bluuebunny/crossref_metadata_2025_split huggingface dataset:
SG-APSIC1126: Controlling SARS-CoV-2 infection in inpatients through a grouping system at Ho Chi Minh Children’s Hospital 1 in Vietnam
Authors: Minh Chau Nguyen Ngoc , Thuy Le Thi Thanh , Nguye Thanh Hung , Ngo Ngoc Quang Minh , Do Van Niem , Nguyen Thi Thanh Huong 
Published: March 2023

Objectives: At the onset of COVID-19, whenever SARS-CoV-2 was detected at Children’s Hospital 1 (CH1), the related department or building was closed for extensive tracing, testing, and medical isolation. This process disrupted hospital activities, reduced the efficiency of patient care, and used medical resources. To address this problem, CH1 implemented a system of grouping inpatients to color-coded areas from June to December 2021. Methods: In this retrospective study, we describe the system of grouping inpatients to color-coded areas based on SARS-CoV-2 test result at a 1,600-bed, national pediatric hospital in Ho Chi Minh City. Results: Inpatients were first separated into those with or without respiratory symptoms, and secondly to different color-coded areas based on SARS-CoV-2 test result and hospitalization length: red zone (days 1–3), orange zone (days 3–7), and green zone (day 7 onward). Prior to admission, all patients were tested with a SARS-CoV-2 rapid diagnostic test. If negative, the patient was admitted to the red zone. On days 3 and 7 of hospitalization, the patient was tested using a pooled RT-PCR method. Patients negative on day 3 were relocated to the orange zone; patients negative on day 7 were relocated to the green zone. A patient with a positive test result at any time point was transferred to a COVID-19 zone. One caregiver was allowed to stay with 1 patient with similar testing regimen. A mobile transportation team was set up to deliver food and other necessities; thus, movement was restricted and interaction was prevented among zones. After this system was implemented, COVID-19 cases were detected early, with most positive cases in the red zone (19.6%) and the orange zone (2.8%), with only 1 case in the green zone (0.7%). Conclusions: The system of grouping patients to color-coded areas helped prevent SARS-CoV-2 transmission within the hospital, allowing undisrupted operation.
SG-APSIC1098: Impact of the COVID-19 pandemic on influenza vaccination uptake among healthcare workers
Authors: Gwee Min Yi , Wah Lim John , Venkatachalam Indumathi , Ying Jean Sim Xiang , Aung May Kyawt , Yong Yang , Philip Conceicao Edwin , Arora Shalvi , Oo Aung Myat , Jin Shawn See Wee 
Published: March 2023

Objectives: Influenza vaccination is encouraged for all healthcare workers (HCWs) to reduce the risk of acquiring the infection and onward transmission to colleagues and patients during the influenza season. Thus, vaccination was introduced at Singapore General Hospital (SGH) in 2007 and has been offered to all HCWs at no cost. The HCW influenza vaccination program is conducted annually in October and biannually during years with vaccine mismatch. However, influenza vaccine uptake remained low among HCWs. We sought to determine the impact of the coronavirus disease 2019 (COVID-19) pandemic on influenza vaccine uptake among HCWs. Methods: At SGH, 2 methods of vaccine delivery are offered: centralized (1-month drop-in system during office hours) and decentralized (administered by vaccination teams in offices or ward staff in inpatient locations). In the 4-year study period between 2018 and 2021, 6 influenza vaccination exercise campaigns were conducted during 8 influenza seasons. During each exercise, ~9,000 HCWs were eligible for vaccination. Results: Prior to the COVID-19 pandemic, vaccine uptake in the Southern Hemisphere was 77.6% (6,964 of 8,977) in 2018 and 84.2% (7,296 of 8,670) in 2019. During the COVID-19 pandemic in 2020, vaccine uptake in the Southern Hemisphere increased by 10% to 94.1% (8,361 of 8,889). In the Northern Hemisphere, vaccine uptake was 79.2% (7,114 of 8,977) in 2018, and this increased by 17.9% to 97.1% (8,926 of 9,194) during the COVID-19 pandemic in 2020. During the 2021 Southern Hemisphere influenza season, no vaccination program was conducted because the risk of influenza was considered low due to the closure of international borders and the implementation of public health measures. In addition, priority was given to COVID-19 vaccination efforts. Conclusions: Increased uptake of the influenza vaccination was observed during the COVID-19 pandemic. Anxiety created by the respiratory disease pandemic and debate surrounding vaccines likely contributed to increased awareness and uptake in influenza vaccine among HCWs.
SG-APSIC1064: The role of infection control activities on healthcare-associated infections during 2017-2021 at intensive care units in Cho Ray Hospital
Authors: Phan Dung Tien , Dung Phan Tien , Ven Le Thi , Ly Nguyen Anh , My Tran Thi , Dung Truong Anh , Thuy Vu Thi 
Published: March 2023

