bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of Healthcare Service Provision to Pediatric Patients With Chronic Diseases During the COVID-19 Lockdown
Authors: El-Koofy Nehal , El-Shabrawi Mortada , Abd Elhamed Mai , Zein Marwa , Abdelghany Ramy , Abdelaziz Eman 
Published: April 2023

Background: The Coronavirus disease 2019(COVID-19) pandemic’s impact on essential health services is of great concern. The most important step in managing any patient with chronic disease is compliance with follow-up visits.
Aim: This study aims to assess healthcare services during the period of the COVID-19 pandemic lockdown regarding chronic patient visits and care, as well as to assess patient satisfaction with the provision of healthcare services during the lockdown period.
Methods: a cross-sectional study was performed at Cairo University Specialized Children Hospital, Egypt, through an interview questionnaire with the caregivers of chronic patients about the health care services throughout the COVID-19 pandemic from December 2020 to July 2021.
Results: More than 60% were satisfied with the healthcare service provision during the COVID-19 pandemic lockdown. Satisfaction toward medical sub-specialties was significantly higher than that of surgical ones. Patients who attended for follow-up markedly decreased during the lockdown.
Conclusion: During the COVID-19 pandemic, healthcare service provision was negatively affected. Follow-up of chronic patients and continued medical care were challenging points.
Family Quality of Life: pet owners and veterinarians working together to reach the best outcomes
Authors: Brown Carolyn R. , Edwards Selena , Kenney Emma , Pailler Sharon , Albino Michelle , Carabello MaryLyn , Good Katherine , Lopez Jose 
Published: April 2023

ABSTRACT
Friction can occur between veterinarians and their clients when they are not aligned on the goals of care for a pet and what constitutes the best outcome of a case. Veterinarians frequently concentrate on providing the diagnostic and treatment protocol that is perceived to result in the best medical outcome for their patient. Pet owners frequently consider a myriad of factors relating to the pet as well as how different diagnostic and treatment recommendations will affect individual family members and the family as a whole in both concrete and subjective terms. This misalignment can lead to veterinarians experiencing moral distress and families feeling guilt and shame about their pet’s care decisions. In this paper we examine the interdependencies of families and their pets and the factors that pet owners may consider in making care decisions. These factors, adapted from the concept of Family Quality of Life as used in the human health field, can be divided into three domains including pet-centric factors, family-centric factors, and external factors. By better understanding that there are a multitude of considerations that influence owners’ care decisions and communicating with owners in a nonjudgmental manner, veterinarians can more holistically support families, decrease their own moral distress, and arrive at diagnostic and treatment plans that represent the overall best approach for the family and the patient.
Self-paced acceptance and commitment training reduces burden transfer, stress, and burnout in veterinary healthcare teams
Authors: Spitznagel Mary Beth , Martin John T. , Was Christopher , Updegraff Alanna S. G. , Sislak Meg , Wiborg Lisa , Fulkerson Christopher M. , Twohig Michael P. 
Published: April 2023

Abstract

OBJECTIVE
An acceptance and commitment training (ACT) educational program targeting reaction to difficult client interactions recently demonstrated efficacy in reducing burden transfer, stress, and burnout in veterinary healthcare teams. The current noninferiority trial compared effectiveness of the original program with a self-paced version.

SAMPLE
Employees of 2 corporate veterinary groups were randomized to live (n = 128) or self-paced (124) conditions. The workshop and assessments were completed by 137 (55 live and 82 self-paced).

PROCEDURES
Asynchronous modules containing the same content as the original program were placed on in-house veterinary clinic learning systems. Participants of this parallel arms trial completed pretest measures of burden transfer, stress, and burnout. Following assessment, the 3-week ACT program was delivered via videoconferencing (live) or asynchronous modules (self-paced). At post-test and 1-month follow-up, measures were repeated, with added assessment of knowledge, helpfulness ratings, and usage of techniques. A subset (n = 33) of participants repeated measures 9 to 12 months as an extended follow-up.

RESULTS
Program helpfulness was rated more highly by live versus self-paced participants. Self-paced showed better program retention. No differences in knowledge or use of program techniques (> 5 times daily) emerged. Relative to pretest, both conditions showed reduced burden transfer, stress, and burnout at post-test and follow-up; no differences by condition emerged. Participants completing extended follow-up maintained improvement from baseline.

