bluuebunny/crossref_metadata_2025_split huggingface dataset:
Remote Laboratory, Based on Raspberry Pi, to Facilitate Scientific Experimentation for Secondary School Students
Authors: Zárate-Moedano Ramón , Canchola-Magdaleno Sandra Luz , Arrington-Báez Alejandro Asvin 
Published: December 2021

The pandemic caused by COVID 19 forced education systems to offer their services remotely due to social distancing policies. This article discusses research results on the development of remote laboratory architectures to deliver scientific experimentation in the area of physics for secondary school students using desktop computers or mobile devices.The design of the remote laboratory is based on the Raspberry Pi device, using various sensors and a graphical interface through which access and communication is given.The purpose of the development of this remote laboratory is to provide teachers and students of secondary education access to the development of remote activities for scientific experimentation in physics courses, using low-cost devices and free software.
Application of Awake Extracorporeal Membrane Oxygenation in Pediatric Acute Fulminant Myocarditis: A Single-Center Experience
Authors: Zhao Zhe , Li Lele , Liu Yingyue , Yang Baowang , Zhang Huiling , Hong Xiaoyang , Feng Zhichun 
Published: December 2021

Abstract

Background:
Extracorporeal membrane oxygenation (ECMO) has been used for treating myocarditis for years. To extubate and be awake have been proven to be useful in adult patients supported with ECMO, especially for long-term pulmonary support. However, the role of awake ECMO remains still unclear in pediatric patients with acute fulminant myocarditis (AFM).

Objectives:
The objective is to summarize the application of awake ECMO during the treatment of pediatric AFM.

Methods:
Seven patients with AFM received ECMO from October 2018 to March 2020 in the Pediatric Intensive Care Unit, Senior Department of Pediatrics, the Seventh Medical Center of PLA General Hospital. During the process, the patients were extubated and supported with awake ECMO. Retrospective analysis of basic characteristics, clinical vital signs, outcomes, and parameters of ECMO was carried out.

Results:
All the patients received venoarterial mode ECMO during the treatment, and awake ECMO was implemented after the patients were stable. During the period, all the patients were fed with enteral nutrition. The respiratory and circulatory conditions were improved during the awake ECMO. Finally, all the patients successfully weaned from ECMO and survived to discharge from hospital.

Conclusion:
It is possible for pediatric ECMO-supported patients with AFM to extubation and keep awake. The choice of patients, close monitoring during process, and good coordination are key factors for the successful implementation of awake ECMO.
Analysis of the Interprofessional Clinical Learning Environment for Quality Improvement and Patient Safety From Perspectives of Interprofessional Teams
Authors: Cheng Mike K.W. , Collins Sally , Baron Robert B. , Boscardin Christy K. 
Published: December 2021

ABSTRACT

Background
In 2018 the Clinical Learning Environment Review (CLER) Program reported that quality improvement and patient safety (QIPS) programs in graduate medical education (GME) were largely unsuccessful in their efforts to transfer QI knowledge and substantive interprofessional QIPS experiences to residents, and CLER 2.0 called for improvement. However, little is known about how to improve the interprofessional clinical learning environment (IP-CLE) for QIPS in GME.

Objective
To determine the current state of the IP-CLE for QIPS at our institution with a focus on factors affecting the IP-CLE and resident integration into interprofessional QIPS teams.

Methods
We interviewed an interprofessional group of residents, faculty, and staff of key units engaged in IP QIPS activities. We performed thematic analysis through general inductive approach using template analysis methods on transcripts.

Results
Twenty individuals from 6 units participated. Participants defined learning on interprofessional QIPS teams as learning from and about each other's roles through collaboration for improvement, which occurs naturally when patients are the focus, or experiential teamwork within QIPS projects. Resident integration into these teams had various benefits (learning about other professions, effective project dissemination), barriers (difficult rotations or program structure, inappropriate assumptions), and facilitators (institutional support structures, promotion of QIPS culture, patient adverse events). There were various benefits (strengthened relationships, lowered bar for further collaboration), barriers (limited time, poor communication), and facilitators (structured meetings, educational culture) to a positive IP-CLE for QIPS.

