bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stress and influencing factors of public health and preventive medicine students in the post-pandemic period: a cross-sectional study in Changsha, China
Authors: Wang Xiaofen , Zhang Jiahui , Yang Na , Zou Miliang , He Pingping 
Published: August 2023

ObjectivesLittle is known about the stress levels and associated factors of public health and preventive medicine students in the post-pandemic period. This study aims to investigate the stress levels of these students in the post-COVID-19 era and to determine the association of personal background, employment attitude, and psychological state with stress.MethodsA cross-sectional survey was conducted in March 2023 among 620 public health and preventive medicine students from two universities in Changsha, China. The survey included demographic characteristics, employment attitudes, perceived stress scale 10, general anxiety disorder 7, the University of California at Los Angeles loneliness scale 20, and the PTSD checklist-civilian version. Two-sided t-tests and ANOVA tests were used to compare the differences in PSS scores among variables, and multiple hierarchical regression analysis was used to evaluate the associated factors with stress.ResultsThe survey was completed by 504 students (mean age: 21.5 ± 2.6 years, 69.2% female). 24.8% of the students were screened for a high level of stress. 69.0% thought the epidemic positively impacted employment while 18.5% believed it had a negative impact. The results of regression analysis showed that older age (B = 0.42, p = 0.001), higher grade (B1=3.59, p &lt; 0.001, B2=4.57, p &lt; 0.001), having internship experiences (B = 1.16, p = 0.006), having anti-epidemic experiences (B = 1.77, p &lt; 0.001), believing that COVID-19 has a negative impact on employment (B = 2.56, p &lt; 0.001), and having higher GAD scores (B = 0.64, p &lt; 0.001) and UCLA scores (B = 0.07, p = 0.002) were significantly associated with high-stress levels. Conversely, being female (B = −1.64, p &lt; 0.001) and believing that the pandemic had a positive impact on employment (B = −1.98, p = 0.001) were associated with low-stress levels.ConclusionPublic health and preventive medicine students in Changsha, China, experienced a high-stress level in the post-pandemic period, which was influenced by age, gender, grade, employment attitude, internship experience, anxiety, and loneliness. As one of the main guardians of the epidemic, these students should be given more attention and psychological interventions in the future.
Percepción sobre autonomía profesional en egresados de enfermería de una universidad privada, Chiclayo 2021
Authors: Muñoz Vasquez Elizabeth , Heredia Mondragón Mary Judith 
Published: July 2023

Objetivo: Describir y analizar la percepción sobre autonomía profesional en egresados de enfermería de una universidad privada, Chiclayo 2021. Método: Investigación de tipo cualitativo, de diseño descriptivo, El muestreo fue no probabilístico por bola de nieve, la población la constituyó 580 egresados de enfermería; Y la muestra se logró con 12 egresados de enfermería de la Universidad Católica Santo Toribio de Mogrovejo que cumplieron con los criterios de inclusión establecidos, determinando el tamaño de la muestra por saturación y redundancia. Los datos se recolectaron a través de una entrevista semiestructurada virtual, validada por juicio de expertos; teniendo en cuenta principios éticos y criterios de rigor científico. Resultados principales: Surgieron dos categorías: I. Conocimiento científico practicado como medio para alcanzar la autonomía profesional y II. Independencia y libertad responsable, elementos, inherentes en el cuidado autónomo. Conclusión general: Según las percepciones de los egresados, estos mantienen un ejercicio profesional autónomo, no obstante, presentan dificultades ocasionado por la existencia de profesionales que buscan menoscabar su libertad de actuar por cuenta propia en la realización de actividades que forman parte de sus funciones, ocasionándoles malestar e incomodidad en su área de trabajo al tener que tolerar estas actitudes con el fin de evitar mayores conflictos.
VITREORETINAL DISEASES IN OUTPATIENT DEPARTMENT OF BALI MANDARA EYE HOSPITAL IN 2019
Authors: Tyas Dwi Arshanti Ni Made , Diah Pantjawati Ni Luh , Semara Budiyasa I Ketut , Hartono Cindy 
Published: July 2023

