bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of sleep disturbance and anxiety due to the COVID-19 pandemic in Saudi Arabia
Authors: Iqbal Shazia , Alanazi Reem Fahad , Alahmed Ali Hussain , Alnakhli Anwar Faleh , Alghanim Mohammed Hejji , Alghamdi Manal Abdullah Ali , Ahmad Shahzad 
Published: November 2021

ABSTRACT
Introduction: In the COVID-19 pandemic, physical and psychological health are of immense concern for the governing bodies and health policymakers in the period of lockdown and self-isolation. An in-depth analysis is required to recognize the changes in mental health among the public of different geographical areas.
Objective: The study aimed to investigate the sleep quality and anxiety among the population in Saudi Arabia during the lockdown period from March to June 2020.
Material and Methods: We conducted a cross-sectional study and surveyed the population in Saudi Arabia during the lockdown. We analyzed the anxiety and sleep quality in a population with variable socio-demographic profiles. We assessed anxiety using the self-rating anxiety scale (SAS) questionnaire and tested the sleep quality by using the Pittsburgh sleep quality index (PSQI) questionnaire. We analysed the questionnaire responses to determine the relationships between anxiety, stress, sleep disturbances by using SPSS, and considered the p-value<0.05 statistically significant.
Results: We collected 397 questionnaires from the participants. The respondents were mostly of youth age (19-24 years), 66.5% of respondents were male, while there were 33.5% females. Most of the participants did not contact any COVID-19 patients (75.1%, n=298). The finding revealed that most people did not consider associated anxiety as a worrying disorder as the vast majority were normal with only 12.6% had mild-to-moderate anxiety and almost 1% had moderate-to-severe anxiety. While correlating the sleep patterns disturbance in individuals who had contact with COVID-19 patients, there was a significant sleep disturbance. The disturbance of sleep was in having problems falling sleep (p-value=0.024), having bad/horrible dreams (p-value=0.017), feeling cold at sleeping (p-value=0.038), and difficulty staying active during eating or driving (p-value=0.012). There was a significant correlation with anxiety related to the COVID-19 contact and problems affecting the routine work (p-value=0.001).
Conclusion: There is a significant correlation with anxiety related to the contact with COVID-19 positive patients and problems affecting the routine work among operational professionals. The sleep quality is poor due to the stay-at-home order, having a disorganized working schedule, and deprived lifestyle. The awareness regarding the publics’ mental health related to the pandemic needs to be implemented and psychological guidelines ought to be available for the public. Health measures through the promotion of lifestyle modifications, mindful body practices, meditation, and home exercise can reduce stress and improve the quality of sleep.
Comparative analysis of sleep patterns and attention components in high school and college adolescents
Authors: Diogo Fernanda Mayara Crispim , Galina Sabinne Danielle , Oliveira Maria Luiza Cruz de , Valdez Pablo , Azevedo Carolina Virginia Macêdo de 
Published: November 2021

ABSTRACTAdolescence is a phase with physiological and behavioral changes. One of them occurs in the sleep-wake cycle pattern, manifested by a phase delay. However, morning school start time can decrease sleep duration during weekdays, impairing adolescent cognitive performance and well-being. Adolescents of different ages and educational level might suffer the impact of academic demand on sleep-wake cycle and cognition differently. Thus, the aim of this study is to compare the sleep habits and quality, sleepiness upon awakening and attention components among adolescents in the first years of high school and college. 71 adolescents participated in the study (45 girls and 26 boys), 44 enrolled in high school morning classes (G1 - 15.5±0.7 years), from a private school, and 27 college students enrolled in morning classes (G2 - 18.8±1.04 years), from biosciences courses from a public institution. The groups did not differ in bedtime, get up time, time in bed and sleep irregularity. However, both groups showed differences according to the day of the week, bedtime and get up time became later and time in bed extended on weekends. G1 presented worse sleep quality and regarding attention, showed higher percentage of omissions in all components and worse performance in sustained attention (ANOVA, p<0.05). The poorer sleep quality of high school adolescents and reduced attention may have a negative effect on school performance. Additional studies are needed to investigate the causes of these differences between these two educational levels.
Proposed management model for the use of telemonitoring of adherence to positive airway pressure equipment - position paper of the Brazilian Association of Sleep Medicine - ABMS
Authors: Vidigal Tatiana de Aguiar , Brasil Evelyn Lucien , Ferreira Morgana Nicolodelli , Mello-Fujita Luciane Luna , Moreira Gustavo Antonio , Drager Luciano F. , Soster Leticia Azevedo , Genta Pedro Rodrigues , Poyares Dalva , Haddad Fernanda Louise Martinho 
Published: November 2021

