bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving nursing education curriculum as a tool for strengthening the nurse–client relationships in maternal and child healthcare: Insights from a human-centered design study in rural Tanzania
Authors: Isangula Kahabi Ganka , Pallangyo Eunice Siaity , Ndirangu-Mugo Eunice 
Published: February 2023

BackgroundThere are growing evidence of poor nurse–client relationships in maternal and child health (MCH). The nursing curriculum forms an important entry point for strengthening such relationships, consequently improving client satisfaction with nurses' competencies, confidence in the formal healthcare system, healthcare-seeking practices, continuity with care, and MCH outcomes.ObjectiveMCH nurses and clients were invited to design an intervention package (prototype) to improve nurse–client relationships using a human-centered design (HCD) approach.MethodsA multi-step HCD approach was employed to first examine the contributors of poor nurse–client relationships using nine focus group discussions with nurses and clients and 12 key informant interviews with MCH administrators. Then, three meetings were held with 10 nurses, 10 clients, and 10 administrators to co-develop an intervention package to address the identified contributors. The solutions were validated by collecting qualitative information through six focus groups with nurses and MCH clients who were not involved in the initial HCD stages. Finally, refinement and adaptation meetings were held with 15 nurses, 15 clients, and 10 administrators. The data were managed with NVivo 12 software and analyzed thematically.ResultsNursing curriculum challenges contributing to poor nurse–client relationships in MCH care included inadequate content on nurse–client relationships specifically topics of customer care, communication skills, and patient-centered care; an inadequate practice on communication skills within nursing schools; and the absence of specific trainers on interpersonal relationships. Consequently, improving the nursing curriculum was one of the interventions proposed during the co-design and rated by participants as highly acceptable during validation and refinement meetings. Suggested improvements to the curriculum included increasing hours and credits on communication skills and patient-centered care, including customer care courses in the curriculum and creating a friendly learning environment for clinical practice on strengthening interpersonal relationships.ConclusionImproving the nursing curriculum was considered by nurses and clients as one of the acceptable interventions to strengthen nurse–client relations in MCH care in rural Tanzania. Nursing education policy and curriculum developers need to ensure the curriculum facilitates the development of much-needed interpersonal skills among nursing graduates for them to have positive therapeutic interactions with their clients.
Influencing factors of work stress of medical workers in clinical laboratory during COVID-19 pandemic: Working hours, compensatory leave, job satisfaction
Authors: He Gang , Chen Yongquan , Wang Dai , Wang Houzhao 
Published: February 2023

BackgroundThe COVID-19 pandemic continues to pose unprecedented threats and challenges to global public health. Hospital Clinical Laboratory and public health institutions have been playing an important role in case detection, epidemic research and decision-making, and epidemic prevention and control.ObjectiveTo explore the current situation and influencing factors of work stress of medical workers in hospital clinical laboratory in fighting against COVID-19.MethodsA cluster random sampling method was used to select seven hospitals from 14 tertiary hospitals in Xiamen, and medical workers in the selected hospitals were investigated by self-administered questionnaire. A total of 150 medical workers inclinical laboratory participated in this survey, 138 valid questionnaires were collected, with a response rate of 92%.ResultsThe work stress scores of the medical workers in the clinical laboratory of hospital in the COVID-19 epidemic were collected (55.22 ± 11.48); The top three dimensions of work stress score were work stress (work load), external environment and doctor-patient relationship. The results of multiple stepwise regression analysis showed that the working hours per day, whether overtime and night shift can get compensatory leave and Job satisfaction with the work of the clinical laboratory were the main factors affecting the work stress level of medical workers in the clinical laboratory of hospital during COVID-19 epidemic.ConclusionThe COVID-19 has caused great harm to the physical and mental health of the public. Medical staff are in the front line of prevention and control of the epidemic, so medical workers in hospital clinical laboratory exposed to a high level of stress at work. Laboratory leaders and hospital managers should take active and effective measures to reduce the working hours of the medical staff in clinical laboratory, optimize the arrangement of night shift and overtime working, strengthen the training of group and individual pressure management, reduce the work stress of the medical staff, improve the overall happiness of the medical staff in clinical laboratory, and stabilize the clinical laboratory team, improve the physical and mental health of medical workers in clinical laboratory.
Listening to voices from multiple sources: A qualitative text analysis of the emotional experiences of women living with breast cancer in China
Authors: Li Chaixiu , Ure Cathy , Zheng Wanting , Zheng Chunrao , Liu Jianhong , Zhou Chunlan , Jian Biao , Sun Lijun , Li Wenji , Xie Lijun , Mai Yuchang , Zhao Huihui , Liu Yusheng , Lai Jie , Fu Jiaqi , Wu Yanni 
Published: February 2023

