bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of Helicobacter pylori Detection Methods: It’s Association with Leukocytosis and Monocytosis
Authors: Rahimkhani Monireh , Mordadi Alireza , Kazemian Kiana , Khalili Hourieh 
Published: July 2020

Background:
Helicobacter pylori is a slow-growing micro-aerophilic gram-negative organism
found in the stomach and duodenum. It is also associated with a number of stomach-duodenal
diseases.

Material and Methods:
There are invasive and non-invasive methods to detect Helicobacter pylori
infections. In a 13-months period, 101 patients with clinical signs of infection confirmed by biopsy
and Rapid Urease test as well as a culture were included in this study.

Results:
There were significant correlations between breath urease test, anti-Helicobacter pylori
serum IgG and IgA as well as fecal Helicobacter pylori Ag with the gold-standard method,
(P=0.001) Moreover, there was a significant correlation between Monocytosis (P= 0.05) and goldstandard
method.

Conclusion:
Based on studies conducted on patients with Helicobacter pylori infection, noninvasive
diagnostics methods can be useful in the diagnosis of Helicobacter infections rather than evaluating
anti-Helicobacter pylori serum IgM and also increased blood monocytes could be a reliable
confirmation for detection. Furthermore, Monocytosis must be considered as a Helicobacter pylori
infection at the first step in an area with a high infected percentage.
Epidemiological Characteristics and Risk Factors of Tinea Pedis Disease Among Adults Attending Tikrit Teaching Hospital/ Iraq
Authors: Al-Mahmood Abid , Al-Sharifi Ehan 
Published: July 2020

Background:Tinea pedis is one of the commonest skin infections of interdigital toe webspace as well as feet skin and may affect the nail or the hand. It is caused by dermophytes fungi especially Trichophyton species. Direct contact with a contaminated environment or animal is the main mode of transmission. Tinea pedis is more frequent among adults than children and more among those with the previous infection with the disease, diabetes mellites, abnormally increased sweating, and the disease is common among individuals who wear unventilated (occlusive) footwear. Tinea pedis is more often in men than females 2-4 times.Aim of the study:To study the epidemiological characteristics and risk factors of tinea pedis disease.Methods:Descriptive study was conducted on patients attending the dermatology outpatient clinic in Tikrit Teaching Hospital, Tikrit, Iraq. The study was done during the period from 1st November 2018-10th June 2019. The sample included (680) persons. The cases were diagnosed clinically and by a direct microscope. The demographic information of patients was obtained according to a certain design questionnaire. The study was done to reveal the epidemiology of tenia pedis disease among affected patients.Results:The frequency of tinea pedis cases among the study sample was (48/ 680) (7%). It has been documented that there is no significant association as a result of the difference in gender, body weight, positive family history, history, presence of fungal skin disease, and presence of nail trauma. Otherwise, there is a significant association as a result of the presence of the young age group, diabetes mellitus, and history of wearing occlusive shoes.Conclusion:The frequency of tinea pedis disease among the study sample was (7%). There was a significant association between age group and the presence of diabetes mellitus disease and wearing occlusive shoes.
Effects of an Overground Walking Program With a Robotic Exoskeleton on Long-Term Manual Wheelchair Users With a Chronic Spinal Cord Injury: Protocol for a Self-Controlled Interventional Study
Authors: Bass Alec , Aubertin-Leheudre Mylène , Vincent Claude , Karelis Antony D , Morin Suzanne N , McKerral Michelle , Duclos Cyril , Gagnon Dany H 
Published: July 2020

