bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perspectives of Hill Tribe People and Healthcare Providers regarding Emergency Medical Conditions and Interfacility Transfer: A Qualitative Study in Rural Northern Thailand
Authors: Shatpattananunt Boonyapat , Petpichetchian Wongchan , Kietmaneerut Srisuruk , Wuttipan Nathamon , Keawdounglek Vivat , Singtorn Jadsadaporn 
Published: September 2023

Interfacility transfers of patients in rural mountain areas have many issues that require further investigation; for example, lack of resources and the inability to provide appropriate treatments for a patient’s conditions are the reasons for interfacility transfer. A qualitative descriptive study was conducted to explore the experience of hill tribe people (n = 16) and healthcare providers (n = 22) regarding emergency medical conditions and interfacility transfer in rural mountain areas of northern Thailand. Data were collectedfrom February to July 2019 via in-depth interviews. All interviews were transcribed verbatim, and the content analysis procedure of Elo and Kyngäs was used for data analysis. The study’s trustworthiness was established using Lincoln and Guba’s criteria. The finding revealed four categories reflecting hill tribe people’s experience of emergency medical conditions and interfacility transfer: 1) perceived barriers to rapid access, 2) helping hands, 3) the polarity of interfacility transfer services, and 4) ways toward a bright future. The healthcare providers’ experience was divided into three categories consisting of 1) the district system of interfacility transfer, 2) making it work: the three sources of power, and 3) hope for better interfacility transfer. These findings may contribute to a better comprehension of the nurses and healthcare providers who actively provide interfacility transfer support for emergency medical conditions suitable for hill tribe populations and healthcare settings.
ABANDONO AFETIVO DOS FILHOS E O DEVER DE INDENIZAR
Authors: Jahel Rodrigues Everton , De Jesus Saude Luan , Lopes Lima Ludmila , Caiafa Ferreira Silvério Igor 
Published: September 2023

O presente artigo trata sobre o Abandono Afetivo dos Filhos e o Dever de Indenizar, fazendo uma revisão bibliografica, julgados e legislação sobre o tema.
O enfoque principal está na possibilidade de indenização pelo abandono afetivo, mesmo na condição que o valor do amor não pode ser mensurado.
Nurses' Views On Ethical Practices In Nursing Care: A Qualitative Study
Authors: ŞAHİN Şükriye , ALPAR ECEVİT Şule 
Published: September 2023

ABSTRACT
Objectives: Nurses are required to make ethical decisions with the ethical principles of the nursing profession while making decisions in clinical practice. Therefore, it is very important to recognize and solve ethical problems. The purpose of this research is to learn in-depth the views of nurses about ethical practices and nurses' behavior towards individuals when giving care.
Methods: A hermeneutic-phenomenological qualitative study was performed. Qualitative data were gathered through semi-structured in-depth interviews from March to November 2020, four hospital in Kocaeli. This qualitative study was carried out with the data collected in face-to-face in-depth interviews with the semi-structured questionnaire. Interviews were conducted with 40 nurses and each interview took 30–60 min. The obtained data were evaluated with the inductive content analysis method.
Results: Content analysis of the interview based on nurses' descriptions revealed four major themes. Themes: The meaning given to care ethics, difficulties encountered in nursing care, ethical values in nursing care and ethical approachs of hospital management. The nurses indicated level of care ethics knowledge was insufficient and they needed to receive comprehensive ethical care training from a qualified specialist. In addition, nurses' personal characteristics, religious and cultural values, and professional experiences were found to be factors affecting nursing care. It was also find that the support and motivation of nurses by their managers positively affected their care.
Conclusion: In the interviews, nurses consider it necessary to provide care by paying attention to ethical behaviors in nursing care and practices for the development and professionalism of the profession, but they state that they do not have an idea about how this will be provided. It was determined that nurses thought that more attention should be paid to the importance and value of ethics in nursing interventions, and ethical practices in nursing care should be included in in-service training programs.
Determination of Industry 4.0 Conceptual Awareness Levels of Midwifery Department Students
Authors: KILIÇ Emine , CESUR Büşra 
Published: September 2023

