bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluations of microvascular density by optical coherence tomography, angiography, and function by multifocal electroretinography of the macular area in eyes with branch retinal artery occlusion
Authors: Igawa Yuro , Amaki Haruna , Kanno Junji , Tachibana Midori , Konno Satomi , Yoshikawa Yuji , Matsumoto Soiti , Shoji Takuhei , Makita Jun , Shinoda Kei 
Published: November 2023

IntroductionIt is reported that eyes with a branch retinal artery occlusion (BRAO) had normal full-field electroretinography (ERG) but the response of the multifocal electroretinography (mfERG) was reduced in the area of the arterial occlusion. Optical coherence tomography angiography (OCTA) is a recently appeared modality that can evaluate microvascularizations in different retinal layers and in different regions of the retina. The purpose of this study was to determine the density of the microcirculation and the function of the macular area of eyes with BRAO, and to determine whether they are significantly correlated.MethodsThe OCTA and mfERG findings of 7 eyes of 6 patients (3 men, 3 women) were studied. The mean age of the patients was 71.7±10.6 years. The OCTA examinations were made with volume scans of 3 × 3 and 6 × 6 mm squares centered on the fovea. The macular vessel densities (mVD) in the superficial retinal layer (SRL) and deep retinal layer (DRL) were measured for the superior and inferior halves of 3 × 3 and 6 × 6 mm diameter concentric circles. The mfERGs were recorded with targets set to stimulate the focal areas of the retina corresponding to the areas examined by OCTA.ResultsThe OCTA examinations showed that the mVD of the 3 mm concentric circle in the SRL was significantly lower on the affected side than on the unaffected side (P = 0.022). No such difference was observed in the DRL. The N1 amplitude of the 20.2° concentric circle and the N1–P1 amplitude of the 10.1° concentric circle of the mfERGs were significantly smaller on the affected side than on the unaffected side (P = 0.047 and 0.031). A significant positive correlation was found between the mVD of the 6 mm concentric circle in the DRL and the P1–N2 amplitude of the 20.2° concentric circle (ρ = −0.929 and p = 0.003).DiscussionThese findings indicate that OCTA images may be able to show changes in the density of the retinal macular microcirculation, and the mfERGs may be able to show alterations in the function of the macular area of the eyes with BRAO. A layer-by-layer analysis of the local retinal microcirculation and function should help in determining the pathogenesis of BRAO.
Mental health survey of medical personnel during pre-job training in a closed-loop management system during the COVID-19 pandemic
Authors: Zhou Limin , Huang Ximei , He Liping , He Jiaxin , Qin Jue , Fang Zhenling , Huang Chen , Chen Jinyu 
Published: November 2023

ObjectWith the aim of enhancing prevention and regional control of epidemics, the mental health status of medical personnel was analyzed before the implementation of closed-loop management during the COVID-19 pandemic in the regional hospital representative.MethodsIn accordance with directives from the unified deployment of the national and regional health bureaus, and following the inclusion and exclusion criteria, from September 2021 to November 2022, all medical personnel assigned to a closed-loop working environment by Guangzhou Panyu Central Hospital were enrolled as research subjects through cluster sampling method. Using a cross-sectional survey method, relevant data such as age, gender, professional title, and mental health status were collected. The Patient Health Questionnaire-9 (PHQ-9) scale, the Generalized Anxiety Disorder-7 (GAD-7) scale, and the Insomnia Severity Index (ISI) scale were administered. Logistic regression analysis was used to study the influencing factors of depression, anxiety, and insomnia. Single factor logistic regression analysis was performed first, followed by multiple factor logistic regression analysis.ResultsA total of 500 valid responses were received. Depression was reported by a higher proportion of physicians than nurses. Anxiety was reported by higher proportion of men than women and by a higher proportion of physicians than nurses. Medical personnel under the age of 30 years reported fewer symptoms of insomnia than those over the age of 41 years, and medical personnel with intermediate professional titles reported more severe symptoms of insomnia than junior personnel. There was no significant difference between the results of the three questionnaires for medical personnel from other hospital departments or in the different type of closed-loop work environments.ConclusionDuring the pandemic, conducting psychological health assessments for medical personnel undergoing pre-job training in closed-loop management was beneficial for the timely detection of psychological problems. Although this study only conducted a cluster sampling survey and lacked comparative analysis on other medical institutions, it still suggested that it was necessary to strengthen timely psychological counseling and intervention for senior male physicians.
Descriptive epidemiology of sickle cell disease in Tennessee: population-based estimates from 2008 to 2019
Authors: Plaxco Allison P. , Hankins Jane S. , Davis Robert , Dudley Judy , Young Amanda J. , Mukhopadyay Ayesha , Carroll Yvonne , Aguinaga Maria del Pilar , Takemoto Clifford M. , Nolan Vikki G. , Ray Meredith A. , Wiese Andrew , Amosun Tobi , Cooper William O. , Smeltzer Matthew P. 
Published: November 2023

