bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of Short-Term Lifestyle Modification on Reducing Body- Weight-Related Parameters in Persons with Severe Mental Illness: A Randomized Controlled Trial
Authors: Singh Vinit Kumar , Muralidhar Daliboina , Malo Palash Kumar , Bhaskarapillai Binukumar , Muralidharan Kesavan 
Published: February 2023

Background: Persons with severe mental illness (SMI) reportedly have a high mortality rate due to metabolic syndrome (MS). However, lifestyle modification (LM) offers effective management of some components of MS. This study aimed to evaluate the effectiveness of LM in reducing body-weight-related parameters in SMIs. Method: Eighty participants with SMI were assigned randomly to either LM ( n = 40) or treatment as usual (TAU; n = 40) groups using block randomization (eight blocks of n = 10). The LM group and their caregivers received a structured LM package that included nutrition counselling, recommendations on a balanced diet, and physical activity. The two groups were assessed on body weight, body mass index (BMI), waist circumference (WC), waist–hip ratio (WHR), and quality of life (QOL) at baseline and after three months. Thirty-one LM and 33 TAU participants completed the study. Results: The LM and TAU groups were comparable on sociodemographic and clinical characteristics and baseline variables of body weight, BMI, WC, and WHR (all P > 0.08). Repeated-measures analysis of variance (RM ANOVA) showed that the LM group had significantly reduced body weight, BMI, WC, and WHR (all P < 0.001) than the TAU group. Similarly, the LM group also showed improvement in their QOL (P < 0.001), whereas TAU showed no improvement. Conclusions: LM is an effective way to reduce body-weight-related parameters of MS and improves the QOL among persons with SMI in the short term. The caregivers’ inclusion during LM contributed to the weight reduction. However, the long-term effect of the intervention could not be assessed.
Energy Poverty and Human Development: Empirical Evidence from Rural Rajasthan, India
Authors: Giri Arun Kumar , Arora Rahul 
Published: February 2023

This study attempts to establish the linkage between human development and energy poverty for rural households and evaluate the impact of government schemes such as Pradhan Mantri Ujjwala Yojana, free electricity and unemployment allowance on human development. For the analysis purpose, primary data have been collected from rural areas of two main districts of the Shekhawati region of the state of Rajasthan in India. To pursue the objectives, two measures of energy poverty – energy deprivation and the multidimensional energy poverty index – and one measure of human development – the human development index – have been constructed. The primary survey of 1,000 households is conducted from January to March 2020. For establishing the empirical relationship, the study has used Tobit regression analysis. The findings confirm the hypothesis that the existence of energy poverty adversely affects the level of human development in the region. It also confirms the other side of the relationship, which states that increasing human development reduces energy poverty through various linkages. The study results reveal that the government scheme which directly contributes to the per capita income is also impacting positively human development through an increase in income. Hence, to improve the level of human development and to decline energy poverty, the study recommends policies to improve the overall level of income of households. JEL Classification Codes: I32, O13, O15, Q40
Comparison of Different Dentin Deproteinizing Agents on Bond Strength and Microleakage of Universal Adhesive to Dentin
Authors: Bedir Fatih , Telatar Gül Yıldız 
Published: February 2023

Aim: To evaluate the effects of papain (Brix 3000), bromelain, sodium hypochlorite (NaOCl), and chlorine dioxide (ClO2) application to the deep dentin surface on shear bond strength (SBS), microleakage, and dentin surface properties. Materials and Methods: Deep dentin surface ( n = 100) for evaluating SBS, class V preparation at the buccal surface for testing microleakage ( n = 100), and deep dentin slices ( n = 20) for evaluating surface properties were conducted on the 220 molar teeth. Four different deproteinizing agents (Brix 3000, 40% bromelain, 5.25% NaOCl (Chloraxid), and 0.12% ClO2) were applied to the dentin, and then the universal adhesive was used in self-etch (SE) and etch&rinse (E&R). Deproteinizing agents were not applied to the control group. All of the samples were subjected to 5000 cycles of thermal aging at 5ºC–55ºC. SBS (MPa) was tested by a universal testing machine. The microleakage of resin composite bonded with different adhesive modes was evaluated under a stereomicroscope. The changes in the surface morphology were examined with scanning electron microscopy (SEM) and attenuated total reflection – fourier transform infrared spectroscopy (ATR-FTIR). Results: ClO2 exhibited the highest bond strength among deproteinizing agents. Compared to the SE mode, E&R mode significantly showed higher bond strength ( p < .05). In gingival margin, bromelain SE exhibited the highest marginal leakage, while Brix 3000 SE had the lowest mean microleakage score. Conclusion: Deproteinizing with ClO2 was effective in improving the SBS of universal adhesive in the E&R mode to deep dentin. Deproteinization with bromelain before universal adhesive in SE mode showed more microleakage on both the occlusal and gingival surfaces.
Chronic voice disorder after coronavirus disease 2019 infection and its treatment using the cricothyroid visor maneuver: a case report
Authors: Moein Narges , Dehqan Ali , Scherer Ronald C. 
Published: February 2023