CLINICAL RELEVANCE
Findings suggest a learning system–based version of this program can improve occupational distress in veterinary healthcare teams, with gains maintained over time. The flexibility of this format promotes program completion and allows broader dissemination.
Analysis of Graphene Pythagoras Tree Fractal Antenna with Thin SiO2 Substrate in Terahertz Regime
Authors: Hafdi Zakarya , Mezache Zinelabiddine , Tao Junwu , Guergour Ghada 
Published: April 2023

Abstract
The Pythagoras Tree Fractal patch is considered on a SiO2 substrate thickness of 1.5 µm to radiate at four frequencies of 4.975THz, 5.38THz, 6.73THz, and 7.61THz with Voltage Standing Wave Ratio (VSWR) ≤ 2. This is a very creative fractal design of a multiband THz antenna, based on a very thin graphene layer, the study proved a value in terms of high radiation efficiency and high gain, at the level of current research we made a comparison study where the design has evidently huge potential regarding applicability for telecommunication technology in the terahertz regime. The demand for high-performance terahertz (THz) antennas has increased significantly in recent years due to their potential applications in various fields such as medical imaging, security screening, and wireless communications. In this paper, the authors present an analysis of a graphene Pythagoras Tree Fractal (GPTF) antenna with a thin SiO2 substrate for THz regime. The GPTF antenna is designed using a fractal geometry approach, which provides multiple resonant frequencies and enhances the overall radiation efficiency. The thin SiO2 substrate is used to reduce the substrate losses and improve the radiation performance of the antenna. The authors use the Finite-Difference Time-Domain (FDTD) software to simulate the performance of the proposed antenna. The results show that the proposed antenna exhibits high gain, low return loss, and wide bandwidth, making it a promising candidate for THz applications.
Two Scenarios in the Description of the Wave-Corpuscle Duality in a Multifractal Theory of Motion
Authors: Gavriluț Gabriel , Frasila Mihail , Rusu Cristina-Marcela , Petrescu Tudor-Cristian , Oprea Iuliana 
Published: April 2023

Abstract
In the Scale Relativity Theory, wave-corpuscle duality is analyzed both in the Schrödinger and in the Madelung multifractal scenarios. Therefore, in the Schrödinger scenario, this duality implies the functionality of a multifractal sinus – Gordon differential equation based on 2×2 matrices of real variable elements, while in the Madelung scenario, the same duality implies the solving of the multifractal hydrodynamic equation system.
The Description of Important Historical Moments in Terms of Meteorological Aspects
Authors: Apetroaie Cosmina , Timofte Adrian , Bostan Diana-Corina , Bostan Sorin , Cazacu Marius-Mihai 
Published: April 2023

Abstract
The purpose of this paper is to present the role of meteorology in certain important historical moments both from the last century and from the present one.
To investigate these cases from a meteorological point of view, we used reanalysis data, from some climatological databases, for the events of the last Century and for the events of the 21st Century, we relied on various information that allowed us investigation of the atmosphere, at all levels (synoptic maps at different levels, satellite imaging, backward trajectories, radioactivity data, etc.). Although during the First World War, the investigation of meteorological parameters was limited only to the ground level, in critical moments, the weather forecast decided the fate of some missions carried out on the front during that period. Over time, technology has advanced and the investigation of the atmosphere is carried out on a multitude of levels, using modern investigation technology, with active or passive sensors, located on the ground or on equipment from space.
Forecasts have greater accuracy, and information is easily transmitted to the population and institutions of national interest too. In case of natural or anthropogenic disasters, accurate weather forecasts allow quick decisions to be made for the safety of the population.
More recently, there are stations (national and international) that also monitor aerosol stratification.
The meteorological stations have been modernized and automated, the synoptic maps from the ground and from the altitude are at “one click” away from us. Meteorology has become a field of interest for industry, transport, military and, last but not least, for the safety and security of the general population. In this paper we will show the progress in this field of activity and the implications in people’s everyday life.
Environmental Assessment of Solar Cell Materials
Authors: Klugmann-Radziemska Ewa 
Published: April 2023

Abstract
In today’s world, fossil fuels, including coal, oil, and gas, are the primary energy sources from which electricity is obtained. As they are exhaustible and their exploitation has a negative impact on the natural environment, they should be, at least partially, replaced by renewable energy sources. The implementation of this goal depends on a number of factors, including social and political, the existence of investment support programmes, and the need to lower electricity prices and ensuring energy security. One of these sources is solar energy. Each year, the Earth receives around 1 · 1018 kWh of solar energy, which is more than 1000 times the current global energy demand. This is therefore a vast source of energy that can be tapped to satisfy human energy requirements. The use of solar energy releases no CO2, SO2, or NO2 gases, and does not contribute to global warming. Photovoltaics is one of the technologies that makes it possible to generate electricity in an environmentally friendly manner. By using the energy of solar radiation, a photovoltaic cell converts energy without emitting harmful substances to the atmosphere, noise, and waste. Photovoltaics is the cleanest technology among all the technologies that use renewable energy. Considering the shorter and shorter times needed to generate energy equal to that required by the module production process, during its lifetime it will produce much more electricity than was used to produce it. This results in a reduction in greenhouse gas emissions. For example, during its lifetime, a 200 Wp module prevents the emission of over four tonnes (Mg = 106 g) of carbon dioxide. Although the technologies for the production of photovoltaic cells and modules entail a lower environmental burden compared to other sources of electricity, it is necessary to remember about the risks associated with the use of chemicals at the stage of module production, which threatens their release to groundwater or air, and the need to recycle modules after their disassembly. Also, the energy consumption in the production phase of PV systems significantly worsens the ecological balance. This article presents an analysis of the impact of the materials and technologies used on the result of the environmental analysis of PV installations. In the article a detailed energy balance analysis of the EPBT value has been carried out. The values of greenhouse gas emissions throughout the life cycle of the solar module were determined. Methods of limiting the impact of photovoltaic technologies on the natural environment were indicated.
Study on the Ecological Succession of Microbial Communities During Hot Composting of Livestock Manure
Authors: Zhen Xiaofei , Dong Ti , Liu Jia , Luo Miao , Li Shange 
Published: April 2023

