bluuebunny/crossref_metadata_2025_split huggingface dataset:
Why do women choose to undergo oocyte aspiration without sedation or analgesia?
Authors: Gilboa Daniella , Seidman Liron , Kimiagarov Polina , Noni Avia , Doron Ravid , Seidman Daniel S 
Published: March 2021

Objective
Oocyte pick-up (OPU) is a painful but essential part of in-vitro fertilization (IVF) that is usually performed under sedation and analgesia (SaA). Our aim was to study that why some women decide to undergo OPU without SaA?

Methods
This was a prospective study using patient questionnaires and the standardized 7-item generalized anxiety disorder (GAD-7) score. The patients were asked to assess the pain experienced during OPU using a visual analog scale (VAS). The study sample was a convenience sample of 100 healthy women undergoing OPU at our unit with or without SaA.

Results
Women who chose to undergo OPU without SaA were significantly more likely to express the fear of anesthesia. A high pain score (VAS ≥ 6) was reported by significantly more patients who underwent OPU without SaA than with SaA. Yet, 98% of the patients who underwent OPU without SaA stated that in future IVF cycles, they would still choose to undergo OPU without SaA. More patients had high anxiety scores among those who underwent OPU with than without SaA.

Conclusions
Women who chose to undergo OPU without SaA reported more often fear of anesthesia. Although these women experienced significantly more pain during OPU, almost all of them suggested that they would still choose to undergo OPU without SaA. Increased anxiety, as expressed by higher GAD-7 scores, was not associated with a tendency to choose SaA during OPU. The option of OPU without SaA seems to be an acceptable option for selected women.

Lay summary
Egg retrieval from the ovaries is a painful part of in vitro fertilization (IVF). It is, therefore, usually performed under sedation and pain relief (analgesia). The aim of this study was to investigate: Why some women decide to undergo egg retrieval without sedation? We prospectively studied 100 women using patient questionnaires and standardized scores in order to measure patient's pain and anxiety levels. We found that women who chose to undergo egg retrieval without sedation were significantly more likely to express fear of anesthesia. As expected, women who decided to forgo sedation experienced more pain during egg retrieval, yet, 98% of them decided that in future IVF cycles, they would still choose to undergo egg retrieval without sedation. Surprisingly, women who had high anxiety scores were not more likely to ask for sedation during egg retrieval. The option to undergo egg retrieval without sedation during IVF seems to be acceptable for some women.
Rita Hayworth murió sin saber quién era. Fronteras del conocimiento y del relato en La estirpe del silencio, de Sandra Lorenzano
Authors: Martínez Rubio José 
Published: March 2021

Este artículo analiza La estirpe del silencio, novela de Sandra Lorenzano que recrea la vida de Rita Hayworth, a partir de tres fronteras: la frontera geográfica, la frontera de la memoria, la frontera del lenguaje. Estas marcan los límites no solo entre territorios, sino también entre espacios y conceptos como el progreso y el atraso, la civilización y la violencia, la realidad y la ficción. Es decir: los límites del conocimiento y del relato.Palabras clave: Rita Hayworth, alzhéimer, biografía, ficción, Sandra LorenzanoRita Hayworth died without knowing who she was. Frontiers of knowledge and story in Sandra Lorenzano’s La estirpe del silencioAbstract: This article analyzes La estirpe del silencio, Sandra Lorenzano’s novel, that recreates the life of Rita Hayworth, from three borders: geographical border, the border of memory, language border. These mark the boundaries not only between territories, but also between spaces and concepts as progress and backwardness, civilization and violence, reality and fiction. That is, the limits of knowledge and story.Keywords: Rita Hayworth, Alzheimer, Biography, Fiction
Lung Ultrasound Findings Compared to Chest CT Scan in Patients with COVID-19 Associated Pneumonia: A Pilot Study
Authors: Hatamabadi Hamidreza , Shojaee Majid , Bagheri Mohammad , Raoufi Masoomeh 
Published: March 2021