AbstractBackgroundRegarding human coronavirus, the severe acute respiratory syndrome coronavirus 2 pandemic, the novelty of disease, and consequently the lack of studies, the etiology of dysphonia in patients with coronavirus disease 2019 is still unknown and needs to be investigated. The purpose of the current study is to investigate the effect of a new manual therapy technique, cricothyroid visor maneuver, on muscle tension dysphonia symptoms for a patient who had experienced dysphonia symptoms due to the coronavirus disease 2019 infection.Case presentationA 55-year-old retired Iranian teacher who was diagnosed with muscle tension dysphonia by an otolaryngologist participated in this study. Fifty days before being referred to an otolaryngologist, he was diagnosed with coronavirus disease 2019 on the basis of the results of a standard laboratory test, namely real-time polymerase chain reaction. Treatment was provided in ten sessions. Pre- and post-treatment audio recordings of sustained vowels, selected sentences, and connected speech samples were submitted for auditory perceptual and acoustic analysis to assess the effects of the treatment program. Also, videolaryngostroboscopy voice quality perceptions by the patient, both before and after therapy, were assessed. The reduction in all features of the Consensus Auditory-Perceptual Evaluation of Voice was observed. The results of acoustic assessment showed that jitter (35.13%) and shimmer (20.48%) decreased; moreover, the harmonics-to-noise ratio (1.17%), cepstral peak prominence smoothed (28.53%) and maximum phonation time (15.5%) increased after treatment sessions. The scores of four parameters of Stroboscopy Examination Rating Form (SERF) form changed after cricothyroid visor maneuver therapy. Also, the visual analog scales score at the pre-treatment assessment was 40, and increased to 90 at the post-treatment assessment.ConclusionsThe effectiveness of cricothyroid visor maneuver therapy on dysphonia associated with coronavirus disease 2019 was investigated in the current study. This case study has highlighted chronic dysphonia after coronavirus disease 2019 infection, and suggests that the cricothyroid visor maneuver therapy approach may have positive outcomes for patients with muscle tension dysphonia with this background.
Effects of Intermittent Normobaric Hypoxia on Health-Related Outcomes in Healthy Older Adults: A Systematic Review
Authors: Timon Rafael , Martinez-Guardado Ismael , Brocherie Franck 
Published: February 2023

AbstractBackgroundAging is a degenerative process that is associated with an increased risk of diseases. Intermittent hypoxia has been investigated in reference to performance and health-related functions enhancement. This systematic review aimed to summarize the effect of either passive or active intermittent normobaric hypoxic interventions compared with normoxia on health-related outcomes in healthy older adults.MethodsRelevant studies were searched from PubMed and Web of Science databases in accordance with PRISMA guidelines (since their inceptions up until August 9, 2022) using the following inclusion criteria: (1) randomized controlled trials, clinical trials and pilot studies; (2) Studies involving humans aged > 50 years old and without any chronic diseases diagnosed; (3) interventions based on in vivo intermittent systemic normobaric hypoxia exposure; (4) articles focusing on the analysis of health-related outcomes (body composition, metabolic, bone, cardiovascular, functional fitness or quality of life). Cochrane Collaboration recommendations were used to assess the risk of bias.ResultsFrom 509 articles initially found, 17 studies were included. All interventions were performed in moderate normobaric hypoxia, with three studies using passive exposure, and the others combining intermittent hypoxia with training protocols (i.e.,using resistance-, whole body vibration- or aerobic-based exercise).ConclusionsComputed results indicate a limited effect of passive/active intermittent hypoxia (ranging 4–24 weeks, 2–4 days/week, 16–120 min/session, 13–16% of fraction of inspired oxygen or 75–85% of peripheral oxygen saturation) compared to similar intervention in normoxia on body composition, functional fitness, cardiovascular and bone health in healthy older (50–75 years old) adults. Only in specific settings (i.e.,intermediate- or long-term interventions with high intensity/volume training sessions repeated at least 3 days per week), may intermittent hypoxia elicit beneficial effects. Further research is needed to determine the dose–response of passive/active intermittent hypoxia in the elderly.Trial registration. Systematic review registration: PROSPERO 2022 CRD42022338648.
Interleukin-22 and interleukin-33 show up-regulated levels in the serum of patients with mild/moderate Coronavirus disease 2019
Authors: Majeed Abdulraheem Y. , Zulkafli Nor Effa S. , Ad’hiah Ali H. 
Published: February 2023

