bluuebunny/crossref_metadata_2025_split huggingface dataset:
Therapy Mode Preference Scale: Preliminary Validation Methodological Design
Authors: Cerrito Brianna , Xiao Jamie , Fialk Amanda , Buono Frank D 
Published: October 2024

Abstract

Background
The use of tele–mental health care increased rapidly in 2020 as a critical response to the COVID-19 pandemic, serving as an effective contact-free alternative to treatment. Today, tele–mental health care remains a viable option for individuals with geographic and physical barriers to treatment. However, there are several potential therapeutic disadvantages to tele–mental health care (ie, missing nonverbal signals, handling crises, confidentiality, weakened social connection in group therapy) that should be evaluated. While published literature has explored client satisfaction within teletherapy and the effect of using technology for tele–mental health care demands, there is a need for published surveys that evaluate the therapeutic experience in teletherapy and in-person mediums of care.

Objective
The authors of this study sought to develop and validate a survey that could evaluate the comparative impact of teletherapy and in-person care from a therapeutic perspective across key factors (ie, therapeutic alliance, engagement, rapport, and confidentiality).

Methods
Participants were clients who experienced both tele–mental health care and in-person therapy at an intensive outpatient mental health treatment program for young adults from April 2020 through June 2022. Generated items on the survey were formulated based on input from experts in the field and existing validated scales. All individuals completed the survey on the internet, following informed consent (n=89). An exploratory factor analysis was conducted to understand factor structure, and Cronbach α was used to determine internal consistency. Incremental validity was demonstrated through a hierarchical linear regression.

Results
The exploratory factor analysis revealed a 14-item, 3-factor structure. All 14 items correlated at a minimum of 0.30 with at least one other item. Kaiser-Meyer-Olkin measure of sampling adequacy was 0.75 and Bartlett’s test of sphericity was significant (χ291=528.41, P<.001). In total, 3 factors accounted for 61% of the variance, and the preliminary Cronbach α (α=0.71) indicates a satisfactory level of internal consistency. The Zoom Exhaustion and Fatigue Scale (ZEF) and Client Satisfaction Questionnaire (CSQ; −0.29) were significantly correlated, as well as the ZEF and Therapy Mode Preference Scale (TMPS; −0.31), and CSQ and TMPS (0.50; P<.001). Hierarchical linear regression revealed that the CSQ significantly accounted for additional variance in the TMPS (P<.001). With the ZEF entered into the model, no further variance was accounted for (P=.06).

Conclusions
Continual research is warranted to expand the current findings by validating this standardized tool for assessing the therapeutic impact of teletherapy versus in-person care in a generalizable population.
Fire in the Hyperbaric Chamber Review of the Literature
Authors: Zieliński Ewa , Dzięgielewski Piotr , Kowalczyk Marek , Henrykowska Gabriela 
Published: October 2024

Abstract
Introduction: The authors of the article reviewed the available scientific literature, library resource bases and media reports in order to present the topic of safety in the hyperbaric environment and fire accidents in hyperbaric chambers. Since the topic of the safety of the use of the chambers in the context of the threat to the life and health of both patients, staff and safe personnel is an important medical issue, an attempt was made to present the topic, description of accidents and numerous observations were made.
Material and methods: Review of scientific literature and multimedia materials from the library collections.
Results: A fire in a hyperbaric chamber, which exposes patients, staff and technical staff to the risk of loss of health and life, is the lack of compliance with procedures and the use of adequate algorithms based on them.
Effect of Hyperbaria on the Electrical Exitability of the Vestibular Organ in Rabbits
Authors: Dolatkowski Augustyn , Mitrinowicz-Modrzejewska Aleksandra , Klajman Stanisław , Dęga Kazimierz , Torbus Janusz 
Published: October 2024