Abstract
There have been various environmental issues in the treatment and resource utilisation of solid waste of livestock and poultry industry in Gansu Province. Thus, in this study, manure of cattle, pig, and chicken from farms near the Lanzhou University of Technology in Lanzhou City, Gansu Province were selected as raw materials for composting using 10 % corn stalk as a leavening agent for aerobic static composting. This study focused on bacterial, fungal, and actinomycetes community succession during livestock manure composting and the underlying microbial degradation mechanism. The results demonstrated that during livestock manure composting, the number of the above-mentioned types of microbes was all positively correlated with the temperature of the compost piles. In the initial stage of composting, the number of microbes increased as the temperature increased, and reached the peaks at the highest temperature, after which, their numbers decreased with the decrease in temperature. At the end of composting, in the cattle, pig, and chicken manure compost piles, the number of bacteria were respectively (3.1 ±1.0) · 109 CFU·g−1 d.w., (4.4 ±1.0) · 109 CFU·g−1 d.w. and (6.7 ±1.8) · 109 CFU·g−1 d.w., respectively, those of fungi were (8.6 ±1.2) · 104 CFU·g−1 d.w., (7.2 ±1.6) · 104 CFU·g−1 d.w. and (8.0 ±2.8) · 104 CFU·g−1 d.w., respectively, while those of actinomycetes were (8.8 ±2.2) · 106 CFU·g−1 d.w., (9.5 ±2.1) · 106 CFU·g−1 d.w. and (6.32 ±0.98) · 106 CFU·g−1 d.w., respectively.
Gestalt Theory and Socioeconomic Analyses
Authors: Kubon-Gilke Gisela 
Published: April 2023

Summary
The analysis of social and economic phenomena has a long Gestalt-theoretical tradition but is currently seen rather as a niche subject. In this article, recent important approaches are presented that explicitly or implicitly refer to Gestalt-theoretical considerations. The particular relevance of narratives is pointed out. In addition, further analytical challenges are discussed.
The impact of organizational learning on Polish SME market performance
Authors: Baranowska-Prokop Ewa , Sikora Tomasz 
Published: April 2023

Abstract
The main purpose of this paper is to analyze impact of organizational learning (OL) on Polish small- or medium-sized enterprise (SME) performance. Results are based on interviews with owners and managers from two samples of Polish small- and medium-sized firms: a “pre-COVID-19” sample (the survey was conducted during May–July 2019) and a “COVID-19” sample (the survey was conducted during December 2020–January 2021). The results based on the “pre-COVID-19” sample show partial support for the hypothesis about a positive relationship between market performance and OL for Polish SMEs. Two out of three measures of OL, i.e., the diversity of information sources and the commitment to learning, showed positive relationship with two aspects of market performance, i.e., the sales dynamics and the self-assessed success as compared with that of competitors. None of the OL measures have been correlated with the financial results. For the “COVID-19” sample, commitment to learning showed very weak positive correlations with both financial results and sales dynamics. These relationships were not confirmed when other firms’ characteristics had been included.
Factors That Influence the Occurrence of Acute Postoperative Complications after Carotid Endarterectomy
Authors: Balmos Ioan Alexandru , Muresan Mircea Gabriel , Brinzaniuc Klara , Suciu Horatiu , Horvath Emoke , Kaller Reka , Banceu Cosmin , Muresan Adrian Vasile 
Published: April 2023

Abstract

Background
This study aimed to identify early postoperative complications after carotid endarterectomy and the factors that may influence their occurrence.

Methods
This was an observational, analytical, prospective study conducted over a period of 3 years in 2 university hospitals in Târgu Mureș, Romania. One hundred nineteen patients who underwent carotid endarterectomy for severe carotid stenosis were included. Statistical analysis was used to identify the independent factors with a direct influence on the acute complications in the first 48 h after carotid endarterectomy.

