bluuebunny/crossref_metadata_2025_split huggingface dataset:
Syndemic factors associated with non-fatal overdose among young opioid users in New York City
Authors: Guarino Honoria , Frank David , Quinn Kelly , Kim Dongah , Gile Krista , Ruggles Kelly , Friedman Samuel R. , Mateu-Gelabert Pedro 
Published: June 2023

IntroductionRates of illicit opioid use are particularly high among young adults, yet research on overdose experience and factors associated with overdose in this population remains limited. This study examines the experiences and correlates of non-fatal overdose among young adults using illicit opioids in New York City (NYC).Methods539 participants were recruited via Respondent-Driven Sampling in 2014-2016. Eligibility criteria included: aged 18–29 years old; current residence in NYC; and nonmedical prescription opioid (PO) use and/or heroin use in the past 30 days. Participants completed structured interviews to assess their socio-demographics, drug use trajectories, current substance use and lifetime and most recent overdose experiences, and were tested on-site for hepatitis C virus (HCV) antibodies.Results43.9% of participants reported lifetime overdose experience; of these, 58.8% had experienced two or more overdose events. The majority of participants’ most recent overdoses (63.5%) were due to polysubstance use. In bivariable analyses, after RDS adjustment, having ever overdosed was correlated with: household income of &gt;$100,00 growing up (vs. $51,000-100,000); lifetime homelessness; HCV antibody-positive status; lifetime engagement in regular nonmedical benzodiazepine use, regular heroin injection and regular PO injection; and using a non-sterile syringe in the past 12 months. Multivariable logistic regression identified childhood household income &gt;$100,00 (AOR=1.88), HCV-positive status (AOR=2.64), benzodiazepine use (AOR=2.15), PO injection (AOR=1.96) and non-sterile syringe use (AOR=1.70) as significant independent correlates of lifetime overdose. A multivariable model with multiple overdoses (vs. one) found only lifetime regular heroin use and PO injection to be strong correlates.DiscussionResults indicate a high prevalence of lifetime and repeated overdose among opioid-using young adults in NYC, highlighting a need for intensified overdose prevention efforts for this population. The strong associations of HCV and indices of polydrug use with overdose suggest that prevention efforts should address the complex risk environment in which overdose occurs, attending to the overlapping nature of disease-related risk behavior and overdose risk behavior among young people who inject opioids. Overdose prevention efforts tailored for this group may find it useful to adopt a syndemic conception of overdose that understands such events as resulting from multiple, and often interrelated, risk factors.
Prevalence and genetic characterization of clinically relevant extended-spectrum β-lactamase-producing Enterobacterales in the Gulf Cooperation Council countries
Authors: Hadi Hamad A. , Al-Hail Hissa , Aboidris Leena Elsheikh , Al-Orphaly Mahmood , Ahmed Mazen A. Sid , Samuel Bincy Gladson , Mohamed Hana Adam , Sultan Ali A. , Skariah Sini 
Published: June 2023