BackgroundIn wheelchair users with a chronic spinal cord injury (WUSCI), prolonged nonactive sitting time and reduced physical activity—typically linked to this mode of mobility—contribute to the development or exacerbation of cardiorespiratory, musculoskeletal, and endocrine-metabolic health complications that are often linked to increased risks of chronic pain or psychological morbidity. Limited evidence suggests that engaging in a walking program with a wearable robotic exoskeleton may be a promising physical activity intervention to counter these detrimental health effects.ObjectiveThis study’s overall goals are as follows: (1) to determine the effects of a 16-week wearable robotic exoskeleton–assisted walking program on organic systems, functional capacities, and multifaceted psychosocial factors and (2) to determine self-reported satisfaction and perspectives with regard to the intervention and the device.MethodsA total of 20 WUSCI, who have had their injuries for more than 18 months, will complete an overground wearable robotic exoskeleton–assisted walking program (34 sessions; 60 min/session) supervised by a physiotherapist over a 16-week period (one to three sessions/week). Data will be collected 1 month prior to the program, at the beginning, and at the end as well as 2 months after completing the program. Assessments will characterize sociodemographic characteristics; anthropometric parameters; sensorimotor impairments; pain; lower extremity range of motion and spasticity; wheelchair abilities; cardiorespiratory fitness; upper extremity strength; bone architecture and mineral density at the femur, tibia, and radius; total and regional body composition; health-related quality of life; and psychological health. Interviews and an online questionnaire will be conducted to measure users’ satisfaction levels and perspectives at the end of the program. Differences across measurement times will be verified using appropriate parametric or nonparametric analyses of variance for repeated measures.ResultsThis study is currently underway with active recruitment in Montréal, Québec, Canada. Results are expected in the spring of 2021.ConclusionsThe results from this study will be essential to guide the development, implementation, and evaluation of future evidence-based wearable robotic exoskeleton–assisted walking programs offered in the community, and to initiate a reflection regarding the use of wearable robotic exoskeletons during initial rehabilitation following a spinal cord injury.Trial RegistrationClinicalTrials.gov NCT03989752; https://clinicaltrials.gov/ct2/show/NCT03989752International Registered Report Identifier (IRRID)DERR1-10.2196/19251
Accelerating Innovation in Health Care: Insights From a Qualitative Inquiry Into United Kingdom and United States Innovation Centers
Authors: Cresswell Kathrin , Williams Robin , Carlile Narath , Sheikh Aziz 
Published: July 2020

Background
Digital health innovations are being prioritized on international policy agendas in the hope that they will help to address the existing health system challenges.

Objective
The aim of this study was to explore the setup, design, facilities, and strategic priorities of leading United Kingdom and United States health care innovation centers to identify transferable lessons for accelerating their creation and maximizing their impact.

Methods
We conducted qualitative case studies consisting of semistructured, audio-recorded interviews with decision makers and center staff in 6 innovation centers. We also conducted nonparticipant observations of meetings and center tours, where we took field notes. Qualitative data were analyzed initially within and then across cases facilitated by QSR International’s NVivo software.

Results
The centers had different institutional arrangements, including university-associated institutes or innovation laboratories, business accelerators or incubators, and academic health science partnership models. We conducted interviews with 34 individuals, 1 group interview with 3 participants, and observations of 4 meetings. Although the centers differed significantly in relation to their mission, structure, and governance, we observed key common characteristics. These included high-level leadership support and incentives to engage in innovation activities, a clear mission to address identified gaps within their respective organizational and health system settings, physical spaces that facilitated networking through open-door policies, flat managerial structures characterized by new organizational roles for which boundary spanning was key, and a wider innovation ecosystem that was strategically and proactively engaged with the center facilitating external partnerships.

Conclusions
Although innovation in health care settings is unpredictable, we offer insights that may help those establishing innovation centers. The key in this respect is the ability to support different kinds of innovations at different stages through adequate support structures, including the development of new career pathways.
Knowledge and Psychological Stress Related to COVID-19 Among Nursing Staff in a Hospital in China: Cross-Sectional Survey Study
Authors: Huang Huaping , Zhao Wen-Jun , Li Gui-Rong 
Published: July 2020

Background
Since December 2019, coronavirus disease (COVID-19) has been rapidly spreading worldwide. Nurses play a key role in fighting this disease and are at risk of COVID-19 infection. Therefore, there is an urgent need to assess the mental health condition of nurses and establish appropriate interventions to reduce the negative psychiatric outcomes of the pandemic.

