bluuebunny/crossref_metadata_2025_split huggingface dataset:
Toma de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención
Authors: Herrera Guerra Eugenia Del Pilar , Céspedes cuevas Viviana Marycel 
Published: March 2020

Objetivo: dar a conocer el diseño,implementación y evaluación de una intervención de enfermería: “Toma de decisiones para el manejo de los síntomas en adultos con falla cardíaca”.Métodos: se realizó un proceso sistemático propuesto por Sidani yBraden que contempla cuatro fases: diseño de la intervención, operacionalización de la intervención en un manual de intervención, estudio de aceptabilidad, viabilidad y efectividad de la intervención y traducción de la intervención.Resultados: se diseñó la intervención según los postulados de la teoría de situación específica autocuidado en falla cardíaca, centrada en la toma de decisiones para el manejo de los síntomas en adultos con falla cardíaca. Los expertos (n = 5) evaluaron satisfactoriamente el nivel teórico del protocolo (índice de cumplimiento 90 %). La tasa de reclutamiento de los participantes fue exitosa (91,6 %). En una muestra final para el análisis (n = 105) se halló una mejora significativa en el grupo de intervención (n = 53) en el mantenimiento del autocuidado [F (1,103) = 719,6; p = 0,000; 𝜂2𝑝 =0,88 ( = f de Cohen ́s = 2,65)] y en lagestión del autocuidado [F (1,74) = 23501,07;p = 0,000; 𝜂2𝑝 = 0,97 ( = f de Cohen ́s = 5,6)] comparado con el grupo de control(n = 52) que recibió la atención habitual.Conclusiones: se demuestra la fidelidad teórica y operacional, la factibilidad y efectividad del protocolo de una intervención de enfermería para mejorar el autocuidado en adultos con falla cardíaca con un tamaño de efecto grande.
Changes in cardiorespiratory fitness and cardiovascular health in the workplace: a case study
Authors: Torres Georgia , Gradidge Philippe , Constantinou Demitri 
Published: March 2020

Background: Cardiorespiratory fitness (CRF) is an independent predictor of cardiovascular (CV) and all-cause mortality, contributing a higher proportion of CV risk compared to other traditionally recognised risk factors. However, CRF is not included in usual workplace wellness protocols and, as such, employers are not aware of the importance of this factor.
Aim: The aim of this case study was to explore the effect of a 12-week exercise intervention programme on CRF, CV health and medical health claims in a male participant who was employed by a corporate company with existing chronic diseases.
Findings: Health outcome measures improved after the 12-week exercise intervention programme. CRF showed the greatest improvement and medical health claims were lowered during the three-month post-intervention period.
Implications: CRF should be included as a health outcome measure in worksite wellness programmes and monitored.
Mediating role of Cognitive Fusion in the Relationship of Mindfulness and Test Anxiety among Female Undergraduate Students of Shahid Chamran University of Ahvaz
Authors: Asghari F , Sayadi A , Ghasemi Jobaneh R , Baharvand I 
Published: March 2020

Introduction: Test anxiety, is one of the Psychological-educational problems that have a higher prevalence in female students. Mindfulness and cognitive fusion can play a remarkable role in explaining psychological problems. The aim of current research was to investigate the mediating role of Cognitive fusion in the relationship of mindfulness and test anxiety among female undergraduate students of Shahid Chamran University of Ahvaz.
Methods: the current research design is Descriptive correlation and the used method is Structural equation based on Partial least squares approach. A sample of 120 people were selected by Voluntary sampling method from the population of female Undergraduate students of Shahid Chamran University of Ahvaz. Test anxiety questionnaire, short form of mindfulness inventory and cognitive fusion questionnaire were used for data collection. The gathered data were analyzed by SPSS 21 and SmartPLS 2 software at the level of 0.01.
Result: findings showed mindfulness negatively predict Cognitive fusion and test anxiety (P> 0.01). Also mindfulness could indirectly predict test anxiety with the mediating role of Cognitive fusion (P > 0.01).
Conclusion: The findings of this study represent the importance of mindfulness and Cognitive fusion in explaining the test anxiety and Cognitive fusion has a mediating role between mindfulness and test anxiety. Thus In order to reduce psychological-educational problems (Such as test anxiety), Mindfulness skills training courses can be held.
Designing a Third Generation University Model with a Combined Approach in Islamic Azad Universities of Medical Sciences
Authors: Toushmali Gh , Alimohammadzadeh Kh , Maher A , Hoseini S M , Bahadori M K 
Published: March 2020

