bluuebunny/crossref_metadata_2025_split huggingface dataset:
Einstellung gegenüber Online-Beratung: Eine Umfrage unter Berater:innen, Coaches und Therapeut:innen
Authors: Römer Cindy , Mundelsee Lukas 
Published: December 2021

ZusammenfassungSpätestens seit der Corona-Pandemie ist das Thema „Digitalisierung“ auch in der Beratungswelt angekommen. Online-Beratung wird von vielen Praktizierenden jedoch mit großer Skepsis begegnet. Was genau diese negative Einstellung verursacht, wurde bislang nur wenig untersucht. Bisherige Studien bezogen sich entweder auf Video-Therapien oder auf die Einführung evidenzbasierter Praktiken. Ziel der vorliegenden Querschnittsstudie war es deshalb, mögliche Merkmale zu ermitteln, die die Einstellung gegenüber Online-Beratung im Vergleich zur Präsenz-Beratung positiv oder negativ beeinflussen. Zur Erfassung der Einstellung wurde ein neues Instrument entwickelt, das verschiedene Merkmale von Beratung beschreibt, und mittels Online-Fragebogen bei 66 Personen aus den Bereichen Beratung, Therapie und Coaching eingesetzt. Faktorenanalytisch ergaben sich bei dem Instrument zwei unterschiedliche Einstellungsdimensionen, die in den anschließenden Regressionsanalysen von jeweils unterschiedlichen Personenmerkmalen prädiziert wurden. In Bezug auf die Dimension „Kernmerkmale von Beratungen“ wird eine negativere Einstellung nur durch eine höhere Berufserfahrung vorhergesagt. Hinsichtlich der Dimension „Rahmenbedingungen von Beratungen“ zeigt sich eine positivere Einstellung gegenüber dem Online-Setting, wenn die Beratenden sich als Frau identifizieren, eine geringere Berufserfahrung vorweisen, im Bereich Coaching tätig sind oder an urbanen Orten praktizieren. Interessanterweise hatten weder die technische Affinität noch die subjektive Wichtigkeit des Datenschutzes Einfluss auf die Einstellung. Die Studie liefert damit wichtige Erkenntnisse für die weitere Erforschung und auch Praxis von Online-Beratung und vermag bisher widersprüchliche Befunde in dem Bereich zu erklären.
Tracheostomy in COVID-19 acute respiratory distress syndrome patients and follow-up: A parisian bicentric retrospective cohort
Authors: Evrard Diane , Jurcisin Igor , Assadi Maksud , Patrier Juliette , Tafani Victor , Ullmann Nicolas , Timsit Jean-François , Montravers Philippe , Barry Béatrix , Weiss Emmanuel , Rozencwajg Sacha 
Published: December 2021

Background
Tracheostomy has been proposed as an option to help organize the healthcare system to face the unprecedented number of patients hospitalized for a COVID-19-related acute respiratory distress syndrome (ARDS) in intensive care units (ICU). It is, however, considered a particularly high-risk procedure for contamination. This paper aims to provide our experience in performing tracheostomies on COVID-19 critically ill patients during the pandemic and its long-term local complications.

Methods
We performed a retrospective analysis of prospectively collected data of patients tracheostomized for a COVID-19-related ARDS in two university hospitals in the Paris region between January 27th (date of first COVID-19 admission) and May 18th, 2020 (date of last tracheostomy performed). We focused on tracheostomy technique (percutaneous versus surgical), timing (early versus late) and late complications.

Results
Forty-eight tracheostomies were performed with an equal division between surgical and percutaneous techniques. There was no difference in patients’ characteristics between surgical and percutaneous groups. Tracheostomy was performed after a median of 17 [12–22] days of mechanical ventilation (MV), with 10 patients in the “early” group (≤ day 10) and 38 patients in the “late” group (> day 10). Survivors required MV for a median of 32 [22–41] days and were ultimately decannulated with a median of 21 [15–34] days spent on cannula. Patients in the early group had shorter ICU and hospital stays (respectively 15 [12–19] versus 35 [25–47] days; p = 0.002, and 21 [16–28] versus 54 [35–72] days; p = 0.002) and spent less time on MV (respectively 17 [14–20] and 35 [27–43] days; p<0.001). Interestingly, patients in the percutaneous group had shorter hospital and rehabilitation center stays (respectively 44 [34–81] versus 92 [61–118] days; p = 0.012, and 24 [11–38] versus 45 [22–71] days; p = 0.045). Of the 30 (67%) patients examined by a head and neck surgeon, 17 (57%) had complications with unilateral laryngeal palsy (n = 5) being the most prevalent.