Objective
The objectives of this study were to evaluate the knowledge and psychological stress related to COVID-19 among nursing staff and to provide evidence of the need for targeted training and psychological intervention.

Methods
This cross-sectional web-based survey study was performed in a class 3 grade A general hospital in a southwest province of China from March 1 to March 15, 2020. A self-designed questionnaire with questions about COVID-19–related prevention and control knowledge and the Triage Assessment Form (TAF) were used to assess nursing staff’s knowledge of COVID-19 and their degree of psychological stress, respectively. SPSS 23.0 was applied for statistical analysis of the collected data.

Results
A total of 979 nurses completed the questionnaire. The results showed that the nursing staff provided the fewest correct answers to questions about continuous viral nucleic acid testing specifications (379/979 correct answers, 38.7%), isolation/discharge criteria (539/979 correct answers, 55.1%), and management measures for patients with suspected symptoms (713/979 correct answers, 72.8%). The median total score of the TAF was 7.0 (IQR 5.0-12.0), and there were statistically significant differences in scores between different nursing roles, years of work experience, and hospital departments (P<.05).

Conclusions
This study indicated that nursing staff have insufficient knowledge about COVID-19. Meanwhile, although the psychological damage to nurses during the pandemic was found to be low, nurse managers must continue to monitor the mental health of nursing staff and perform timely interventions.
General Public’s Information-Seeking Patterns of Topics Related to Obesity: Google Trends Analysis
Authors: Pawar Aditya S , Nagpal Sajan , Pawar Neha , Lerman Lilach O , Eirin Alfonso 
Published: July 2020

Background
Obesity is a major public health challenge, and recent literature sheds light on the concept of “normalization” of obesity.

Objective
We aimed to study the worldwide pattern of web-based information seeking by public on obesity and on its related terms and topics using Google Trends.

Methods
We compared the relative frequency of obesity-related search terms and topics between 2004 and 2019 on Google Trends. The mean relative interest scores for these terms over the 4-year quartiles were compared.

Results
The mean relative interest score of the search term “obesity” consistently decreased with time in all four quartiles (2004-2019), whereas the relative interest scores of the search topics “weight loss” and “abdominal obesity” increased. The topic “weight loss” was popular during the month of January, and its median relative interest score for January was higher than that for other months for the entire study period (P<.001). The relative interest score for the search term “obese” decreased over time, whereas those scores for the terms “body positivity” and “self-love” increased after 2013.

Conclusions
Despite a worldwide increase in the prevalence of obesity, its popularity as an internet search term diminished over time. The reason for peaks in months should be explored and applied to the awareness campaigns for better effectiveness. These patterns suggest normalization of obesity in society and a rise of public curiosity about image-related obesity rather than its medical implications and harm.
Evaluación de las partículas en suspensión atmosférica y bioaerosoles fúngicos en parques urbanos de la ciudad de Santo Domingo, República Dominicana
Authors: Binet Álvarez Andri Jesús , Peira Ángel Guillemes 
Published: July 2020