Abstract
Background
This study analyzed serum concentrations of interleukin (IL)-22 and IL-33 (pro-inflammatory and anti-inflammatory cytokines) in 90 patients with mild/moderate coronavirus disease 2019 (COVID-19) and 90 healthy controls. Enzyme-linked immunosorbent assay kits were used to measure IL-22 and IL-33 concentrations.

Results
Median (interquartile range) concentrations of IL-22 and IL-33 were significantly higher in patients than in controls (IL-22: 18.6 [18.0–19.3] vs. 13.9 [12.1–14.9] pg/mL, probability [p] < 0.001; IL-33: 37.8 [35.3–43.0] vs. 24.1 [23.0–26.2] pg/mL, p < 0.001). As indicated by the area under the curve (AUC), IL-22 and IL-33 were excellent predictors of COVID-19 (AUC = 0.95 and 0.892, respectively). Multinomial logistic regression analysis demonstrated that individuals with high production (> control median) of IL-22 (odds ratio = 17.80 [95% CI: 6.48–48.90]; p = 0.001) and IL-33 (odds ratio = 19.0 [95% CI: 7.4–48.6]; p = 0.001) were more likely to develop COVID-19. A positive correlation was found between IL-22 and IL-33 and both cytokines also showed positive correlations with granulocyte-to-lymphocyte ratio and erythrocyte sedimentation rate in all participants.

Conclusions
IL-22 and IL-33 showed up-regulated concentrations in the serum of patients with mild/moderate COVID-19. Both cytokines may have prognostic value for COVID-19 along with their association with disease risk.
Community paramedic outreach support for people experiencing homelessness
Authors: Taplin John , Dalgarno Dana , Smith Michele , Eggenberger Ty , Ghosh Sumantra Monty 
Published: February 2023

Objective:To evaluate the implementation phase of a community paramedic program focused on individuals experiencing homelessness (IEH) in Calgary, Alberta, Canada with a high prevalence of mental health and substance use disorders.Methods:A manual chart review was performed to characterise patients of the City Centre Team (CCT). A survey was performed of health professionals and partners for allied agencies that interacted with the CCT in the first 6 months of program implementation.FindingsThere were 832 patient events involving 365 unique patients. Mental health and substance use disorders accounted for 75% of the events. The survey results were positive with 85% agreeing that the CCT reduced the reliance on emergency services.Conclusion:The community paramedics address the health and social needs of IEH while working in a multidisciplinary setting. The CCT is an innovative program that can inform future health service design in similar settings.
Paramedics’ perspectives of the community paramedic role in Ontario
Authors: Agarwal Gina , Pirrie Melissa , Angeles Ricardo , Marzanek Francine , Keenan Amelia , McLeod Brent , Cockerell Krista , Reed Buck 
Published: February 2023

Background: Community paramedicine (CP) expands the paramedic role to emergency call prevention, yet little research has examined paramedics’ perspectives of CP. Aims: This study sought to explore paramedics’ views regarding the CP role and training. Methods: A cross-sectional, web-based survey of Ontario paramedics measured perceptions, support and interest in CP. Descriptive and regression analyses were conducted. Findings Of the 452 participants, 57.5% were male, 43.6% primary care paramedics and 33.0% had a history of being on modified duty. Paramedics perceived CP to include treat-and-release (85.4%), community resource referrals (79.0%), expanded skills (77.9%), community education (75.9%) and follow-up (73.7%). Most were supportive (82.8%) and interested in participating (72.3%). Interest in training was lower in respondents with 20 or more years of service and higher in those with a history of modified duty ( p<0.05). Conclusion: Paramedics are aware the CP role has multiple functions and are supportive and interested in CP. This study has implications for services as CP expands globally.
FoMO (Fear of Missing Out) Among Youth Viewed From Herbert Marcuse’s Perspective
Authors: Siti Amallia  
Published: February 2023

