bluuebunny/crossref_metadata_2025_split huggingface dataset:
Situational Awareness Huddles in a Pediatric Cardiac Intensive Care Unit During the COVID-19 Pandemic
Authors: Christensen Kristen , Colman Nora , Van Voorhis Kay , Daniels Katherine , Culpepper Haley , Hebbar Kiran , Wolf Michael 
Published: May 2021

Background
The COVID-19 pandemic has created challenges for provider teams working in intensive care units, including rapidly changing patient care regulations, staffing considerations, and preservation of personal protective equipment. The need for enhanced respiratory precautions for infected patients and patients under investigation has necessitated a new process for interventions and resuscitation.

Local Problem
Along with changing regulations and equipment, significant staff anxiety surrounded caring for infected patients and preparing for emergency situations.

Methods
A huddle process was implemented in the pediatric cardiac intensive care unit for acutely ill patients who required enhanced respiratory precautions and were at risk of imminent decompensation, or who required a bedside procedure. During a huddle, the multidisciplinary team used process maps displayed in patient rooms; the huddle process created a situational awareness of events among these teams.

Intervention
After implementation of huddles, a survey was distributed to cardiac intensive care unit staff in order to understand their satisfaction with the huddle process.

Results
A total of 36 staff responded to the survey. They thought the huddles helped them to prepare for resuscitation scenarios, helped limit the number of personnel responding to an emergency, and reduced their anxiety surrounding caring for these patients. Staff suggested generalizing this huddle process to all patients at acute risk for decompensation in the cardiac intensive care unit.

Conclusions
A novel huddle process created situational awareness among staff caring for patients requiring enhanced respiratory isolation because of COVID-19. Multidisciplinary huddles allowed staff from various disciplines to apply a process map for interventions and resuscitations among critically ill children with heart disease.
Drawbacks and Aftermath of the Affordable Care Act: Ex-Ante Moral Hazard and Inequalities in Health Care Access
Authors: Corso Daniele 
Published: May 2021

Background Following the introduction of the Affordable Care Act, various studies have tried to identify the effects of the reform, without reaching a clear consensus. The aim of this study was to investigate whether expansion of the Medicaid program has led to less inequality in access to health care and to a higher level of ex-ante moral hazard. Design and methods The analysis was conducted on two-year longitudinal data (2014-2015) regarding a cohort of 15,898 individuals from a Medical Expenditure Panel Survey (MEPS). After a data cleaning procedure, a sample of 9,255 individuals was selected for the inequality part of the study and 2,307 for the exante moral hazard analysis. Propensity score matching with nearest- neighbour and kernel matching algorithms, difference-in-difference models and concentration index, corrected according to Erreygers methodology, were adopted. Results The analysis showed that disparities were reduced between social classes although the ex-ante moral hazard is a real problem with the Affordable Care Act since individuals covered by public insurance tended to abuse the public service. Among those who benefited from the Act, a reduction in preventive behaviours was observed: there was an increase in smoking and a decrease in level of physical activity . As far as concerns access to health care, there was a decrease in inequality in emergency visits, inability to get care and getting care when needed among beneficiaries of the reform. Conclusions This study demonstrates that the extension of Medicaid has had a dual effect of reducing disparities in access to health care but, at the same time, it seems to have induced people to take less care of themselves.
Physico-chemical parameters of surface water and sediment of Azuabie creek, Rivers state, Nigeria: a water body receiving abattoir wastes
Authors: Ugbomeh A.P. 
Published: May 2021

