bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of Non-physical User Violence and Burnout in Primary Health Care Professionals. The Modulating Role of Job Satisfaction
Authors: Pina David , Llor-Zaragoza Paloma , López-López Reyes , Ruiz-Hernández Jose Antonio , Puente-López Esteban , Galián-Munoz Inmaculada , Martínez-Jarreta Begoña 
Published: February 2022

IntroductionGrowing concern about workplace violence shows the need for an evaluation in specific contexts in order to identify the particularities of each professional group. The health sector consists of a group of professionals with high exposure to violence, specially from users. There are differences depending on the professional category or unit in which the professional works. In this regard, Primary Health Care (PHC) is characterized by a personalized and continuous patient treatment over time, which is not exempt from cases of violence. Among the commonly studied consequences of these situations are decreases in job satisfaction and burnout.ObjectiveThe main objective of this study is to analyze the modulating role of job satisfaction in the relationship between non-physical user violence and the onset of burnout.MethodsCross-sectional comparative descriptive design. The sample consisted of 574 professionals from 39 PHC centers of the Murcian Health Service. Data were collected using two-stage cluster sampling. For data analysis, descriptive analysis, correlations and stepwise hierarchical regression were used to analyze the interaction between the variables.ResultsRegression analysis draws a model where non-physical violence and low intrinsic and extrinsic job satisfaction act as modulators of non-physical violence, cynicism and emotional exhaustion.ConclusionsThis study provides evidence of the psychological consequences of the perception of user violence in the PHC staff. Furthermore, it is evident that the emergence of burnout syndrome in these professionals is related to exposure to verbal or non-physical violence together with low job satisfaction. In this sense, a circular and bidirectional relationship between the variables studied is proposed as a possible explanatory model.
Sweet Memories or Not? A Comparative Study on Cognitive Impairment in Diabetes Mellitus
Authors: Varghese Sangeetha Merrin , Joy Niva , John Anulekha Mary , George Geomcy , Chandy George Mateethra , Benjamin Anoop Ivan 
Published: February 2022

IntroductionType 2 Diabetes Mellitus is a modern-day epidemic and dementia has been declared as a global challenge. It is, therefore, worthwhile to investigate the effect that Diabetes has on cognition. Although effective screening is routinely carried out for various complications of Diabetes, its effect on Higher Mental Functions is often overlooked.MethodologyA cross-sectional analytical study to assess Cognitive Impairment was carried out on 800 participants, 400 diabetics and 400 non-diabetics attending a tertiary care center. The Addenbrooke's Cognitive Examination- III was used, which is a validated, highly sensitive tool having a maximum score of 100. Patients with a score &lt; /= 82 were considered to have impaired Cognition. Statistical analysis was done using SPSSv.21. Suitable statistical tests like Mann–Whitney U, t-test, ROC curve and Logistic regression analysis were done.ResultsCognitive Impairment was present in 63.8% of the diabetics when compared to only 10.8% in the non-diabetics, with an Odds Ratio-8.78 (CI-4.47–17.22). The total ACE score in diabetics [median-82 (IQR-4), mean rank-270.06] was less compared to the non-diabetic patients [median- 85 (IQR-3), mean rank-530.94] (U = 27822, p-0.001). Attention, Memory, Language, and Visuospatial domains were significantly lower in the diabetics compared to the non-diabetics. However, the fluency domain was not affected. Hypertension and the presence of macrovascular diseases were significantly associated with Cognitive Impairment (p &lt; 0.005). Those with Cognitive dysfunction also had higher mean RBS values and longer duration of Diabetes (p-0.001). The cut-off value for RBS (to distinguish people with and without Cognitive Impairment) from ROC curve was 142.5 (AUC = 0.834, Youden's Index-0.586, p-0.001) and for duration of Diabetes was 7.5 years (AUC = 0.847, Youden's Index-0.529, p-0.001).ConclusionThis paper highlights that Cognitive Impairment exists in a very high proportion of diabetic patients in Kerala. So, it is important that we do an early assessment of cognitive function in diabetes patients and manage them prudently. Early interventions may prove to be beneficial in the long run, considering the burden of diabetes and cognitive dysfunction associated with the disease.
Systematic Review of Biopsychosocial Prognostic Factors for Return to Work After Acute Orthopedic Trauma: A 2020 Update
Authors: Duong Hong Phuoc , Garcia Anne , Hilfiker Roger , Léger Bertrand , Luthi François 
Published: February 2022

