bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stress, Anxiety, Depression, and Resilience in Cancer Patients on Chemotherapy
Authors: Chaudhury Suprakash , Jagtap Biswajit , Shailaja B. , Mungase Mrudula , Saini Rajiv Kumar , Jain Vandana 
Published: October 2021

Background:
Cancer chemotherapy is an intense and cyclic treatment that is associated with a number of distressing side effects that may affect the person's psyche.

Aim:
The aim of the study is to evaluate stress, anxiety, depression, and resilience in cancer patients undergoing chemotherapy.

Materials and Methods:
Consecutive cancer patients undergoing chemotherapy at a tertiary care rural medical college hospital were included in the study with their consent. Patients having comorbid medical or psychiatric disorders were excluded. Demographic and clinical characteristics of the patients were recorded. The Depression Anxiety Stress Scale and Abbreviated Connor-Davidson Resilience Scale were administered and scored as per the test manual. The data were analyzed using the SPSS software with t-test, Chi-square test, Mann–Whitney U-test, Spearman's correlation, and multiple regression analysis.

Results:
The study included 32 male and 68 female cancer patients on chemotherapy. Depression was found in 33 patients, anxiety was observed in ten patients while stress was present in three patients. Stress was positively correlated to anxiety and depression, while resilience was negatively correlated to depression. There were no gender differences in stress, anxiety, depression, or resilience. A multiple regression was run to predict depression from stress, anxiety, and resilience. These variables statistically significantly predicted depression, F (3,96) =55.075, P < 0.0001, R
2 = 0.632. All three variables added statistically significantly to the prediction (P < 0.05).

Conclusion:
One-third of cancer patients on chemotherapy suffer from depression which is negatively correlated with resilience. Significant predictors of depression in these patients were stress, anxiety, and resilience. Psychiatric management in addition to reducing depression, stress, and anxiety should also aim to increase resilience in these patients.
Childhood Adversity in Patients Suffering from Depression with a Focus on Differences across gender
Authors: Shah Bhumika , Kedare Jahnavi , Mehta Fiona 
Published: October 2021

Context:
Childhood adversity is highly prevalent and is associated with depression.

Aims:
The aim of the study is to assess the occurrence of adverse childhood experiences (ACEs) in male and female patients suffering from depression, measure its relationship with the severity of depression, and evaluate the association of factors across gender.

Settings and Design:
A cross-sectional study was conducted.

Subjects and Methods:
A total of 100 adult depressed patients were evaluated to calculate the severity of depression and the ACE score.

Statistical Analysis Used:
Statistical analysis was performed using Chi-square test and binary logistic regression.

Results:
One or more categories of ACEs were reported in 70% of male and 68% of female patients. The most common was violence between adults in the household and physical abuse. In male patients, there was a significant association between severity of depression and experiencing three or more categories of childhood adversity (P = 0.01).

Conclusions:
Childhood adversity occurs frequently and is associated with severity of depression in the male cohort.
COVID-19 Impact on Mental Health, Sleep Quality and Various Aspects of Life of Medical Students and Interns, and Nonmedical Students
Authors: Nagose Vaishali Baburao , Soni Dharmishta Naman , Rathod Shivanand Shriram , Yelne Yaminee Avinash 
Published: October 2021

Context:
The COVID-19 pandemic has affected all the age groups, especially worsening the already stressful life of college students.

Aims:
The aims are to study the differences in the COVID-19 impact on mental health including depression, sleep quality, and various areas of life in undergraduate students (medical and nonmedical) and medical interns.

Subjects and Methods:
A cross-sectional study in the form of an online survey was conducted through Google Form containing the questionnaire having Kessler Psychological Distress Scale (K10), Pittsburgh Sleep Quality Index (PSQI), questions pertaining to the different aspects of life affected due to COVID-19.

Statistical Analysis Used:
The results of the groups were compared using two sample t-test and one-way ANOVA.

Results:
A total of 355 students responded (202 medical and 101 nonmedical students and 52 medical interns). The difference in psychological distress and sleep quality was statistically significant in all three groups. The average scores of K10 depicted psychological distress being moderate in nonmedical and mild in medical students and interns; of PSQI showed the prevalence of poor sleep quality being maximum in interns and minimum in medical students. 40% medical students reported positive impact on diet and about half of the medical and nonmedical students on familial relationships.

