bluuebunny/crossref_metadata_2025_split huggingface dataset:
Quantitative biofilm for bacterial pathogens of ventilator-associated pneumonia
Authors: Dewi Fitri Hapsari , . Suradi , Purwanto Bambang , Wasita Brian 
Published: April 2021

Background & Objective: Ventilator–associated pneumonia (VAP) is one of the most common nosocomial infections in clinical care settings. Several bacteria with biofilm–producing ability offer serious challenge in their eradication. Prompt and accurate diagnosis is needed to provide the best care for the patients. This study aimed to analyze whether biofilm examination using quantitative method can be used as a diagnostic tool for bacterial pathogens associated with VAP.
Methodology: This observational analytical study was conducted in Intensive Care Units of three teaching hospitals in Surakarta, Central Java, Indonesia, from November 2019 to April 2020. The subjects were between 19 and 65 y old, with a newly introduced endotracheal tube (ETT) connected to mechanical ventilators, and without pneumonia. Biofilm quantitative measurement used a microtiter plate method from bacterial culture found on ETT at the 48th hour after being mechanically ventilated. The Clinical Pulmonary Infection Score (CPIS) assessment was done at the 48th hour and CPIS of less than 6 was defined as VAP. The analysis used Spearman’s rank and Kendall tau–b correlation. The samples were taken using a consecutive sampling technique.
Results: A significant correlation between biofilm and VAP was found (ρ = 0.039, p < 0.05). Biofilm was also sufficiently correlated with an increase in CPIS (τb = 0.341, p < 0.05)
Conclusions: Quantitative biofilm can be used as a diagnostic tool for establishing the diagnosis of VAP so that appropriate therapy can be administered immediately.
Key words: Bacterial pathogen; Biofilm; Ventilator–associated pneumonia
Abbreviations: CPIS: Clinical Pulmonary Infection Score; VAP: Ventilator–associated pneumonia; ETT: Endotracheal tube; PCR: Polymerase chain reaction; OD: Optical density
Citation: Dewi FH, Suradi, Purwanto B, Wasita B. Quantitative biofilm for bacterial pathogens of ventilator-associated pneumonia. Anaesth. pain intensive care 2021;25(2):132-137. DOI: 10.35975/apic.v25i2.1468
Received: 24 September 2020, Reviewed: 27, 30 October 2020, Accepted: 3 March 2021
Teamwork in chronic pain management and the way forward in low and middle-income countries
Authors: Siddiqui Ali Sarfraz , Bashir Usman 
Published: April 2021

Assessment and management of patients with chronic pain is a challenging task due to its complex multidimensional nature and biopsychosocial impact. It requires a collaborative effort by an interdisciplinary team. Evidence showed that in low and middle-income countries (LMICs), 33% patients among general adult population, and 56% of general elderly population, suffer from chronic painful conditions. Women are more likely to report chronic pain than men. In this narrative review, we attempted to search published literature to know the status of assessment and management of patients with chronic pain in low resource countries and to know the most appropriate chronic pain management strategies used in developed countries. We used broad electronic database (January 2010- December 2020) through common search engines.
Lack of trained pain physicians and staffs, lack of interest, empathy and lack of integrated multidisciplinary approach are some of the barriers to achieve teamwork in chronic pain management. Authors strongly recommend the need of further research in this area, improvement in training programs for physicians and nursing staff for proper pain assessment and management of patients with chronic pain in low resource countries.
Key words: Chronic pain management; Teamwork; Low resource; Multidisciplinary team; Interdisciplinary approach; Low and middle-income countries
Citation: Siddiqui AS, Usman B. Teamwork in chronic pain management and the way forward in low and middle-income countries. Anaesth pain intensive care 2021;25(2):229-235. DOI: 10.35975/apic.v25i2.1477
Received: 18 January 2021, Reviewed: 20 January, 10 February 2021, Accepted: 9 March 2021
Case of steroid-sensitive nephrotic syndrome in a child with orphan disease – leucinosis.
Authors: Siraeva T. A. , Sharafiev G. R. , Gatyatullin R. F. , Shtrangar E. A. , Chirikina D. O. , Aksenov A. V. 
Published: April 2021

