bluuebunny/crossref_metadata_2025_split huggingface dataset:
Burnout and quality of life among healthcare workers in central Uganda
Authors: Kabunga Amir , Kigongo Eustes , Okalo Ponsiano , Udho Samson , Grace Anna Auma , Tumwesigye Raymond , Akello Anne Ruth , Musinguzi Marvin , Acup Walter , Nabaziwa Jannat , Shikanga Enos Mwirotsi , Namata Haliama 
Published: August 2024

Background
The widespread problem of burnout among healthcare workers is not only common but also a significant concern that impacts the entire healthcare system in Uganda. It is essential to understand the connection between burnout and quality of life among healthcare workers in the specific context of central Uganda, where healthcare professionals face high patient volumes, limited resources, exposure to infectious diseases, and socioeconomic challenges. This study examined the relationship between burnout and quality of life among healthcare workers in central Uganda.

Methods
This research utilized a cross-sectional study conducted across various healthcare settings in central Uganda. The data were analyzed at descriptive, bivariate, and multivariate levels. The relationship between dependent and independent variables was evaluated using an independent t-test for binary variables and a one-way analysis of variance (ANOVA) for categorical variables. Significance was determined with a reported p-value, with relationships deemed significant at p < 0.2. For multivariable analysis, multiple linear regression was employed using a forward selection method, with significance set at 5% (p < 0.05).

Results
Our findings indicate that nearly 40% of healthcare workers reported experiencing high levels of burnout. The average score for overall quality of life was 10.71 (±4.89), with variations observed across different domains. The study reveals a significant connection between socio-demographic factors, burnout, and overall quality of life, emphasizing the impact of job category, supervisory support, sleep quality, and burnout on the well-being of healthcare workers. Predictive analysis illustrates how these factors influence both overall quality of life scores and scores in specific domains. Particularly noteworthy is that nurses and technicians tend to have a lower quality of life compared to physicians.

Conclusion
The results underscore the relationship between socio-demographic factors, burnout, and particular aspects of quality of life. Notably, job category, supervisory support, sleep quality, and burnout stand out as significant factors shaping the well-being of healthcare workers. Nurses and technicians encounter distinct challenges, suggesting the need for interventions tailored to their needs. Addressing issues such as inadequate supervisory support, burnout, and sleep-related problems is recognized as a potential approach to improving the overall quality of life among healthcare workers.
A population-based study on incidence trends of small intestine cancer in the United States from 2000 to 2020
Authors: Mousavi Seyed Ehsan , Ilaghi Mehran , Mahdavizadeh Vahid , Ebrahimi Rasoul , Aslani Armin , Yekta Zahra , Nejadghaderi Seyed Aria 
Published: August 2024

Background
Although rare, small intestine cancer is on the rise in the developed world. We aimed to investigate the incidence trends of small intestine cancer by sex, race/ethnicity, age, and histological subgroups in the United States (US) over 2000–2020. Also, we evaluated the COVID-19 impacts on the incidence trends of this cancer.

Methods
Data were collected from the Surveillance, Epidemiology, and End Results 22 database. Both the average annual percent change (AAPC) and age-standardized incidence rates (ASIRs) were determined. The findings were expressed as counts and incidence rates adjusted for age per 100,000 people with 95% confidence intervals (CIs).

Results
A total of 67,815 cases of small intestine cancer across all age groups were reported in the US between 2000 and 2019. Neuroendocrine carcinoma was the most often reported subtype (54.26%). The age group of 55 to 69 years (38.08%), men (53.10%), and Non-Hispanic Whites (69.07%) accounted for the majority of cases. Over 2000–2019, the ASIRs for small intestine cancer among men and women were 2.61 (95% CI: 2.59–2.64) and 1.92 (95% CI: 1.89–1.94) per 100,000, indicating a significant increase of 2.01% and 2.12%, respectively. Non-Hispanic Black men had the highest ASIR (4.25 per 100,000). Also, those aged 80–84 age group had the highest ASIR. During COVID-19, the ASIR of small intestine cancer decreased by 8.94% (5.06–12.81%).

Conclusions
Small intestine cancer incidence raised in all sexes and ethnicities. Following COVID-19, reported cases declined, possibly due to pandemic-related diagnostic challenges. The impact of underdiagnosis on patient survival needs further investigations.
Coping strategies and symptoms of Adjustment Disorder among adults with Attention Deficit Hyperactivity Disorder (ADHD) during the Covid-19 pandemic
Authors: Danielsson Katarina , Arnberg Filip K. , Bondjers Kristina 
Published: August 2024

Background
The current study examined whether coping strategies and symptoms of Adjustment Disorder in adults with ADHD differed from what was observed in the general adult population during the Covid-19 pandemic, and compared the extent to which coping strategies and symptom levels of Adjustment Disorder were related to ADHD.

