bluuebunny/crossref_metadata_2025_split huggingface dataset:
Examining the Clinical and Laboratory Findings of Patients with COVID-19 Hospitalized in the ICU (A Cross-sectional Study)
Authors: Sardu Ehsan Goroei , Salari Saeideh , Raesi Rasoul , Hushmandi Kiavash , Daneshi Salman , Alian Samakkhah Shohreh , Shima Shadkam Farrokhi 
Published: June 2024

Background
The clinical care for patients suffering from COVID-19 requires knowledge of clinical and laboratory findings.

Aim
This study aims to investigate the clinical and laboratory findings related to patients with COVID-19 who were hospitalized in the Intensive Care Unit (ICU).

Methods
The cross-sectional study was conducted on 529 patients with COVID-19 who were hospitalized in the ICU department of Imam Khomeini Hospital in Jiroft. The information is based on the researcher's checklist and was collected from the patient files by referring to the hospital archives. Data were analyzed using SPSS-26 statistical software.

Results
The average age of the patients was 68.7 ± 27.9 years, and the average total hospitalization time was 7.8 days. The rate of hospitalization was higher in men than in women. The most common clinical symptoms of the patients on arrival were cough, fever, and chest pain. Cardiovascular diseases, blood pressure, and diabetes were among the factors related to the hospitalization of patients with COVID-19. The mortality rate in the present study was 30.6%. An increase beyond the normal range was observed in the mean white blood cell count, red blood cell sedimentation time, and blood creatinine.

Conclusion
The results of this research showed that elderly men with at least one underlying disease are among the factors related to the hospitalization of patients in the ICU, which requires special attention in how to treat and follow them because of the increase in hospitalization time in this group and consequently its financial burden is imposed on the health system.
Association between Serum Electrolyte Levels and Consciousness in ICU Patients: A Cross-Sectional Study
Authors: Sardu Ehsan Goroohi , Anaeigoudari Akbar , Domari Asma Amiri , Raesi Rasoul , Hushmandi Kiavash , Farsei Saeed , Daneshi Salman 
Published: June 2024

Background
A change in fluid and electrolyte balance is a dynamic process that can cause a wide range of clinical disorders.

Aim
The present study was conducted to determine the serum level of electrolytes and their relationship with the level of consciousness.

Methods
This cross-sectional (descriptive-analytical) study was conducted using a census method on 110 medical records of patients admitted to the ICU department of Imam Khomeini Hospital in Jiroft in 2021. Data were collected using a researcher-made checklist from the patient’s medical records and analyzed using SPSS-20 statistical software and descriptive and inferential tests at a significance level of p<0.05.

Results
The average age of the patients was 31.8 ± 18.8 years. Eighty-two patients (74.5%) were men who were hospitalized due to a motorcycle accident. No significant relationship was found between serum phosphorus levels, hospital stay duration, and mortality rate. There was a significant relationship between magnesium serum level and mortality rate, but there was no relationship between serum potassium and magnesium, the duration of hospitalization, and the average days of hospitalization.

Conclusion
The results showed that there is no significant relationship between the average serum level of electrolytes and the level of consciousness. It is possible that factors other than electrolytes, such as the status of arterial gases, the need for advanced airway care, medicinal agents, and other therapeutic interventions, may influence the level of consciousness.
Investigating the Anxiety Caused by COVID-19 and its Relationship with the Self-efficacy and General Health in Iranian Nurses
Authors: Amiri Mohammad , Jamalzadeh Abolfazl , Khosravi Ahmad 
Published: June 2024

Background
Since its outbreak, the COVID-19 pandemic has taken a heavy toll on the public, particularly among healthcare workers, causing excessive mortality and health problems. The present study seeks to determine the anxiety caused by COVID-19 and its impact on nurses' self-efficacy as well as their general health in Shahroud University of Medical Sciences affiliated hospitals.

Methods and Materials
This is a cross-sectional study conducted in 2023. Our sample consists of 133 nurses working in hospitals affiliated with Shahroud University of Medical Sciences. A questionnaire was used to measure the anxiety caused by Covid-19 as well as its impact on nurses' self-efficacy and general health. The collected data were then analyzed using Chi-square tests, Pearson's correlation coefficient, and logistic regression at a 5 percent significance level.

