bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient safety culture in neonatal intensive care units: A qualitative content analysis
Authors: Babaie Mohadese , Nourian Manijeh , Atashzadeh-Shoorideh Foroozan , Manoochehri Houman , Nasiri Malihe 
Published: January 2023

BackgroundSafety culture, as an important and influential component of neonatal safety, can lay the ground for the provision of professional and quality care by creating a positive insight among workers. The present study aimed to explain the concept of safety culture and its dimensions from the perspective of the nurses and the physicians working in neonatal intensive care units (NICUs).MethodsThis qualitative directed content analysis study was carried out with 24 NICU physicians and nurses working in Tehran, Iran. These multicenter participants were selected through purposive sampling with maximum diversity in terms of demographic characteristics. The data was collected through in-depth semi-structured interviews and was analyzed using the deductive approach. The COREQ checklist was used for the comprehensive report of this study.ResultsThe concept of patient safety culture in NICUs included achieving professional development, constructive interactions, organizational supportive climate, management's commitment to neonatal safety, planning and implementation of neonatal developmental care, which are extracted from 5 main categories, 10 generic categories and 21 sub-categories.ConclusionThe dimensions of safety culture include procedures that, if promoted, could improve neonatal safety, reducing harm to neonates' health while expending less financial and human resources. Gaining knowledge of the status of these dimensions in wards and hospitals can give a purposeful direction to promote neonate health and policymaking.
Association between prothrombin time-international normalized ratio and prognosis of post-cardiac arrest patients: A retrospective cohort study
Authors: Tang Yiyang , Sun Jing , Yu Zaixin , Liang Benhui , Peng Baohua , Ma Jing , Zeng Xiaofang , Feng Yilu , Chen Qin , Zha Lihuang 
Published: January 2023

BackgroundCardiac arrest (CA) can activate blood coagulation. This study aimed to explore the potential prognostic value of prothrombin time–international normalized ratio (INR) in post-CA patients.MethodsThe clinical data of eligible subjects diagnosed with CA was extracted from the MIMIC-IV database as the training cohort. Restricted cubic spline (RCS), Kaplan–Meier (K-M) survival curve, and Cox regression analyses were conducted to elucidate the association between the INR and all-cause mortality of post-CA patients. Subgroup analysis, propensity score matching (PSM), and inverse probability of treatment (IPTW) were also conducted to improve stability and reliability. Data of the validation cohort were collected from the eICU database, and logistic-regression analyses were performed to verify the findings of the training cohort.ResultsA total of 1,324 subjects were included in the training cohort. A linear correlation existed between INR and the risk of all-cause death of post-CA patients, as shown in RCS analysis, with a hazard ratio (HR) &gt;1 when INR exceeded 1.2. K-M survival curve preliminarily indicated that subjects with INR ≥ 1.2 presented lower survival rate and shorter survival time, and the high level of INR was independently associated with 30-day, 90-day, 1-year, and in-hospital mortalities, with multivariate-adjusted HR of 1.44 (1.20, 1.73), 1.46 (1.23, 1.74), 1.44 (1.23, 1.69), and 1.37 (1.14, 1.64), respectively. These findings were consistent and robust across the subgroup analysis, PSM and IPTW analyses, and validation cohort.ConclusionsWe systematically and comprehensively demonstrated that elevated INR was associated with increased short- and long-term all-cause mortality of post-CA patients. Therefore, elevated INR may be a promising biomarker with prognosis significance.
Global Epidemiological Features of Human Monkeypox Cases and Their Associations With Social-Economic Level and International Travel Arrivals: A Systematic Review and Ecological Study
Authors: Du Min , Sun Huimin , Zhang Shimo , Yuan Jie , Yan Wenxing , Liu Qiao , Qin Chenyuan , Liu Min , Liu Jue 
Published: January 2023