Conclusions:
Statistically significant differences in the three study groups with respect to psychological distress, sleep quality, and COVID-19 impact on various aspects of life indicate the requirement of identification of their different needs and required interventions including mental health support, possibly at the institutional levels are the need of the hour.
Electrocardiographic Findings in Coronavirus Disease-19 and its Correlation with Clinical Severity of Disease
Authors: Khan Mumtaz Ali , Menon Anindita , Nagaraja B. S. 
Published: October 2021

Background and Aims:
Most data on electrocardiographic (ECG) changes in patients with coronavirus disease-19 (COVID-19) have been presented without comparison to patients with other acute respiratory illnesses. The correlation of ECG changes with disease severity has also not been studied.

Subjects and Methods:
We compared forty COVID-19-positive and forty COVID-19-negative patients in terms of clinical presentation, ECG at admission, and cardiac biomarkers. Statistical analysis was presented as frequency (percentage) and continuous as mean ± standard deviation. Chi-square test/Fischer's exact test was used.

Results:
Mean age overall in the study was 52.4 ± 16 years, 67.5% data were males. About 87.5% of the COVID-positive patients and 70% of the COVID-negative patients had ECG changes at baseline. Sinus tachycardia was seen in 45% (18/40) of COVID-positive patients. About 95% (38/40) of COVID-19 positive patients had normal axis, 5% (2/40) had supraventricular tachycardia, 2.5% (1/40) had premature atrial contractions (PACs), and 7.5% (3/40) had premature ventricular contractions. One patient had ventricular bigeminy. About 7.5% (3/40) of COVID-positive cases had complete right bundle branch block (RBBB), one had complete left bundle branch block (LBBB), whereas one had incomplete LBBB. About 7.5% (3/40) of COVID-positive cases had ST-segment elevation, one of whom also developed postmyocardial infarction left ventricular thrombus. About 15% (6/40) had nonST-segment elevation acute coronary syndrome.

Conclusions:
COVID-19 patients have ECG changes of left-sided heart disease (PACs and LBBB) and right-sided disease (RBBB, right axis deviation, and right ventricular strain pattern) at presentation, however, right heart changes predominate. COVID-19 patients had a higher occurrence and a wider variety of ECG changes at presentation than other acute respiratory illnesses and these changes correlate well with clinical disease severity as does troponin I level.
Occurrence of Depression, Anxiety, Stress, and Fear of COVID-19 among Staff Nurses of South India During COVID-19 Pandemic
Authors: Suganthi V. , Kanchana V. , Periasamy Panneerselvam , Saravanakumar R , Chandrabose A. , Sasikala G. , Bharathi C. , Priyadharshini S. 
Published: October 2021

Background:
Besides the general population, the psychologically connected problems associated with COVID-19 had also affected the frontline health-care workers, such as nurses and doctors, who faced prominent challenges 'with respect to their mental health. According to recent studies concerning COVID-19, the nurses happened to be those health-care workers who faced the more psychological problems resulting from COVID-19 outbreak.

Materials and Methods:
This was a cross-sectional study evaluating the fear of COVID-19 using the fear of COVID-19 scale and depression, anxiety, and stress levels using Depression Anxiety and Stress Score. The participants' demographic data such as gender, age, working category, hospital unit, and work shift were collected in addition to the above-mentioned questionnaires.

Results:
There were 277 staff nurses, out of which 259 were females and 18 were males participated in this study. The common age of the study group was between 21 and 40 years and most of them (47%) worked at government primary health-care centers.

Discussion:
The nurses who were younger at age tend to be more stressed than the older nurses which could be due to the fact that younger nurses might have felt nervous due to their inexperience and poor preparation for their occupational role at work.

Conclusion:
Increasing the awareness and educating nurses toward the essential need for addressing their mental health issues with timely and adequate support measures is recommended.
Exploración de la memoria y escenarios de reparación simbólica desde el caso colombiano
Authors: Pirateque Perdomo Pamela , Ulloa Sánchez Kelly Stefanía 
Published: October 2021

La memoria histórica es la representación de lo vivido y la forma de recordarlo para la posteridad, lo que implica que su desconocimiento, carácter subjetivo y descripción de los hechos son capaces de reafirmar o cuestionar lo sucedido en un determinado momento y espacio. El presente artículo busca profundizar sobre la influencia de la memoria en los escenarios de reparación simbólica, teniendo en cuenta la sociedad colombiana como un ejemplo de preservación de memoria doméstica en esferas internacionales, partiendo así del entendimiento del conflicto armado interno, su desarrollo, periodos y actores. Esto, a la luz de perspectivas académicas en las que se incluyan los distintos tipos de memoria (individual, colectiva e histórica) y el proceso de reparación simbólica en el marco del conflicto. Finalmente, se logra concluir que la preservación de la memoria sigue siendo un proceso constante en la sociedad, ya que trata de reconocer los hechos, de construir la verdad sobre los mismos y garantizar su reparación (simbólica). Al mismo tiempo, que trata de evitar la repetición de hechos bélicos que generen nuevas víctimas, y la negación de la memoria, construcción de nuevas realidades que evadan la versión real de lo vivido.
Evaluación de captadores fotovoltaicos para suministro complementario de energía en aeronaves remotamente tripuladas
Authors: Mendoza Prieto Yilver Orley , Sopo Piraquive Sebastián , Torres Garzón Edison Alexis 
Published: October 2021