Results
In this study, 106 nurses (79.7%) were female. The mean score of anxiety caused by COVID-19 was 12.0±7.7 while the mean self-efficacy score and the mean health score were 47.4±12.3 and 20.6±8.0, respectively. Also, 88 (66.2%) nurses had normal general health status, while 45 (33.8%) had mild general health problems. In addition, 91 people (68.4%) suffered from low self-efficacy, whereas 42 people (31.6%) were high in self-efficacy. Pearson's correlation coefficient stressed a positive and significant linear relationship between anxiety score and self-efficacy score (r=0.33, p<0.001). As expected, there was a positive and significant linear relationship between anxiety score and general health (r=0.39, p<0.001). The results from the multivariate regression analysis emphasize that gender, anxiety, general health, and marital status have a significant impact on the sense of self-efficacy.

Conclusion
Given the low sense of self-efficacy among nurses and its implications for public health, it is suggested that the top managers of the university should adopt new approaches to collaborative management in order to improve the self-efficacy among nurses. The relevant officials are also advised to apply methods to appreciate nurses' positive performance and to provide appropriate feedback on their skills and capabilities. Further, to realize better public health and enhanced self-efficacy, policymakers should take steps to ensure social and emotional support for nurses and to upgrade their knowledge and skills.
Implementasi Pembelajaran Science, Technologi, Engineering, Arts, & Mathematic (STEAM) dengan Memanfaatkan Media Loose Parts
Authors: Hayati Nur , Zurianti Nur Ainunisa 
Published: June 2024

Pembelajaran science, technology, engineering, arts, & mathematic (STEAM) merupakan pembelajaran yang belum banyak diterapkan oleh sekolah anak usia dini. Penulis tertarik untuk melakukan penelitian di TK ABA Karang Kalasan yang sudah menerapkan pembelajaran tersebut dengan memanfaatkan media loose part. Metode yang digunakan dalam penelitian ini yaitu pendekatan kualitatif dan penilaian deskriptif, sehingga dapat mendeskripsikan kegiatan pembelajaran science, technology, engineering, arts, & mathematic (STEAM) dengan memanfaatkan media loose part. Sumber data adalah ketua Yayasan, kepala sekolah, guru, dan peserta didik. Objek penelitian ini adalah implementasi pembelajaran STEAM. Teknik pengumpulan data yang digunakan yaitu observasi, wawancara, dan dokumentasi. Teknik analisis data menggunakan model Miles, Huberman, & Saldana (2014) yaitu pengumpulan data, kondensasi data, penyajian data, dan penarikan kesimpulan. Pengujian keabsahan data menggunakan triangulasi metode dan sumber. Hasil penelitian menunjukkan bahwa: (1) landasan pembelajaran; (2) pelaksanaan pembelajaran STEAM; (3) faktor yang mempengaruhi pembelajaran STEAM di TK ABA Karang Kalasan.
Docência e a Aprendizagem em Cursos de Licenciaturas
Authors: Da Cunha Maria Isabel , Dalpiaz Resckhe Maria Janine 
Published: June 2024

Diante do desafio de formar professores para atuar no complexo cenário da educação contemporânea, reconhecemos a necessidade de pesquisas que tratem da formação pedagógica e do trabalho dos docentes universitários, formadores de futuros professores. É importante refletir acerca do ambiente da aula na universidade e de como são desenvolvidas as práticas pedagógicas. Reafirmamos que a docência universitária é feita de rupturas, continuidades e contradições entre o discurso, a prática e o campo científico, que é atravessado por diferentes valores e crenças. Envolvem a docência que lida com desafios que a reconfiguram e a ressignificam. Destacando o campo da Didática nas licenciaturas evidenciamos o papel e a responsabilidade redobrada destes docentes frente aos seus alunos, pois a forma com que desenvolvem seu trabalho se constitui como conteúdo para os alunos em formação. As reflexões dialogam com autores como Tardif (2005), Marcelo Garcia (1999) ,Freire (1996), Pimenta e Anastasiou (2002) ,Souza Santos (2000), Bourdieu (1983) , para registrar os principais. Decorre de uma pesquisa de campo que favoreceu as compreensões teóricas aqui veiculadas.
Web-Based Intervention (SunnysideFlex) to Promote Resilience to Posttraumatic Stress Disorder Symptoms During Pregnancy: Development and Pilot Study
Authors: Paltell Katherine C , Duffecy Jennifer , Maki Pauline M , Edalatian Zakeri Shiva , Vujanovic Anka A , Berenz Erin C 
Published: June 2024