BackgroundReceiving a breast cancer diagnosis and treatment is both a physical and emotional journey. Previous studies using single-source data have revealed common and culture-specific emotional experiences of patients living with breast cancer. However, few studies have combined such data from multiple sources. Thus, using a variety of data sources, the current study sought to explore the emotional experiences of women in China newly diagnosed, post-operative, or undergoing chemotherapy. We posited that even though women living with breast cancer in China have multiple channels through which they can express these emotional experiences, little variance would be found in their emotional expressivity and the themes they want to express due to cultural inhibitions.MethodsText data from female patients newly diagnosed, post-operative, or undergoing chemotherapy were collected between June 2021 and January 2022 via a Python web crawler, semi-structured interviews, and an expressive writing intervention. Data were transcribed and subjected to thematic analysis. Reporting followed the consolidated criteria for reporting qualitative studies (COREQ) guidelines.ResultsAnalyses were based on 5,675 Weibo posts and comments published by 448 posters and 1,842 commenters, transcription texts from 17 semi-structured interviews, and 150 expressive writing texts. From this total collection of 461,348 Chinese characters, three major themes emerged: (i) conflicting emotions after diagnosis; (ii) long-term suffering and treatment concerns; and (iii) benefit finding and cognitive reappraisal.ConclusionsDespite gathering information from various sources, we found that distress from body-image disturbances, gender role loss and conflict, and changes in sexuality and fertility, were consistent among this sample of female Chinese patients with breast cancer. However, when women engaged actively in benefit finding and cognitive reappraisal with strong social support, patients were able to find ways to adapt and reported post-traumatic growth. Strong social support was an important facilitator in this growth. These study findings emphasize that healthcare professionals ought to increase cultural sensitivity, provide multiple channels to encourage patients to express their emotions, and incorporate screening for patients' emotional distress at all diagnostic and treatment phases as part of routine nursing care.
Prevalence and risk factors for subclinical atherosclerosis amongst adults living with HIV in University of Abuja Teaching Hospital, Gwagwalada
Authors: Adedokun Taiwo A. , Kwaghe Vivian G. , Adedokun Oluwasanmi , Badru Titilope , Odili Augustine N. , Alfa Jacob , Kolade-Yunusa Hadijat O. , Ojji Dike B. 
Published: February 2023

BackgroundSubclinical atherosclerosis characterizes cardiovascular diseases (CVD), and Human Immunodeficiency Virus (HIV) infection and antiretroviral therapy (ART) are identified risk factors for atherosclerosis. Meanwhile, data on HIV and atherosclerosis in Nigeria are limited.ObjectivesWe sought to estimate the prevalence of subclinical atherosclerosis and associated risk factors amongst adult persons living with HIV/AIDS (PLHIV) enrolled at University of Abuja Teaching Hospital, Gwagwalada, Abuja (UATH).MethodsThis was a cross-sectional study of 277 consecutively selected PLHIV ≥18 years enrolled for HIV care and treatment at UATH. Pretested structured questionnaire was used to collect data from consenting ART-experienced and ART-naïve patients on risk factors of atherosclerosis. Carotid intima media thickness (CIMT) ≥0.71 mm as measured by Doppler ultrasonography was used to identify patients with sub-clinical atherosclerosis. Two logistic regression models with (Model-A) and without (Model-B) traditional risk factors were fitted to identify risk factors of subclinical atherosclerosis.ResultsParticipants' mean age was 39.44 ± 10.71 years with female preponderance (64.26%). Overall prevalence of subclinical atherosclerosis was 43.32% (62.25% in ART-experienced). Model-A identified male sex [AOR 4.33(1.74–10.76), p = 0.002], advancing age [30–39 years AOR 5.95(1.31–26.96), p = 0.021]; ≥40 years AOR 19.51(4.30–88.56), p ≤ 0.001), advancing HIV infection [≥WHO stage II AOR 4.19(1.11–15.92), p = 0.035], hypercholesterolemia [AOR 3.88(1.47–10.25), p ≤ 0.001] and ≥5 year duration on ART [AOR 9.05(3.16–25.92), p ≤ 0.001] as risk factors of subclinical atherosclerosis. In Model-B (excluding traditional risk factors) on the other hand, advancing HIV infection [≥WHO stage II AOR 3.93(1.19–13.042), p = 0.025] and duration on ART [≥5 years AOR 11.43(4.62–28.29), p = 0.001] were found as risk factors of subclinical atherosclerosis.ConclusionSubclinical atherosclerosis was higher in ART-experienced patients, and this was irrespective of presence or absence of traditional risk factors. And advancing HIV disease and duration on ART were found as significant risk factors for subclinical atherosclerosis. We therefore recommend routine CVD risk screening in PLHIV.
Early costs and complications of first-line low-grade glioma treatment using a large national database: Limitations and future perspectives
Authors: Tuohy Kyle , Ba Djibril M. , Bhanja Debarati , Leslie Douglas , Liu Guodong , Mansouri Alireza 
Published: February 2023