Objectives: Healthcare-associated infections (HAIs) are one of the greatest challenges and concerns in Vietnam and around the world. Many studies have shown that HAIs may result in an increase in hospital length of stay, antibiotic use, multidrug-resistant organism (MDROs) infections, treatment costs, and mortality. Therefore, in the past 5 years, the Department of Infection Control of Cho Ray Hospital has carried out many infection and prevention control (IPC) activities to reduce the rates of HAI and MDRO infection. We evaluated IPC activities and results achieved in these efforts at Cho Ray Hospital during 2017–2021. Methods: We described the implemented IPC activities and retrospectively collected data from HAIs surveillance reports during 2017–2021 for 3 intensive care units (ICUs): ICU-B, ICU-D, and the NICU. Results: In the past 5 years, we implemented synchronous IPC activities, including promoting hand hygiene training and surveillance, environmental cleaning surveillance, carrying out improvement projects such as a ventilator-associated pneumonia (VAP) prevention bundle, an MDRO prevention bundle, and an environmental cleaning quality improvement project. Many positive results were achieved, although a slight increase in the HAI incidence occurred in 2021 due to the COVID-19 pandemic. Overall, the hand hygiene compliance rate increased from 49.7% to 83.8%. The rate of HAIs per 1,000 patient days decreased steadily from 5.4 to 2.4. The VAP rate fell from 30.5 to 17.2 per 1,000 patient days, and the central-line–associated bloodstream infection (CLABSI) rate decreased gradually from 5.4 to 2.4 per 1,000 patient days. The catheter-associated urinary tract infection (CAUTI) rate decreased from 2.9 to 0.9 per 1,000 patient days, and the MDRO infection rate decreased significantly from 32.7 to 11.3 per 1,000 patient days. Conclusions: The synchronous implementation of HAI prevention bundles promoting hand hygiene and environmental cleaning achieved significant effects in the efforts to decrease HAIs and MDROs in the ICUs of Cho Ray Hospital.
SG-APSIC1063: Building and application of e-learning software for infection control, Cho Ray Hospital
Authors: Duy Nguyen Xuan Nhat , Duy Nguyen Xuan Nhat , Thuy Phan Thi Hong 
Published: March 2023

Objectives: In the context of the COVID-19 pandemic over the past 2 years, training regarding infection and prevention control (IPC) has become essential in responding promptly to the pandemic. Many healthcare workers from Cho Ray Hospital and provincial hospitals need IPC training; however, human resources and facilities for continuous education and training are lacking. Therefore, IPC e-learning has become necessary for medical staff, and we designed IPC e-learning courses to meet healthcare workers’ needs for efficient, time and cost-saving training to ensure safety during the COVID-19 pandemic. Methods: All medical staff of Cho Ray Hospital were invited to participate in the infection control e-learning study. The software was developed based on the existing lectures from practical infection control protocols. Healthcare workers were asked to study the software and take a test on the their training. Results: We built the e-learning course of IPC for 5,000 participants as well as management software to manage lessons, member data, and test results. After implementation for 2 months in the hospital, 207 participants had taken the exam 2,234 times. Overall, 70.5% of participants were nurses and 14.9% were doctors. Moreover, 66.4% of participants passed the test the first time they took it, and 33.6% took the test a second time. After the second test, the percentage of members who passed the exam was 100%. Conclusions: Building and applying e-learning software for IPC training has brought about efficiency and quality of training, has reduced the use of human resources for training, and has decreased costs. The software application is being expanded to all hospitals in Vietnam.
SG-APSIC1081: Healthcare cost of antibiotic resistant infections: A hospital-based study in Vietnam
Authors: LanPham Thi , Pham Lan 
Published: March 2023