Introduction and Aim: Along with technological innovations in the world, the health industry has also developed and entered the digital transformation process. This study was designed as a descriptive study aiming to determine the awareness of midwifery students on Industry 4.0.
Materials and Methods: The population of the study consisted of students of the midwifery department of a university. The minimum sample size was calculated in G*power 3.1.9 program. Accordingly, the number of samples to be included in the study for 95% statistical power 0.05 margin of error was determined as 210. The study was completed with 257 midwifery students, taking possible losses into account. Personal information form and Industry 4.0 Conceptual Awareness Scale were used as data collection tools.
Findings: The average age of the students in the study was 21.22 ± 1.84 years, 31.9% of the students were 2nd-year students in the Department of Midwifery, 52.9% of the students had their own computers, 100% of them used smartphones, and 60.7% used computers. The average score of the students on the scale was 89.98 ± 30.5, and it was determined that the students' Industry 4.0 conceptual awareness was at a medium level according to the score obtained from the scale. When the relationship between the place where the students stayed and the scores obtained from the scale was examined, it was determined that there was a significant difference between the scores obtained from the scale of the students staying in the state dormitory and the students staying in the private dormitory (p < 0.05).
Conclusion and Recommendations: In the study, it was determined that the midwifery department students' Industry 4.0 Conceptual Awareness levels were at a moderate level, and the place of residence positively affected the level of awareness of this concept. It is recommended to conduct more research on the subject.
PROFESSIONAL IDENTITY IN MIDWIFERY
Authors: YURTSAL Zeliha , ERKAN Edanur 
Published: September 2023

Professionalism is defined as "the service conducted by highly educated professionals, prepared to use their knowledge and skills in the interests of others, adhered to ethical standards, and supported by relevant professional organizations."
Professionalism affects both the individual and the society. The development of professionalism in a professional group provides quality service delivery to the community while the strengthening of professional identities for professional members.
Midwifery; women are an important professional group because of its role in child, family and community health. Thus, it is important for the maternity profession that provides the health and well-being of the community, to choose a conscious and optional career. To do this, professional informations must be made to students who will make college choices. It is necessary to organize seminars on the development of professional midwifery identity, to identify and identify factors affecting their professionalism, in which midwifery students are taught about values and ethics during the course of education and training.
In Turkey, there are factors that result in parents becoming embroiled in professional identity. The most significant cause of this confusion is due to legal regulations concerning the duties of midwives with different duties and responsibilities from nurses, but there are still ongoing complexities between the two professional groups in the workplace. The work of midwives in non-professional areas causes identity confusion and negatively affects their role as professionals. In this context, it is recommended to carry out more cross-sectional and experimental studies that will enable the development of professional identities of midwives.
Türkiye’de Bir Üniversite Hastanesindeki Çocukluk Çağı PFAPA Sendromu Vakaları: 10 Yıllık Analiz
Authors: EKİCİ Mahmut , ÇAĞLAR ŞİMŞEK Cemile Ece 
Published: September 2023

Amaç: Ateş, aftöz stomatit, farenjit ve servikal adenit (PFAPA) sendromu , üç ana belirtiden en az biriyle ilişkili, her 3-6 haftada bir tekrarlayan, 3-6 gün süren ateş atakları ile karakterizedir. Bu çalışmada, PFAPA sendromu hastalığının demografik, klinik özellikleri,laboratuvar bulguları ve uygulanan tedavinin etkinliğinin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Bu çalışmaya Sivas Cumhuriyet Üniversitesi Hastahanesi Pediatri Polikliniğine 01.01.2012-31.12.2022 tarihleri arasında başvuran 0-18 yaş grubu hastalardan PFAPA Sendromu tanısı alan 73 hasta dahil edildi. Çalışmaya dahil edilecek hastalarda yaş, cinsiyet gibi demografik verileri, semptomlar, laboratuvar bulguları, uygulanan tedavi ve tedavinin etkinliği incelendi.
Bulgular: Yetmiş üç hastanın 34’ü (%46,6) kız , 39’u (%53,4) erkekti. Ortalama ve medyan tanı yaşı ise sırasıyla 3,85±1,47 yıl ve 3,30 (1,1–7,5) yıldı. En yaygın başvuru şikayeti ateş idi. 73 hastadan 64’ünde (%87,6) ateş şikayeti mevcuttu. Hastaların 56’sında (%76,7) farenjit, 26’sında (%35,6) servikal lenfadenit, 12’sinde (%16,5) kriptik tonsilit, 15’inde (%20,6) aftöz stomatit mevcuttu. Tanı anında hastalarda lökopeni ve nötropeni saptanmadı. Nötrofil yüksekliği 59 (%80,8) hastada ve lökositoz 64 (%87,7) hastada görüldü. Tedavi öncesi tüm hastaların CRP değeri referans değeri olan 8 mg/L’den yüksek bulundu. Tedavi öncesi ESH değeri hastaların 10 (% 13,7)’unda normal değerlerde (20 mm/h’den düşük), 63 (% 86,3) hastada ise 20 mm/h’den yüksekti. 73 hastadan 10’una (%13,7) tonsillektomi uygulandı.
Tartışma ve Sonuç: Tekrarlayan ateş ve tonsilit atakları ile getirilen, antibiyotik tedavisine rağmen ateşi düşmeyen 5 yaşından küçük hastalarda ayırıcı tanıda PFAPA sendromu olasılığı göz önünde bulundurulmalıdır. Bu sayede erken tanı konabilir, gereksiz antibiyotik kullanımından kaçınılabilir ve böylelikle gereksiz tetkik, tedavi ve hastaneye yatışların önüne geçilebilir.
Time-calibrated phylogeny and full mitogenome sequence of the Galapagos sea lion (Zalophus wollebaeki) from scat DNA
Authors: Asadobay Pacarina , Urquía Diego O. , Künzel Sven , Espinoza-Ulloa Sebastian A. , Vences Miguel , Páez-Rosas Diego 
Published: September 2023