Introduction: Universities have undergone various stages in their evolutionary development. At the heart of these developments is the debate on academic entrepreneurship under the auspices of a third generation university. The theoretical and practical importance of the subject on the one hand and the lack of infrastructure studies in third generation universities in the country have led to a fundamental study in the design of a third generation native university model.
Methods: In this study, a mixed method based approach was used. In the first step, the content analysis method was used to analyze specialized interviews, and in the second step, a final model was presented using structural-interpretive method. Data analysis was performed in qualitative phase with MAXQDA software and in quantitative phase with MICMAC software. The statistical population of this study includes experts of Islamic Azad University of Medical Sciences who were selected by purposeful sampling. The data collection tool was interview and questionnaire. To achieve the research objectives, a set of applied indicators were identified by analyzing interviews with experts.
Result: The main themes of this research are fundraising, innovation, technological entrepreneurship management and professors' entrepreneurial approach. Then, these factors were analyzed using interpretive-structural modeling techniques, and eventually the relationship and sequence of indices were obtained. Due to the leveling of the final model of the third generation university was designed in Islamic Azad University of Medical Sciences.
Conclusion: Based on this pattern, entrepreneurial organizational culture is at the heart of the model. To achieve the ultimate goals of the model, emphasis must be placed on the general level of Students entrepreneurial skills and activities, Students theoretical skills, entrepreneurial knowledge of professors, the culture of accepting new ideas and projects, the realization of knowledge-based development and commercialization of science, and the establishment of knowledge-based companies..
Scoping Review: Valid and Reliable Health Literacy Assessment Tools Used in Low- and Middle-Income Countries
Authors: Lee HaEun , Lori Jody R. 
Published: March 2020

Background and PurposeDespite the importance of health literacy (HL) in health outcomes, most HL assessment tools are developed and used in first world, English speaking countries, and their applicability in low and middle-income countries (LMICs) is unclear. The purpose of this review is to examine valid and reliable tools used to assess HL among people in LMICs.MethodsA literature search of three databases was conducted with 20 final articles.ResultsCurrent HL assessment tools used in LMICs rely on participant's literacy and focus on measuring people's functional HL rather than reflecting the evolving definitions of HL.ConclusionsMore research needs to be conducted to better understand how people with limited literacy acquire and apply HL, and HL assessment tools need to assess various aspects of HL beyond one's functional HL.
Adaptation and Validation of the Capacity Scale for Informal Caregivers of Elderly Stroke Patients to be Used in Brazil
Authors: Dal Pizzol Fernanda Laís Fengler , Predebon Mariane Lurdes , Day Carolina Baltar , Bierhals Carla Cristiane Becker Kottwitz , Machado Diani Oliveira , Aires Marines , Mahmud Sati Jaber , Rosset Idiane , Paskulin Lisiane Manganelli Girardi 
Published: March 2020

Background and PurposeThe Portuguese instrument for informal caregivers' skills providing care of aged people after a stroke (ECPICID-AVC) evaluates the capacities that informal caregivers must have for supporting aged stroke survivors. The purpose was to adapt and validate the ECPICID-AVC to be used in Brazil.MethodsA methodological study was conducted.ResultsThe terms with the lowest degree of comprehension were adapted. The factor analysis suggested the exclusion of three items and that the remaining be grouped into six domains. The factor loadings varied from 0.525 to 0.924. The internal intra-assessor consistency was satisfactory (ICC = 0.94, CI 95%). Total reliability was considered excellent (Cronbach's alpha = 0.914).ConclusionsThe ECPICID-AVC is considered appropriate for using in Brazil.
Hubungan Tingkat Kejadian Efek Samping Antiinflamasi Non Steroid dengan Usia dan Jenis Kelamin
Authors: Idacahyati Keni , Nofianti Tita , Aswa Geby Alinda , Nurfatwa Maritsa 
Published: March 2020