IntroductionAmong Gram-negative bacteria (GNB), Enterobacterales (Enterobacterales), such as Escherichia coli (E. coli) and Klebsiella pneumoniae (K. pneumoniae), are the most clinically relevant pathogens in healthcare settings. Infections secondary to these pathogens are widely common but multidrug resistance (MDR) in Enterobacterales has become a significant challenge with increased morbidity, mortality, and cost of management. The escalating global prevalence of MDR in Enterobacterales has led to limited treatment options, raising an urgent need for novel antimicrobial therapy(s) and detailed studies exploring underlying resistance mechanisms. In Enterobacterales, the prime antimicrobial resistance mechanism against β-lactam antibiotics is mainly the production of β-lactamases, particularly extended-spectrum β-lactamases (ESBLs). Although the Gulf region is witnessing major challenges from infections secondary to MDR GNB, the extent of the problem has not been fully evaluated. Therefore, this review aims to address the prevalence and genetic characterization of ESBL-producing Enterobacterales in the Gulf Cooperation Council (GCC) countries.MethodsPubMed® (National Library of Medicine, Bethesda, MD, USA) search was conducted, which looked for academic articles discussing the epidemiology of MDR Enterobacterales in the GCC countries, published in the last 5 years.Results and conclusionsIn GCC countries there is a high prevalence rate of MDR Enterobacterales, particularly ESBLs. Prevalence rates of ESBL-producing Enterobacterales among the Enterobacterales in general clinical samples in the GCC region is 21.6%–29.3%, with a slightly higher prevalence rate in intensive care unit patients (17.3–31.3%) and in patients with urinary tract infections (25.2%–31.7%). ESBL carriers have also been noted in the general community. ESBL-producing Enterobacterales from the GCC region show high levels of resistance to ampicillin, aztreonam, third-/fourth-generation cephalosporins, fluoroquinolones, and trimethoprim-sulfamethoxazole. Intermediate resistance rates are observed against nitrofurantoin, piperacillin/tazobactam, and gentamicin, with increasing resistance observed against tigecycline. The isolates demonstrate low-level resistance to carbapenems, fosfomycin, colistin, and amikacin. Enterobacterales isolates that are concomitant ESBL producers and are carbapenem resistant have been increasingly reported and demonstrate alarmingly increased antibiotic resistance patterns compared with ESBL Enterobacterales. The most prevalent genes for ESBL resistance in the Enterobacterales isolates in the GCC region are: blaCTX-M (subtype group 1) followed by/co-dominated by blaTEM and blaSHV, whereas the most common carbapenem-resistant genes are blaOXA-48 and blaNDM-1.
Problem solving and collaborative involvement among adolescents with spinal cord injury and their caregivers
Authors: Clark Olivia E. , Rivelli Anne L. , Mroczkowski Alison L. , Espino Susan Ryerson , Kelly Erin Hayes , Vogel Lawrence C. , Zebracki Kathy 
Published: June 2023

ObjectiveTo determine the relationship between constructive adolescent problem solving (positive problem-solving orientation and rational problem-solving style) and caregiver problem solving and collaborative involvement with primary caregiver among adolescents with spinal cord injuries (SCIs). Positive constructive adolescent problem solving was hypothesized to be predicted by more effective caregiver problem solving and higher collaborative involvement.MethodsParticipants in this cross-sectional study were 79 adolescent and primary caregiver dyads recruited from a pediatric rehabilitation care system in North America. All participants completed a standardized problem-solving instrument and adolescent participants completed an adapted measure of collaborative parent involvement.ResultsMore effective caregiver problem solving and adolescent perceptions of more collaboration with caregivers around SCI care were significantly associated with higher positive problem-solving orientation and higher rational problem-solving style among adolescents.ConclusionsResults underscore the importance of caregiver problem-solving skills and their collaboration with adolescents with SCI when addressing care needs. Clinically, findings highlight opportunities for parent involvement and skill-building as an important factor of rehabilitation for adolescents with SCI.
Increasing access to specialist care with group medical visits: summary of a pilot in a post-crisis psychiatric clinic
Authors: Palay Josh , Bolton James M. , Sareen Jitender , Hensel Jennifer M. 
Published: June 2023

