bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fear of COVID-19, psychological distress, work satisfaction and turnover intention among front line nurses&nbsp;
Authors: Labrague CHS DM PhD Leodoro J. , Santos Janet De los 
Published: June 2020

Abstract
Aim: To examine the relative influence of fear of COVID-19 on nurses’ psychological distress, work satisfaction and intent to leave their organisation and the profession. Background: The emergence of COVID-19 has significantly impacted the psychological and mental well-being of frontline healthcare workers, including nurses. To date, no studies have been conducted examining how this fear of COVID-19 contributes to health, well-being and work outcomes in frontline nurses.Methods: This is a cross-sectional research design involving 261 frontline nurses in the Philippines. Five standardised scales were used for data collection. Results: Overall, the composite score of the fear of COVID-19 scale was 19.92. Job role and attendance of COVID-19-related training predicted fear of COVID-19. An increased level of fear of COVID-19 was associated with decreased job satisfaction, increased psychological distress, and increased organisational and professional turnover intentions.Conclusions: Frontline nurses who reported not having attended COVID-19-related training and those who held part-time job roles reported increased fears of COVID-19. Addressing the fear of COVID-19 may result in improved job outcomes in frontline nurses, such as increased job satisfaction, decreased stress levels and lower intent to leave the organisation and the profession. Implications for Nursing Management: Organisational measures are vital to support the mental health of nurses and address their fear of COVID-19 through peer and social support, psychological and mental support services (e.g., counselling or psychotherapy), provision of training related to COVID-19, and accurate and regular information updates.
The Kinetics of Humoral Response and its Relationship with the Disease Severity in COVID-19
Authors: Ren Lili , Zhang Lulu , Chang De , Guo Li , Wang Junwen , Wang Linghang , Hu Yongfeng , Chen Hong , Wu Chao , Wang Conghui , Wang Yingying , Wang Ying , Wang Geng , Yang Siyuan , Cruz Charles S Dela , Sharma Lokesh , Zhang Dingyu , Wang Jianwei 
Published: June 2020

Abstract
Coronavirus Disease 2019 (COVID-19) has caused global pandemic. Here we profiled the humoral response against SARS-CoV-2 by measuring immunoglobulin (Ig) A, IgM and IgG against nucleocapsid, spike proteins and IgM, IgG antibodies against receptor-binding domain (RBD) of the spike protein along with total neutralizing antibodies. We tested 279 plasma samples collected from 176 COVID-19 patients. We demonstrate more severe cases have a late onset in the humoral response compared to mild/moderate infections. All the antibody titers continue to rise in patients with COVID-19 over the disease course. However, these levels are mostly unrelated to the disease severity. The appearance time and titers of neutralizing antibodies showed significant positive correlation to the antibodies against spike protein. Our results suggest late onset of antibody response as a risk factor for disease severity, however there is a limited role of antibody titers in predicting disease severity of COVID-19.
WITHDRAWN: Effect of MgO on the Properties of Alumina-Graphite Based Refractory Including 20 wt% Non-Stabilized ZrO2
Authors: Abolfazli Maryam , Paydar Mohammad Hossein 
Published: June 2020

Abstract
In this study the effect of magnesium oxide in the range of 0 to 10 wt. % on the mechanical properties, corrosion rate, preventing carbon bond oxidation and microstructure of alumina-graphite (coarse-grained) refractory bodies including 20 wt. % of non-stabilized zirconia is investigated. The refractories were fabricated by mixing raw materials, where phenolic resin in the form of liquid was used as binder, and then granulation, cold isostatic pressing and firing at 1400 °C for 8 hours in a reducing atmosphere. Mechanical, physical and chemical properties of the fabricated refractories were evaluated by determining cold compressive strength, modulus of rupture and thermal shock resistance, bulk density, molten shock resistance, permeant linear change, oxidation and corrosion resistance. The results showed that in the presence of MgO, the zirconia grain size increases and it results in a decrease in bulk density that leads in more slag penetration and decreasing corrosion resistance. It has also revealed that addition of MgO to the base refractory leads to decreasing in cold crushing strength, modulus of rupture, and thermal shock resistance. It has been also proved that it causes an expansion during sintering process and results in positive permeant linear change.
Is Carbon Decoupling Likely to Happen in Africa: Evidence From Production and Consumption-based Carbon Emissions
Authors: Tenaw Dagmawe 
Published: June 2020