El uso de paneles solares en aeronaves remotamente tripuladas (ART) o drones no es muy común, y aunque viene estudiándose desde hace unos 20 años apenas en los últimos años es que ha sido estudiado más profundamente. En este artículo se hace una revisión exploratoria de tecnologías relacionadas que permita observar las tendencias tecnológicas sobre el uso de la energía solar para la alimentación eléctrica de ART’s. Para ello se realizó una conceptualización teórica de los requerimientos tecnológicos, luego se realizó una búsqueda de palabras claves en publicaciones científicas relacionadas con el tema de investigación y se analizaron con Bibliometrix. En los resultados se muestran los principales conceptos relacionados, los componentes para la implementación, usos y funcionamiento como complemento de otras fuentes de alimentación tradicionales y emergentes. Como conclusión se presenta la viabilidad de utilizar la energía fotovoltaica para las ART’s; aunque hace falta seguir estos estudios, también se deja una base conceptual que servirá para realizar trabajos futuros.
Aportes al concepto de inteligencia estratégica
Authors: Hernández Estupiñan Paula Andrea 
Published: October 2021

Este artículo realiza un diagnóstico sobre el conocimiento actual que poseen las redes académicas y la población actual de la Escuela de Inteligencia y Contrainteligencia para identificar la definición de Inteligencia estratégica. Para esto, se realiza un análisis bibliométrico en el cual se utilizaron documentos de los últimos 10 años y se procesaron con R Studio, Bibliometrix y Biblioshiny. Por otra parte, se realizó una serie de encuestas en las que se observa que entienden los oficiales, suboficiales y civiles que hacen parte del subsistema de Inteligencia y Contrainteligencia del Ejercito Nacional de Colombia, por “Inteligencia Estratégica”, en su componente de seguridad, defensa y competitividad en el ámbito empresarial.
La LOMLOE y sus controversias ante la ausencia de un pacto educativo en España
Authors: Novella-García Carlos , Cloquell-Lozano Alexis 
Published: October 2021

<p>Desde hace años, el sistema educativo español está sumergido en un aparente proceso de acuerdo social y político en el marco de la educación, cuyo pacto educativo proporcionaría un sistema estable, que al parecer no termina de germinar. En este artículo pretendemos reflexionar sobre el pacto educativo en España y la LOMLOE. Para ello, hemos analizado el debate social y político que ha suscitado la propia ley en todo su proceso, desde su propuesta en el Consejo de Ministros hasta su aprobación en el Congreso de los Diputados. Con una metodología cualitativa analítica, desde la hermenéutica crítica, hemos analizado los diarios de sesiones del Congreso y las 1.168 enmiendas presentadas. Asimismo, recogemos las valoraciones que los agentes sociales han realizado sobre la tramitación y aprobación de esta nueva ley educativa. </p>
A global analysis of the dry-dynamic forcing during cyclone growth and propagation
Authors: Besson Philippe , Fischer Luise J. , Schemm Sebastian , Sprenger Michael 
Published: October 2021