Pendahuluan: Non steroid antiinflamasi drugs (NSAIDs) digunakan dalam mengatasi nyeri kronis dan inflamasi. NSAIDs menurunkan produksi prostaglandin dan prostasiklin dengan cara menghambat enzim siklooksigenase 1 dan siklooksigenase 2. Efek samping NSAIDs dapat menyebabkan gangguan di gastrointestinal, penyakit kardiovaskular, dan gangguan fungsi ginjal. Tujuan: Penelitian ini bertujuan untuk mengetahui kejadian adverse drug reaction obat golongan NSAIDs dan melihat hubungan antara kejadian ADR dengan usia dan jenis kelamin pada pasien swamedikasi di Kota Tasikmalaya. Metode: Penelitian ini dilakukan secara observasional dan prospektif yang dilakukan di 2 Apotek Kota Tasikmalaya pada bulan Februari - Mei 2019. Metode purposif sampling dilakukan untuk pengambilan sampel dengan jumlah sampel 52 responden. Instrumen pengambilan data menggunakan Algoritma Naranjo untuk mengidentifikasi apakah terdapat hubungan antara gejala klinik yang tidak diinginkan dengan obat yang digunakan menggunakan kuesioner untuk mendapatkan skor probabilitas . Kriteria inklusi dalam penelitian ini adalah responden yang mengkonsumsi NSAIDs dengan usia lebih dari 18 tahun, kriteria eksklusi adalah wanita hamil dan responden dengan penggunaan obat golongan NSAIDs menggunakan resep dokter. Analisis data secara statistik menggunakan uji korelasi Spearman. Hasil: Hasil penelitian menunjukan dari 52 pasien swamedikasi terdapat 13 orang (25%) mengalami ADR obat golongan NSAIDs berupa mual, sakit di bagian lambung, tekanan darah meningkat dan melena. Hasil analisis statistik menunjukan terdapat hubungan kuat antara kejadian ADR dengan usia (p = 0,001) dan tidak adanya hubungan antara kejadian ADR dengan jenis kelamin (p = 0,155) (OR: 0,657). Kesimpulan: ADR yang terjadi pada responden berhubungan dengan usia tetapi tidak terdapat hubungan dengan jenis kelamin.
Analisis Kualitatif Sakarin dan Silamat pada Es Doger di Kota Batam
Authors: Marliza Hesti , Mayefis Delladari , Islamiati Raihani 
Published: March 2020

Pendahuluan: Pemanis sintetis merupakan suatu zat/bahan yang digunakan untuk menimbulkan rasa manis dengan jumlah kalori yang lebih rendah daripada gula pasir. Salah satu pemanis buatan yang sering digunakan adalah sakarin dan siklamat. Konsumsi sakarin dan siklamat dalam dosis tinggi dapat menyebabkan kanker, dan penyakit lainnya seperti tumor paru, hati, limfa, migraine dan sakit kepala. Tujuan: Penelitian ini bertujuan untuk mengetahui kandungan sakarin dan siklamat pada es doger yang dijual di beberapa lokasi di Kota Batam. Metode: Penelitian ini menggunakan metode eksperimental dengan metode pengambilan sampel yang kebetulan ada atau tersedia saat itu sebanyak 12 sampel dari 12 pedagang es doger. Identifikasi sampel dilakukan secara kualitatif dengan uji pengendapan dan uji reaksi warna. Hasil: Hasil uji menunjukkan bahwa sebanyak 12 sampel dari 12 pedagang di beberapa lokasi di Kota Batam tidak mengandung sakarin dan siklamat. Kesimpulan: Es doger yang dijual di Kota Batam tidak mengandung pemanis buatan.
Impact of NPS MedicineWise general practitioner education programs and Choosing Wisely Australia recommendations on prescribing of proton pump inhibitors in Australia
Authors: Wu Jianyun , Dickinson Scott , Elgebaly Zain , Blogg Suzanne Gaye , Heaney Aine , Soo Yien , Daniels Benjamin , Weekes Lynn 
Published: March 2020