Background
The Galapagos sea lion, Zalophus wollebaeki, is an endemic and endangered otariid, which is considered as a sentinel species of ecosystem dynamics in the Galapagos archipelago. Mitochondrial DNA is an important tool in phylogenetic and population genetic inference. In this work we use Illumina sequencing to complement the mitogenomic resources for Zalophus genus—the other two species employed Sanger sequencing—by a complete mitochondrial genome and a molecular clock of this species, which is not present in any case.

Materials and Methods
We used DNA obtained from a fresh scat sample of a Galapagos sea lion and shotgun-sequenced it on the Illumina NextSeq platform. The obtained raw reads were processed using the GetOrganelle software to filter the mitochondrial Zalophus DNA reads (∼16% survive the filtration), assemble them, and set up a molecular clock.

Results
From the obtained 3,511,116 raw reads, we were able to assemble a full mitogenome of a length of 16,676 bp, consisting of 13 protein-coding genes (PCGs), 22 transfer RNAs (tRNA), and two ribosomal RNAs (rRNA). A time-calibrated phylogeny confirmed the phylogenetic position of Z. wollebaeki in a clade with Z. californianus, and Z. japonicus, and sister to Z. californianus; as well as establishing the divergence time for Z. wollebaeki 0.65 million years ago. Our study illustrates the possibility of seamlessly sequencing full mitochondrial genomes from fresh scat samples of marine mammals.
Areas of spatial overlap between common bottlenose dolphin, recreational boating, and small-scale fishery: management insights from modelling exercises
Authors: La Manna Gabriella , Ronchetti Fabio , Perretti Francesco , Ceccherelli Giulia 
Published: September 2023

BackgroundSustainable management requires spatial mapping of both species distribution and human activities to identify potential risk of conflict. The common bottlenose dolphin (Tursiops truncatus) is a priority species of the European Union Habitat Directive, thus, to promote its conservation, the understanding of habitat use and distribution, as well as the identification and spatial trend of the human activities which may directly affect populations traits, is pivotal.MethodsA MaxEnt modeling approach was applied to predict the seasonal (from April to September) habitat use of a smallpopulationof bottlenose dolphins in the north-western Sardinia (Mediterranean Sea) in relation to environmental variables and the likelihoods of boat and fishing net presence. Then, the overlapping areas between dolphin, fishing net and boat presence were identified to provide insights for the marine spatial management of this area.ResultsThree of the main factors influencing the seasonal distribution of bottlenose dolphins in the area are directly (boating and fishing) or indirectly (ocean warming) related to human activities. Furthermore, almost half of the most suitable area for dolphins overlapped with areas used by fishing and boating. Finally, relying on fishing distribution models, we also shed light on the potential impact of fishing on thePosidonia oceanicabeds, a protected habitat, which received higher fishing efforts than other habitat types.DiscussionModelling the spatial patterns of anthropogenic activities was fundamental to understand the ecological impacts both on cetacean habitat use and protected habitats. A greater research effort is suggested to detect potential changes in dolphin habitat suitability, also in relation to ocean warming, to assess dolphin bycatch and the status of target fish species, and to evaluate sensitive habitats conditions, such as thePosidonia oceanicameadow.
Exposure to Neighborhood Walkability and Residential Greenness and Incident Fracture
Authors: Zhu Zhanghang , Yang Zongming , Xu Lisha , Wu Yonghao , Yu Luhua , Shen Peng , Lin Hongbo , Shui Liming , Tang Mengling , Jin Mingjuan , Wang Jianbing , Chen Kun 
Published: September 2023