ABSTRACTThis document “Proposed management model for the use of telemonitoring to positive airway pressure adherence” was prepared by a special commission of the Brazilian Association of Sleep Medicine, with the objective of recommending a follow-up model for patients undergoing positive airway pressure therapy using telemonitoring. This proposal was prepared based on a survey and analysis of the most up-to-date national and international literature and uses the best available evidence to facilitate the standardization of care by Sleep Science specialists with potential benefit for patients. Among the conclusions of the document, it is emphasized that telemonitoring is an important tool that allows health professionals trained in sleep-disordered breathing to remotely monitor PAP therapy, allowing prompt and, when necessary, daily adjustments to be made in order to increase adherence to treatment. The authors also conclude that the privacy of the data received and shared during the provision of telemonitoring must be respected by the physician or health professional trained in sleep, with the authorization of the patient and/or person responsible, who should be made aware of the short-, medium- and long-term provision of the service.
Cluster analysis of insomnia symptoms during COVID-19 pandemic: a general population web-based survey in Iran
Authors: Sadeghniiat-Haghighi Khosro , Mehrabinejad Mohammad-Mehdi , Najafi Arezu , Shabani Mahya , Akbarpour Samaneh 
Published: November 2021

ABSTRACT
Objective: To investigate the prevalence of insomnia and its different phenotypes as well as their association with fear of COVID-19 in the general population.
Material and Methods: This was a cross-sectional study conducted using an online survey (e-poll). All available participants who completed the online survey form were included in the current study. All individuals with a history of sleep problems were excluded. A questionnaire package consisted of insomnia severity index (ISI), and FCV-19 for corona fear was administered for all participants. Insomnia was defined as ISI≥8. Insomnia phenotypes were considered as: (a) DIS: difficulty initiating sleep; (b) DMS: difficulty maintaining sleep; (c) EMA: early morning awakening; and (d) combined insomnia.
Results: A total of 1,223 participants [827 (67.6%) female, mean age=39.82±10.75 years old], enrolled in the current survey. Based on ISI, 675 (55.2% [95%CI=52.40-57.98]) were categorized into the insomnia group. Insomnia was more prevalent in females (p=0.006), participants with 50 years old or higher (p=0.04), or high fear of COVID-19 (p<0.0001). Totally, 67.4%, 66.4%, and 55% of all participants had DIS, DMS, and EMA, respectively, in the current outbreak. Besides, 79% had impaired daily functioning, 51.6% had impaired quality of life, and 62% were worried about their sleep problem. Notably that a considerable percentage of individuals with normal ISI scores had at least one insomnia phenotype or impaired daily functioning and quality of life. Further analyses revealed a significant increasing trend in all four insomnia phenotypes prevalence with an increase in fear of COVID-19 (all p-values<0.0001).
Conclusion: Individuals with higher age, female gender, or higher fear of COVID-19 are at higher risk of all types of insomnia as well as impaired daytime performance or quality of life.
Sleep-related hypermotor epilepsy in a patient with mucopolysaccharidosis type III
Authors: Abramova Anna A. , Attarian Hrayr P. , Dolgova Snezhana M. , Belyakova-Bodina Alexandra I. , Iakovenko Elena V. , Broutian Amayak G. 
Published: November 2021