Conclusions
Tracheostomy seems to be a safe procedure that could help ICU organization by delegating work to a separate team and favoring patient turnover by allowing faster transfer to step-down units. Following guidelines alone was found sufficient to prevent the risk of aerosolization and contamination of healthcare professionals.
Impact of anesthetic agents on the amount of bleeding during dilatation and evacuation: A systematic review and meta-analysis
Authors: Lee Hyun Ah , Kawakami Hiromasa , Mihara Takahiro , Sato Hitoshi , Goto Takahisa 
Published: December 2021

Purpose
Patients undergo dilatation and evacuation for abortion or miscarriage. However, bleeding is sometimes problematic. Despite reports on the association between volatile anesthetics and increased bleeding during the procedure, firm evidence is lacking. Therefore, we conducted a systematic review and meta-analysis to compare the effects of volatile anesthetics and propofol on the amount of bleeding in patients undergoing dilatation and evacuation.

Methods
We conducted a systematic search of four databases, namely PubMed, Embase, Cochrane Central Register of Controlled Trials databases, and Web of Science (Clarivate Analytics), from their respective inception to April 2021. Moreover, we searched two trial registration sites. The inclusion criterion was randomized controlled trials of patients who underwent dilatation and evacuation under general anesthesia using volatile anesthetics or propofol. The primary outcome was the amount of perioperative bleeding. The mean difference of the bleeding was combined using a random-effects model. The I2 statistic was used to assess heterogeneity. We assessed risk of bias with Cochrane domains. We controlled type I and II errors due to sparse data and repetitive testing with Trial Sequential Analysis. We assessed the quality of evidence with GRADE.

Results
Five studies were included in the systematic review. The amount of bleeding was compared in four studies and was higher in the volatile anesthetic group, with a mean difference of 164.7 ml (95% confidence interval, 43.6 to 285.7; p = 0.04). Heterogeneity was considerable, with an I2 value of 97%. Two studies evaluated the incidence of significant bleeding, which was significantly higher in the volatile anesthetic group (RR, 2.42; 95% confidence interval, 1.04–5.63; p = 0.04).

Conclusion
Choosing propofol over volatile anesthetics during dilatation and evacuation might reduce bleeding and the incidence of excessive bleeding. However, the quality of the evidence was very low. This necessitates further trials with a low risk of bias.

Trial registration
PROSPERO (CRD42019120873).
Ironia jako dekonstrukcja umierania w Listach Witolda Wirpszy
Authors: Wojda Dorota 
Published: December 2021

This paper focuses on Witold Wirpsza’s Letters from the volume Second Resistance. Poems 1960–1964 (1965) and shows how irony becomes a deconstruction of dying, and at the same time of itself and of literary communication in general. The persiflage-oriented ars moriendi turns out to be a diagnosis directed against the discourses of thanatology, operating in institutions of power, medicine or religion (public letters) and family (private letters). Wirpsza designed it as a play of signs and communication noise in which meanings embedded in surface and deeper semantic levels intersect and contradict each other. This is accomplished by writing about death through epistolary, postal, philatelic tropes, concerning message, mediation and transmission. What are particularly important are the metaliterary parts, parabases intensifying the irony, which contain the vision of a postage stamp robbery as reality transformed into signs. The interpretation of the Letters reveals that the deconstructive irony makes epistolary poetry a literary event – the letter, writing that is to be stolen, killed, read by the reader in her or his own way.
Dilation Type Inequalities for Strongly-Convex Sets in Weighted Riemannian Manifolds
Authors: Tsuji Hiroshi 
Published: December 2021

Abstract
In this paper, we consider a dilation type inequality on a weighted Riemannian manifold, which is classically known as Borell’s lemma in high-dimensional convex geometry. We investigate the dilation type inequality as an isoperimetric type inequality by introducing the dilation profile and estimate it by the one for the corresponding model space under lower weighted Ricci curvature bounds. We also explore functional inequalities derived from the comparison of the dilation profiles under the nonnegative weighted Ricci curvature. In particular, we show several functional inequalities related to various entropies.
The Method of Bifurcatory Division in Plato’sSophist
Authors: Smith Colin C. 
Published: December 2021