IntroductionThe Sickle Cell Data Collection Program (SCDC) is a multi-state initiative utilizing multiple data sources to estimate population prevalence of Sickle Cell Disease (SCD) with the goal of improving quality of life and health outcomes among those affected. SCDC in Tennessee operates as a multi-site, interdisciplinary team using multiple sources of data to learn more about SCD in Tennessee.MethodsThis analysis characterizes the number, demographics, and proximity to specialty care of individuals living with SCD in Tennessee who have been covered by Medicaid or identified by newborn screening. We compared demographic patterns of individuals with SCD living in rural areas with those living in urban areas, as well as those living in counties contributing more than 50 individuals to the cohort, respectively, to demographic patterns of individuals with SCD in the rest of the state, using Chi-Square or Fisher’s exact tests.ResultsFindings show that overall, 66.1% of all SCD patients identified through newborn screening were residents of Davidson and Shelby counties at the time of birth, and 81.8% of those identified through Medicaid claims lived in Davidson, Hamilton, Knox, Madison, Montgomery, Rutherford, or Shelby County. In total, 8.6% of the cohort lived in rural settings and 91.4% in urban settings. Of the 95 counties in Tennessee, 75 (78.9%) had at least 1 to 40 residents with SCD, yet of these 75 counties, less than half had a hematology/oncology trained provider practicing within them.DiscussionThis analysis brings us closer to understanding how many people with SCD live in rural areas of Tennessee and the challenges they face in seeking the care needed to adequately manage their disease. Acute healthcare utilization remains highest in the young adulthood years. This analysis provides insight into how healthcare utilization patterns among individuals with SCD vary by age group and over time.
Becoming futile: the emotional pain of treating COVID-19 patients
Authors: Rodriquez Jason 
Published: November 2023

IntroductionThe COVID-19 pandemic has had a profoundly detrimental impact on the emotional wellbeing of health care workers. Numerous studies have shown that their rates of the various forms of work-related distress, which were already high before the pandemic, have worsened as the demands on health care workers intensified. Yet much less is known about the specific social processes that have generated these outcomes. This study adds to our collective knowledge by focusing on how one specific social process, the act of treating critically ill COVID-19 patients, contributed to emotional pain among health care workers.MethodsThis article draws from 40 interviews conducted with intensive care unit (ICU) staff in units that were overwhelmed with COVID-19 patients. The study participants were recruited from two suburban community hospitals in Massachusetts and the interviews were conducted between January and May 2021.ResultsThe results show that the uncertainty over how to treat critically ill COVID-19 patients, given the absence of standard protocols combined with ineffective treatments that led to an unprecedented number of deaths caused significant emotional pain, characterized by a visceral, embodied experience that signaled moral distress, emotional exhaustion, depersonalization, and burnout. Furthermore, ICU workers’ occupational identities were undermined as they confronted the limits of their own abilities and the limits of medicine more generally.DiscussionThe inability to save incurable COVID-19 patients while giving maximal care to such individuals caused health care workers in the ICU an immense amount of emotional pain, contributing to our understanding of the social processes that generated the well-documented increase in moral distress and related measures of work-related psychological distress. While recent studies of emotional socialization among health care workers have portrayed clinical empathy as a performed interactional strategy, the results here show empathy to be more than dramaturgical and, in this context, entailed considerable risk to workers’ emotional wellbeing.
Propos sur le travail de deuil
Authors: Auque Hubert 
Published: November 2023