Introduction: The purpose of this study is to identify the pattern and distribution of vitreoretinal (VR) diseases in Bali Mandara Eye Hospital
Methods: A retrospective descriptive study was conducted for this study. We reviewed all medical records of new patient diagnosed with VR diseases, from 1 January to 31 December 2019. We recorded and measured demography, history of systemic and eye disease, symptoms and onset, ophthalmic examinations, diagnostic investigations, final diagnoses, therapies, and the completion of the visit.
Results: Out of 2118 total visits, we found 1191 new cases with VR diagnosis. The male to female ratio was 1.3:1. We found a group of 46-65 years is represented in 678 cases (56.9%). Type 2 diabetes mellitus was the most commonly found as a systemic disease (15.5%), followed by the combination of diabetes and hypertension (14%) and hypertension alone (12.9%). History of previous cataract surgery was found in 174 cases (14.6%). Out of 1191 patients, 553 patients (46.4%) were blind. The most common diagnosis was diabetic retinopathy (19.7%), followed by rhegmatogenous retinal detachment (10.8%), and vitreous opacity (9.9%). Diabetic retinopathy affected both eyes in 302 cases (89.6%), while rhegmatogenous retinal detachment and vitreous opacity commonly affected one eye in 177 cases (95%) and 123 cases (73%), respectively. Proliferative diabetic retinopathy was found in 171 cases (50.7%).
Conclusions: Diabetic retinopathy and rhegmatogenous retinal detachment were the most two common diagnoses. The proliferative type was slightly common than Non-Proliferative Diabetic Retinopathy. As diabetes and hypertension were the most systemic conditions we found, a collaboration with another department is needed to create a strategic screening system and early detection. An evaluation related to rhegmatogenous retinal detachment is needed to decrease the number of cases.
Prevalence and Associated Factors of Diabetic Retinopathy in People with Type 2 Diabetes Attending Community Based Diabetic Retinopathy Screening in Greater Bandung, Indonesia
Authors: Halim Aldiana , Syumarti Syumarti , Rini Mayang , Ratnaningsih Nina , Iskandar Erwin , Sovani Iwan , Virgana Rova , Dahlan Muhammad Rinaldi 
Published: July 2023

Introduction: Determine the prevalence and associated factors of diabetic retinopathy (DR) among people with type 2 diabetes.
Design: Cross-sectional study
Methods: We obtained data of people with type 2 diabetes retrospectively from a community-based DR screening database in Greater Bandung, Indonesia. We encoded the two fields mydriatic 45-degree fundus images to estimate prevalence. The associated factors analysis used multivariate logistic regression.
Results: We screened a total of 4,251 people with type 2 diabetes from January 2016 to December 2019. The overall age-standardised prevalence of any DR was 30.7% (95% CI: 28.7%-32.8%) and vision-threatening DR 7.6% (95% CI: 6.5%-9.0%). The following factors were associated with a higher prevalence of any DR: ages 50+ (OR:1.37; 95% CI:1.05-1.77), duration of diabetes five to ten years (OR:1.38; 95% CI:1.11-1.71) and more than ten years (OR:1.40; 95% CI:1.13-1.73), and postprandial blood glucose 200 mg/dl and higher (OR:1.27; 95% CI:1.03-1.52). The following factors were associated with a higher prevalence of vision-threatening DR: duration of diabetes five to ten years (OR:2.01; 95% CI:1.39-2.91) and more than ten years (OR:1.86; 95% CI:1.28-2.71), postprandial blood glucose 200 mg/dl or higher (OR:1.52; 95% CI:1.05-2.21) and systolic blood pressure 180 mmHg or higher (OR:2.67; 95% CI:1.16-6.17).
Conclusion: Diabetic retinopathy is prevalent among people with type 2 diabetes. People with diabetes should regulate their blood glucose and blood pressure to prevent retinopathy related vision loss.
REMARKABLE RESULT TOWARDS RETINOPATHY ASSOCIATED AUTOIMMUNE HEMOLYTIC ANEMIA
Authors: Khuluqi Rofa Husnul , Dewi Nadia Artha , Nugroho Susanto , Wulandari Lely Retno 
Published: July 2023