Objectives: We aimed to evaluate global epidemiological features of human monkeypox (mpox) cases and their associations with social-economic level and international travel arrivals.Methods: We estimated the pooled value by random-effects models. Then, we conducted an ecological study to evaluate the relationship of confirmed cases with social-economic indices and international travel arrivals using correlation analyses.Results: The average age (2022: 35.52, 95% CI [28.09, 42.94] vs. before 2022: 18.38, 95% CI [14.74, 22.02]) and comorbidity rate (2022: 15.7%, 95% CI [8.9%, 22.4%] vs. before 2022: 14.9%, 95% CI [8.5%, 21.3%]) of mpox cases in the 2022 human mpox outbreak were significantly higher than those of cases before 2022. During the 2022 mpox outbreak, the proportion of men who have sex with men (MSM) was high (79.8%, 95% CI [65.5%, 94.2%]). The number of confirmed mpox cases in 2022 significantly correlated with high social-economic levels and international travel arrivals (all p &lt; 0.05).Conclusion: Our findings highlighted the importance of early surveillance and timely detection in high-risk populations, including older people, MSM, and travelers, which is crucial to curb the wide transmission of mpox.
Uniformity improvement of thickness and net donor concentration in halide vapor phase epitaxial β-Ga2O3 wafers prepared on miscut angle substrates
Authors: Lin Chia-Hung , Ema Kentaro , Masuya Satoshi , Thieu Quang Tu , Sakaguchi Ryoichi , Sasaki Kohei , Kuramata Akito 
Published: January 2023

Abstract
High uniformity of the thickness and net donor concentrations (N
d-N
a) in 100 mm diameter β-Ga2O3 (001) epitaxial wafer prepared by halide vapor phase epitaxy was demonstrated. An epitaxial wafer grown on a substrate with a miscut angle near 0° generated a specific epitaxial region with a lower growth rate and a higher N
d-N
a than the rest of the region, which deteriorated the wafer uniformity. In contrast, epitaxial wafers prepared on substrates with a miscut angle of –0.1° suppressed the occurrence of the specific epitaxial region, and an average thickness after chemical mechanical polishing of 10.6 μm with 5% tolerance and an average N
d-N
a without intentionally doping of 1.1 × 1016 cm−3 within 7% tolerance were successfully obtained.
Toward 2D grating coupler enabled O-band coherent links based on SiGe photonic electronic technology
Authors: Zimmermann Lars , Seiler Pascal M. , Mai Christian , Georgieva Galina 
Published: January 2023

Abstract
Coherent techniques for short reach intra-datacenter optical interconnects are currently intensely discussed. This article reports progress on previous work that analyzed the benefits of switching from C- to O-band optics with regard to digital signal processing. Here we study the feasibility of adapting a coherent approach to an established datacenter interconnect technology (PSM4). This PSM4-like implementation brings about the benefit of much improved resilience to laser drift, thus reducing or eliminating the need for a temperature stabilized laser, which is typically assumed a requirement for coherent transceivers. The analysis rests on simulation parameters derived in part from previous experimental realizations of coherent receivers in SiGe photonic BiCMOS technology. In addition, we make use of recent results regarding the optimization of O-band 2D grating couplers with respect to efficiency and low polarization dependence over a 20 nm wavelength window. We identify such couplers as enabling building blocks for coherent PSM4-like implementations.
From the Pseudo-environment to the Meta-verse
Authors: D'Alessandro Simone 
Published: January 2023

The social sciences have been investigating the processes of public opinion formation since the second half of the 19th century. From Tocqueville to Le Bon, from Toennies to Allport, from Lazarsfeld to Habermas, from Niklas Luhmann to Pierre Bourdieu, from Noelle-Neumann to Landowski. Among these authors, Lippmann stands out for his theoretical-practical orientation that anticipated themes and methodologies. Exactly one hundred years ago, in his best-known work Public Opinion (Lippmann 1922) he had opened the way to the inevitability of the construction of a world 'beyond the real', through the concept of 'pseudo-environment'.
The need for representation determines 'pseudo-environments', interstitial realities made up of stereotyped images and contents that the public interprets to construct shared imaginaries that do not adhere to reality: “The world outside and the picture in your head” (Lippmann 1992: 3).
Pseudo-environments enable decision-making and action, reducing complexity (Luhmann e De Giorgi 1992). This phenomenon anticipates the paradigm of hyper-reality, in the sense of Braudillard (1985), but also that of Second Life and the Meta-verse in the sense of Stephenson (1992).
Starting from Lippmann’s vision, this proposed paper intends to recontextualize his thought in the light of the most recent theories of communication.
The Association between Some Demographic Characteristics and the Types of Miscarriage among Women in Rania City
Authors: Kareem Sharmin Abdalrahman , Abdulsahib Sanna Hassan 
Published: January 2023