Abstract
This paper presents a study of the effects of hyperbaric conditions on the vestibular organ during sham air exposures in an animal model. The proper functioning of the vestibular organ determines diving safety due to the limited role of the organ of vision underwater, especially in our latitudes.
The study was conducted on 16 rabbits by recording the animal’s head movements generated by a ‘galvanic test.’ The tests were performed during compression at positive pressures of 1, 2, 3, 4, 5, and 6 atm and then during decompression at the same overpressures.
A decrease in the sensitivity of the vestibular system to stimuli was found as the pressure increased.
Optimizing External-Heating Gasifiers for Enhanced Efficiency: A Synergistic Approach with Taguchi’s Method in Support of Climate Change Mitigation Goals
Authors: Huang Chung-Neng , Yen Yu-Chang 
Published: October 2024

Abstract
To limit global warming to 1.5 °C and adhere to the Paris Agreement’s targets, urgent action is imperative. The IPCC stresses a 45 % CO2 reduction by 2030 or a 25 % reduction to cap temperature rise at 2 °C, with failure risking greater challenges and costs. Enhancing energy efficiency, particularly through hydrogen utilization, is crucial. Gasifiers offer promise but face efficiency issues, addressed here with external-heating gasifiers leveraging waste heat. This nonlinear problem is optimized using Taguchi’s method, facilitated by COMSOL Multiphysics software. The study contributes to environmental sustainability and carbon reduction efforts, emphasizing the potential of external-heating gasifiers for a sustainable energy future.
Mechanical Vapor Compression Desalination Process: Approaches to Optimize Compressor’s Consumption for Brine Valorization
Authors: Calleja Cayón Pablo , Pakere Ieva , Vera García Francisco 
Published: October 2024

Abstract
Valorization of residual brines is one of the proposed solutions for minimizing the environmental effects of desalination plants, reducing the volume of wastewater generated at the time it increases both the freshwater production and the final concentration of the residue. Nevertheless, it is an energy-demanding process: the higher the final concentration of the fluid, the higher its energy consumption. We can approach this challenge from two different perspectives, either focusing on the final amount of concentrated residue or focusing on the energy demand of the installation. In this work, the behaviour of the compressor and the variables that affect its operation in a mechanical vapor compression (MVC) desalination system are studied. Using an own develop TRNSYS model of a compressor and adjusting with a real MVC desalination plant, it is done by analysing the connections between the final volume of residual brine and its energy consumption, comparing them with the values available from the LIFE Desirows experimental facilities as well. Moreover, the paper also explores some of the environmental and economic benefits of residual brines valorization.
Adesão à quimioterapia oral
Authors: Brandão Shirlene Cabral da Silva , Lo Prete Ana Cristina , Ribeiro Carolina Heitmann Mares Azevedo 
Published: October 2024

Objetivo: Apresentar os estudos já produzidos em relação aos principais motivos que influenciam a adesão e a não adesão ao tratamento com antineoplásicos orais, investigando as barreiras e facilitadores relacionados à doença e ao seu tratamento. Métodos: Trata-se de uma Revisão Integrativa da literatura, com artigos publicados entre janeiro de 2013 a junho de 2023, com texto completo disponível. Utilizou-se como questões norteadoras: “Principais motivos que contribuem para a não adesão à terapia oral” e “Oportunidades para melhorar a adesão à terapia oral”. A pesquisa bibliográfica foi realizada nos meses de maio e junho de 2023, sendo realizadas buscas na base de dados Pubmed, por meio dos descritores: "oral chemotherapy" e "adherence", o processo de seleção de trabalhos para o presente artigo foi realizado por meio de revisão por pares, de forma independente. Resultados: A pesquisa resultou em 14 artigos que obedeceram aos critérios de inclusão e exclusão. Considerações finais: Os principais facilitadores da adesão ao tratamento foram o grau de informação dos pacientes sobre seu tratamento, o acompanhamento multiprofissional e as principais barreiras à não adesão foram o esquecimento e as reações adversas ao medicamento.
Perspectiva dos acadêmicos de medicina sobre o preparo para lidar com a morte
Authors: Santos Jéssica Carvalho , Delfino Alexandre Ferraz , Santana Islane Karoline Santos , Soares Maria Luiza Macedo , Felício Indira da Silva 
Published: October 2024