Introduction: To present the clinical findings of Autoimmune hemolytic anemia (AIHA) Retinopathy and its rapid resolutions following treatment with steroid.
Case report: A 14-year-old female patient presented with decreased vision in the left eye. There was history of AIHA. Visual acuity was 1/60 in LE and 6/6 in RE. There was conjunctival pallor, and the other anterior segment were unremarkable. Fundus examination of left eye revealed flame shaped and dot blot hemorrhage, roth’s spots, optic disc swelling, venous turtuosity, and elevated macula. There were afferent pupil defect, red green deficiency, and contrast sensitivity decline. Hematological evaluation revealed anemia. A MRI Head and Orbital examination were unremarkable.
Discussion: This patient was assessed with LE Anemic retinopathy due to AIHA. The patient’s visual acuity improved as the retinopathy resolved after 1 month of oral steroid therapy.
Conclusion: Anemia may play a role in the occurrence of retinopathy. The diagnosis of retinopathy can be made by linking ophthalmic fndings with positive serological test. Accurate comprehensive examination can establish the systemic diagnosis, and control of systemic parameters will improve retinopathy, reverse vision loss, and avoid permanent blindness
A DIFFERENCE IN INCIDENCE OF VISUAL THREATENING DIABETIC RETINOPATHY BETWEEN PATIENTS WITH AND WITHOUT IMPAIRED SLEEP QUALITY
Authors: Fitrada Lucky , Ratnaningsih Nina , Iskandar Erwin 
Published: July 2023

Background: Diabetic retinopathy (DR) is a common and major complication of diabetes mellitus (DM), and is the leading cause of preventable blindness in adults of productive age after cataracts. The global prevalence of DR is 34.6% , consisting of proliferative diabetic retinopathy (7.0%), diabetic macular edema (6.8%), and visual threatening diabetic retinopathy (VTDR) (10.2%.) The risk factors for VTDR are age, duration of diabetes, glycemic control, hypertension, obesity, HbAIC levels, and dyslipidemia. In addition, impaired sleep quality is also indicated to be connected with the incidence of VTDR.
Objective: To compare the incidence of VTDR between patients with and without impaired sleep quality.
Methods: This was a cross-sectional comparative analytic observational study involving 178 type 2 diabetes mellitus patients with DR at the National Eye Center of Cicendo Eye Hospital who met the inclusion criteria. Subject characteristic data were taken from medical records and sleep quality data were collected through a structured interview using the Indonesian version of the Shorten Pittsburgh Sleep Quality Index (PSQI) questionnaire. Subjects were distributed into poor and good sleep quality groups. The presence of VTDR was then assessed. The differences were then analyzed statistically using chi-square test with a p value of 0.05 considered statistically significant.Results: Results showed that 66.2% and 71.1% of patients in the poor and good quality sleep group suffered from VTDR, respectively (p> 0.05).
Conclusion: There is no difference in VTDR incidence between patients in productive age with type 2 DM between those with and without impaired sleep quality.
CENTRAL MACULAR THICKNESS REDUCTION AFTER INTRAVITREAL INJECTION OF BEVACIZUMAB COMPARED TO INTRAVITREAL KETOROLAC IN NAIVE DIABETIC MACULAR EDEMA
Authors: Supanji Supanji , Agni Angela Nurini 
Published: July 2023