BACKGROUND. The article presents the case of a clinical and laboratory complex of a recurrent hormone-sensitive variant of nephrotic syndrome in a patient with leucinosis (maple syrup disease). THE AIM: to study the clinical laboratory features of nephrotic syndrome in a child with orphan disease – leucinosis. A PATIENT. A 4-year-old child born in a consanguineous marriage, who had previously been diagnosed with a rare genetic disease leucinosis, was examined. The manifestation of leucinosis began from the 8th day of birth. Based on the results of a molecular genetic study the diagnosis was pinpointed as leucinosis with an autosomal recessive mode of inheritance, classic neonatal (maple syrup disease). At the age of 4 the child developed a clinical and laboratory complex of nephrotic syndrome. RESULTS. The onset of nephrotic syndrome was characterized by a hormone-sensitive course. After completion of the course of glucocorticosteroid therapy, there was a relapse because of acute respiratory infection which also turned out to be hormone-sensitive. Kidney function was not impaired. There were no crises of leucinosis due to nephrotic syndrome. CONCLUSION. Taking into account the development of nephrotic syndrome in a child with a genetically determined disease, a molecular genetic examination should be done to exclude the hereditary nature of the developed nephrotic syndrome. The examination is of great clinical importance for determining treatment tactics, cytostatic therapy, doing a kidney biopsy in order to determine the morphological form of glomerulonephritis, prognosis of progression to the end-stage renal failure.
Hubungan antara Jenis Kelamin dan Usia dengan Motivasi Belajar Renang
Authors: Solihin Akhmad Olih , Sriningsih  , Rachmawati Adinda 
Published: April 2021

Pada penelitian ini peneliti memiliki tujuan untuk mengetahui Hubungan Antara Jenis Kelamin dan Usia dengan Motivasi Belajar Renang. Metode penelitian yang digunakan adalah metode deskriptif dengan teknik korelasional. Populasi yang digunakan adalah anggota UKM Aquatic STKIP Pasundan Cimahi yang berjumlah 50 orang dan sampel yang digunakan berjumlah 19 orang dengan menggunakan purposive sampling. Hasil penghitungan korelasi antara jenis kelamin dengan motivasi belajar renang = 0,203 hasil korelasi usia dengan motivasi belajar renang = 0,264 hasil korelasi antara jenis kelamin dan usia dengan motivasi belajar renang = 0,192. Maka berdasarkan hasil korelasi yang didapat, peneliti menyimpulkan bahwa terdapat hubungan yang rendah antara jenis kelamin dan usia dengan motivasi belajar renang
Evaluating the Reliability of a Simple Method to Map the Magnetic Field Azimuth in the Solar Chromosphere
Authors: Jurčák Jan , Štěpán Jiří , Trujillo Bueno Javier 
Published: April 2021

Abstract
The Zeeman effect is of limited utility for probing the magnetism of the quiet solar chromosphere. The Hanle effect in some spectral lines is sensitive to such magnetism, but the interpretation of the scattering polarization signals requires taking into account that the chromospheric plasma is highly inhomogeneous and dynamic (i.e., that the magnetic field is not the only cause of symmetry breaking). Here we investigate the reliability of a well-known formula for mapping the azimuth of chromospheric magnetic fields directly from the scattering polarization observed in the Ca ii 8542 Å line, which is typically in the saturation regime of the Hanle effect. To this end, we use the Stokes profiles of the Ca ii 8542 Å line computed with the PORTA radiative transfer code in a three-dimensional (3D) model of the solar chromosphere, degrading them to mimic spectropolarimetric observations for a range of telescope apertures and noise levels. The simulated observations are used to obtain the magnetic field azimuth at each point of the field of view, which we compare with the actual values within the 3D model. We show that, apart from intrinsic ambiguities, the method provides solid results. Their accuracy depends more on the noise level than on the telescope diameter. Large-aperture solar telescopes, like DKIST and EST, are needed to achieve the required polarimetric sensitivity using reasonable exposure times.
A Comprehensive Power Spectral Density Analysis of Astronomical Time Series. II. The Swift/BAT Long Gamma-Ray Bursts
Authors: Tarnopolski Mariusz , Marchenko Volodymyr 
Published: April 2021

Abstract
We have investigated the prompt light curves of long gamma-ray bursts (GRBs) from the Swift/BAT catalog. We aimed to characterize their power spectral densities (PSDs), search for quasiperiodic oscillations (QPOs), and conduct novel analyses directly in the time domain. We analyzed the PSDs using Lomb–Scargle periodograms, and searched for QPOs using wavelet scalograms. We also attempted to classify the GRBs using the Hurst exponent, H, and the

