bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gender Differences Related to Spirituality, Coping Skills and Risk Factors of Suicide Attempt: A Cross-Sectional Study of French Adolescent Inpatients
Authors: Mirkovic Bojan , Belloncle Vincent , Pellerin Hugues , Guilé Jean-Marc , Gérardin Priscille 
Published: June 2021

Background:Suicide attempts in adolescence represent a major public health concern, since these behaviors are associated with psychosocial burden and an increased risk of suicide. This cross-sectional study aimed to explore possible gender differences related to protective and risk factors in adolescents who have attempted suicide.Methods:Participants were French adolescents hospitalized for attempt suicide in five French pediatric departments. The participants were evaluated on 12 instruments measuring individual risk and protective factors.Results:Our sample included 320 adolescents aged 13–17 years (M = 14.43, SD = 1.29), of whom 82% were female and 35% were repeat attempters. Boys had greater difficulties at school and used more lethal means such as strangulation. We failed to find any differences between the two groups as regards the main Axis I psychiatric diagnoses. Boys tend to use more non-productive coping skills such astension reductionorwishful thinkingand girls use more reference to other strategies such asseeking social support. Although spirituality scores were low overall sample, they were significantly higher among girls.Conclusions:In the end, we find little difference between the two groups in terms of risk factors. However, we have shown gender differences in spirituality and some coping strategies. These results should be taken into consideration when designing suicide prevention programs.
Early-Onset Depression in Stroke Patients: Effects on Unfavorable Outcome 5 Years Post-stroke
Authors: Zeng Ya-Ying , Wu Meng-Xuan , Zhou Sheng-Nan , Geng Dan-Dan , Cheng Lin , Fan Kai-Li , Yu Xin , Tang Wen-Jie , He Jin-Cai 
Published: June 2021

Background: Post-stroke depression (PSD) constitutes an essential complication of stroke and is associated with high-risk unfavorable outcome after stroke. The main objective of this prospective study was to determine the relationship between early-onset PSD (1 month after stroke) and functional outcomes 5 years after baseline enrollment.Methods: Four hundred thirty-six patients who met the criteria were included in this study from October 2013 to February 2015. The follow-up time for each patient was ~5 years, with follow-up every 3 months. Patients received questionnaires including the 17-item Hamilton Depression Scale (HAMD), the Mini-Mental State Examination (MMSE), the National Institutes of Health Stroke Scale (NIHSS), the modified Rankin Scale (mRS), and the Barthel Index (BI).Results: Of the 436 patients, 154 (35.3%) patients with the prevalence of PSD status at baseline, 26 (7.2%) patients with the prevalence of PSD status, and 73 (20.1%) had an unfavorable outcome 5 years after stroke. The odds ratio (OR) for unfavorable outcome at 5 years in the PSD group was ~2.2 relative to the non-PSD group after adjusting for potential risk factors [OR = 2.217, 95% confidence interval (CI) = 1.179–4.421, P = 0.015]. In the early-onset PSD group, HAMD scores were independently associated with 5-year unfavorable outcome rates (OR = 1.168, 95% CI = 1.015–1.345, P = 0.031).Conclusions: Our findings indicate that early-onset PSD status in Chinese patients is an independent risk factor for unfavorable outcome 5 years after stroke, and that the severity of PSD is also related to unfavorable outcome.
Comparison of Antipsychotics for the Treatment of Patients With Delirium and QTc Interval Prolongation: A Clinical Decision Analysis
Authors: Kurisu Ken , Yoshiuchi Kazuhiro 
Published: June 2021