Introduction: Lung US has been reported to be as useful as a chest CT scan and much better than a chest x-ray for the evaluation of pneumonia.
Objective: This study aimed to compare the findings of lung ultrasound (US) and chest CT scan of patients with COVID-19-associated pneumonia in the Emergency Department (ED).
Methods: This retrospective observational pilot study was carried out on confirmed COVID-19 patients in the isolation corona ward of the Imam Hussein Hospital ED from March 15 to March 22, 2020. After obtaining demographic data, the patients underwent a pulmonary bedside US examination, with the patients in the sitting position, turning their back to the examiner. A 10-point lung US was performed. Each lung was divided into two areas: posterior (three zones) and lateral (two zones). The patients’ lung ultrasound and chest CT scan as the standard imaging were blindly reviewed and recorded. The clinical value of ultrasound was evaluated with different severity of lung involvement according to CT severity score.
Results: Nineteen patients (38 zones), including 13 males, were evaluated with a mean age of 62.5±16.8 years. B2 lines and consolidation observed in the US examinations were significantly correlated with ground-glass opacity and consolidation observed in CT scan examinations, respectively (p <0.0001). US sensitivity and specificity of finding B2 lines were 90% and 100%, respectively. Also, the sensitivity and specificity of US in identifying consolidation were 82% and 100%, respectively. In the lungs with moderate and severe lobar involvement, US findings were significantly correlated (p <0.05) with CT scan findings.
Conclusions: Ultrasound evaluation is a safe, fast, and rapid technique for the evaluation of patients with moderate to severe COVID-19-associated pneumonia. It is a reproducible procedure and can be implemented by the operator after a short course of training.
EXTENSÃO UNIVERSITÁRIA COMO MECANISMO DE DESENVOLVIMENTO REGIONAL
Authors: Delfino dos Santos Abner , Moraes Biehl Hellen , Marques da Rosa Inglid , Victor Pacheco Gomes João , Luiz Pires Boldori Marlon , Amaral Oliveira Rafael , Maia de Moraes Thauan 
Published: March 2021

A extensão universitária faz parte da tríade ensino-pesquisa-extensão, sendo um dever das instituições promover está última tanto quanto as outras, assim ampliando a formação dos acadêmicos, levando a experiência singular que a extensão permite a sua prática e auxiliando no desenvolvimento regional por tabela, através do diálogo ativo com a comunidade em que está inserida, atentando-se às demandas que aparecem. Método: Revisão de literatura de ordem qualitativa. A busca de artigos e demais materiais foi realizada em bases de dados nacionais e utilizando principalmente o banco de dados como SCIELO e literatura da área, assim como plataformas do Governo Federal do Brasil, utilizando artigos sem limitação de ano de publicação, dissertações, livros, leis, portarias ministeriais e leis federais. Conclusão: A partir dos achados na literatura a atuação extensionistas das universidades pode ser ampliada e incentivada, utilizando de uma maior multidisciplinaridade em suas ações, mas sendo observado as conquistas da área e seus impactos positivos no desenvolvimento regional.Palavras-chave: Extensão universitária, Universidade, Desenvolvimento regional e Extensão acadêmica.
AUDIT SISTEM PEMBANGKIT TENAGA SURYA DI PULAU SABIRA - JAKARTA
Authors: Prabowo Bayu , Rif’an Muhammad , Subekti Massus 
Published: March 2021