Method
This cross-sectional study was based on survey data collected during the spring of 2021 from 231 adult ADHD patients in specialist care and 1148 volunteers without ADHD in Sweden. The survey included questions about sociodemographic and clinical characteristics, along with the Brief-COPE and Adjustment Disorder–New Module 8 questionnaires. Regression models adjusting for sociodemographic and clinical characteristics were used for between-group comparisons of coping strategies and symptoms of Adjustment Disorder.

Results
There were some notable differences in the use of coping strategies between persons with and without ADHD; however, many of these differences were not observed in the adjusted models. The use of behavioral disengagement was more frequently observed among individuals with ADHD, whereas planning was more common among individuals without ADHD. Individuals with ADHD appeared to show higher symptom levels of Adjustment Disorder during the pandemic. Passive coping strategies, such as denial, self-blame, and behavioral disengagement, were associated with higher symptom levels of adjustment disorder in both individuals with and without ADHD.

Conclusion
In conclusion, the results highlight that persons with ADHD may need more support to adjust to large societal changes than the general public. Potential targets for intervention towards members of this group include reducing resignation and maladaptive coping strategies.
The impact of gastroesophageal reflux disease on upper esophageal sphincter function: Insights from PH impedance and high‐resolution manometry
Authors: Bentley Blake , Chanaa Fadi , Cecil Alexa , Clayton Steven 
Published: August 2024

AbstractLower esophageal sphincter (LES) pathophysiology has been established in gastroesophageal reflux disease (GERD); however, less is understood regarding the role the upper esophageal sphincter (UES) plays in preventing laryngopharynphageal reflux. Sustained UES basal pressure prevents reflux into the pharynx while allowing relaxation during ingestion. We investigate whether GERD influences UES function via HRM and pH Impedance testing. A retrospective analysis of 318 patients who underwent high‐resolution manometry with trans‐nasally placed manometric catheter and 24‐h multichannel intraluminal impedance pH monitoring. One hundred and forty‐seven patients met Lyon consensus criteria for GERD based on acid exposure time >6%. The most common chief concern was heartburn or reflux, present in 59% of these patients. Upper esophageal sphincter basal and residual pressures were not significantly different between patients with GERD when compared to those without GERD, including a subanalysis of patients with extraesophageal symptoms. The LES basal and residual pressures, DCI and MNBI are statistically lower in patients with pathologic GERD. HRM and pH Impedance testing demonstrates no difference in UES basal and residual pressures based on pH diagnosis of GERD. We redemonstrate the association with hypotonic LES, diminished DCI and MNBI with GERD.
The effect of clay reinforcement of pine pollen grains on the mechanical, anti-corrosion and anti-microbial properties of an epoxy coating
Authors: Mrah Lahouari , Khiati Zoulikha , Mezrai Abdelmoumin 
Published: August 2024

Abstract
In this work, a new material (PP-Mag) was manufactured using pine pollen (PP) and cetyltrimethylammonium bromide (CTA-Mag). By combining PP and Maghnite with an epoxy resin (EP), innovative nanocomposite materials was developed. With different blend compositions, the effect of EP on the mechanical properties, polarisation tests, salt spray tests and morphological characteristics of the blends was studied. The storage modulus (E′) of EP is 2179 MPa, which increases to 2361 MPa with increasing PP-Mag content. The mechanical properties of the blends containing EP/wt%PP/Mag showed an improved performance due to a better adhesion between the two phases when EP is incorporated. It was shown that the PP/Mag materials present in the matrix improve the corrosion resistance according to the different polarisation tests and the salt spray test.
Exploration of different multi-peak solitons and vibrant breather type waves’ solutions of nonlinear Schrödinger equations with advanced dispersion and cubic–quintic nonlinearity, unveiling their applications
Authors: Shehzad Khurrem , Wang Jun , Arshad Muhammad , Ghamkhar Madiha 
Published: August 2024

