bluuebunny/crossref_metadata_2025_split huggingface dataset:
Generación de la huella ecológica en el personal de los 3 sectores de la población de la UAO/UAZ, Zacatecas, México
Authors: Muñoz Ecobedo José Jesús , Hernández Salas Gil Fernando , Gutiérrez Jesús Rivas , Maldonado Tapia Claudia , García Mayorga Elda , Moreno García María Alejandra 
Published: January 2021

Es importante reconocer que lo que se realiza a diario en el área de trabajo, tiene una relación muy estrecha con la huella ecológica. Un problema grave es el desperdicio de agua y energía eléctrica, cuando a veces no es necesario en el trabajo, ya que son esencial para poder desempeñar las actividades, por eso se necesita tomar conciencia de esto y usar los servicios de luz y agua solo cuando se requiera. El objetivo de este trabajo es determinar la huella ecológica del personal de los tres sectores de la población de la Unidad Académica de Odontología UAZ. La presente investigación consistió en: Aplicación de encuestas personales al sector alumnos, docentes y trabajadores. Resultados: Respecto al transporte público se determinó que el sector trabajador y alumnos son los que más lo utilizan. En la alimentación un 55% del sector alumnos consume alimentos en su hogar, el 50% del sector docente lo hace en la cafetería escolar y el 48% del sector trabajador en casa. Referente a si se encuentra prendida la luz al inicio de las actividades, los tres sectores mencionan que sí en un gran porcentaje; así mismo un uso inadecuado del agua. Se sugiere dentro de lo posible, usar el transporte público y usar el vehículo lo indispensable o colectivamente. Se propone optimizar el uso de equipo y aparatos que requieran consumo de energía, se recomienda utilizar lámparas ahorradoras de energía tipo LED. Siendo indispensable adquirir los conocimientos adecuados sobre la gestión de los RPBI de acuerdo con la NOM-O87ECOL-SSA1-2002.
El riego de los jardines por las mañanas y tardes. De la misma forma el agua utilizada en lavabos y depósitos de baños, se sustituya por agua reciclada por medio de sistemas de ahorro.
Palabras clave: Generación, huella-ecológica, población, UAO/UAZ.
Feasibility of a Home-Based Palliative Care Intervention for Elderly Multimorbid Survivors of Critical Illness
Authors: Mayr Florian B. , Plowman Judith L. , Blakowski Sandra , Sell-Shemansky Kimberly , Young Joleene M. , Yende Sachin 
Published: January 2021

Background
Elderly patients frequently experience deteriorating health after critical illness, which may threaten their independence and predispose them to unplanned hospital readmissions and premature death.

Objectives
To evaluate the operational feasibility of a 90-day home-based palliative care intervention in multimorbid elderly Veteran survivors of critical illness.

Methods
A multidisciplinary home-based palliative care intervention was provided for multimorbid elderly veterans who were discharged home after admission to the intensive care unit for sepsis, pneumonia, heart failure, or exacerbation of chronic obstructive lung disease.

Results
Fifteen patients enrolled in the study, 11 (73%) of whom completed all visits; thus the prespecified goal of &gt;70% completion was met. Median (interquartile range [IQR]) age of the patients was 76 (69-87) years. Participants had a median (IQR) of 8 (7-8) concurrent chronic health conditions, were moderately debilitated at baseline, and were all male. The median (IQR) time to the first study visit was 8 (5-12) days. Patients had a median (IQR) of 8 (5-11) in-home visits and 6 (3-7) telephone encounters during the 90-day study period. Nurses spent a median (IQR) cumulative time of 330 (240-585) minutes on home visits and 30 (10-70) minutes on telephone visits. The median (IQR) time per home provider visit was 90 (75-90) minutes. We estimated the median (IQR) cost per patient to be $2321 ($1901-$3331).

Conclusion
A comprehensive home-based palliative care intervention is operationally feasible in elderly multi-morbid survivors of critical illness and may result in improved physical functioning and quality of life and fewer unplanned emergency department visits.
Monitor-Watcher Use, Nurses’ Knowledge of Electrocardiographic Monitoring, and Arrhythmia Detection
Authors: Funk Marjorie , Fennie Kristopher P. , Knudson Krista A. , Ruppel Halley 
Published: January 2021

Background
Electrocardiographic telemetry monitors are ubiquitous in hospitals. Dedicated monitor watchers, either on the unit or in a centralized location, are often responsible for observing telemetry monitors and responding to their alarms. The impact of use of monitor watchers is not known.