IntroductionDiffuse Low-grade gliomas (DLGG, WHO Grade II) are a heterogenous group of tumors comprising 13–16% of glial tumors. While maximal safe resection is endorsed as the best approach to DLGG, compared to more conservative interventions like stereotactic biopsy, the added costs and risks have not been systematically evaluated. The purpose of this study was to better understand the complication rates and costs associated with each intervention.MethodsA retrospective cohort study using data from the IBM Watson Health MarketScan® Commercial Claims and Encounters database was conducted, using the International Classification of Diseases, Ninth Revision (ICD-9) codes corresponding to DLGG (2005–2014). Current Procedure Terminology, 4th Edition (CPT-4) codes were used to differentiate resection and biopsy cohorts. Inverse weighting by the propensity score was used to balance baseline potential confounders (age, sex, pre-op seizure, geographic region, year, Charleston Comorbidity Index). Complication rates, hospital mortality, readmission, and costs were compared between groups.ResultsWe identified 5,784 and 3,635 patients undergoing resection and biopsy, respectively, for initial DLGG management. Resection was associated with greater 30-day complications (29.17% vs. 26.34%; p &lt; 0.05). However, this association became non-significant after inverse propensity weighting (adjusted odds ratio = 1.09; 0.98–1.20). There was no statistically significant difference in unadjusted, 30-day hospital mortality (p = 0.06) or re-admission (p = 0.52). Resection was associated with higher 90-day total costs (p &lt; 0.0001) and drug costs (p &lt; 0.0001). Biopsy was associated with greater index procedure costs (p &lt; 0.0001). Long-term outcomes and evaluation of DLGG subtypes was not possible given limitations in the metrics recorded in MarketScan and lack of specificity in the ICD coding system.ConclusionResection was not associated with an increase in the adjusted complication rate after balancing for baseline prognostic factors. Total costs and drug costs were higher with resection of DLGG, but the index procedure costs were higher for biopsy. This data should help to facilitate prospective health economic analyses in the future to understand the cost-effectiveness, and impact on quality of life, for DLGG interventions. However, the use of large national databases for studying long-term outcomes in DLGG management should be discouraged until there is greater specificity in the ICD coding system for DLGG subtypes.
Predictors of residual low back pain in patients with osteoporotic vertebral fractures following percutaneous kyphoplasty
Authors: Yu Hongwei , Luo Gan , Wang Ziqi , Yu Bin , Sun Tianwei , Tang Qiong 
Published: February 2023