Background: Antipsychotics are frequently used to treat delirium but often induce corrected QT (QTc) prolongation, which can be lethal by causing torsade de pointes. Nonetheless, the selection of antipsychotics to treat delirium patients with prolonged baseline QTc intervals remains unclear. We aimed to assess the utility of antipsychotics based on their effects on treatment outcomes and QTc intervals.Methods: A clinical decision analysis was conducted using data on the effects of antipsychotics on treatment outcomes and QTc intervals from published network meta-analyses. We quantified the utility of six antipsychotics (amisulpride, haloperidol, olanzapine, quetiapine, risperidone, and ziprasidone) using a decision tree and the obtained effect sizes. Subsequently, we conducted sensitivity analyses using multiple utility settings and another dataset. We also performed a probabilistic sensitivity analysis using Monte Carlo simulation, in which the effects of antipsychotics were randomly sampled given the plausible range.Results: Amisulpride showed the highest utility when the baseline QTc interval was 420 ms. Quetiapine showed the highest utility when the baseline QTc interval was ≥450 ms. The sensitivity analyses also showed the superiority of quetiapine when the baseline QTc intervals were prolonged.Conclusions: Decision analysis suggests that quetiapine is the optimal antipsychotic drug for the treatment of patients with delirium and prolonged baseline QTc intervals.
A Review and Clinical Practice Guideline for Health Professionals Working With Indigenous and Culturally and Linguistically Diverse (CALD) Populations During COVID-19
Authors: Kayrouz Rony , Schofield Carlie , Nielssen Olav , Karin Eyal , Staples Lauren , Titov Nickolai 
Published: June 2021

Background: As the rates of infection and mortality from COVID-19 have been higher in minority groups, the communication of health information in a way that is understood and accepted is of particular importance.Aims: To provide health professionals with a clinical practice guideline for clear and culturally sensitive communication of health information about COVID-19 to people of Indigenous and culturally and linguistically diverse (CALD) backgrounds.Assessment of Guideline Options: The authors conducted a review of the literature on health communication, and the guidelines were developed with particular reference to the SPIKES protocol of “breaking bad news” in oncology and the use of the DSM-5 Cultural Formulation Interview (CFI).Actionable Recommendations: The guideline combines two approaches, the Cultural Formulation Interview, developed for DSM-5, and the SPIKES protocol used for delivering “bad news” in oncology. The combined CFI-SPIKES protocol is a six-step clinical practice guideline that includes the following: (1) Set up (S) the interview; (2) Determine how the patient perceives the problem (P) using the Cultural Formulation Interview (CFI) to elicit the patient's cultural perception of the problem; (3) Obtain an invitation (I) from the patient to receive a diagnosis; (4) Provide the patient knowledge (K) of diagnosis in a non-technical way; (5) Address the patient's emotional reaction (E) to diagnosis; and (6) Provide the patient a summary (S) of healthcare and treatment.Conclusions and Relevance: This article presents guidelines for assessing the cultural dimensions of patients' understanding of COVID-19 and delivering diagnostic and treatment recommendations in ways that are culturally safe and responsive, such as: (a) suspending the clinician's own cultural biases to understand the explanatory models and cultural values of their CALD or Indigenous patients; (b) encouraging the use of interpreters or cultural brokers to ensure that that the message is delivered in a way that the patient can understand; and (c) encouraging CALD or Indigenous patient to take an active part in the solution and treatment adherence, to minimize transmission of COVID-19 in CALD and Indigenous communities.
Réunion et délibération. La représentation des assemblées chez Thucydide
Authors: Frazier Françoise 
Published: June 2021

L’intérêt suscité par les antilogies de Thucydide a généralement éclipsé le cadre dans lequel elles sont prononcées. Cette étude, au contraire, s’attache, dans un premier temps, à déterminer grâce au vocabulaire et aux formules récurrentes, ce que Thuc. retient du déroulement des assemblées (réunion, débat, décision). Des deux termes qui les désignent, ξύλλογος est le plus général et le seul valable pour les congrès des alliés, tandis que ἐκκλησία désigne l’assemblée des citoyens, à Sparte comme à Athènes ; le choix entre les deux n’est guère significatif qu’en 411, au moment où les institutions sont mises en cause ; en revanche Thuc. signale plus précisément les convocations, distingue, lors de tension entre polloi et oligoi, δῆμος et βουλή, insiste sur l’existence d’un débat (avec ἀντιλέγειν) et sur la force de persuasion de certains.
La seconde partie de l’étude est consacrée à la délibération elle-même et comporte une analyse détaillée des emplois de βουλεύειν et de βουλεόεσθαι. Dans les relations internationales, l’actif marque en particufier le pouvoir de décision abandonné au vainqueur par la reddition des vaincus, tandis que le moyen, souvent renforcé par κοινῇ, évoque la concertation entre alliés. Dans la cité, deux points sont à souligner : la disparition de ia délibération — et du moyen — dans le récit des événements de 411 et l’accent mis sur la «bonne délibération», avec une conception différente de l'euboulia à Sparte et à Athènes.
Covid-19 and Social Distancing of the Elderly: The Importance of Physical Exercise
Authors: Almeida da Encarnação Samuel Gonçalves , Moreira Osvaldo Costa , Fazolo Sthéfany Lemos , Patrocínio de Oliveira Cláudia Eliza , Almeida da Encarnação Irismar Gonçalves , Carneiro-Júnior Miguel Araujo 
Published: June 2021