BackgroundGroup medical visits (GMVs) have strong evidence of acceptability and effectiveness in the management of chronic medical diseases. Adaptation of GMVs for psychiatric care has potential to increase access, decrease stigma and save costs. Despite promise, this model has not been widely adopted.MethodsA novel GMV pilot was implemented for psychiatric care post-crisis among patients with primary mood or anxiety disorders who required medication management. Participants filled out PHQ-9 and GAD-7 scales at each visit in order to track their progress. After discharge, charts were reviewed for demographics, medication changes and symptom changes. Patient characteristics were compared between those who attended and those who didn't. Changes in total PHQ-9 and GAD-7 scores among attendees were assessed with paired t-tests.ResultsForty-eight patients were enrolled between October 2017 and the end of December 2018, 41 of whom consented to participate. Of those, 10 did not attend, 8 attended but did not complete, and 23 completed. Baseline PHQ-9 and GAD-7 scores did not differ significantly between groups. Significant and meaningful reductions in PHQ-9 and GAD-7 scores from baseline to last visit attended occurred among those who attended at least 1 visit (decrease of 5.13 and 5.26 points, respectively).ConclusionsThis GMV pilot demonstrated feasibility of the model as well as positive outcomes for patients recruited in a post-crisis setting. This model has the potential to increase access to psychiatric care in the face of limited resources, however the failure of the pilot to sustain highlights challenges to be addressed in future pivots.
Case report: Traumatic lumbosacral spondyloptosis with locked L5 inferior articular process
Authors: Tang Tao , Liu Yuchi , Cao Jian , Wu Tianlong , He Dingwen , Cheng Xigao , Xie Shuihua 
Published: June 2023

BackgroundTraumatic lumbosacral spondyloptosis is a very rare spinal disease caused by high-energy trauma. We report a case of traumatic lumbosacral spondyloptosis with locked L5 inferior articular process.Case presentationA 33-year-old man presented with multisite pain for 6 h following waist trauma and was admitted to the hospital. He suffered multiple injuries from severe impact on the waist after driving an out of control forklift truck. Preoperative imaging examinations revealed that the patient was diagnosed with traumatic lumbosacral spondyloptosis and the L5 inferior articular process was locked into the anterior margin of the S1 vertebra. A posterior instrumentation, decompression of the cauda equina, and interbody fusion procedure was performed. The patient received hyperbaric oxygen and rehabilitation treatment 10 days after the surgery. At the 6-month postoperative follow-up, the muscle strength of the lower limbs was improved, the patient had no numbness of both lower limbs, and the urinary retention symptom was significantly improved. The American Spinal Injury Association grade improved from grade C preoperatively to grade D postoperatively. As far as we know, there have been no relevant reports on traumatic lumbosacral spondyloptosis with locked L5 inferior articular process yet.ConclusionWe believe that the hyperflexion and shear forces were the potential causes of this injury. In addition, the preoperative imaging examinations should be evaluated carefully. If the inferior articular process of L5 were locked, we suggest removing the bilateral inferior articular processes first and then perform reduction.
Association Between Family Atmosphere and Internet Addiction Among Adolescents: The Mediating Role of Self-Esteem and Negative Emotions
Authors: Shi Yijian , Tang Zijun , Gan Zhilin , Hu Manji , Liu Yang 
Published: June 2023

Objectives: Family atmosphere is a significant predictor of internet addiction in adolescents. Based on the vulnerability model of emotion and the compensatory internet use theory, this study examined whether self-esteem and negative emotions (anxiety, depression) mediated the relationship between family atmosphere and internet addiction in parallel and sequence.Methods: A total of 3,065 Chinese middle school and high school students (1,524 females, mean age = 13.63 years, SD = 4.24) participated. They provided self-reported data on demographic variables, family atmosphere, self-esteem, anxiety, depression, and internet addiction through the Scale of Systemic Family Dynamic, Self-Esteem Scale, Self-Rating Anxiety Scale, Self-Rating Depression Scale, and Internet Addiction Test, respectively. We employed Hayes PROCESS macro for the SPSS program to scrutinize the suggested mediation model.Results: It revealed that self-esteem, anxiety, and depression mediated the relationship between family atmosphere and internet addiction in parallel and sequence. The pathway of family atmosphere-self-esteem-internet addiction played a more important role than others.Conclusion: The present study confirmed the mediating role of self-esteem and negative emotions between family atmosphere and internet addiction, providing intervention studies with important targeting factors.
Informing Visual Display Design of Electronic Health Records: A Human Factors Cross-Industry Perspective
Authors: Pruitt Zoe M. , Howe Jessica L. , Bocknek Lucy S. , Milicia Arianna P. , Spaar Patricia A. , Krevat Seth , Ratwani Raj M. 
Published: June 2023