Loin de se limiter à l'après-mort d’un être cher, le travail de deuil concerne la gestion de toute perte, y compris celle de nos illusions ! Nous sommes appelés, explique Hubert Auque, à restructurer nos relations avec les autres dès que l'un(e) d’entre eux (elles) vient à manquer, tout comme nous devons accepter que notre affectivité se modifie suite à une espérance déçue.
Les peuples eux aussi ont à vivre des renoncements pour dépasser les bouleversements éprouvés.
La réconciliation avec autrui, avec soi-même, passe par ce travail où le temps contribue à réorganiser les espaces relationnels.
Estudio de la adecuación al requerimiento calórico durante la transición de la vía enteral a la vía oral en pacientes críticos posterior a la extubación orotraqueal
Authors: Carelli David , Antonini Mirta , Lema Rocio 
Published: November 2023

Introducción: durante la transición de la vía enteral a la vía oral, es frecuente la presencia de una inadecuación al requerimiento calórico en los pacientes críticos posextubación, lo que conlleva un elevado riesgo de malnutrición.
Objetivos: determinar la adecuación al requerimiento calórico en pacientes críticos en la unidad de cuidados intensivos (UCI) que se encuentran en transición alimentaria hacia la vía oral y determinar el motivo de finalización de la nutrición enteral.
Métodos: se implementó un estudio de tipo cohorte prospectiva; se calculó la media del porcentaje de adecuación al requerimiento calórico mediante un registro visual previo y posterior a la ingesta diaria, y mediante el control diario del volumen infundido para la vía enteral, y se determinó la frecuencia del motivo de finalización de la nutrición enteral según el registro de la historia clínica.
Resultados: la muestra inicial quedó conformada por 28 pacientes mayores de 18 años posextubación en transición a la vía oral. Los pacientes se evaluaron los días 1, 3, 5, 7 y al alta. La media del porcentaje de adecuación calórica al alta fue de 59 % y 48,5 % para la vía oral y la nutrición enteral, respectivamente. El principal motivo de finalización del soporte nutricional fue por indicación médica.
Conclusiones: a medida que transcurren los días de internación, los pacientes posextubación aumentan la adecuación del requerimiento calórico, pero de forma lenta, con tendencia a ser desprovistos de la nutrición enteral de manera precoz por indicación médica.
THE IMPACT OF CORPORATE SOCIAL RESPONSIBILITY PRACTICES ON THE FINANCIAL PERFORMANCE OF LEBANESE RESTAURANTS
Authors: Wazni Imad 
Published: November 2023

There is a growing need for restaurants to explain their decisions and methods. More and more people are learning about the negative consequences that corporations' selfish exploitation of natural resources and human capital may have on whole communities and societies. As a result, the purpose of this study is to investigate whether or not CSR activities have any impact on the success of Lebanese restaurants financially. This study's overarching objective is to assess the connection between restaurant CSR practices and financial outcomes in Lebanon, especially in the areas of human resources, community, environment, and goods and consumers. The information was gathered from 27 different restaurants' CSR reports and yearly reports over a period of five years in Lebanon (2015 till 2020). The data acquired was analyzed using Statistical Package for Social Scientists (SPSS, version 20) by methods of correlation and multilinear regression analysis. The findings reveal a substantial association between the aforementioned independent variables (CSR practices in human resources and CSR practices in goods and customers) and the (financial performance of restaurants, and CSR practices in the environment and CSR practices in the community) (financial performance of restaurants, and CSR practices in the environment and CSR practices in the community). This study offered a key addition to previous existing literature concerning CSR activities in Lebanese restaurants industry, while also establishing a platform for future studies. This study demonstrates the significance of CSR practices and how they may substantially affect the financial results of restaurants in Lebanon
RESEARCH ON THE INFLUENCE OF TMT INNOVATION AWARENES ON INNOVATION PERFORMANCE
Authors: Ding Zeshu 
Published: November 2023

