bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANALYSIS OF THE QUALITY OF LIFE DYNAMICS OF WOMEN AFTER ABDOMINAL ACCOUCHEMENT IN THE POSTPARTUM PERIOD UNDER THE INFLUENCE OF THE PHYSICAL THERAPY PROGRAM
Authors: Kuravska Yu. S. 
Published: April 2021

Резюме. Мета: визначення впливу розробленої програми фізичної терапії на динаміку якості життя жінок після абдомінального родорозрішення (кесарів розтин – КР) у післяпологовому періоді
Методи. Обстежено 112 жінок після пологів. Групу порівняння склали 47 жінок, у яких пологи відбулись природним шляхом. Основну групу 1 склали 32 жінки після КР, які відновлювались самостійно. Основну групу 2 склали 33 жінки після КР, які проходили післяпологову реабілітацію впродовж 12 місяців. Розроблена програма включала: кінезітерапію, бандаж черевної порожнини, кінезіологічне тейпування, масаж живота та загальний; оздоровче харчування, психологічну релаксацію, освіту жінок. Визначення якості життя проводили за опитувальником SF-36 4 рази: у ранньому та пізньому післяпологовому періодах; через 6 та 12 місяців після пологів.
Результати дослідження. Визначено, що у жінок після пологів знизились показники фізичних та психічних компонентів якості життя. У ранньому післяпологовому періоді жінки після КР мали гірші показники фізичного та рольового функціонування, загального здоров’я, життєздатності за SF-36 порівняно із жінками після родорозрішення природним шляхом (р<0,05). Застосування засобів фізичної терапії дозволило до кінця пізнього пологового періоду жінкам після КР за всіма досліджуваними параметрами досягнути якості життя жінок групи порівняння (р>0,05). Жінки, які перенесли КР, але відновлювались самостійно, за більшістю критеріїв якості життя (крім соціального функціонування), змогли досягнути рівнів жінок, що народжували природним шляхом, тільки через рік.
Висновки. Засоби фізичної терапії доцільно призначати з першого дня післяпологового періоду з метою покращення якості життя і, відповідно, післяпологового відновлення жінок та швидкого повернення їх до повноцінного функціонування.
Internet-Based Cognitive Behavioral Therapy for Informal Caregivers: Randomized Controlled Pilot Trial
Authors: Biliunaite Ieva , Kazlauskas Evaldas , Sanderman Robbert , Truskauskaite-Kuneviciene Inga , Dumarkaite Austeja , Andersson Gerhard 
Published: April 2021

Background
Caregiving for a family member can result in reduced well-being for the caregiver. Internet-delivered cognitive behavioral therapy (ICBT) may be one way to support this population. This is especially the case for caregivers in countries with limited resources, but high demand for psychological services.

Objective
In this study we evaluated the effects of a therapist-guided 8-week-long ICBT intervention for informal caregivers.

Methods
In total, 63 participants were recruited online and randomized either to the intervention or to the wait-list control group. The main study outcome was the Caregiver Burden Inventory (CBI). Secondary outcomes included measures of caregiver depression, anxiety, stress, and quality of life.

Results
Moderate between-group effect sizes were observed for the CBI measure, in favor of the intervention group, with a Cohen d=–0.70 for the intention-to-treat analysis. Analyses of the subscales of the CBI showed significant reductions on the subscales of Development and Physical Health. Moderate reductions were found for depression and anxiety scores as indicated by the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) scores. Large between-group effects were observed for reduction in stress and increase in quality of life as indicated by the Perceived Stress Scale-14 (PSS-14), The Brunnsviken Brief Quality of Life Scale (BBQ), and The World Health Organization-Five Well-Being Index (WHO-5). In addition, participants experienced little to no difficulty in using the program and were mostly satisfied with the intervention’s platform and the choice of content.

Conclusions
This is the first internet intervention study for informal caregivers in Lithuania. The results suggest that therapist-guided ICBT can be effective in reducing caregiver burden, anxiety, depression, stress, and improving quality of life.

Trial Registration
ClinicalTrials.gov NCT04052724; https://clinicaltrials.gov/ct2/show/NCT04052724
Health Information Technology Use Among Persons With Self-reported Atherosclerotic Cardiovascular Disease: Analysis of the 2011-2018 National Health Interview Survey
Authors: Nwokeji Uchenna , Spaulding Erin M , Shan Rongzi , Turkson-Ocran Ruth-Alma , Baptiste Diana , Koirala Binu , Plante Timothy B , Martin Seth S , Commodore-Mensah Yvonne 
Published: April 2021

Background
Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of morbidity and mortality in the United States. Health information technologies (HITs) have recently emerged as a viable intervention to mitigate the burden of ASCVD. Approximately 60% of US adults report searching the internet for health information; however, previous research has not examined the prevalence of general technology or HIT use among adults with and without ASCVD. In addition, social determinants in HIT use among adults with ASCVD are not well understood.

