bluuebunny/crossref_metadata_2025_split huggingface dataset:
DEVELOPMENT OF THE DIAGNOSTIC DECISION SUPPORT SYSTEM IN THE FIELD OF EMERGENCY ABDOMINAL SURGERY
Authors: Соловьев Дмитрий Александрович , Андреева Диана Андреевна , Лысенко Мария Сергеевна , Бурневич Славомир Збигневич 
Published: September 2021

В настоящее время системы поддержки принятия решений находят свое применение в самых различных областях деятельности человека, в том числе и в медицине, где точность и своевременность принятия решений может иметь существенное значение для сохранения жизни и здоровья пациентов. Особую роль оперативность и верность принятых решений играют в области диагностики абдоминальных заболеваний. Схожесть клинических проявлений может маскировать некоторые нозологические формы под менее острые, затруднять их диагностику и, как следствие, приводить к отложенному началу оказания адекватной медицинской помощи вплоть до критического состояния пациента. В статье рассматриваются этапы проектирования системы поддержки принятия диагностических решений для применения в неотложной абдоминальной хирургии. Предложены виды формализации описания симптоматики заболеваний органов брюшной полости и вариант решающих правил для обработки поступающей в систему информации. Описан порядок формирования и заполнения базы знаний для функционирования системы. Приводятся опытные модели составных частей системы: модель структурной схемы базы данных и общий алгоритм функционирования системы формирования выходных результатов
Currently, decision support systems are used in a wide variety of areas of human activity, including in medicine, where the accuracy and timeliness of decision-making can be essential to the preservation of the life and health of patients. A special role is played by the efficiency and accuracy of the decisions made in the field of diagnosis of abdominal diseases. The similarity of clinical implications can disguise some nosological forms (diseases) as less acute, complicate their diagnosis and as a result lead to a delayed start of providing adequate medical care up to the critical stage of the patient. The article discusses the stages of designing a diagnostic decision support system for use in emergency abdominal surgery. The types of formalization of the symptoms description of diseases of the abdominal cavity and variants of the decision rules for processing the entering information are proposed. The procedure for building and completing of database for system functioning is described. Experimental models of the system components are presented: the model of a structural diagram of the database and the general algorithm for system functioning for generating output results
A qualitative study of patients’ and caregivers’ perspectives on educating healthcare providers
Authors: Adam Holly , Giroux Catherine , Eady Kaylee , Moreau Katherine 
Published: September 2021

Background: Patients/caregivers can be actively involved in the education of healthcare providers (HCPs). The purpose of this study was to explore patients'/caregivers' perspectives on their involvement and roles in the education of HCPs.
Methods: We invited patients/caregivers to participate in one-on-one semi-structured interviews. We analyzed the interview data using conventional content analysis to identify themes.
Results: In terms of patient/caregiver involvement in the education of HCPs, we identified that patients/caregivers perceive that it: (a) is challenging because of power-differentials between themselves and HCPs; (b) requires patient training; (c) needs to start early in HCPs’ education processes; (d) can improve patient-HCP partnerships, and (e) requires compensation for patients. With regards to the roles that patients can play in educating HCPs, we found that patients/caregivers want to: (a) teach HCPs about patients’ expectations, experiences and perspectives through case studies, storytelling, and educational research; (b) provide direct feedback to HCPs, and (c) advise on curricula development and admission boards for HCPs.
Conclusions: Understanding patients’/caregivers’ perspectives on this topic can help educational leaders and HCPs improve active patient/caregiver involvement in the education of HCPs. We need to listen to patients’/caregivers’ voices in order to make effective changes in current and future health professions education.
Analisis Kinerja Simpang Patung Pahlawan Marilonga Ende
Authors: Tuga De Noval La , Sydin Thomas Aquino A. 
Published: September 2021