Background Despite their prevalence, poorly designed electronic health records (EHRs) are common, and research shows poor design consequences include clinician burnout, diagnostic error, and even patient harm. One of the major difficulties of EHR design is the visual display of information, which aims to present information in an easily digestible form for the user. High-risk industries like aviation, automotive, and nuclear have guidelines for visual displays based on human factors principles for optimized design. Purpose In this study, we reviewed the visual display guidelines from three high-risk industries—automotive, aviation, nuclear—for their applicability to EHR design and safety. Methods Human factors experts extracted guidelines related to visual displays from automotive, aviation, and nuclear human factors guideline documents. Human factors experts and a clinical expert excluded guidelines irrelevant to EHR. Human factors experts used a modified reflexive thematic analysis to group guidelines into meaningful topics. Disagreements were discussed until a consensus was reached. Results A total of 449 guidelines were extracted from the industry documents, and 283 (63.0%) were deemed relevant to EHRs. By industry, 12 of 44 (27.3%) automotive industry guidelines were relevant, 43 of 115 (37.4%) aviation industry guidelines were relevant, and 228 of 290 (78.6%) nuclear industry guidelines were relevant. Guidelines were grouped into six categories: alphanumeric; color, brightness, contrast, and luminance; comprehension; design characteristics; symbols, pictograms, and icons; and tables, figures, charts, and lists. Conclusion Our analysis identified visual display guidelines organized around six topics from the automotive, aviation, and nuclear industries to inform EHR design. Multiple stakeholders, including EHR vendors, healthcare facilities, and policymakers, can apply these guidelines to design new EHRs and optimize EHRs already in use.
Continuous Monitoring of Vital Signs After Hospital Discharge: A Feasibility Study
Authors: Songthawornpong Nicharatch , Vijayakumar Thivya , Vang Jensen Marie Said , Elvekjaer Mikkel , Sørensen Helge B. D. , Aasvang Eske K. , Meyhoff Christian S. , Eriksen Vibeke R. 
Published: June 2023

Introduction Increasing demand for inpatient beds limits capacity and poses a challenge to the healthcare system. Early discharge may be one solution to solve this problem, and continuous vital sign monitoring at home could safely facilitate this goal. We aimed to document feasibility of continuous home monitoring in patients after hospital discharge. Methods Patients were eligible for inclusion if they were admitted with acute medical disease and scheduled for discharge. They wore three wireless vital sign sensors for four days at home: a chest patch measuring heart rate and respiratory rate, a pulse oximeter, and a blood pressure (BP) monitor. Patients with ≥6 hours monitoring time after discharge were included in the analysis. Primary outcome was percentage of maximum monitoring time of heart rate and respiratory rate. Results Monitoring was initiated in 80 patients, and 69 patients (86%) had ≥6 hours monitoring time after discharge. The chest patch, pulse oximeter, and BP monitor collected data for 88%, 60%, and 32% of the monitored time, respectively. Oxygen desaturation <88% was observed in 92% of the patients and lasted for 6.3% (interquartile range [IQR] 0.9%–22.0%) of total monitoring time. Desaturation below 85% was observed in 83% of the patients and lasted 4.2% [IQR 0.4%–9.4%] of total monitoring time. 61% had tachypnea (>24/minute); tachycardia (>130/minute) lasting ≥30 minutes was observed in 28% of the patients. Conclusions Continuous monitoring of vital signs was feasible at home with a high degree of valid monitoring time. Oxygen desaturation was commonly observed.
PENGARUH UNGGAHAN FOTO WISATA ALAM CURUG MALELA PADA MEDIA SOSIAL INSTAGRAM TERHADAP MINAT BERKUNJUNG GENERASI Z
Authors: Herni Suherni 
Published: June 2023