Abstract
The nonlinear Schrödinger equations (NLSEs) of higher order illustrate the transmission of extremely short light pulses in fiber optics. In this manuscript, we employ the two-variable (1/G, G′/G)-expansion technique to construct bright and multi-peak solitons, periodic multi-solitons, breather type solitary waves, periodic peakon solitons, and other wave solutions of higher-order NLSE in mono-mode optical fiber and generalized NLSE with cubic–quintic nonlinearity. The two-variable (1/G, G′/G)-expansion method is a generalization of the (G′/G)-expansion method, offering a more robust mathematical tool for solving various nonlinear partial differential equations (PDEs) in mathematical physics. We also analyze the characteristics of waves conducive to the formation of bright–dark and other soliton forms within this medium. Additionally, we provide graphical representations of the obtained results to visually depict the dynamical models under consideration. Our findings highlight the potency, reliability, and versatility of the proposed technique, which holds promise for solving a wide array of similar models encountered in applied sciences and engineering.
Maternal and newborn outcomes in pregnancies complicated by Guillain-Barré syndrome
Authors: Taylor Samantha , Czuzoj-Shulman Nicholas , Spence Andrea R. , Abenhaim Haim A. 
Published: August 2024

Abstract

Objectives
Guillain-Barré syndrome (GBS) is a rare autoimmune disorder that affects the peripheral nervous system. The purpose of our study was to evaluate maternal and fetal/neonatal outcomes among pregnancies complicated by GBS.

Methods
We performed a retrospective cohort study using the Healthcare Cost and Utilization Project – National Inpatient Sample from the United States. ICD-9 codes were used to identify all pregnant women who delivered between 1999 and 2015 and had a diagnosis of GBS. The remaining women without GBS who delivered during that time period constituted the comparison group. The associations between maternal GBS and obstetrical and fetal/neonatal outcomes were evaluated using multivariate logistic regression, while adjusting for the confounding effects of maternal characteristics.

Results
Of 13,792,544 births included in our study, 291 were to women with GBS, for an overall incidence of 2.1/100,000 births. A steady increase in maternal GBS was observed over the study period (from 1.26 to 3.8/100,000 births, p=0.02). Further, women with GBS were more likely to have pregnancies complicated by preeclampsia, OR 1.69 (95 % CI 1.06–2.69), sepsis, 9.30 (2.33–37.17), postpartum hemorrhage, 1.83 (1.07–3.14), and to require a transfusion, 4.39 (2.39–8.05). They were also at greater risk of caesarean delivery, 2.07 (1.58–2.72) and increased length of hospital stay, 4.48 (3.00–6.69). Newborns of women with GBS were more likely to be growth restricted, 2.50 (1.48–4.23).

Conclusions
GBS in pregnancy is associated with maternal and newborn adverse outcomes. These patients would benefit from close follow-up throughout their pregnancy and in the postpartum period.
The crystal structure of 1-(2-carboxyethyl)-1H-imidazole 3-oxide
Authors: Pengjuan Li , Jun Yuan , Jihui Zhang , Jianlong Wang 
Published: August 2024

Abstract
C6H8N2O3, monoclinic, P21/n (no. 14) a = 5.2014(4) Å, b = 13.4511(9) Å, c = 9.6808(6) Å, β = 97.867(3)∘, V = 670.94(8) Å3, Z = 4, R

gt
(F) = 0.0451, wR

ref
(F
2) = 0.1308, T = 170 K.
The chaotic behavior and traveling wave solutions of the conformable extended Korteweg–de-Vries model
Authors: Liu Chunyan 
Published: August 2024

Abstract
In this article, the phase portraits, chaotic patterns, and traveling wave solutions of the conformable extended Korteweg–de-Vries (KdV) model are investigated. First, the conformal fractional order extended KdV model is transformed into ordinary differential equation through traveling wave transformation. Second, two-dimensional (2D) planar dynamical system is presented and its chaotic behavior is studied by using the planar dynamical system method. Moreover, some three-dimensional (3D), 2D phase portraits and the Lyapunov exponent diagram are drawn. Finally, many meaningful solutions are constructed by using the complete discriminant system method, which include rational, trigonometric, hyperbolic, and Jacobi elliptic function solutions. In order to facilitate readers to see the impact of fractional order changes more intuitively, Maple software is used to draw 2D graphics, 3D graphics, density plots, contour plots, and comparison charts of some obtained solutions.
Centrifuge Model Design for Axially Loaded Structures under Large Ground Movements
Authors: Rose Hailey-Rae , Wham Brad P. , Liel Abbie , Dashti Shideh 
Published: August 2024