The infectious disease COVID-19 (Coronavirus Disease 2019) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), appeared at the end of 2019 in China, and spread rapidly throughout the world in the first months of 2020. The elderly or anyone with chronic illnesses such as obesity, high blood pressure, lung disease and diabetes, are considered part of the risk group. Health authorities around the world began to adopt and encouraged behaviors to mitigate the risk of transmission, such as washing hands frequently with soap and water, making social distancing, and staying at home if possible, in order to minimize the infection and thereby relieve the health systems and reduce the number of fatalities. In this review, we discuss the possible effects of social distancing on the health of the elderly and describe different strategies of physical exercise to be performed during the pandemic of COVID-19. Aerobic training, strength training and high-intensity interval training (HIIT) are effective for improving immune functions, autonomy, functional independence, and mental health in the elderly during the COVID-19 pandemic. In addition, physical exercise programs must be planned, adapted, and controlled based on the individual capabilities of the elderly, and remotely guided by professionals trained in the prescription of physical exercise. It is necessary that the general population, and especially the elderly, be continuously informed, protected, and oriented about the benefits and the importance of physical exercise practice during the social distancing caused by the pandemic of COVID-19.
Analisis Pasokan Komoditi Unggulan Pada Pengembangan Wilayah di Kabupaten Jeneponto
Authors: Karimeng E.A. , Manaf Murshal , Salim Agus 
Published: June 2021

Pengembangan wilayah sebagai konsekwensi atas berbagai faktor unggulan disuatu wilayah, Kabupaten Jeneponto sebagai wilayah studi memiliki komoditas unggulan dari berbagai komoditas yang ada, yaitu komoditas disector perkebunan palawija, salahsatu unggulan jenis tanaman palawija adalah tanaman jagung. Rumusan masalah yaitu bagaimana pengaruh jarak dan waktu tempuh terhadap distribusi dari asal kepemasaran, bagaimana komoditas unggulan, dan komparasi jenis komoditas unggulan terhadap pengembangan wilayah. Tujuan penelitian adalah menganalisis pengaruh jarak tempuh, komoditas unggulan dan komparasi unggulan jenis palawija terhadap pengembangan wilayah. Jenis penelitian merupakan deskriptif analisis kualitatif melalui jawaban responden yang diambil diwilayah penelitian yaitu di Kecamatan, Binamu, Batang dan Arungkeke di Kabupaten Jeneponto selanjutnya tabulasi data diproses dengan menggunakan software Regresi linear Berganda dan metodep rosentase. Hasil pembahasan yaitu bahwa ketiga variabel jarak tempuh, jenis komoditas unggulan dan komparasi unggulan memiliki pengaruh terhadap pengembangan dan model regresi yang diperoleh yaitu Y = 0,186 + 0,420.X2 + 0,531.X3 (R2= 0,924). Berdasarkan persamaan model pada pengembangan wilayah masyarakat memberikan respon sebesar 58 dari 100 atau 58% responden menyatakan berpengaruh, 69 atau 69% mengetahui komoditas unggulan untuk pengembangan wilayah di Kabupaten dan 54 dari 100 atau 54% mengetahui jagung sebagai unggulan komparatif di Kabupaten Jeneponto
Regional development as a consequence of various superior factors in one region, Jeneponto Regency as the study area of having superior commodities from various existing commodities, namely commodity of vegetable crops, one of the main types of crops is corn. The formulation of the problem is how the influence of distance and travel time on the distribution of the origin of the market, how the commodities are superior, and the comparison of the types of superior commodities to the development of the region. The purpose of the study was to analyze the effect of mileage, superior commodities and superior comparability of secondary crops on regional development. This type of research is descriptive qualitative analysis through the answers of respondents taken in the research area, namely in Districts, Binamu, Batang and Arungkeke in Jeneponto Regency, then tabulation of data is processed using Multiple Linear Regression software and percentage method. The results of the discussion are that the three variables of distance, the types of superior commodities and superior comparability have an influence on the development and regression models obtained, namely Y = 0.186 + 0.420.X2 + 0.531.X3 (R2 = 0.924). Based on the model equation on community development, the response was 58 out of 100 or 58% of respondents said that influential, 69 or 69% knew of superior commodities for regional development in the Regency and 54 out of 100 or 54% knew that corn was a comparative superiority in Jeneponto Regency
Existing Within and Beyond Time: «Capri—the Island of Fugitives» by Krystian Lupa
Authors: Budzowska Małgorzata 
Published: June 2021