AbstractThe strange and challenging stretch of dialectic with which Plato’sSophistbegins and ends has confused and frustrated readers for generations, and despite receiving a fair amount of attention, there is no consensus regarding even basic issues concerning this method. Here I offer a new account of bifurcatory division as neither joke nor naïve method, but instead a valuable, propaedeutic method that Plato offers to us readers as a means of embarking upon the kind of mental gymnastics that will stretch us properly in preparation for further, more challenging dialectical work. Considering several interpretive issues, I argue that bifurcatory division is a process of collective inquiry into the common through which an account, both definitional and taxonomical, is discovered. Depending on the level of understanding exhibited by the inquirers, this account may or may not allow for noetic understanding of the object in the deepest sense.
Sorption behavior of natural uranium from aqueous solutions using modified activated carbon with quinoline
Authors: Elashry Soaad M. , Labib Shiraz , Attallah Mohamed F. 
Published: December 2021

Abstract
The activated carbon (AC) was modified by molecules of quinoline (Q) and the new prepared AC impregnated by Q was characterized using Fourier transform infrared (FTIR), Raman spectroscopy, surface measurements, scanning electron microscope (SEM) and transmission electron microscope (TEM). These analytical techniques demonstrated a successful preparation of AC-Q as a new material which was examined for its sorption behavior for natural uranium. The sorption results by batch mode indicated the optimum conditions for 94.5% removal of U(VI) ions at pH 4.7 and an equilibrium contact time of 90 min. The analysis of sorption data revealed that the pseudo-second-order and Langmuir were more fitted than other estimated models. The sorption capacity of U(VI) was ∼63 mg/g onto AC-Q as adsorbent martial. The thermodynamic data demonstrated that the sorption of uranium is endothermic and spontaneous. New mechanism was supposed based on the role of the abrasive material quinoline on the mechanical removal of uranium from aqueous solution.
Acute Diffuse Peritonitis Due to Spontaneous Rupture of an Infected Endometrioma: A Case Report
Authors: Petruškevičiūtė Evelina , Bužinskienė Diana 
Published: December 2021

Background. Endometriosis is defined as a chronic, inflammatory, estrogen-dependent gynaecologic disease. It affects approximately 5–10% of reproductive-age women worldwide. Ovarian endometriosis is the most frequent form of this condition. Endometriotic cysts are found in about 17–44% of women diagnosed with endometriosis. It is well known, that ovarian endometriomas can cause infertility and chronic pelvic pain. Enlarging cysts can also cause ovarian torsion. In addition, ovarian endometriosis slightly increases the risk for ovarian cancer. The rupture of endometriotic ovarian cysts is an exceptional complication. According to the literature, the prevalence is less than 3% among women with endometriosis. The rupture of an ovarian endometrioma can cause acute peritonitis, which can lead to sepsis, septic shock and can be lethal. The occurrence of abscesses within an ovarian endometrioma is an extremely rare complication. Generally, the origin of infected endometriotic ovarian cysts is related to the previous invasive procedures involving pelvic organs or the use of intrauterine devices. Also, ovarian abscesses can be caused by the hematogenous or lymphatic spread of bacteria. Although, the literature points out that infection of endometriotic ovarian cysts can develop spontaneously. In these rare cases, reservoir and route of infection remains an enigma.Case report. A 49-year-old female was brought to the emergency room with severe generalized lower abdominal pain (6/10) and three days lasting fever. Abdominal examination revealed diffuse abdominal pain with anterior abdominal wall muscle tension. Painful solid masses were felt on both sides of the uterus during the pelvic examination. Cystic masses were detected in both ovaries during transvaginal sonography. Computer tomography (CT) of the abdomen and pelvis revealed abnormal changes in both ovaries. A small amount of free fluid was found in the pelvic cavity along with thickened pelvic peritoneum. Suspecting acute peritonitis and bilateral tubo-ovarian abscesses, surgical treatment was performed. Lower midline laparotomy with bilateral adnexectomy and abdominal lavage with 4000 ml normal saline were done. The outcome of peritonitis was evaluated using the Mannheim peritonitis index (MPI=17 – low risk of morbidity and mortality). The histopathological examination revealed the diagnosis of bilateral endometriotic cysts complicated with acute inflammation, with associated acute inflammation of both fallopian tubes. Microbiological cultures from the purulent fluid were negative.Conclusions. Although the occurrence of abscesses within an ovarian endometrioma is an extremely rare finding in clinical practice, it has to be considered by gynaecologists because it might result in a surgical emergency that can be life-threatening. Being aware of the risk factors of abscesses within an endometrioma can lead to an early diagnosis of this rare condition and help to avoid serious complications.
Conceptos de probabilidad y estadística en análisis de fallas de componentes mecánicos
Authors: Hernández Héctor 
Published: December 2021