Abstract
Background: This study evaluated the impact of multifaceted NPS MedicineWise programs conducted in 2009 and 2015 that targeted general practitioners (GPs) to reduce unnecessary prescribing of proton pump inhibitors (PPIs).
Methods: Time series analyses was conducted of the dispensing rates of concessional PPI scripts between January 2006 and June 2016 using the Pharmaceutical Benefits Scheme (PBS) and Medicare Benefits Schedule (MBS) databases in Australia. Participants were GPs with dispensed PPI prescriptions to concessional patients between January 2006 and June 2016. The interventions were national NPS MedicineWise PPI educational programs in 2009 and 2015 delivered to all practising GPs in Australia. The 2015 intervention coincided with the release of Choosing Wisely Australia recommendations from the Royal Australian College of General Practitioners (RACGP). Outcome measures included monthly dispensing rates of high/standard and low strength PPIs prescribed by GPs among concessional patients in Australia.
Results : Following the 2009 NPS MedicineWise program we observed a 6.7% reduction in the expected dispensing rate of standard strength PPIs among concessional patients between January 2006 and March 2015, and a total 8.6% reduction by June 2016 following the launch of the 2015 program. We observed a significant increase of 5.6% in the dispensing rate of low strength PPIs among concessional patients between April 2009 and March 2015, and no significant change in trend following the 2015 program.
Conclusions: The NPS MedicineWise programs were associated with reductions in the dispensing rate of high/standard strength PPIs and with an increase in the dispensing rate of low-strength PPIs by June 2016 although a causal relation was not confirmed. Although the rate of high/standard strength PPI prescribing is declining, these formulations still constitute the majority of PPIs used in Australia. Regular interventions to sustain and improve PPI management by GPs may be warranted.
Healthcare Utilization and Out-of-Pocket Expenditures Associated with Depression in Adults: A Cross-Sectional Analysis in Nepal
Authors: Rajan Selina , Rathod Sujit D , Luitel Nagendra P , Murphy Adrianna , Roberts Tessa , Jord Mark JD 
Published: March 2020

Abstract
Background:
Despite attempts to improve universal health coverage (UHC) in low income countries like Nepal, most healthcare utilization is still financed by out-of-pocket (OOP) payments, with detrimental effects on the poorest and most in need. Evidence from high income countries shows that depression is associated with increased healthcare utilization, which may lead to increased OOP expenditures, placing greater stress on families. To inform policies for integrating mental healthcare into UHC in LMIC, we must understand healthcare utilization and OOP expenditure patterns in people with depression. We examined associations between symptoms of depression and frequency and type of healthcare utilization and OOP expenditure among adults in Chitwan District, Nepal.
Methods:
We analysed data from a population-based survey of 2040 adults in 2013, who completed the PHQ-9 screening tool for depression and answered questions about healthcare utilization. We examined associations between increasing PHQ-9 score and healthcare utilization frequency and OOP expenditure using negative binomial regression. We also compared utilization of specific outpatient service providers and their related costs among adults with and without probable depression, determined by a PHQ-9 score of 10 or more.
Results:
We classified 80 (3.6%) participants with probable depression, 70.9% of whom used some form of healthcare in the past year compared to 43.9% of people without probable depression. Mean annual OOP healthcare expenditures were $118 USD in people with probable depression, compared to $110 USD in people without. With each unit increase in PHQ-9 score, there was a 14% increase in total healthcare visits (95% CI 7%-22%, p<0.0001) and $9 USD increase in OOP expenditures (95% CI $2-$17; p<0.0001). People with depression sought most healthcare from pharmacists (30.1%) but reported the greatest expenditure on specialist doctors ($36 USD).
Conclusions:
In this population-based sample from Central Nepal, we identified dose-dependent increases in healthcare utilization and OOP expenditure with increasing PHQ-9 scores. Future studies should evaluate whether provision of mental health services as an integrated component of UHC can improve overall health and reduce healthcare utilisation and expenditure, thereby alleviating financial pressures on families.
WITHDRAWN: Successful implementation of an Enhanced Recovery After Surgery (ERAS) protocol reduces nausea and vomiting in patients after infratentorial craniotomy for tumour resection: a randomized controlled trial.
Authors: Author) Dan Lu(Former Corresponding , Wang Yuan , Zhao Tianzhi , Liu Bolin , Ye Lin , Zhao Lanfu , Zhao Binfang , Li Mingjuan , Ma Lin , Li Zhengmin , Niu Jiangtao , Lv Wenhai , Zhang Yufu , Zheng Tao , Xue Yafei , Chen Lei , Chen Long , Sun Xude , Gao Guodong , Chen Bo , Author) Shiming He(New Corresponding 
Published: March 2020