Objectives
To evaluate the association of monitor-watcher use with (1) nurses’ knowledge of electrocardiographic (ECG) monitoring and (2) accuracy of arrhythmia detection.

Methods
Baseline data from 37 non–intensive care unit cardiac patient care areas in 17 hospitals in the Practical Use of the Latest Standards for Electrocardiography trial were analyzed. Nurses’ knowledge (n = 1136 nurses) was measured using a validated, 20-item online test. Accuracy of arrhythmia detection (n = 1189 patients) was assessed for 5 consecutive days by comparing arrhythmias stored in the monitor with nurses’ documentation. Multiple regression was used to evaluate the association of use of monitor watchers with scores on the ECG-monitoring knowledge test. The association of monitor-watcher use with accuracy of arrhythmia detection was examined by χ2 analysis.

Results
Of the 37 units, 13 (35%) had monitor watchers. Use of monitor watchers was not independently associated with ECG-monitoring knowledge (P = .08). The presence of monitor watchers also was not significantly associated with the accuracy of arrhythmia detection (P = .94).

Conclusion
Although the use of monitor watchers was not associated with diminished nurses’ knowledge of ECG monitoring, it also was not associated with more accurate arrhythmia detection. If implementing a monitor-watcher program, critical safety points, such as ensuring closed-loop communication, must be considered.
A Communicative Intervention to Improve the Psychoemotional State of Critical Care Patients Transported by Ambulance
Authors: Arimon Marta Prats , Llobet Montserrat Puig , Roldán-Merino Juan , Moreno-Arroyo Carmen , Blanco Miguel Ángel Hidalgo , Lluch-Canut Teresa 
Published: January 2021

Background
Communication is key to understanding the emotional state of critical care patients.

Objective
To analyze the effectiveness of the communicative intervention known as CONECTEM, which incorporates basic communication skills and augmentative alternative communication, in improving pain, anxiety, and posttraumatic stress disorder symptoms in critical care patients transported by ambulance.

Methods
This study had a quasi-experimental design with intervention and control groups. It was carried out at 4 emergency medical centers in northern Spain. One of the centers served as the intervention unit, with the other 3 serving as control units. The nurses at the intervention center underwent training in CONECTEM. Pretest and posttest measurements were obtained using a visual analog scale to measure pain, the short-version State-Trait Anxiety Inventory to measure anxiety, and the Impact of Event Scale to measure posttraumatic stress disorder symptoms.

Results
In the comparative pretest-posttest analysis of the groups, significant differences were found in favor of the intervention group (Pillai multivariate, F2,110 = 57.973, P &lt; .001). The intervention was associated with improvements in pain (mean visual analog scale score, 3.3 pretest vs 1.1 posttest; P &lt; .001) and posttraumatic stress disorder symptoms (mean Impact of Event Scale score, 17.8 pretest vs 11.2 posttest; P &lt; .001). Moreover, the percentage of patients whose anxiety improved was higher in the intervention group than in the control group (62% vs 4%, P &lt; .001).

Conclusion
The communicative intervention CONECTEM was effective in improving psychoemotional state among critical care patients during medical transport.
Bras for Breast Support After Sternotomy: Patient Satisfaction and Wear Compliance
Authors: Bolling Kimberly , Long Takako , Jennings Cathy D. , Dane Francis C. , Carter Kimberly Ferren 
Published: January 2021

Background
For women undergoing median sternotomy, especially those with a bra cup size C or larger, breast support can reduce pain, wound breakdown, and infection. This study addressed a gap in research, identifying the best bra after sternotomy in terms of patient satisfaction and wear compliance.

Objectives
To evaluate larger-breasted women’s satisfaction and compliance with wearing 3 commercially available front-closure bras—with a hook-loop closure (the hospital’s standard of care), a zipper closure, or a hook-eye closure—after cardiac surgery.

Methods
This study used a posttest-only, 3-group randomized controlled design. A convenience sample of participants were sized and randomly assigned a product that was placed immediately postoperatively. Participants agreed to wear the bra at least 20 h/d until the provider cleared them for less wear. At inpatient day 5 or discharge, and at the follow-up outpatient visit, subjects completed investigator-developed surveys. Data were analyzed from 60 participants by using the χ2 test and Kruskal-Wallis analysis of variance; also, patterns were identified within written comments.