Physico-chemical parameters were determined in water and sediment samples collected from the Azuabie Creek, Rivers State, Nigeria. This was to establish that run-off from the abattoir affected heavy metals concentrations and other physico-chemistry properties of water. Water samples were collected from 5 stations along Azuabie creek and 3 stations along the Azuabie creek-let, Niger Delta between September 2006 and July 2007. These stations were selected to reflect various points of do-mestic waste inputs into the creek with Station 6 opposite the abattoir as the point source, Stations 1 to 3 within a creek-let that receives run-offs from shore settlers as well as from some industries, and upstream Station 8 as control. Surface water temperature, pH, conductivity, turbidity and salinity were typical of the tropics with spatial and seasonal variations. Total dissolved solids was high especially at Stations 1 to 3 in the creek-let with values above Federal Ministry of Environment maximum limit of 1500 mg/L, indicating an impact from effluents. Essential metals detected in water were iron, copper, zinc and chromium. Non-essential metals in water were arsenic and lead. Nickel, cadmium, vanadium and mercury were below detection limit. Physico-chemical parameters indicated an impact from the abattoir wastes. Principal Component Analysis of surface water and sediment characteristics indicated some stations as distinct on their own from other stations.Key Words: Water quality parameters, heavy metals, abattoir wastes, pollution, PCA analysis, Azuabie creek Physico-chemical parameters of surface water and sediment of Azuabie creek, Rivers state, Nigeria: a water body receiving abattoir wastes
INTERVENTION STRATEGIES AND PROGRAMS TO OPTIMIZE THE OCCUPATIONAL PERFORMANCE, WELL-BEING, AND HEALTH OF POLICE OFFICERS: AN INTERNATIONAL OVERVIEW
Authors: De Ronzi Roberto , Greco Gianpiero 
Published: May 2021

<p>Police officers can suffer from chronic diseases or common disorders, such as obesity and cardiovascular disease. The predominantly sedentary nature of the profession, the rapid transition from waiting situations to activities with a high psychophysical impact, the physical inactivity, the work stress, the consumption of tobacco, the sleep disorders and poor eating habits can have a negative effect on the officer’s health and well-being. This review discussed the intervention strategies and programs adopted to optimize work performance, well-being, and health in the international police force. Training programs for the well-being of police officers can reduce social costs and improve the health status, physical and working efficiency and longevity of the worker. However, administrations should invest in facilities and equipment, and physical-motor education and awareness programs to be performed in the workplace by adopting a cultural change to improve the health and well-being of their workers. For this purpose, the various professional figures become of fundamental importance, including that of the Tactical Strength and Conditioning Specialists who have the specific skills to develop, implement and support physical-motor education programs to improve the psychophysical well-being and health of police officers becomes of fundamental importance.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0728/a.php" alt="Hit counter" /></p>
Pengaruh Penggunaan Sistem Isyarat dalam Program Berita Seputar inews Siang RCTI terhadap Tingkat Pemahaman pada Penyandang Tunarungu Di Gerkatin Kota Bandung
Authors: Shafira Albari  
Published: May 2021

Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh penggunaan komponen penunjang dan penentu Sistem Isyarat dalam program berita Seputar iNews Siang RCTI terhadap tingkat pemahaman pada penyandang tunarungu di Gerkatin kota Bandung. Penelitian dilakukan pada penyandang tunarungu di Gerkatin kota Bandung. Informan diketahui gemar dan pernah menonton siaran berita di Seputar iNews Siang RCTI yang rata-rata berusia 20-30 tahun. Pada penelitian ini, penulis menggunakan metode penelitian kuantitatif deskriptif dengan pendekatan korelasi. Populasinya adalah penyandang tunarungu/teman tuli di Gerkatin (Gerakan untuk Kesejahteraan Tuli Indonesia) Kota Bandung dengan total populasi sebanyak 250 orang. Peneliti menerapkan teknik purposive sample dengan jumlah sampel sejumlah 30 orang. Hasil dari penelitian ini menunjukkan pengaruh penggunaan sistem isyarat dalam program berita Seputar iNews Siang RCTI pada penyandang tunarungu di Gerkatin kota Bandung adalah efektif dengan jumlah presentase sebesar 65,7% dengan rhitung sebesar 1,307 > rtabel 1,984. Maka dapat disimpulkan dari penjabaran tersebut bahwa H0 ditolak dan H1 diterima. Pada variabel X penelitian ini termasuk ke dalam kategori baik, dengan hasil skor presentase sebesar 79,23% dan presentase variabel Y sebesar 85,73% yang masuk ke dalam kategori sangat baik. Hal ini memperlihatkan bahwa tingkat pemahaman penyandang tunarungu sudah cukup memahami lewat menerjemahkan, menafsirkan, dan mengekstrapolasi.
The role of HMGB1 in gastrointestinal cancers
Authors: Yılmaz Nimet , Yıldırım Mustafa , Seval Savaş Hanım , Çiçek Hülya , Nuray Sever Özlem 
Published: May 2021

