bluuebunny/crossref_metadata_2025_split huggingface dataset:
Loss of Individual and Social Identity: Consequences of Sexual Harassment of Iranian Nurses in the Workplace
Authors: Zeighami Maryam , Mangolian Shahrbabaki Parvin , Zakeri Mohammad Ali , Dehghan Mahlagha 
Published: November 2021

Background:Sexual harassment in the workplace is a common event with negative consequences for victims. Working conditions become unstable because of sexual harassment, and workplace insecurity causes psychological distress and physical problems, as well as a reduction in the quality of care. Therefore, the current study sought to investigate the effects of sexual harassment in the workplace on Iranian nurses.Materials and Methods:This qualitative study used conventional content analysis with a descriptive-explorative approach to investigate the consequences of sexual harassment in Iranian nurses (n= 22). The purposeful sampling method was used. Semi-structured and in-depth interviews were used to collect data. Maximum diversity in terms of age, sex, work experience, level of education, marital status, and type of hospital and ward was observed in order to obtain rich information. The Guba and Lincoln criteria were used to improve the study’s trustworthiness and rigor, and the Graneheim and Lundman method was used to analyze the content.Results:Two hundred and twenty-seventh number codes, one main category, four subcategories, and eighteen primary categories were extracted from the data in this study. The main category of “loss of individual and social identity: the consequences of sexual harassment in nurses” is divided into four subcategories: “psychological trauma,” “detrimental effects of work,” “physical problems,” and “disintegration of warm family relationships.” Sexual harassment had a greater psychological impact on victims.Conclusion:Sexual harassment has a number of negative consequences for nurses’ personal and professional lives and can impose a significant burden on the healthcare system due to decreased productivity and loss of active labor. Therefore, it requires increased attention and focus.
Predictors of Parental Accommodation and Response Treatment in Young Children With Obsessive-Compulsive Disorder
Authors: Rosa-Alcázar Ángel , Rosa-Alcázar Ana I. , Parada-Navas José Luis , Olivares-Olivares Pablo J. , Rosa-Alcázar Encarnación 
Published: November 2021

Background: Cognitive–behavioral family-based treatment (CBFT) is the treatment standard in very young children with obsessive–compulsive disorder (OCD), which includes the same core components of cognitive–behavioral therapy (CBT) with significant family involvement. Although the latter reports high rates of remission, some children do not improve with treatments. Therefore, it is necessary to identify possible moderating variables such as comorbidity, severity of disorder, years of onset, parental anxiety, and parental accommodation. This study has two main aims: (1) to propose a predictive model on family accommodation (father and mother), taking into account variables related to the children (severity of obsessive–compulsive responses, internalizing and externalizing symptoms, and comorbidity) and with the parents before intervention (worry, accommodation of one parental member over the other) and (2) to examine the mediating role of externalizing symptoms and mother's accommodation in the relation between initial severity and improvement of severity of obsessive–compulsive responses in children aged 5–8 years.Methods: Participants comprised 56 children with OCD [mean = 6.61 (SD = 0.76)] and their parents; 79% of the sample was men. Treatment was implemented by two clinicians specialized in OCD (&gt;15 years of experience). Clinicians were trained to administer CBT protocol in the same way. They were doctors of clinical psychology and researchers at the OCD.Results: Mother's accommodation was associated with child variables (Child Behavior Checklist–Externalizing and Initial Severity, Children's Yale–Brown Obsessive–Compulsive Scale). Father's accommodation could be explained by parent variables (mother's accommodation and worry). Simple mediation model tested using the SPSS macro PROCESS supported the relation of the initial severity of symptoms with that following intervention, through the simple indirect effect of externalizing symptoms of the child.Conclusions: Comorbidities with externalizing symptoms, father's worry, and mother's accommodation were variables that should be controlled in treatment of pediatric OCD.
Tackling the Waves of COVID-19: A Planning Model for Intrahospital Resource Allocation
Authors: Schmidt Felicitas , Hauptmann Christian , Kohlenz Walter , Gasser Philipp , Hartmann Sascha , Daunderer Michael , Weiler Thomas , Nowak Lorenz 
Published: November 2021