Results
Participants were most satisfied with the hook-eye front-closure product before (P = .05) and after (P = .02) discharge. Participants recommended the hook-eye and zipper products over the hook-loop bra (H = 8.39, P = .02). Wear compliance was strongest in the group wearing the hook-eye bra.

Conclusions
The hook-eye closure product had the most satisfaction and greatest wear compliance, and it received the highest recommendation. A practice change was made to fit and place the hook-eye bra in the operating room immediately after surgery.
Nurses’ Perceptions of Workload Burden in Pediatric Critical Care
Authors: Lebet Ruth M. , Hasbani Natalie R. , Sisko Martha T. , Agus Michael S. D. , Nadkarni Vinay M. , Wypij David , Curley Martha A. Q. 
Published: January 2021

Background
Quantifying nurses’ perceptions of workload burden when managing critically ill patients is essential for designing interventions to ease nurses’ workday.

Objectives
To explore pediatric intensive care unit (PICU) nurses’ perceptions of their workload when caring for critically ill patients and managing protocolized therapies.

Methods
This study was embedded in a multicenter randomized clinical trial where participants were assigned to receive either lower-target or higher-target glucose control. Nurses from 35 participating PICUs completed a baseline survey containing questions about their perceptions of PICU workload in general. They completed an intervention survey after caring for a study patient. Two workload measurement instruments, the Subjective Workload Assessment Technique (SWAT) and the National Aeronautics and Space Administration–Task Load Index (NASA-TLX), were embedded in these surveys.

Results
Baseline surveys were completed by 1476 PICU nurses, predominantly female with a bachelor’s degree and a median (interquartile range) of 6 (3-11) years of nursing experience and 4 (2-9) years of PICU experience. Most nurses (65%) rated time burden as the most important component of their workload, followed by cognitive (22%) or psychological stress (13%) burden. Work performance was selected most often as contributing to workload, followed by cognitive demand, time pressure, effort, and physical demand. Intervention surveys were completed by 73% of enrolled participants (505 of 693). Nurses managing the lower glucose target group reported higher levels of workload burden as measured by the SWAT (P = .002) and NASA-TLX (P &lt; .001).

Conclusions
This study describes the workload burden perceived by PICU nurses when managing critically ill patients in general and when managing protocolized therapies.
Acute Respiratory Distress Syndrome Prediction Score: Derivation and Validation
Authors: Huang Lixue , Song Man , Liu Yan , Zhang Wenmei , Pei Zhenye , Liu Nan , Jia Ming , Hou Xiaotong , Zhang Haibo , Li Jinhua , Cao Xiangrong , Zhu Guangfa 
Published: January 2021

Background
Despite advances in treatment strategies, acute respiratory distress syndrome (ARDS) after cardiac surgery remains associated with high morbidity and mortality. A method of screening patients for risk of ARDS after cardiac surgery is needed.

Objectives
To develop and validate an ARDS prediction score designed to identify patients at high risk of ARDS after cardiac or aortic surgery.

Methods
An ARDS prediction score was derived from a retrospective derivation cohort and validated in a prospective cohort. Discrimination and calibration of the score were assessed with area under the receiver operating characteristic curve and the Hosmer-Lemeshow goodness-of-fit test, respectively. A sensitivity analysis was conducted to assess model performance at different cutoff points.

Results
The retrospective derivation cohort consisted of 201 patients with and 602 patients without ARDS who had undergone cardiac or aortic surgery. Nine routinely available clinical variables were included in the ARDS prediction score. In the derivation cohort, the score distinguished patients with versus without ARDS with area under the curve of 0.84 (95% CI, 0.81-0.88; Hosmer-Lemeshow P = .55). In the validation cohort, 46 of 1834 patients (2.5%) had ARDS develop within 7 days after cardiac or aortic surgery. Area under the curve was 0.78 (95% CI, 0.71-0.85), and the score was well calibrated (Hosmer-Lemeshow P = .53).