Conclusions
Cultural factors prominently affected the IP-CLE and patient unforeseen events were valuable triggers for IP QIPS learning opportunities.
Resident Well-Being Before and During the COVID-19 Pandemic
Authors: Blanchard Anita K. , Podczerwinski Jeremy , Twiss Megham Freytag , Norcott Candice , Lee Royce , Pincavage Amber T. 
Published: December 2021

ABSTRACT

Background
Preliminary studies reveal challenges posed by the COVID-19 pandemic to the well-being of health care workers. Little is known about the effects of the pandemic on the well-being of graduate medical education (GME) residents or about protective factors and post-traumatic growth. Through deeper examination of resident well-being during this unique crisis, we can identify trends and associated lessons to apply broadly to resident well-being.

Objective
To characterize resident burnout, resilience, and loneliness before and during the COVID-19 pandemic.

Methods
All residents in any specialty at a single institution were anonymously surveyed semiannually for 2 years (2019–2020), including the time period of the COVID-19 pandemic. Surveys included demographics, the 10-item Connor-Davidson Resilience Scale, the Maslach Burnout Inventory, and the UCLA Loneliness Scale.

Results
Overall response rates were 53% (508 of 964) in spring 2019, 55% (538 of 982) in fall 2019, 51% (498 of 984) in spring 2020, and 57% (563 of 985) in fall 2020. The overall rates of burnout were stable across all time periods and did not change during the COVID-19 pandemic. Among frontline residents, burnout rates were higher than other resident populations in both the pre- and post-COVID-19 pandemic time periods. Resilience and loneliness measures were similar for frontline and non-frontline residents and remained stable during the pandemic.

Conclusions
Initial data from this single institution survey of all GME residents in the first 8 months of the COVID-19 pandemic demonstrated burnout and loneliness did not increase and resilience was preserved.
The loss of geological memory of past catastrophes: the case of Pompeii
Authors: Lisetta Giacomelli  , Roberto Scandone  , Mauro Rosi  
Published: December 2021

In 79 A.D. Vesuvius buried entire cities in a few days under a blanket of pumice and ashes. It was a sudden event, which occurred after centuries of inactivity, heralded only by earthquakes that repeated periodically, for many years, creating addiction rather than alarm. After the event, the vegetation covered the volcanic products, and the memory of the disaster was lost. The first excavations began in Herculaneum in 1738 and in Pompeii ten years later, in times when archeology still did not exist. Much was destroyed, given away, thrown away. Almost intact buildings emerged, with all their contents, with many inhabitants caught on the run. The arduous process of recovering the sites has had important and not always happy stages, accompanied by continuous progress in the excavation methods. Volcanology has drawn from those experiences as much as it could, setting itself the goal of reconstructing the story of an explosive eruption, the first in the world to be described, by Pliny the Younger, the one that most left its mark on buildings, vegetation, animals and humans. Without the eruption, Pompeii and Herculaneum would have disappeared. The details on how the romans lost their lives in the tragedy is an important component to be offered to Pompeii’s visitors and that is at present largely imperfect. Knowing it and reconstructing its impact on people and the territory, going beyond the archaeological site, is an experience of the past and a warning for today and for the future.
Should I stay or should I go? 6000 years of human presence and abandonments at Stromboli volcano and an overview on the whole Aeolian Archipelago (Southern Tyrrhenian Sea, Italy)
Authors: Andrea Di Renzoni  , Sara Tiziana Levi  , Alberto Renzulli  , Mauro Rosi  , David Yoon  
Published: December 2021

T The paper addresses the long-lasting human presence on the island of Stromboli, an active volcano at the northern edge of the Aeolian archipelago, in the Southern Tyrrhenian sea, Italy. A conceptual model has been built to explore the phenomenon, it takes into account a series of aspects comparing Stromboli to other islands: their morphology, natural resources and geography along with the archaeological and historical data and, further, human attitude to volcanic environments, to risk and to insularity has been deeply explored. We propose a complex narrative where a combination of geological, socio-economic, historical, and psychological factors influenced people’s choices and that human presence is related more to the volcanic (and island) environment (and opportunities) than to volcanic activity.
Origins of Vulcanello based on the re-examination of historical sources (Vulcano, Aeolian Islands)
Authors: Marco Manni  , Mauro Rosi  
Published: December 2021