The proposed article ponders upon Krystian Lupa’s Capri—the Island of Fugitives (2019), an original production staged at the Powszechny Theatre in Warsaw that brings together two of Curzio Malaparte’s prose books: Kaputt (1944) and The Skin (1949). By focusing on the parts of the production that adapt Kaputt, the article scrutinizes scenes produced by the live performance and the virtual projections in order to describe and explain how theatrical expression is enriched by such a juxtaposition. This analysis uses the theoretical frameworks of unnatural narratology (Jan Alber et al.), postdramatic durational aesthetics (Hans-Thies Lehmann), and the idea of the virtual double (Matthew Causey). The primary argument relies on the specific temporality emerging from the Lupa’s performance that enables spectators to feel existence within and beyond time. Furthermore, the study investigates the overarching idea of the performance, recognized by the strategy of foregrounding the thematic that oscillates within the problematics of human cruelty.
Efficacy of Vision Therapy Software (CureSee) in Amblyopia
Authors: Dixit Suneel Kr 
Published: June 2021

A developmental disorder of spatial vision, Amblyopia is defined clinically as a decrease in visual acuity (VA) in one, or more often in both eyes, in the absence of a clear disorder or ocular disease Amblyopia is the most common cause of monocular vision loss in children [1]. Affected individuals exhibit stereo acuity impairment and abnormal binocular summation [2]. Binocular therapies designed to improve amblyopia by binocular stimulation are highly differentiated into perceptual learning and differential training.

Objective

•	To determine the efficacy of Vision Therapy software (CureSee) in Amblyopia.

•	To compare Stereopsis findings before and after VT

•	To compare Visual Acuity before and after VT

•	To compare Vergence amplitude before and after VT.

Methodology: 68 Amblyopic Subjects who are visiting Ahooja Eye & Dental Institute, Gurugram for eye examination and Amblyopia management were taken. Patients diagnosed with Amblyopia were included as well as Patients with Ocular surgery done within 2 months and Patients with any Ocular pathology were excluded. Verbal Consent was taken and selected patients were enrolled into CureSee Vision Therapy Software management for Amblyopia. Data is collected prior and post the use of CureSee Vision Therapy Software by patients and the collected data were decoded and tabulated using the Ms. Excel 2010 computer program and IBM Statistical Package for Social Sciences (SPSS) statistics version 23.0 was used for the analysis of data.

Result and Conclusion: Visual Acuity improved significantly by 0.14 LogMar to the Median Values of Right Eye and by 0.60 LogMar to the Median Values of Left Eye. Stereopsis improved from 800 ± 520 sec of arc to 60 ± 60 sec of arc with P≤0.001. PFV and NFV also improved significantly after the use of Vision Therapy Software. Results conclude that Vision Therapy software is effective in improving Stereopsis, Visual Acuity and Vergence values in Amblyopic patients.
Factors Influencing Students Reading Comprehension Difficulties Amidst The Use Of Modular Distance Learning Approach In Mindanao State University Sulu – Senior High School
Authors: Abbas Khar-Diya A. 
Published: June 2021