Objetivo: Analisar a percepção dos acadêmicos de medicina sobre o preparo para lidar com a morte durante a graduação. Métodos: Revisão integrativa de literatura com buscas por artigos científicos realizadas nas bases de dados da Medline, Lilacs, Scielo e Cocharane Library, utilizando os descritores “Morte”, “Estudantes de Medicina e “Educação de Graduação em Medicina”, validados pelo Descritores em Ciências da Saúde (DeCS), em combinação com operador booleano “AND”. Resultados: Foram encontrados 695 artigos, dentre os quais 10 fizeram parte da amostra final após aplicação do fluxograma PRISMA. Foi constatado, pelos estudantes de medicina, a prevalência de sentimentos angustiantes em relação à mortalidade, bem como a insegurança e falta de habilidades para mediar profissionalmente as situações de morte. A discussão durante a graduação sobre a morte e o morrer é restrita às disciplinas e aos momentos específicos, não havendo uma abordagem longitudinal, de modo que, o preparo é descrito como superficial e insuficiente. Considerações finais: Os estudos indicam déficit no preparo para lidar com a morte durante a graduação de medicina e a necessidade da inclusão de abordagens mais eficientes que estimulem o desenvolvimento de habilidades emocionais a fim de construir um profissional mais consciente e humanizado.
МОРФОЛОГИЧЕСКИЙ АНАЛИЗ ПАРАМЕТРОВ СИСТЕМ АЭРАЦИИ ВОДОЕМОВ
Authors: Поздеев А.Г. , Котлов В.Г. , Кузнецова Ю.А. , Гаджиев Г.М. 
Published: October 2024

Для анализа работы аэраторов произведен морфологический анализ существующих конструкций систем аэрации водоемов. Для выбора обобщенного прототипа устройств искусственной аэрации водоемов рассмотрены морфологические признаки двенадцати аэрационных устройств. Морфологические признаки исследуемых объектов распределены по восьми направлениям, которые определяют классификационные уровни устройств. Уровни определяют конструктивные особенности, характер подачи воздуха, способы установки и технологического режима использования. По каждому из классификационных уровней выделено по три признака, которые численно индексированы. На основе классификационных уровней и признаков установлены частоты совпадения признаков двенадцати объектов с заданными морфологическими характеристиками. Полученная матрица рейтингов введена из внешнего файла в состав Mathсad-документа. Рейтинговая оценка признаков произведена в виде отношений сумм их совпадений для каждого объекта с соответствующими строками матрицы рейтинга к общему числу признаков. В результате строится таблица значимости признаков аэраторов по величине весовых функций для каждого объекта анализа. Таблица значимости признаков позволила построить графики динамики всех классификационных уровней по трем включаемым в них признакам. В заключение приведена обобщенная характеристика прототипа проектируемого аэратора как результат выделения наиболее эффективных характеристик прототипа.
A morphological examination of the current reservoir aeration system designs was done in order to examine how aerators operated. We took into account the morphological characteristics of twelve aeration devices in order to choose a generalised prototype of artificial aeration devices. The eight categories derived from the morphological characteristics of the devices under study served as the basis for defining their classification levels. These levels are based on the technological mode of operation, installation techniques, air supply type, and design elements. Three qualities were chosen and assigned a numerical index for every level of classification. We determined the rates of coincidence between the features of twelve devices that had the predetermined morphological characteristics based on these classification levels and features. An external file was used to import the obtained ranking matrix into a Mathcad document. The characteristics of each device were scored as a ratio to the overall number of characteristics, measured by adding up all the characteristics that coincided with the appropriate rows in the ranking matrix. Thus, based on the weight function values for every object under study, we developed a table of relevance for aerator characteristics. This table made it possible to create dynamic charts of each classification level according to the three attributes that were present in it. As a consequence of choosing the prototype's most useful features, we were able to provide generalised characteristics of the designed aerator prototype.
New linear stapled semimechanical esophagogastric anastomosis with invagination
Authors: Usenko O. Yu. , Sidiuk A. V. , Savenko G. Yu. , Klimas A. S. , Teslia O. T. 
Published: October 2024