Despite advances in diagnostic and therapeutic methods, gastrointestinal (GI) cancers have both a high incidence and a high mortality rate. In addition to surgery, chemotherapy and radiotherapy, novel modalities such as immunotherapy are increasingly used in the treatment of these cancers. However, the prognosis in GI cancers remains poor despite the availability of these treatments, which prompted the search for new prognostic and predictive markers. High-mobility group box-1 (HMGB1) is a non-histone DNA protein which is known as a nuclear transcription factor. The search for new therapeutic targets has also gained importance. In this review, the prognostic and predictive role of HMGB1 in gastrointestinal cancers will be discussed in light of current literature.
Comparative study of the efficacy of bevacizumab
and rose bengal photodynamic therapy for treatment of corneal neovascularization
Authors: Ahmed Aziza , Abdelkawi Salwa , Elgohary Mohamed , Elshinawy Ayman , Fouad Dina 
Published: May 2021

IntroductionTo compare the efficacy of bevacizumab and rose bengal photodynamic therapy (RB-PDT) in the treatment of corneal neovascularization (CNV).Material and methodsThe study design included the induction of CNV by suture placement in three groups of New Zealand rabbits: (1) a group with CNV without any treatment; (2) a group treated with subconjunctival injection of bevacizumab (25 mg/eye); (3) a group treated with intravenous injection of rose bengal and exposed to 532 nm photodynamic therapy. For 4 weeks, the animals were followed up by slit-lamp to analyze the extent of CNV, evaluate the corneal protein secondary structure, and determine the oxidative stress index (OSI).ResultsAfter 4 weeks, traces of neovascularization were observed only in the bevacizumab treated group with grade 0.5. The contents of -helix and -sheet were 17% and 61% in CNV, 32%, and 46% in bevacizumab and 40% and 36% in RB-PDT groups vs. 43% and 35% for the control group. Moreover, the percentage changes in the total oxidative status (TOS) for CNV, bevacizumab and RB-PDT groups were 97.1%, 14.6%, and 1.0%, respectively, with respect to the control. The total antioxidant status (TAC) showed no significant changes (p > 0.05) for both treated groups. The percentage of changes in OSI was 15.9% and 1.3% in bevacizumab, and RB-PDT treated groups compared with the control group.ConclusionsBoth modes of treatment were effective in the regression of CNV, but RB-PDT was more efficient than bevacizumab by improving the corneal protein secondary structure and the oxidative stress.
PNPLA3 gene polymorphism and severity of liver steatosis and fibrosis
Authors: Wawrzynowicz-Syczewska Marta , Waszczyk Aleksandra , Bander Dorota , Miętkiewski Janusz , Urbańska Anna , Scheibe Kaja 
Published: May 2021