The lava platform and the three pyroclastic cones of Vulcanello constitute the northernmost volcanic structure of the island of Vulcano (Aeolian Islands). The sandy isthmus connecting the platform to the main island was definitively formed in the first half of the 1500s; before then, Vulcano and Vulcanello were two close but separate islands. For a long time, the interpretation of the sources of the II-I century BC, had considered the islet as built up about 2200 years ago. This belief, which proliferated among naturalists from the 17th century, is not confirmed in the ancient texts or even in the geographical documents of the time, which do not indicate the presence of Vulcanello as a new and stable island near Vulcano. The islet would only be mentioned at the dawn of the second millennium, and named in Arabic “Gabal’ al Burkān”, meaning Mount of Vulcano; shortly thereafter the toponym changed to the Latin “Insulam Vulcanelli” and then, towards the 15th century, finally to Vulcanello. Since the creation of a volcanic island certainly occurred in the Aeolian Islands in the classical era, but traces of it were quickly lost, the most plausible hypothesis is that it was formed in the area of the current Vulcanello, to be subsequently erased by the sea. The shallow, flat seabed, likely remaining as a result of sea abrasion, might have represented the morphological element on which the circular lava platform we know today was formed sometime between 950 and 1000 AD.
Decline of pertussis in hospitalised children following the introduction of immunisation in pregnancy – results from a nationwide, prospective surveillance study, 2013–2020
Authors: Zumstein Jana , Heininger Ulrich 
Published: December 2021

Summary
AIMS OF THE STUDY: Surveillance of pertussis at a national level is important to collect information on the epidemiology of the disease and to design optimal immunisation strategies. After an initial surveillance period for pertussis in hospitalised children in Switzerland from 2006 to 2010, new recommendations (including immunisation in pregnancy) were implemented in the national pertussis immunisation schedule in 2013. To monitor its effects, surveillance was resumed in 2013 and concluded in 2020.

METHODS: From 1 January 2013 to 31 December 2020, hospitalised children under the age of 16 years with suspected or proven Bordetella pertussis infection were reported to the Swiss Paediatric Surveillance Unit. We analysed epidemiological and clinical characteristics for all patients who fulfilled the clinical case definition of pertussis (physician diagnosis, cough lasting ≥14 days in combination with at least one of the following symptoms: paroxysmal cough, whooping or post-tussive vomiting, or apnoea not otherwise explained in patients under the age of 12 months) with and without laboratory confirmation (polymerase chain reaction, culture or serology).

RESULTS: 220 of the 306 reported cases met the inclusion criteria. Of these, 214 (97%) were laboratory-confirmed B. pertussis infections: 209 by polymerase chain reaction and 5 by culture from nasopharyngeal specimens. 172/220 (78%) patients were infants under six months of age at the day of hospitalisation. The mean annual hospitalisation rate for pertussis was 27.9 per 100,000 children for infants and 2.1 per 100,000 in all children <16 years of age. Of the 115 cases with precise records of immunisation, 50 (43%) were unimmunised, 3 (3%) were incompletely immunised and 62 (54%) were up to date with their immunisation status according to their age, including 10 (9%) whose next doses were due. However, most patients with an up-to-date immunisation status (85%) were still too young to have completed their primary series, leaving only eight cases of vaccine failure. Only 5 of the 172 infants <6 months of age had mothers who had been vaccinated during pregnancy.
CONCLUSIONS: After the introduction of immunisation in pregnancy in Switzerland, hospitalisation rates in infants declined. However, the remaining cases call for increased efforts towards more complete and timely immunisation of children, those in close contact with children, and pregnant women.
COVID-19 vaccination acceptance in the canton of Geneva: a cross-sectional population-based study
Authors: Wisniak Ania , Baysson Hélène , Pullen Nick , Nehme Mayssam , Pennacchio Francesco , Zaballa María-Eugenia , Guessous Idris , Stringhini Silvia 
Published: December 2021