Objective. Development and implementation esophagogastric linear stapled semimechanical anastomosis with invagination.
Material and methods. Seromuscular stitches are applied over 4 cm on both sides to the lateral surfaces of the esophagus posterior wall and gastric graft posterior wall, towards their edges. The posterior wall of the anastomosis is sutured and cutted with a linear stapler on 30–40 mm deep. The anterior wall sutured with a linear stapler. The next layer of sutures on the anastomosis anterior wall invaginates the anastomos and the esophageal stump into the gastric graft.
Results. There was no early postoperative mortality. Average I. Lewis minimally invasive esophagectomy time was 353 minutes (245–470 minutes). The average volume of blood loss was 114 mL (50–200 mL). No patient faced an anastomotic leak. Anastomotic stricture occurred in 5 patients (19.2%) during 21 days to 6 months of follow-up. There were no anastomosis-related complications above Clavien-Dindo grade II.
Conclusions. Linear stapled semimechanical anastomosis with invagination has proven both clinical and technical advantages of its use.
Steroid response in a rare case of vertebrae butterfly with spinal cord compression caused by chronic subdural hematoma
Authors: AMRAN MUHAMMAD YUNUS , Soraya Gita Vita , Nur Haris 
Published: October 2024

IntroductionSpinal subdural hematoma (SSH) is a rare entity. Clinical symptoms include motor, sensory and/or autonomic dysfunction due to compression of the spinal cord. There is no standard consensus in the management of SSH. Here, we report a rare case of SSH of sudden onset following trauma, successfully treated with conservative therapy.AimThis case highlights butterfly vertebrae as an incidental imaging finding before SSH diagnosis.Case studyA 30-year-old female presented with weakness in the lower extremities after trauma, accompanied by paresthesia, urinary retention, and impaired defecating function. The thermoregulatory sweat exam revealed sudomotor dysfunction. Multiple slice computed tomography (MSCT) examination of the whole spine revealed wedge deformity of vertebral corpus (VC) L4 on the right lateral side, and VC L5 butterfly vertebrae. Spine magnetic resonance imaging (MRI) revealed an extramedullary intradural lesion at the T7 to T10 level suggestive of subdural hematoma.Results and discussionThe administration of methylprednisolone pulse therapy, combined with physical rehabilitation, led to a rapid and significant improvement in the patient's motor function. The absence of the spinal pain possibly indicated that there was no more extension of the hematoma; motor recovery, even if slight, should be a predictor of successful conservative therapy, and physical rehabilitation.ConclusionsSSH is an uncommon condition, with varying clinical presentation, and progression. This case report highlights significant improvement following conservative steroid treatment of a SSH. It also highlights a unique incidental finding of butterfly vertebra in a patient with paraparesis following trauma.
RESGATANDO JOGOS E BRINCADEIRAS ANTIGAS
Authors:   , Sousa Marcia de Melo 
Published: October 2024

