bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of effort-reward imbalance, job satisfaction, and work engagement on self-rated health among healthcare workers
Authors: Liu Danping , Ge Jingjing , He Jing , Liu Yan , Zhang Juying , Duan Zhanqi 
Published: April 2020

Abstract

Background: Healthcare workers, whose job is to protect and improve the health of populations, are critical to the success of health systems and to achieving national and global health goals. To respond effectively to the health needs of populations, healthcare workers themselves must be in a perfect state of health. However, healthcare workers face various psychosocial pressures, including night shifts, long working hours, demands of patient care, medical disputes, workplace violence, and emotional distress due to poor interactions with patients and colleagues and poor promotion prospects. Constant exposure to these psychosocial hazards adversely impacts healthcare workers’ health. This study aimed to examine the influence of effort-reward imbalance, job satisfaction, and work engagement on self-rated health among healthcare workers, which is conducive to providing policy guidance from several aspects as possible as to improve healthcare workers’ health. Methods : The Chinese Sixth National Health and Services Survey in Sichuan Province was conducted from August 2018 to October 2018, and we analysed 1327 valid responses. We used structural equation modelling (SEM) to test the hypothesized relationship among the variables. Results: Only 40.1% of healthcare workers rated their health as ‘relatively good’ or ‘good’. Effort-reward imbalance had a significant negative correlation with self-rated health (β=-0.053, 95%CI: (-0.163) -(-0.001)). The relationships of effort-reward imbalance and work engagement with self-rated health were both mediated by job satisfaction (95%CI: (-0.150) -(-0.050), (0.011) -(0.022)). Work engagement mediated the relationship between effort-reward imbalance and self-rated health (95%CI: (-0.064) -(-0.008)). Conclusion: In order to improve the health of healthcare workers, administrators should balance effort and reward and provide opportunities for career development and training for healthcare workers. In addition, health managers should help healthcare workers realize the significance and value of work and help keep them actively devoted to their work through incentive mechanisms.
WITHDRAWN: Lockdowns to Contain COVID-19 Increase Risk and Severity of Mosquito-Borne Disease Outbreaks
Authors: Jindal Akshay , Rao Shrisha 
Published: April 2020

Abstract
Many countries are implementing lockdown measures to slow the COVID-19 pandemic, putting more than a third of the world’s population under restrictions. The scale of such lockdowns is unprecedented, and while some effects of lockdowns are readily apparent, it is less clear what effects they may have on outbreaks of serious communica-ble diseases. We examine the impact of these lockdowns on outbreaks of mosquito-borne diseases. Using an agent-based model and simu-lations, we find that the risk and severity of such outbreaks is much greater under lockdown conditions, with the number of infected people doubling in some cases. This increase in number of cases varies by dif- ferent mosquito-borne diseases, and is significantly higher for diseases spread by day-biting mosquitoes. We analysed various intervention strategies and found that during lockdowns, decentralised strategies such as insecticide-treated nets and indoor residual spraying are more effective than centralised strategies.
A Virtual Reality–Supported Intervention for Pulmonary Rehabilitation of Patients With Chronic Obstructive Pulmonary Disease: Mixed Methods Study
Authors: Jung Timothy , Moorhouse Natasha , Shi Xin , Amin Muhammad Farhan 
Published: April 2020

Background
The uptake of traditional pulmonary rehabilitation classes by patients with chronic obstructive pulmonary disease (COPD) is poor because of personal factors that prevent accessibility to the venue. Therefore, there is a need for innovative methods of pulmonary rehabilitation, and virtual reality (VR) could be a promising technology for patients with COPD to access services remotely.

Objective
This study aimed to investigate whether VR improves compliance with pulmonary rehabilitation among patients with COPD, a particularly vulnerable patient group (Medical Research Council [MRC] 4 or 5), and whether VR provides a credible alternative to traditional pulmonary rehabilitation programs.

Methods
This was an 8-week patient trial using an innovative VR pulmonary rehabilitation program. A purposive sample of 10 patients with COPD graded MRC 4 or 5 and registered at a selected health care center and a hospital in Cumbria, United Kingdom, were included. Qualitative (focus groups and interviews) data were collected, and to further support the qualitative findings, quantitative data (self-report patient surveys) were gathered before and after the 8-week trial. The 5 self-reported surveys included the Patient Activation Measure, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Short Physical Performance Battery, and the Edmonton Frail Scale.