ImportanceEmerging studies have suggested that environmental factors are associated with fracture. However, little is known about the association of neighborhood walkability and residential greenness with fracture.ObjectiveTo investigate the association of long-term exposure to walkability and greenness with incident fracture and explore the potential interaction effect.Design, Setting, and ParticipantsThis cohort study recruited participants aged 40 years or older in Ningbo, China from June 2015 to January 2018. Participants were observed for outcomes through February 2023, with data analysis conducted in March 2023.ExposuresNeighborhood walkability was measured by a modified walkability calculation method according to a walk score tool. Residential greenness was assessed by satellite-derived normalized difference vegetation index (NDVI) within a 1000-m buffer.Main Outcomes and MeasuresIncident fracture was ascertained according to International Statistical Classification of Diseases and Related Health Problems, Tenth Revision codes via the Yinzhou Health Information System. Cox proportional hazards models were fit, with age as time scale to estimate the associations of walkability and greenness with fracture. Potential effect modification was explored by covariates, as well as the interactive effect of walkability and greenness.ResultsA total of 23 940 participants were included in this study with 13 735 being female (57.4%). The mean (SD) age at baseline was 63.4 (9.4) years. During a follow-up period of 134 638 person-years, 3322 incident fractures were documented. In the full adjusted model, every IQR increment in neighborhood walkability and residential greenness was associated with a hazard ratio (HR) of 0.88 (95% CI, 0.83-0.92) and 0.84 (95% CI, 0.80-0.89), respectively, for fracture. Furthermore, the association of greenness and fracture was greater with an increase in walkability. The HR (Q4 vs Q1) for greenness was 0.62 (95% CI, 0.46-0.82) in neighborhoods with the highest quartile of walkability.Conclusions and RelevanceThis population cohort study suggested that long-term exposure to neighborhood walkability and residential greenness were both associated with lower risk of incident fracture. The benefits of greenness increased in more walkable areas.
Rapid Point-of-Care Identification of Aspergillus Species in Microbial Keratitis
Authors: Gunasekaran Rameshkumar , Chandrasekaran Abinaya , Rajarathinam Karpagam , Duncan Sheelagh , Dhaliwal Kevin , Lalitha Prajna , Prajna N. Venkatesh , Mills Bethany 
Published: September 2023

