraonual Sunee , Lim Apiradee , Ueranantasun Attachai , Kakchapati Sampurna 
Published: December 2019

Abstract

Background
Road traffic injuries are a major public health burden in developing countries. Thailand has the highest fatality rate from road traffic injuries in southeast Asia so that prevention of unintentional injuries is important.

Objective
To identify patient and injury characteristics associated with road traffic mortality in the southern provinces of Thailand.

Methods
Data on a total of 78,862 road traffic injuries recorded by the general hospitals in 5 southern provinces of Thailand, during 2008–2013, were obtained from the Office of Disease Prevention and Control. Chi-squared test was used to determine the association between patient/injury characteristics and road traffic mortality, and logistic regression was used to identify the strength of associations.

Results
In this study, road traffic mortality was found to be 1.8% of all injuries. Most of the deaths occurred in males (61.7%), who were aged 25–44 years (35.8%), being drivers (68.6%), using motorcycle (78.4%), and not wearing a helmet (61.0%). Road traffic mortality was higher among males, older age people, those who were not wearing a helmet or not fastening a seat belt, pedestrians and when people crashed with or by motor car, with wound being penetrating or blunt with penetrating, and when they were having head or neck, chest, or abdominal or pelvic cavity injuries.

Conclusion
Policies and measures for reducing road traffic mortality should focus on males and older aged persons, use of safety devices, and occurrence of multiple injuries.
Is The Criminal Justice System A Barrier To Entrepreneurship In Fragile Communities?
Authors: Price Gregory N. 
Published: December 2019

AbstractIn fragile communities where a high proportion of residents have limited opportunities for economic and social mobility, self-employment and entrepreneurship are possible pathways to economic and social mobility. If, for example, individuals perceive policing and offender sentencing as racially discriminatory and/or untrustworthy, criminal justice in fragile communities could potentially be a barrier to an individual’s decision to start a business, as such a decision can be sensitive to whether the legal system will protect individual property rights. This paper considers how, in fragile communities, individual fairness assessments and perceptions of the criminal justice system condition nascent entrepreneurship abandonment—individuals who considered starting a business but did not. With data from the Center for Advancing Opportunity Fragile Community Survey on over 5,000 individuals in the United States, we estimate latent variable specifications of abandoned individual aspirations to start a business as a function of several measures of their fairness assessment/perception of the criminal justice system. Parameter estimates reveal that the likelihood of abandoned nascent entrepreneurship increases with respect to increases in an individual’s assessment/perception that the criminal justice system is unfair in their community. Our results suggest that the criminal justice system is a barrier to entrepreneurship for residents of fragile communities, and that criminal justice reforms that promote fairness in policing and the courts could enhance economic and social mobility in fragile communities by increasing the likelihood of individuals starting businesses.