bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors Associated With Parent-Perceived Miscommunication in the Pediatric Intensive Care Unit
Authors: Wool Jesse R. , Chittams Jesse , Meghani Salimah , Morrison Wynne , Deatrick Janet , Ulrich Connie M. 
Published: November 2024

Background
Parents of children in pediatric intensive care units have varied communication experiences with health care professionals. Little is known about factors associated with parents’ perceptions of miscommunication.

Objective
To examine children’s clinical and parents’ demographic and psychosocial factors associated with perceptions of miscommunication in the pediatric intensive care unit.

Methods
This study was a cross-sectional survey of parents of children admitted to the pediatric intensive care unit between January 1, 2018, and February 29, 2020, with a stay of greater than 24 hours.

Results
Most of the 200 parent respondents were female (83.4%), White (71.4%), and non-Hispanic (87.9%); median age was 39 years (mean [SD], 40.2 [8.75] years); 17.6% were Black or African American. Among 210 children, mean (SD) age was 6.1 (6.02) years, mean (SD) stay was 4.5 (6.2) days, 38.6% were admitted because of respiratory illness, and the admission was the first for 51.0%. Of the parents, 16.5% reported miscommunication in the pediatric intensive care unit. In multivariable linear regressions, parents’ stress (β = 0.286), parents’ views of clinician communication (β = −0.400), parents’ trust in physicians (β = −0.147), and length of stay (β = 0.122) accounted for 45% of the explained variance in parent-perceived miscommunication (R2 = 0.448, F = 41.19, P &lt; .001).

Conclusions
Parental stress and trust in physician scores were associated with perceived miscommunication. Further research is needed to understand the causes and consequences of miscommunication in order to support hospitalized children and their parents.
Picturing Empathy in the Intensive Care Unit: Patient Photographs at an Urban Community Teaching Hospital
Authors: Shah Dhruv , Ghosh Kuldeep , Singh Robin , Bonfante Ivonne , Nagales Josette , Wuthrich Andrew , Wilson Christopher , Trenard Natoushka , Poor Armeen D. 
Published: November 2024

Background
Intensive care unit (ICU) clinicians are at risk for burnout, which can be driven by depersonalization. Photographs of patients in their baseline state of health before ICU admission may enhance the connection between clinicians and patients. The use of patient photographs has not been evaluated in an urban community teaching hospital.

Objective
To evaluate whether an interprofessional group of clinicians perceive that patient photographs in the ICU help them connect with patients and enhance empathy.

Methods
A prospective observational quality improvement study was performed in the medical ICU of an urban community teaching hospital. Patients’ families could display patients’ photographs in the unit. Registered nurses, physicians, respiratory therapists, and patient care associates completed anonymous surveys.

Results
Families of 21 patients provided photographs; 82 clinicians (47 physicians, 25 nurses, 5 respiratory therapists, and 5 patient care associates) completed surveys. Most clinicians (83%) agreed that the patient’s personality and character were emphasized by photographs, 77% agreed that photographs facilitated communication with the patient and/or family, 89% agreed that patient photographs helped them relate to the patient as an individual, and 76% were not upset by comparing the photograph with the patient. Responses did not significantly differ by clinician type. Survey comments highlighted themes of humanization, fulfillment, and hope.

Conclusion
Patient photographs may enhance connections between clinicians and patients in the ICU, potentially reducing depersonalization and burnout.
Association of Area Deprivation Index With Mortality in Critically Ill Adults With COVID-19
Authors: Harris Ronald , Rosser Morgan , Chowdhury Anand M. , Ohnuma Tetsu , Raghunathan Karthik , Haines Krista L. , Krishnamoorthy Vijay 
Published: November 2024

Background
Various social determinants of health have been established as significant risk factors for COVID-19 transmission, prevalence, incidence, and mortality. Area deprivation index (ADI, a composite score made up of educational, housing, and poverty markers) is an accepted multidimensional social determinants of health measure. Little is known about how structural social determinants of health before hospitalization, including ADI, may affect mortality related to COVID-19 in critically ill patients.