Background: The current pandemic requires hospitals to ensure care not only for the growing number of COVID-19 patients but also regular patients. Hospital resources must be allocated accordingly.Objective: To provide hospitals with a planning model to optimally allocate resources to intensive care units given a certain incidence of COVID-19 cases.Methods: The analysis included 334 cases from four adjacent counties south-west of Munich. From length of stay and type of ward [general ward (NOR), intensive care unit (ICU)] probabilities of case numbers within a hospital at a certain time point were derived. The epidemiological situation was simulated by the effective reproduction number R, the infection rates in mid-August 2020 in the counties, and the German hospitalization rate. Simulation results are compared with real data from 2nd and 3rd wave (September 2020–May 2021).Results: With R = 2, a hospitalization rate of 17%, mitigation measures implemented on day 9 (i.e., 7-day incidence surpassing 50/100,000), the peak occupancy was reached on day 22 (155.1 beds) for the normal ward and on day 25 (44.9 beds) for the intensive care unit. A higher R led to higher occupancy rates. Simulated number of infections and intensive care unit occupancy was concordant in validation with real data obtained from the 2nd and 3rd waves in Germany.Conclusion: Hospitals could expect a peak occupancy of normal ward and intensive care unit within ~5–11 days after infections reached their peak and critical resources could be allocated accordingly. This delay (in particular for the peak of intensive care unit occupancy) might give options for timely preparation of additional intensive care unit resources.
Prognostic Influence of Spontaneous Tumor Rupture in Patients With Hepatocellular Carcinoma After Hepatectomy: A Meta-Analysis of Observational Studies
Authors: Xu Jiaxuan , Hong Jiaze , Wang Yiran , Zhou Lingling , Xu Binbin , Si Yuexiu , He Yujing , Chen Yizhou 
Published: November 2021

Objective: This study aims to comprehensively analyze the influence of spontaneous tumor rupture on the prognosis of hepatocellular carcinoma patients following hepatic resection.Methods: We systematically searched four online electronic databases, including PubMed, Embase, Web of Science, and Cochrane Library, for eligible studies published from inception to March 2021. The main endpoints were overall survival (OS) and disease-free survival (DFS).Results: This meta-analysis included 21 observational articles with 57,241 cases. The results revealed that spontaneous tumor rupture was associated with worse OS (hazard ratio (HR), 1.65; 95% confidence interval (CI), 1.33–2.05) and DFS (HR, 1.42; 95% CI, 1.12–1.80) in resectable hepatocellular carcinoma patients. This phenomenon was observed in most subgroups, which were classified by recorded survival time, age, country, alpha-fetoprotein (AFP) concentration, liver cirrhosis, and microvascular invasion. However, in subgroups of macrovascular invasion positive, spontaneous tumor rupture was not a risk factor for OS (HR, 1.55; 95% CI, 0.99–2.42) and DFS (HR, 1.23; 95% CI, 0.91–1.65) in hepatocellular carcinoma patients after hepatectomy. For macrovascular invasion negative, compared with non-ruptured hepatocellular carcinoma patients, ruptured hepatocellular carcinoma patients exhibited worse prognosis for OS (HR, 1.55; 95% CI, 0.99–2.42) and DFS (HR, 1.23; 95% CI, 0.91–1.65) following hepatectomy.Conclusions: Spontaneous tumor rupture was a prognostic risk factor for hepatocellular carcinoma patients after hepatic resection. However, in macrovascular invasion patients, spontaneous tumor rupture was not a prognostic risk factor.
A Importância do Inventário Florestal para Fauna e Flora da Região Local/ The Importance of Forest Inventory for Fauna and Flora of the Local Region
Authors: Santos João Soares , Bezzera Silvana , Alves Solange 
Published: November 2021

Ao longo dos anos percebe-se a interferência da ação humana no meio ambiente.Fazendo um retrocesso histórico, é possível verificar que o Brasil sempre foi alvo da exploração de povos que viam neste país uma significativa fonte de riqueza.A Mata Atlântica, vegetação típica brasileira, pela diversidade de fauna e flora que sempre abrigou, sofreu desde o início da colonização do Brasil, danos que atualmente se refletem em dados destacando através de paralelos temporais que da extensão original dessa referida vegetação, hoje tem-se apenas vestígios espalhados por determinados pontos do país. No estado de Sergipe, a Mata Atlântica está praticamente extinta pelas continuativas práticas históricas e atuais de culturas agrícolas e demais preparos para com o plantio.Para servir como suporte a pesquisas para interesses a nível de indústria e no sentido de conscientizar a todos sobre a necessidade de preservação, o inventário florestal precede formas de identificação de desequilíbrios ecológicos e especifica a Mata Atlântica como ameaçada em toda sua biodiversidade. Os remanescentes da Mata Atlântica no Estado de Sergipe constituem-se em áreas estratégicas de conservação. São os recursos disponibilizados por esse ecossistema que poderão ser utilizados como fonte de pesquisa pra que haja o adequado manuseio, favorecendo assim, a preservação da fauna e flora da região em que se observa os impactos ambientais provocados pela destruição da Floresta Atântica.
ĐÁNH GIÁ TÍNH DỄ BỊ TỔN THƯƠNG SINH KẾ DO BIẾN ĐỔI KHÍ HẬU ĐỐI VỚI NGƯỜI DÂN HUYỆN ĐỊNH HÓA, TỈNH THÁI NGUYÊN
Authors: Hà Bùi Thị Minh , Thọ Nguyễn Hữu , Phương Lê Thị Hồng , Dũng Trần Việt 
Published: November 2021