Introduction: Diabetic macular edema (DME) is a debilitating complication of the diabetic eye. Vascular Endothelial Growth Factor (VEGF) was found to be responsible for this disease entity, and anti-VEGF remains the main treatment of DME. Inflammatory processes occur in diabetic eye, with some researchers postulates the role of them in the making of DME. This study’s objective is to search for anti-VEGF alternative using Non-Steroid Anti-Inflammatory Drugs (NSAID), ketorolac tromethamine.
Methods: We conducted a double blind, randomized clinical trial in DME patients using intravitreal injection of bevacizumab and ketorolac. Central macular thickness (CMT) was assessed pre-treatment and one-month post-treatment. Best Corrected Visual Acuity (BCVA) and Intraocular Pressure (IOP) were also assessed. Wilcoxon tests were performed to evaluate changes in CMT, visual acuity, and IOP.
Result: We enrolled 50 treatment-naïve DME patients from March 2020 to March 2021. Twenty-five patients were allocated for each group. There is a statistically significant difference in CMT at one-month follow-up between the two groups (p:0.001) and a markedly reduced CMT between the groups (p:0.001), with the reduction higher in bevacizumab group. BCVA changes significantly in bevacizumab group (p:0.01), but there is no statistically significant difference between the two groups (p:0.07). There’s a marked difference of IOP in 1 hour after injection in both groups, with higher transient IOP elevation in ketorolac group (p:0.02), but there is no marked difference in one-month follow-up (p:>0.05). The perceived pain right after intravitreal injection is not different between bevacizumab and ketorolac group.
Conclusion: Intravitreal injection of ketorolac found to be inferior compared to bevacizumab in reducing CMT of DME. Meanwhile, there’s no differences in visual acuity, intraocular pressure (one-month follow-up) and pain after injection between two groups.
CLINICAL OUTCOMES OF SURGERY FOR ADVANCED STAGE RETINOPATHY OF PREMATURITY: A CASE REPORT
Authors: Yulia Dian Estu , Jayawinata Marissa , Hutapea Mario Marbungaran 
Published: July 2023

Introduction: Advanced stages of Retinopathy of Prematurity (ROP) could lead to childhood blindness and retinal surgery is needed as the main treatment. This case aims to report the clinical outcomes after surgery for advanced-stage ROP
Case Report: A female infant was admitted to the pediatric ophthalmology clinic in Cipto Mangunkusumo National Central Hospital Jakarta with a lack of visual contact in both eyes at 53 weeks of Post Menstrual Age (PMA). The infant was delivered at 28 weeks of gestational age with a birth weight of 1100 g. The baby was treated in NICU for 24 days and received oxygen therapy in the previous hospital. Retinal examination revealed that the patient had stage 5 ROP in the right eye and stage 4B ROP in the left eye. Furthermore, blinking reflect was absent in both eyes. Vitrectomy and endolaser were performed for the babyâ€™s left eye. Surgery was not conducted for the infantâ€™s right eye due to poor prognosis. Six weeks after surgery, the infant underwent examination under anesthesia (EUA) which showed that the retina was reattached with no vitreous hemorrhage, and intraocular pressure measurement was 7 mmHg. The result of the visual acuity test by Cardiff Acuity Cards was 6/60 on both eyes. Followed up EUA reported that the refraction test result on the left eye was S-3.75 C-5.75 x 85o and an undetermined result on the right eye due to opacity in the visual axis.
Discussion: Several surgeries have been described as the treatment of choice for advanced-stage ROP, including scleral buckling and vitrectomy with or without the addition of endolaser. Previous studies illustrated that stage 5 ROP has a low success rate on lens-sparing vitrectomy compared to stage 4A and 4B. The outcome success rate was the best in stage 4A ROP. Moreover, stage 4B ROP had a moderate success rate with sufficient visual outcomes.
Conclusion: The functional outcome of vitrectomy surgery may not equate to anatomic success. Retinal reattachment and moderate visual outcome were achieved by performing vitrectomy and endolaser in this case. Followed-up periodically is necessary for advanced stage ROP postoperatively.
Le virtù dei ‘tenenti’ polonici, tra classicità e cristianità
Authors: Benucci Franco 
Published: July 2023