Conclusions
The ARDS prediction score can be used to identify high-risk patients from the first day after cardiac or aortic surgery. Patients with a score of 3 or greater should be closely monitored. The score requires external validation before clinical use.
Prospects and Problems of Indigenous Sheep Production in South-Western Coastal Regions of Bangladesh
Authors: Islam S. S. , Hasan M. S. , Ghosh N. , Islam M. M. 
Published: January 2021

Purpose : The study was conducted to observe the prospects and problems of sheep farming in south-western coastal regions of Bangladesh. Research Method : The study was based on survey data collection. An interview schedule was prepared to collect data from the sheep farmers keeping the objectives in mind. Data were collected from 90 sheep farmers who were chosen randomly from three different upazilas (sub-districts) covering 30 from each. The duration of data collection was from June to September, 2019. Findings : The socio-economic status of the sheep farmers was studied. The majority (61.1%) of the sheep farmers was middle aged group (31-50 years) and more than half (52.2%) of the sheep farmers were found illiterate. The average number of sheep per household was 6.5±3.69. The average age at puberty, age at first lambing, lambing interval, litter size, lactation length and gestation length of coastal sheep were 224.78±10.68 days, 388.39±13.13 days, 214.22±9.12 days, 2.84±0.73, 104.22±13.74 days and 149.44±5.27 days, respectively. Majority (94.44%) of the sheep farmers stated that their income was increased after adopting sheep farming and about 5.6% of the sheep farmers did not sell their sheep yet. More than half (56.7%) of the sheep farmers described sheep farming as high prospect and 43.3% cases it was described as moderate prospect. About 80% of the sheep farmers stated that their problem facing score ranged between 20 and 39 i.e., their problem facing intensity was moderately severe during sheep farming. Originality/ Value : The results of the study revealed that instead of few problems faced by the farmers, the prospects of sheep farming in south-western coastal region was high as it requires less space and investment and it also increased the income of the farmers.
Effect of Different Fruit Peel Powders as Natural Fertilizers on Growth of Okra (<em>Abelmoschus esculentus</em> L.)
Authors: Dayarathna S. G. A. R. M. , Karunarathna Brintha 
Published: January 2021

Purpose : Fruit peels waste is one of the waste accumulate in huge quantity every day. It is a serious problem and need to be managed to make environment free from pollution. Fruit peels are very rich in macro and micro nutrients that are beneficial for plant growth. By using fruit peel as fertilizer we can reduce load of wastes and can get more benefits than inorganic fertilizer. Research Method : The experiment was carried out in a Completely Randomized Design with six treatments having twenty replicates. Treatments were, recommended fertilizer application at basal and topdressing (T1, control), half dose of recommended fertilizer application at basal and topdressing times with 1g of banana peel powder (T2), 1g of pomegranate peel powder (T3), 1g of orange peel powder (T4), 0.5g each of banana and pomegranate peel powders (T5) and 0.5g each of orange and banana peel powders (T6) at both times. All agronomic practices were followed as per Department of Agriculture, Sri Lanka except fertilizers. Findings : The results reveals that application of fruit peel powder at basal and top dressing had significant differences (P<0.05) on plant height, number of leaves per plant, leaf area, chlorophyll content, days to 50% and 100% flowering, dry weights of leaves, stem, root and fruit, fruit length and girth. At 1st, 2nd, 3rd and 4th picking, and the highest value was obtained in T6 and lowest value in T1. Originality/ Value : Application of fruit peel powder into the soil leads to improve growth and yield of okra in sandy regosol compared to recommended inorganic fertilizer and present study suggested that, among the all tested treatments, half recommended fertilizer application at basal and topdressing times with 0.5g each of orange and banana peel powders at both times would be the most suitable fruit peel powders to get higher growth and yield of okra in sandy regosol.
Projected Food-grain Production and Yield in India: An Evidence from Statewise Panel Data Investigation during 1977-2014
Authors: Singh Ajay Kumar , Jyoti Bhim 
Published: January 2021