ABSTRACT

This study aims to determine whether uploading photos of the Malela waterfall natural tourism on Instagram social media has a significant effect on the interest in visiting Generation Z in Cipongkor District. The independent variable used in this study was the upload of natural tourism photos of Curug Malela (X) and the dependent variable in this study was Visiting Interest (Y). This research is a quantitative research with causal associative research approach, namely research that aims to determine the influence between two or more variables, where there are variables that influence and are influenced. The population in this study is Generation Z in Cipongkor District with an age range of 15-24 years, totaling 20,714 people and the sample used is 99 respondents with the sampling technique using simple random sampling. The analysis used is simple linear regression analysis. Based on the results of the t test in this study, the sig t value. 0.000 <0.05, which means that the Photo Upload variable has a significant effect on the Visiting Interest variable.

Keywords: Social media; Generation Z; Tourist attraction; Interested Visit
Komunikasi Intrapersonal Remaja Putri Berjerawat Dalam Meningkatkan Kepercayaan Dirinya
Authors: Ayu Dwi Ida 
Published: June 2023

Penampilan fisik merupakan faktor yang dapat mempengaruhi kepercayaan diri remaja putri, tak jarang ditemukan remaja yang merasa tidak percaya diri dengan penampilannya karena kondisi kulit wajahnya yang berjerawat, dimana keberadaan jerawat tidak dapat dipandang sebelah mata karena sama seperti masalah kekurangan fisik lainnya, masalah wajah berjerawat pun tak lepas dari pandangan negatif, mereka yang mengalami wajah berjerawat akan berdampak pada kesehatan mental seperti mempengaruhi pikiran, pandangan, emosi, perasaan sehingga menjadikan individu tersebut cenderung menutup dirinya, dan menghindari interaksi dengan orang lain sehingga dapat menyebabkan depresi, bahkan 20% dari total 2.299 responden dari penelitian yang dilakukan BSF menyatakan penderita jerawat pernah berencana untuk melakukan bunuh diri, oleh sebab itu masalah ini seharusnya mendapat perhatian dan kepedulian dari masyarakat. Penelitian ini bertujuan untuk menjelaskan komunikasi intrapersonal remaja putri berjerawat dalam meningkatkan kepercayaan dirinya. Penelitian ini menggunakan metode penelitian kualitatif dengan pendekatan fenomenologi. Kemudian penelitian ini menggunakan wawancara sebagai teknik pengumpulan data, lalu penulis mendapatkan hasil penelitian dimana komunikasi intrapersonal yang terjadi pada keempat informan dalam meningkatkan kepercayaan dirinya melalui empat tahap dan menghasilkan komunikasi intrapersonal seperti sedih, stres, dendam, penerimaan diri dan yang lainnya. Kemudian pandangan dan sikap dipengaruhi oleh interaksi simbolik I dan Me sehingga remaja putri melakukan lima aspek untuk meningkatkan kepercayaan dirinya yaitu aspek keyakinan dan kemampuan diri, optimis, objektif, bertanggung jawab, dan rasional.
Penyelenggaraan Event Dolanan Yok! Edisi Virtual Di Semasa Pandemi Covid-19
Authors: Shafira Dinda 
Published: June 2023