Objective
The aim of this study was to evaluate the prevalence and social determinants of HIT use among US adults with versus without self-reported ASCVD.

Methods
We pooled cross-sectional data from the 2011-2018 National Health Interview Survey (NHIS) to examine the general technology and HIT use among adults aged ≥18 years with and without self-reported ASCVD (coronary heart disease, stroke, or both). General technology use was defined as mobile phone ownership, internet use, and computer use. HIT use was defined as looking up health information on the internet, filling a web-based prescription, scheduling a medical appointment on the internet, communicating with a health care provider by email, or using web-based group chats to learn about health topics. We evaluated sociodemographic differences in HIT use among respondents by using Poisson regression. Analyses were weighted according to NHIS standards.

Results
A total sample of 256,117 individuals were included, of which 2194 (0.9%) reported prior ASCVD. Among adults with prior ASCVD, the mean age was 70.6 (SD 11.5) years, and 47.4% (1048/2194) of the adults were females. General technology use differed between participants with and without prior ASCVD, with 36.0% (614/1826) and 76.2% (157,642/213,816) indicating internet usage and 24.6% (374/1575) and 60.7% (107,742/184,557) indicating using a computer every day, respectively. Similarly, adults with ASCVD were less likely to use HIT than those without ASCVD (515/2194, 25.1% vs 123,966/253,923, 51.0%; P<.001). Among adults with prior ASCVD, social determinants that were associated with HIT use included younger age, higher education, higher income, being employed, and being married.

Conclusions
HIT use was low among adults with a history of ASCVD, which may represent a barrier to delivering care via emerging HIT. Given the associations with social determinants such as income, education, and employment, targeted strategies and policies are needed to eliminate barriers to impact HIT usage.
The Development of River School as a Community Empowerment Facility at Tegaltirto, Berbah, Sleman Regency
Authors: Sulistiyani Ambar Teguh , Kamulyan Budi , Yuliana Muammar , Yuliani Kristi , Dewi Susilowati Myrra 
Published: April 2021

A river as one of the providers and buffers of life must always be preserved. The sustainability of the river ecosystem is necessary so that water availability can be maintained over time both in quantity and quality. Attention to community behavior is the main target to guarantee the conservation of river water. River pollutants are increasing in quantity due to both domestic and production activities. Community empowerment aspect should always be improved especially in taking care of maintenance and utilization sustainability of the river for human life in particular and ecosystem in general. Tegaltirto Village which is crossed by the Opak River is very important to be preserved especially in proper river management. Community service in the form of institutional development of river school is needed. The scheme is appropriate to educate, assist, and initiate a proper and sustainable community empowerment forum.The research methods in the empowerment of a river school institution are focused on the participatory empowerment aspect. Data collection was done through interviews, documentation, and focus group discussions. The knowledge and skills of the river school institution are transferred through training and an intensive facilitation program. The preparation of the follow-up plan was done through assistance by UGM Team. This was to realize the organizational structure that was responsible for the management and utilization of river resources. The implementation of a river school institution in Tegaltirto Village cannot be separated from the community participation and the observer of river conservation in the spirit of building the village. Conservation and sustainability of water and river utilization become the implementation motivation for the river school activity in Tegaltirto village.
About Social Responsibility of Business of the Enterprises of Udmurtia
Authors: Kuznetsov A. L. , Chikurov R. V. 
Published: April 2021

Смена экономической формации на рубеже 90-х годов привела к серьезным хозяйственным и социальным изменениям. Трансформация экономической и идеологической составляющих не могла не сказаться на процессе жизнедеятельности всех элементов экономической систем, в том числе на уровне промышленных предприятий. Одна из главных актуальных проблем, выявленных в условиях современной экономической системы, – отсутствие соответствующего отношения к рабочей силе (человеческому капиталу) как основополагающему фактору производства, который в недавнем прошлом играл определяющую роль на предприятиях и жестко контролировался на основании составления социальных паспортов предприятий. В настоящее время все чаще можно услышать мнение, что вопрос социальной ответственности представителей крупного бизнеса отражает негативную картину действительности и с течением времени сводится к крайне низким показателям. Намечается тенденция смещения акцентов с присущей отечественным организациям так называемой социалистической модели в сторону европейской и американской. Предприятия все более охотно освобождаются от объектов социальной инфраструктуры, сворачивают социальные программы для своих работников, в меньшей степени занимаются благотворительностью – обосновывая такую практику тем, что эти функции должно выполнять государство. Такая тенденция не только опасна с точки зрения снижения эффективности самого производственного процесса, но и грозит серьезными социальными последствиями как на уровне самого предприятия, так и на территории, на которой оно расположено. Авторы статьи поставили цель определить, а каковы тенденции социальной ответственности бизнеса на крупных предприятиях Удмуртии во временном промежутке от социалистического уклада до современного этапа. Статья подготовлена в соответствии с программой фундаментальных научных исследований государственных академий наук и планом НИР Института экономики УрО РАН на 2021–2023 гг. «Методология инновационного развития РОПС в условиях нестабильной экономической конъюнктуры»
The First UK Experience with Single-use Disposable Flexible Cystoscopes: An In-depth Cost Analysis, Service Delivery and Patient Satisfaction Rate with Ambu® aScope™ 4 Cysto
Authors: Wong Anton , Phan Y.C. , Thursby Helen , Mahmalji Wasim 
Published: April 2021