Simpang Patung Pahlawan Marilonga Ende merupakan salah satu simpang yang cukup ramai karena memiliki akses langsung ke pasar Wolowona, dan juga dilalui peregerakan lalu lintas utama dan menerus yang melalui jalan trans Flores.Penelitian ini bertujuan untuk mengetahui seberapa besar kondisi kinerja simpang saat ini. Data yang diperlukan berupa volume lalu lintas dan kondisi lingkungan. Indikator penilaian kinerja simpang berdasarkan pedoman Manual Kapasitas Jalan Indonesia (Departemen Pekerjaan Umum, 1997).Hasil penelitian menyatakan bahwa kinerja simpang Patung Pahlawan Marilonga Ende dalam kondisi batas yang tidak ideal, nilai derajat kejenuhan (DS) sebesar 0,75, tundaan 13,4866 det/smp, dan peluang antrian (QP) 22 % - 45%. Setelah dilakukan upaya pengendalian berupa pengaturan pergerakan kendaraan dan pelarangan penggunaan aktivitas sisi jalan yang berdampak pada hambatan samping menjadi rendah. Kinerja simpang mengalami penurunan, dengan nilai derajat kejenuhan (DS) sebesar 0,31, nilai tundaan 8,1031 det/smp, dan peluang antrian (QP) 5 % - 14%. Sehingga upaya mempertahankan kinerja simpang melalui pemasangan rambu lalu lintas berupa dilarang melawan arah, dilarang parkir, dan dilarang berhenti merupakan beberapa cara pengendalian yang bisa digunakan untuk mengatasi permasalahan pergerakan lalu lintas yang ada pada simpang Patung Pahlawan Marilonga Ende.
Antibacterial effect of acetic acid during an outbreak of carbapenem-resistant Acinetobacter baumannii in an ICU (II)
Authors: Garciglia-Mercado Carolina , Gaxiola-Robles Ramon , Ascencio Felipe , Grajales-Muñiz Concepción , Soriano Rodríguez Maria Luisa , Silva-Sanchez Jesus , Estrada-Garcia Maria Teresa , Gómez-Anduro Gracia A 
Published: September 2021

Introduction: Acetic acid (AA) has been commonly used in medicine as an antiseptic agent for the past 6000 years. This study evaluated the antibacterial effect of AA during an outbreak in an intensive care unit (ICU) facility in Baja California Sur, México.
Methodology: Thirty-five environmental samples were collected, subsequently, disinfection with AA (4%) was performed, and two days later the same areas were sampled inside the ICU facility. Carbapenem-resistant A. baumannii (CRAB) was detected with loop-mediated isothermal amplification assay (Garciglia-Mercado et al. companion paper), targeting blaOXA-23-like, blaOXA-24-like, blaOXA-51-like, blaOXA-58-like, blaIMP and blaVIM genes. CRAB isolates before and after disinfection were compared by PFGE.
Results: Eighteen (54.5%) and five (14.3%) of thirty-five environmental samples were identified as Acinetobacter baumannii before and after disinfection, respectively, showing a significant decrease of 85.7% (p < 0.05) both by Loop-mediated isothermal amplification (LAMP) and polymerase chain reaction (PCR). Furthermore, the presence of blaOXA-23-like and blaOXA-58-like genes significantly decreased (p < 0.05) both by LAMP and PCR methods. PFGE genotype showed high similarity among CRAB isolates before and after disinfection, suggesting wide clonal dissemination in the ICU facility.
Conclusions: This study demonstrated the novel application of AA with the LAMP assays developed for detecting CRAB. AA promises to be a cheap and efficacious disinfectant alternative to both developed and especially developing countries, preventing the spread of this organism in the environment and to other susceptible patients in health care settings.
Knowledge and perception of treatment among tuberculosis patients attending primary care clinics in Malaysia
Authors: Balakrishnan Nesamalar , Md Monoto Ezura Madiana , Mohd Tohit Noorlaili , Abdul Wahab Asrul 
Published: September 2021

Introduction: Tuberculosis is a disease of public health concern. It can be treated effectively with good knowledge about the disease and complete adherence to the recommended treatment regime. This study is intended to assess the level of knowledge and perception of treatment among tuberculosis patients attending primary care clinics.
Methodology: We conducted a cross-sectional study using a validated self-administered questionnaire among tuberculosis patients attending primary care clinics in Johor Bahru district. A total of 208 tuberculosis patients were enrolled in this study through convenience sampling. We assessed the general knowledge, transmission, causes, and prevention of tuberculosis, where higher scores indicated better knowledge. For the perception of treatment, a higher mean score indicated a more negative perception.
Results: The mean score for knowledge on tuberculosis was 54.33 ± 12.78, ranging from 25 to 88.9%. The mean score for perception was 2.75±0.52, ranging from 2.15-3.39. We found that although 88.9% of respondents knew a person could be infected with TB through inhalation of tuberculosis bacilli, a majority believed that smoking (68.2%), sharing food (69.2%), and eating from the same plate (66.8%) are causes of tuberculosis. Moreover, there was still a negative perception regarding the treatment of tuberculosis with the highest mean score for the statement ‘I am afraid if I am told I am tuberculosis positive’.
Conclusions: We found that there were gaps in knowledge among tuberculosis patients. Intermittent counseling during the treatment re-enforces the knowledge of tuberculosis. An updated standardized counseling sheet of tuberculosis Health Education should be included along with staff training to update their knowledge as part of their important role in health education in tuberculosis prevention.
Environmental and social effects on the incidence of tuberculosis in three Brazilian municipalities and in Federal District
Authors: Monteiro de Castro Fernandes Fernanda , Couto Junior Antônio Felipe , Braga Jose Ueleres , Oliveira Silvano , Do Socorro Nantua Evangelista Maria 
Published: September 2021