Results
We followed up on the acute postoperative complications occurring in the first 2 days after surgery. These were represented by a limited number of neurological complications and major neck hematomas. Among all comorbidities and risk factors, only advanced coronary artery disease (p = 0.05) and smoking (p = 0.03) were independent factors that directly influenced the occurrence of major neck hematomas. Operative time exceeding the median time of 90 minutes increased the risk of neurological complications (p = 0.02). The risk of major neck hematomas was also increased by preoperative treatment with anticoagulants (p = 0.01) and anticoagulants associated with antiplatelet therapy (p = 0.009).

Conclusions
This study has identified factors such as advanced coronary artery disease, smoking, operative time, and anticoagulant therapy that may be independently associated with an increased risk of acute postoperative complications after carotid endarterectomy.
REGULASI DIRI ORANG TUA DALAM PENGASUHAN ANAK AUTISM SPECTRUM DISORDER DI MASA PANDEMI
Authors: Setyowati Rini Budi , Pandia Weny Savitry Sembiring 
Published: April 2023

Parenting of Autism Spectrum Disorder children has great challenges especially during the covid-19 pandemic due to reduced social support, increased parental duties, and the child behavior. Parental self-regulation is important because it affects positive parenting practices, which support the optimization of children's development. This study aims to understand the description of parental self-regulation in parents of Autism Spectrum Disorder children during the covid-19 pandemic. This research is descriptive explanatory design-mixed methods, included 120 parents of children with Autism Spectrum Disorder completed the “Me as a Parent” questionnaire, measured four parental self-regulation domains: self-efficacy, personal agency, self-management and self-sufficiency. Interviews are conducted on representatives of high, moderate, and low categories of participants to obtain qualitative data. The result shows that most of the participants have moderate category of parental self- regulation, approximately a quarter of the participants in the high category, and a small proportion in the low category. Descriptive data analysis showed that some of the participants had low parental self-regulation, which was supported by qualitative data. Based on the results, a training was designed that aims to improve parental self-regulation of parents with Autism Spectrum Disorder children, through developing domains with discussion and practice.
Analysis of changes in the serotonin inactivation coefficient in brain structures with simultaneous modeling of chronic neurogenic pain and malignant neoplasia
Authors: Kotieva I. M. , Frantsiyants E. M. , Shlyk S. V. , Drobotya N. V. , Gulyan M. V. , Dodokhova M. A. 
Published: April 2023

Introduction. Chronic pain syndrome in the development of malignant neoplasms has a complex polyethological character. The study of the pathogenetic mechanisms of pain during the growth of the transplanted tumor in the experiment can open up broad perspectives for the creation of new domestic analgesic drugs for use in oncology.Aim: To study the serotonin inactivation coefficient (SIC), the ratio of serotonin (S) and its main metabolite 5-hydroxyindolacetic acid (S-OH) in brain areas (cortex, hypothalamus) with simultaneous modeling of chronic neurogenic pain and malignant neoplasia.Material and Methods. The study involved white mongrel rats (males). To create a model of chronic pain (CP), ligation of the sciatic nerve was performed according to the method of V.V. Kravtsova in modification. Rat sarcoma M-1 was used to simulate malignant neoplasia. At the main stage of the study, the animals were divided into 4 groups: control, two comparison groups (model of chronic pain, standard M-1 sarcoma grafting) and experimental (combined modeling of CP and oncological process). Animals of the second, third and fourth groups were euthanized sequentially at the 2nd and 3rd weeks of the development of the tumor process.Results. Chronic pain syndrome disrupts the process of serotonin metabolism: the decrease in SIC in the cerebral cortex of experimental animals was more significant by 48% (day 14) and 72% (day 21). The development of the oncological process in comparison groups (groups 3a and 3b) is accompanied by a decrease in the level of SIC, more significant at the 21th day of M-1 sarcoma development: by 37% in the hypothalamus, by 41% in the cerebral cortex. With simultaneous modeling of chronic neurogenic pain and malignant neoplasia, the lowest values of the studied indicator were noted, the decrease was 75% in the cerebral cortex (group 4a) and 87% (group 4b).Discussion. Chronic neurogenic pain and M-1 sarcoma development in isolated modeling variants cause a significant decrease in SIC in hypothalamus and cerebral cortex due to disorders of serotonin formation. A more significant disruption of the serotonin mediator system was noted in cerebral cortex which leads to a decrease in the body’s adaptive capabilities to pain and a disruption of the regulatory mechanisms of metabolism.Conclusion. Modification of serotonin metabolism can be considered as a potential therapeutic target for the treatment of chronic pain syndrome in oncology.