Este estudio determinó el nivel de partículas en suspensión con diámetros ≤10 µm e ≤ 2,5 µm, y oportunistas fúngicos asociados en los parques urbanos de Mirador Sur, Iberoamericano y Colón, de la ciudad de Santo Domingo en la República Dominicana. Para esto se realizaron dos muestreos con intervalo de 24 horas, utilizando un muestreador PCE-MPC 10 para cuantificar el particulado y un Kestrel 5500 para variables atmosféricas. Las esporas fueron colectadas mediante la técnica de sedimentación en placa con agar Sabouraud e identificadas utilizando un microscopio Olimpus CX33. Según los resultados en ambos muestreos, el nivel del particulado de rango PM 2.5 µm y 10 µm en los parques no supera el límite presente en el Reglamento Técnico Ambiental de Calidad del Aire del Ministerio de Medio Ambiente y Recursos Naturales de la República Dominicana. Entre los hongos identificados se encuentran: Alternaria alternata, Aspergillus sp. 1, Aspergillus niger, Cladosporium, Dreschlera, Penicillium sp. 1, P. sp. 2, Paecilomyces sp., Nattrasia sp., Fusarium sp., Rhizophus sp., y Ulocladium sp.
Sarcopenia as a Prognostic Factor of Hepatotoxicity and Lower Survival Rate in Chemotherapy of Pancreatic Cancer
Authors: Klunichenko A. A. , Seryakov A. P. , Seryakova A. A. , Demidov S. M. 
Published: July 2020

Aim. Evaluation of sarcopenia’s effect on hepatotoxicity in patients with locally advanced and metastatic pancreatic cancer (PC).Materials and methods. A retro-prospective study included 66 patients (30 men and 36 women) with locally advanced and metastatic PC receiving chemotherapy treatment in the form of gemcitabine monotherapy and in combination with platinum, taxanes, fluoropyrimidines in standard chemotherapy protocols. Sarcopenia was observed using computer tomography with intravenous bolus contrast and nonionic contrast medium with iodine concentration 350 mg/ml. Muscle tissue area (cm2) was estimated with two consecutive axial slices at the level of L3 lumbar vertebra. Sarcopenia was determined with the L3 skeletal muscle index (L3SMI) calculated as a ratio of skeletal muscle area at the L3 vertebra to patient’s height squared. Condition was marked as sarcopenia at L3SMI values of 52.4 cm2/m2 in men and 38.5 cm2/m2 in women.Results. Hepatotoxicity was revealed in 57.5% (n = 38) of PC patients receiving chemotherapy, with 60.87% (n = 28) of them having sarcopenia. In patients with sarcopenia and no toxic effects, the total survival median was 41 months, whilst hepatotoxicity combined with sarcopenia was associated with almost a 3 times lower median survival (14.1 months). A better survival trend was observed in a polychemotherapy cohort without sarcopenia, with the total survival median of 17.0 months compared to 15.2 months in such patients with sarcopenia (p = 0.781). A positive trend towards survival was observed in a hepatotoxicity-negative cohort, with the total survival median of 18.7 months compared to 16.9 months in PC patients with toxic side effects (p = 0.174).Conclusions. Sarcopenia may be used as a prognostic factor of lower survival rate and higher hepatotoxic effect of chemotherapy in patients with locally advanced and metastatic pancreatic cancer.
Gestão Autônoma da Medicação: estratégia territorial de cogestão no cuidado
Authors: Zaneratto Rosa Elisa , Gonçalves Vicentin Maria Cristina , Aleixo de Campos Avarca Camila , Sereno Deborah 
Published: July 2020

A estratégia Gestão Autônoma da Medicação -Brasil tem experimentado diferentes modos de ampliação, tanto em relação aos contextos regionais quanto às modalidades de serviços (como Unidades Básicas de Saúde e Centros de Atenção Psicossocial Álcool e outras drogas). Neste texto apresentaremos a experiência de uma equipe que articula pesquisa, ensino e extensão num território sanitário do município de São Paulo, tendo como eixo de intervenção o cuidado em saúde mental e a GAM como estratégia. O Coletivo GAM, que reúne todas as equipes do território, tem evidenciado os principais efeitos da estratégia em sua força alterativa e formativa: sua dimensão crítica à medicalização; sua inclinação radical à Reforma em Saúde Mental e sua força política em relação às grupalidades e aos coletivos que aciona. Neste percurso, afirma-se como estratégia territorial e cogestionária de formação e cuidado em saúde mental, que põe no centro de sua experiência a participação do usuário.
MANAJEMEN PENGELOLAAN AIR TERJUN SEKUMPUL OLEH KELOMPOK SADAR WISATA “TIRTA BHUANA LESTARI”
Authors: Nugraha I Gede Putra , Zerlinda Hana 
Published: July 2020