Abstract. Mechanisms driving the intensification and propagation direction of extratropical cyclones are an active field of research. Dry-dynamic forcing factors have been established as fundamental drivers of the deepening and propagation of extratropical cyclones, but their climatological interplay, geographical distribution, and relatedness to the observed cyclone deepening and propagation direction remain unknown. This study considers two key dry-dynamic forcing factors, the Eady growth rate (EGR) and the upper-level induced quasi-geostrophic lifting (QGω), and relates them to the surface deepening rates and the propagation direction during the cyclones' growth phase. To this aim, a feature-based cyclone tracking is used, and the forcing environment is climatologically analysed based on ERA-Interim data. The interplay is visualized by means of a forcing histogram, which allows one to identify different combinations of EGR and QGω and their combined influence on the cyclone deepening (12 h sea-level pressure change) and propagation direction. The key results of the study are as follows. (i) The geographical locations of four different forcing categories, corresponding to cyclone growth in environments characterized by low QGω and low EGR (Q↓E↓), low QGω but high EGR (Q↓E↑), high QGω and low EGR (Q↑E↓), and high QGω and EGR (Q↑E↑), display distinct hot spots with only mild overlaps. For instance, cyclone growth in a Q↑E↑ forcing environment is found in the entrance regions of the North Pacific and Atlantic storm tracks. Category Q↓E↑ is typically found over continental North America, along the southern tip of Greenland, over parts of East Asia, and over the western North Pacific. In contrast, category Q↑E↓ dominates the subtropics. (ii) The four categories are associated with different stages of the cyclones' growth phase: large EGR forcing typically occurs earlier, during the growth phase at genesis, while large QGω forcing attains its maximum amplitude later towards maturity. (iii) Poleward cyclone propagation is strongest over the North Pacific and North Atlantic, and the poleward propagation tendency becomes more pronounced as the deepening rate gets larger. Zonal, or even equatorward, propagation on the other hand is characteristic for cyclones developing in the lee of mountain ranges, e.g. to the lee of the Rocky Mountains. The exact location of maximum QGω forcing relative to the surface cyclone centre is found to be a good indicator for the direction of propagation, while no information on the propagation direction can be inferred from the EGR. Ultimately, the strength of the poleward propagation and of the deepening is inherently connected to the two dry-dynamic forcing factors, which allow cyclone development in distinct environments to effectively be identified.
CATETER VENOSO CENTRAL DE INSERÇÃO PERIFÉRICA E TROMBOSE: EXPERIÊNCIA EM HOSPITAL DE ALTA COMPLEXIDADE
Authors: Barbosa Jéssica Anastácia Silva , Silva Telma Christina do Campo , Pardo Dafna Maida , Garcia Marcos Rodrigo , Poltronieri Mairy Jussara de Almeida 
Published: October 2021

Objetivo: descrever as variáveis associadas à trombose nos pacientes com cateter venoso central de inserção periférica.Método: estudo de coorte, retrospectivo, com dados coletados em 2016, no sistema de informação Research Eletronic Data Capture de um hospital de alta complexidade em São Paulo, Brasil.Resultados: o paciente crítico foi o que mais apresentou trombose (77,3%). O paciente que tinha o cateter venoso central de inserção periférica com ocupação do vaso sanguíneo maior que 33%, quando puncionado mais de uma vez (15,4%), evoluiu com trombose. Referente à área de punção, não houve resultado significativo já que 96,2% dos pacientes estavam com o cateter na zona ideal de punção no braço.Conclusão: a incidência de pacientes com Cateter Venoso Central de Inserção Periférica que evoluíram com trombose foi de 1,2%, considerada baixa em comparação com outros estudos, contribuindo para fortalecer as políticas de boas práticas para o sucesso da terapia intravenosa com seu uso.
MORTALIDADE INFANTIL INDÍGENA: EVIDÊNCIAS SOBRE O TEMA
Authors: Corrêa Perla Katheleen Valente , Lobato Rosane Vieira , Santos Felipe Valino dos , Ferreira Ângela Maria Rodrigues , Rodrigues Ivaneide Leal Ataíde , Nogueira Laura Maria Vidal 
Published: October 2021

Objetivo: analisar as evidências científicas sobre a mortalidade infantil indígena.Método: revisão integrativa de literatura com 10 artigos, disponíveis na íntegra, em inglês, português e espanhol, publicados entre 2014 e 2019 no Cumulative Index to Nursing and Allied Health Literature, na Medical Literature Analysis and Retrieval Sistem on-line, na Literatura Latinoamericana e do Caribe em Ciências da Saúde, no portal da Capes e na Cochrane Library. Os dados foram obtidos entre julho e setembro de 2019, processados no IRAMUTEQ e analisados pela classificação hierárquica descendente com base no dendograma.Resultados: foram encontradas 6 classes: 1- Diferenças entre Mortalidade infantil indígena e nãoindígena; 2- Mortalidade infantil indígena; 3- Políticas públicas para os povos indígenas; 4- Ações de saúde de impacto para prevenção de óbitos infantis; 5- Importância dos sistemas de informações; 6- Necessidade de serviços de saúde resolutivos.Conclusão: as evidências indicam necessidade de ações mais efetivas para enfrentamento da mortalidade infantil indígena. A elevada taxa deve ser valorizada no planejamento em saúde.
DETERMINANTES DO NÍVEL DE PROLACTINA EM MULHERES NO PÓS-PARTO IMEDIATO
Authors: Pitilin Erica De Brito , Gasparin Vanessa Aparecida , Bagatini Margarete Dulce , Lentsck Maicon Henrique 
Published: October 2021