IntroductionNon-alcoholic fatty liver disease (NAFLD) is one of the leading chronic liver diseases worldwide. Environmental and genetic factors have an impact on NAFLD development. Single nucleotide polymorphism in the PNPLA3 gene is strongly related to the increased fat content in hepatocytes. The aim of our study was to investigate the association between PNPLA3 variants and the intensity of liver steatosis and fibrosis assessed by liver biopsy in patients with NAFLD.Material and methodsThe study group comprised 127 patients with NAFLD confirmed by liver biopsy. The control group comprised 251 healthy volunteers. In every case genotyping of the PNPLA3 rs738409 C to G nonsynonymous sequence variant was performed. Distributions of genotypes and alleles were compared between NAFLD patients and controls, and analyzed in relation to different steatosis and fibrosis stages in the study group.ResultsFrequencies of PNPLA3 genotypes strongly differ between NAFLD patients and controls (p = 0.00001). Odds ratio (OR) for genotype GG in NAFLD was 2.94 (1.45–5.97, p = 0.0015). Also allele G was more frequent in NAFLD patients vs. controls (p = 0.00001); OR for G allele in NAFLD was 2.74 (1.77–4.27, p = 0.00000273). No significant differences in the genotype or allele distribution of PNLPA3 were observed in relation to steatosis intensity or between patients with or without cirrhosis. However, allele G was found is every hepatocellular carcinoma case.ConclusionsWe do not advocate universal genetic testing in every NAFLD case to select patients at risk of development of cirrhosis or steatohepatitis. Further investigation of the relationship between PNPLA3 variants and hepatocellular carcinoma is warranted.
The effects of social comparison on the relationships among social media addiction, self-esteem, and general belongingness levels
Authors: Kavaklı Mehmet , Ünal Gülten 
Published: May 2021

BackgroundSocial media addiction (SM) is a widespread and severe problem in today’s world. It is associated with both self-esteem (SE) and general belongingness (GB). There are many studies related to these associations in the literature, but in this research an attempt was made to explain this mechanism based on social comparison theory. The aim of this study is to examine the indirect effect of social comparison (SC) on the relationship among SM, SE, and GB.Participants and procedureThe sample consisted of 311 university students studying at a state university in Turkey. Data were gathered by using a demographic information form, the Rosenberg Self-Esteem Scale, the General Belongingness Scale, the Social Comparison Scale, and the Social Media Addiction Scale-Student Form. The mediator effect of SC was determined via structural equation modelling.ResultsThe results indicate that SC has an indirect effect on the relation between SM and SE. Similarly, SC has an indirect effect on the relation between SM and GB.ConclusionsPeople tend to compare themselves with other individuals, and this SC process can be made very easily and quickly via social media tools. Moreover, social media sites offer plenty of opportunities for SC, and this comparison consists of sometimes up-ward SC and sometimes downward SC processes. Downward and upward SC processes can regulate individuals’ emotions, SE, and GB levels in social media either in a negative or positive way. The mediating role of SC in the relationship between SM, SE, and GB can be examined in terms of these upward and downward SC processes.
Interpersonal competences of students, their interpersonal relations, and emotional intelligence
Authors: Klinkosz Waldemar , Iskra Justyna , Artymiak Małgorzata 
Published: May 2021

BackgroundSome of the most important interpersonal competences are: effectiveness in dealing with specific interpersonal challenges and the ability to undertake appropriate actions in a given situation; the range of interpersonal challenges with which one can effec-tively deal; and satisfaction derived from one’s interpersonal contacts and relations, and from one’s social standing. One’s time at university is one of the most influential educational stages in one’s life and is a time of accumulation of changes related to a variety of dimensions of life. At university, young people, often away from their parents, learn how to be independent, make new friends, and make decisions related to their personal and professional lives.Participants and procedureThe participants in the study were 173 (92 women and 81 men) psychology students of three universities in Poland who volun-teered to complete three questionnaires: the Interpersonal Competence Questionnaire, the Interpersonal Adjective Scales, and the Popular Emotional Intelligence Questionnaire.ResultsThe results showed a positive correlation between the students’ interpersonal competence and emotional intelligence. The re-search has confirmed the value of the applied methods and the significance of social competences in the development of positive interpersonal relations and the ability to adapt to a new environment.ConclusionsThe results showed a positive correlation between the students’ interpersonal competence and emotional intelligence. The re-search has confirmed the value of the applied methods and the significance of social competences in the development of positive interpersonal relations and the ability to adapt to a new environment.
Self-esteem, quality of life, and physical activity in women with diagnosed endometriosis: a pilot study in an Italian sample
Authors: Bianco Antonino , Gentile Ambra , Russo Marzia , Maiorana Antonio , Lavanco Gioacchino , Mellina Arianna , Palma Antonio 
Published: May 2021