This research was conducted to determine the factors influencing students reading comprehension difficulties amidst the use of modular distance learning approach in Mindanao State University – Sulu Senior High School. It also aimed to understand reading comprehension and modular distance learning approach. It determines the reading comprehension difficulty level during modular distance learning approach as perceived by the students when they are classified in terms of strand.
This study used mix – method. Data were gathered through the use of Focus Group Discussion and self-made survey questionnaire. Weighted mean and t-test were used. Purposive sampling design was utilized for the selection of the ten MSU – Sulu SHS Teachers and convenient sampling design was used for the selection of 25% population of MSU – Sulu SHS Students during the school year 2020 - 2021.
The findings of this study revealed that reading comprehension is the ability of the students to analyze, decode, integrate prior knowledge, interpret and clearly understand the words, sentence, or compositions particularly the content and its contexts. The different strategies used in teaching reading comprehension as well as different strategies that can be used during the modular learning approach were presented. The emphasis on modular distance learning was found that it can be used as an alternative learning approach that uses self-learning modules. It was also revealed that both internal and external factors have influence students reading comprehension difficulties amidst the use of modular distance learning approach. Students’ perception on reading comprehension difficulty level during modular distance learning approach is difficult. There is no significant difference on students’ reading comprehension difficulty level amidst the use of modular distance learning approach as perceived by the students that resulted to the acceptance of the null hypothesis.
The study recommended that the school administrators should initiate trainings, seminars and workshops about different strategies that is timely to help their faculty members improve the reading comprehension of the students. The school administrators should also supervise their teachers to use strategies that are appropriate and applicable on the type of learning style they are using. The teachers should use strategies and learning resources that suits the kind of learners and the type of learning style they have. The teachers should also exert extra effort in facilitating the students’ learning even in the absence of face-to-face interaction. The parents should guide and monitor their children’s learning at home.
Level of Work Related Depression among Physiotherapists due to COVID-19: An Observational Study
Authors: Vispute Sai , Kumar Neeraj 
Published: June 2021

Introduction: The COVID-19 pandemic has created global crisis & drastic change in living conditions,social life, professional life and economic activity. There is lack of study done yet which examined thepresence of work related depression among the physiotherapist due to COVID 19. So the aim of the studyis to evaluate the presence or absence of the work relate related depression among physiotherapist due toCOVID 19.Purpose of the Study: To evaluate the level of work related depression and categirize it into mild, moderte,severe levels among physiotherapist due to COVID 19.Material and Methodology: Between 10/10/2020 to 26/10/2020, 94 Physiotherapist were recruited by onlinesurvey through a Google form.88 Participants completed measures of depression (PHQ9) Questionnaire.Settings and Design: Pravara Institute of Medical Sciences, Dr. APJ Abdul Kalam College of Physiotherapy,Loni.Type of study- Observational Study with Survey Approach.Sampling method- A web-based cross-sectional survey
Result: The present study had a targeted sample size of 88 Physiotherapist in which 24 were having nodepression, 40 were having mild depression, 18 were having moderate depression and 6 were havingmoderately severe and no one had severe depression. Meeting the criteria for depression was predicted byclinical practitioners. Work related depression symptoms were also predicted by low income, loss of income,and pre-existing health conditions in self and other.Conclusion: 88 Physiotherapist responded to the survey based study from all parts of Maharashtra. However,specific COVID-related variables which is associated with psychological distress due to loss of incomebecause of the pandemic& exposure to the virus and high estimates of personal risk, most of physiotherapistfrom responses were mildly depressed.
La actividad física y su importancia en los niños
Authors: Castaño Guerra Elizabeth 
Published: June 2021

A nivel mundial, la obesidad casi se ha duplicado desde 1980. En 2014, el 10 % de los hombres y el 14 % de las mujeres de 18 años o más eran obesos. En el 2019 el número de niños menores de 5 años con sobrepeso fue de 39 millones, cerca de 340 millones de niños y adolescentes estaban en sobrepeso o tenían obesidad.1
Es por esto qué debemos como pediatras estimular la actividad física en nuestros pacientes, iniciando desde lactantes.