Ao brincar, a criança vai estimulando a aprendizagem, a aquisição de conhecimentos, a criatividade, a imaginação, a socialização, a coordenação motora, bem como diversas habilidades importantes para o seu desenvolvimento. O brincar, além de ser um direito de todas as crianças, é uma forma de expressão dos seus pensamentos e sentimentos. A criança brinca por necessidade e ao brincar aprimora seus sentidos e seus movimentos; vai conhecendo como são e para que servem os objetos e brinquedos; desenvolve sua linguagem e seu pensamento; aprende e compreende as atividades, os costumes dos adultos e as relações entre as pessoas. Entende ser o brincar uma necessidade para o desenvolvimento infantil. Por outro lado, observa-se que as transformações da sociedade, principalmente nas grandes cidades, estão diminuindo as oportunidades que as crianças têm de brincar: a televisão ocupa um tempo cada vez maior nas atividades delas, a necessidade de mães e pais se ausentarem para o trabalho por um longo período impedindo que convivam e brinquem mais com seus filhos e filhas; a insegurança nas ruas que impedem o brincar em calçadas, praças e parques; as moradias das famílias, em especial das mais pobres, cada vez menores, são alguns dos motivos que diminuem as oportunidades para as brincadeiras seja em casa e também, em especial, junto com outras crianças. O brincar tem como característica a livre escolha da criança, porque entende que é por meio de escolhas que a criança pode ir aprendendo a exercitar sua autonomia, ou seja, aprender a fazer as coisas por conta própria, julgar o que gosta ou não gosta de fazer. A brincadeira, sendo o momento em que quem comanda a atividade é a criança e não o adulto, é uma oportunidade fundamental para que a criança aprenda a fazer escolhas, a tomar decisões, libere e controle emoções, exercite seu corpo, estimule sua imaginação e criatividade.
•	Mattos, Elizete de Lourdes - Brincando e aprendendo -Brincadeiras de roda; Atividades lúdicas para alfabetizar.
•	Brandão, Heliana - O livro dos jogos e das brincadeiras para todas idades - Ed. Leitura.
•	Revista nova escola - ano XXI nº 18 dezembro 2006 ed. Abril.
A MORTE FETAL NO ÂMBITO HOSPITALAR SOB A PERCEPÇÃO DA EQUIPE DE ENFERMAGEM
Authors: Rosiane de Brito Jéssica , De Souza Prates Cibeli 
Published: October 2024

Objetivo: Conhecer as repercussões da morte fetal para os profissionais de enfermagem no âmbito hospitalar. Método: Pesquisa descritiva e exploratória, de abordagem qualitativa. Participaram do estudo enfermeiros e técnicos de enfermagem atuantes no centro obstétrico e alojamento conjunto de um hospital da região metropolitana de Porto Alegre, Rio Grande do Sul, totalizando 15 participantes. A coleta de dados foi realizada em maio de 2022, através de entrevista individual semiestruturada. Para análise dos dados utilizou-se a análise temática. A pesquisa seguiu as diretrizes da Resolução 466/2012 e foi autorizada pela instituição hospitalar e pelo Comitê de Ética e Pesquisa da Universidade do Vale do Rio dos Sinos (UNISINOS) CAAE nº 53678521.2.0000.5344. Resultados: As entrevistas originaram três categorias que abordaram o impacto da morte fetal para os profissionais de enfermagem, o cuidado com a mãe, bebê e família enlutada e as fragilidades no cuidado relatadas pelos profissionais. Considerações finais: Evidenciou- se que a morte fetal é uma situação delicada e desafiadora para todos os envolvidos, por isso, a necessidade de compreender e buscar por melhores formas de assistir a mulher e sua família que vivencia tal fato, qualificando a assistência e possibilitando que os profissionais de enfermagem se sintam mais seguros acerca do cuidado.
تأثير تمرينات الاتزان الغير مستقر في بعض المؤشرات البايوميكانيكية لمهارة الجيكوجكي للاعبي التايكواندو الاشبال
Authors: هلال حسن ناطق , نعيم علي 
Published: October 2024