Following the trend seems to be a benchmark for teenagers in determining the extent of their level of association. To be recognized as slang teenagers, they are not infrequently willing to leave their identity. Excessive anxiety arises when he feels left behind with precious moments that are worldly. This condition is then associated with self-esteem and self-confidence, especially those involving peers. The focus of the study in this research is the behavior of FoMO (Fear of Missing Out) in adolescents viewed from the existentialism of Herbert Marcuse to gain an understanding of the ethics behind the anxiety experienced by adolescents. This research is (Library Research) using several sources such as books, journals and the internet. The methods used include descriptive, analytical, and interpretive methods to connect existentialism theory with contemporary problems. From the results of the study, it was found that concerns about other people's judgments and good relations with their peers made teenagers lose their original self-identity. The emergence of anxiety that leads to an attitude of insecurity begins to appear when a teenager does not know himself as a whole. Generally, feelings of anxiety in adolescents are related to uploads on social media. Through his analysis, Herbert Marcuse, an existentialist figure, sees the characteristics of a one-dimensional society that can be related to the FoMO phenomenon among teenagers, namely about false needs and images. Adolescents with FoMO tendencies have difficulty in interpreting themselves in substance. They mostly get stuck at the level of form and follow other people. The orientation of free human beings has deviated far from the order of life. So there needs to be a revolution of thought so that teenagers can better understand how to behave, not just follow trends .
Keywords : FoMO, youth, social media, Herbert Marcuse, Marxism
Gambaran Penanganan Keluhan di Rumah Sakit Amal Sehat Wonogiri
Authors: Alifatul Maklufah Alfi , Djunawan Achmad 
Published: February 2023

Latar belakang: Komplain dapat diartikan sebagai suatu ekspresi ketidakpuasan terhadap layanan yang harus dianggap sebagai indikator penilaian kinerja organisasi bahkan ketika organisasi melakukan upaya terbaik untuk melayani pelanggan.Metode: Metode penulisan artikel yang digunakan adalah deskriptif dengan telaah dokumen dan wawancara terhadap pelaksanaan penanganan komplain di Rumah Sakit Amal Sehat. Data dianalisis dengan analisis univariat berbentuk tabel. Hasil: Hasil penanganan komplain menunjukkan terdapat 78 komplain yang masuk pada tahun 2021 terdapat 54 komplain ditangani dengan tepat sehingga pasien dan keluarga pasien merasa puas sedangkan sisanya merasa ragu-ragu, tidak puas dan tidak tahu. Komplain tidak tahu berasal dari media sosial dengan identitas pengguna tidak jelas dan komplain ringan yang tidak dilaporkan kepada tim care solution.Simpulan: Mayoritas keluhan yang tersampaikan kepada tim care solution telah ditangani dengan baik.Kata kunci: rumah sakit, manajemen komplain, penanganan keluhan ABSTRACTTitle: Overview of Complaint Handling at Wonogiri Amal Sehat HospitalBackground: Complaints can be interpreted as an expression of dissatisfaction with a service that should be considered an indicator of an organization's performance appraisal even as the organization makes its best efforts to serve customers.Method: The method of writing the article used is descriptive with a review of documents and interviews on the implementation of complaint handling at Amal Sehat hospital. Data were analyzed by univariate analysis in the form of tables.Result: The results of complaint handling showed that there were 78 complaints that entered in 2021 there were 54 complaints handled appropriately so that patients and patients' families felt satisfied while the rest felt hesitant, dissatisfied and did not know. Complaints do not know come from social media with the identity of users unclear and mild complaints that are not reported to the care solution team.Conclusion: The majority of complaints submitted to the care solution team have been handled properly.Keywords: hospital, complaint management, complaint handling
Análise de absenteísmo por doença em servidores do tribunal de justiça do estado de Roraima
Authors: Alho Regina Claudia Rebouças Mendes , Brito Claudia Klecyanne Rodrigues de 
Published: February 2023