Abstract
Buried pipelines need to withstand soil friction forces generated during relative movement between the soil and structure. The forces that develop along pipelines with diameter inconsistencies (i.e., with enlarged connections) are severely underestimated or ignored by current design practices. The movement of these enlarged connections can mobilize soil resistance similar to the response of vertical anchor plates. Previous centrifuge tests of vertical anchor plates have helped determine the soil’s breakout capacity and mapped the failure planes for various anchor conditions. Although centrifuge testing allows large-scale geotechnical problems to be modeled and studied at a reduced-scale, practical limitations exist. In addition, rigid container boundaries are not present in situ and limit the soil’s ability to develop its entire failure plane. Hence, experiments should be designed to reduce such boundary effects. An ideal test box is large enough to fully develop key failure planes in every direction. This paper determines the minimum boundary spacing necessary to adequately develop failure surfaces around a buried pipe. Centrifuge tests were conducted in samples of dense sand to determine how the distance to rigid container boundaries influences the force required to axially displace a pipe joint. Boundary influence was evident through a work-hardening response after the peak force, in which proximity to the boundary increased lateral force because of restricted volume expansion at the soil-container interface. The most influential parameter is experimentally shown as the distance from the pipe joint to the boundary parallel to the joint face in the direction of axial movement. The least significant parameter is the distance from the pipe to the rigid floor because a negligible quantity of soil is mobilized below the joint providing resistance. The results also provide insight into how rigid container boundaries are expected to impact the force-displacement response when minimum required dimensions are not achieved.
A Tool for Processing and Inversion of MASW Data and a Study of Inter-session Variability of MASW
Authors: Olafsdottir Elin Asta , Bessason Bjarni , Erlingsson Sigurdur , Kaynia Amir M. 
Published: August 2024

Abstract
Multichannel analysis of surface waves (MASW) is a noninvasive active-source technique for determination of near-surface shear wave velocity (VS) profiles. Here we introduce and describe MASWavesPy, an open-source Python package for processing and inverting MASW data, whose design follows an object-oriented paradigm. To assess the performance of the new tool, measurements were conducted at four benchmark sites in Norway, characterized as silt, soft clay, silty sand, and quick clay. The results show that the VS profiles obtained with MASWavesPy compare well with those obtained previously at the respective sites using invasive, noninvasive and laboratory techniques. Furthermore, the efficiency and usability of the new package is superior to previous versions developed by same authors. The software can be accessed through the Python Package Index (PyPI) at https://pypi.org/project/maswavespy/ along with sample data. This work further explores the inter-session variability of MASW measurements for civil engineering applications at soft soil sites. For this purpose, repeated measurements were conducted over a 7-year period at a silty sand site in South Iceland and the recorded time series analyzed using the newly developed tool. The inter-session variability of the analysis results is reported in terms of Rayleigh wave phase velocity, interval VS profiles, and time-averaged VS for reference depths commonly used in practice.
La Macrosomía: Factores predictores y complicaciones durante el parto vaginal en el Hospital Nacional PNP Luis N. Sáenz durante los años 2005 y 2006
Authors: Paredes Torres Joseph 
Published: August 2024

Objetivos: Determinar los factores predictivos de la macrosomía para elaborar un modelo predictor y describir las complicaciones que tiene el recién nacido y la madre durante el parto vaginal.Metodología: Para la recopilación de datos se utilizaron las historias clínicas mediante las cuales se registró la información necesaria. Los datos se analizaron utilizando el programa estadístico SPSS.Resultados: Los únicos factores que predijeron la macrosomía de forma aislada fueron la altura uteri- na mayor a 34 cm. (44%) y el sexo fetal masculino (5%). Todos los factores predictores adquieren mayor o menor fuerza de acuerdo con la relación que establecen entre ellos, por lo que se elaboró un flujograma en el que se observa la probabilidad de presentar macrosomía fetal.Entre las complicaciones encontramos lo siguiente: 21.1% de los casos de macrosomía presentó parto prolongado; el 2.9% de macrosómicos presentó fractura de clavícula; el 31.7% de madres con hijos macro- sómicos presentaron desgarro al momento del parto, correspondiendo a este grupo el 71.4% de desgarros de II grado y el 100% de los de III grado; la ruptura prematura de membranas se observa en el 17.3% de macrosómicos y en el 5.1% de los no macrosómicos.Conclusiones: Se debe realizar una adecuada identificación y valoración de los factores predictores de macrosomía, tomando en cuenta la fuerza que adquieren al relacionarse entre sí, con el fin de poder decidir la mejor vía de parto y evitar complicaciones durante el mismo.
MANAGEMENT DECISION MAKING IN PUBLIC ADMINISTRATION INFORMATION SYSTEMS IN SOUTH AFRICA: THE ROLE OF THE AUDITOR GENERAL OF SOUTH AFRICA IN IMPROVING EFFECTIVENESS
Authors: Latchu A. , Singh S. 
Published: August 2024