Purpose : This study examines the impact of climatic change on food-grain production and yield using state-wise panel data during 1977-2014 in fifteen Indian states. Accordingly, it estimates the projected food-grain production and yield by the years of 2040, 2040, 2060, 2080 and 2100. Finally, it provides the effective practical and effective policy suggestions to reduce the climate change impact on food-grain farming based on existing studies. Research Method : Regression coefficients of food-grain production and yield with climatic and non-climatic factors are estimated using Cobb-Douglas production function model. Marginal impact analysis method is used to examine the projected food-grain production and yield. Findings : Empirical results infer that most climatic factors have a negative impact on food-grain production and yield in different weather seasons. Projected results are suggested that food-grain production is expected to be declined by 5.25%, 6.64%, 8.03% and 9.57% by 2040, 2060, 2080 and 2100 respectively. Food-grain yield is likely to be decreased by 1.05%, 1.96%, 2.87% and 5.07% by the aforesaid years. Research Limitations : This study could not capture impact of inter-states disparities in socio-economic condition of farmers, geographical conditions, agriculture policies and public spending on agriculture and rural development on food-grain production and yield. It also could not include factors such as solar radiation, sun intensity, wind speed and heat wave in empirical investigation. Originality/ Value : It compiles state-wise panel of food-grain production and yield as dependent variables, and climatic variables and non-climatic factors as explanatory variables during 1977-2014. It examines the projected food-grain production and yield.
Biology and Feeding Preferences of <em>Spodoptera Frugiperda</em> (Lepidoptera: Noctuidae) On Maize and Selected Vegetable Crops
Authors: Wijerathna D. M. I. J. , Ranaweera P. H. , Perera R. N. N. , Dissanayake M. L. M. C. , Kumara J. B. D. A. P. 
Published: January 2021

Purpose : Fall Armyworm, Spodoptera frugiperda (J. E. Smith) (Lepidoptera, Noctuidae) was recently reported for the first time in Sri Lanka in Oct 2018 as a new invasive pest of maize. Therefore, the objectives of present study were to study biology and to evaluate feeding preferences of S. frugiperda on maize and selected vegetable crops. Research Method : During the experiment, newly hatched larvae were fed with maize, cabbage, okra, beans, radish and brinjal leaves under laboratory conditions. Maize was used as the positive control. Duration of development from larva to adult, pupal weight, pupal length, sex ratio, survival percentage, and oviposition (Choice and No-Choice test) on different vegetable crops were evaluated. Findings : Results of the feeding preference test envisaged that there was no host dependent variability among neonate larvae for maize, cabbage, raddish and brinjal. The highest damage (50-75%) was reported in larvae fed on okra, and (25-50%) damage was showed in beans after 24 hours of inoculation. The highest survival percentage of larvae (80%) and shortest larval development period (23.8±0.3days) were reported in larvae fed with maize where as it was the longest in brinjal. The highest oviposition (4.1±1.2 in Choice test and 3.6±0.7 in No-choice test) was observed in maize compared to other crops. With the absence of the most preferred host (maize) for oviposition, other hosts were used by the pest. During the off season Fall armyworm could survive in alternate crops. Research Limitations : Field observations were not carried out to confirm (validate) the laboratory observations with the time limitation. Originality/ Value : The research provides interest and idea about the survival mechanism of S. frugiperda during off season of maize and potential alternative host plants of the pest. It identifies the possibility of moving of S. frugiperda into five vegetable crops and thereby make awareness of the farmers about the pest to follow the suitable management practice of the S. frugiperda.
Ecological Boundaries and Interference with the Global Nitrogen Cycle: A Review on Soil Nitrogen Management Strategies
Authors: Perera R. N. N. , Maharjan B. 
Published: January 2021

Purpose : Nitrogen (N) fertilizer is a major input in agro-ecosystems and has health, economic, and environmental implications. Changes in the global N cycle has transgressed the ecological safe boundary at present. Therefore, sustainable soil N management tools should be identified and implemented to reduce environmental implications of agriculture. This review paper intends to describe the magnitude of the global N based pollution, its health, economic, and environmental implications and suggest for approaches to achieve sustainable soil N management. Research Method : This paper shares a literature review on current efforts in optimizing soil N management. The central topic is an on-farm experiment conducted in the University of Nebraska-Lincoln, USA that monitors and manages in-season N in maize using a crop sensor technology. Other reliable findings from previously conducted studies worldwide are presented as well. Findings : Results of field studies revealed that there were no significant variations in maize grain yields between sensor-based treatment and farmer’s business-as-usual treatment However, the crop sensor-based treatment recorded savings of N at an average rate of 32 kg/ha. Based on the reported findings in literature, advanced fertilizer technology, manipulation of fertilizer application methods and development of conceptual models to predict the crop N need are other potential tools to optimize N in agriculture. Research Limitation : The behavior of reactive N in soil is unpredictable due to a complex interacting effect of crop, soil, climatic and management factors.Originality/ Value : In Sri Lanka as a country having a significant stake in agriculture, understanding and adoption of some of these available new technologies for efficient N management will serve well in our efforts for ecological sustainability.