plane. The PSDs fall into three categories: power law (PL; P(f) ∝ 1/f

β
) with index β ∈ (0, 2), PL with a non-negligible Poisson noise level (PLC) with β ∈ (1, 3), and a smoothly broken PL (with Poisson noise level) yielding high-frequency index β
2 ∈ (2, 6). The latter yields break timescales of the order of 1–100 s. The PL and PLC models are broadly consistent with fully developed turbulence, β = 5/3. For an overwhelming majority of GRBs (93%), H > 0.5, implying ubiquity of the long-term memory. We find no convincing substructure in the

plane. Finally, we report on 34 new QPOs, with one or more constant leading periods, as well as several chirping signals. The presence of breaks and QPOs suggests the existence of characteristic timescales that in at least some GRBs might be related to the dynamical properties of plasma trajectories in the accretion disks powering the relativistic jets.
The Distance and Peculiar Velocity of the Norma Cluster (ACO3627) Using the Near-infrared J- and K

s
-band Fundamental Plane Relations
Authors: Mutabazi T. 
Published: April 2021

Abstract
We report distance measurements for the Norma cluster based on the near-infrared J- and K

s
-band fundamental plane (FP) relations. Our simultaneous J- and K

s
-band photometry analyses were performed using 31 early-type galaxies in the nearby Norma cluster obtained using the 1.4 m InfraRed Survey Facility (IRSF) at the South African Astronomical Observatory. Our final K

s
-band FP sample consists of 41 early-type galaxies from the Norma cluster observed using the IRSF and the New Technology Telescope (NTT) at the European Southern Observatory. This is the largest cluster sample used for peculiar velocity studies in the Great Attractor region to date. From the K

s
-band FP, we find a distance to the Norma cluster of 4915 ± 121 km s−1. The implied peculiar velocity for Norma is 44 ± 151 km s−1, which further supports a small peculiar velocity for the Norma cluster.
Improved Atomic Transition Probabilities for UV and Optical Lines of Hf II and Determination of the Hf Abundance in Two Metal-poor Stars*
Authors: Den Hartog E. A. , Lawler J. E. , Roederer I. U. 
Published: April 2021

Abstract
We report new branching fraction measurements for 199 UV and optical transitions of Hf ii. These transitions range in wavelength (wavenumber) from 2068 to 6584 Å (48,322–15,183 cm−1) and originate in 17 odd-parity upper levels ranging in energy from 38,578 to 53,227 cm−1. The branching fractions are combined with radiative lifetimes reported in an earlier study to produce a set of transition probabilities and log(gf) values with accuracy ranging from 5% to 25%. Comparison is made to transition probabilities from the literature where such data exist. We use these new transition probabilities to derive improved Hf abundances in two metal-poor stars. HD 196944 is enhanced in s-process elements, and we derive log ε (Hf) = −0.72 ± 0.03 (σ = 0.09) from 12 Hf ii lines. HD 222925 is enhanced in r-process elements, and we derive log ε (Hf) = 0.32 ± 0.03 (σ = 0.11) from 20 Hf ii lines. These measurements greatly expand the number of potentially useful Hf ii lines for analysis in UV and optical spectra.
Parker Solar Probe Evidence for Scattering of Electrons in the Young Solar Wind by Narrowband Whistler-mode Waves
Authors: Cattell C. , Breneman A. , Dombeck J. , Short B. , Wygant J. , Halekas J. , Case Tony , Kasper J. C. , Larson D. , Stevens Mike , Whittesley P. , Bale S. D. , Dudok de Wit T. , Goodrich K. , MacDowall R. , Moncuquet M. , Malaspina D. , Pulupa M. 
Published: April 2021