Introdução: O trabalho humano exerce influência na construção da sociedade, bem como é fonte de renda e reconhecimentosocial, entretanto pode gerar riscos à saúde dos trabalhadores quando não desenvolvido em ambiente adequado. O absenteísmo pode indicar aspectos da saúde do trabalhador. No serviço público o absenteísmo apresenta valores relevantes que geram impactos para o trabalhador e para a ociedade. Objetivo: Analisar as principais causas de absenteísmo em servidores do Tribunal de Justiça do Estado de Roraima e possível nexo causal com características sociodemográficas e laborais. Objetivo. Métodos: T: Foi realizada uma análise retrospectiva descritiva documental e de caráter quantitativo das causas de afastamento por doença própria no período de 2012 a 2017, com cálculos de prevalências através dos números de licenças médicas, de servidores licenciados, de dias de afastamentos e das doenças através do Código Internacional de Doenças- CID 10. Resultados: Foram concedidas 2.751 licenças médicas a 649 servidores com 32.666 dias de afastamentos. Dos servidores licenciados, 52,5% eram homens e 51% das licenças médicas eram do sexo feminino. Os capítulos do CID 10 mais prevalentes foram: transtornos mentais e comportamentais, doenças do sistema osteomuscular e do tecido conjuntivo e fatores que influenciam o estado de saúde e contato com os serviços de saúde com 12,4%, 14,8% e 15,1% respectivamente. Conclusão: Os resultados demonstram as principais causas e características de afastamento dos servidores públicos da justiça estadual e sua comparação com outras localidades e setores, demonstrando a importância da compreensão do absenteísmo nessa classe ocupacional e o desenvolvimento de ações que promovam a saúde desses trabalhadores.
Estudo epidemiológico da prevalência de achados sugestivos de papilomavírus humano em pacientes com carcinoma espinocelular de orofaringe e/ou boca em um hospital de referência de Roraima
Authors: TARGINO GABRIELA LIMA , WEIMANN ELLEM TATIANI DE SOUZA , SEQUEIRA BIANCA JORGE , SANTOS RAGLY WANESSA ROSSIDOS , BARBA JOSE LUIS SERRANO 
Published: February 2023

Introdução: O Carcinoma espinocelular de boca e/ou orofaringe (CEC-OB) tem ganhado importância devido aumento nas taxas de incidência e morbimortalidade. Está associado a múltiplos fatores, cujo conhecimento é importante para diagnóstico/tratamento precoce. Destaca-se o surgimento da relação com o Papilomavírus humano (HPV), responsável por diferente apresentação sociodemográfica-comportamental, morfológica e sintomatológica, bem como melhor prognóstico e resposta terapêutica. Objetivo: Demonstrar o perfil epidemiológico de pacientes atendidos em Roraima de janeiro/2016-janeiro/2018 com CEC-OB e achados sugestivos de HPV, considerando fatores ociodemográficos-comportamentais e associados à lesão. Métodos: Estudo qualitativoquantitativo, retrospectivo, descritivo. Amostragem de 34 pacientes atendidos na Unidade de Alta Complexidade em Oncologia no Hospital Geral de Roraima. Análise de informações (gênero, idade, exposição ao tabagismo e etilismo, localização primária do tumor, estadiamento clínico, presença de papiloma, coilocitose, não queratinização e expressão P16INK4a) dos prontuários dos pacientes incluídos pelos critérios propostos após assinatura do Termo de Consentimento Livre e Esclarecido e aprovação pelo Comitê de Ética em Pesquisa da Universidade Federal de Roraima sob número 2.442.554. Para as análises estatísticas utilizou-se o software EpiInfo® 7.1 Windows (CDC, Atlanta, EUA), planilhas do programa Microsoft® Office Excel 2013 e o Teste Exato de Fisher na análise das tabelas de contingência. Resultados: Dos incluídos, 32% dos pacientes apresentaram achados sugestivos de HPV, com um perfil padrão, gênero masculino, maior que 40 anos, etilista e não tabagista, com avançado estadiamento. Conclusão: Ainda que a etiologia do CEC-OB por muitos anos apresente forte associação ao tabagismo e etilismo, o HPV vem mostrando importante relação com essa neoplasia visto que foi notada sua presença.