Introduction: The territorial characteristics, heterogeneities of landscapes, and the regional profiles of Brazil show great disparities in the spatial distribution of tuberculosis burden. Objective of this study is to analyze the effects of environmental and social factors on tuberculosis incidence in three Brazilian municipalities and in the Federal District of Brazil.
Methodology: We performed an ecological study carried out with 131,576 new cases of tuberculosis registered in the Brazilian national disease notification system. For our research we used climatic data, topographic data and socioeconomic data.
Results: Wind speed and vapor pressure increased the risk of tuberculosis infection between 4.6 and 5.8 times in the 3 municipalities, in comparison with the Federal District. In Recife socioeconomic aspects showed a greater association with tuberculosis. Lack of garbage collection, poor basic sanitation, and access to drinking water, respectively, increased 49, 33, and 28 times the risk of infection. In the multiple regression analysis, Rio de Janeiro showed several environmental characteristics – such as precipitation (p = 0.002), radiation (p = 0.020) and water vapor (p = 0.055) – and social characteristics associated with tuberculosis – such as the lack of sewage treatment, which revealed a 13.5-fold higher risk of infection (p < 0.001).
Conclusions: Incidence in the areas studied was influenced by environmental and social conditions at different levels depending on the territory where the problem was identified. The results make it possible to guide an urban and social policy to reach the targets set out in the WHO End tuberculosis Strategy in large Brazilian urban agglomerations.
The impact of the COVID-19 pandemic on parents’ behavior toward scheduled pediatric vaccinations in Saudi Arabia
Authors: Al-Nafeesah Abdullah Saleh , Aldamigh Abdullah Saleh , Almansoor Basel Abdulrahman , Al-Wutayd Osama , AlE'ed Ashwaq Ahmed 
Published: September 2021

Introduction: Coronavirus disease (COVID-19) is caused by a newly discovered coronavirus and has resulted in a global pandemic. The World Health Organization recommended avoiding any delay or disruption of immunization services, as this could result in increases in outbreak-prone vaccine-preventable diseases. This study aimed to determine the impact of the COVID-19 pandemic on parents’ behaviour towards their children’s scheduled vaccinations.
Methodology: This web-based cross-sectional study recruited 1,143 parents/guardians of children below six years of age living in Saudi Arabia between May 1 and May 30, 2020 via social media platforms. A self-developed online questionnaire consisting of eight items was used. Simple and multiple binary logistic regression was used to determine the factors associated with vaccine delay during the COVID-19 pandemic.
Results: The parents/guardians were aged 20–60 years; 82% were aged between 20 and 39 years. It was found that 26% of parents did not vaccinate their children on time according to the national immunization schedule in regular situations, and 38% of parents reported delaying vaccination due to the COVID-19 pandemic. The multiple logistic regression analysis found that having two or more children, living in Riyadh or the Western region or not vaccinating children during regular situations were associated with an increased risk of vaccine delay during the COVID-19 pandemic.
Conclusions: Delaying children’s vaccinations during the COVID-19 pandemic was influenced most by living in regions with high COVID-19 prevalence and having two or more children.
Epidemiology and antimicrobial resistance profiles of Salmonella in chickens, sewage, and workers of broiler farms in selected areas of Bangladesh
Authors: Talukder Sudipta , Hasan Md. Mehedi , Mandal Amit Kumar , Tasmim Syeda Tanjina , Parvin Mst. Sonia , Ali Md. Yamin , Nahar Azimun , Islam Md. Zahorul , Islam Md. Taohidul 
Published: September 2021

