bluuebunny/crossref_metadata_2025_split huggingface dataset:
Educação em saúde para prevenção das infecções respiratórias: Relato de experiência
Authors: Rocha Rosemara Andressa Silva , Cenzi Camila Maria 
Published: August 2021

Objetivo: descrever a experiência vivenciada pela residente de enfermagem acerca da realização de educação em saúde durante a prática no Serviço de Controle de Infecção Hospitalar de um hospital universitário. Metodologia: Trata-se de um estudo descritivo, qualitativo, do tipo relato de experiência, que foi realizado no Hospital Universitário Julio Muller, em Cuiabá-MT, nos dias 26 e 27 de maio de 2020. Resultados e discussões: As atividades foram desenvolvidas com os acompanhantes dos pacientes que estavam internados na clínica médica e pediátrica, resultando na participação de 16 pessoas. Identificamos que 4 participantes (25%) eram do sexo masculino e 12 (75%) eram do sexo feminino. A prevalência do sexo feminino na prática do cuidado também foi encontrada em outros estudos. Foi possível observar que dos 16 acompanhantes, 6 (37,5%) não conseguiram desenvolver a dinâmica, o que demonstra a importância da realização de atividades de educação em saúde, que ajudam na prevenção, e na promoção da saúde. Os participantes apresentaram boa adesão na atividade educativa em saúde, participando de forma ativa, sanando suas dúvidas e indicando outros assuntos que poderiam ser abordados nas próximas atividades. Considerações finais: Visto a importância das atividades educativas entendemos que essa prática vem possibilitando uma melhor articulação entre os envolvidos, possibilitando a eles assumir uma posição ativa dentro do seu processo de aprendizagem em saúde.
Análise ergonômica de um posto da polícia militar de Minas Gerais: Um estudo de caso
Authors: Freitas Dryelle Rodrigues de , Barbosa Leandro César Mol 
Published: August 2021

Grande parte das atividades executadas pelos policiais militares no exercício de sua função tem potencial de expô-los a riscos ergonômicos, danos pessoais e lesões ocupacionais. Além de estarem expostos a uma demanda física desproporcional, os policiais também se encontram sujeitos a tensões que ameaçam seu bem estar psicológico. Esta pesquisa objetiva analisar o espaço de trabalho dos Policiais Militares em um batalhão localizado no interior do estado de Minas Gerais, a fim de propor soluções para os principais pontos de melhoria relacionados à saúde e conforto destes profissionais. Mediante esse cenário, foi realizado um estudo de caso quantitativo e qualitativo. Para tanto foram utilizados como métodos de coleta de dados a realização de entrevistas, bem como o uso dos métodos ergonômicos Rapid Upper Limb Assessment (Rula) e o Questionário Nórdico Musculoesquelético (NMQ), os quais permitiram uma compreensão efetiva do ambiente ao qual esses profissionais estão inseridos e consequentemente o levantamento dos pontos a serem melhorados. Como resultados obtidos, foram verificados pontos importantes de melhoria, tendo sido feitas proposições como o rodizio de turnos em operações, acompanhamento e apoio psicológico dos policiais. Além disso, foi proposta a modificação do layout para reduzir problemas de amplitude de movimentação, assim como a troca ou adaptação de parte do mobiliário e criação de um programa de conscientização para reduzir dores e efeitos adversos do trabalho.
Citotoxicidade de uma formulação em orabase de Libidibia Ferrea
Authors: Oliveira Glauber Palma de , Gomes Letícia da Silva Soares , Venâncio Gisely Naura , Lima Emerson Silva , Souza Tatiane Pereira de , Bandeira Maria Fulgência Costa Lima , Toda Carina , Conde Nikeila Chacon de Oliveira 
Published: August 2021