ObjectiveTo provide updated evidence on prognostic factors for return to work (RTW) in the early and late phases after acute orthopedic trauma from a biopsychosocial perspective.MethodsA systematic review of articles indexed in the MEDLINE, CINAHL, and Embase databases between 2010 and 2020 was performed. The inclusion criteria were cohort studies of employed populations sustaining acute orthopedic trauma with follow-up data on RTW. Biopsychosocial prognostic factors for RTW must be reported in the multiple regression models and divided into early (≤ 6 months) and late phases (&gt; 6 months) postinjury. Two reviewers performed study selection, assessed the risk of bias and quality using the Quality in Prognosis Studies (QUIPS) tool and the Newcastle–Ottawa Scale (NOS), and extracted data independently.ResultsThirty articles were included with a follow-up period of 1–58 months. Based on the QUIPS tool, 7 studies (23%) were considered to have a low risk of bias, and 21 studies (70%) were considered to have a moderate risk of bias. Based on the NOS, the quality was high in 87% of the included studies. The RTW rates ranged from 22% to 74% in the early phase and from 44% to 94% in the late phase. In the early phase, strong evidence was found for injury severity. In the late phase, strong evidence was found for age, injury severity, level of pain, self-efficacy, educational level, blue-collar work, and compensation status; moderate evidence was found for recovery expectations and physical workload. There was limited or inconsistent evidence for the other factors.ConclusionBased on the levels of evidence, injury severity should be considered as one of the key barriers to RTW in the early and late phases postinjury. This finding underlines the need for serious injury prevention efforts. Our results also emphasize the multifaceted actions of the biopsychosocial model to facilitate RTW: promoting policies for older injured workers, improving access to medical and rehabilitation facilities, and adapting physical workload. Multiple other factors are likely important but require additional high-quality studies to assess their role in the RTW process.
Metacognitive Treatment in Acquired Brain Injury and Its Applicability to Aphasia: A Systematic Review
Authors: Wadams Amanda , Suting Louisa , Lindsey André , Mozeiko Jennifer 
Published: February 2022

PurposeThe purpose of this systematic review is to identify the utility of metacognitive therapeutic intervention for persons with acquired brain injury (ABI), with a focus on persons with aphasia.MethodsA search of six databases resulted in two hundred and sixty-six unique manuscripts relating to the explicit use of metacognitive treatment for people with ABI. Two independent reviewers rated abstracts for inclusion or exclusion of the study given predetermined criteria. Twenty-nine articles, five of which included people with aphasia, were selected for inclusion in this systematic review. SCED+ and PEDro+ rating scales were used to rate the methodological quality of each study.ResultsMethodological quality of the 29 studies that met inclusion criteria ranged from weak to high quality studies. Three -hundred and sixty-nine individuals with ABI took part in the 29 studies. Varying treatment methods were employed. Outcome measures were inconsistent. Metacognitive treatment has been applied to people with aphasia with positive results, but efficacy of the treatment cannot yet be determined.ConclusionsMetacognitive therapeutic intervention tends to be effective for persons with acquired brain injury (ABI) despite variability between intervention designs and treatment outcomes across studies. Due to so few studies with participants with aphasia, we were unable to draw conclusions regarding the efficacy of metacognitive treatment for people with aphasia. Further research on the efficacy of metacognitive treatment for this population is warranted.
Characterization of the Complete Chloroplast Genome of the Dragonhead Herb, Dracocephalumheterophyllum (Lamiaceae), and Comparative Analyses with Related Species
Authors: Fu Gui , Liu Yuping , Caraballo-Ortiz Marcos A. , Zheng Changyuan , Liu Tao , Xu Yujie , Su Xu 
Published: February 2022