Background: Miscarriage or spontaneous abortion is one of the prevalent adverse reproductive outcomes, which seriously threatens maternal health around the world. Some demographic features might associate with an elevate risk of spontaneous miscarriage which include cervical incompetence, infection, previous history of miscarriage, maternal passive smoking, age, and body weight.
Objectives: The current study was carried out in order to investigate the association between socio-demographic characteristics of women undergoing miscarriage and their risk for spontaneous miscarriage in Rania city.
Methodology: Quantitative design, a descriptive cross-sectional study was performed to assess the types of miscarriage and associated factors among women in Rania City. Samples of the study are Non probability purposive of (158) sample who attend Rania maternity and pediatric teaching Hospital. Besides two participants induced miscarriage were excluded. The data were collected from 1st June to 15th August 2022 through the utilization of construct questionnaire, data were collected by interview technique face to face approach of the study samples.
Results: The study illustrate socio-demographic characters of miscarried women, the average age was 34.6 years and majority of them have diploma qualification (27.8%), and (61.4%) were house wife, also (48.7%) were in sufficient level of income, furthermore most of the study sample were in normal weight include (50.6%) while only (2.5%) were under weight,( 38.6%) of samples were in passive cigarette of smoking, moreover the samples’ weight and smoking cigarette associated to miscarriage (P= 0.022),(P= 0.003) respectively.
Conclusion: The present study concluded that most common factor where associated with miscarriage was related to sociodemographic features. Excessive focusing on cigarette smoking exposure and maternal weight. Regarding the results of this study, mother’s demographic had relationship to miscarriage.
Pharmacokinetic and bioequivalence study of Telzap® Plus fixed-dose combination compared with MikardisPlus® in healthy volunteers after single administration
Authors: Khokhlov A. L. , Khokhlov A. A. , Miroshnikov A. E. , Lebedeva O. V. , Grebenkin D. Yu. 
Published: January 2023

Introduction. A fixed dose combination of telmisartan and hydrochlorothiazide is indicated for treatment of in the treatment of arterial hypertension. The combination of these substances causes an additive effect that helps to reduce blood pressure. A bioequivalence study of Telzap® Plus compared with MikardisPlus® was conducted with 63 volunteers.Aim. The purpose of the bioequivalence trial was a comparative study of the pharmacokinetics and evidence of the bioequivalence of the fixed dose combination drug product Telzap® Plus (tablets 80 mg + 12,5 mg, Zentiva KS company, Czech Republic) compared with drug products MikardisPlus® (telmisartan+hydrochlorothiazide, tablets 80 mg + 12,5 mg, Boehringer Ingelheim Pharma GmbH & Co. KG, Germany) in healthy volunteers after a single administration under fasting.Materials and methods. To prove bioequivalence, an open label, comparative, randomized, crossover fourperiod replicate single-center clinical trial was conducted. The concentrations of hydrochlorothiazide and telmisartan in plasma samples were determined with a validated HPLC-MS/MS method. A pharmacokinetic and statistical analysis was performed and confidence intervals for the pharmacokinetic parameters Cmax and AUC0-72 were calculated.Results and discussion. It can be concluded that the studied formulations are bioequivalent in terms of pharmacokinetic parameters of hydrochlorothiazide and telmisartan. All 90 % confidence intervals for the estimated pharmacokinetic parameters of hydrochlorothiazide were in the range of 80–125 %, 90 % confidence intervals for telmisartan were within the bioequivalence range of 80–125 % for AUC0-72, and 79,30–126,11 % for Cmax.Conclusion. Thus, according to the criteria used in the study, the formulations are proved to be bioequivalent.
Estimation of bone mineral density and algorithms of 10-year risk of osteoporotic fractures in women
Authors: Lukyanets E. Yu. 
Published: January 2023