Cuando se presenta una falla en un componente mecánico, de alguna manera, la carga aplicada se hace igual o mayor a la carga de falla en el momento que ésta se produce. Teniendo en cuenta este principio y considerando fa variabilidad estadística tanto del esfuerzo aplicado como de la resistencia se llega al concepto de probabilidad de falla. Asumiendo que la distribución del esfuerzo aplicado y de la resistencia son normales se concluye que la probabilidad de una falla aumenta con: (a) la reducción de la diferencia entre el valor medio de la resistencia y el valor medio del esfuerzo aplicado, (b) el aumento de la varianza tanto del esfuerzo como de la resistencia.
Para una determinada distribución de carga aplicada se puede presentar un aumento de probabilidad de falla por inducción de esfuerzos internos de fabricación o de ensamble, o por la generación de discontinuidades o defectos durante la fabricación, el mantenimiento y el servicio; debido a que se aumenta el traslapo entre la distribución del esfuerzo aplicado y la distribución de la resistencia. La incidencia de los defectos en la probabilidad de falla depende del modo de falla, la cual a la vez depende del tipo de carga, características mecánicas del material y de las condiciones ambientales de servicio. Cuando el modo de falla de un componente es por un crecimiento lento de grieta, la confiabilidad se puede mejorar mediante inspecciones periódicas empleando procedimientos de inspección no destructivos para detectar oportunamente grietas de tamaño subcrítico.
Eficacia antiparasitaria in vitro del extracto de quebracho (Schinopsis balansae) sobre larvas infectantes de Haemonchus contortus de ovinos
Authors: Vergara D. , Sagüés F. , Späth E. J. , Lloberas M. M. , Saumell C. A. , Moreno F. C. 
Published: December 2021

El objetivo fue evaluar in vitro la eficacia del extracto de quebracho (Bioquina®), rico en taninos condensados, en el control de H. contortus de ovinos, dadas las evidencias de que los taninos condensados provenientes del extracto de quebracho (Schinopsis spp.) pueden reducir la excreción de huevos, la fecundidad de las hembras parásitas y la carga de parásitos nematodos gastrointestinales adultos en rumiantes. Se utilizó el test de inhibición de migración larval (IML) a 3 concentraciones diferentes (5 mg/ml, 15 mg/ml y 30 mg/ml) sobre larvas infectantes de H. contortus susceptibles a todos los grupos químicos. El efecto se analizó mediante un análisis de varianza y para la estimación de las diferencias entre grupos (a posteriori) se usó la prueba LSD Fisher.
El test in vitro demostró que el extracto de quebracho evaluado redujo aproximadamente entre un 74% y un 80% la migración larval a las concentraciones de entre 5 mg/ml y 30 mg/ml. Del análisis de varianza surgen diferencias significativas entre tratamientos (p = 0,0494). Al realizar la prueba de comparación de medias se evidenciaron diferencias significativas (p < 0,05) entre los promedios de migración a las diluciones de 5 mg/ml y 15 mg/ml y de 5 mg/ml y 30 mg/ml, mientras que no se detectaron diferencias significativas entre la dilución de 15 mg/ml y 30 mg/ml. Estos resultados señalaron que el extracto de quebracho, a las diluciones evaluadas, presentó actividad antihelmíntica sobre larvas L3 susceptibles de H. contortus; sin embargo, se requiere ampliar los estudios in vivo en ovinos.
Determinants of adherence to continuous positive airway pressure therapy in adults with obstructive sleep apnea
Authors: González Vélez Abel E. , De Castro Vergara José A. , Neva García Andrea P. , Castelblanco Diana I. , Isaza-Ruget Mario A. 
Published: December 2021