OBJECTIVE: This study aimed to assess acceptance of COVID-19 vaccination as well as its sociodemographic and clinical determinants, 3 months after the launch of the vaccination programme in Geneva, Switzerland.
METHODS In March 2021, an online questionnaire was proposed to adults included in a longitudinal cohort study of previous SARS-CoV-2 serosurveys carried out in the canton of Geneva, which included former participants of a population-based health survey as well as individuals randomly sampled from population registries, and their household members. Questions were asked about COVID-19 vaccination acceptance, reasons for acceptance or refusal and attitudes to vaccination in general. Data on demographic (age, sex, education, income, professional status, living conditions) and health-related characteristics (having a chronic disease, COVID-19 diagnosis, smoking status) were assessed at inclusion in the cohort (December 2020). The overall vaccination acceptance was standardised according to the age, sex, and education distribution in the Geneva population.
RESULTS: Overall, 4067 participants (completion rate of 77.4%) responded to the survey between 17 March and 1 April 2021. The mean age of respondents was 53.3 years and 56.0% were women. At the time of the survey, 17.2% of respondents had already been vaccinated with at least one dose or had made an appointment to get vaccinated, and an additional 58.5% intended or rather intended to get vaccinated. The overall acceptance of COVID-19 vaccination standardised to the age, sex and education distribution of the population of Geneva was 71.8%, with a higher acceptance among men than women, older adults compared with younger adults, high-income individuals compared with those with a low income, and participants living in urban and semi-urban areas compared with rural areas. Acceptance was lower among individuals having completed apprenticeships and secondary education than those with tertiary education. The most common reasons reported by participants intending to get vaccinated were the desire to "get back to normal", to protect themselves, their community and/or society,and their relatives or friends against the risk of infection by SARS-CoV-2, as well as the desire to travel. Less than half (45.6%) of participants having children were willing or rather willing to have their children vaccinated against COVID-19 if it were recommended by public health authorities.
CONCLUSION: Although our study found a 71.8% weighted acceptance of COVID-19 vaccination, there were noticeable sociodemographic disparities in vaccination acceptance. These data will be useful for public health measures targeting hesitant populations when developing health communication strategies.
Preventive behavior of Opisthorchiasis among people in Ubon Ratchathani province, Thailand
Authors: Maleelai Kaewjai , Chaikaew Sasimaphon , Nakham Aungsumalin , Khumkaew Jinda 
Published: December 2021

Background: Although we are in the era of the 21st-century, some people's lifestyles are still unchanged. People are still eating crude or undercooked fish, which puts them at risk for opisthorchiasis infection. This study aimed to measure knowledge and prevention behavior regarding opisthorchiasis among people resident in Ubon Ratchathani, the northeastern region of Thailand.
Methods: A cross-sectional study was conducted from 2nd October 2018 to 26th December 2018. The data was collected via a self-administered household survey using a systematic random sampling technique. Univariate and bivariate analyses such as the chi-square test were performed. SPSS version 16 was used to analyze the data, and the significance of less than 0.05 was considered.
Results: Four hundred and fifteen households have completed the questionnaire. Most of the participants were female (50.1%), aged 15-59 years old (75.3%), married (64.8%), had completed elementary school (46.3%), worked in agriculture (31.6%), and had a monthly salary of on average of 6,525 baht. Most of the respondents reported excellent behavior (94.2%) and good knowledge (80.5%) to prevent opisthorchiasis, respectively. However, there was no significant association between participants' characteristics and the related behavior to prevent opisthorchiasis (p>0.05).
Conclusion: Despite efforts to educate the community, some people lack preventive knowledge and exhibit behavior associated with a higher risk of opisthorchiasis.
Modes of Viewing the Urban Landscapes and Public Gardens of Early Imperial Rome
Authors: ERGİN Gürkan 
Published: December 2021