Nghiên cứu sử dụng chỉ số tổn thương sinh kế (LVI- Livelihood Vulnerability Index) như một phương pháp đánh giá mức độ dễ bị tổn thương sinh kế hộ gia đình trước tác động của biến đổi khí hậu. Dựa vào giá trị trung bình của các thành phần chính trong LVI để đưa ra chỉ số LVI-IPCC với sự hiện diện của 3 nhân tố: phô bày, nhạy cảm và khả năng thích ứng. Kết quả nghiên cứu cho thấy, sự phô bày và sự nhạy cảm đối với tác động của biến đổi khí hậu tại địa phương là tương đối cao, đạt giá trị lần lượt là 0,310 và 0,292. Nghiên cứu cũng chỉ ra rằng, năng lực thích ứng đạt giá trị 0,417 đồng nghĩa với việc hiện tại năng lực thích ứng của cộng đồng đối với tác động của biến đổi khí hậu là tương đối tốt. Kết quả phân tích cuối cùng cho thấy chỉ số LIV-IPCC của huyện Định Hóa có giá trị -0,020, trong đó các xã vùng cao dễ bị tổn thương hơn các xã vùng thấp với giá trị LIV-IPCC lần lượt là -0,015 và -0,023.
DECISION SUPPORT SYSTEM TO ELECT THE BEST USTADZ USING SIMPLE ADDITIVE WEIGHTING METHOD
Authors: Syakuro Muhammad Abdan , Fitriati Desti 
Published: November 2021

Pesantren is a place for students to live and learn religious education. In Pesantren there are human resources that very helpful for learning in boarding school, namely ustadz. In the process of successful education, sometimes pesantren needs to make an assessment to improve the quality of education, one of it is conducting the best selection of ustadz adequate and exceeding the average. The number of ustadz that exist causes difficult decision making of the best ustadz elections quickly, accurately and has not been able to give maximum results and takes a very long time in calculation. In addition, the selection of the best ustadz in Pesantren Qur'an Al Hikmah Bogor is still not objective because the selection of the best ustadz is still appointed directly without using calculations. Based on the problems described above, a Decision Support System (DSS) application is needed using simple additive weighting method to help in making the best ustadz decision in pesantren. This system is a dynamic system where users can set the parameters of criteria and weights themselves. Besides, From the making of the Decision Support System produced accuracy of 90% of 30 samples according to which are 27 samples.
PENERAPAN PEMBERIAN MINYAK JINTAN HITAM (NIGELLA SATIVA OIL) UNTUK PENGOBATAN BIANG KERINGAT (MILIARIA) PADA BAYI DI WILAYAH PMB BRIDA KITY DINARUM S.ST
Authors: Rahmadhani Wulan , Annisa Nisfatul , Amin Suci 
Published: November 2021

Background: Climate changes and temperature can cause prickly heat (miliaria). It is a small, itchy rash that can cause skin irritation. This can be overcome by using a medicinal plant that is black cumin oil (Nigella sativa oil). This plant is able to stop inflammation.
Objective: To know the application of giving black cumin oil (Nigella sativa oil) for the treatment of prickly heat (miliaria) on babies.
Method: This study is a kind of case-study research. Data were obtained from interviews, observations, and literary study. The participants were 5 babies who met the inclusion criteria. The instruments used were observation sheet, check list sheet.
Result: After the application of black cumin oil (Nigella sativa oil), 3 participants had recovered from prickly heat (60%). Meanwhile, 2 participants had a change to be profunda miliaria (40%).
Conclusion: The application of black cumin oil (Nigella sativa oil) is effective in treating prickly heat (miliaria) of a baby.
HUBUNGAN PEMBERIAN MAKANAN PENDAMPING ASI DINI DENGAN KEJADIAN DIARE PADA BAYI USIA 0-6 BULAN DI POSYANDU KELURAHAN’ NGAGLIK
Authors: Rahmawati Mufida Annisa , Ningrum Novi Budi 
Published: November 2021