Introduction: A cross-sectional study was conducted to determine the prevalence and AMR pattern of Salmonella isolated from broiler chickens, farm sewage, and farm workers. This study also aimed at identifying the risk factors for Salmonella infection in chickens.
Methodology: Cloacal swabs (n = 50) from broiler chickens, farm sewage (n = 50), and hand washed water of farm workers (n = 50) were collected along with data on farm management and antimicrobial usage from 50 broiler farms of Mymensingh and Gazipur districts. All samples were analysed for the presence of Salmonella using selective media and PCR assay. Antimicrobial susceptibility test was done for ten antimicrobials by disk diffusion test. Risk factor analyses were carried out by multivariable logistic regression using SPSS.
Results: The overall Salmonella prevalence was 66% (99/150). Salmonella prevalence were 82% and 72% in cloacal swabs and farm sewage samples, respectively. From hand washed water, 44% of the samples were positive for Salmonella. Salmonella infection in broiler chickens was significantly associated with farming experience (≤ 5 years) and age of birds (≥ 11 days). Similar pattern of antimicrobial resistance was observed in Salmonella isolated from three types of samples, and high resistances were observed to colistin, doxycycline, ciprofloxacin and ceftazidime. Moreover, isolates from all the three sources showed high percentage of multidrug-resistance (80.6% to 97.6%).
Conclusions: The findings of this study reveal that antimicrobial-resistant Salmonella are prevailing at animal-human-environment interface, which needs an integrated approach to limit further spread of AMR.
Community responses to COVID-19 pandemic first wave containment measures: a multinational study
Authors: Aung Myo Nyein , Stein Claire , Chen Wei-Ti , Garg Vandana , Saraswati Sitepu Monika , Thu Nguyen Thi Dang , Gundran Carlos Primero D , Hassan Mohd Rohaizat , Suthutvoravut Unyaporn , Soe Aung Naing , Nour Magde , Gyi Khin Khin , Brandl Rainer , Yuasa Motoyuki 
Published: September 2021

Introduction: National strategies to control COVID-19 pandemic consisted mostly of social distancing measures such as lockdowns, curfews, and stay-home guidelines, personal protection such as hand hygiene and mask wearing, as well as contact tracing, isolation and quarantine. Whilst policy interventions were broadly similar across the globe, there were some differences in individual and community responses. This study explored community responses to COVID-19 containment measures in different countries and synthesized a model. This exaplains the community response to pandemic containment measures in the local context, so as to be suitably prepared for future interventions and research.
Methodology: A mutlinational study was conducted from April-June 2020 involving researchers from 12 countries (Japan, Austria, U.S., Taiwan, India, Sudan, Indonesia, Malaysia, Philippines, Myanmar, Vietnam and Thailand). Steps in this research consisted of carrying out open-ended questionnaires, qualitative analyses in NVivo, and a multinational meeting to reflect, exchange, and validate results. Lastly, a commuinty response model was synthesized from multinational experiences.
Results: Effective communication is key in promoting collective action for preventing virus transmission. Health literacy, habits and social norms in different populations are core components of public health interventions. To enable people to stay home while sustaining livelihoods, economic and social support are essential. Countries could benefit from previous pandemic experience in their community response. Whilst contact tracing and isolation are crucial intervention components, issues of privacy and human rights need to be considered.
Conclusions: Understanding community responses to containment policies will help in ending current and future pandemics in the world.
An annotated checklist of millipede fauna from Slovakia, with ecological and biogeographic characteristics
Authors: Haľková Beáta , Drabová Martina , Mock Andrej 
Published: September 2021

Two decades have passed since the publishing of the last checklist of the millipedes of Slovakia. During this time, several new faunistic records have been added and taxonomic revisions have occurred. The present updated checklist summarises data on all millipede species recorded in Slovakia, including altogether 93 species.
For each species, general habitat characteristics, ecological classification and distributional pattern are provided. Ecological classification is presented for the first time for the millipede species occurring in Slovakia and is proposed as a tool for ecological studies and for the nature protection purposes. Special remarks are given to the species newly found for Slovakia, Geoglomeris subterranea Verhoeff, 1908, Brachyiulus lusitanus Verhoeff, 1898, Cylindroiulus britannicus (Verhoeff, 1891), C. parisiorum (Brölemann &amp; Verhoeff, 1896) and Polydesmus burzenlandicus Verhoeff, 1925, as well as to C. arborum Verhoeff, 1928, the species newly confirmed for Slovakia after more than 70 years.
Pour une gestion ambulatoire de l’urgence et de la crise en santé mentale
Authors: Defromont Laurent 
Published: September 2021