Abstract
Despite extensive studies made on decoupling between emissions and growth, evidences have shown no uniformity and vast majority of studies considered emissions generated at the point of production alone which do not explicitly account for emissions associated with international trade. Accordingly, this study examines the issue of decoupling between economic growth and carbon emissions in 25 African countries over 1990-2017, considering both production and consumption-based CO2emissions. Different panel data estimation techniques which allow for cross-sectional dependence, heterogeneity,endogeneity and serial-correlation issues are applied for empirical analysis.The study results invariably indicate some evidence of relative decoupling for production-based emissions, but no robust evidence of decoupling for consumption-related emissions. Primary energy intensity and population are found as the main driversof carbon emissions in Africa. Further, exports and imports have insignificant effects on territorial emissions, but significant and offsettingeffects on consumption-based emissions. After all, this study suggests toincorporate emissions generated fromconsumption activities in emissions-growth linkage as production-related emissionsalone would evidently be insufficient for decarbonizing economic growth.
Effects of three methods of breast milk expression on breastfeeding initiation, breast milk extraction and proportion of exclusive breastfeeding—an open label, randomized controlled trial
Authors: Zhou Yun , Ni Jiaying , Zhou Chenchen , Chen Ying , Little Julian , Zhang Lin 
Published: June 2020

Abstract
Background Direct breastfeeding hasmultiple health benefits. Some mothers need to express their breasts when directly breast feeding is unavailable after delivery . However, there is insufficient evidence regarding an effective method of breast milk expression in the absence of an infant's suction. We aimed to investigate the effects of different methods of breast milk expression on breastfeeding initiation, efficacy of breast milk extraction, and on the rate of exclusive breastfeeding at 6 months. Methods In this open-label, randomized controlled trial, the participants of mother-infant dyads separated immediately after birth for at least 6 hrs were recruited and randomly assigned (1:1:1) into three groups: (1) hand expression of breast milk; (2) sequential electrical breast pumping: and (3) simultaneous electrical breast pumping. The two primary outcome measures were the time required for initiation of breastfeeding and the milk volume expressed in a 10-minute session (direct breastfeeding in hand expression group) at 3 days and at 6 weeks; a secondary outcome was the proportion of exclusive breastfeeding at 4 and 6 months. Analysis was according to intention-to-treat. Results Between 2018 and 2019, we recruited 226 participants, of whom 154 were randomized. The time to breastfeeding initiation showed no difference between the three groups. At 3 days and at 6 weeks, the volume of breast milk produced by 10 minutes of sequential pumping or simultaneous pumping was less than that of hand pumping before direct breastfeeding, while the volume did not differ significantly between the two pumping groups. However, simultaneous breast pumping was more effective than sequential pumping both in volume and saving time in women who had established breastfeeding. The rate of exclusive breastfeeding at 4 months was 21.0%, and at 6 months 10.6%, and did not differ between the three methods of breast milk expression. Conclusions Hand expression, sequential breast pumping, or simultaneous breast pumping in absence of immediate infant suction after birth did not show differences on the time required to initiate breastfeeding, or on the rate of exclusive breastfeeding at 4 and 6 months. Trial registration This trial was registered with www.chictr.org.cn (ChiCTR1800018193) on 4 September 2018.
Improving Energy Efficiency in Internet of Things using Artificial Bee Colony Algorithm
Authors: Sivaram Murugan , Porkodi V. , Mohammed Amin Salih , Karuppusamy S. Anbu 
Published: June 2020

Background:
With the advent of IoT, the deployment of batteries with a limited lifetime
in remote areas is a major concern. In certain conditions, the network lifetime gets restricted due to
limited battery constraints. Subsequently, the collaborative approaches for key facilities to reduce
the constraint demands of the current security protocols.

Objective:
This work covers and combines a wide range of concepts linked by IoT based on security
and energy efficiency. Specifically, this study examines the WSN energy efficiency problem among
IoT devices and security for the management of threats in IoT through collaborative approaches and
finally outlines the future. The concept of energy-efficient key protocols which clearly cover heterogeneous
IoT communications among peers with different resources has been developed. Because
of the low capacity of sensor nodes, the energy efficiency in WSNs has been an important concern.