L’articolo esamina il corpus di araldica studentesca riguardante la Natio Polona allo Studium di Padova, in particolar modo gli stemmi miniati nel volume del registro della Nazione (1592 [ma 1605] – 1745) – dal punto di vista della struttura di queste rappresentazioni, delle insegne ufficiali e dei sostegni o tenenti che vi compaiono (per la maggior parti allegorie di virtù o figure tratte dalla mitologia greco-romana) e del significato che essi, insieme alle massime e ai motti che incorniciano le singole miniature, trasmettono, confrontando tutto ciò con la documentazione prodotta dalle due Nationes Germanicae dei Giuristi (1545–1609, 1650–1709) e degli artisti (1553–1769) e dalla Natio Ultramarina (ovvero greca: 1656–1737). Si potrà quindi osservare che, nella dialettica tra afflato religioso e ispirazione classica che ne emerge, la vera dimensione in cui il primo è messo in pratica è la difesa culturale e militare del cristianesimo, sussunta dal tema della virtus pervasivamente illustrato dai motti e dalle figure che rinviano al secondo.
A Lutheran, Maciej Vorbek-Lettow (1593–1663) and his Studies in Padua
Authors: Chemperek Dariusz 
Published: July 2023

Maciej Vorbek-Lettow – Hetman Krzysztof Radziwiłł’s physician, and later one of King Władysław IV, left a memoir, Skarbnica pamięci [Treasury of Rememberance], in which he described his medical studies in Padua in detail. Many factors contribute to the great source value of this work: Vorbek-Lettow studied in Padua in 1613–1614 as a 20-year-old; he had previous educational experience from various academic centers (Vilnius, Gdańsk, Paris, Louvain); he held the position of syndic at Padua’s Università Artisti; he actively participated in the reform of the university, which gave non-Catholics equal rights in receiving doctorates as Catholics; and he took part in the first clashes in the guerra di Gradisca. The purpose of the article is to show the activity of Vorbek-Lettow in Padua and the Republic of Venice against the historical background, taking into account the role of the Paduan faculty of medicine for the development of medical science in the Polish-Lithuanian Commonwealth of the 16th–17th centuries.
August Fryderyk Moszyński, un illuminista polacco in viaggio tra Padova e Venezia
Authors: Łukaszewicz Justyna 
Published: July 2023

Redatto in francese, il diario del viaggio attraverso Francia e Italia (1784–1786) del conte August Fryderyk Moszyński (1731–1786) – architetto, collezionista ed erudito, appassionato di arte e scienze, importante figura dell’Illuminismo Polacco, collaboratore e amico del re Stanislao II Augusto – è una vera e propria miniera di informazioni per i ricercatori che si occupano del XVIII secolo. Lo scopo di questo articolo è quello di integrare o chiarire informazioni sulle ultime settimane di vita del conte, che trascorse a Padova e Venezia, e le circostanze della sua morte, nonché di scoprire se sia stato un promotore della cultura polacca durante il suo viaggio in Veneto. L’analisi del suo diario rende possibile identificare elementi riguardanti reali o ipotetici legami tra la cultura della Serenissima e quella della Confederazione Polacco-Lituana, così come un confronto tra la vita politica e culturale dei due paesi. Citazioni tratte dal diario sono state confrontate con altre fonti dell’epoca, grazie alle quali è stato possibile stabilire, tra l’altro, che Moszyński visitò Padova sulla strada per Venezia, intorno al 22 maggio, e tornò in quella città per vedere la gara di cavalli a Prato della Valle il 27 giugno 1786. Documenti d’archivio conservati a Varsavia e a Venezia hanno consentito a loro volta di stabilire con certezza le circostanze della morte (luogo, data, causa) e della sepoltura (data, luogo) del viaggiatore.
Un poeta rinascimentale polacco nella città d’Antenore
Authors: Lenart Mirosław 
Published: July 2023

