bluuebunny/crossref_metadata_2025_split huggingface dataset:
Experiences of Professionalism Attributes among Undergraduates Nursing Students and Nurses
Authors: Mohamed Lobna K. , Dorgham Shereen R. , Eid Walaa M. 
Published: April 2021

Context: Professionalism is an essential ingredient in the nursing profession that begins during the foundational educational program when the student nurses learn the knowledge, skills, and attitudes and continue during their practices in the real world.
Aim: This research aimed to assess the main attributes of professionalism among undergraduates nursing students and nurses.
Methods: This study utilized a descriptive comparative correlational design. The current study was conducted in the faculty of nursing, as well as in Intensive Care Units, Neonatal Intensive Care Units, Cardiac Care Units, and Neurology Intensive Care Units at Tanta University Hospital. Subjects. The sample consisted of (897) nursing students and (149) nurses. The data collection’s tool was the nursing professionalism attributes' questionnaire that was developed by the authors. It contains three dimensions, including; professional identity (12 statements), professional ethics (12 statements), and professional behaviors (16 statements).
Results: This study suggested that the undergraduate nursing students perceived the high mean score in all professionalism attributes more than the practicing nurses did.
Conclusion: This study concluded that the development of professionalism in nursing is an essential feature of the nursing profession and practice. The nurse students were high in areas of patients and colleagues’ rights, obeying orders, commitment and collaboration, physical appearance, continuing education, and caring of the patient. While the nurses had very low scores in membership in the nursing association, autonomy, and research areas, this study recommended the encouragement of nurses and students' participation in scientific research activities, including; membership in professional organizations or associations, attending nursing conferences/workshops/symposium as a producer or consumer, and fellowship.
Knowledge, attitude, and practice towards COVID-19 among Libyan people- a web-based cross-sectional study
Authors: Ali Jadoo Saad Ahmed , Danfour Omer Mohamed , Zerzah Masud , Abujazia Mouna Abdelrahman , Torun Perihan , Al-samarrai Mustafa Ali Mustafa , Yaseen Shukur Mahmood 
Published: April 2021

Background: Successful plans in disaster and epidemics management depend on the feedback response and the assessment of knowledge, attitudes, and practices among the target population. This study aims to assess the knowledge, attitude, and practice towards COVID-19 among Libyan people.
Methods: A cross-sectional web-based survey designed to assess the knowledge, attitude, and practice towards COVID-19 among the Libyan people from 13-20 October 2020. A self-administered questionnaire was recruited to collect the data of 287 participants. SPSS version 16.0 was used to analyze the data using univariate and multivariable regression data analyses.
Results: More than half of respondents were males (53.7%), married (61.3%), aged less than 45 years old, highly educated (46.3%), employed (44.6%), urban resident(79.8%), experience good or very good health (71.1%) and earned more than USD 200 monthly (84.3.%). The participants showed a high rate of good knowledge (81.0%), attitude (71.1%), and practice (83.7%) towards COVID-19, respectively. Regression analysis showed that married (P=0.056), female (P=0.037), living in the urban regions (P<0.001) with good income of more than USD 2020 (P=0.001) were significantly associated with upper knowledge score. Females (P=0.040) were more significantly associated with positive attitude scores than males. Regarding practice score, married (P=0.001), females (P=0.059) had better practice, but poor-rated health status (P=0.018) was significantly associated with the weak practice.
Conclusion: The distinction of urban regions with good knowledge, optimistic attitudes, and acceptable practices towards COVID-19 determines the government's action compass towards more interest in supporting males, unhealthy, and those living in the rural areas with accurate and timely knowledge.
MicroRNA-26b inhibits cardiac remodeling after myocardial infarction by targeting ring finger protein 6 expression
Authors: Tang Chun-mei , Su Qiang , Zhao Hai-xia , Sui He-huan , Liang Jing , Zhu Li-sha , Yang Si-yun , Liu Tao 
Published: April 2021