Methods:
In this paper, we present an algorithm for Artificial Bee Colony (ABC) which reviews
security and energy consumption to discuss their constraints in the IoT scenarios.

Results:
The results of a detailed experimental assessment are analyzed in terms of communication
cost, energy consumption and security, which prove the relevance of a proposed ABC approach and
a key establishment.

Conclusion:
The validation of DTLS-ABC consists of designing an inter-node cooperation trust
model for the creation of a trusted community of elements that are mutually supportive. Initial attempts
to design the key methods for management are appropriate individual IoT devices. This gives
the system designers, an option that considers the question of scalability.
Digital Support for Patients Undergoing Bariatric Surgery: Narrative Review of the Roles and Challenges of Online Forums
Authors: Robinson Anna , Husband Andrew K , Slight Robert D , Slight Sarah P 
Published: June 2020

BackgroundThe internet has become an important medium within health care, giving patients the opportunity to search for information, guidance, and support to manage their health and well-being needs. Online forums and internet-based platforms appear to have changed the way many patients undergoing bariatric surgery view and engage with their health, before and after weight loss surgery. Given that significant health improvements result from sustained weight loss, ensuring patient adherence to recommended preoperative and postoperative guidance is critical for bariatric surgery success. In a patient cohort with high information needs preoperatively, and notoriously high attrition rates postoperatively, online forums may present an underutilized method of support.ObjectiveThe aim of this study was to conduct a narrative review focusing on the developing roles that online forums can play for patients with bariatric conditions preoperatively and postoperatively.MethodsA literature search was conducted in October-November 2019 across 5 electronic databases: Scopus, EMBASE, PsycINFO, CINAHL, and MEDLINE. Qualitative or mixed methods studies were included if they evaluated patients undergoing bariatric surgery (or bariatric surgery health care professionals) engaging with, using, or analyzing online discussion forums or social media platforms. Using thematic analysis, themes were developed from coding patterns within the data to identify the roles and challenges of online forums for patients undergoing bariatric surgery.ResultsA total of 8 studies were included in this review, with 5 themes emerging around (1) managing expectations of a new life; (2) decision making and signposting; (3) supporting information seeking; (4) facilitating connectedness: peer-to-peer social and emotional support; and (5) enabling accessibility and connectivity with health care professionals.ConclusionsOnline forums could offer one solution to improving postoperative success by supporting and motivating patients. Future research should consider how best to design and moderate online forums for maximal effectiveness and the sharing of accurate information. The surgical multidisciplinary team may consider recommendations of online peer-support networks to complement care for patients throughout their surgical journey.
Clinician Perspectives and Design Implications in Using Patient-Generated Health Data to Improve Mental Health Practices: Mixed Methods Study
Authors: Wu Danny T Y , Xin Chen , Bindhu Shwetha , Xu Catherine , Sachdeva Jyoti , Brown Jennifer L , Jung Heekyoung 
Published: June 2020

BackgroundPatient-generated health data (PGHD) have been largely collected through mobile health (mHealth) apps and wearable devices. PGHD can be especially helpful in mental health, as patients’ illness history and symptom narratives are vital to developing diagnoses and treatment plans. However, the extent to which clinicians use mental health–related PGHD is unknown.ObjectiveA mixed methods study was conducted to understand clinicians’ perspectives on PGHD and current mental health apps. This approach uses information gathered from semistructured interviews, workflow analysis, and user-written mental health app reviews to answer the following research questions: (1) What is the current workflow of mental health practice and how are PGHD integrated into this workflow, (2) what are clinicians’ perspectives on PGHD and how do they choose mobile apps for their patients, (3) and what are the features of current mobile apps in terms of interpreting and sharing PGHD?MethodsThe study consists of semistructured interviews with 12 psychiatrists and clinical psychologists from a large academic hospital. These interviews were thematically and qualitatively analyzed for common themes and workflow elements. User-posted reviews of 56 sleep and mood tracking apps were analyzed to understand app features in comparison with the information gathered from interviews.ResultsThe results showed that PGHD have been part of the workflow, but its integration and use are not optimized. Mental health clinicians supported the use of PGHD but had concerns regarding data reliability and accuracy. They also identified challenges in selecting suitable apps for their patients. From the app review, it was discovered that mHealth apps had limited features to support personalization and collaborative care as well as data interpretation and sharing.ConclusionsThis study investigates clinicians’ perspectives on PGHD use and explored existing app features using the app review data in the mental health setting. A total of 3 design guidelines were generated: (1) improve data interpretation and sharing mechanisms, (2) consider clinical workflow and electronic health record integration, and (3) support personalized and collaborative care. More research is needed to demonstrate the best practices of PGHD use and to evaluate their effectiveness in improving patient outcomes.
Analysis of Benzodiazepine Prescription Practices in Elderly Appalachians with Dementia via the Appalachian Informatics Platform: Longitudinal Study
Authors: Bhardwaj Niharika , Cecchetti Alfred A , Murughiyan Usha , Neitch Shirley 
Published: June 2020