The purpose of this study was to study the non-optimal causal factors and the work system of PLTS 15 kWp as a power plant on Sabira Island. This study used qualitative research methods. The subjects of this study were search results that were not optimal in PLTS 15 kWp on Sabira Island. The data analysis technique used is descriptive analysis with data collection techniques, namely field observations. The results of the study indicated that the 15 kWp PLTS on Sabira Island was deactivated (not charged). This is because the optimal performance of PLTS 15 kWp which is caused by damage to some components inside. The conclusion of this study is the factors that cause no optimal photovoltaic output system on PLTS 15 kWp are differences in the character of 4 solar modules on 2 strings, shading, snail track, hot spot and dust buildup on solar modules, incompatible interconnections and damage to inverter modules due to lack of maintenance and regular monitoring of the components of the PLTS. This shows that the importance of periodic maintenance and monitoring of all components of PLTS.
ABSTRAK
Tujuan dari penelitian ini adalah mengetahui faktor penyebab tidak optimalnya dan sistem kerja dari PLTS 15 kWp sebagai pembangkit listrik di Pulau Sabira. Penelitian ini menggunakan metode penelitian kualitatif. Subjek dari penelitian ini adalah pencarian penyebab tidak optimalnya kinerja PLTS 15 kWp di Pulau Sabira. Teknik analisis data yang digunakan yaitu analisis deskriptif dengan teknik pengumpulan data yaitu observasi lapangan. Hasil penelitian menujukan bahwa PLTS 15 kWp di Pulau Sabira dalam keadaan dinonaktifkan (tidak dikebebankan). Hal ini karena tidak optimalnya kinerja PLTS 15 kWp yang disebabkan oleh kerusakan pada beberapa komponen di dalamnya. Kesimpulan dari penelitian ini adalah faktor – faktor yang menyebabkan tidak optimalnya photovoltaic output system pada PLTS 15 kWp adalah perbedaan karakter 4 modul surya pada 2 string, shading, snail track, hot spot serta penumpukan debu pada modul surya, interkoneksi yang tidak kompatibel dan kerusakan pada modul inverter akibat dari kurangnya perawatan serta monitoring secara teratur terhadap komponen-komponen PLTS tersebut. Hal ini menunjukan bahwa pentingnya perawatan dan monitoring secara berkala terhadap seluruh komponen PLTS.
Recanalization strategies in childhood stroke: a 3-year surveillance study in Germany
Authors: Olivieri Martin , Sorg Anna-Lisa , Weinberger Raphael , Kurnik Karin , Bidlingmaier Christoph , Juranek Sabrina , Hoffmann Florian , Reiter Karl , Bonfert Michaela , Tacke Moritz , Borggraefe Ingo , Heinen Florian , Gerstl Lucia 
Published: March 2021

Abstract
Objective

Childhood acute ischemic stroke (CAIS) is a rare event. Diverse etiologies, risk factors, symptoms and stroke mimics hamper obtaining a fast diagnosis and implementing immediate recanalization strategies.
Methods

Over a period of 3 years (2015–2017), the data of 164 pediatric patients (> 28 days of life-18 years) with a first episode of AIS were submitted to a hospital-based nationwide surveillance system for rare disorders (ESPED). We report a subgroup analysis of patients who have undergone recanalization therapy and compare these data with those of the whole group.
Results

Twenty-eight patients (17%) with a median age of 12.2 years (range: 3.3–16.9) received recanalization therapy. Hemiparesis, facial weakness and speech disturbance were the main presenting symptoms. The time from onset of symptoms to confirmation of diagnosis was significantly shorter in the intervention group (4.1h vs. 20.4 h, p = < 0.0001). Only in one patient occurred a minor bleed. Cardiac disease as predisposing risk factor was more common in the recanalization group.
Conclusion

Recanalization therapies are feasible and increasingly applied in children with AIS. High awareness, timely diagnosis and a large amount of expertise may improve time to treatment and make hyperacute therapy an option for more patients improving their outcomes.
Could pollution levels, characteristics, sources of PAHs in atmospheric particulate matter break the Hu line?
Authors: Wu Yongfu , Shi Yan , Zhang Ning , Wang Yingqiang , Ren Yibin 
Published: March 2021

Abstract
Were the pollution levels, characteristics and sources of PAHs related to the population and GDP on both sides of the Hu line? What was the relationship between them? The study summarizes and discusses available data for PAHs in atmospheric particulate matter (PM) from 93 above prefecture-level cities in China in 2000-2019. The results suggested that the concentration of PAHs in PM varied with 7 regions of China in descending order: Northeast (NE) > North China (NC) > Northwest (NW) > South China (SC) > Southwest (SE) > Central China (CC) > South China Sea (SCS). Meanwhile, the mean value of carcinogenic PAHs, non-carcinogenic PAHs, PAHs derived from the burning of organic matter, low molecular weight PAHs, medium molecular weight PAHs, and high molecular weight PAHs in 16 priority PAHs was 53.5%, 46.5%, 80.0%, 16.9%, 45.2%, 37.9%, respectively. Moreover, from NW to NC, the content and pollution of PAHs increased with the increase of population and gross domestic product (GDP). From CC to SW and NC, the content and pollution of PAHs increased with the increase of population and the decrease of GDP. From SW to NW and CC to SC, the content and pollution of PAHs increased with the decrease in population and GDP. In part, PAHs pollution, characteristics and sources of atmospheric PM in Chinese cities broke the Hu line of population and GDP. Therefore, these require the promotion of comprehensive measures that will reduce pollution and sources of PAHs in heavily polluted areas.
Acceptability and Feasibility of Delivering Real-time Video-based Coaching to Enhance Provider Communication Skills&nbsp;&nbsp;
Authors: Freytag Jennifer , Chu Jinna , Hysong Sylvia J. , Street Richard L. , Markham Christine M. , Giordano Thomas P. , Westbrook Robert A. , Njue-Marendes Sarah , Johnson Syundai , Dang Bich N. 
Published: March 2021