ABSTRAK Penelitian ini bertujuan (1) mendeskripsikan manajemen pengelolaan Air Terjun Sekumpul dan (2) mendeskripsikan hambatan yang dihadapi oleh Kelompok Sadar Wisata “Tirta Bhuana Lestari” dalam mengelola Air Terjun Sekumpul. Penelitian ini merupakan penelitian deskriptif kualitatif yang mengambil lokasi di objek wisata Air Terjun Sekumpul. Subjek dalam penelitian ini kepala dusun sekaligus menjabat sebagai ketua Kelompok Sadar Wisata “Tirta Bhuana Lestari”. Metode pengumpulan data yang digunakan dalam penelitian ini adalah metode (1) observasi, (2) wawancara dan (3) dokumentasi. Menggunakan pedoman wawancara sebagai instrumen penelitian. Menggunakan teknik analisis data deskriptif kualitatif. Hasil penelitian ini adalah (1) Manajemen pengelolaan Air Terjun Sekumpul oleh Kelompok Sadar Wisata adalah sistem yang digunakan dalam pengembangan sumber daya manusia sudah cukup baik. Dimana Kelompok Sadar Wisata bisa mengupayakan anak-anak maupun remaja untuk sebagai asisten guide, sehingga anak-anak tersebut secara tidak langsung juga belajar bahasa internasional. (2) Hambatan yang dihadapi Kelompok Sadar Wisata dalam mengelola Air Terjun Sekumpul adalah jumlah keanggotaan Kelompok Sadar Wisata masih belum memadai sehingga untuk menjalankan sistem organisasinya masih belum maksimal. Kata Kunci : Manjemen Pengelolaan Air Terjun Sekumpul, dan Hambatan Kelompok Sadar Wisata dalam Mengelola
Kekuatan dan Kelemahan Obyek Wisata Vihara Banjar Dalam Upaya Mengembangkan Strategi Pemasaran
Authors: Putra Kadek Dana , Andiani Nyoman Dini 
Published: July 2020

Abstrak Abstrak – Penelitian ini bertujuan untuk (1) mengetahui bagaimana kekuatan dan kelemahanObyek Wisata Vihara Banjar Dalam Upaya Meningkatkan Strategi Pemasaran. Jenis penelitian yangdigunakan dalam penelitian ini adalah penelitian dan pengembangan (Research and Developmentatau R&D). Penelitian ini melibatkan wisatawan yang berkunjung dan juga beberapa narasumber.Keseluruhan data yang ada diperoleh dengan melakukan metode wawancara yang mengggunakanpedoman wawancara dan metode observasi menggunakan pedoman observasi (Checklist). Datayang diperoleh tersebut dianalisis secara deskriptif kualitatif. Hasil dari menganalisis data yangdiperoleh menunjukan bahwa kekuatan dari Obyek Wisata Vihara Banjar yaitu Obyek Wisata ViharaBanjar memiliki produk yang dapat ditawarkan kepada wisatawan yang berkunjung sepertipemandangan alam, tarian tradisional dan juga meditasi. Selain itu Obyek Wisata Vihara Banjarmenyediakan akomodasi berupa kamar dan juga makanan secara gratis, tidak menargetkan berapabiaya yang harus dikeluarkan pengunjung untuk berkunjung obyek wisata ini dan dengan fasilitaspenunjang seperti kios cinderamata, dan restoran akan sangat bermanfaat bagi wisatawan saatberkunjung sedangkan kelemahannya yaitu aksesibilitas menuju Obyek Wisata Vihara Banjar kurangmemadai sehingga menyebabkan transportasi yang dapat melalui jalan ini terbatas untuk itu perluperbaikan yang lebih maksimal. Selain itu kondisi fasilitas toilet umum di Vihara Banjar cukupmemprihatinkan dilihat dari segi kebersihan dan perawatan sehinggga perlu diberikan perawatanyang lebih baik. Ditambah lagi dengan kurangnya promosi karena sejauh ini hanya promosi melaluiwebsite untuk itu perlu juga dipromosikan melalui media cetak yaitu dibuatkan brosur dan jugamengadakan kerjasama dengan pihak Travel Agent agar Obyek Wisata Vihara Banjar lebih dikenalmasyarakat luas.Kata-kata kunci: pariwisata, kekuatan dan kelemahan Obyek Wisata Vihara Banjar, pengembanganstrategi pemasaran.
PENGARUH KEPUASAN KERJA TERHADAP KOMITMEN ORGANISASI DAN TURNOVER INTENTION (STUDI PADA LOSARI HOTEL SUNSET BALI)
Authors: Antari Ni Luh Sili 
Published: July 2020