تبرز أهمية البحث حيث أن صفة الاتزان من أهم الصفات البدنية في رياضة التايكواندو حتى يضمن اللاعب الركل وخاصة على منطقة الرأس وكذلك عدم السقوط على الأرض حيث أن كل سقوط فاول واذا سقط اللاعب خمسة مرات في الجوالة الواحدة ينتهي النزال بخسارته للجولة فان اضافة ادوات مساعدة الى الواقع التدريبي المحلي يعد اضافة نوعية ومساعدة للعملية التدريبية وبالتالي ممكن ان تكون هذه التدريبات بالأدوات المساعدة اضافة علمية جديدة في تدريب مهارات التايكواندو . ولكون الباحث احد لاعبي المنتخب الوطني سابقاً في فعالية التايكواندو لاحظ بأن اغلب لاعبي التايكواندو في اندية محافظة واسط خاصة وفي العراق عامة لديهم صعوبة في الاتزان كلما زادت سرعة وقوة الركل وبالتالي السقوط في جميع فترات النزال وخلل في المسار الحركي على منطقة واقي الراس ومن اهم اهداف البحث تصميم ادوات تدريبية مصممة لمتغيرات الاتزان وبعض المؤشرات البايوميكانيكية اعداد تمرينات بأدوات مصممة للاتزان في بعض المؤشرات البايوميكانيكية لمهارة الجيكوجكي ومن فروض البحث توجد فروق ذات دلالة إحصائية بين المجموعة التجريبية والضابطة في بعض المؤشرات البايوميكانيكية ومتغيرات الاتزان و للمهارات الهجومية لاعبي التايكواندو الاشبال ولصالح المجموعة التجريبية عينة البحث فئة الاشبال بعمر من (9 _ 11 )سنة بواقع 15 لاعب لكلا المجموعتين التجريبية والضابطة .
„Zazielenianie” prawa cywilnego – ochrona dóbr osobistych a zielony konstytucjonalizm i prawa środowiskowe
Authors: Karpus Karolina 
Published: October 2024

Związki między ochroną środowiska a ustrojem współczesnego państwa demokratycznego można opisać za pomocą koncepcji zielonego konstytucjonalizmu, która obrazuje obowiązki władz publicznych i skorelowane z nimi prawa podmiotów indywidualnych na tle transformacji życia społeczno-ekonomicznego w kierunku zrównoważonego rozwoju. System prawny nie może pozostawać neutralny wobec tego procesu, szczególnie gdy wyzwania w tym zakresie wynikają z zobowiązań międzynarodowych i unijnych przyjętych przez państwo polskie, zwłaszcza w ramach konwencji z Aarhus i prawa praw człowieka. W ich świetle można obecnie uznać, że ochrona środowiska jako zadanie państwa stanowi tzw. pozytywny obowiązek i w relacji do niego ocenia się możliwość korzystania przez członków społeczeństwa z praw indywidualnych, wśród których należy wyodrębnić prawa środowiskowe (materialne i proceduralne). Gdy państwo narusza wymóg ustanowienia właściwych ram prawnych i ich egzekwowania, może to narażać członków społeczeństwa na kontakt ze zdegradowanym środowiskiem (np. na ekspozycję na powietrze złej jakości, czyli smog). Z uwagi na gwarancje wynikające ze zobowiązań państwa polskiego powinni oni móc uzyskać ochronę prawną także w obszarze prawa prywatnego. Na tym tle uchwała Sądu Najwyższego z 2021 r. w sprawie o sygnaturze III CZP 27/20 obrazuje aktualny stopień „zazielenienia” koncepcji dóbr osobistych w prawie polskim. Artykuł ma na celu nakreślenie kontekstu owego rozstrzygnięcia SN z perspektywy prawa ochrony środowiska i ocenę odnośnej argumentacji – zarówno tej wyłaniającej się z uzasadnienia uchwały, jak i prezentowanej przez glosatorów. W rezultacie nasuwa się postulat stosowania interdyscyplinarnego podejścia badawczego, by nadać debacie nad „zazielenianiem” art. 23–24 k.c. bardziej konstruktywny charakter.