Objectives Adherence to continuous positive airway pressure (CPAP) devices in patients with obstructive sleep apnea (OSA) determines the effectiveness of the treat- ment. Likewise, the assessment of the control of the disease must consider the infor- mation referred by the patient, among other value-based health measures related to the satisfaction of the intervention. The objectives of this study were a) Determine the factors related to adherence to CPAP devices in subjects with OSA affiliated to an insurance company of the healthcare system in Colombia. b) Assess symptom control associated to the disease from the individual ́s perspective and his/her satisfaction with the treatment received.
Materials and Methods 1,501 subjects with OSA were surveyed by telephone to explore: sociodemographic factors, habits and lifestyles, use of CPAP and its adverse events, control of the disease, comorbidities, access to care and therapy satisfaction. Using multilevel logistic regression techniques, the influence of the various factors on adherence to CPAP was analyzed, using Stata 13 software.
Results Adherence to CPAP therapy was of 58% and the control of symptoms was of 41.7%. The factors that determined the use of CPAP were knowledge on how the device operates, and the disturbances during sleep due to the mask or nasal pad. The- rapy satisfaction was predominantly very good or good.
Conclusion Even with moderate adherence values and a good experience with CPAP therapy, symptomatic control of the disease is poor. Many of the factors that affect the use of CPAP are modifiable with a proper approach by the devices ́ service provider.
Enhancement of Preventive Vaccination Approaches for Children with Health Problems: Prospective Cohort Study Results
Authors: Fedoseenko Marina V. , Namazova-Baranova Leyla S. , Vishneva Elena A. , Tolstova Svetlana V. , Selvyan Arevaluis M. , Kaliuzhnaia Tatiana A. , Shakhtakhtinskaya Firuza Ch. , Soloshenko Margarita A. , Privalova Tatiana E. , Fominyh Maria V. , Zinovyeva Tatiana E. 
Published: December 2021

Background. Modern preventive vaccination is intended to protect and enhance the health of every person considering age and health issues. Vaccination of children with chronic diseases in our country remains extremely topical and arguable problem that associated with many pending issues for doctors of various specialties, including those working as primary care specialists.Objective. The aim of the study is to develop major approaches and to prove scientifically the efficacy and safety of preventive vaccination for children with various chronic diseases.Methods. We have conducted comprehensive study of 100 children aged from 1 month to 17 years 11 months. Children were divided into 4 groups according to the specific disease. Vaccinal and infectious history was analyzed. The post-vaccination period was estimated due to the results of the questionnaire completed by parents. Vaccination immunogenicity was estimated based on the results of the level of specific antibodies to various controlled infections (measles, rubella, parotitis, hepatitis B, pertussis, haemophilus influenza type b).Results. Protective titers of antibodies against haemophilus influenza type b were revealed in 96.2% of all examined patients, tetanus and hepatitis B — in 95.2%, against pertussis — in 92.5%, rubella — in 91%, measles — in 87.5%, parotitis — in 71.9%, chickenpox — in 69% children a month after the completed vaccination. The postvaccinal period was characterized as favorable in most patients. Major changes in overall health status occurred after vaccination in 42% of children was the following: subfebrile fever, capriciousness, or fatigue. Local reactions have developed only in 15% of cases.Conclusion. The results of this study have demonstrated the preventive vaccination efficacy and safety in children with various chronic diseases
Influence of Lead and Cadmium on Some Physiologic Indices of Allium Cepa
Authors: MIHALESCU Lucia , MARE ROSCA Oana , VOSGAN Zorica , DUMUTA Anca , CORDEA Mirela , CORDEA Mirela 
Published: December 2021

The influence of the two heavy metals (Pb and Cd), in different concentrations, on the seeds germination and roots growing ofÂ Allium cepa of the two varieties (yellow onion and red onion), was studied. Sterilized Petri boxes were used; the germination substratum was cotton wool; the seeds were disinfected and wetted in appropriate solutions. For every working variant, 50 seeds of yellow onion and red onion were put in every Petri box. The following variants were used: VÂ 1 - control, distilled water; VÂ 2 - 0.1%Pb acetate; V3 - 0.4%Pb acetate; V4 - 0.1%Cd sulphate; and V5 - 0.4%Cd sulfate. In order to determine the germinative energy, the counting was performed after 5 days and for the germinative faculty after 11 days. The obtained results proved that the germinative energy and the germinative faculty were much more reduced for the red onion than for the yellow onion. As about lead, the best tolerance is that of the yellow onion; and for cadmium, the best tolerance is that of the red onion. The presence of heavy metals in the germination environment determines a reduced growing pace for the roots. By comparison, we may state that the most toxic is lead; for concentrations of 0.4% the roots of the yellow onion appeared only in the 18Â th culture day.