Results
In a thematic analysis of the qualitative data, 11 themes emerged specific to delivering pulmonary rehabilitation using VR. The quantitative data further support the qualitative findings by revealing significant improvements in all physical measures.

Conclusions
Overall, this study demonstrates how remotely supervised VR-based pulmonary rehabilitation could help to overcome current issues and limitations associated with providing this service to patients with COPD at scale.
The Korean Version of the Academic Cyberincivility Assessment Questionnaire for Nursing Students in South Korea: Validity and Reliability Study
Authors: Hong Minjoo , De Gagne Jennie C , Shin Hyewon , Kwon Suhye , Choi Gum-Hee 
Published: April 2020

Background
Cybercivility, the practice of what to say and how to say it in online environments, encourages individuals to treat each other with respect. However, the anonymity of online communities may lead some individuals to behave in ways that violate social and cultural norms. These individuals treat others with a lack of regard and even bully others in faceless online confrontations. This practice of cyberincivility can be found across the internet, on commercial sites, and in schools offering online courses. Research on cybercivility and cyberincivility has increased in the United States, where instruments have been developed to measure the impact of cyberincivility in health profession education. However, there is no available instrument that measures nursing students’ online behaviors in South Korea.

Objective
The aim of this study was to develop and evaluate a Korean version of the Academic Cyberincivility Assessment Questionnaire developed in the United States.

Methods
Data were collected from 213 nursing students in three South Korean colleges. The Academic Cyberincivility Assessment Questionnaire developed by De Gagne and colleagues was adapted to measure students’ knowledge of cybercivility, and their experiences with and acceptability of cyberincivility. Content validity was tested using the content validity index (CVI). Criterion validity was tested using the digital citizenship scale. Reliability was evaluated using Cronbach alpha. The goodness-of-fit of construct validity was determined through exploratory and confirmatory factor analyses.

Results
The CVI was 0.8 or higher for all items. Kuder–Richardson Formula 20, measuring reliability of the knowledge scale, was 0.22 and Cronbach alpha, measuring reliability of the experience scale, was .96. The goodness-of-fit of the model was Chi square=5568.63 (P<.001), the comparative fit index (CFI) was 0.92, and the root mean square error of approximation (RMSEA) was 0.08, which satisfied the criteria. The reliability of the acceptability scale was .96, and the goodness-of-fit indices satisfied the criteria (minimum Chi square/df=2.34, Tucker-Lewis Index =0.92, incremental fit index=0.93, root mean square residual=0.05, CFI=0.93, and RMSEA=0.08).

Conclusions
This study extended and reevaluated the US version of cybercivility scales in a culturally distinct context. The three dimensions of cybercivility include knowledge, experience, and acceptability. Acceptability is well-validated as a dimension, whereas the knowledge dimension requires reexamination for application to Koreans. A revision of the instrument is needed that considers the cultural differences between South Korea and the United States. This paper calls for more attention to be paid to contextualized cybercivility scales among health professions in countries outside the United States.
A Social Media Study on the Associations of Flavored Electronic Cigarettes With Health Symptoms: Observational Study
Authors: Chen Long , Lu Xinyi , Yuan Jianbo , Luo Joyce , Luo Jiebo , Xie Zidian , Li Dongmei 
Published: April 2020

BackgroundIn recent years, flavored electronic cigarettes (e-cigarettes) have become popular among teenagers and young adults. Discussions about e-cigarettes and e-cigarette use (vaping) experiences are prevalent online, making social media an ideal resource for understanding the health risks associated with e-cigarette flavors from the users’ perspective.ObjectiveThis study aimed to investigate the potential associations between electronic cigarette liquid (e-liquid) flavors and the reporting of health symptoms using social media data.MethodsA dataset consisting of 2.8 million e-cigarette–related posts was collected using keyword filtering from Reddit, a social media platform, from January 2013 to April 2019. Temporal analysis for nine major health symptom categories was used to understand the trend of public concerns related to e-cigarettes. Sentiment analysis was conducted to obtain the proportions of positive and negative sentiment scores for all reported health symptom categories. Topic modeling was applied to reveal the topics related to e-cigarettes and health symptoms. Furthermore, generalized estimating equation (GEE) models were used to quantitatively measure potential associations between e-liquid flavors and the reporting of health symptoms.ResultsTemporal analysis showed that the Respiratory category was consistently the most discussed health symptom category among all categories related to e-cigarettes on Reddit, followed by the Throat category. Sentiment analysis showed higher proportions of positive sentiment scores for all reported health symptom categories, except for the Cancer category. Topic modeling conducted on all health-related posts showed that 17 of the top 100 topics were flavor related. GEE models showed different associations between the reporting of health symptoms and e-liquid flavor categories, for example, lower association of the Beverage flavors with Respiratory compared with other flavors and higher association of the Fruit flavors with Cardiovascular than other flavors.ConclusionsThis study identified different potential associations between e-liquid flavors and the reporting of health symptoms using social media data. The results of this study provide valuable information for further investigation of the health effects associated with different e-liquid flavors.
COMPLICATIONS OF ACUTE TRAUMATIC SPINAL INJURIES IN SAINT PETERSBURG
Authors: Lobzin S. V. , Mirzaeva L. M. 
Published: April 2020