Abstract
Observations of plasma waves by the Fields Suite and of electrons by the Solar Wind Electrons Alphas and Protons Investigation on the Parker Solar Probe provide strong evidence for pitch angle scattering of strahl-energy electrons by narrowband whistler-mode waves at radial distances less than ∼0.3 au. We present two example intervals of a few hours each that include eight waveform captures with whistler-mode waves and 26 representative electron distributions that are examined in detail. Two were narrow, seventeen were clearly broadened, and eight were very broad. The two with narrow strahl occurred when there were either no whistlers or very intermittent low amplitude waves. Six of the eight broadest distributions were associated with intense, long duration waves. Approximately half of the observed electron distributions have features consistent with an energy-dependent scattering mechanism, as would be expected from interactions with narrowband waves. A comparison of the wave power in the whistler-mode frequency band to pitch angle width and a measure of anisotropy provides additional evidence for electron scattering by whistler-mode waves. We estimate the range of resonances based on the wave properties and energies over which broadening is observed. These observations provide strong evidence that the narrowband whistler-mode waves scatter strahl-energy electrons to produce the halo and to reduce the electron heat flux.
Evidence that Ultra-high-energy Gamma Rays Are a Universal Feature near Powerful Pulsars
Authors: Albert A. , Alfaro R. , Alvarez C. , Álvarez J. D. , Angeles Camacho J. R. , Arteaga-Velázquez J. C. , Arunbabu K. P. , Rojas D. Avila , Ayala Solares H. A. , Baghmanyan V. , Belmont-Moreno E. , BenZvi S. Y. , Brisbois C. , Caballero-Mora K. S. , Capistrán T. , Carramiñana A. , Casanova S. , Cotti U. , Cotzomi J. , Coutiño de León S. , De la Fuente E. , de León C. , Diaz Hernandez R. , Dingus B. L. , DuVernois M. A. , Durocher M. , Díaz-Vélez J. C. , Ellsworth R. W. , Engel K. , Espinoza C. , Fan K. L. , Fernández Alonso M. , Fraija N. , Galván-Gámez A. , García-González J. A. , Garfias F. , Giacinti G. , González M. M. , Goodman J. A. , Harding J. P. , Hernandez S. , Hona B. , Huang D. , Hueyotl-Zahuantitla F. , Hüntemeyer P. , Iriarte A. , Jardin-Blicq A. , Joshi V. , Kieda D. , Lara A. , Lee W. H. , Lee J. , León Vargas H. , Linnemann J. T. , Longinotti A. L. , Luis-Raya G. , Lundeen J. , Malone K. , Marandon V. , Martinez O. , Martínez-Castro J. , Matthews J. A. , Miranda-Romagnoli P. , Morales-Soto J. A. , Moreno E. , Mostafá M. , Nayerhoda A. , Nellen L. , Newbold M. , Nisa M. U. , Noriega-Papaqui R. , Olivera-Nieto L. , Omodei N. , Peisker A. , Araujo Y. Pérez , Pérez-Pérez E. G. , Rho C. D. , Roh Y. J. , Rosa-González D. , Ruiz-Velasco E. , Salazar H. , Salesa Greus F. , Sandoval A. , Schneider M. , Schoorlemmer H. , Serna-Franco J. , Smith A. J. , Springer R. W. , Surajbali P. , Tanner M. , Tollefson K. , Torres I. , Torres-Escobedo R. , Turner R. , Ureña-Mena F. , Villaseñor L. , Weisgarber T. , Willox E. , Zhou H. ,   HAWC Collaboration
Published: April 2021

Abstract
The highest-energy known gamma-ray sources are all located within 0.°5 of extremely powerful pulsars. This raises the question of whether ultra-high-energy (UHE; >56 TeV) gamma-ray emission is a universal feature expected near pulsars with a high spin-down power. Using four years of data from the High Altitude Water Cherenkov Gamma-Ray Observatory, we present a joint-likelihood analysis of 10 extremely powerful pulsars to search for subthreshold UHE gamma-ray emission correlated with these locations. We report a significant detection (>3σ), indicating that UHE gamma-ray emission is a generic feature of powerful pulsars. We discuss the emission mechanisms of the gamma rays and the implications of this result. The individual environment, such as the magnetic field and particle density in the surrounding area, appears to play a role in the amount of emission.
Comment peut-on améliorer la performance individuelle au travail ?
Authors: Nande Florence , Commeiras Nathalie 
Published: April 2021

La performance individuelle au travail est au cœur des débats de toutes les organisations, relevant du secteur privé ou de la fonction publique. La littérature sur ses déterminants est foisonnante. Cependant, peu de travaux analysent les liens entre les identités multiples détenues par un individu (appelées ici ressources identitaires), les ressources contextuelles présentes dans son environnement de travail et sa performance individuelle au travail. L’objectif de cette recherche est de tester d’une part, les effets directs des ressources identitaires sur la performance au travail et d’autre part, l’effet médiateur des ressources contextuelles sur cette relation. Cette recherche suggère ainsi qu’en contexte de travail, les ressources contextuelles à la disposition des individus interagissent avec ses ressources identitaires et vont avoir des conséquences en termes de performance au travail. Pour mieux appréhender ces relations, la théorie de la conservation des ressources (Hobfoll, 1989; Hobfoll et al ., 2018) est mobilisée. Pour les tester, une étude empirique auprès de 400 enseignants-chercheurs français titulaires d’Universités Françaises a été menée. Les résultats de la recherche indiquent que les effets directs des ressources identitaires sur la performance sont peu nombreux. En revanche, les ressources contextuelles médiatisent la relation entre les ressources identitaires d’un individu et sa performance individuelle au travail, mettant en exergue l’importance dans une culture managériale d’un environnement de travail favorable à la préservation et l’acquisition des ressources des individus.
Voyage des ressources en organisation polaire : étude d’un « Caravan resources passageway » au sein d’un centre hospitalier
Authors: Alphonse-Tilloy Isabelle , Dubroeuq Anne-Fabienne , Scoyez-Van Poppel Sylvie 
Published: April 2021