ObjectivePatients with osteoporotic vertebral fractures (OVFs) often suffer from residual low back pain (LBP) after percutaneous kyphoplasty (PKP). The purpose of this study was to identify risk factors for postoperative residual LBP and to develop a nomogram to predict the occurrence of residual LBP.MethodsWe retrospectively reviewed 236 patients who underwent PKP for OVFs and had a minimum follow-up of 12 months. The mean age was 72.1 ± 6.3, 74.3% were female and 25.7% were male. Patients with LBP VAS scores ≥ 3.5 at the 12th month postoperatively were considered to have residual LBP. Risk factors for residual LBP were identified by univariate and multifactorial logistic regression analysis. Then, a predictive nomogram was constructed and validated using the bootstrap method. The discrimination, calibration, and clinical utility of the nomogram were assessed using a receiver operating characteristic curve (ROC), a calibration curve, and a decision curve analysis (DCA).Resultsunivariate and multifactorial logistic regression analysis identified depression (P = 0.02), intravertebral vacuum cleft (P = 0.01), no anti-osteoporosis treatment (P &lt; 0.001), cement volume &lt;3 ml (P = 0.02), and cement distrubution (P = 0.01) as independent risk factors for residual LBP. The area under the ROC was 0.83 (0.74–0.93) and further validated by bootstrap method was 0.83 (0.73–0.92). The calibration curve illustrated the consistency between the predicted probability and the observed results. DCA showed that nomogram exhibits clinical utility and net benefit when the threshold probability is between 6% and 73%.ConclusionsOur study found that depression, intravertebral vacuum cleft, no anti-osteoporosis treatment, cement volume &lt;3 ml and cement distribution represent independent risk factors for residual LBP. The nomogram containing the above five predictors can accurately predict the risk of residual LBP after surgery.
Allelopathic Effects of Cannabis sativa L. Aqueous Leaf Extracts on Seed Germination and Seedling Growth in Durum Wheat and Barley
Authors: Patanè Cristina , Pellegrino Alessandra , Cosentino Salvatore L. , Testa Giorgio 
Published: February 2023

In this study, the allelochemical-induced effects of the leaf water extract of hemp (Cannabis sativa) on seed germination and seedling growth were investigated in durum wheat (Triticum durum) cv. Mongibello and barley (Hordeum vulgare) cv. Alamo. The seeds were imbibed in 25%, 50%, 75%, or 100% solution concentrations, obtained from a 2% hemp leaf extract, and they were germinated at 20 and 10 °C. The 2% extract stock solution (i.e., 100% solution concentration) was obtained by extracting 20 g of leaf powder in 1 L distilled water (2%, w/v). A control of seeds imbibed in distilled water was considered. Germination was scored daily and at the end of the germination test, the final germination percentage (FGP), mean germination time (MGT), germination index (GI), and vigor index (VI) were calculated. The radicles and shoots of the germinated seeds of both species were also measured for their length and weight. The analyses revealed the presence of phenols in the hemp leaf extract, which were the highest in the 100% concentration (13.14 ± 0.20 mg gallic acid equivalent-GAE g−1 extract). At 20 °C, increasing the concentration had either minor (in wheat) or no effects (in barley) on the seed germination. At 10 °C, the germination was reduced by the increasing concentration, suggesting a potential allelopathic effect of the extract. However, at 100% concentration, the seeds germinated significantly better that those at 75% concentration. At 20 °C, increasing concentration progressively depressed both the radicle and shoot elongation in both species. At 10 °C, the radicle elongation was depressed by the extract, irrespective of the concentration, whilst the shoots were as long as those of the control in wheat, and smaller at the 50 and 75% concentrations in barley. We can conclude that the water extract of hemp leaves can have a negative impact on wheat and barley seed germination and seedling growth, particularly at temperatures below optimal. However, the high concentration of phenols in the extract may stimulate seed germination and seedling growth. Thus, in semi-arid areas, such as those of the Mediterranean regions, sowings of wheat and barley after hemp at an optimal (i.e., 20 °C) or nearly optimal temperature are recommended in order to minimize the combined stressing effects of the temperature and allelopathic leaf extract upon plant establishment, which may limit a successful crop establishment.
Status of Infectious Diseases in Free-Ranging European Brown Hares (Lepus europaeus) Found Dead between 2017 and 2020 in Schleswig-Holstein, Germany
Authors: Faehndrich Marcus , Klink Jana C. , Roller Marco , Wohlsein Peter , Raue Katharina , Strube Christina , Prenger-Berninghoff Ellen , Ewers Christa , Capucci Lorenzo , Lavazza Antonio , Tomaso Herbert , Schnitzler Joseph G. , Siebert Ursula 
Published: February 2023