Objectives
To examine the association of ADI with intensive care unit (ICU) mortality in patients with COVID-19 and compare its predictive power with that of clinical factors.

Methods
This was a retrospective cohort study of critically ill adults with COVID-19 in 3 hospitals within a single health system. Multivariable logistic regression models (adjusted for demographic and clinical variables) were used to examine the association of ADI with ICU mortality.

Results
Data from 1784 patients hospitalized from 2020 to 2022 were analyzed. In multivariable models, no association was found between national ADI and ICU mortality. Notable factors associated with ICU mortality included treatment year, age, van Walraven weighted score, invasive mechanical ventilation, and body mass index.

Conclusion
In this study, clinical factors were more predictive of mortality than ADI and other social determinants of health. The influence of ADI may be most relevant before hospital admission. These findings could serve as a foundation for shaping targeted public health strategies and hospital interventions, enhancing care delivery, and potentially contributing to better outcomes in future pandemics.
The Lived Experiences of Telemedicine Intensive Care Unit Nurses
Authors: George Annie 
Published: November 2024

Background
Although nurses are the primary clinicians in telemedicine intensive care units (tele-ICUs), their experiences remain underresearched.

Objective
To describe and interpret the lived experiences of tele-ICU nurses.

Methods
A qualitative, hermeneutical, phenomenological approach based on van Manen’s methodology was used to collect and interpret interview data. In-depth interviews were conducted with 11 tele-ICU nurses affiliated with a health system in the northeastern United States. The interviews were intended to elicit direct reports of specific incidents to capture the phenomenological experience. Field observations of the practice setting were conducted to enhance data richness.

Results
The participants were primarily female, aged 34 to 67 years, with 11 to 45 years of nursing experience. The following 4 major themes and 12 subthemes were identified: (1) watching intensively and panoptically, with subthemes (a) affirming unremitting diligence, (b) uncovering virtual knowing, and (c) easing perceptions of intrusion; (2) transcending complex boundaries, with subthemes (a) building trustful collaboration, (b) discerning vigilant interventions, and (c) exercising skillful investigation; (3) transforming nursing practice, with subthemes (a) mastering tact, (b) delineating the critical wholeness, and (c) augmenting safety and quality of care; and (4) developing an e-identity, with subthemes (a) tempering feelings of working in shadows, (b) evolving to the enhanced specialist role, and (c) achieving professional gratification.

Conclusions
Tele-ICU nurses play a transformative role in nursing practice. These findings have implications for nursing practice, education, health policy, enhancement of the current American Association of Critical-Care Nurses (AACN) Tele-ICU Nursing Practice Model, and future research on ICU telemedicine.
John’s realised eschatology as an expression of the wisdom of God
Authors: Creevey Paul J. 
Published: November 2024

Wisdom has often been assigned as an attribute of God and links to Wisdom theology in the fourth Gospel that are well presented in scholarship by the works of Sharon Ringe, Elizabeth Johnson, Jörg Frey and Mary Coloe. Yet, John’s Gospel never uses the term Wisdom. So, what scriptural evidence can demonstrate that a Wisdom theology can be found in the fourth Gospel? What is clear in John’s Gospel is that there has been a move from an apocalyptic eschatology to one that is realised and sapiential. Hence, this article attempts to show that this change in eschatological outlook can be linked to the first century understanding of the figure of Wisdom, who had emerged as a divine figure that brought the heavenly into the earthly realm. This article uses a literary critical approach, utilising the Bible as the primary source along with key Johannine biblical scholars, to show that through the use of the attributes of Wisdom, the Johannine evangelist and the Johannine community have appropriated the key aspects of the female divine Sophia onto the notion of the divine Logos, who is in John synonymous with Jesus, the Nazarene. Using scriptural texts from both the First and Second Testaments about the notion of Wisdom and the work of key Johannine scholars, this article shows how John’s use of the concept of Logos, also ascribed to Wisdom in Wisdom 18:15, strongly parallels the attributes of divine Wisdom. This article argues that although John’s Gospel does not explicitly use the term Wisdom, the parallels between the biblical concept of divine Wisdom and divine Logos are numerous. Eternal life is a central concept in John’s Gospel and only found in the biblical Wisdom literature in association with divine Wisdom (Wis 5:5). This notion of immortality or eternal life in the book of Wisdom was the quality of life that Sophia offered the righteous (Wis 6:18; 8:17, 21) and became a central theme in the Johannine narrative, considering their experience of Jesus’ resurrection being now, rather than in the future (Jn 4:23; 5:25). The centrality of the wisdom of God was reflected in the figure of divine Wisdom, who was named in the First Testament literature as God’s incarnated envoy. However, in the Second Testament in the person of Jesus, John’s Gospel showed that the divine Logos is a manifestation of divine Wisdom’s all-powerful Word, finding a resting place in human history, imbuing its eschatology with a realised focus rather than a futuristic focus.Contribution: This article deals with the attribute of Wisdom as it is associated with the understanding of who God is. God has revealed God’s self in creation and through scripture, by the figure of divine Wisdom and the figure of the divine Logos. These two figures share many common attributes, of which one central feature is that of providing human beings with the opportunity to enter eternal life with the Divine One.
Conceptualise the model of creating shared value, organisational performance and the mediating role of change management
Authors: Elsaman Hosam A. 
Published: November 2024