Background
Caring for the growing dementia population with complex health care needs in West Virginia has been challenging due to its large, sizably rural-dwelling geriatric population and limited resource availability.

Objective
This paper aims to illustrate the application of an informatics platform to drive dementia research and quality care through a preliminary study of benzodiazepine (BZD) prescription patterns and its effects on health care use by geriatric patients.

Methods
The Maier Institute Data Mart, which contains clinical and billing data on patients aged 65 years and older (N=98,970) seen within our clinics and hospital, was created. Relevant variables were analyzed to identify BZD prescription patterns and calculate related charges and emergency department (ED) use.

Results
Nearly one-third (4346/13,910, 31.24%) of patients with dementia received at least one BZD prescription, 20% more than those without dementia. More women than men received at least one BZD prescription. On average, patients with dementia and at least one BZD prescription sustained higher charges and visited the ED more often than those without one.

Conclusions
The Appalachian Informatics Platform has the potential to enhance dementia care and research through a deeper understanding of dementia, data enrichment, risk identification, and care gap analysis.
A Double Triage and Telemedicine Protocol to Optimize Infection Control in an Emergency Department in Taiwan During the COVID-19 Pandemic: Retrospective Feasibility Study
Authors: Lin Chien-Hao , Tseng Wen-Pin , Wu Jhong-Lin , Tay Joyce , Cheng Ming-Tai , Ong Hooi-Nee , Lin Hao-Yang , Chen Yi-Ying , Wu Chih-Hsien , Chen Jiun-Wei , Chen Shey-Ying , Chan Chang-Chuan , Huang Chien-Hua , Chen Shyr-Chyr 
Published: June 2020

Background
Frontline health care workers, including physicians, are at high risk of contracting coronavirus disease (COVID-19) owing to their exposure to patients suspected of having COVID-19.

Objective
The aim of this study was to evaluate the benefits and feasibility of a double triage and telemedicine protocol in improving infection control in the emergency department (ED).

Methods
In this retrospective study, we recruited patients aged ≥20 years referred to the ED of the National Taiwan University Hospital between March 1 and April 30, 2020. A double triage and telemedicine protocol was developed to triage suggested COVID-19 cases and minimize health workers’ exposure to this disease. We categorized patients attending video interviews into a telemedicine group and patients experiencing face-to-face interviews into a conventional group. A questionnaire was used to assess how patients perceived the quality of the interviews and their communication with physicians as well as perceptions of stress, discrimination, and privacy. Each question was evaluated using a 5-point Likert scale. Physicians’ total exposure time and total evaluation time were treated as primary outcomes, and the mean scores of the questions were treated as secondary outcomes.

Results
The final sample included 198 patients, including 93 cases (47.0%) in the telemedicine group and 105 cases (53.0%) in the conventional group. The total exposure time in the telemedicine group was significantly shorter than that in the conventional group (4.7 minutes vs 8.9 minutes, P<.001), whereas the total evaluation time in the telemedicine group was significantly longer than that in the conventional group (12.2 minutes vs 8.9 minutes, P<.001). After controlling for potential confounders, the total exposure time in the telemedicine group was 4.6 minutes shorter than that in the conventional group (95% CI −5.7 to −3.5, P<.001), whereas the total evaluation time in the telemedicine group was 2.8 minutes longer than that in the conventional group (95% CI −1.6 to −4.0, P<.001). The mean scores of the patient questionnaire were high in both groups (4.5/5 to 4.7/5 points).