ABSTRACTBoth non-epileptic sleep disturbances and epilepsy are common in patients with mucopolysaccharidoses (MPS), so diagnosis of sleep-related hypermotor epilepsy in these patients is a tackling issue. We present a case of an adult patient with MPS IIIB (Sanfilippo syndrome), who presented with numerous nocturnal events of sudden awakening and hypermotor behavior, which had been previously regarded as parasomnias. Overnight video-EEG captured numerous stereotypical seizures with ictal pattern in the frontal regions, which led the diagnosis of SHE. The patient was started with carbamazepine, which resulted in a substantial reduction in the number of seizures. Our report provides further support for use of overnight video-EEG in the differential diagnosis of sleep-related disorders in MPS, yet true incidence of SHE in MPS patients remains unknown.
Atitude e prática de autocuidado na hanseníase: construção e validação psicométrica de instrumento de medida
Authors: de Brito Karen Krystine Gonçalves , Antas Ester Missias Villaverde , Santana Emanuelle Malzac Freire de , Silva Mirian Alves da , Oliveira Simone Helena dos Santos , Soares Maria Júlia Guimarães Oliveira 
Published: November 2021

Objetivo: Desarrollar y probar la validez de contenido del instrumento, la actitud y la práctica del autocuidado en la lepra, con cara, manos y pies. Método: Estudio metodológico de validación tecnológica y abordaje cuantitativo. Se desarrolló un instrumento llamado Actitud y práctica de autocuidado en la enfermedad de Hansen, que contiene dos construcciones, tres dimensiones y 45 elementos. La validación utilizó el análisis a través de la evaluación de la consistencia interna de cada ítem / dimensión y el índice de acuerdo interobservador de Kappa. Resultados: El índice de validez indicó la necesidad de ajustes en la composición original de la escala, que ahora consta de 45 preguntas a 52, con la inclusión de una cuarta dimensión, que muestra un alto grado de acuerdo. observadores en la segunda versión (K≥0.99). Conclusión: La escala tiene propiedades psicométricas adecuadas, revelando potencial para su uso en futuros estudios.
Objective: To build and test the content validity of the instrument, attitude, and practice of self-care in leprosy, with face, hands, and feet.Method: Methodological study of technology validation and quantitative approach. An instrument called Attitude and Practice of Self-Care in Hansen's Disease was developed, containing two constructs, three dimensions and 45 items. The validation used analysis through the evaluation of the internal consistency of each item / dimension and the Kappa inter-observer agreement index. Results: The validity index indicated the need for adjustments to the original composition of the scale, which now consists of 45 questions to 52, with the inclusion of a fourth dimension, showing high inter-agreement observers in the second version (K≥0.99). Conclusion: The scale has adequate psychometric properties, revealing potential for use in future studies.
Objetivo: Construir e testar a validade de conteúdo do instrumento atitude e prática de autocuidado na hanseníase, com face, mãos e pés. Método: Estudo metodológico de validação de tecnologia e abordagem quantitativa. Desenvolvido instrumento denominado Atitude e Prática de Autocuidado na hanseníase, contendo dois construtos, três dimensões e 45 itens. A validação empregou-se análise através da avaliação da consistência interna de cada item/dimensão e o índice de concordância inter-observador Kappa.Resultados: O índice de validade apontou necessidade de ajustes na composição original da escala, que passou a ser constituída de 45 questões para 52, com inclusão de uma quarta dimensão, apresentando elevada concordância inter-observadores na segunda versão (K≥0,99).Conclusão: A escala apresenta adequadas propriedades psicométricas, revelando potencial para utilização em futuros estudos.
El sentido de la vida como mediador entre la autoestima y la adicción al internet en adolescentes
Authors: González-Angulo Pedro , Salazar Mendoza Javier , Castellanos Contreras Edith , Camacho Martínez Jasmin Urania , Enríquez Hernández Claudia Beatriz , Conzatti Hernández María Esperanza 
Published: November 2021