Background
Approximately 4% to 8% of pregnant individuals meet the criteria for current posttraumatic stress disorder (PTSD), a known risk factor for a multitude of adverse maternal and child health outcomes. However, PTSD is rarely detected or treated in obstetric settings. Moreover, available prenatal PTSD treatments require in-person services that are often inaccessible due to barriers to care. Thus, web-based interventions offer great potential in extending PTSD treatment to high-risk pregnant individuals by providing affordable, accessible care. However, there are currently no web-based interventions designed specifically for the treatment of PTSD symptoms during pregnancy.

Objective
This study aims to develop and pilot a 6-week, web-based, cognitive behavioral therapy intervention for PTSD, SunnysideFlex, in a sample of 10 pregnant women with current probable PTSD. Consistent with established guidelines for developing and testing novel interventions, the focus of this pilot study was to evaluate the initial feasibility and acceptability of the SunnysideFlex intervention and preintervention to postintervention changes in PTSD and depression symptoms. This approach will allow for early refinement and optimization of the SunnysideFlex intervention to increase the odds of success in a larger-scale clinical trial.

Methods
The SunnysideFlex intervention adapted an existing web-based platform for postpartum depression, Sunnyside for Moms, to include revised, trauma-focused content. A total of 10 pregnant women in weeks 16 to 28 of their pregnancy who reported lifetime interpersonal trauma exposure (ie, sexual or physical assault) and with current probable PTSD (scores ≥33 per the PTSD checklist for DSM-5) were enrolled in the SunnysideFlex intervention. Assessments took place at baseline and 6 weeks (postintervention).

Results
All participants were retained through the postintervention assessment period. Engagement was high; participants on average accessed 90% of their lessons, logged on to the platform at least weekly, and reported a generally positive user experience. Moreover, 80% (8/10) of participants demonstrated clinically meaningful reductions in PTSD symptoms from baseline to postintervention, and 50% (5/10) of participants no longer screened positive for probable PTSD at postintervention. Most (6/10, 60%) of the participants maintained subclinical depression symptoms from baseline to postintervention.

Conclusions
Findings from this small pilot study indicate that SunnysideFlex may be a feasible and acceptable mechanism for delivering PTSD intervention to high-risk, trauma-exposed pregnant women who might otherwise not have opportunities for services. Larger-scale trials of the intervention are necessary to better understand the impact of SunnysideFlex on PTSD symptoms during pregnancy and the postpartum period.
Event Analysis for Automated Estimation of Absent and Persistent Medication Alerts: Novel Methodology
Authors: Bittmann Janina A , Scherkl Camilo , Meid Andreas D , Haefeli Walter E , Seidling Hanna M 
Published: June 2024

Abstract

Background
Event analysis is a promising approach to estimate the acceptance of medication alerts issued by computerized physician order entry (CPOE) systems with an integrated clinical decision support system (CDSS), particularly when alerts cannot be interactively confirmed in the CPOE-CDSS due to its system architecture. Medication documentation is then reviewed for documented evidence of alert acceptance, which can be a time-consuming process, especially when performed manually.

Objective
We present a new automated event analysis approach, which was applied to a large data set generated in a CPOE-CDSS with passive, noninterruptive alerts.

Methods
Medication and alert data generated over 3.5 months within the CPOE-CDSS at Heidelberg University Hospital were divided into 24-hour time intervals in which the alert display was correlated with associated prescription changes. Alerts were considered “persistent” if they were displayed in every consecutive 24-hour time interval due to a respective active prescription until patient discharge and were considered “absent” if they were no longer displayed during continuous prescriptions in the subsequent interval.

Results
Overall, 1670 patient cases with 11,428 alerts were analyzed. Alerts were displayed for a median of 3 (IQR 1-7) consecutive 24-hour time intervals, with the shortest alerts displayed for drug-allergy interactions and the longest alerts displayed for potentially inappropriate medication for the elderly (PIM). Among the total 11,428 alerts, 56.1% (n=6413) became absent, most commonly among alerts for drug-drug interactions (1915/2366, 80.9%) and least commonly among PIM alerts (199/499, 39.9%).