Based on the Upper Echelons Theory，Principal-agent Theory and Technological Innovation Theory, starting from the perspective of corporate culture and refined management, this research puts forward a conceptual model and research hypothesis based on the research idea that “the innovation consciousness of the top management team affects innovation performance”.
First, draw on mature scales at home and abroad to compile questionnaires. The questionnaires are distributed to top managers of high-tech enterprises. Finally, the collected sample data is analyzed to obtain hypothesis verification results.
The empirical results of this study show that: (1) the innovation awareness of the top management team has a positive impact on innovation performance; (2) the innovation awareness of the top management team has a positive impact on the innovation behavior of employees; (3) the innovation behavior of employees has a positive impact on innovation performance; (4) the innovation behavior of employees plays an intermediary role between the relationship between innovation awareness and innovation performance of the top management team.
THE APPLICATION OF COMMUNICATIVE LANGUAGE TEACHING METHOD FOR ENGLISH SPEAKING SKILL OF GRADE 6 STUDENTS IN HUNAN PROVINCE, CHINA
Authors: Lu Junhao , Sakulwongs Nipaporn 
Published: November 2023

This study aimed to compare grade 6 students English speaking skill before and after using communicative language teaching method and investigate their satisfaction towards the use of communicative language teaching method in a English speaking course in Hunan province, China. The data were collected through the use of four lesson plans, pre-test, post-test, questionnaire, and semi-structured interview. The data collection lasted for four weeks. The sample group consisted of 30 students studying in grade 6 in Hunan province.
The result of the pre-test and post-test indicated that the students in the sample group improved English speaking skill. The students’ post-test mean score(x̅=14.97) was higher than that of the pre-test one(x̅=11.9). The questionnaire on Interest and Motivation, Engagement, and Efficacy in Communicative Language Teaching Method indicated that all of them expressed positive satisfaction towards the application of communicative language teaching method in English speaking lessons. The semi-structured interview also showed positive satisfaction towards the application of communicative language teaching method in English speaking lessons. The study proved that the application of communicative language teaching method is an alternative and effective way of learning English speaking skill in Hunan province, China.
A STUDY ON THE INFLUENCING MECHANISM OF SHARED LEADERSHIP STYLE ON TEAM INNOVATION PERFORMANCE: MEDIATED BY KNOWLEDGE SHARING AND ORGANIZATIONAL INNOVATION CLIMATE
Authors: Guan Xin , Guo Hui 
Published: November 2023

This study mainly used a combination of qualitative and quantitative mixed method to investigate the mechanism of shared leadership style's influence on team innovation performance. Through the survey, descriptive statistical analysis, CITC test, factor analysis and testing the reliability and validity of the questionnaire were performed for each variable. Correlation analysis and control variables ANOVA were used, and the model was validated.
The study found that shared leadership styles positively contribute to (shared transformational leadership, shared transactional leadership, and shared empowerment leadership) team innovation performance, and organizational innovation climate and knowledge sharing have a mediating role in the relationship between shared transformational leadership and shared transactional leadership, i.e., shared transformational leadership and shared transactional leadership styles contribute to team innovation performance through the mediating role of organizational innovation climate and knowledge sharing. Discussion and recommendations around each finding were also provided by the researcher by the end of the study.
Some features of taking damping into account in calculating harmonic oscillations of linear systems
Authors: Grenevich Kseniya M. , Kokareva Anna V. , Uzdin Alexander M. , Nesterova Olga P. 
Published: November 2023

The problem of calculating harmonic oscillations of a linear damped system with inhomogeneous damping is considered. Along with the solution available in literature, which
requires the inversion of the matrix that determines the eigenvalues of the undamped system, the authors propose a new solution that does not require the inversion of the above mentioned matrix, but requires the inversion of the system damping matrix. The cases of hysteretic, viscous and mixed damping are considered. It is shown that the known solution gives an error near the resonance. At the resonance point, the result is not defined at all, and near the resonance it may be incorrect. An example of building the amplitude-frequency characteristic of a system with two mass tuned dynamic dampers and three peaks in the amplitude-frequency characteristic is given. The proposed formulas for calculating displacements are convenient for constructing the amplitude-frequency characteristics of damped systems with viscous, hysteretic and mixed types of damping.
Supraclavicular Brachial Plexus Block Guided by Ultrasonography in Pediatric Patient: A Case Report
Authors: Pramana I Made Dwi , Adinda Putra Pradhana  
Published: November 2023