Dracocephalum heterophyllum (Lamiaceae: tribe Mentheae) is an annual aromatic herb native to East Asia with a long record of human uses, including medicinal, alimentary, and ornamental values. However, no information is available about its molecular biology, and no genomic study has been performed on D. heterophyllum. Here, we report the complete chloroplast (cp) genome of D. heterophyllum and a series of comparative genomic analyses between this and closely related species of Lamiaceae. Results indicated that the cp genome has a typical circular structure of 150,869 bp in length, consisting of a long single-copy (LSC) region with 82,410 bp, a short single-copy (SSC) region with 17,098 bp, and two inverted repeat (IR) regions of 51,350 bp. A total of 133 genes were identified, including 37 tRNA genes, 8 rRNA genes and 88 protein-coding genes, with a GC content of 37.8%. The gene content, organization, and GC values observed here were similar to those of other Dracocephalum species. We detected 99 different simple sequence repeat loci, and the codon usage analysis revealed a preferential use of the Leu codon with an A/U ending. Comparative analysis of cp genome sequences revealed five highly variable regions with remarkably higher Pi values (>0.03). The mean Ka/Ks between D. heterophyllum and three other Dracocephalum species ranged from 0.01079 (psbB) to 1.0497 (ycf2). Two cp genes, ycf2 and rps11, were proven to have high ratios of Ka/Ks, implying that cp genes may had undergone positive selection in the evolutionary history. We performed multiple sequence alignments using the cp genome of 22 species and constructed maximum likelihood (ML) and Bayesian trees, and found that D. heterophyllum were more closely related to D. moldavica and D. palmatum. In addition, the phylogenetic relationships between Dracocephalum and other members of Lamiaceae were consistent with previous results. These results are valuable for further formulating effective strategies of conservation and management for species in Dracocephalum, as well as providing a foundation for future research on the genetic resources of Dracocephalum.
Tinjauan Keadaan Fasilitas Sanitasi Obyek Wisata Pura Tirta Sudamala Kelurahan Bebalang, Kabupaten Bangli Tahun 2017
Authors: Depantara Gede Agus , Bulda Mahayana I Made 
Published: February 2022

Abstract Sanitation of public places is a disease prevention effort that focuses its activities on the cleanliness / health of public places (TTU) in serving the public in connection with the activities of the public places physiologically, psychologically, prevent the occurrence of disease or accidental transmission As well as aesthetics, inter-occupants, users, and the surrounding community. This research is a type of descriptive research with direct observation to the location and describes the condition of the location which includes the condition of waste facility, public toilet / toilet and canteen in accordance with the field. In this study used an observation sheet with different items. To know the state of sanitation facilities used two categories of assessment that is eligible and less qualified. The research was conducted in Pura Tirta Sudamala Banjar Sedit Bebalang Village, Bangli Sub-District, Bangli Regency using obervation technique. All items are 46 items. The results of the review of the condition of the sanitation facilities of the temple attractions tirta sudamala kelurahan bebalang, bangli regency eligible to get a score of 31 scores while not to meet the requirements of 15 scores, so the state of sanitary facilities in the temple tirta sudamala in the category qualify because the category of the state Eligible 0-23 and eligible categories 24-46. Keywords : Sanitation, Tourism Object, Public places
Методичні основи обґрунтування рішень при управлінні системою відновлення озброєння та військової техніки
Authors: Шишанов Михайло Олексійович , Веретнов Андрій Олександрович , Чеченкова Ольга Леонідівна , Глазкова Світлана Валентинівна 
Published: February 2022

У статті показано, що науковість управління на сучасному етапі залежить від ступеня обліку великої кількості факторів, що визначають якість та ефективність функціонування об’єкта або організації (системи об’єктів або організацій). На теперішній час у складних умовах ведення бойових дій збільшений обсяг інформації, що надходить та прагнення до об’єктивності рішень, що приймаються, створили передумови для виникнення і розвитку теорії щодо процесу прийняття рішень, яка отримала назву «теорія прийняття рішень». Крім цього, розглянуто питання щодо необхідності використання критерію недостатньої основи – критерію Фішберна – для військових організаційно-технічних систем при прийнятті рішень.
Аналіз тенденцій та прогнозів розвитку військової радіолокації виявлення повітряних цілей на середньострокову перспективу
Authors: Бєляєв Данило Миколайович , Зірка Андрій Леонідович , Семенюк Римма Петрівна , Тютюнник Владислав Олександрович , Камалтинов Геннадій Григорович 
Published: February 2022

