bluuebunny/crossref_metadata_2025_split huggingface dataset:
Incidence density rate of multidrug-resistant organism (MDRO) at a tertiary care teaching hospital: A retrospective cross-sectional study
Authors: Patel Rupal , Joshi Pinal , Patel Naimika , Modi Chirag 
Published: July 2024

: Multidrug-resistant organisms (MDROs) has become a major public health concern. Rise of MDROs and their negative consequences on patient’s survival and health care costs need the assessment of their burden and implementation of practices to control their emergence and spread. There is a lack of literature mentioning incidence density rates (IDR) of various MDRO infections in Indian hospitals. Therefore, the study was conducted to determine the infection IDR and trend of various MDROs at a tertiary care teaching hospital. It will serve as a benchmark data for similar facilities using the same surveillance definitions and methodology. : A retrospective cross-sectional study was conducted using culture data of ten years (January 2014 to December 2023) at Shree Krishna Hospital, Karamsad. MDRO studied included Methicillin-resistant (MRSA), V (VRE), (CRE), Multidrug-resistant (MDR) spp. and MDR . A total of 7311 MDRO were detected from 1321793 in-patients, showing the overall IDR of 5.53 per 1000 patients-days. CRE (n = 3056, 42%) was the most common MDRO. The overall IDR per 1000 patient-days of MRSA, VRE, CRE, MDR- ., and MDR- was 0.81, 0.23, 2.31, 1.29 and 0.89 respectively. Overall MDRO IDR has increased from 4.20 to 8.77 from 2014 to 2023. An increasing IDR was observed for MRSA (0.57 to 1.48) and MDR- (0.43 to 1.60). Around 80% of the . were MDR as compared to other MDRO. MDROs have been identified as a significant problem at our institute showing an increasing trend. We recommend following stringent infection control practices including isolation protocols as well as adherence to hospital antibiotic policy to reduce the burden of MDROs.
The Employee Engagement and Job Performance Nexus in a Top Autodealership Company
Authors: Manguerra-Mahusay Sharon Candy , Cornelio Susan 
Published: July 2024

This study explored the relationship between employee engagement and job performance within a leading Philippine auto dealership company. A quantitative approach was employed through a survey distributed to 351 employees across various locations. The findings revealed a youthful workforce with near-equal gender distribution and a high proportion holding college degrees. A slight majority reported being single, potentially indicating a preference for flexibility. Furthermore, the largest group had a tenure of 1-5 years, suggesting a sizeable cohort of newer employees.
Employee engagement was perceived to be high indicating a generally motivated and enthusiastic workforce. A significant positive correlation was identified between engagement and job performance, suggesting that more engaged employees perceived themselves as performing at a higher level. Based on these results, the study proposes actionable recommendations to enhance engagement. These include targeted strategies for the younger demographic, skill development programs for all employees, exploration of flexible work arrangements and well-being initiatives, and fostering a culture of recognition and alignment with the company's mission. By implementing these strategies, the dealership can cultivate a more engaged workforce, leverage its diverse strengths, and achieve sustained high performance.
Embarazo y parto en contexto urbano
Authors: Cárdenas Clara Matilde 
Published: July 2024

El artículo se enfoca en las trayectorias de cuidado y atención del Embarazo, Parto y Post-Parto por las que transitan las mujeres shipibo-konibo de la autodenominada Comunidad Shipiba de Cashahuacra. Esta comunidad se conformó hace casi quince años cuando un grupo de familias de este pueblo indígena amazónico procedente de Ucayali se estableció en la quebrada Cashahuacra (Distrito Santa Eulalia, provincia Huarochirí). Mas que detallar las prácticas y conocimientos de estas trayectorias, pongo énfasis en destacar cómo este espacio social en construcción que es esta comunidad indígena ubicada , caracterizada por la pobreza y una constante movilidad, imprime su huella en la conformación de estas trayectorias en las que los conocimientos y prácticas de la cultura shipibo-konibo están vigentes pero sin rechazar los recursos y cuidados provenientes de la medicina institucional frente a la que existe una mirada crítica y pragmática acorde con lo que significa para una mujer shipibo-konibo ser madre en la ciudad.
ANALISIS POLA CURAH HUJAN DI WILAYAH SUMATERA BAGIAN UTARA MENGGUNAKAN FAST FOURIER TRANSFORM (FFT)
Authors: Albeta Risa , Ishkaq Iskandar  , Hamdi Akhsan  , Suhadi  
Published: July 2024