A Libidibia Ferrea é uma planta que possui inúmeras propriedades terapêuticas comprovadas para prevenção e tratamento de afecções bucais. Objetivo: Avaliar uma formulação em orabase de Libidibia ferrea quanto a citotoxicidade. Metodologia: O teste de hemólise foi realizado através do método de avaliação qualitativa de hemoglobina livre e o teste de cultura de células de fibroblastos através do método de Alamar Blue. Foram testados o extrato da casca do caule, veículo da formulação, seus adjuvantes e a formulação orabase. Resultados: No teste de hemólise tanto o extrato da casca do caule quanto a formulação e seus componentes não apresentaram hemólise ao avaliar visualmente o sobrenadante de cada poço. No teste de Alamar Blue não apresentou toxicidade em nenhuma das soluções testadas. Conclusão: Baseado nos resultados, o extrato da casca do caule e a formulação em orabase de Libidibia ferrea L. não foram tóxicos quando testados em hemácias e cultura de células de fibroblastos.
A Study of The Correlation Between Achievement Motivation, Self-Concept, Socioeconomic Status And English Learning Achievement of The Second Year Students of Smp Negeri 3 Bulukumba
Authors: Hajriah Ria 
Published: August 2021

This study was conducted to find out the students’ achievement motivation in learning English, to find out the students’ self-concept in learning English, to find out the students’ socioeconomic status, to find out the students’ English learning achievement. To analyze the correlation between students’ achievement motivation and English learning achievement, to analyze the correlation between students’ self-concept and English learning achievement and to analyze the students’ socioeconomic status and English learning achievement.This study employed correlational research. The technique of taking sample was random sampling. The population of this research was 90 students of the second year students of SMP Negeri 3 Bulukumba which belong to three classes. The sample of this research was 45 students. It took from 50% of population, 90 x 50/100 = 45 students. The research data were collected using questionnaires and test. The data were analyzed by using Likert scale and descriptive statistics through SPSS 17.0 version. The research result showed that the second year students of SMP Negeri 3 Bulukumba have high achievement motivation in learning English. This was proven by mean score of achievement motivation 81.57. It was classified into high achievement motivation categories ranges from 68 – 84 score. The students have high self-concept in learning English This was proven by mean score of self-concept 80.24. It was classified into high self-concept categories ranges from 68 – 84 score. The students have moderate socioeconomic status categories. This was proven by mean score of socioeconomic status 64.17. It was classified into moderate socioeconomic status categories ranges from 52 – 68 score. The students have good score in English learning achievement. This was proven by mean score of test 75.71. It was classified into good score in achievement categories ranges from 76 – 85 score. Based on the result of SPSS analysis about the correlation between achievement motivation and English learning achievement was positive and significant with r = 0.757 classified into strong category range from 0.60 – 0.799. The result of SPSS analysis about the correlation between self-concept and English learning achievement was positive and significant with r = 0.803 classified into very strong category range from 0.80 – 1.00. The result of SPSS analysis about the correlation between socioeconomic status and English learning achievement was positive and significant with r = 0.324 classified into low category range from 0.20 – 0.399.education
Ecocriticsm as the Development of Teaching Materials in Literary Theories and Appreciation Courses
Authors: Saifulloh Ahmad Iklil 
Published: August 2021

Eco Criticism or known as Literary Ecology which was popularized by Greg Gerrad has become a rare scientific discourse if it synergizes with the Indonesian character of education which is one of the educational pillars of the ministry of education. The resonance of these two scientific clumps between environment and literature to be the main topic promoted to realize the value of character education no 16 which is concerned about environment. To achieve this goal, this research using research and development by Plomp in order to form a form of book materials of Eco criticism as applied literary in education. The results obtained in the application of the ecological characteristics of literature which include the main elements, namely Pollution, Position, Pastoral, Wilderness, Apocalypse, Dwelling, Animal, Future the earth in a form of field test for students are 87.42 and expert validation 92.3%, media 95, 3%, and 92.3% language in the course of literary theory and appreciation of English language education, the Faculty of Teacher Training and Education, Majapahit Islamic University of Mojokerto.
Clinical Impact of Thrombus Aspiration and Interaction With D-Dimer Levels in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention
Authors: Li Jun-feng , Lin Zhi-wei , Chen Chang-xi , Liang Shi-qi , Du Lei-lei , Qu Xiang , Gao Zhan , Huang Yu-heng , Kong Shu-ting , Chen Jin-xin , Sun Ling-yue , Zhou Hao 
Published: August 2021