L’importanza del triplice viaggio di Jan Kochanowski a Padova è un tema che è stato più volte affrontato nella letteratura scientifica. I risultati di queste ricerche godono soprattutto dell’interesse di quegli studiosi che si concentrano sull’analisi dei materiali documentari e sulla ricostruzione dell’atmosfera dominante nella città chiamata spesso la rocca di Antenore. Essa conobbe nel XVI secolo il suo massimo splendore, fatto sul quale influì la politica della Repubblica di Venezia, nell’ambito della quale si cercò tra l’altro di fare di questo centro universitario e allo stesso tempo cittadino una riconoscibile meta di viaggi educativi per i giovani provenienti da tutta Europa. Per questi ultimi il contatto con un ambiente dalle alte aspirazioni intellettuali e artistiche era spesso l’inizio di una brillante carriera, sviluppata dopo il ritorno in patria. Il ricordo delle esperienze vissute durante i soggiorni a Padova ha svolto un ruolo di primo piano anche nella formazione dell’ispirazione poetica di Jan Kochanowski, ciò di cui testimoniano molti suoi testi, come ad esempio Satyr albo dziki mąż, Odprawa Posłów greckich, e il ciclo degli epigrammi. In quest’ultimo un luogo particolare è quello del tiglio attorno al quale Kochanowski organizza lo spazio del mondo reale e poetico. L’Autore dell’articolo ricerca tra l’altro le fonti italiane di questo motivo e si sofferma su altre possibili ispirazioni, che attendono analisi più approfondite in ulteriori ricerche, aldilà delle riflessioni sull’italianismo del maestro di Czarnolas.
Il viaggio di Enrico di Valois, Re di Francia e Polonia, da Cracovia a Lione (18 giugno – 5 settembre 1574)
Authors: Natta Federica 
Published: July 2023

Il saggio descrive i preparativi cerimoniali per la visita a Mantova di Enrico di Valois, re della Polonia, nell’agosto del 1574. Il re visitò la città durante il suo viaggio da Cracovia a Lione (18 giugno – 5 settembre 1574), prima di essere incoronato re di Francia. In questa occasione il duca di Mantova Guglielmo Gonzaga preparò archi trionfali, sculture, danze e celebrazioni per Enrico. Il re visitò la città, ma anche le chiese di S. Andrea e S. Pietro, con le loro importanti reliquie. Il saggio ricostruisce le installazioni attraverso la lettura delle cronache, e soprattutto, della corrispondenza e dei materiali del tempo, ritrovati nell’Archivio Gonzaga di Mantova.
I plurisecolari contatti del clero di Gniezno con l’Italia
Authors: Sołomieniuk Michał 
Published: July 2023

L’articolo offre una visione generale dei libri manoscritti e degli antichi libri stampati di provennienza italiana, conservati nell’Archivio dell’Arcidiocesi di Gniezno. Gniezno è la sede del Primate di Polonia e per secoli il suo arcivescovo è stato una personalità assai importante nel Regno di Polonia (allora Confederazione Polacco-Lituana), subito dopo il re. Il significato ecclesiastico e politico di questo arcivescovado spiega i secolari legami del clero di Gniezno con l’Italia come meta dei pellegrinaggi, dei viaggi alla curia pontificia e degli studi universitari. L’articolo mette in evidenza, tra i libri manoscritti, i codici latini contenenti i libri dei corsi universitari (in questo numero vi sono quattro codici provenienti da Padova), gli appunti delle lezioni presi dagli studenti e un giornale di viaggio scritto in polacco durante un viaggio a Roma nel XVIII secolo. Gli incunaboli di provenienza italiana, per la loro quantità, dovrebbero costituire un oggetto di studio separato e non sono presi in considerazione in questo contributo. Tra le antiche stampe del XVI secolo, l’autore presenta i libri considerati sia “italica” sia “polonica”. Per quanto riguarda i libri stampati successivamente di provenienza italiana conservati a Gniezno, l’articolo si riferisce alla biblioteca privata di un canonico capitolare, che negli anni 1834–1835 intraprese un viaggio di studio in Italia. Infine, l’Autore menziona alcune “tracce bibliotecarie” delle relazioni polacco-italiane riguardanti la Riforma protestante.