This research was conducted in North Sumatra, namely at Iskandar Muda, Malikussaleh and Deli Serdang stations in the period 1885 to 2019. The purpose of the study was to analyze seasonal and interannual rainfall patterns. The method used is Fast Fourier Transform (FFT) and correlation between rainfall, sea surface temperature and wind. The results of the study showed that the rainfall pattern at Iskandar Muda, Malikussaleh and Deli Serdang stations had two peaks of rainfall. The peak rainfall of the three stations occurs in May and the second peak has differences between Deli Serdang and Iskandar Muda and Malikussaleh stations. Where the peaks of high periodization are only in the 6-month and 12-month periods. There is also a peak periodogram from each station seen in 18-30 months. Rainfall periodogram analysis shows the magnitude of data frequency for each phase cycle and its frequency. The correlation between rainfall, wind and sea surface temperature (SST) at the three stations has a different pattern. At Deli Serdang station, there is an influence of ENSO and IOD, while at Iskandar Muda and Malikussaleh stations there is no influence of ENSO and IOD. Then in the September, October, November (SON) season at the three stations there is no visible influence of ENSO and IOD.
Variations of Mutme Shell Biobricets on Thermal Characteristics
Authors: Fakhrullah Rahmad , Fera Annisa  , Nur Aida  , Fitriyawany  , Muhammad Nasir  
Published: July 2024

This research explores the potential of nutmeg shells as an alternative energy source in the form of biobriquettes and their use as a learning resource for understanding heat materials. This research was also motivated by the lack of utilization of nutmeg shells, which are rich in energy. The aim of this research is to determine the process of making charcoal biobriquettes from nutmeg shell waste, determine the characteristics of the biobriquettes produced, and determine students' responses to the biobriquettes that have been developed. This research method uses an experimental approach, with a focus on the physical and chemical characteristics of biobriquettes. The results of research on the process of making charcoal biobriquettes from nutmeg shell waste go through several stages, namely drying, burning, grinding, mixing with adhesive and water, molding, and drying in the sun. The revealing variations in the characteristics of nutmeg shell biobriquettes at carbonization temperatures of 400°C, 450°C, and 500°C, including density, water content, ash content, and heating value. The percentage of students' responses to biobriquettes in heat learning was 76.25%. Thus, it can be concluded that the process of making charcoal briquettes from nutmeg shell waste can be produced as an alternative energy that meets the characteristics of biobriquettes in accordance with the Indonesian National Standards, and also students' responses to the biobriquettes that were developed are very suitable as a source of learning heat material.
Enhancing Multisensory Virtual Reality Environments through Olfactory Stimuli for autobiographical memory retrieval
Authors: Sasu Gabriel-Vasilică , Cîrneci Dragoș , Goga Nicolae , Popa Ramona-Cristina , Podina Ioana , Bratosin Ioan-Alexandru , Neacșu Răzvan-Florin , Goga Maria , Bordea Cosmin-Andrei , Pomana Laurențiu-Nicolae , Stan Antonio-Valentin , Popescu Bianca 
Published: July 2024

This paper examines the use of multisensory virtual reality (VR) as a novel approach in psychological therapy for autobiographical memory retrieval with benefits for cognitive enhancement, stress reduction etc. The research in this paper was done under Romanian Arut Research Grant no. 27/09/10/2023 ”Intelligent VR system for treating autobiographical/episodic memory deficits&quot;. By simulating realistic multisensory experiences, VR technology offers an immersive environment that surpasses traditional therapeutic methods in effectiveness. Previous studies demonstrate improved outcomes in treating various psychological conditions (affective disorders and PTSD, specific phobias and age-related cognitive decline). Technological advancements in VR, such as olfactory integration cand contribute to the realism and therapeutic potential of these environments, the integration of various physical stimuli with VR holds promising potential psychological therapies and highlighting the need for further interdisciplinary research. In this pilot study we tested the efficacy of a new system for triggering autobiographical memory retrieval. For this we used images combined with odors in a congruent manner and offering participants the chance to interact with the VR environment by using 2 virtual hands. We evaluated the efficacy of this system using qualitative methods with emphasis on the evaluation of the emotions associated with memory recollection and the ease of triggering memories. All participants in our pilot study experienced intense emotions related to childhood or adolescence and the pleasant feelings they had during the experiment persisted even after it ended. This is an advancement to what exists currently and original research elements for our paper.
Structure in prime gaps
Authors: KAUNDA KAJANI 
Published: July 2024