Abstract
BackgroundDespite a growing call to train providers in interpersonal communication skills, communication training is either not offered or is minimally effective, if at all. A critical need exists to develop new ways of teaching communication skills that are effective and mindful of provider time pressures. We propose a program that includes real-time observation and video-based coaching to teach provider communication skills. In this study, we assess acceptability and feasibility of the program using provider interviews and surveys. MethodsThe coaching intervention involved training providers to use five patient-centered communication behaviors. Two coaches were trained to observe and record live video feeds of provider visits. As coaches observed provider visits, they prepared feedback, which they delivered to the provider. During coaching sessions, coaches gave feedback while showing clips from the visit in which patient-centered communication behaviors could be included. Coaches practiced communication skills with providers using role-plays during coaching sessions. Providers included residents (n=15), fellows (n=3), attending physicians (n=3), and a nurse practitioner (n=1) from a VA clinic and county clinic specializing in care for patients with HIV. We report descriptive results from a survey taken by providers participating in the program. The survey was adapted from validated items used in I/O psychology to assess the feedback environment, including questions about the intervention’s feasibility and acceptability. A qualitative analysis was also conducted on transcripts of provider interviews following the intervention. We used rapid analysis to identify themes within the interviews.ResultsSurvey measures on showed high feasibility and acceptability ratings from providers, with mean item scores ranging from 6.2 to 6.8 on a 7-point scale. Qualitative analysis revealed that providers found that 1) coaches were credible and supportive, 2) feedback was useful, 3) video-clips allowed for self-reflection, 4) getting feedback on the same day was useful, and 5) use of real patients preferred over standardized patients. ConclusionsVideo-based coaching can help providers learn new communication skills in a way that is provider-centered, brief and timely. Our study demonstrates that real-time coaching using live feed and video technology is an acceptable and feasible way of teaching communication skills.
The Impact of COVID-19 Infection on Maternal and Reproductive Care Services in Governmental Health Institutions of Dessie town, North-East Ethiopia, 2020 G.C.
Authors: Assefa Kibir Temesgen , Gashu Amare Workie , Mullualem Tenagnework Dilnessa , Ayele Ermias Getaneh 
Published: March 2021

Abstract
Background: The COVID 19 pandemic is causing huge stress on the health care system of all countries in the world. The impact of the pandemic is both social and economic. Pregnancy is an exciting and sometimes stressful experience. Being pregnant during a disease outbreak may add extra anxiety and concern for pregnant women and for those who provide care for them [1, 2]. During the initial stages of the pandemic, it appeared Africa would be spared the burden of COVID-19. However, by April 7th, a total of 45 countries within the WHO African region had reported over 7000 cases (although some place it at over 10 000), with at least 292 deaths and 612 people recovered. Ethiopia, being one of the developing countries trying to address the diverse needs of its people, is currently at the verge of the epidemic [5, 7]. Objectives: The general objective of this study was to assess the impact of COVID-19 infection on maternal and reproductive health care services among mothers getting service in governmental health institutions of Dessie town, 2020 G.C. Methods: Institution based cross sectional study design using mixed (quantitative supplemented with qualitative) method was employed to identify the impact of COVID-19 infection on maternal and reproductive health care services among women who get service in governmental health institutions of Dessie town. The study was conducted from July 1-15 / 2020. Result: According to this study, Six percent (6%) of antenatal care attendees, 18% of delivery care attendees and nearly half (46.7%) of postnatal care attendees reported inappropriate service delivery due to fear of health care providers, shortage medical supplies and staff work load. The study also showed that utilization of these services was decreased due to fear of clients to go to health institutions. Conclusion and recommendation : This study concluded that COVID-19 significantly affects the quality and utilization of maternal and reproductive health care services. The study also showed that utilization of these services was decreased due to fear of clients to go to health institutions. Ministry of health should continue maternity and reproductive health care services such as family planning to be prioritized as an essential core health service.
Contribution of Community Health Workers to the treatment of common illnesses among under 5-year-olds in rural Uganda.
Authors: Bagenda Fred , Wesuta Andrew Christopher , Stone Geren , Ntaro Moses , Patel Palka , Kenney Jessica , Baguma Stephen , Ayebare David Santson , Bwambale Shem , Matte Michael , Kawungezi Peter Chris , Mulogo Edgar Mugema 
Published: March 2021