Conclusions
The implementation of the double triage and telemedicine protocol in the ED during the COVID-19 pandemic has high potential to improve infection control.
Panorama de un pensamiento
Authors: Paláu Castaño Luis Alfonso 
Published: June 2020

Christian GodinTraducción del francés al español de Luis Alfonso Paláu-Castaño
Aquiles es el héroe de los pies ligeros en Homero. Hermes calzado con sandalias aladas tiene los pies más ligeros aún. Es esta liviandad mercuriana la que se percibe en las obras de Michel Serres con textos que uno cree comprender y que sin embargo parecen siempre huir, textos a imagen de lo que buscan significar: las nubes. Pero nuboso no significa nebuloso. Como su patrono, la obra de Serres puede leerse en todos los sentidos sin cambiar de sentido.
El espacio simbólico en el antiguo convento de la Magdalena de Antequera (Málaga)
Authors: Vázquez Sánchez José Antonio 
Published: June 2020

El antiguo convento de santa María Magdalena de Antequera (Málaga), perteneciente a la Orden de los Hermanos menores de la estricta observancia o franciscanos descalzos alcantarinos, constituye uno de los mejores ejemplos de la religiosidad anacoreta del barroco andaluz, profusamente decorado con pinturas al temple, configurando un espacio simbólico conventual basado en las doctrinas del fundador de la Orden, san Pedro de Alcántara y reflejadas en su libro Tratado de Oración y Meditación (1587). Esta obra constituye una de las joyas de la mística española, cuya función era ayudar a cualquier persona que quisiera conseguir la unión del alma con Dios mediante la purificación de sus vicios y sus pecados, con unas reglas estrictas de pobreza absoluta, descalcez, retiro para la oración y abandono total en manos de la Providencia Divina y el ministerio de la predicación.
Analisis Normatif Terhadap Putusan Praperadilan No. 04/PID.PRAP/2015/PN. Berdasarkan Prespektif Kemanfaatan, Kepastian Hukum dan Keadilan
Authors: Mukharom  , Indah Astanti Dhian , Tuti Muryati Dewi 
Published: June 2020

Tujuan hukum menurut Gustav Radbruch yaitu keadilan, kepastian, dan kemanfaatan, tujuan ini menjadi tolak ukur penulisan dalam mengkaji putusan praperadilan. Salah satu Putusan Praperadilan yang dianggap kontroversial adalah Putusan No. 04/Pid.Prap./2015/PN.Jaksel tanggal 16 Februari 2015 yang diajukan oleh Pemohon Kom.Jen Polisi Drs. Budi Gunawan melawan Komisi Pemberantasan Korupsi (KPK) yang telah menetapkan Pemohon sebagai tersangka tindak pidana korupsi. Hakim tunggal Sarpin Rizaldi dalam perkara Praperadilan tersebut mengabulkan gugatan yang diajukan Pemohon dan mengalahkan KPK. Kepastian hukum secara normatif adalah ketika suatu peraturan dibuat dan diundangkan secara pasti karena mengatur secara jelas dan logis. Jelas dalam artian tidak menimbulkan ke ragu-raguan (multi-tafsir) dan logis dalam artian menjadi sistem norma sehingga tidak berbenturan atau menimbulkan konflik norma. Permasalahan yang dikaji diantaranya Bagaimana dasar hukum hakim Praperadilan Sarpin Rizaldi memutuskan perkaranya dan Apakah putusan Praperadilan No. 04/Pid.Prap/2015/PN.Jaksel telah susuai dengan tujuan hukum yaitu keadilan, kepastian hukum dan kemanfaatan. Metode penelitian yang akan dipergunakan adalah melalui pendekatan yuridis normatif, spesifikasi penelitian menggunakan deskriptif analisis, data yang digunakan adalah data sekunder yang meliputi bahan hukum primer, bahan hukum sekunder, bahan hukum tertier, yang kemudian dianalisis secara kualitatif. Berdasarkan hasil penelitian diketahui bahwa langkah hakim Praperadilan melakukan rechtsvinding sudah tepat dan memang sudah seharusnya demikian, karena salah satu beberapa alasan perlunya melakukan penemuan hukum oleh hakim telah terpenuhi yaitu peraturan tidak ada, atau peraturannya ada tapi kurang jelas. Bahkan tanpa alasan-alasan tersebut pun, seorang hakim tetap dianggap melakukan penemuan hukum (dalam arti sempit) yaitu ketika ia menemukan kecocokan antara maksud atau bunyi peraturan perundang-undangan dengan kualifikasi peristiwa atau kasus konkritnya.