Background and Objective Ambu® aScope™ 4 Cysto is a single-use disposable flexible cystoscope that allows clinicians to perform the procedure at any time and any place. It simplifies workflow, frees up resources and allows clinicians to treat more patients. Our trust became the first in the UK and Europe to utilise these cystoscopes. An in-depth evaluation was performed to test its practicality, cost analysis and patient satisfaction against traditional reusable flexible cystoscopes. Material and Methods We compared the cost of using Ambu® aScope™ 4 Cysto to perform flexible cystoscopies in 20 patients prospectively against traditional flexible cystoscopes in 20 patients retrospectively. The cost of the equipment, reprocessing, cleaning supplies and maintenance were consulted from relevant departments and companies. All prospective patients were also given a patient satisfaction questionnaire to complete. An unpaired t-test was used to analyse the data. Results Our study revealed that it costs £135.23 and £166.33 on average to perform a flexible cystoscopy using Ambu® aScope™ 4 Cysto and the traditional flexible cystoscopes, respectively. Our patient survey revealed that there was a statistical significance between the patient experience using the single-use disposable scopes compared with the traditional reusable flexible cystoscopes (P = 0.0455). Further, 95% of patients also preferred a single-use disposable cystoscope over traditional reusable ones, given the option. Conclusion Single-use disposable flexible cystoscopes are a safe and cost-efficient method of performing the procedure. It is portable and proves to be a simple, efficient and practical way of performing a flexible cystoscopy in an inpatient, outpatient, or emergency setting.
The Influence of Empathy on Moral Judgments
Authors: Avsar Rojhat , Gabriel Rami 
Published: April 2021

Empathy is expected to correlate with pro-social attitude s, but what effect does empathy have on judgments of distributive fairness? In our study, we found that participants with higher empathy scores on the Interpersonal Reactivity Index (IRI) were more likely to: (a) favor the use of egalitarian distribution when the joint effort is involved, and (b) deem overly self-interested or opportunistic behavior unfair. Female participants were more consistent in the exercise of moral judgments across diverse scenarios. Furthermore, empathy has several dimensions (e.g., perspective-taking or empathetic concern) and we observed that they interacted with gender and the nature of the hypothetical problem differently in some cases. Although the findings of the study are not counterintuitive, it has identified some avenues for further explorations and highlighted some potential methodological shortcomings of the IRI as a measure of empathetic traits.
Concepção e divulgação de um e-survey para pesquisa em administração aplicada em enfermagem
Authors: Francisco Quevellin Alves dos Santos , Martinez Maria Regina 
Published: April 2021

Design and divulgation of an e-survey for research in nursing administration Análise do processo de concepção e divulgação de um e-survey desenvolvido como instrumento de coleta de dados para um estudo quantitativo, descritivo, de corte transversal, do tipo survey, que resultou na dissertação de mestrado “Participação dos gestores de enfermagem na gestão de pessoas: um estudo do tipo survey”. As etapas da elaboração do e-survey foram: concepção, divulgação e envio do questionário através de uma rede social entre os anos de 2018 e 2019. As pesquisas on-line aproximam pesquisadores-participantes, porém garantem privacidade e comodidade. Para estas pesquisas é primordial a definição de um trajeto metodológico, pois os resultados obtidos podem ser usados para tomar decisões importantes no âmbito da prática da enfermagem.Palavras-chave: Inquéritos e Questionários; Enfermagem; Serviços On-Line; Pesquisa em Enfermagem; Internet ABSTRACTProcess analysis the conception and dissemination of an e-survey developed as a data collection instrument of a quantitative, descriptive, cross-sectional Survey study, which resulted in the master dissertation “Participation of nursing managers in management. of people: a Survey study”. The stages of the preparation of the e-survey were conception, dissemination and sending of the questionnaire through a social network between 2018 and 2019. Online surveys bring research participants closer together but guarantee privacy and convenience. For this research it is essential to define a methodological path because the results can be used to make important decisions in the scope of nursing practice.Keywords: Surveys and Questionnaires; Nursing; Online services; Nursing research; Internet
Mapeamento das competências de técnicos de enfermagem em um hospital público<br>Mapping the skills of nursing technicians in a public hospital
Authors: Da Cruz de Souza Eduardo Neves , Hortelan Michele dos Santos Dos Santos , De Almeida Maria De Lourdes , De Souza Thalita Correa , Justino Eveline Treméa , Faller Jossiana Wilke 
Published: April 2021