The European brown hare (Lepus europaeus) is a quite adaptable species, but populations have been decreasing for several decades in different countries, including Germany. To investigate infectious diseases as possible influences on observed population decline in the German federal state Schleswig-Holstein, 118 deceased free-ranging European brown hares were collected between 2017 and 2020 and underwent detailed postmortem examination with extended sampling. Infectious diseases were a major cause of death (34.7%). The number of juveniles found exceeded the adult ones. The main pathomorphological findings were hepatitis (32.8%), pneumonia (22.2%), nephritis (19.1%), liver necrosis (12.9%), and enteritis (40.7%). An unusual main finding was steatitis (20.9%) of unknown origin. Animals were mainly emaciated and showed high infection rates with Eimeria spp. (91.3%) and Trichostrongylus spp. (36.2%). European Brown Hare Syndrome Virus reached an epidemic status with few fatal infections (4.2%) and high seroprevalence (64.9%), whereas the prevalence of Rabbit Haemorrhagic Disease Virus 2 was very low (0.8%) in hares in Schleswig-Holstein. Pathogens such as Yersinia pseudotuberculosis (5.9%), Pasteurella multocida (0.8%), and Staphylococcus aureus (3.4%) only caused sporadic deaths. This study illustrates the wide distribution of various infectious pathogens with high mortality and even zoonotic potential. Infectious diseases need to be considered as an important influence on population dynamics in Schleswig-Holstein.
COMPETENCE-BASED APPROACH TO THE TRAINING OF SPECIALISTS IN THE SPHERE OF MANAGEMENT OF QUALITY OF EDUCATION IN THE CONDITIONS OF THE MASTER'S DEGREE
Authors: Baranovska L. , Serhiienko V. , Slabko V. 
Published: February 2023

In the article, based on the analysis of scientific sources, the State standard for the training of students of the second (master's) level of higher education in the specialty 011 Educational, pedagogical sciences, the field of knowledge 01 Education / Pedagogy, and the Professional standard "Head (director) of a general secondary education institution", the expediency of training specialists is determined on managing the quality of education based on the competence approach. The definitive apparatus for the researched issue is outlined, the meaning of key concepts is clarified: "quality of education", "management of the quality of education", "head (principle) of a general secondary education institution", "competence approach". It is clarified that integral, general and special competences are important for the training of managers for general secondary education institutions based on the competence approach. The most important professional competences are outlined as follows: strategic management of an educational institution, strategic personnel management, ensuring the quality of educational activities and the functioning of the internal system of ensuring the quality of education; leadership, emotional and ethical competence, social and network partnership; health-saving, design, innovative, informational, and digital competence. Educational components for their formation have been designed. A conclusion was made about the importance of training in the conditions of the master's degree on the basis of the competence approach of specialists in the management of the quality of education, who, as heads, will be able to improve the quality of domestic general secondary education, which does not yet meet modern global indicators.
Characterization as measurement sound source of acoustic cavitation noise from bubble clusters under ultrasonic horn
Authors: Kuroyama Takanobu , Ogasawara Hanako , Mori Kazuyoshi 
Published: February 2023

Abstract
In order to investigate the possibility of using acoustic cavitation noise generated by ultrasonic horns as an acoustic measurement signal, its directional characteristics, autocorrelation characteristics, and frequency characteristics are investigated with a hydrophone and schlieren visualization. In addition, a parabolic mirror is used to shape the spherical acoustic cavitation noise into a plane wave. As a result, it is found that the acoustic cavitation noise consists of a spherical shockwave pulse train and has a frequency bandwidth of at least 10 MHz and sharp autocorrelation characteristics. Furthermore, it is also shown that a parabolic mirror can shape a spherical shockwave into a plane shockwave.
Pulse width dependent operations of a Ag2S island network reservoir
Authors: Minegishi Kazuki , Shimizu Yosuke , Hasegawa Tsuyoshi 
Published: February 2023

Abstract
The rapid growth in demand for edge artificial intelligence increases importance of physical reservoirs that work at low computational cost with low power consumption. A Ag2S island network also works as a physical reservoir, in which various physicochemical phenomena contribute to a reservoir operation. In this study, we investigated its frequency dependence and found that diffusion of Ag+ cations in a Ag2S island, which has a relaxation time of about 100 μs, plays a major role when performance is improved. Modified National Institute of Standards and Technology (MNIST) classification task using an input pulse width of 100 μs resulted in the accuracy of 91%. Iterative operations up to 10 million cycles revealed a small enough standard deviation of output, suggesting a potential for practical use of a Ag2S island network as a reservoir.