Conclusions
This new approach to estimate alert acceptance based on event analysis can be flexibly adapted to the automated evaluation of passive, noninterruptive alerts. This enables large data sets of longitudinal patient cases to be processed, allows for the derivation of the ratios of persistent and absent alerts, and facilitates the comparison and prospective monitoring of these alerts.
IDENTIFICATION OF FUNGI IN CAMPUS TOILET BATHROOM WATER
Authors: Maulida Rizkha Cahya , Lubis Syafrina Sari , Hidayat Muslich 
Published: June 2024

The recognition of the health risks associated with fungal contamination in water is increasingly important in terms of microbiological safety and water quality. Fungus is one type of microorganism that can cause disease in humans. As cosmopolitan living things, fungi can be found anywhere close to human existence, be it in water, soil, air, or even in the human body. The purpose of this study was to determine the total number of colonies and the characteristics of pathogenic fungi in bathroom water at UIN Ar-Raniry campus public toilet facilities. This study used bathroom water samples taken at 5 different points. Water samples were taken as much as 0.5 ml and then isolated into Potato Dextrose Agar (PDA) media using the spread plate method. After 7 days of incubation, the total number of colonies was counted and the identification of the fungi was carried out to determine the macroscopic and microscopic characteristics of the fungi. The results of the study of fungal isolation on PDA media were the total colonies obtained from 5 different locations, namely 60 colonies, 47 colonies, 25 colonies, 29 colonies and 46 colonies. The identification results of 31 pure isolates found species namely Aspergillus sp., Aspergillus niger, A. fumigatus, A. flavus, Penicillium sp., and Mucor sp.
Can Standard Setters Improve Cash Flow Reporting of Capital Expenditures?
Authors: Liang Mayer Chunzi , Linsmeier Thomas J. 
Published: June 2024

SYNOPSIS
We evaluate whether current capital expenditures (capex) reporting in the cash flows statement can be improved via disaggregation and/or reclassification of some capex as operating activities. FASB Concept Statement No. 5 suggests recurrence and risk as useful characteristics for determining disaggregation and classification in financial statements. Using a novel German dataset that provides disaggregated capex information, we examine whether these characteristics differ across capex components and provide evidence of up to five economically distinct components. These results support disaggregating capex into maintenance, expansion, rationalization, restructuring, and environmental components. Our findings, however, do not support reclassifying any capex component as operating activities, although evidence suggests capex and capex components are misclassified as investing activities. As a first step toward improving capex reporting guidance, our evidence suggests standard setters consider disaggregating and presenting capex components as supplemental information in the cash flow statement, the footnotes, or MD&A.
Data Availability: FactSet data are publicly available. The disaggregated capital expenditures data are available from the ifo Institute.
JEL Classifications: G31; M41; M48.
The Principle of Self-Reliance and the Concept of Spiritual Laws in the Transcendentalism of Ralph Waldo Emerson
Authors: Ben Bohdan 
Published: June 2024

The article analyzes the combination of the concept of spiritual laws and the principle of self-reliance in the philosophy of American transcendentalist R. W. Emerson. This analysis reveals the meaning of such combination and the relationship between freedom of creativity and spiritual laws, culminating in a fusion of individualism and holistic principles in R. W. Emerson's philosophy.	In the historical-philosophical aspect, R. W. Emerson's reinterpretation of Neoplatonic and Christian teachings on unity around the one God is examined. His idea of freedom, which is not subject to law but is enabled by the integrity of Being thanks to laws, is analyzed. The author considers the influence of these theses of R. W. Emerson's philosophy on W. James and the relevance of some Jamesian pragmatic arguments regarding faith to explain and justify R. W. Emerson's theories. The article also examines the affinity between R. W. Emerson's ideas and European, in particular H. Bergson's irrationalism.	For R. V. Emerson, creativity is the meaning and purpose of life. A person becomes creative through the self-realization of a free personality, but, on the other hand, such self-realization is possible only as a step beyond oneself, the use of one's own energy for the affirmation of super-individual values, as well as on the basis of understanding and observing spiritual laws. This is the key to the growth of a person's creative energy and, accordingly, makes it possible to rely on oneself.
Regulasi Emosi dan Subjective Well-Being Pada Fungsionaris Lembaga Kemahasiswa
Authors: Lasut Linqa Gracia Ferilya , Huwae Arthur 
Published: June 2024