Penelitian ini bertujuan untuk mengetahui pengaruh kepuasan kerja terhadap komitmen organisasi dan turnover intention pada Losari Hotel Sunset Bali. Penelitian ini merupakan penelitian sensus, dimana seluruh populasi digunakan sebagai sampel yaitu sebanyak 50 orang. Teknik analisis dalam penelitian ini menggunakan teknik analisis jalur atau parth analysis, yang sebelumnya dilakukan pengujian instrumen dan uji asumsi klasik yang diolah dengan program SPSS 17.0 for windows. Hasil analisis penunjukkan bahwa 1) kepuasan kerja berpengaruh positif terhadap komitmen organisasi; 2) kepuasan kerja berpengaruh negatif terhadap turnover intentions; dan 3) komitmen organisasi berpengaruh negatif terhadap turniver intentions karyawan pada Losari Hotel Sunset Bali. Saran dalam penelitian ini adalah pihak manajemen diharapkan lebih memperhatikan kepuasan kerja, komitmen organisasi untuk menurunkan turnover intentions. Pihak menajemen perlu melakukan meningkatkan kepuasan gaji sesuai dengan beban kerja, meningkatkan komitmen afektif yang menanamkan persepsi karyawan bahwa meninggalkan perusahaan akan menimbulkan biaya dan resiko yang tinggi dan meningkatkan kesejahteraan karyawan lebih dari perusahaan lainnya untuk menurunkan turnover karyawan. Kata kunci: Kepusan Kerja, Komitmen, Turnover Intention
PENGARUH REWARD DAN PUNISHMENT TERHADAP MOTIVASI KERJA KARYAWAN PADA CV AYUDYA TABANAN BALI
Authors: Pradnyani Gusti Agung Ayu Intan , Rahmawati Putu Indah , Suci Ni Made 
Published: July 2020

Penelitian ini bertujuan untuk menguji pengaruh reward dan punishment terhadap motivasi kerja baik secara parsial maupun simultan. Adapun subjek dalam penelitian ini adalah karyawan yang bekerja di CV Ayudya Tabanan Bali, sedangkan objek dalam penelitian ini adalah reward, punishment, dan motivasi kerja. Populasi dalam penelitian ini adalah seluruh karyawan CV Ayudya Tabanan Bali yang berjumlah 31 orang. Penelitian ini menggunakan metode kuantitatif. Teknik pengumpulan data pada penelitian ini yaitu menggunakan kuesioner. Selanjutnya, data dianalisis menggunakan analisis regresi linear berganda. Hasil penelitian menunjukkan bahwa ada pengaruh positif dan signifikan dari reward dan punishment terhadap motivasi kerja baik secara parsial maupun simultan. Penelitian ini juga menunjukkan bahwa kontribusi dari reward dan punishment terhadap motivasi kerja sebesar 54,2%, sisanya sebesar 45,8% dijelaskan oleh variabel lain diluar penelitian ini. Kata kunci: Motivasi, Punishment, Reward