Infants aged 0-6 months can grow optimally by relying on breast milk for the first 6 months of life. But in fact, before the age of 6 months, many babies have been given complementary feeding (MP-ASI). The purpose of this study was to determine the relationship between early complementary feeding and the incidence of diarrhea in infants aged 0-6 months at Integrated Healthcare Center Ngaglik, Batu City.
This study uses a quantitative method with a cross sectional approach. The location and time of the study was at Integrated Healthcare Center Ngaglik, Batu City from January 2021 to March 2020. The independent variable (X) was early breastfeeding and the dependent variable (Y) was the incidence of diarrhea in infants aged 0-6 months. The total population is 32 mothers who have babies aged 0-6 months with a sample of 32 respondents. The sampling method used a total sampling technique, which is a sampling technique when all members of the population are used as samples. The data obtained were then analyzed using a descriptive statistical approach. By using a simple linear regression model method.
The t value of the variable giving early complementary feeding (X) is 29.435 > ttable 2.039, which means that there is a significant relationship between the provision of early complementary feeding (X) and the incidence of diarrhea in infants aged 0-6 months (Y). The calculated F value is 866,415 > from the F value of 0.05 (4.17) meaning that there is a significant relationship between the variable of early breastfeeding (X) and the incidence of diarrhea in infants aged 0-6 months (Y). The R-square value of 0.967 means that the relationship between early complementary feeding and the incidence of diarrhea in infants aged 0-6 months is 96.7%, while the other 3.3% is influenced by other factors not studied.

Keywords : MP-ASI, Diarrhea.
Hubungan Paritas dengan Kejadian Ketuban Pecah Dini
Authors: Pramita sari Desi pramita sari Desi 
Published: November 2021

Premature rupture of membranes can cause various complications such as infection, prolonged parturition, postpartum hemorrhage, maternal morbidity and mortality, while in the fetus PROM can cause premature birth, decreased umbilical cord, hypoxia and secondary asphyxia. Based on the data taken at Batam city, the highest number of PROM cases from 3 hospitals was 546 cases, Harapan Bunda’s Hospital. This study aims to determine relationship Parity with premature rupture of membranes at Harapan Bunda Hospital Batam City.
This research used method quantitative analitic survey with cross sectional design with 60 samples. The Conclusion the results obtained were there is relationship parity with premature rupture of membranes (p value = 0,001). Suggestions to clients and community to increase their knowledge about the cause PROM so that they can prevent or detect early complications that will occur in the future.
Síndrome metabólico en individuos de una comunidad rural
Authors: Mari Andreina , Marval Yanetxy , Suárez Ana Karina , Arteaga Everilda , Martínez Elisa , Bastidas Gilberto 
Published: November 2021

Objetivo: caracterizar el síndrome metabólico (SM) en un medio rural venezolano.
Contexto y tipo de estudio: la frecuencia de SM es elevada en el mundo y es elemento de riesgo en el desarrollo de diabetes mellitus y enfermedad cardiovascular, pero existe limitada información sobre SM en las zonas rurales de la mayoría de los países. Se realizo un estudio descriptivo y transversal en un sector rural del estado Cojedes, Venezuela.
Material y método: fueron 39 los sujetos con edades entre 20-59 años, 51.3% mujeres y 56.4% tenían antecedentes familiares de riesgo cardiometabólico. Se definió según el Tercer Reporte del Panel de Expertos del Programa Nacional de Educación (NCEP/ATPIII), como SM a la presencia de por lo menos tres de los cinco factores siguientes: obesidad abdominal (> 88 cm en mujeres y de 102 cm en hombres) hiperglicemia en ayunas (> 110 mg/dL), hipertensión arterial (> 130/85 mmHg), lipoproteína de alta densidad (HDL-c) (< 50 mg/dL) y triglicéridos elevados (> 150 mg/dL).
Resultados: la prevalencia de SM fue 20.5%, 12.8% hombres y 7.7% mujeres, el criterio diagnóstico predominante fue la hipertrigliceridemia (53.8%) y las mujeres con SM eran más hipertensas, hiperglicémicas, con menos HDL-c, mayor concentración de triglicéridos y obesas que los hombres.
Conclusión: el SM afecta por igual al medio rural y urbano, pero en Venezuela la prevalencia es mayor en la región urbana llanera. El género masculino es también el más afectado y la diabetes mellitus e HTA son los antecedentes familiares más frecuentes. La obesidad abdominal e hipertrigliceridemia los factores de riesgo SM más señalados. Se infiere adopción rural de hábitos alimentarios urbanos. (Acta Med Colomb 2012; 37: 177-182)
Mieloma de células plasmáticas secretor de IgD, un reto diagnóstico. Reporte de un caso
Authors: Gaviria Jaramillo Lina María , Cárdenas Moreno Beatriz , Mondragón Maria Cecilia , Guevara Arismendy Natalia María 
Published: November 2021