Objectives: Antimicrobial resistance is a serious threat to health and economic well-being worldwide. The impact of antibiotic-resistant infections is reflected by higher mortality, increased lengths of hospital stay (LOS), and increased healthcare costs. We analyzed the direct healthcare costs attributable to treating patients infected with methicillin-resistant Staphylococcus aureus (MRSA) and carbapenem-resistant Enterobacterales (CRE) in a tertiary-care referral hospital in Vietnam. Methods: A retrospective descriptive cross-sectional study was conducted in an intensive care unit (ICU) in the University Medical Center in Ho Chi Minh City from June 2018 to September 2019. Participants were ICU patients diagnosed with either MRSA or CRE infection, and patients infected with non–multidrug-resistant organisms (non-MDROs) were used as the comparison group. Medical records were obtained to collect data on medical services expenditures such as medications, diagnostic testing, medical procedures, and hospital rooms. Statistical significance was determined using the Mann-Whitney and Kruskal-Wallis tests for comparing the average costs and the χ2 test for comparing the proportions. Results: In total, 227 patients, including 37 MRSA-infected patients, 97 CRE-infected patients, and 93 non–MDRO-infected patients, were included in the study. The additional average healthcare costs for a treatment episode of a CRE infection case (367.7 million VND or ~US $16,000) and of a MRSA infection case (139.1 million VND or ~US $6,043) were 3.8 times higher (P < .001) and 1.5 times higher (P < .001), respectively, than the average cost for a non-MDRO case (94.8 million VND or ~US $4,121). Resource use for a CRE infection was higher than that for MRSA infection, with longer antibiotic treatment (13.4 additional days), greater LOS (15.8 additional days), and higher costs (additional 228.6 million VND or ~US $9,939). Conclusions: Multidrug-resistant infections create a heavy economic burden in a low- to middle-income country like Vietnam. The elevated cost was mainly due to longer antibiotic treatment and increased LOS.
Drive-Through Mass Vaccination Center Operations in a Rural, Medically Underserved Area Using Military Civilian Partnership During the COVID-19 Pandemic
Authors: Rowh Marta , Rowh Adam , Lambert Steven , Nickerson Holly , Webb Christopher 
Published: March 2023

Abstract
During the coronavirus disease (COVID-19) pandemic, mass vaccination centers became an essential element of the public health response. This drive-through mass vaccination operation was conducted in a rural, medically underserved area of the United States, employing a civilian–military partnership. Operations were conducted without traditional electronic medical record systems or Internet at the point of vaccination. Nevertheless, the mass vaccination center (MVC) achieved throughput of 500 vaccinations per hour (7200 vaccinations in 2 days), which is comparable with the performance of other models in more ideal conditions. Here, the study describes the minimum necessary resources and operational practicalities in detail required to implement a successful mass vaccination event. This has significant implications for the generalizability of our model to other rural, underserved, and international settings.
Nosocomial influenza in a pediatric general ward: Effects of isolation and cohort placement of children with influenza
Authors: Suh Woosuck , Han Seung Beom 
Published: March 2023