ImportanceMicrobial keratitis (MK) is a common cause of unilateral visual impairment, blindness, and eye loss in low-income and middle-income countries. There is an urgent need to develop and implement rapid and simple point-of-care diagnostics for MK to increase the likelihood of good outcomes.ObjectiveTo evaluate the diagnostic performance of the Aspergillus-specific lateral-flow device (AspLFD) to identify Aspergillus species causing MK in corneal scrape and corneal swab samples of patients presenting with microbial keratitis.Design, Setting, and ParticipantsThis diagnostic study was conducted between May 2022 and January 2023 at the corneal clinic of Aravind Eye Hospital in Madurai, Tamil Nadu, India. All study participants were recruited during their first presentation to the clinic. Patients aged 15 years or older met the eligibility criteria if they were attending their first appointment, had a corneal ulcer that was suggestive of a bacterial or fungal infection, and were about to undergo diagnostic scrape and culture.Main Outcomes and MeasuresSensitivity and specificity of the AspLFD with corneal samples collected from patients with MK. During routine diagnostic scraping, a minimally invasive corneal swab and an additional corneal scrape were collected and transferred to aliquots of sample buffer and analyzed by lateral-flow device (LFD) if the patient met the inclusion criteria. Photographs of devices were taken with a smartphone and analyzed using a ratiometric approach, which was developed for this study. The AspLFD results were compared with culture reports.ResultsThe 198 participants who met the inclusion criteria had a mean (range) age of 51 (15-85) years and included 126 males (63.6%). Overall, 35 of 198 participants with corneal scrape (17.7%) and 17 of 40 participants with swab samples (42.5%) had positive culture results for Aspergillus species. Ratiometric analysis results for the scrape samples found that the AspLFD achieved high sensitivity (0.89; 95% CI, 0.74-0.95), high negative predictive value (0.97; 95% CI, 0.94-0.99), low negative likelihood ratio (0.12; 95% CI, 0.05-0.30), and an accuracy of 0.94 (95% CI, 0.90-0.97). Ratiometric analysis results for the swab samples showed that the AspLFD had high sensitivity (0.94; 95% CI, 0.73-1.00), high negative predictive value (0.95; 95% CI, 0.76-1.00), low negative likelihood ratio (0.07; 95% CI, 0.01-0.48), and an accuracy of 0.88 (95% CI, 0.73-0.96).Conclusions and RelevanceResults of this diagnostic study suggest that AspLFD along with the ratiometric analysis of LFDs developed for this study has high diagnostic accuracy in identifying Aspergillus species from corneal scrapes and swabs. This technology is an important step toward the provision of point-of-care diagnostics for MK and could inform the clinical management strategy.
Siderophore specificities of the Pseudomonas aeruginosa TonB‐dependent transporters ChtA and ActA
Authors: Will Virginie , Gasser Véronique , Kuhn Lauriane , Fritsch Sarah , Heinrichs David E. , Schalk Isabelle J. 
Published: September 2023

Iron is an essential nutrient for the survival and virulence of Pseudomonas aeruginosa. The pathogen expresses at least 15 different iron‐uptake pathways, the majority involving small iron chelators called siderophores. P. aeruginosa produces two siderophores, but can also use many produced by other microorganisms. This implies that the bacterium expresses appropriate TonB‐dependent transporters (TBDTs) at the outer membrane to import the ferric form of each of the siderophores used. Here, we show that the two α‐carboxylate‐type siderophores rhizoferrin‐Fe and staphyloferrin A‐Fe are transported into P. aeruginosa cells by the TBDT ActA. Among the mixed α‐carboxylate/hydroxamate‐type siderophores, we found aerobactin‐Fe to be transported by ChtA and schizokinen‐Fe and arthrobactin‐Fe by ChtA and another unidentified TBDT. Our findings enhance the understanding of the adaptability of P. aeruginosa and hold significant implications for developing novel strategies to combat antibiotic resistance.
Is the link between the Dark Tetrad and the acceptance of sexual violence mediated by sexual machismo?
Authors: Costa Rodrigo , Fávero Marisalva , Moreira Diana , Del Campo Amaia , Sousa‐Gomes Valéria 
Published: September 2023

AbstractPrevious studies have established relationships between the Dark Tetrad traits and sexual violence and its acceptance through myths about this type of violence. Sexual violence is positively associated with machismo, with sexist beliefs having been found to be linked with the Dark Tetrad and with the acceptance of sexual violence. Using a community sample comprising 362 adults between the ages of 18 and 70 (M = 35.6, SD = 14.3) and three self‐report measures, this cross‐sectional study aimed to explore the mediating role of sexual machismo in the relationship between each of the Dark Tetrad traits and the acceptance of sexual violence, both in the overall sample and by gender, as well as whether a significant variance in this acceptance is explained by the “dark” traits, sexual machismo, and gender. In the regression, sexual machismo (the male) gender, and only Machiavellianism were uniquely associated with the acceptance of sexual violence, and sexual machismo partially mediated the associations between the Dark Tetrad and the acceptance of sexual violence. These findings indicate that being male and higher in sexism is more closely linked with the acceptance of sexual violence than most Dark Tetrad traits. Moreover, the associations between the Dark Tetrad, sexual machismo, and the acceptance of sexual violence were stronger in men, consistent with the notion that these traits facilitate a “male” exploitive mating strategy, which likely also extends to victim‐blaming and positive attitudes about sexual violence more broadly. Lastly, the results emphasize the pervasiveness of beliefs about male superiority over women and its relationship with victim‐blaming even in women.