Orientation: This research conceptualised the effect of implementing creating shared value concept on organisational performance for the companies in the oil and gas sector in United Arab Emirates (UAE) and introduced the role of change management as mediating factor.Research purpose: The research aims to illustrate the influence of applying creating shared value (CSV) strategies on corporate organisational performance and craft the impact of change management practices on these organisations.Motivation for the study: This study was carried out after spotting the gap and inconsistency pattern in academic literature for the concept of adopting creating shared value as ecological and practical strategies to tackle the unprecedented challenges in the oil and gas sector after unprecedented crisis occurred.Research approach/design and method: The study adopted conceptual analysis as theoretical research methodology that focused on examining and clarifying the definitions, meanings and utilisation of study key variables within a certain field, hence it aimed to ensure the consistent and accurate application of these concepts.Main findings: This study successfully conceptualised the effect of CSV on organisational performance (OP). In addition, this study conceptualised the role of organisational change management (OCM) as a mediating variable on the relationship between CSV and organisational financial performance.Practical/managerial implications: This research crafted the dynamic flow chart for the variables that affect the organisational performance in the oil sector that led to enriching the understanding and prospects of managers and executives to utilise that model among their organisations.Contribution/value-add: This is the first study to enhance the perceptions of factors that influence corporate performance, especially among oil and gas companies in the UAE.
University staff intentions to adopt e-health tools for digital mental health services in post-pandemic South Africa
Authors: Musakuro Rhodrick N. , Gie Liiza 
Published: November 2024

Background: The recent coronavirus disease 2019 (COVID-19) significantly contributed to mental health issues globally, and South African higher education institutions (HEIs) experienced unique stressors, prompting the adoption of e-health tools for digital mental health services (DMHS).Objectives: The study aimed to determine factors that influence future intention to adopt e-health tools for DMHS based on the experiences of university staff during the COVID-19 pandemic in South Africa (SA).Method: A case study research design, complemented by a survey was employed to collect data from 348 respondents using a voluntary response sampling technique from one South African HEI. Data were analysed through Statistical Package for the Social Sciences (SPSS) version 28 and it involved frequency distribution, descriptive statistics and multiple regression analysis.Results: The results showed that the perceived usefulness of e-health tools, user experience and satisfaction, post-COVID-19 delivery mode preference and ethical considerations are significant determinants that influence the future adoption of e-health tools for DMHS.Conclusion: The study provides human resources professionals, university management, mental health practitioners and policymakers with actionable insights into the key determinants of the future adoption of e-health tools for DMHS.Contribution: Theoretically, the study contributes to the limited body of knowledge on the determinants that influence future intention to adopt e-health tools for DMHS, particularly in the context of university staff experiences during COVID-19 within the South African HE context. Practically, the results provide actionable insights that can be used to inform and guide policy-making within South African HEIs.
Das geheimnisvolle Wort ‘Michtam’
Authors: Chia Philip S. 
Published: November 2024