PurposeEndometriosis is a painful pathology impairing women’s daily life. Several studies have shown that patients report low mental and physical quality of life, but no general evaluation of their self-esteem has been found. Studies concerning physical activity frequency present inconsistent results. Therefore, the current paper aims to compare life quality and selfesteem in women with endometriosis with the Italian normative data of the measures used.MethodsOverall, 36 women with diagnosed endometriosis treated in hospital completed a questionnaire detecting physical activity frequency, self-esteem, quality of life, and socioeconomic information. One sample t-test served to compare the data from this particular group with those of the general Italian population.ResultsThe participants displayed higher self-esteem (<i>t</i> = 5.65, <i>p</i> < 0.001) and a good quality of life (physical functioning: <i>t</i> = 3.64, <i>p</i> < 0.001), except for fatigue (<i>t</i> = –3.24, <i>p</i> = 0.003; significant difference); they declared feeling more fatigue than the general population. Only 4 women (11%) reported regular physical activity, while 16 were smokers (44.4%, mean: 10.6 cigarettes/day).ConclusionsWomen with diagnosed endometriosis presented higher self-esteem and normal quality of life, even though their general health was lower and fatigue was higher than in the general Italian population. However, the sample involved females of low socioeconomic status and low education, characterized by poor communication skills and not open to externalize their feelings. Therefore, they might not have been honest in their answers. This potential bias, together with the small sample size, will be addressed in future research.
Percutaneous ultrasound-guided plugged liver biopsy – a single-centre experience
Authors: Singhal Soumil , M.D. Pradeep , Inuganti Srikar , Botcha Sandeep , Thiruchunapalli Deepashree Deepashree , C. Uthappa Mangerira 
Published: May 2021

IntroductionLiver biopsy is a widely used, safe diagnostic tool utilised by clinicians for the histopathological assessment of the liver. Our study aims to report our experience in patients who underwent ultrasound-guided plugged percutaneous liver biopsy in a tertiary care hospital in India.Material and methodsThe Institutional Ethical Review Board approved this retrospective study, and informed consent was obtained from all the patients. A total of 830 liver biopsies were performed between January 2014 and December 2018, of which 782 were plugged percutaneous liver biopsies. The tract was plugged using Gelfoam slurry. Various observations related to the procedures were recorded.ResultsSeven hundred and eighty-two were plugged percutaneous liver biopsies, which were performed during the study period. Of the 782 patients, 163 were male, and 619 were female (20.8 % and 79.2 %, respectively), with a mean age of 49.6 ± 2 years (1 month to 86 years). A 100% technical success rate was seen. No immediate major complications were documented in any of the patients who underwent plugged biopsies. No significant complications were seen in any patient.ConclusionsPercutaneous liver biopsy is an extensively performed diagnostic tool. We found that ultrasound-guided percutaneous plugged liver biopsy is an easy to perform procedure, which is associated with a lower risk of a bleeding complications.
Depression symptoms related to undertaking regular physical activity in students of the Faculty of Physiotherapy
Authors: Szczepańska-Gieracha Joanna , Rusowicz Jagoda , Markowska Anna 
Published: May 2021

IntroductionThe aim of the study was to assess the frame of mind and mood of students of extramural studies at the Faculty of Physiotherapy at the University School of Physical Education in Wrocław in the context of regular physical activity.MethodsThe research involved 35 students of the second year of extramural studies (the whole year 2017/2018). Mood disorders were examined with the Beck Depression Inventory. Moreover, the respondents answered a number of questions included in a questionnaire concerning their economic situation, the possession of a loved one or a close relative, the willingness to receive help from a psychologist/psychotherapist in the case of problems, their professional plans, and undertaking physical activity.ResultsOverall, 49% of the studied group experienced mood disorders of different severity and 6% met the criteria for diagnosing depression. Lack of regular physical activity, gender, and economic situation were significantly related to the occurrence of depressive symptoms.ConclusionsOwing to the high percentage of students with mood disorders, education in the area of prevention and treatment of depression is very important, as is access to psychological support during the course of studies. The mental condition of future physiotherapists is also crucial for the quality of their work, which is related to helping the sick and disabled.