У статті наведено результати аналізу сучасного стану радіолокаційної техніки, потреб системи контролю повітряного простору та основних тенденцій розвитку військової радіолокації. За результатами аналізу визначені основні тенденції розвитку військової радіолокації на теперішній час, а саме: повне використання частотного ресурсу з одночасним використанням в радіолокаційних станціях декількох частотних діапазонів, широке використання фазованих антенних решіток, перехід на повністю твердотільні передавачі із широкосмуговими сигналами, можливість використання в системах подвійного призначення, покращення експлуатаційних характеристик. На підставі отриманих результатів сформовані пріоритетні напрями удосконалення парку озброєння та військової техніки радіотехнічних військ Повітряних Сил Збройних Сил України на середньострокову перспективу.
Sepsis of Meningococcal Etiology: Features of the Course
Authors: Сергиенко Е.Н. 
Published: February 2022

Менингококковая инфекция остается серьезной болезнью с летальностью около 8-15%. Большинство смертей происходит в первые 24 часа, нередко до начала оказания специализированной помощи. Цель исследования. Установить клинико-лабораторные особенности менингококкового сепсиса у детей. Материалы и методы. Проведен анализ 123 медицинских карт пациентов, которые находились на лечении в УЗ «Городская детская инфекционная клиническая больница» г. Минска с 2009 г. по 2020 г. Результаты. В статье представлены клинические и лабораторные характерные особенности менингококкового сепсиса с учетом течения процесса (с развитием септического шока или без него). Выводы. Клиническими проявлениями менингококкового сепсиса с септическим шоком являются фебрильная лихорадка длительностью в среднем 4 дня и сыпь, которая появляется в первые сутки начала заболевания и имеет распространенный геморрагический характер.
Meningococcal infection remains a serious disease with a mortality rate of about 8-15%. Most deaths occur in the first 24 hours, often before the start of specialized care. The purpose of work. To establish clinical and laboratory features of meningococcal sepsis in children. Materials and methods. The analysis of 123 medical records of patients who were treated at the Children’s Infectious Diseases Clinical Hospital in Minsk from 2009 to 2020 was carried out. Results. The article presents clinical and laboratory characteristics of meningococcal sepsis, taking into account the course of the process (with or without septic shock). Conclusion. The clinical manifestations of meningococcal sepsis with septic shock are febrile fever lasting an average of 4 days and a rash that appears on the first day of the onset of the disease has a widespread hemorrhagic character.
Methods of Using Biopsy in the Diagnosis of Heart Tumors
Authors: Витовский Р.М. , Исаенко В.В. , Лозовой А.А. 
Published: February 2022