The mysterious word “Michtam”: The Hebrew word מִכְתָּם appears six times in the Hebrew Bible and it only occurs in the book of Psalms at the beginning of the chapter (16:1, 56:1, 57:1, 58:1, 59:1, 60:1). This Hebrew word has been understood differently. For instances, PONS Kompaktwörterbuch Althebräisch (2015) leaves it untranslated, while the other sources translate מִכְתָּם as inscription, prayer, or song. Two of the most notable Hebrew lexica, and Theological Wordbook of the Old Testament (TWOT), state that the meaning of מִכְתָּם is unknown. Modern English Bible translations also differ in their translations of מִכְתָּם. Most English Bible translations transliterate this Hebrew word (like NIV, NASB, KJV, Berean Study Bible, Christian Standard Bible, American Standard Version, JPS Tanakh 1917, and HCSB), while the NLT, ESV, International Standard Version, and New Revised Standard Version leave מִכְתָּם untranslated. This article, therefore, seeks to decipher the Hebrew word מִכְתָּם within its literary context and provides textual criticism. This article limits its discussion to Origen’s Hexapla because the consistent translation of Greek Aquila and Greek Symmachus contributes to unveiling the meaning of מִכְתָּם.Intradisciplinary and/or interdisciplinary implications: The study employed a combination of biblical studies and linguistics. Thus, this article shows the application of a comparative linguistic approach to interpret the word מִכְתָּם.
Римская Империя и христианство в IV в.
Authors: А.Б. Егоров 
Published: November 2024

В статье рассматривается общее положение христианской Церкви в IV столетии и кратко обозначаются дальнейшие пути развития церковной истории на Западе и на Востоке. Сначала внимание уделяется гонениям Диоклетиана, которые в начале IV в. охватили всю империю. После 313 г. Церковь получает от св. императора Константина значительную поддержку, усилившуюся после 324 г. Дальнейшая история христианства тесно связана с внутриполитическими особенностями развития государства и сопровождается масштабными теологическими спорами, приведшими к созыву в IV в. двух Вселенских Соборов. Примечательно, что разные пути развития Востока и Запада намечаются уже в IV и даже в III в. по Р. Х. На Востоке империя сохранила сильную императорскую власть. Император обладал абсолютной властью, а античная концепция обожествленного монарха сменилась христианской идеей «помазанника Божия». Политическая ситуация на Западе определила и особенности западной Церкви. Римская Церковь уже в начале IV в. была бесспорным лидером западных Церквей, которые получали от нее указания и распоряжения. Этим и другим вопросам посвящена данная статья.
The article examines the general situation of the Christian Church in the 4th century and briefly outlines the further development of Church history in the West and the East. First, attention is paid to the persecutions of Diocletian, which in early 4th century covered the entire empire. After 313, the Church received significant support from St. Emperor Constantine, which intensified after 324. The further history of Christianity is closely connected with the internal political features of state development and is accompanied by large-scale theological disputes, which led to the convening in the 4th century of two Ecumenical Councils. It is noteworthy that different paths of development of the East and the West were outlined already in the 4th and even in the 3rd century AD. In the East, the empire retained strong imperial power. The emperor had absolute power, and the ancient concept of a deified monarch was replaced by the Christian idea of “the God’s Anointed”. Political situation in the West also determined the characteristics of the Western Church. The Roman Church, already in early 4th century, was the undisputed leader of the Western Churches, which received its instructions and orders. The present article is devoted to these and other issues.
«Дао дэ цзин» в переводе архимандрита Даниила (Сивиллова)
Authors: А.М. Куликов 
Published: November 2024

В статье описывается история первого полного перевода «Дао дэ цзин» на русский язык, выполненная иеромонахом X-й Российской духовной миссии в Пекине, Даниилом (Сивилловым) в конце 20‑х гг. XIX в. Статья снабжена таблицей со структурой перевода, а также предисловием, сделанным о. Даниилом в последующие годы.
The article describes the history of the first complete translation of the “Tao Te Ching” into Russian, performed in late 1820s by Daniel (Sivillov), the hieromonk of the 10th Russian Ecclesiastical Mission in Beijing. The article is provided with a table containing the structure of the translation, as well as with a preface made by Archimandrite Daniel in subsequent years.
THE LEVEL OF SATISFACTION OF PATIENTS PARTICIPATING IN SOCIAL SECURITY ADMINISTRATION AGENCY (BPJS KESEHATAN) WITH THE QUALITY OF SERVICE AT THE CAMPUREJO HEALTH CENTER, KEDIRI CITY
Authors: Purnani Weni , Darmining  
Published: November 2024