Osteoporosis is the fourth most common after cardiovascular, cancer and endocrine diseases. With an increase in life expectancy, it becomes one of the main causes of deterioration in health and an increase in mortality.
Aim of the study. Assess bone mineral density using ultrasonic densitometry and the risk of osteoporotic fractures among women in Cherkasy region.
Materials and methods. The study was based on a survey of 43 women in the Odessa region, the average age of the subjects was 56,4±9,9 years, the average body weight was 73,5±11,6 kg, height 164,9±5,9 cm, the average BMI was 27,1±4,3. All women were divided into groups by age with a ten-year interval and by densitometry indices.
Results. Decreased bone density was found in 58,1 % of subjects, osteoporosis - 2 (4,8%). Women with osteopenia and osteoporosis have an increased risk of fractures and significantly reduced ultrasound densitometry compared to respondents with normal BMD. The structure of concomitant pathology was dominated by diseases of the circulatory system (22 cases;51,2 %) and digestive organs (12; 27,9 %). More than half of women (26; 60,5 %) had a total of 50 comorbidities, with an average of 1.2 cases of comorbidity.
Conclusions. Most women had osteopenic manifestations. Age significantly correlates with BMD parameters. The number of women with changes in the structure of bone tissue increases with age. Algorithms for assessing the 10-year risk of FRAX and Q-Fracture fractures are significantly correlated with densitometry. The combination of ultrasonic densitometry with algorithms for assessing the risk of osteoporotic fractures increases the diagnosis of osteoporosis.
Investigating Loop Quantum Gravity with Event Horizon Telescope Observations of the Effects of Rotating Black Holes
Authors: Islam Shafqat Ul , Kumar Jitendra , Walia Rahul Kumar , Ghosh Sushant G. 
Published: January 2023

Abstract
A mathematically consistent rotating black hole model in loop quantum gravity (LQG) is yet lacking. The scarcity of rotating black hole solutions in LQG substantially hampers the development of testing LQG from observations, e.g., from the Event Horizon Telescope (EHT) observations. The EHT observation revealed event horizon-scale images of the supermassive black holes Sgr A* and M87*. The EHT results are consistent with the shadow of a Kerr black hole of general relativity. We present LQG-motivated rotating black hole (LMRBH) spacetimes, which are regular everywhere and asymptotically encompass the Kerr black hole as a particular case. The LMRBH metric describes a multi-horizon black hole in the sense that it can admit up to three horizons, such that an extremal LMRBH, unlike the Kerr black hole, refers to a black hole with angular momentum a > M. The metric, depending on the parameters, describes (1) black holes with only one horizon (BH-I), (2) black holes with an event horizon and a Cauchy horizon (BH-II), (3) black holes with three horizons (BH-III), or (4) no-horizon spacetime, which we show is almost ruled out by EHT observations. We constrain the LQG parameter with the aid of the EHT shadow observational results of M87* and Sgr A*, respectively, for inclination angles of 17° and 50°. In particular, the VLTI bound for Sgr A*, δ ∈ (−0.17, 0.01), constrains the parameters (a, l) such that for 0 < l ≤ 0.347851M (l ≤ 2 × 106 km), the allowed range of a is (0, 1.0307M). Together with the EHT bounds of Sgr A* and M87* observables, our analysis concludes that a substantial part of BH-I and BH-II parameter space agrees with the EHT results of M87* and Sgr A*. While the EHT M87* results totally rule out BH-III, but not that by Sgr A*.
Fuera, dentro, en y sobre el arte y el espacio virtual
Authors: Macías Paulina 
Published: January 2023

Este texto parte del impulso de preguntarse si la idea de la virtualidad y su prevalecencia en las prácticas museísticas luego de la pandemia es esencialmente novedoso o emana de exploraciones de las prácticas artísticas del arte conceptual, más bien ya establecidas, desde hace ya más de un siglo que juegan con la idea de la inmaterialidad que hoy es la constante. Para hacerlo, además de realizar un breve recorrido por posibles definiciones del espacio virtual se proponen tres perspectivas de abordaje con sus respectivos ejemplos: Para, en donde reflexionamos sobre los ejercicios museísticos que se hacen para el internet, En y a partir de, en donde se presentan trabajos que son posibles sólo en la virtualidad y Sobre, que habla de proyectos que más que usar la virtualidad como forma las recuperan en sus formas de crear contenidos.
Educating bodies for the nation: schools, masculinity and transnational knowledge in 19th century Brazil
Authors: Maranhão Tiago Fernandes 
Published: January 2023

This paper discusses the senses and meanings attributed to physical culture, its conceptions, functions, and role within nineteenth-century Brazil’s educational system. By focusing on diverse kinds of schools as spaces of reference for children and adolescents and the efforts to shape their bodies, this work analyzes the importance of youth for national projects and how educators tried to represent young ideal bodies in school curricula as they made the transition from infancy to adulthood. It also shows how the body is a complex web of ideas and representations, a territory fought over within state institutional spaces. By understanding the “new behaviors” that the modern state wished to promote, the present paper focuses on how physical education shaped health and hygiene conditions through bodily exercises and the pivotal role played by schools within the strategy to transform young students into healthy, strong, disciplined citizens ready to serve the nation.
El secreto que revelan los ojos. Compromiso ocular como manifestación de enfermedades sistémicas no infecciosas
Authors: Correa Lemos María Eugenia , Paira Noelia , Gallo Jesica , Ortíz Alberto , Paira Sergio 
Published: January 2023