RESUMOObjetivo: Realizar o mapeamento das competências de técnicos de enfermagem que atuam em uma unidade de internamento clínico de um hospital público do município de Foz do Iguaçu – Paraná. Método: Pesquisa de caráter qualitativo, realizado em etapas: análise documental das competências requeridas, entrevista semiestruturada e mapeamento de competências. A coleta de dados ocorreu em abril e maio de 2019. Resultados: Foram entrevistados 27 técnicos de enfermagem. A partir de questões norteadoras, emergiram ideias centrais, como: desenvolvimento das técnicas básicas de enfermagem; realização de atividades administrativas e necessidade de busca por aperfeiçoamento profissional. Conclusão: A identificação das competências descritas no perfil profissiográfico divergem com àquelas expressas pelos técnicos de enfermagem; assim como das competências técnicas expressas não foram encontradas como requeridas pela instituição na análise do perfil profissiográficos. Espera-se que o mapeamento de competências possa vir auxiliar as instituições hospitalares a elaborar novas estratégias de desempenho dos profissionais e reestruturar a atuação de cada.Palavras-chave: Competência Clínica; Unidade de Internação; Unidade Hospitalar de Clínica Médica. ABSTRACTObjective: To perform the mapping of the skills of nursing technicians who work in a clinical inpatient unit of a public hospital in the city of Foz do Iguaçu - Paraná. Method: Qualitative research, carried out in stages: documentary analysis of the required skills, semi-structured interview and skills mapping. Data collection took place in April and May 2019. Results: 27 nursing technicians were interviewed. From guiding questions, central ideas emerged, such as: development of basic nursing techniques; carrying out administrative activities and the need to seek professional improvement. Conclusion: The identification of the competencies described in the professional profile differs from those expressed by nursing technicians; as well as the technical skills expressed were not found as required by the institution in the analysis of the professional profile. It is hoped that the mapping of competencies can help hospital institutions to develop new performance strategies for professionals and restructure the performance of each.Keywords: Clinical Competence; Inpatient Unit; Medical Clinic Hospital Unit.
O credenciamento como ferramenta de apoio na auditoria em saúde
Authors: Werle Tatiana Souza da Silva , Andrade Antonio Rodrigues de 
Published: April 2021

Objetivos: identificar os principais problemas enfrentados pela auditoria em saúde e demostrar como o processo de credenciamento impacta diretamente na qualidade da assistência prestada. Método: revisão integrativa da literatura, realizada em duas bases de dados e uma biblioteca virtual, de acesso aberto, tendo como critério de inclusão: responder à questão norteadora. A amostra final foi composta de 14 artigos. Resultados: da síntese das evidências, emergiram oito categorias aos quais demonstraram a ausência dos seguintes critérios: anotações de enfermagem, definição de protocolos, avaliação da qualidade, satisfação do usuário, definição de materiais e medicamentos, adoção de pacotes e requisitos mínimos necessários a contratação. Conclusão: o serviço de auditoria desempenha papel vital na elaboração dos processos de credenciamento, sendo importante que os gestores de contratos e os auditores estejam interligados em prol de identificar os pontos fracos e dirimir as deficiências, buscando contribuir para que a organização atinja o máximo de sua eficiência.Palavras-chaves: Auditoria; Qualidade; Saúde; Eficiência. ABSTRACTObjectives: to identify the main problems faced by the health audit and to demonstrate how the accreditation process directly impacts the quality of care provided. Method: integrative literature review, carried out in two databases and a virtual library, open access, with the inclusion criterion: answering the guiding question. The final sample consisted of 14 articles. Results: from the synthesis of the evidence, eight categories emerged which demonstrated the absence of the following criteria: nursing notes, definition of protocols, quality assessment, user satisfaction, definition of materials and medicines, adoption of packages and minimum requirements necessary for contracting. Conclusion: the audit service plays a vital role in the elaboration of the accreditation processes, being important that the contract managers and the auditors are interconnected in order to identify the weaknesses and resolve the deficiencies, seeking to contribute to the organization reaches maximum efficiency. Keywords: Audit, Accreditation, Health, Efficiency.