Введение. Данные инструментальных исследований (ЭхоКГ, КТ, МРТ) не могут дать окончательное заключение о характере новообразований сердца, несмотря на имеющиеся признаки злокачественного или доброкачественного роста. Гистологическое исследование выносит окончательный вердикт о характере патологического процесса, что определяет оптимальную тактику последующего лечения опухолей сердца. Цель. Представить опыт диагностики и хирургического лечения злокачественных опухолей сердца с акцентированием внимания на методике биопсии, позволяющей верифицировать диагноз и провести адекватное лечение новообразования. Материалы и методы. Методы биопсии, которые применялись в диагностике новообразований сердца, условно представлены 3 группами: 1) в условиях выполнения эксплоративной стернотомии (10 случаев); 2) при проведении диагностической боковой торакотомии (2 случая); 3) проведение пункционной биопсии под контролем КТ-навигации (3 случая). Результаты. Проведенное гистологическое исследование материала, полученного при биопсии опухолей сердца, позволило уточнить диагноз и назначить адекватную специфическую терапию с положительной динамикой заболевания. Выводы. Биопсия в кардиоонкологии во многом определяет тактику лечения опухолевых поражений сердца и перикарда. Безопасность выполнения биопсии должна быть приоритетом при ее проведении. Накопление опыта применения пункционной биопсии при опухолевом поражении сердца позволит более эффективно использовать ее в кардиохирургической практике.
Introduction. The data of instrumental studies (echocardiography, CT, MRI) cannot give a final conclusion about the nature of the heart neoplasms, despite the presence of signs of malignant or benign growth. The histological examination carries out the final verdict on the nature of the pathological process, which determines the optimal tactics for the subsequent treatment of cardiac tumors. Purpose. To present the experience of diagnostics and surgical treatment of malignant cardiac tumors with an emphasis on biopsy techniques that allow verifying the diagnosis and conducting adequate treatment of the neoplasm. Materials and methods. Biopsy methods, which were used in the diagnosis of heart neoplasms are conventionally represented by three groups: 1) in conditions of performing an explorative sternotomy (10 cases); 2) when carrying out diagnostic lateral thoracotomy (2 cases); 3) by the method of puncture biopsy under the control of CT navigation (3 cases). Results. A histological study of the material obtained from a biopsy of heart tumors made it possible to clarify the diagnosis and prescribe an adequate specific therapy with a positive dynamics of the disease. Conclusions. Biopsy in cardio-oncology largely determines the tactics of treating tumor lesions of the heart and pericardium. Biopsy safety should be a priority when performing biopsy. The accumulation of experience in the use of puncture biopsy in tumor lesions of the heart will make it possible to use it more effectively in cardiac surgery practice.
Magnesium Homeostasis and Drug-Induced Hypomagnesemia
Authors: Трисветова Е.Л. 
Published: February 2022

Магний относится к жизненно важным макроэлементам, участвующим во многих биологических и физиологических процессах в организме человека. Поскольку магний является внутриклеточным элементом - 99% общего магния находится в клетках, в большинстве случаев при исследовании сыворотки крови дефицит магния не диагностируют. Предположения о наличии недостатка магния в организме должны возникать на основании знаний о соматических заболеваниях, сопровождающихся снижением абсорбции или повышением экскреции элемента, с учетом возраста, пола, некоторых физиологических состояний (беременность, лактация), особенностях физической активности и диетического режима пациента. Дефицит магния проявляется многими клиническими симптомами, маскирующимися признаками известных соматических заболеваний человека, усугубляя их течение. Причинами дефицита магния являются стрессовые состояния и значительные физические нагрузки, беременность и лактация у женщин, хронические и острые заболевания внутренних органов, снижение содержания иона в воде и пище в связи с преобладанием в рационе современного человека рафинированных переработанных продуктов питания с низким содержанием магния. Применение более 50 препаратов сопровождается снижением уровня магния в организме. Для предотвращения дефицита магния необходимо определять его уровень в тканях и восполнять концентрацию иона препаратами магния. Оротовая соль магния - Магнерот - относится к эффективным и безопасным средствам для профилактики и лечения дефицита магния.
Magnesium is one of the vital macronutrients involved in many biological and physiological processes in the human body. Since magnesium is an intracellular element - 99% of total magnesium is in cells, in most cases, when examining blood serum, magnesium deficiency is not diagnosed. Assumptions about the presence of a lack of magnesium in the body should arise on the basis of knowledge about somatic diseases, accompanied by a decrease in absorption or an increase in excretion of the element, taking into account age, sex, some physiological conditions (pregnancy, lactation), the characteristics of physical activity and the patient’s diet. Magnesium deficiency is manifested by many clinical symptoms, masking manifestations of known human somatic diseases, aggravating their course. The reasons for magnesium deficiency are stressful conditions and significant physical activity, pregnancy and lactation in women, chronic and acute diseases of internal organs, a decrease in the ion content in water and food due to the prevalence of refined processed foods with a low magnesium content in the diet of a modern person. The use of more than 50 drugs is accompanied by a decrease in the level of magnesium in the body. To prevent magnesium deficiency, it is necessary to control its level in tissues and replenish the concentration of the ion with magnesium preparations. Orotovaya magnesium salt - Magnerot, refers to an effective means for the prevention and treatment of magnesium deficiency.