RESUMEN
El mieloma de células plasmáticas secretor de IgD es una neoplasia de células plasmáticas poco frecuente y agresivo, generalmente afecta individuos más jóvenes que los demás mielomas. Es de difícil diagnóstico, ya que no se observa el pico de proteína monoclonal característico de los mielomas; no obstante, la inmunofijación, la cuantificación de IgD y el estudio de orina son pruebas de gran utilidad para su diagnóstico. Con respecto a las manifestaciones clínicas, es frecuente anemia, falla renal y múltiples lesiones óseas; además, la enfermedad tiene un curso agresivo, con poca respuesta a la quimioterapia convencional. A continuación, se describe un caso de una mujer de 57 años con antecedentes de dolor óseo y múltiples lesiones líticas óseas, quien fue diagnosticada con mieloma secretor de IgD a partir de la electroforesis de proteínas en suero, la inmunofijación en suero y orina, la cuantificación de IgD y el estudio medular.

ABSTRACT
Immunoglobulin D plasma cell myeloma is a rare and aggressive plasma cell disorder, which usually occurs in younger patients than other myelomas. Immunoglobulin D multiple myeloma is usually misdiagnosed because of the lack of a typical monoclonal protein spike; however, immunofixation electrophoresis, Immunoglobulin D serum levels and urine analysis are highly useful for diagnosis of the disease. Regarding clinical manifestations, patients commonly have anemia, renal failure, and multiple bone lesions. In addition, patients show an aggressive clinical course with poor response to conventional treatment and unfavorable prognosis. We report a 57 years-old female who presented with bone pain and multiple osteolytic bone lesions; according to serum protein electrophoresis, serum and urine immunofixation, IgD serum levels, and bone marrow biopsy, a final diagnosis of immunoglobulin D plasma cell myeloma was made.
KEY WORDS
Multiple myeloma, immunoglobulin D, renal insufficiency
Abordaje diagnóstico de la enfermedad glomerular del adulto: Transformando una idea compleja en un proceso práctico
Authors: González Leidy , Cantillo Jorge 
Published: November 2021

El término glomerulonefritis o glomerulopatías se utiliza en forma amplia para designar
las enfermedades que afectan la estructura y función glomerular, tratándose de entidades
clínicas heterogéneas tanto en su etiología, manifestaciones, curso clínico y pronóstico
(1), pero que tienen como denominador común el hallazgo histológico de inflamación del
penacho glomerular (salvo cuatro excepciones puntuales que son la nefropatía diabética,
nefroesclerosis hipertensiva, amiloidosis y nefropatías hereditarias) y que tienen implicado
un mecanismo inmune en su fisiopatología
Características clínicas y demográficas de los pacientes incidentes en diálisis crónica en un centro único en Ibagué, Colombia, y su relación con el ingreso programado a diálisis
Authors: Coronado Suescún Carlos Yesid , Lombo Caicedo Cristina Judith , Correa García Indira , Quintero Tobon Natalia 
Published: November 2021

Objetivo: describir las características clínicas y demográficas de los pacientes incidentes en diálisis, y su relación con el inicio programado de diálisis en un la Unidad Renal del Tolima en la ciudad de Ibagué.
Contexto y tipo de estudio: estudio observacional de corte transversal. Población de referencia conformada por los pacientes atendidos en 10 hospitales de la ciudad de Ibagué y por los pacientes que asisten a consulta externa de nefrología de la Unidad Renal del Tolima.
Material y métodos: información recolectada por los investigadores mediante revisión de historias clínicas.
Resultados: se analizaron 74 pacientes con mediana de edad 65 años. En el 82.4% la modalidad dialítica inicial fue hemodiálisis. El 93.5% de los pacientes incidentes a hemodiálisis lo hicieron de forma no programada. El 43.2% del total de incidentes a diálisis tuvieron valoración previa por nefrología, y de estos el 71.9% ingresaron de forma no programado a diálisis. El 50% de los pacientes que viven fuera de Ibagué y el 43,7% de los pacientes que viven en zona rural seleccionan hemodiálisis como terapia definitiva.
Se asocian al inicio programado de diálisis: cuidado previo de nefrología, régimen de salud contributivo, nefropatía diabética, condición ambulatoria al inicio de diálisis, y diálisis peritoneal como modalidad dialítica inicial.
Conclusiones: los pacientes incidentes tuvieron una edad avanzada, y en su mayoría ingresaron estando hospitalizados y sin acceso dialítico definitivo inclusive dentro del grupo de pacientes con manejo previo por nefrología.