The Auditor General of South Africa (AGSA), a statutory body that evaluates public sector information systems, is the main corporate governance instrument in the study. The different methods of corporate governance are explained in this article. The article examines the barriers to improving public sector information systems. Our analysis will focus on the efficiency of information systems in the public sector, closely linked to South Africa’s National Development Plan 2030 and the Medium Term Strategic Framework, critical measures to achieve success. The study uses Atlas.ti 7 for qualitative textual analysis. This software analyses textual data from the 2017–2021 AGSA reports.This thematic study highlights the micro and macro challenges faced by South Africa’s public sector governance institutions. The problems stem from deficiencies in the information system, changes in the leadership, and a lack of transparency and access to information. We also face smaller issues such as a lack of executive accountability for their decisions, inadequate technology skills, ineffective project management, no disaster recovery procedures, declining IT governance and delays in filling key IT positions.The study suggests promoting a transformative mindset to raise awareness of the critical role of information technology in public sector management. It also highlights the need to identify South African corporate governance practices that hinder information systems. The paper aims to improve the corporate governance framework for information systems in order to maximise the efficiency of the public sector.
Class profile and prevalence of overweight and obesity in adolescents – pilot study on the “Health Steps” project
Authors: Białek-Dratwa Agnieszka , Szczepańska Elżbieta , Słoma-Krześlak Małgorzata , Staśkiewicz-Bartecka Wiktoria , Jaruga-Sękowska Sylwia , Nowak Justyna , Nieć-Leśniak Joanna , Sobek Olga , Kiciak Agata , Bielaszka Agnieszka , Kowalski Oskar 
Published: August 2024

WstępCelem badania była ocena częstości występowania nadwagi i otyłości u młodzieży w wieku 11–13 lat oraz porównanie masy ciała i zawartości tkanki tłuszczowej uczniów klas o profilu ogólnym i sportowym.Materiał i metodyW badaniu pilotażowym uczestniczyło 352 uczniów z klas 6 i 7 szkół podstawowych w Bytomiu, biorących udział w projekcie „Schody Zdrowia – edukacja i nauka wyznacznikiem zdrowego i otwartego społeczeństwa”. W badaniu uwzględniono profil klasy. W klasie sportowej realizowano 10 godzin zajęć z wychowania fizycznego tygodniowo, w klasie ogólnej 4 godziny. Skład ciała oceniano za pomocą analizy impedancji bioelektrycznej (<i>bioelectrical impedance analysis</i> – BIA). Do oceny wskaźnika masy ciała (<i>body mass index</i> – BMI) zastosowano polskie siatki centylowe. Do oceny prawidłowej zawartości tkanki tłuszczowej wykorzystano normy z uwzględnieniem wieku i płci adolescentów.WynikiW klasach o profilu ogólnym nadwaga występowała u 77 (25,58%) uczniów, w tym u 36 (22,78%) dziewcząt oraz 41 (28,67%) chłopców. W klasach o profilu sportowym dotyczyła 8 (15,69%) uczniów, w tym 2 (10,53%) dziewcząt i 6 (18,75%) chłopców. Otyłość w klasach sportowych nie występowała, a w klasach o profilu ogólnym dotyczyła 13 (4,32%) uczniów, w tym 6 (3,80%) dziewcząt oraz 7 (4,90%) chłopców. Biorąc pod uwagę procentową zawartość tkanki tłuszczowej, nadwaga występowała u 56 (15,91%) uczniów.WnioskiNadmierna masa ciała dotyczy ponad 25% adolescentów. Nadwaga i otyłość rzadziej występowała u uczniów klas o profilu sportowym. Ponad 30% dzieci ma za dużo tkanki tłuszczowej. Według tego kryterium u dziewcząt w klasach sportowych rzadziej występowała nadwaga i otyłość niż u dziewcząt z klas o profilu ogólnym. Różnice w zawartości tkanki tłuszczowej u chłopców z klasy sportowej i ogólnej były nieistotne statystycznie.