IntroductionThis study aimed at determining the regulatory mechanism of miR-26b in myocardial infarction (MI)-induced cardiac remodeling through apoptosis.Material and methodsAn MI rat model was established by left coronary artery ligation. Microarray data were analyzed to distinguish differentially expressed genes in MI. miR-26b was found to be poorly expressed, whereas ring finger protein 6 (RNF6) was highly expressed in MI. Consequently, miR-26b was identified to target RNF6 using dual-luciferase reporter assay and bioinformatics prediction. Furthermore, rats injected with a lentiviral vector expressing miR-26b mimic and/or RNF6 were used to evaluate the role of miR-26b and RNF6 in regulating cardiac function, infarct size, and cardiomyocyte apoptosis.ResultsmiR-26b overexpression improved cardiac function and increased left ventricular end-diastolic and end-systolic diameters. Meanwhile, increased miR-26b expression decreased infarct size and cardiomyocyte apoptosis. Moreover, RNF6 overexpression counteracted the role of miR-26b in cardiac function. Additionally, an in vitro cell model illustrated that miR-26b upregulation could increase cell viability and reduce apoptosis, whereas RNF6 overexpression reversed its effect. We also found that the miR-26b mimic could negatively modulate RNF6 expression to inactivate the ERα/Bcl-xL axis.ConclusionsmiR-26b plays a protective role against cardiac remodeling after MI through the inactivation of the RNF6/ERα/Bcl-xL axis, proposing miR-26b and RNF6 as potential therapeutic targets for MI.
Abdominal complex muscle in women with stress urinary incontinence – prospective case-control study
Authors: Burzynski Bartlomiej , Jurys Tomasz , Knapik Michalina , Burzynski Kamil , Rzymski Paweł , Rajwa Paweł , Bryniarski Piotr 
Published: April 2021

IntroductionThis study is designed to assess the percentage share of musculus obliquus externus abdominis, musculus obliquus internus abdominis and musculus transversus abdominis activity among women with stress urinary incontinence using ultrasonography.Material and methodsMaterial and methods: The study is a retrospective analysis of prospective collected data of 84 women aged 23-62 years old. In the study group are women suffering from grade 1 or 2 stress urinary incontinence according to the Stamey classification, the control group consists of women with no micturition disorders. The abdominal muscles activity was measured by using the ultrasound imaging with assessment of muscle thickness.ResultsThe analysis of musculus obliquus externus abdominis in anterolateral abdominal wall activity shows a statistically significant difference between study and control group concerning isometric tension of abdominal muscles (p=0,012) and lower part of abdomen tension (p=0,004). Women with stress urinary incontinence present a higher activity of the musculus obliquus externus abdominis than controls. In the case of the musculus obliquus internus abdominis, statistically significant differences were shown during tension of the lower part of the abdomen (p=0,024). Comparison of activity of the musculus transversus abdominis between study and control groups shows a statistically significant difference during isometric tension of abdominal muscles (p=0,018).ConclusionsThe pattern of activity of the assessed muscles differs between the study group and the control group. In the study group, the activity pattern is concerning the higher activity of the musculus obliquus externus abdominis and the lower activity of the musculus obliquus internus abdominis and musculus transversus abdominis.
Treatment Sequences of Androgen Receptor–Targeted Agents for Prostate Cancer
Authors: Tran Khai , McGill Sarah 
Published: April 2021

No evidence was found on the treatment sequences of androgen receptor–targeted agents in patients with castration-sensitive prostate cancer.
Evidence from retrospective studies, including those within a systematic review, suggests that sequential treatment of abiraterone followed by enzalutamide is more favourable than enzalutamide followed by abiraterone in improving clinical outcomes such as response rate and progression-free survival, but not overall survival, in patients with castration-resistant prostate cancer.
Evidence from a retrospective study suggests that docetaxel-containing treatment sequences with androgen receptor–targeted agents may improve progression-free survival compared to sequential therapy with androgen receptor–targeted agents alone in patients with castration-resistant prostate cancer.
Evidence from a retrospective study did not reveal differences in clinical outcomes of patients with castration-resistant prostate cancer treated with sequential androgen receptor–targeted agents with or without interposed chemotherapy or radium-223.
These findings were in line with those observed in a 2019 CADTH report.1 However, the findings should be interpreted with caution due to low-quality evidence.
No comparative cost-effectiveness studies were identified.
Point-of-Care Testing of International Normalized Ratios for People on Oral Anticoagulants: A Rapid Qualitative Review
Authors: Herington Elijah , MacDougall Danielle 
Published: April 2021