Objectives:To evaluate the effect of thrombus aspiration (TA) strategy on the outcomes and its interaction with D-dimer levels in patients with ST-segment elevation myocardial infarction (STEMI) during primary percutaneous coronary intervention (PCI) in “real-world” settings.Materials and Methods:This study included 1,295 patients with STEMI who had undergone primary PCI with or without TA between January 2013 and June 2017. Patients were first divided into a TA+PCI group and a PCI-only group, and the baseline characteristics and long-term mortality between the two groups were analyzed. Furthermore, we studied the effect of TA on the clinical outcomes of patients grouped according to quartiles of respective D-dimer levels. The primary outcome was all-cause mortality, and the secondary outcomes were new-onset heart failure (HF), rehospitalization, re-PCI, and stroke.Results:In the original cohort, there were no significant differences in all-cause mortality between the TA+PCI and PCI-only groups (hazard ratio, 0.789; 95% confidence interval, 0.556–1.120;p= 0.185). After a mean follow-up of 2.5 years, the all-cause mortality rates of patients in the TA + PCI and PCI-only groups were 8.5 and 16.2%, respectively. Additionally, differences between the two groups in terms of the risk of HF, re-PCI, rehospitalization, and stroke were non-significant. However, after dividing into quartiles, as the D-dimer levels increased, the all-cause mortality rate in the PCI group gradually increased (4.3 vs. 6.0 vs. 7.0 vs. 14.7%,p&lt; 0.001), while the death rate in the TA+PCI group did not significantly differ (4.6 vs. 5.0 vs. 4.0 vs. 3.75%,p= 0.85). Besides, in the quartile 3 (Q3) and quartile 4 (Q4) groups, the PCI-only group was associated with a higher risk of all-cause mortality than that of the TA+PCI group (Q3: 4.0 vs. 7.0%,p= 0.029; Q4: 3.75 vs. 14.7%,p&lt; 0.001). Moreover, the multivariate logistic regression analysis demonstrated that TA is inversely associated with the primary outcome in the Q4 group [odds ratio (OR), 0.395; 95% CI, 0.164–0.949;p= 0.038].Conclusions:The findings of our real-world study express that routine manual TA during PCI in STEMI did not improve clinical outcomes overall. However, patients with STEMI with a higher concentration of D-dimer might benefit from the use of TA during primary PCI. Large-scale studies are recommended to confirm the efficacy of TA.
Dating North Pacific Abyssal Sediments by Geomagnetic Paleointensity: Implications of Magnetization Carriers, Plio-Pleistocene Climate Change, and Benthic Redox Conditions
Authors: Wang Wanzhang , von Dobeneck Tilo , Frederichs Thomas , Zhang Yang , Lembke-Jene Lester , Tiedemann Ralf , Winklhofer Michael , Nürnberg Dirk 
Published: August 2021

Non-carbonaceous abyssal fine-grained sediments cover vast parts of the North Pacific’s deep oceanic basins and gain increasing interests as glacial carbon traps. They are, however, difficult to date at an orbital-scale temporal resolution and still rarely used for paleoceanographic reconstructions. Here, we show that sedimentary records of past geomagnetic field intensity have high potential to improve reversal-based magnetostratigraphic age models. Five sediment cores from Central North Pacific mid-latitudes (39–47°N) and abyssal water depths ranging from 3,900 to 6,100 m were cube-sampled at 23 mm resolution and analyzed by automated standard paleo- and rock magnetic methods, XRF scanning, and electron microscopy. Relative Paleointensity (RPI) records were determined by comparing natural vs. anhysteretic remanent magnetization losses during alternating field demagnetization using a slope method within optimized coercivity windows. The paleomagnetic record delivered well interpretable geomagnetic reversal sequences back to 3 Ma. This age span covers the climate-induced transition from a biogenic magnetite prevalence in the Late Pliocene and Early Pleistocene to a dust-dominated detrital magnetic mineral assemblage since the Mid-Pleistocene. Volcaniclastic materials from concurrent eruptions and gravitational or contouritic sediment re-deposition along extinct seamount flanks provide a further important source of fine- to coarse-grained magnetic carriers. Surprisingly, higher proportions of biogenic vs. detrital magnetite in the late Pliocene correlate with systematically lowered RPI values, which seems to be a consequence of magnetofossil oxidation rather than reductive depletion. Our abyssal RPI records match the astronomically tuned stack of the mostly bathyal Pacific RPI records. While a stratigraphic correlation of rock magnetic and element ratio logs with standard oxygen isotope records was sporadically possible, the RPI minima allowed to establish further stratigraphic tie points at ∼50 kyr intervals. Thus, this RPI-enhanced magnetostratigraphy appears to be a major step forward to reliably date unaltered abyssal North Pacific sediments close to orbital-scale resolution.
Enhanced Piezoelectric Coefficient of PVDF-TrFE Films via In Situ Polarization
Authors: Hu Xiaoran , You Mengli , Yi Na , Zhang Xiaokun , Xiang Yong 
Published: August 2021