Introducción: La adicción al Internet se ha relacionado con la autoestima, y el sentido de la vida con ambas variables, porque se debe explorar su rol mediador. Objetivo: Analizar la relación entre la adicción al Internet y la autoestima en adolescentes mexicanos.Metodología: Se efectuó un estudio descriptivo y correlacional con una muestra de 238 estudiantes seleccionados por muestreo no probabilístico por conveniencia. Se utilizaron una cédula de datos personales, la escala de autoestima de Rossemberg, el test de adicción al Internet y el test de sentido de la vida. Se apegó a lo dispuesto en el Reglamento de la Ley General de Salud en Materia de Investigación para la Salud en Seres Humanos en México y a la declaración de Helsinki. Resultados: La adicción al Internet se relacionó negativa y significativamente con el sentido de la vida (rs=-.359, p= <.001) y con la autoestima (rs=-.426, p=<.001). El sentido de la vida mostró un efecto mediador entre la autoestima y la adicción al Internet (B= -.188, SE= .066, 95% IC [-.320, -.056]). El sexo tuvo un efecto moderador entre la autoestima y la adicción al Internet siendo significativo en ambos sexos.Conclusión: La autoestima y el sentido de la vida pueden predecir una disminución de la adicción al Internet. Así mismo, el rol de género puede presentar variaciones con respecto a los puntos de vista y forma de pensar y moderan la relación entre la autoestima y la adicción al Internet.
variables because its mediating role should be explored. Objective: To analyze the relationship between Internet addiction and self-esteem in Mexican adolescents.Methodology: A descriptive and correlational study was carried out with a sample of 238 students selected by non-probability convenience sampling. A personal data card, the Rossemberg self-esteem scale, the Internet addiction test and the meaning of life test were used. The study adhered to the provisions of the Regulations of the General Health Law on Research for Health in Human Beings in Mexico and the declaration of Helsinki.Results: Internet addiction was negatively and significantly related to the meaning of life (rs = -.359, p ≤.001) and with self-esteem (rs = -.426, p ≤ .001). The meaning of life showed a mediating effect between self-esteem and Internet addiction (B = -.188, SE = .066, 95% CI [-.320, -.056]). Sex had a moderating effect between self-esteem and Internet addiction, being significant in both sexes.Conclusion: Self-esteem and meaning of life can predict a decrease in Internet addiction. Likewise, the role of gender can present variations with respect to points of view and way of thinking and moderate the relationship between self-esteem and Internet addiction.
Prise de décision en fin de vie
Authors: Fortin Sylvie , Lessard Sabrina 
Published: November 2021

La vie et la mort sont étroitement liées en milieux de soins où les questions nombreuses en regard (notamment) de la qualité de vie et de mort, de la poursuite ou de l’arrêt du traitement et de la légitimité des personnes qui prennent part aux décisions façonneront ces moments cruciaux. Devant de nombreux possibles thérapeutiques, quand s’arrêter ou encore quand tendre vers une perspective palliative n’est jamais donné d’emblée. Les frontières entre les catégorisations sociales séparant le curable de l’incurable, le malade du mourant et la compréhension de l’imminence de la mort restent parfois incertaines ou à reconstruire selon les cas. À partir de deux études ethnographiques (observations en unités de soins, entretiens avec soignants, patients et leurs familles), l’une menée en contexte pédiatrique hospitalier (unité d’hématologie-oncologie-greffe de moelle osseuse) et l’autre auprès de personnes de grand âge en milieu hospitalier et en centre d’hébergement et de soins de longue durée à Montréal, les auteures discutent de la diversité des trajectoires de fin de vie. Quand peut-on s’arrêter ? Qui peut répondre ? Ces questions sont récurrentes sans être nouvelles. Elles demeurent néanmoins le quotidien de la « grande maladie ». Les auteures puiseront à même le « prendre soin » et le « devoir de non-abandon » pour dégager quelques éléments de réponse tout en s’interrogeant sur le statut contemporain de la (bio)médecine (entre espoirs et tensions) et les ambigüités conceptuelles et empiriques entre le « curatif » et le « palliatif ».
Une mort lente
Authors: Soulières Maryse 
Published: November 2021