Almost every sailor during performing his job duties aboard receives injuries of varying severity, among which the most common are deck fractures, including compression vertebral fractures, as well as open and closed vertebral fractures with spinal cord injuries. Besides the recovery of disordered functions of the spinal cord, in cases of spinal cord injury, the fight against numerous neurological, infectious and somatic complications affecting the survival and quality of life of patients is still relevant.Objective: to study the incidence of complications of traumatic injuries of the spinal cord under initial hospitalization, their impact on the length of hospital stay, to identify and evaluate the role of risk factors in the development of complications.Materials and methods. A retrospective cohort study was conducted according to the archived case histories of patients hospitalized in neurosurgical hospitals in St. Petersburg. 311 cases of acute spinal cord injury in 2012–2016 were analyzed.Results: complications not directly related to spinal cord injury, such as bronchitis, pneumonia, bedsores, sepsis, thromboembolism, urinary tract infections, postoperative wound pyogenesis and others (damage to other organs and systems), were found in one third of patients (33,8%), in half of the cases there were multiple complications (2 or more), the most frequent — respiratory (23,5%) and pressure sores (10%). Complications significantly increased the length of hospital stay. The dependence of the frequency of complications on age, the level of spinal cord damage and the severity of the injury was revealed. Risk factors such as concomitant head injury and alcohol intoxication have been found. The revealed positive effect of corticosteroids on the regression of neurological deficit was not statistically confirmed. At the same time, there was a significant increase in the frequency of respiratory complications when using corticosteroids.Conclusion: Knowledge of the factors affecting the incidence of complications, optimization of their prevention and therapy will shorten the duration of hospitalization and improve the prognosis and quality of life of patients. The issue of use of corticosteroid therapy in the acute period of traumatic injuries of the spinal cord remains debatable. When choosing therapeutic tactics for managing patients with spinal trauma, it is necessary to take into account the risk of respiratory complications and carefully evaluate the ratio of benefits to harm.
Long-term Metabolic and Socioeducational Outcomes of Transient Neonatal Diabetes: A Longitudinal and Cross-sectional Study
Authors: Le Bourgeois Fleur , Beltrand Jacques , Baz Baz , Julla Jean-Baptiste , Riveline Jean-Pierre , Simon Albane , Flechtner Isabelle , Ait Djoudi Malek , Fauret-Amsellem Anne-Laure , Vial Yoann , Scharfmann Raphael , Sommet Julie , Boudou Philippe , Cavé Hélène , Polak Michel , Gautier Jean-François , Busiah Kanetee ,   TNDM Long-Term Follow-Up Study Group, Abu-Amara Olivieri Sawsan , Bachere Nadège , Bellanne-Chantelot Christine , Bertrand Anne-Marie , Bourron Olivier , De Boisvilliers Fabienne , Deumier Bernard , Gourdy Pierre , Hartemann Agnès , Jellimann Stephanie , Le Tallec Claire , Martin-Dessilla Amélie , Paoli Anne , Perrin Mireille , Ribstein Jean , Saint-Martin Cécile , Thivolet Charles , Vialettes Bernard , Ythier Hubert 
Published: April 2020

OBJECTIVE
Transient neonatal diabetes mellitus (TNDM) occurs during the 1st year of life and remits during childhood. We investigated glucose metabolism and socioeducational outcomes in adults.