The opportunity to engage in self-testing can be experienced as simultaneously liberating and constraining.
While self-testing may be appreciated as a form of point-of-care testing for international normalized ratio (INR) levels, some people engaged in self-testing were concerned with the limited amount of personalized care they received.
People using oral anticoagulants described community pharmacist-led anticoagulation management services (CPAMS) as a convenient way of testing INR levels and learning about their health needs.
Community pharmacists felt they were well-situated to provide care through CPAMS, but acknowledged the importance of ongoing training, oversight, and appropriate levels of resourcing.
Lenses and Spectacles to Prevent Myopia Worsening in Children
Authors: Banerjee Srabani , Horton Jennifer 
Published: April 2021

A total of 5 relevant systematic reviews and 7 randomized controlled trials (RCTs) were identified.
Myopia progression and axial length elongation was less with omafilcon A (MiSight) contact lenses compared to single-vision lenses (1 RCT; statistical significance of difference was not reported).
Myopia progression and axial length elongation was less with defocus incorporated multiple segments spectacle lenses compared to single-vision spectacle lenses (1 RCT; the between-group difference was statistically significant).
Myopia progression was less with orthokeratology contact lenses compared to single-vision contact lenses or single-vision lenses (2 systematic reviews and 2 RCTs; between-group difference was statistically significant or statistical significance was not reported) and axial length elongation was less (5 systematic reviews and 2 RCTs; between-group difference was statistically significant or statistical significance was not reported).
Myopia progression and axial length elongation was less with multifocal lenses compared with single-vision contact lenses (1 systematic review and 2 RCTs; between-group difference was statistically significant).
Findings need to be interpreted in the light of limitations, such as limited quantity and quality of the included primary studies, limited information regarding adverse events, and lack of long-term data.
No economic evaluations reporting on the cost-effectiveness of these interventions were identified.
Interferon Gamma Release Assay for the Identification of Latent Tuberculosis Infection in Rural and Remote Settings
Authors: Brett Kendra , Severn Melissa 
Published: April 2021

There is a lack of evidence on the clinical utility of the interferon gamma release assay for identifying latent tuberculosis infection in rural and remote settings.
In remote Indigenous communities with known history of bacillus Calmette-Guérin vaccination, more positive tests results were reported with the tuberculin skin test than with the interferon gamma release assay.
How Asian aerosols impact regional surface temperatures across the globe
Authors: Merikanto Joonas , Nordling Kalle , Räisänen Petri , Räisänen Jouni , O'Donnell Declan , Partanen Antti-Ilari , Korhonen Hannele 
Published: April 2021

Abstract. South and East Asian anthropogenic aerosols mostly reside in an air mass extending from the Indian Ocean to the North Pacific. Yet the surface temperature effects of Asian aerosols spread across the whole globe. Here, we remove Asian anthropogenic aerosols from two independent climate models (ECHAM6.1 and NorESM1) using the same representation of aerosols via MACv2-SP (a simple plume implementation of the second version of the Max Planck Institute Aerosol Climatology). We then robustly decompose the global distribution of surface temperature responses into contributions from atmospheric energy flux changes. We find that the horizontal atmospheric energy transport strongly moderates the surface temperature response over the regions where Asian aerosols reside. Atmospheric energy transport and changes in clear-sky longwave radiation redistribute the temperature effects efficiently across the Northern Hemisphere and to a lesser extent also over the Southern Hemisphere. The model-mean global surface temperature response to Asian anthropogenic aerosol removal is 0.26±0.04 ∘C (0.22±0.03 for ECHAM6.1 and 0.30±0.03 ∘C for NorESM1) of warming. Model-to-model differences in global surface temperature response mainly arise from differences in longwave cloud (0.01±0.01 for ECHAM6.1 and 0.05±0.01 ∘C for NorESM1) and shortwave cloud (0.03±0.03 for ECHAM6.1 and 0.07±0.02 ∘C for NorESM1) responses. The differences in cloud responses between the models also dominate the differences in regional temperature responses. In both models, the northern-hemispheric surface warming amplifies towards the Arctic, where the total temperature response is highly seasonal and weakest during the Arctic summer. We estimate that under a strong Asian aerosol mitigation policy tied with strong climate mitigation (Shared Socioeconomic Pathway 1-1.9) the Asian aerosol reductions can add around 8 years' worth of current-day global warming during the next few decades.
EVALUASI KINERJA KARYAWAN PANEN PADA PRODUKSI KELAPA SAWIT DI PT. TELEN BUKIT PERMATA ESTATE
Authors: Nanli Artin  , Roby  , Daryono  
Published: April 2021