Cet article s’appuie sur une recherche doctorale ethnographique échelonnée sur 18 mois et effectuée auprès de résidents atteints de troubles neurocognitifs majeurs (de type Alzheimer ou autre) dans deux centres d’hébergement et de soins de longue durée (CHSLD) à Montréal. Les données sont tirées de plus de 200 heures d’observation auprès de résidents (n=8) au dernier stade de la maladie (grabataires et ayant perdu l’usage de la parole), de photographies ainsi que d’entretiens (n=20) auprès de proches et de membres du personnel. Cette incursion dans l’univers des pertes cognitives sévères, alors que les personnes concernées ne sont plus en mesure d’exprimer elles-mêmes leurs besoins et leurs volontés, révèle la longue attente d’une mort imprévisible bien que toujours présente en filigrane, et parfois espérée. Elle met en lumière un rapport à la mort et à la fin de vie marqué par un sentiment d’impuissance et d’ambivalence, alors que les proches et le personnel peinent à faire sens de la condition actuelle et de la vie de ces résidents. L’article permet d’explorer le brouillage du statut de « vivant » qui s’opère dans ce contexte singulier de fin de vie, apportant une contribution novatrice aux réflexions québécoises entourant l’accès à l’aide médicale à mourir pour les personnes inaptes.
Soignants et étudiants face à la mort
Authors: Foley Rose-Anna , Saraga Michael 
Published: November 2021

À partir d’un séminaire destiné aux étudiants en médecine intituléSoignants face à la mortet de nos propres travaux en ethnographie hospitalière et dans le champ de la psychiatrie de liaison dans un hôpital général, nous discutons le statut des émotions dans les soins. Interrogés sur la fin de vie par nos groupes d’étudiants, les soignants décrivent souvent les émotions comme dangereuses et l’importance de s’en prémunir comme primordiale. À partir de ce constat et d’une certaine ambivalence décrite par les étudiants, nous revenons sur la place des émotions dans la littérature biomédicale et en sciences sociales. Les émotions suscitant l’intérêt des sciences sociales sont surtout celles des patients et les décisions cliniques sont le plus souvent envisagées comme étant contraintes par des valeurs et des normes imposées aux soignants, eux-mêmes sans émotion apparente. Cette posture redouble ainsi curieusement l’idée, répandue dans les soins et plus généralement dans nos sociétés, selon laquelle les émotions risquent de mettre à mal la capacité à penser de manière rationnelle et objective et doivent être mises à l’écart. Or, en sciences sociales et notamment en ethnographie, les émotions des chercheurs sont perçues comme de fidèles indicateurs ; de même, dans les soins, les travaux du psychanalyste Michael Balint insistent sur la nécessité d’une prise en compte par les cliniciens des émotions suscitées par les patients. Sur cette base, il serait pertinent de redonner aux émotions une place centrale pour guider les actions des chercheurs comme des cliniciens.
Innate and learnt color preferences in the common green-eyed white butterfly (Leptophobia aripa): experimental evidence
Authors: Muñoz-Galicia Deysi , Castillo-Guevara Citlalli , Lara Carlos 
Published: November 2021

Background
Learning abilities help animals modify their behaviors based on experience and innate sensory biases to confront environmental unpredictability. In a food acquisition context, the ability to detect, learn, and switch is fundamental in a wide range of insect species facing the ever-changing availability of their floral rewards. Here, we used an experimental approach to address the innate color preferences and learning abilities of the common green-eyed white butterfly (Leptophobia aripa).

Methods
In Experiment 1, we conducted innate preference choice-tests to determine whether butterflies had a strong innate color preference and to evaluate whether color preferences differed depending on the array of colors offered. We faced naïve butterflies to artificial flowers of four colors (quadruple choice-test): yellow, pink, white, and red; their choices were assessed. In Experiment 2, we examined the ability of this butterfly species to associate colors with rewards while exploring if the spectral reflectance value of a flower color can slow or accelerate this behavioral response. Butterflies were first trained to be fed from artificial yellow flowers inserted in a feeder. These were later replaced by artificial flowers with a similar (blue) or very different (white) spectral reflectance range. Each preference test comprised a dual-choice test (yellow vs blue, yellow vs white).

Results
Butterflies showed an innate strong preference for red flowers. Both the number of visits and the time spent probing these flowers were much greater than the pink, white, and yellow color flowers. Butterflies learn to associate colors with sugar rewards. They then learned the newly rewarded colors as quickly and proficiently as if the previously rewarded color was similar in spectral reflectance value; the opposite occurs if the newly rewarded color is very different than the previously rewarded color.

Conclusions
Our findings suggest that common green-eyed white butterflies have good learning abilities. These capabilities may allow them to respond rapidly to different color stimulus.