Pondok Pesantren Bayt Al-Hikmah menyelenggarakan event Dolanan Yok! Virtual Edition. Event dengan konsep baru setelah diselenggarakan selama empat tahun berturut-turut sejak 2017. Perubahan terjadi karena sesuai dengan kondisi pandemi Covid-19 di Indonesia. Dolanan Yok! Virtual Edition bertujuan untuk memberikan apresiasi atas karya siswa selama pandemi dengan tema berkarya dan berprestasi di era pandemi. Penelitian ini membahas penyelenggaraan event Dolanan Yok! edisi virtual di semasa pandemi Covid-19. Penyelenggaraan virtual event yang dibahas dalam penelitian ini berdasarkan teori memiliki tiga bagian di antaranya peran dunia virtual dalam virtual event, penerimaan dan adopsi virtual event, serta hambatan yang dialami selama virtual event berlangsung. Metode yang digunakan pada penelitian ini adalah metode kualitatif deskriptif. Peneliti menggunakan teknik wawancara terarah, observasi, studi dokumen dan internet searching. Informan dalam penelitian terdiri dari delapan orang. Tujuan penelitian untuk mengetahui penyelenggaraan event Dolanan Yok! edisi virtual di semasa pandemi Covid-19. Hasil dari penelitian menunjukan bahwa rangkaian event ini memanfaatkan dunia virtual dalam penyelenggaraannya. Peran Website selama Dolanan Yok! Virtual Edition adalah sebagai papan informasi, gerbang pendaftaran dan administrasi data untuk perlombaan. Website memiliki berbagai fitur yang dapat memudahkan penyelenggaraan virtual event mulai dari registrasi hingga penilaian. Virtual event ini juga menggunakan berbagai media digital dan media sosial sebagai pendukung baik sebagai media komunikasi maupun media promosi. Dolanan Yok! Virtual Edition berhasil dilaksanakan dikarenakan berhasil mencapai tujuan dan sasaran organisasi. Selain itu, selama virtual event berlangsung, panitia mampu memberikan kemudahan solusi kepada peserta meskipun terdapat beberapa hambatan yang terjadi selama penyelenggaraannya.
Kata kunci: Adopsi, Hambatan, Peran, Virtual Event
PENGARUH KOMUNIKASI INSTRUKSIONAL DALAM PEMBELAJARAN DARING TERHADAP PERILAKU BELAJAR (STUDI PADA MATA KULIAH PROGRAM RADIO TELKOM UNIVERSITY)
Authors: Damayanti Elycia Monica 
Published: June 2023

Dalam menghadapi pandemi Covid-19 di Indonesia, Mahasiswa ilmu komunikasi angkatan 2018 telkom university yang sedang mengambil mata kuliah produksi program radio melakukan komunikasi pembelajaran secara daring dengan menggunakan media zoom. Dalam kegiatan pembelajaran nya, terdapat proses komunikasi untuk menyampaikan pesan edukatif dari pendidik kepada mahasiswa yang bertujuan agar pesan yang disampaikan oleh pendidik dapat diterima dengan baik sehingga mempengaruhi pengetahuan dan perubahan perilaku mahasiswa, Maka dari itu kesuksesan kegiatan pembelajaran sangat bergantung pada efektifnya proses komunikasi yang terjadi. Oleh karena itu tujuan penelitian ini adalah untuk mengetahui tingkat komunikasi instruksional yang dilakukan pendidik dalam pembelajaran daring melalui zoom dan seberapa besar pengaruh dari komunikasi instruksional dalam pembelajaran daring terhadap perilaku belajar mahasiswa. Dalam penelitian ini mengambil populasinya adalah mahasiswa ilmu komunikasi telkom university yang sedang mengambil mata kuliah produksi program radio. Sampel yang diambil yaitu sebanyak 61 orang dengan menggunakan teknik Proportionate Stratified Random Sampling. Jenis penelitian ini adalah penelitian kuantitatif deskriptif yaitu suatu penelitian yang menentukan beberapa hipotesis yang akan diuji. Penelitian ini menyimpulkan bahwa adanya pengaruh dari efektifnya komunikasi instruksional dalam pembelajaran daring melalui zoom sebesar 52,56% terhadap meningkatnya perilaku belajar mahasiswa yang didukung oleh faktor-faktor seperti Kejelasan pesan, Lengkap dan sistematis dan Keakuratan pesan.

Kata Kunci : Komunikasi Instruksional, Efektifitas Komunikasi, Pembelajaran Daring, Zoom, Perilaku Belajar.