Objetivo: identificar os determinantes do nível de prolactina em mulheres no pós-parto imediato.Método: estudo transversal realizado com 60 puérperas atendidas em um hospital referência no oeste de Santa Catarina. Foram realizadas a aplicação de questionário, Escala de Ansiedade Idate-Traço e coleta de prolactina por meio de punção venosa. Os dados foram analisados mediante regressão linear simples e múltipla.Resultados: o nível médio de prolactina foi 268,38 ng/mL. O tempo de aleitamento durante a primeira hora de nascimento (p=0,000) e o tipo de parto (p=0,017) foram capazes de prever o desfecho do estudo, enquanto o tempo de puerpério em horas (p=0,088) e a ansiedade (p=0,170) não se mantiveram estatisticamente significativas no modelo final.Conclusão: espera-se que o resultado desse estudo venha contribuir para estimular e encorajar a adoção de condutas favorecedoras na assistência prestada às mulheres.
PREVALÊNCIA DA DOENÇA DE CHAGAS ASSOCIADA AO MODO DE INFECÇÃO
Authors: Nascimento Letícia Pâmela Garcia Ribeiro do , Nogueira Laura Maria Vidal , Rodrigues Ivaneide Leal Ataíde , André Suzana Rosa , Graça Victor Viana da , Monteiro Nicole Jucá 
Published: October 2021

Objetivo: analisar a prevalência da doença de Chagas aguda e associação com o modo de infecção.Método: estudo descritivo, quantitativo realizado na região de saúde do Tocantins - Pará - Brasil, com 346 casos da doença de Chagas aguda. Os dados foram obtidos em setembro de 2017 e correspondem a 2012-2016, oriundos do Sistema de Informação de Agravos de Notificação.Foram analisados pelo Qui-quadrado de Pearson, p≤0,05, no Excel® 2013.Resultados: maior acometimento do sexo masculino (56,93%) e moradores da zona rural (56,35%). Na zona urbana, 110 (94%) contraíram a doença por via oral e sete (6%) por via vetorial. Na rural, 137 (84%) foram infectados por via oral e 26 (16%) por via vetorial (p=0,010).Conclusões: o controle da doença demanda políticas públicas específicas alinhadas às especificidades locorregionais. A doença de Chagas aguda mostrou-se prevalente com associação entre a infecção oral e residente de área urbana.
PADRÃO ESPACIAL DA MALÁRIA EM POPULAÇÕES INDÍGENA E NÃO INDÍGENA NO ESTADO DO PARÁ
Authors: Caldas Rosinelle Janayna Coêlho , Santos Natália Cristina Costa dos , Rodrigues Ivaneide Leal Ataíde , Paiva Bárbara Lopes , Trindade Lidiane De Nazaré Mota , Nogueira Laura Maria Vidal 
Published: October 2021

Objetivo: analisar o padrão espacial da malária nas populações indígena e não indígena no estado do Pará. Método: estudo ecológico, com análise de 379.511 casos de malária notificados ao Sistema de Informação de Vigilância Epidemiológica – Malária, no período 2010 a 2015, no estado do Pará. Os dados foram georreferenciados com auxílio do programa QGIS versão 3.14 e interpolados através do Estimador de Densidade Kernel, para criação de mapas digitais. Realizou-se cálculo e análise da Incidência Parasitária Anual de malária nas mesorregiões do Pará. Resultados: mostraram-se maiores Índices Parasitários Anuais em populações indígenas quando comparados aos não indígenas, com Incidência Parasitária Anual=163,05/1.000 habitantes e 165,27/1.000 habitantes entre indígenas, e 17,26/1.000 habitantes e 14,26/1.000 habitantes em não indígenas. Conclusão: a distribuição territorial da malária é desigual nas mesorregiões considerando a condição de ser ou não indígena, o que sugere necessidade de valorizar as especificidades culturais locorregionais, para direcionar ações de controle mais resolutivas.
Perception of Teachers and Parents on Appropriate Physical Environment for Learning Through Play in Malaysian Preschools
Authors: Lim Pearly Pei Li , Bahauddin Azizi , Aziz Nor Fadzila 
Published: October 2021

As physical environments play a role in supporting learning though play (LTP) in preschools, users and interest group’s perceptions of appropriate physical environment features for LTP become significant. This article examines perceptions of teachers and parents concerning an appropriate indoor physical environment for LTP in Malaysian preschools.A five-point Likert scale and preference ranking were employed to understand teachers’ and parents’ perception of six features including sizing of spaces; material availability; spaces for creation and respite; indoor-outdoor connection; and provision of challenges. The findings included; variety of materials, spaces for personalization, spaces for challenges and good indoor-outdoor connection.