Abstract

We define a Cayley Table T from the structure (J,+) based on a subset J of Z containing prime numbers and their additive inverses, which we then use as a model of gaps between primes of the form pα − 3. Using definitions of the relationships between primes and their gaps derived from T, we prove the existence of infinitely many pairs of primes, (pn, pn+m), such that (pn+m − pn) = (pα − 3) where n, α ≥ 3 and m ≥ 1 and pn is the nth prime. Finally, we use this result to show the existence of infinitely many pairs of prime numbers with a gap of 2.

MSC Classification: 11N05, 11B05
Multimodal Imaging of Dark Without Pressure Lesions in Pediatric Retinal Vasculitis
Authors: Nguyen Quan Dong , Yasar Cigdem , Ghoraba Hashem , Hassan Muhammad , Or Chris , Akhavanrezayat Amir , Regenold Jonathan , Park Sung Who , Khojasteh Hassan , Halim Muhammad , Karaca Irmak , Pham Brandon , Uludag Gunay , Matsumiya Wataru 
Published: July 2024

Abstract

Purpose: A unique form of retinopathy-plausibly dark without pressure (DWP) was identified during the management of pediatric patients with retinal vasculitis (RV) and described in the index case series.
Methods:Forty-three consecutive pediatric uveitis patients presented to tertiary care-unit were evaluated. We assessed DWP-like lesions in pediatric patients with RV. Wide angle fundus photographs (WAFP), fundus autofluorescence (FAF), and optical coherence tomography (OCT) images were analyzed to identify potential retinopathy. Incidence of DWP in pediatric RV patients was also analyzed. WAFP were evaluated using image-J software to measure retinopathy area (RA).
Results:Twenty-six of 43 patients were diagnosed with RV and were treated. Retinopathy was detected in 20 patients (30 eyes/76.9%) during treatment. Mean age was 12.8±3.36 years; 40% were female. On WAFP, the lesions appeared as dark areas that were diffuse, mid-peripheral or peripheral. All 20 patients (30 eyes) showed hypo-autofluorescence on FAF at the same locations as the WAFP. Twelve patients (17 eyes) who had OCT images of the RA demonstrated ellipsoid zone disruption. Progression of the retinopathy overtime was analyzed in 28 eyes; all eyes showed improvement of RV with therapy. Mean RA significantly decreased from 394.67 mm2 (time of retinopathy detection) to 365.88 mm2 (last follow-up) (p=0.03).
Conclusions:Pediatric RV may be associated with a retinopathy pattern described as DWP previously. Improvement in the RA may be related to improvement of disease activity, but further studies are needed to understand the underlying pathophysiology. Such findings might serve as a marker of previous/ongoing RV in pediatric patients.
Is Sexual Activity an Effective Way to Expel Distal and Intramural Ureteral Stones? An Updated Systematic Review and Meta-analysis
Authors: Neto Edgar Paulo da Silva , Morriello Rafael , Victor David Romeiro , Reis Camila Mariana de Paiva , Lech Gabriele Eckerdt , Silva Raquel Oliveira de Souza , Viana Patrícia , Melao Barbara Vieira Lima Aguiar 
Published: July 2024