Patient satisfaction is one of the indicators of the success of health services and the most important thing that must be achieved by every health facility. Service quality is a form of patient assessment of the services received. Some studies use satisfaction indicators to assess service quality. This study aims to determine the level of satisfaction of Social Security Administration Agency/Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan participants with the quality of health services at the Campurejo Health Center. This study uses a cross-sectional research design. The population in this study is all BPJS Kesehatan participants who receive outpatient services at the Campurejo Health Center, Kediri City. Sampling using the purposive sampling technique has the characteristics of inclusion and exclusion. The sample size with the Lemeshow formula so that 37 respondents were obtained. Data processing was carried out using the Fisher Exact Test statistical test. Based on the results of the study, most of the respondents and patients participating in BPJS Kesehatan assessed that the quality of the services provided was good and most of the respondents were satisfied with the services received, there were BPJS Kesehatan participating patients who assessed the quality of service in the fairly good category as many as 5 people (13.5%) and in the good category as many as 32 people (86.5%) and at the patient satisfaction level there were 10 people (27%) who stated that they were quite satisfied and 27 people (72.9%) who said they were satisfied with the services received. Based on the results of the study using the Fisher Exact Test, a value of p 0.014 (p>0.05) was obtained. This shows that there is a relationship between the quality of service and the level of patient satisfaction of of Social Security Administration Agency (BPJS Kesehatan) participants at the Campurejo Health Center in Kediri City.
Socio-Economic Characteristics of Women Entrepreneurs in Botswana
Authors: Sibanda Khulekani , Sangodoyin Oluranti Olukemi 
Published: November 2024

The present study offers a comprehensive examination of the socio-economic attributes of female entrepreneurs in Botswana, specifically emphasizing the convergence of demographic profiles, educational backgrounds, and entrepreneurial performance. Employing a mixed-methods approach that combines quantitative and qualitative research, the study rigorously analyses the elements influencing entrepreneurial outcomes for women in the region. The findings emphasize a robust positive association between increased levels of education and the achievement of business success. Specifically, women with higher education qualifications exhibit better business results in revenue growth, market expansion, and operational profitability. Nevertheless, the research also reveals enduring obstacles female entrepreneurs encounter, namely in obtaining financial access, managing socio-cultural limitations, and harmonizing family responsibilities with business requirements. The results emphasize the necessity of implementing focused policy measures, educational changes, and support structures that specifically tackle the distinct obstacles that women encounter in entrepreneurship.
New eurytomid parasitoids of bark beetles in pine plantations in Ihtimanska Sredna Gora Mountains, Bulgaria
Authors: Belilov Sevdalin , Stojanova Anelia , Georgiev Georgi 
Published: November 2024

In 2020, five eurytomid species were found for first time on bark beetles in Pinus sylvestris plantations in Ihtimanska Sredna Gora Mountains in Bulgaria: Eurytoma afra Boheman, 1836, Eurytoma arctica Thomson, 1875, Eurytoma morio Boheman, 1836, Eurytoma sp.1 and Eurytoma sp.2. One of them, E. arctica is a new species for the Bulgarian fauna. The parasitoids were reared from stem and branch samples infested by Ips acuminatus, Pityogenes bistridentatus, Pityophthorus pityographus, Tomicus piniperda and T. minor. All host-parasitoid associations are new for Bulgaria. In parasitoid complex, the most abundant species was E. morio (75.9%), followed by E. arctica (13.8%), Eurytoma sp. (6.9%) and E. afra (3.4%). The parasitism of the hosts varied between 2.6% (E. afra on I. acuminatus, P. bistridentatus and P. pityographus) and 33.3% (E. morio on I. acuminatus).