The d33 coefficient = 28 pC/N of PVDF-TrFE piezoelectric films was achieved by the in situ polarization. Compared with traditional poling methods, the in situ polarization is performed with low poling voltage and short poling time, and it can ensure the PVDF-TrFE film with enhanced piezoelectric performances and uniform distribution among a large area of 200 mm2 × 200 mm2. The processing influence of drying, annealing, and poling on the crystalline properties and piezoelectric performances were investigated. Besides, the obtained PVDF-TrFE films present a good piezoelectric response to different extents of mechanical stimulations, which have great potential in energy harvesting applications.
Genomic Copy Number Variants in CML Patients With the Philadelphia Chromosome (Ph+): An Update
Authors: Zhang Heyang , Liu Meng , Wang Xiaoxue , Ren Yuan , Kim Young Mi , Wang Xianfu , Lu Xianglan , Pang Hui , Liu Guangming , Gu Yue , Sun Mingran , Shi Yunpeng , Zhang Chuan , Zhang Yaowen , Zhang Jianqin , Li Shibo , Zhang Lijun 
Published: August 2021

BackgroundSubmicroscopic segmental imbalances detected by array-comparative genomic hybridization (array-CGH) were discovered to be common in chronic myeloid leukemia (CML) patients with t(9;22) as the sole chromosomal anomaly. To confirm the findings of the previous study and expand the investigation, additional CML patients with t(9;22) as the sole chromosomal anomaly were recruited and copy number variants (CNVs) were searched for.MethodsKaryotyping tests were performed on 106 CML patients during January 2010–September 2019 in our Genetics Laboratory. Eighty-four (79.2%) patients had the Philadelphia (Ph) chromosome as the sole chromosomal anomaly. Only 49(58.3%) of these 84 patients had sufficient marrow or leukemia blood materials to additionally be included in the array-CGH analysis. Fluorescence in situ hybridization (FISH) was carried out to confirm the genes covered by the deleted or duplicated regions of the CNVs.Results11(22.4%) out of the 49 patients were found to have one to three somatic segmental somatic segmental (CNVs), including fourteen deletions and three duplications. The common region associated with deletions was on 9q33.3-34.12. Identified in five (45.5%) of the 11 positive patients with segmental CNVs, the deletions ranged from 106 kb to 4.1 Mb in size. Two (18.2%) cases had a deletion in the ABL1-BCR fusion gene on der (9), while three (27.3%) cases had a deletion in the ASS1 gene. The remaining CNVs were randomly distributed on different autosomes.ConclusionSubtle genomic CNVs are relatively common in CML patients without cytogenetically visible additional chromosomal aberrations (ACAs). Long-term studies investigating the potential impact on patient prognosis and treatment outcome is underway.
IgG4-Related Disease With Testicular Involvement: A Case Report and Review of Literature
Authors: Wang Gang , Zhuo Ning , Luo Xiaowen , Tian Feng , Wen Zhenhua , Li Jingyang 
Published: August 2021