This research is motivated by the importance of evaluating harvest employees in oil palm production, both in the industrial and organizational fields. This study analyzes the performance of harvest employees at PT. Telen Bukit Permata Estate, particularly in the palm oil harvesting sector. Therefore, a company must be able to manage its human resources properly in order to increase productivity in the company.
This study aims to identify the characteristics of harvest employees and to evaluate the performance of harvest employees on oil palm production, based on gender, age, education and length of work. This research was conducted at PT. Telen Bukit Permata Estate in Kaubun District, East Kutai Regency. This research is focused on harvest employees who are at PT. Telen Bukit Permata Estate. This research was conducted with a descriptive method. The results of the observations made were that the average score of the questionnaire was 75.77%. Where based on the weighting scale it is included in the tofu / frequent category.
ANALISIS BEBAN KERJA DAN KEBUTUHAN KARYAWAN PEMUPUKAN KELAPA SAWIT DI PT. WIRA INOVA NUSANTARA KABUPATEN KUTAI TIMUR KALIMANTAN TIMUR
Authors: Aries Rimbawan  
Published: April 2021

This research is motivated by the growing area of ​​land or land used for oil palm business, in the industrial and cultivation sectors and in the company also has a design in determining the desired employee needs including determining the right employee needs according to their workload. emban.
This study aims at workload to analyze workload, effective working time, and the amount of labor required by the fertilizer division. The study was conducted using the work sampling method to determine the pattern of activities in the use of working time. Fertilizing employees for 3 working days for each employee with an observation time interval of 10 minutes. This study uses a qualitative approach by means of observation and interviews.
The results showed a job description of each employee in the fertilization section. The effective working time owned by employees is 59,976 minutes per year with effective working days for a year is 204 days. The total annual workload of the surface part is 60,384 minutes with a total of 13 employees. These results indicate that the number of employees who are deficient will have an impact on the completion time of the task. Therefore, it is advisable for the section that handles employees at PT Wira Inova Nusantara to review the distribution of employees in order to produce optimal and timely work.
It is hoped that it can provide information that can be useful for those who read or who want to develop existing methods to be better and more effective methods and can be used as an evaluation in planning and determining the needs of fertilization employees for future consideration and evaluation.
Enseigner en prision
Authors: Silva Junior Dinaldo , Granger Stéphane 
Published: April 2021

RESUMÉ: Cette étude est le résultat de recherches et de d’expériences professionnelles au Centre pénitentiaire de Rémire-Montjoly en Guyane en 2015-20l6, lors de la mise en place du premier volet du projet brésilien d’extension d’activités en contexte pénitentiaire intitulé Education carcérale transfrontalière. Elle se veut une réflexion sur les pratiques et contributions d’éducateurs et d’apprenants intervenant dans un contexte spatial différent de leur environnement habituel, en l’occurrence ici l’univers carcéral. En effet, l’objectif de ce projet est de développer des activités d’enseignement auprès des détenus brésiliens de cet établissement, afin de les préparer aux Examens de Certification nationale, comme l’Examen national de Certification des Compétences des Jeunes et Adultes (ENCCEJA) et l’Examen national de l’Enseignement secondaire (ENEM), afin qu’ils obtiennent un diplôme facilitant une insertion dans la vie active au Brésil après l’accomplissement de leur peine en Guyane Française.
Mots-clés: Enseignement en prison, Espace, Guyane Française.
Health-related quality of life: SF-36 based random survey of adults of Peshawar city, Khyber Pakhtunkhwa, Pakistan
Authors: Raza Ali , Hussain Zainab , Khan Laila , Farooq Kashaf ud Dua , Zuhra Arwa tu , Waqas Saad bin Abi , Khattak Nauman , Idrees Talha , Ahmad Mustafa , Wazir Faisal , Asfandiyar Muhammad 
Published: April 2021