Abstract
Introduction The control of malaria, pneumonia, and diarrhea is important for the reduction in morbidity and mortality among children under five years. Uganda has adopted the Integrated Community Case Management strategy using Community Health Workers to address this challenge. The extent and trend of these three conditions managed by the Community Health Workers are not well documented. This study was done to document Community Health Workers’ contribution towards treatment and the trends of the three common illnesses in Bugoye Sub-County in rural Uganda.
Comparison of Attention-based Deep LearningModels for EEG Classification
Authors: Cisotto Giulia , Zanga Alessio , Chlebus Joanna , Zoppis Italo , Manzoni Sara , Markowska-Kaczmar Urszula 
Published: March 2021

Abstract
Deep Learning (DL) has recently shown promising classification performance in Electroencephalography (EEG) in many different scenarios. However, the complex reasoning of such models often prevent the user to explain their classification abilities. Attention, one of the most

recent and influential ideas in DL, allows the models to learn which portions of the data are relevant to the final classification output. In this

work, we compared three attention-enhanced DL models, the brand-new InstaGATs , an LSTM with attention and a CNN with attention. We used these models to classify normal and abnormal, including artifactual and pathological, EEG patterns in three different datasets. We achieved the state of the art in all classification problems, regardless the large variability of the datasets and the simple architecture of the attention-enhanced models. Additionally, we proved that, depending on how the attention mechanism is applied and where the attention layer is located in the model, we can alternatively leverage the information contained in the time, frequency or space domain of the EEG dataset. Therefore, attention represents a promising strategy to evaluate the quality of the EEG information, and its relevance for classification, in different real-world scenarios.
WITHDRAWN: Irish Medical Laboratory Professionals and COVID-19: Response, Effect and Reflection on Future Practice
Authors: O'Connor James A. , Lucey Brigid 
Published: March 2021

Abstract
Background: The COVID-19 pandemic has had an unprecedented effect on healthcare staff across the globe. Medical laboratory professionals are central in the diagnosis and monitoring of treatment of most diseases, including COVID-19. The effects of the COVID-19 pandemic and previous pandemics have been examined for other healthcare professions, but there has been no study examining the effects of a pandemic, or any other healthcare emergency on medical laboratory professionals. Method: A voluntary, online survey of 37 closed and open questions for medical and healthcare scientists working in Ireland was conducted in May 2020. The survey examined the responses and effects of COVID-19 on medical laboratory professionals along with any lessons learned. Statistical significance was determined by two-tailed t-test (unequal variance). Results: There were 272 respondents, representing over 10% of the total workforce of Medical Scientists in Ireland. The respondents reflected all ages, grades, and disciplines in laboratories across Ireland and 87% of respondents reported a change to core working hours. Increasing workload complexity was reported by 70% of respondents. More than half of respondents reported increased work stress during the pandemic. The pandemic has also resulted in improved work-based solidarity. Approximately 90% of respondents were proud of their laboratory’s response to COVID-19, although degree of pride was significantly higher among managerial staff as were feelings of being appreciated, suggesting opportunity for further communication of praise. The study reports lessons learned thus far in the pandemic, including realisation of their service’s flexibility and adaptability, the necessity of collaboration and preparedness and the importance of their work.Conclusions: The respondents have identified challenges, including lack of career progression opportunities and under-utilisation of their professional skills, paucity of public knowledge of the roles undertaken in the laboratory and remuneration disparities, combined with concerns regarding retention of newly-qualified and other staff owing to alternative career opportunities.