Immunoglobulin G4-related disease (IgG4-RD) is an autoimmune inflammatory disease characterized by infiltration of IgG4+ plasma cells that can simulate a tumor manifesting as a tumor-like mass. This disease involves the pancreas, biliary tract, kidneys, salivary glands, lymph nodes, aorta, and retroperitoneum amongst other organs. However, testicular involvement is a rare entity in this disease. The treatment of testicular involvement in IgG4-RD is currently controversial. We present the case of a 65-year-old man with swelling and pain in his right scrotum three months ago. On examination, a mobile mass of approximately 2 cm in diameter was found in the right scrotum. Serological tests showed elevated levels of IgG4 and negative for tumor markers. Enhanced computed tomography of the scrotum showed a nodular hyperdense shadow with a diameter of approximately 23 mm on the right epididymis. Pathological biopsy of the right epididymis showed infiltration of plasma cells, lymphocytes, and a few neutrophils. IgG4+ plasma cells stained positive, with an IgG4/IgG ratio of more than 40% and more than 30 IgG4+ plasma cells per high-power field. A diagnosis of IgG4-RD involving the testicles was made. Prednisone 30 mg/d was given for three weeks. No scrotum swelling or pain was observed at the follow-up after six months. IgG4-related disease should be considered whenever a mass-like lesion with typical histomorphologic features involving multiple organs/anatomical sites is encountered. The testicles are an important male reproductive organ, especially for young male patients with fertility requirements. For patients with IgG4-RD testicular involvement, surgical or medical treatment requires further study.
Triage Modeling for Differential Diagnosis Between COVID-19 and Human Influenza A Pneumonia: Classification and Regression Tree Analysis
Authors: Xiao Anling , Zhao Huijuan , Xia Jianbing , Zhang Ling , Zhang Chao , Ruan Zhuoying , Mei Nan , Li Xun , Ma Wuren , Wang Zhuozhu , He Yi , Lee Jimmy , Zhu Weiming , Tian Dajun , Zhang Kunkun , Zheng Weiwei , Yin Bo 
Published: August 2021

Background: The coronavirus disease 2019 (COVID-19) pandemic has lasted much longer than an influenza season, but the main signs, symptoms, and some imaging findings are similar in COVID-19 and influenza patients. The aim of the current study was to construct an accurate and robust model for initial screening and differential diagnosis of COVID-19 and influenza A.Methods: All patients in the study were diagnosed at Fuyang No. 2 People's Hospital, and they included 151 with COVID-19 and 155 with influenza A. The patients were randomly assigned to training set or a testing set at a 4:1 ratio. Predictor variables were selected based on importance, assessed by random forest algorithms, and analyzed to develop classification and regression tree models.Results: In the optimal model A, the best single predictor of COVID-19 patients was a normal or high level of low-density lipoprotein cholesterol, followed by low level of creatine kinase, then the presence of &lt;3 respiratory symptoms, then a highest temperature on the first day of admission &lt;38°C. In the suboptimal model B, the best single predictor of COVID-19 was a low eosinophil count, then a normal monocyte ratio, then a normal hematocrit value, then a highest temperature on the first day of admission of &lt;37°C, then a complete lack of respiratory symptoms.Conclusions: The two models provide clinicians with a rapid triage tool. The optimal model can be used to developed countries/regions and major hospitals, and the suboptimal model can be used in underdeveloped regions and small hospitals.
Hip Position Acutely Affects Oxygenation and Perfusion of Kidney Grafts as Measured by Functional Magnetic Resonance Imaging Methods—The Bent Knee Study
Authors: Mani Laila-Yasmin , Seif Maryam , Nikles Florence , Tshering Vogel Dechen W. , Diserens Gaëlle , Martirosian Petros , Burnier Michel , Vogt Bruno , Vermathen Peter 
Published: August 2021

Background: Kidney perfusion and oxygenation are two important determinants of kidney graft function. In kidney transplantation, repeated graft hypoperfusion may occur during hip flexion, for example in the sitting position, due to the progressive development of fibrotic tissue around iliac arteries. The aim of this study was to assess the changes in oxygenation and perfusion of kidney grafts during hip flexion and extension using a new functional magnetic resonance imaging (fMRI) protocol.Methods: Nineteen kidney graft recipients prospectively underwent MRI on a 3T scanner including diffusion-weighted, blood oxygenation level dependent (BOLD), and arterial spin labeling sequences in hip positions 0° and &gt;90° before and after intravenous administration of 20 mg furosemide.Results: Unexpectedly, graft perfusion values were significantly higher in flexed compared to neutral hip position. Main diffusion-derived parameters were not affected by hip position. BOLD-derived cortico-medullary R2* ratio was significantly modified during hip flexion suggesting an intrarenal redistribution of the oxygenation in favor of the medulla and to the detriment of the cortex. Furthermore, the increase in medullary oxygenation induced by furosemide was significantly blunted during hip flexion (p &lt; 0.001).Conclusion: Hip flexion has an acute impact on perfusion and tissue oxygenation in kidney grafts. Whether these position-dependent changes affect the long-term function and outcome of kidney transplants needs further investigation.