Introduction: Health-related quality of life (HRQOL) is an individual's satisfaction or happiness with the dimensions of life mentioned above, in the context of being affected by or affecting the individual’s health. There have been multiple standardized questionnaires developed to evaluate the HRQOL of people, and the 36-item Short Form Health Survey (SF-36) is one of them.
Objective: To assess the health-related quality of life of the general adult population of Peshawar city by use of the SF-36 survey form.
Materials & methods: A cross-sectional study was conducted in Peshawar city from March to May 2019. The sample comprised of 263 respondents aged 18 and above. Data were collected by systematic random sampling of households using the SF-36 survey form and analyzed using SPSS version 22.
Results: A total of 263 questionnaires were fully filled and valid. Of the 263, 66.9% were male (n=176) and 33.1 % were female (n=87). The age of the participants ranged from 18-70 years, with a mean age of 30.5 ± 11.3 years. The domain value for SF at 67.78, followed closely by BP at 67.54, then MH at 62.69, PF at 61.27, GH at 60.50, VT at 62.69, RP at 57.03, and the lowest value was of RE at 56.52.
Conclusion: The study revealed that the HRQOL of the population of Peshawar city was less as compared to other international studies. It showed males had a better HRQOL in all domains except one. The HRQOL also declined with increasing age.
Keywords: Quality of Life; Adult; Mental Health; Health Surveys
Urinary excretion of electrolytes and their correlation with clinical parameters in chronic kidney disease
Authors: Bukhari Ashaf Ahmad Shah , Durrani Mehwish , Khan Zulfania , Shafiq Muhammad , Tauqir Saman , Rehman Aziz ur 
Published: April 2021

Introduction: With the increasing incidence of chronic renal disease on a global scale, it is important to document the chemical abnormalities that not only indicate deteriorating renal function, but also aggravate the clinical picture by causing sustained electrolyte imbalance, ultimately contributing to End Stage Renal Disease (ESRD).
Objective: To investigate 24-hr urinary electrolytes excretion of non-dialysis patients presenting with history of chronic kidney disease (CKD) and correlate the biochemical abnormalities with clinical parameters.
Materials & Methods: A total of 100 patients with CKD were included in a private clinic setup from February 2017 to December 2019 to retrospectively analyze the relationship of 24-hr urinary electrolytes with clinical indicators in these subjects. Besides demographic data, biochemical indices of concern were obtained through standard laboratory techniques. The patients were then divided on the basis of results into four quartile groups. Descriptive data analysis was done through SPSS 22.0.
Results: Nephropathic patients had low eGFR, albumin, hemoglobin, blood calcium as well as 24-hr urine calcium and had high body mass index (BMI), systolic blood pressure, diastolic blood pressure, blood creatinine, blood sodium and 24-hr urine sodium. According to quartiles of 24-hr urinary sodium; in the Q4 group, 24-hr urine protein, 24-hr urine potassium and 24-hr urine calcium were the highest while according to quartile of 24-hr urinary potassium; the Q3 group had the highest 24-hr urine protein. According to quartile of urinary calcium, Q4 group blood calcium, 24-hr urine sodium and 24-hr urine potassium was high. The results revealed a positive correlation of 24-hr urinary sodium and potassium with 24-hr urine protein and a negative correlation of 24⁃hr urinary calcium with 24-hr urine protein.
Conclusion: The levels of urinary electrolytes in patients with CKD are associated with urinary protein. It is, therefore, recommended that the above-mentioned disease be treated in these patients for their proper management.
Keywords: Urine Chemistry; Proteinuria; Renal Insufficiency, Chronic.