RESEARCH DESIGN AND METHODS
We included 27 participants with a history of TNDM currently with (n = 24) or without (n = 3) relapse of diabetes and 16 non-TNDM relatives known to be carriers of causal genetic defects and currently with (n = 9) or without (n = 7) diabetes. Insulin sensitivity and secretion were assessed by hyperinsulinemic-euglycemic clamp and arginine-stimulation testing in a subset of 8 TNDM participants and 7 relatives carrying genetic abnormalities, with and without diabetes, compared with 17 unrelated control subjects without diabetes.

RESULTS
In TNDM participants, age at relapse correlated positively with age at puberty (P = 0.019). The mean insulin secretion rate and acute insulin response to arginine were significantly lower in TNDM participants and relatives of participants with diabetes than in control subjects (median 4.7 [interquartile range 3.7–5.7] vs. 13.4 [11.8–16.1] pmol/kg/min, P &lt; 0.0001; and 84.4 [33.0–178.8] vs. 399.6 [222.9–514.9] µIU/mL, P = 0.0011), but were not different between participants without diabetes (12.7 [10.4–14.3] pmol/kg/min and 396.3 [303.3–559.3] µIU/mL, respectively) and control subjects. Socioeducational attainment was lower in TNDM participants than in the general population, regardless of diabetes duration.

CONCLUSIONS
Relapse of diabetes occurred earlier in TNDM participants compared with relatives and was associated with puberty. Both groups had decreased educational attainment, and those with diabetes had lower insulin secretion capacity; however, there was no difference in insulin resistance in adulthood. These forms of diabetes should be included in maturity-onset diabetes of the young testing panels, and relatives of TNDM patients should be screened for underlying defects, as they may be treated with drugs other than insulin.
Commercially Available Insulin Products Demonstrate Stability Throughout the Cold Supply Chain Across the U.S.
Authors: Garrett Timothy J. , Atkinson Philip , Quinlivan Eoin P. , Ang Lynn , Hirsch Irl B. , Laffel Lori , Pietropaolo Massimo , Haller Michael J. , Atkinson Mark A. 
Published: April 2020

OBJECTIVE
A recent publication questioned the integrity of insulin purchased from U.S. retail pharmacies. We sought to independently validate the method used, isotope dilution solid-phase extraction (SPE) liquid chromatography mass spectrometry (LC-MS), and expand analysis to two U.S. Pharmacopeia (USP) methods (high-performance LC with ultraviolet detection and LC-MS).

RESEARCH DESIGN AND METHODS
Each method was used to evaluate nine insulin formulations, purchased at four pharmacies, within five geographic locations in the U.S.

RESULTS
All human and analog insulins measured by the USP methods (n = 174) contained the expected quantity of active insulin (100 ± 5 units/mL). When using isotope dilution SPE-LC-MS, units-per-milliliter values were well below product labeling due to unequal recovery of the internal standard compared with target insulin.

CONCLUSIONS
Insulin purchased from U.S. pharmacies is consistent with product labeling.
Mathematical model of improved reverse charging of wireless internet pricing scheme in servicing multiple QoS
Authors: Puspita Fitri Maya 
Published: April 2020

This paper seeks to utilize the improved model of reverse charging scheme. Reverse charging basically is defined as a capability of stored network that replaces the network used when the network is suddenly shut down. In this paper, charging back on 3G and 4G network that is user automated platform, will change the access of 4G to 3G and on the contrary when platform conduct the hosting. This research was solved as a problem Mixed Integer Nonlinear Programming (MINLP) by LINGO 13.0. An optimal pricing scheme is applied to a local data server, including digilib traffic and mail traffic. The improved model of Reverse Charging is modified into 4 cases and formed by setting the base price (α) and service level (β). Based on the analysis that has been done, the results of this study indicate that the reverse charging model can be utilized Internet Service Provider (ISP) to maximize profits and provide quality services for the user if compared to previous model without reverse charging scheme. Keywords: improved model of revere charging scheme, MINLP, ISP, QoS, pricing scheme
Peran Kegiatan Fun cooking dan Country Project dalam Kemampuan Matematika Awal dan Berpikir Kritis Anak Usia Dini
Authors: Herminastiti Rini 
Published: April 2020