AbstractObjective:Many studies have described nosocomial outbreaks of influenza in specialized wards. We evaluated nosocomial transmission of influenza in a pediatric general ward.Design:Retrospective observational study.Setting:Single secondary hospital.Patients:The study included 814 hospitalized children with influenza between September 2015 and August 2020.Methods:The medical records of the included children were retrospectively reviewed, and clinical characteristics of children with community-acquired (CA) influenza and hospital-acquired (HA) influenza were determined. The room of each included child during hospitalization was traced to identify the children exposed to them.Results:CA influenza and HA influenza were diagnosed in 789 (96.9%) and 25 (3.1%) children, respectively. Among children with CA influenza, 691 (87.6%) were isolated or place in a cohort on admission. In total, 98 children (12.4%) admitted to multibed rooms exposed 307 children with noninfluenza diseases to influenza during 772 patient days; 3 exposed children (1.0%) were diagnosed with HA influenza. Including these 3 children, 25 children (19 without definite in-hospital exposure to influenza and 3 exposed to other children with HA influenza) were diagnosed with HA influenza, and 11 (44.0%) exposed 31 children with noninfluenza diseases to influenza for 85 patient days. Also, 3 exposed children (9.7%) were diagnosed with HA influenza, a significantly higher rate than that for CA influenza (P = .005). The clinical characteristics were comparable between children with HA influenza and those with CA influenza.Conclusions:Cohort placement of children with influenza in a pediatric general ward can be effective in controlling nosocomial transmission of influenza. However, control measures for children with HA influenza should be emphasized.
What to expect when you're electing: citizen forecasts in the 2020 election
Authors: Huber Gregory A. , Tucker Patrick D. 
Published: March 2023

AbstractPolitical divisions in the lead-up to the 2020 US presidential election were large, leading many to worry that heighted partisan conflict was so stark that partisans were living in different worlds, divided even in their understanding of basic facts. Moreover, the nationalization of American politics is thought to weaken attention to state political concerns. 2020 therefore provides an excellent, if difficult, test case for the claim that individuals understand their state political environment in a meaningful way. Were individuals able to look beyond national rhetoric and the national environment to understand state-level electoral dynamics? We present new data showing that, in the aggregate, despite partisan differences in electoral expectations, Americans are aware of their state's likely political outcome, including whether it will be close. At the same time, because forecasting the overall election outcome is more difficult, Electoral College forecasts are much noisier and display persistent partisan difference in expectations that do not differ much with state of residence.
Design and validation of a novel adaptive motion control for a pendulum spherical robot
Authors: Huo Jianwen , Lin Rui , Yang Maotao 
Published: March 2023

AbstractSpherical robots (SRs) have the characteristics of nonholonomic constraints, underactuation, nonchain, and strong coupling, which increase the difficulty of modeling and motion control compared with traditional robots. In this study, we develop an adaptive motion control scheme for a nonholonomic SR, in which an omnidirectional dynamic model is carried out by using the Euler–Lagrange method to describe the omnidirectional motion of the SR more accurately. Furthermore, to facilitate the design of the motion controller, the dynamic model is simplified to obtain the state space expression of the SR. Aiming at the problem of poor control effect caused by the change of system model parameters which are influenced by dynamic model reduction, an adaptive motion control law of SR is designed based on MRAC. And the coefficient adjustment of the controller is obtained by the Lyapunov method, with the guaranteed stability of the closed-loop system. Finally, the controller designed in this thesis is compared with four controllers including linear quadratic regulator, Fuzzy PID, PSO-ADRC, and hierarchical SMC. The experimental comparison proves that the control scheme proposed in this study still has good control ability when the motion parameters are disturbed.
First-in-paediatric uses of a mechanical aspiration system for percutaneous removal of right atrial masses
Authors: Daniels Zachary , Armstrong Aimee K. , Salavitabar Arash 
Published: March 2023

AbstractWe present the first-in-paediatric uses of a mechanical aspiration system for percutaneous removal of right atrial masses in three patients, including central line-related thrombus and metastatic tumour. Percutaneous mechanical removal of right atrial masses can be performed safely and effectively.
Neurological soft signs and schizophrenia
Authors: Tsapakis Eva-Maria , Mitkani Calypso A. , Fountoulakis Konstantinos N. 
Published: March 2023

AbstractNeurological soft signs (NSS) are likely to represent abnormal neurodevelopment and aberration in neural maturation and connectivity. They may not be unique to schizophrenia, but they appear to be a trait characteristic in psychosis and therefore could serve as an objective measure for the assessment of serious psychiatric disorder in the prodromal phase, at onset, and along the course of the disease. Evidence so far proposes that NSS are independent of antipsychotic treatment and therefore constitute a trait symptom, independent of the illness stage and medication. Somatomotor and somatosensory regions, spatial orientation, and visual processing areas, cerebellum, and basal ganglia are implicated as possible structural substrates of NSS. Several studies have examined the relationship between NSS and schizophrenia positive, negative symptoms and deficit syndrome; however, results have been so far ambiguous. Neurocognitive symptoms have been moderately related to NSS suggesting that neurocognitive deficits may contribute to the construct of NSS. Regardless of the fact that NSS are not unique to schizophrenia but extend across to the schizotypy continuum, they may help identify individuals at risk of developing schizophrenia later in life.
Highly transparent silanized cellulose aerogels for boosting energy efficiency of glazing in buildings
Authors: Abraham Eldho , Cherpak Vladyslav , Senyuk Bohdan , ten Hove Jan Bart , Lee Taewoo , Liu Qingkun , Smalyukh Ivan I. 
Published: March 2023