Le pôle de santé mentale ici présenté se définit comme un laboratoire de bonnes pratiques. Celles-ci s’articulent autour de principes partagés comme l’utilisation des ressources communautaires, la réactivité dans l’évaluation de la crise, l’utilisation prioritaire d’équipes mobiles, « l’aller vers » le malade, le recours à des médiateurs de santé pairs. Le but est de pouvoir évaluer la situation précocément mais en prenant le temps afin que le recours aux soignants puisse être vécu comme une aide et non comme une seule contrainte débouchant nécessairement sur une hospitalisation en urgence.
The Precision of a New Anterior Segment Optical Coherence Tomographer and Its Comparison With a Swept-Source OCT-Based Optical Biometer in Patients With Cataract
Authors: Wang Qinmei , Chen Min , Ning Rui , Savini Giacomo , Wang Yiran , Zhang Tianjiao , Lin Xuanqiao , Chen Xin , Huang Jinhai 
Published: September 2021

PURPOSE:
To assess the precision of a new spectral-domain optical coherence tomographer (SD-OCT)/Placido topographer (MS-39; CSO) and its comparison with a swept-source OCT (SS-OCT) biometer (Argos; Movu, Inc) in patients with cataract.

METHODS:

Fifty-three right eyes from 53 patients were examined by two experienced operators three times using both devices randomly. Employing the within-subject standard deviation (S
w
), test–retest variability, coefficient of variation, and intraclass correlation coefficient to evaluate intraoperator repeatability and interoperator reproducibility; the double-angle plots to analyze astigmatism; and Bland-Altman plots and 95% limits of agreement to verify the agreement between devices.

RESULTS:

The SD-OCT/Placido tomographer showed high precision, with coefficient of variation of 0.44% or less, intraclass correlation coefficient of 0.945 or greater for all parameters, test–retest variability of 4.21 µm or less for central corneal thickness (CCT), 0.03 mm or less for anterior chamber depth (ACD) and aqueous depth (AQD), and 0.25 diopters (D) or less for mean keratometry (Km), J
0
, and J
45
. The inter-device differences in Km, J
0
, and J
45
were statistically insignificant, whereas the remaining were statistically but not clinically significant. The 95% limits of agreement of CCT, ACD, AQD, Km, J
0
, and J
45
were −3.70 to 15.25 µm, −0.06 to 0.04 mm, −0.06 to 0.04 mm, −0.28 to 0.35 D, −0.27 to 0.26 D, and −0.27 to 0.21 D, respectively. The double-angle plot confirmed the high agreement in astigmatism.

CONCLUSIONS:
For CCT, ACD, AQD, Km, and astigmatism measurements in patients with cataract, the new SD-OCT/Placido tomographer has excellent precision and high agreement with the Argos SS-OCT biometer, and can be used interchangeably.

[
J Refract Surg
. 2021;37(9):616–622.]
Assessment of the Vault After Implantable Collamer Lens Implantation Using the KS Formula
Authors: Igarashi Akihito , Shimizu Kimiya , Kato Sayaka 
Published: September 2021

PURPOSE:
To examine the vault size after Implantable Collamer Lens (ICL) (KS-AquaPORT; STAAR Surgical) surgery using the KS formula.

METHODS:
In this prospective study, the postoperative vault was examined using the KS formula in 121 eyes of 65 patients (28 men and 37 women) who underwent ICL implantation for myopia and myopic astigmatism. The mean horizontal angle-to-angle (ATA), anterior chamber depth, and axial length before surgery were 11.83 ± 0.40, 3.25 ± 0.34, and 26.52 ± 1.17, respectively. Anterior segment optical coherence tomography (CASIA2; Tomey Corporation) was used for ATA measurement.

RESULTS:

Multiple regression analysis of the potential factors influencing the predicted vault error (postoperative vault – predicted vault by KS formula) showed that only ICL size was a significant factor (
P
< .001,
r
= 0.36). At an ICL size of 12.1 mm, the postoperative vault was smaller than the predicted vault, and the postoperative vault tended to be larger than the predicted vault at ICL sizes of 13.2 and 13.7 mm.

CONCLUSIONS:
Vault prediction by the KS formula was generally good, but the ICL size influenced the vault prediction error; therefore, a modified KS formula was created to reduce the error in measurements of the postoperative vault.

[
J Refract Surg
. 2021;37(9):636–641.]