AbstractThis study aims to determine the role of fun cooking and country project in developing the ability of early mathematics and critical thinking of early childhood in PAUD AL-Fitri Jakarta. The subjects of this study were children aged 5-6 years in Group B which consist 10 children. The method used is a descriptive qualitative approach with data collection techniques using observation, interviews, and documentation. The data is then processed through Engineering triangulation. Based on the results of the child's research, information was obtained that the activities of fun cooking and country projects that were integrated according to the theme had a role in the children ability of early Mathematics and critical thinking. Fun cooking and Country Project activities have a role in the ability of early Mathematics of children, especially in grouping, counting, calculating and weighing the amount of food that need to be processed or supporting activities. Fun cooking and Country Project activities have a role in children's critical thinking ability when children classify and connect the prepared food to certain regions in Indonesia or the world. In addition, when making these foods, children use their critical thinking skills when taking steps to cook in sequence, associating the amount of food with numerical symbols and the distinctiveness of taste, and the smell of food made. Keywords: fun cooking, country project, early Mathematics ability, critical thinking ability. AbstrakPenelitian ini bertujuan untuk mengetahui peran fun coooking dan country project dalam mengembangkan kemampuan Matematika awal dan berpikir kritis anak usia dini di PAUD AL-Fitri Jakarta. Subjek penelitian ini adalah anak usia 5-6 tahun, Kelompok B berjumlah 10 orang. Metode yang digunakan adalah pendekatan kualitatif deskriptif dengan teknik pengumpulan data menggunakan observasi, wawancara, dan dokumentasi. Data selanjutnya diproses melalui triangulasi Teknik. Berdasarkan hasil penelitian anak, diperoleh informasi bahwa kegiatan fun cooking dan country project yang terintegrasi sesuai tema memiliki peran dalam kemampuan Matematika awal dan berpikir kritis anak. Kegiatan fun cooking dan Country Project memiliki peran dalam kemampuan Matematika awal anak terutama dalam mengelompokan, membilang, menghitung dan menimbang jumlah bahan makanan yang akan diolah ataupun kegiatan pendukung. Kegiatan fun cooking dan Country Project memiliki peran dalam kemampuan berpikir kritis anak ketika anak mengklasifikasikan dan menghubungkan makanan yang akan disiapkan merupakan makanan khas daerah tertentu di Indonesia atau dunia. Selain itu ketika membuat makanan tersebut anak menggunakan kemampuan berpikir kritisnya ketika melakukan langkah-langkah memasak secara berurutan, mengaitkan jumlah bahan makanan dengan simbol-simbol angka maupun kekhasan rasa, aroma dari makanan yang dibuat. Kata Kunci: fun cooking, country project, kemampuan matematika awal, kemampuan berpikir kritis
Penggunaan Media Wayang Godong Dalam Menanamkan Karakter Menghargai Pada Anak Usia 5-6 Tahun
Authors: Lestaningrum Anik , Jayanti Ratna Dewi 
Published: April 2020

Penelitian dilakukan dengan tujuan untuk mendeskripsikan bagaimana penanaman karakter menghargai pada anak usia 5-6 tahun menggunakan media wayang godong. Metode penelitian yang digunakan dengan menggunakan siklus spiral dari Kemmis dan Taggart yang terdiri dari: (a) Perencanaan; (b) Tindakan; (c) Observasi; dan (d) Refleksi. Data penelitian ini diambil dari 16 orang kelompok usia 5-6 tahun TK Sinar Pagi Wonorejo, Kabupaten Tulungagung selama 3 bulan Oktober-Desember 2018. Hasil penelitian ini menunjukan bahwa karakter menghargai dapat ditingkatkan melalui penggunaan media wayang godong. Hasil penelitian menunjukan peningkatan dari pra tindakan pengembangan konsep menghargai diperoleh hasil yang kurang maksimal yaitu dari 16 anak terbukti bahwa dalam berperilaku menghargai yang baik belum muncul sebanyak 50%, Mulai Muncul 30%, berkembang sesuai harapan 15% dan berkembang sangat baik 5%. Contohnya dari perilaku menghargai yang kurang ditunjukan dengan adanya anak yang masih merebut mainan, ada anak yang mendorong temannya, tidak mau berbagi makanan, dan juga perilaku mengejek temannya , hasil tindakan siklus I meningkatkan rata-rata kelas menjadi sebesar 25% dan pada siklus II meningkat 62,5% serta siklus III sebesar 75%. Implikasi dari penelitian ini adalah penggunaan media wayang godong sebagai alternatif media pembelajaran yang memanfaatkan lingkungan sekitar serta menyenangkan bagi anak dapat mengeksplorasi berbagai macam pengetahuan baru yang dapat diaplikasikan dalam kehidupan sehari-hari serta mengembangkan semua aspek potensial sesuai dengan tahapan perkembangannya.