Abstract

Objectives : Infratentorial craniotomy patients have a high incidence of postoperative nausea and vomiting (PONV). Enhanced Recovery After Surgery (ERAS) protocols have been shown in multiple surgical disciplines to improve outcomes, including reduced PONV. However, very few studies have described the application of ERAS to infratentorial craniotomy. The aim of this study was to examine whether our ERAS protocol for infratentorial craniotomy could improve PONV. Methods : We implemented an evidence-based, multimodal ERAS protocol for patients undergoing infratentorial craniotomy. A total of 105 patients who underwent infratentorial craniotomy were randomized into either the ERAS group (n = 50) or the control group (n = 55). Primary outcomes were the incidence of vomiting, nausea score, and use of rescue antiemetic during the first 72 h after surgery. Secondary outcomes included postoperative anxiety level, sleep quality, and complications. Results: Over the entire 72 h post-craniotomy observation period, the cumulative incidence of vomiting was significantly lower in the ERAS group than in the control group. Meanwhile, the incidence of vomiting was significantly lower in the ERAS group on postoperative days (PODs) 2 and 3. Notably, the proportion of patients with mild nausea (VAS 0-4) was higher in the ERAS group as compared to the control group on PODs 2 or 3. Additionally, the postoperative anxiety level and quality of sleep were significantly better in the ERAS group. Conclusion: Successful implementation of our ERAS protocol in infratentorial craniotomy patients could attenuate postoperative anxiety, improve sleep quality, and reduce the incidence of PONV, without increasing the rate of postoperative complications.
Factors Related to Health Civic Engagement: Results from the 2018 National Survey of Health Attitudes to Understand Progress towards a Culture of Health
Authors: Dubowitz Tamara , Nelson Christopher , Weilant Sarah , Sloan Jennifer C. , Bogart Andy , Miller Carolyn , Chandra Anita 
Published: March 2020

Abstract
Background: Civic engagement, including voting, volunteering, and participating in civic organizations, is associated with better psychological, physical and behavioral health and well-being. In addition, civic engagement is increasingly viewed (e.g., in Robert Wood Johnson Foundation’s Culture of Health action framework) as a potentially important driver for raising awareness of and addressing unhealthy conditions in communities. As such, it is important to understand the factors that may promote civic engagement, with a particular focus on the less-understood, health civic engagement, or civic engagement in health-related and health-specific activities. Using data from a nationally representative sample of adults in the United States (U.S.), we examined whether the extent to which individuals feel they belong in their community (i.e., perceived sense of community) and the value they placed on investing in community health were associated with individuals’ health civic engagement.Methods: Using data collected on 7187 nationally representative respondents from the 2018 National Survey of Health Attitudes, we examined associations between sense of community, valued investment in community health, and perceived barriers to taking action to invest in community health, with health civic engagement. We constructed continuous scales for each of these constructs and employed multiple linear regressions adjusting for multiple covariates including U.S. region and city size of residence, educational attainment, family income, race/ethnicity, household size, employment status, and years living in the community.Results: Participants who endorsed (i.e., responded with mostly or completely) all 16 sense of community scale items endorsed an average of 22.8% (95%CI: 19.8 - 25.7%) more of the health civic engagement scale items compared with respondents who did not endorse any of the sense of community items. Those who endorsed (responded that it was an important or top priority) all items capturing valued investment in community health endorsed 14.0% (95%CI: 11.2 – 16.8%) more of the health civic engagement items than those who did not endorse any valued investment in community health items.Conclusions: Health civic engagement, including voting and volunteering to ultimately guide government decisions about health issues, may help improve conditions that influence health and well-being for all. Focusing on individuals’ sense of community and highlighting investments in community health may concurrently be associated with increased health civic engagement and improved community and population health.