It has been claimed that with Augustus, the Roman Empire and its capital underwent a transformation that divided them into welldefined and controllable spaces based on a rational use of information. Emperors like Domitian established a sort of symbolic and physical domination over their subjects by creating a medium of surveillance which is observable in architecture and sculpture as well as in literature. Yet the functions of early imperial public gardens and urban landscapes like
the Campus Martius and the plot on which the Domus Aurea rose have not been fully explored in this respect. This article aims to demonstrate how viewing, gazing and surveilling operated symbolically in these spaces through architecture and sculpture by using Foucaultian concepts such as “heterotopia” and “surveillance” as well as “imperial gaze.” The gaze of the emperor was directed to the heterotopic microcosms created in public gardens and urban landscapes, and also to individuals - elite
and commoners alike - within them. This is an “imperial gaze,” a subjective, epistemological, juridical mode of viewing that tends to categorize the landscape, its constituents and its activities within from an elevated point.
Hubungan Pengetahuan Ibu Mengenai Manajemen Laktasi Dengan Pemberian ASI Eksklusif : Literature Review
Authors: Arifianawati Arnis , Nurlaela Emi 
Published: December 2021

AbstractInfant mortality rate is one of the highest problems in the world. One of the causes is infection. Most infant deaths can be prevented by exclusive. The purpose of this study was to determine the relationship between mother’s knowledge about lactation management and exclusive breastfeeding through a literature review. This research is a quantitative descriptive type of correlation research. 5 articles use the cross sectional approach. 5 articles use the chi-square statistical test, collecting data using a literature review, accessing Garuda Portal data, 5 articles published in 2-11-2021 by using the keyword : Knowledge, Lactation Management, Exclusi Breastfeeding. The critical study instrument used was using the JBI with 8 questions. The characteristics of respondents in this literature review indude age characteristics in the category of 20-35 years, the category of High School Education, and the category of work. The level of knowledge in the poor category obtained results of 142 (45,3%) and breastfeeding in the category of not giving with results of 172 (54,9%). The results of the analysis using the chi-square test found that there was a relationship with the p value of 0,001. There is a relationship between knowledge of lactation management and exclusive breastfeeding. The results of the literature review can improve health education about exclusive breastfeeding.Keywords: Exclusive Breastfeeding, Management Lactation, Knowledge.
AbstrakAngka kematian bayi menjadi salah satu masalah tertinggi di dunia. Salah satu penyebabnya adalah infeksi. Sebagian besar kematian bayi bias dicegah dengan pemberian ASI Eksklusif. Pengetahuan ASI Eksklusif perlu dilakukan penelitian. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pengetahuan ibu mengenai manajemen laktasi dengan pemberian ASI Eksklusif melalui literatur review. Penelitian ini adalah penelitian kuantitatif jenis deskriptif korelasi. Dari 5 artikel yang menggunakan Pendekatan Cross Sectional. Dari 5 artikel menggunakan uji statistic Chi-square, pengumpulan data menggunakan literature review, mengakses data Portal Garuda 5 artikel yang diterbitkan pada tahun 2011-2021. Dengan menggunakan kata kunci : “Pengetahuan, ManajemenLaktasi, Pemberian ASI Eksklusif”, Instrument telaah kritis yang digunakan yaitu dengan menggunakan JBI dengan 8 pertanyaan.karakteristikresponden pada literature review ini karakteristik usia masuk dalam kategori 20-35 tahun, kategori Pendidikan Pendidikan SMA, kategori pekerjaan bekerja. Tingkat pengetahuan dalam kategori kurang didapatkan hasil 142 (45,3%) dan pemberian ASI dalam kategori tidak memberikan dengan hasil 172 (54,9%). Hasil Analisa menggunakan uji chi-square didapatkan ada hubungan dengan nilai p value 0,001. Penelitian ini terdapat hubungan antara pengetahuan manajemen laktasi dengan pemberian ASI Eksklusif. Hasil literatur review dapat meningkatkan penyuluhan Kesehatan tentang pemberian ASI secara Eksklusif.Kata Kunci :ASI Eksklusif, ManajemenLaktasi, pengetahuan.