La coroides es el tejido ocular más comúnmente afectado por la enfermedad metastásica debido a su abundante vascularización y, en ocasiones, la primera manifestación (44-70% según las series) de cáncer de pulmón en hombres o de cáncer de mama en mujeres (3%). Síntomas oculares de inicio abrupto en pacientes jóvenes y signos al examen oftalmológico como engrosamiento de la pared posterior o lumpy‑bumpy surface, entre otros, son orientativos. La uveítis anterior granulomatosa, la uveítis intermedia bilateral, la panuveitis bilateral o las lesiones granulomatosas a nivel coroideo o del nervio óptico se consideran indicativas de sarcoidosis en presencia de un cuadro radiológico compatible. Estas pueden preceder a los signos sistémicos en un 30% de los casos.
Se presentan tres pacientes con signos y síntomas oftalmológicos que precedieron al diagnóstico de enfermedades sistémicas no infecciosas.
Shoulder Dislocation in the Emergency Department: Experience within a Large District General Hospital
Authors: Victor Ameh  , Ayaz Abbasi  , Hareem Basir  
Published: January 2023

Objectives: To evaluate the incidence of shoulder dislocation, age and gender distribution, success and failure rate following attempts at reduction in the ED and factors associated with failed reduction. Secondary outcome measures include type and number of medications required for successful reduction and complications associated with reductions attempts.
Methodology: A retrospective chart review of all patients presenting to the Emergency department with shoulder dislocation within the study period was undertaken. The study was undertaken over a one-year period from 1st December 2018 to 30th November 2019 within the ED of a large DGH that receives approximately 100,000 attendances per annum. Data was extracted on to a proforma including patient demographics, type of dislocation, number of attempts at reduction and complications. The data was reviewed and analysed by two of the study authors.
Results: We found an incidence of shoulder dislocation of 16.5 per 100,000 attendances (less that 1% of ED) presentations per annum. The mean age was 58.8 years. There was a male preponderance in terms of gender distribution with males making up 67% and females 33%. There was a peak incidence in men within the age range 21-30 years.Â There was a 76% (n=25) successful reduction rate in the ED.
Attempts at reduction failed in 8 cases (24%). The mean age of the failed reduction group was 46.5 years (95% CI, 24.96-58.79). It was 61.6 years (95% CI, 57.3-75.2) in the successful reduction group. The use of morphine, paracetamol and sedation were associated with successful reduction. All failed reduction attempts required general anaesthesia to achieve reduction.
vocabulario emocional de los jóvenes
Authors: Gomis Cañellas Raquel , Garcia Blanc Núria , Filella Guiu Gemma , Ros Morente Agnès 
Published: January 2023

Si entendemos la salud desde una perspectiva global, es decir, no sólo física sino también mental, el bienestar emocional es clave para poder tener un completo estado de salud. La adolescencia es una etapa en la que se producen muchos cambios y las emociones juegan un papel fundamental. Así pues, la educación emocional adquiere gran importancia en este periodo. Para entender las emociones, el primer paso es tener conciencia emocional y, en este sentido, es básico tener un buen vocabulario emocional ya que, si no podemos poner nombre a las emociones, éstas dejan de existir en su totalidad. Por este motivo, el siguiente estudio consiste en examinar y hacer un análisis sobre el vocabulario emocional en adolescentes.
Para ello se ha contado con una muestra de 431 adolescentes de entre 14 y 18 años, en concreto, 173 alumnos de segundo ciclo de ESO y 258 alumnos de Bachillerato. Se ha analizado el vocabulario del alumnado mediante una prueba estandarizada que consiste en escribir en tres minutos el número máximo de emociones posibles. Una vez obtenidos los datos se ha realizado un análisis estadístico, observando así las diferencias significativas entre las diferentes variables del alumnado. Como principales resultados se ha obtenido que el número de emociones tanto de ESO como de Bachillerato no es muy elevado. Además, hay más cantidad de palabras en las familias emocionales de emociones negativas y la familia en la que más palabras se han escrito es la de tristeza con gran diferencia con respecto a las otras, tanto en ESO como en Bachillerato.