Menjalankan peran sebagai fungsionaris lembaga kemahasiswaan memiliki tantangan miskomunikasi, perbedaan pendapat, serta pengorbanan,sehingga menyebabkan tekanan dan kesulitan dalam mengelola emosi yang berdampak pada subjective well-being. Upaya mencapai kebahagiaan dapat melalui regulasi emosi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara regulasi emosi dan subjective well-being pada fungsionaris lembaga kemahasiswaan. Penelitian ini adalah penelitian kuantitatif dengan desain analisis korelasi. Subjek penelitian adalah 204 dengan menggunakan teknik quota sampling. Pengukuran penelitian menggunakan Emotional Regulation Questionnaire, Satisfaction with Life Scale(SWLS) dan PANAS. Analisis data menggunakan uji korelasi Product Moment dari Karl Pearson. Hasil penelitian menunjukkan bahwa terdapat hubungan positif yang signifikan antara regulasi emosi dan subjective well-being (r=0,258 dan sig= 0,000). Hal ini menunjukkan bahwa regulasi emosi menjadi salah satu faktor yang berhubungan dengan meningkatnya subjective well-being fungsionaris lembaga kemahasiswaan. Implikasi dari penelitian ini adalah para fungsionaris lembaga kemahasiswaan diberikan ruang untuk berpendapat dan menghindari permasalahan seperti perbedaan pendapat antar sesama fungsionaris dengan mengelola emosi yang baik agar mencapai subjective well-being yang baik pula.
Pengaruh Malu dan Religiusitas terhadap Self-Disclosure di Media Sosial Melalui Self-Control pada Muslim di Pekanbaru
Authors: Fitriyani Eka , Jannah Putri Miftahul , Cucuani Hijriyati , Priyadi Suwanda 
Published: June 2024

Islam mengajarkan pemeluknya untuk mempertimbangkan segala sesuatu sebelum bertindak, termasuk dalam mengungkapkan diri dalam ruang publik. Malu dan religiusitas yang ada pada umat muslim diharapkan mampu menjadi kontrol dalam mengekspresikan diri di media sosial. Penelitian ini bertujuan untuk mengetahui pengaruh malu dan religiusitas terhadap self-disclosure di media sosial melalui self-control pada muslim di Pekanbaru dalam sebuah model. Data diperoleh melalui skala Al-Haya’ untuk mengukur malu pada muslim, self-control scale, religiosity scale dan self-disclosure scale. Berdasarkan analisis SEM dari data 533 orang masyarakat pengguna media sosial di Kota Pekanbaru, diketahui bahwa model yang diajukan tidak fit dengan indeks kesesuaian model χ2 (5) = 214, p < 0.05; RMSEA = 0.000; SRMR = 0.000; CFI = 1.000; TLI = 1.000. Hasil ini menunjukkan bahwa tidak ada pengaruh self-control terhadap self-disclosure. Namun, diketahui bahwa terdapat pengaruh signifikan dari malu terhadap self-control dan terhadap self-disclosure secara langsung. Sementara religiusitas tidak berpengaruh secara langsung dan tidak langsung terhadap self-disclosure, meskipun memengaruhi self-control. Dengan demikian, orang yang memiliki malu dan religiusitas yang tinggi menunjukkan self-control yang lebih baik, namun tidak menentukan self-disclosure-nya di media sosial.
Environmental Ergonomic Analysis: Understanding Noise Effects on Security and Comfort
Authors: Ridwan Gucci Dinda Okta Dwiyanti , Nalendra Muhammad Adi Sukma , Ramadhani Fauziah Fatma 
Published: June 2024

In activities production PT. XYZ has several forms of production processes. It is a grinding process, which has the potential to give rise to noise coming from the tools used during the production process. The continuous noise produced can damage healthy hearing workers. To know the noise level produced during the grinding process on module 04 and module 05 of the Santos project and calculate the recommended time When exposed to noise. Data collection will use a sound level meter to gauge noise. Data calculations using distribution frequency and counting level noise equivalent ( Leq ) obtain point noise on Dilinta Sembiring and Saiful above the Threshold Limit Value (NAV), namely 86.87 dBA and 85.35 dBA. Calculated exposure time use method NIOSH recommends that Crossed Sembiring can work for 5 hours 19 minutes and Saiful for 7 hours 37 minutes. If No, use PPE when exposed continuously. Keywords: Ergonomics Environment, Noise, Grinding, NOISH