Background: Supraclavicular brachial plexus block has proven to be very useful in upper limb surgeries in pediatric patients. Supraclavicular brachial plexus block is preferred over general anesthesia for pediatric patients undergoing upper limb surgeries. This study aimed to report a procedure of supraclavicular brachial plexus block guided by ultrasonography in a pediatric patient undergoing orthopedic surgery on the upper extremity, which yielded good results, a high success rate, reduced opioid usage, and aided in faster recovery while minimizing complications.
Case presentation: The patient was a 14-year-old child with a diagnosis of malunion in the left distal radius after open reduction internal fixation (ORIF) planned for osteoclasis surgery and ORIF with regional anesthesia through supraclavicular brachial plexus block. The patient was monitored during the surgery, and after the surgery, the patient returned to the ward; the patient was given oral analgesics without opioids for pain management.
Conclusion: The efficient regional anesthesia procedure option for upper limb surgeries in pediatric patients is the supraclavicular brachial plexus block. Due to lower risks and fewer side effects, the supraclavicular brachial plexus block procedure is preferred over general anesthesia in pediatric patients.
PENGARUH INNOVATION CAPABILITY TERHADAP KINERJA INDIVIDU YANG DIMEDIASI OLEH DIGITAL MARKETING PADA UD. BUMBU MASAK MACHMUDAH (BMM)
Authors: Muawanah Cindy Choridatul , Pujianto Wahyu Eko 
Published: November 2023

Abstrak: Tujuan penelitian guna mengetahui adanya.pengaruh.innovation capability dan.digital.marketing.terhadap.kinerja individu pada UD. Bumbu Masak Machmudah (BMM), Tanggulangin. Oleh sebab itu, jenis analisis menggunakan analisis deskriptif dengan pendekatan kuantitatif. Populasi.yang digunakan.ialah karyawan di UD. Bumbu Masak Machmudah (BBM) yang aktif menggunakan sosial media. Adapun karyawan yang aktif menggunakan sosial media, yakni sebanyak 57 responden. Pengumpulan.data.menggunakan.teknik grand theory Resource Based View (RBV), dan selanjutnya data diambil menggunakan kuesioner. Hasil analisis data berbantuan software SmartPLS 4.0 menunjukkan: a) Innovation capability berpengaruh terhadap kinerja individu; b) Digital marketing berpengaruh pada kinerja individu :c) Innovation capability berpengaruh dalam hubungan digital marketing; d) Innovation capability dan digital marketing berpengaruh terhadap kinerja indivdu pada UMKM desa putat, Tanggulangin.
Kata Kunci : Innovation Capability, Kinerja Individu, Digital Marketing
Rethinking Female Rites of Passage: The Chinamwali, Male Power, and African Feminisms
Authors: Talakinu Carina Mweela 
Published: November 2023

Engaging the African Feminist ideological framework, this paper explores the intersection between African female initiation rites and male power and privilege. The paper engages the chinamwali, a female initiation rite practised by the Chikunda of Zambia. The initiation rite involves the seclusion of the ‘namwali’, the initiate, in an informal learning process during which older and more experienced women, aphungu, pass on messages to her on what it means to be a woman in society. The data for the article were generated from a study undertaken in 2018 in Chief Mphuka’s area of Luangwa District, in the Eastern part of Zambia, using narratives from 30 participants, including 15 women who have undergone chinamwali, who constituted the main research participants; 5 ritual instructors, aphungu; 5 men; and five uninitiated women. A thematic analysis of the findings led to the development of the ‘Chikunda masculinity’, which gives impetus to feminist scholarship regarding a new focus on women’s sexuality as a source of legitimising men’s dominant position over women. The article recommends the integration of transformative messages in the chinamwali curriculum that could empower the initiate to confront cultural practices that reinforce patriarchal hegemony.