AbstractTo maintain comfortable indoor conditions, buildings consume ~40% of the energy generated globally. In terms of passively isolating building interiors from cold or hot outdoors, windows and skylights are the least-efficient parts of the building envelope because achieving simultaneously high transparency and thermal insulation of glazing remains a challenge. Here we describe highly transparent aerogels fabricated from cellulose, an Earth-abundant biopolymer, by utilizing approaches such as colloidal self assembly and procedures compatible with roll-to-roll processing. The aerogels have visible-range light transmission of 97–99% (better than glass), haze of ~1% and thermal conductivity lower than that of still air. These lightweight materials can be used as panes inside multi-pane insulating glass units and to retrofit existing windows. We demonstrate how aerogels boost energy efficiency and may enable advanced technical solutions for insulating glass units, skylights, daylighting and facade glazing, potentially increasing the role of glazing in building envelopes.
Designing spin and orbital sources of Berry curvature at oxide interfaces
Authors: Lesne Edouard , Saǧlam Yildiz G. , Battilomo Raffaele , Mercaldo Maria Teresa , van Thiel Thierry C. , Filippozzi Ulderico , Noce Canio , Cuoco Mario , Steele Gary A. , Ortix Carmine , Caviglia Andrea D. 
Published: March 2023

AbstractQuantum materials can display physical phenomena rooted in the geometry of electronic wavefunctions. The corresponding geometric tensor is characterized by an emergent field known as the Berry curvature (BC). Large BCs typically arise when electronic states with different spin, orbital or sublattice quantum numbers hybridize at finite crystal momentum. In all the materials known to date, the BC is triggered by the hybridization of a single type of quantum number. Here we report the discovery of the first material system having both spin- and orbital-sourced BC: LaAlO3/SrTiO3 interfaces grown along the [111] direction. We independently detect these two sources and probe the BC associated to the spin quantum number through the measurements of an anomalous planar Hall effect. The observation of a nonlinear Hall effect with time-reversal symmetry signals large orbital-mediated BC dipoles. The coexistence of different forms of BC enables the combination of spintronic and optoelectronic functionalities in a single material.
Probing many-body dynamics in a two-dimensional dipolar spin ensemble
Authors: Davis E. J. , Ye B. , Machado F. , Meynell S. A. , Wu W. , Mittiga T. , Schenken W. , Joos M. , Kobrin B. , Lyu Y. , Wang Z. , Bluvstein D. , Choi S. , Zu C. , Jayich A. C. Bleszynski , Yao N. Y. 
Published: March 2023

AbstractThe most direct approach for characterizing the quantum dynamics of a strongly interacting system is to measure the time evolution of its full many-body state. Despite the conceptual simplicity of this approach, it quickly becomes intractable as the system size grows. An alternate approach is to think of the many-body dynamics as generating noise, which can be measured by the decoherence of a probe qubit. Here we investigate what the decoherence dynamics of such a probe tells us about the many-body system. In particular, we utilize optically addressable probe spins to experimentally characterize both static and dynamical properties of strongly interacting magnetic dipoles. Our experimental platform consists of two types of spin defects in nitrogen delta-doped diamond: nitrogen-vacancy colour centres, which we use as probe spins, and a many-body ensemble of substitutional nitrogen impurities. We demonstrate that the many-body system’s dimensionality, dynamics and disorder are naturally encoded in the probe spins’ decoherence profile. Furthermore, we obtain direct control over the spectral properties of the many-body system, with potential applications in quantum sensing and simulation.