Abstract

Purpose: Ureterolithiasis is a prevalent condition with a high morbidity, typically causing incapacitating pain and, if not treated correctly, can lead to renal failure. This research has sought to investigate the link between sexual activity, including masturbation, and a higher rate of spontaneous expulsion of ureteral stones.
Material and Methods: We searched PubMed, Embase, and Cochrane for randomized clinical trials (RCT) assessing the effectiveness of sexual activity or masturbation in the elimination of distal or intramural ureteral stones. Heterogeneity was assessed with I². Values of p < 0.05 were considered statistically significant. Statistical analysis was performed using Review Manager 5.4.1 (Cochrane Center, The Cochrane Collaboration).
Results: We included 8 RCTs, totaling 755 patients, of which 383 (50.7%) engaged in sexual activity or masturbation 3-4 times per week for an average duration of 4 weeks. The expulsion rate at 2 weeks (OR: 3.48; [95% CI: 2.37 to 5.11]; p < 0.00001) and at 4 weeks (OR: 3.28; [95% CI: 2.23 to 4.83]; p < 0.00001) was higher in the sexual activity or masturbation group. The average time for stone expulsion (MD: -3.27; [95% CI: -5.38 to -1.17]; p < 0.002) was shorter in the experimental group, as well as the average number of analgesic injections (MD: -0.6; [95% CI: -0.91 to -0.29]; p < 0.0001).
Conclusion: Our findings suggest that sexual activity or masturbation appears to be effective as an expulsive medical therapy for patients with distal or intramural ureteral stones.
Robust self-testing of Bell inequalities tilted for maximal loophole-free nonlocality
Authors: Chaturvedi Anubhav , Gigena Nicolas , Panwar Ekta , Scala Giovanni , Araujo Mateus , Farkas Mate 
Published: July 2024

Abstract

The degree of experimentally attainable nonlocality, as gauged by the amount of loophole-free violation of Bell inequalities, remains severely limited due to inefficient detectors. We address an experimentally motivated question: Which quantum strategies attain the maximal loophole-free nonlocality in the presence of inefficient detectors? For any Bell inequality and any specification of detection efficiencies, the optimal strategies are those that maximally violate a tilted version of the Bell inequality in ideal conditions. In the simplest scenario, we demonstrate that the quantum strategies that maximally violate the tilted versions of Clauser-Horne-Shimony-Holt inequality are unique up to local isometries. However, self-testing via the standard sum of squares decomposition method turns out to be analytically intractable since even high levels of the Navascués--Pironio--Acín hierarchy are insufficient to saturate the maximum quantum violation of these inequalities. Instead, we utilize a novel Jordan's lemma-based proof technique to obtain robust analytical self-testing
statements for the entire family of tilted-Bell inequalities. These results allow us to unveil intriguing aspects of the effect of inefficient detectors and the complexity of characterizing the set of quantum correlations, in the simplest Bell scenario.
Increasing access to psychological therapy on acute mental health wards: Staff and patient experiences of a stepped psychological intervention
Authors: Johnston Isobel , Edge Dawn , Wilson Paul , Beinaraviciute Adele , Bucci Sandra , Drake Richard , Gilworth Gill , Haddock Gillian , Handerer Fritz , Kaur Sonalia , Lovell Karina , Morley Helen , Price Owen , Samji Mica , Berry Katherine 
Published: July 2024

Abstract

Background
Psychological therapies are recommended for people with serious mental health problems. However, access is limited, particularly in inpatient mental health settings. The Talk, Understand and Listen in InPatient Settings (TULIPS) study is a large multi-centre cluster-randomised controlled trial which aimed to evaluate a stepped psychological intervention model to increase access to therapies for inpatients. This paper presents findings from the embedded process evaluation focusing on the contextual factors influencing intervention delivery.
Methods
Thirty-two staff and 31 patients from wards receiving the intervention participated in semi-structured interviews. Data was analysed using reflexive thematic analysis. Staff and patient data were analysed separately but perspectives were compared and interwoven resulting in five themes.
Results
Patients reported sessions with psychologists facilitated greater self-understanding and coping. Staff and patients reflected that formulations improved staff understanding of patient presentations. This understanding was associated with improved staff-patient relationships, more person focused practice and reduced conflict and burnout. Psychologists’ frequent physical presence on the wards and support of nursing teams enabled staff buy-in. However, significant barriers in resource, skill and confidence inhibited the delivery of nurse-led interventions within the stepped care model, as did perceptions that intervention delivery was outside the remit of nursing staff’s role.
Conclusions
This study provides evidence that a stepped psychological intervention on acute mental health wards could improve patient coping and ward experience for patients and staff. Future studies should target nursing staff confidence and skill in the delivery of psychological interventions.
Trial registration:
ClinicalTrials.gov Identifier: NCT03950388. Registered 15th May 2019. https://clinicaltrials.gov/ct2/show/NCT03950388
WITHDRAWN: The effects of community built environment and physical activity of varying intensity and purpose on depressive trajectories among middle-aged and elderly: a national longitudinal study based on latent growth curve modeling
Authors: Zhang Kaili , Huang Bowen , Divigalpitiya Prasanna 
Published: July 2024