La littérature décrit une intensification du travail des cadres paramédicaux (cadres de santé et cadres paramédicaux de pôle) exerçant dans les établissements hospitaliers qui est susceptible d’impacter la santé au travail. Des réorganisations structurelles ont par ailleurs modifié le contexte dans lequel cet encadrement opère. Dans quelle mesure ce contexte est-il créateur ou destructeur de ressources permettant à l’encadrement paramédical de faire face aux exigences ? Le traitement de cette problématique repose sur la mobilisation du concept de « Caravan Resources Passageways » (CRP) issu de la théorie de la conservation des ressources (Hobfoll, 1998, 2001 ; Halbesleben et al., 2014). L’apport théorique de l’article réside dans l’identification et la caractérisation de six mécanismes par lesquels un CRP agit, dans le cadre d’une étude de cas réalisée sur l’encadrement paramédical d’un établissement hospitalier : l’attribution de ressources, l’invalidation de ressources, la diffusion de signaux pour investir en ressources, le renforcement des gains et des pertes, le renforcement ou l’atténuation du besoin en ressources et la restauration de ressources. L’enjeu managérial consiste à identifier les leviers d’action permettant de retrouver des gisements de ressources et ainsi influer sur la qualité de vie au travail des personnels de cet encadrement.
Régulation des conflits interpersonnels : le rôle de l’objet-frontière
Authors: Ndiaye Adama 
Published: April 2021

L’objet-frontière permet-il de réguler les conflits interpersonnels dans le secteur social et médico-social ? L’usage d’un objet frontière cadre le questionnement, et une démarche ethnographique de deux études de cas longitudinales dans le secteur social et médico-social est déployée. Les résultats montrent deux trajectoires contrastées : un premier cas (REPOSANCE) marqué par la persistance des conflits interpersonnels et la perte de sens, un second cas (RESTOS DU CŒUR) montrant une capacité de prise en charge effective des conflits interpersonnels. En proposant le concept d’objet-frontière, nous montrons leur rôle dans la prise en charge vertueuse et pérenne des conflits interpersonnels.
L’institut Luce sous la présidence Sardi 1928-1933
Authors: Copertino Giovanni 
Published: April 2021

Penser la période fasciste, c’est se confronter à des images, des documentaires et des ciné-journaux, qui ont marqué une partie de l’histoire du xx e siècle italien. Sans doute Benito Mussolini a été attiré par toutes les potentialités du nouveau moyen cinématographique pour acculturer les masses au nouveau régime fasciste.
The Effects of Continuing Education on Nursing Practice: A Meta-Analysis
Authors: Waddell Donna L 
Published: April 2021

ABSTRACT
A meta-analysis of published and unpublished studies was conducted to reconcile the apparent conflicting results in the domain of research designed to determine the effects of continuing education on nursing practice. The overall mean effect size supported the hypothesis that continuing education positively affects nursing practice. Findings related to mediating effects were inconclusive. Suggestions for future research are given.
Nursing Internships: Taking a Second Look
Authors: Kotecki Catherine Nuss 
Published: April 2021

ABSTRACT
Nursing internships are associated with recruitment and retention efforts of hospitals to gain new nursing employees. They are recognized as a benefit to new nursing staff and the hospital as well. Reported to bridge the gap and ease the transition to registered nurse, internships have been reported in the literature for over 30 years. But how effective are they? This article reviews the recent literature for evidence that internship programs improve recruitment and retention, have a positive cost benefit ratio, and ease the role transition of newly employed nurses.
Using a Game Format to Improve Compliance with Required Review of Hospital Standards and Policies
Authors: Felder Beverly J 
Published: April 2021

ABSTRACT
Maintaining quality patient care requires frequent review of hospital standards and policies. This repetition, however, proves to be boring and not much fun, resulting in poor staff participation. The anticipation of a visit from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) provided the impetus for individual nursing units to develop a means of addressing this problem. Utilizing shared governance concepts, staff developed a game format to stimulate interest. This not only made learning and reviewing fun, but also empowered the staff to become accountable for the quality of their work. This article describes the development of the game format, its implementation, and evaluation of its effectiveness.