Abstract

The full text of this preprint has been withdrawn by the authors while they make corrections to the work. Therefore, the authors do not wish this work to be cited as a reference. Questions should be directed to the corresponding author.
Investigating the prevalence and influential factors of ankle pain following total knee arthroplasty in patients with varus and valgus knee deformities
Authors: Huang Zishuai , Wang Jian 
Published: July 2024

Abstract

Background: The postoperative time-dependent changes in knee alignment and the subsequent adaptive changes in the ankle and the mechanism of postoperative foot pain after total knee arthroplasty have not been well established. The aim of this study was to assess the imaging alterations in the ankle, subtalar, and knee joints following total knee arthroplasty (TKA)for correcting varus and valgus deformities, as well as to observe the incidence of post-TKA ankle pain and analyze its influencing factors.
Method: This retrospective cohort study included 67 patients with varus and valgus knee osteoarthritis who underwent total knee arthroplasty . The patients were categorized into two groups based on the alignment of their knee joint, namely the varus group and the valgus group. Subsequently, they were further divided into a foot and ankle pain group or a foot and ankle non-pain group depending on the presence or absence of postoperative foot pain. Radiological assessments of the lower limbs, ankle joints, and hindfoot were conducted before surgery as well as at 3 months post-surgery, along with clinical evaluations of the ankle joint. Each data was compared between patients with and without foot pain.
Result: When the lower limb was aligned to the neutral position by TKA, the distal tibia and talus exhibited a more horizontally oriented alignment relative to the ground compared to the preoperative alignment. Patients with knee varus demonstrated an evaginate transition towards varus, which was accompanied by an increase in ankle ectropion. In contrast, patients with genu valgus maintained their hind foot's varus position while experiencing an increased ankle varus. Due to the limited range of motion in the ankle and subtalar joints, acute correction of the knee following total knee arthroplasty cannot be compensated for by these joints. In comparison to the painless group, individuals experiencing foot discomfort maintained a preoperative force line in the ankle and subtalar joint while also undergoing a greater degree of correction in the contrapuntal line of the knee joint.
Conclusion: About one fifth of total knee arthroplasty (TKA) patients experience postoperative foot pain. Despite obtaining an appropriate coronal alignment of the knee joint after surgery, these patients may still experience uneven foot force due to inadequate compensation of the ankle and subtalar joints. Surgeons should consider potential ankle and hindfoot compensation disorders and postoperative ankle pain when planning and performing TKA.
Hyperwide band electromagnetic wave absorbing Al2O3 coating boosted with in-situ generated nano TiO1.81
Authors: Yu wenbo , Ma Chaosheng , Ma Yihu , Ma Guozheng , Haidou Wang 
Published: July 2024

Abstract

No choice but to choose the dielectric loss type materials for realizing the high temperature electromagnetic (EM) wave dissipation is well acknowledged, as the magnetic EM wave absorbing materials generally have functional failure above 600°C 1. However, the electromagnetic wave absorption bandwidth (EAB) of current dielectric loss type materials is too narrow. Here, we invented one TiO1.81/Al2O3 coating characterized with the twice of the widest EAB reported among all the current dielectric loss type materials. The simple fabrication process is composed of the supersonic atmospheric plasma spraying (SAPS) of Ti2AlC/Al2O3 powders and following oxidation at 950°C for 2 h in air. The occurred in-situ double decomposition mechanism transformed Ti2AlC (45 µm) into O-vacancy-defected TiO1.81 (30 nm). The interfacial polarization contribution was suddenly boosted due to the appearance of a huge amount of nano hetero-interfaces. The continuous outwards diffusion of Ti and Al elements further endows our coating self-protective capacity through the formation of covered TiO1.81 and Al2O3. As MAX phase contains more than 90 categories, our work supports one open window for fabricating superior EM wave absorbing coatings used in high temperatures.