bluuebunny/crossref_metadata_2025_split huggingface dataset:
Heroism and paramedic practice: A constructivist metasynthesis of qualitative research
Authors: Rees Nigel , Williams Julia , Hogan Chloe , Smyth Lauren , Archer Thomas 
Published: November 2022

ObjectivesWe aimed to identify, appraise, and synthesise the qualitative literature to develop theory on heroism and paramedic practice.Hypothesis/research questionWhat does published literature tell us about heroism and paramedic practice?SettingParamedics and other healthcare workers (HCWs) faced an outpouring of public support for them early in the COVID-19 pandemic which brought into focus the relationship between them and society, where they are portrayed as heroes.ParticipantsWe conducted a metasynthesis using Evolved Grounded Theory and procedural guidelines of Noblit and Hare to guide analysis. Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols (PRISMA-P) guidelines were also applied.Results151 papers were retrieved and eleven included in the final sample. Studies were moderate to very low quality, involving a wide range of methodologies and settings; none specifically explored heroism and paramedic practice. The following interrelated themes were constructed on heroism and paramedic practice: (a)Myth, Folk law, and storytelling in heroism and paramedic practice(b)The epic journey of heroism and paramedic practice(c)Heroes and Zeroes: The fluctuating Societal Value in heroism and paramedic practice(d)Politicisation, and objectification in Heroism and Paramedic practice.ConclusionParamedics have long been characterised as heroes, but this may not reflect their everyday experiences. Heroism in paramedic practice can provide scripts for prosocial action, inspiring others, and leading to more social heroic actions. Paramedics may however be ambivalent to such heroism narratives, due to politicisation, and objectification in the media and society. This metasynthesis is only one of many possible constructions of heroism and paramedic practice and is the first point in making sense of and developing theory on heroism and paramedic practice.Study registrationPROSPERO: CRD42021234851.
Exploring the associations between behavioral health risk factors, abnormal eating attitudes and socio-demographic factors among Chinese youth: Survey of 7,984 vocational high school students in Hunan in 2020
Authors: Liu Jieyu , Teng Ziwei , Chen Zirong , Wei Zirou , Zou Tianxiang , Qin Yue , Yuan Hui , Liu Minghui , Chen Jindong , Tang Hui , Xiang Hui , Wu Haishan , Wu Renrong , Huang Jing 
Published: November 2022

BackgroundThis study investigated the associations between behavioral health risk factors (anxiety, depression, stress, insomnia, drinking, smoking) and abnormal eating attitudes among Chinese vocational high school students (CVHSS). Potential moderating relationships were also explored with relevant socio-demographic factors of the student's age, sex, rural or urban community, household income, family type and educational level of the father and mother.MethodsA total of 7,984 students from three vocational high schools in Hunan, China completed a questionnaire about their socio-demographic characteristics, alcohol use, smoking, and symptoms of depression, anxiety, stress (21-item version of the Depression Anxiety Stress Scale), insomnia (8-item Athens Insomnia Scale), and abnormal eating attitudes (19-item Chinese version of Eating Attitudes Test).ResultsThe prevalence rates for behavioral health problems among these students ranged widely depending on the risk factor: 42.5% insomnia, 41.3% anxiety, 26.2% depression, 14.4% stress, 13.7% drinking, and 8.3% smoking. Additionally, 61.7% of students were at-risk for at least one of these six behavioral health disorders. Abnormal eating attitudes were associated with depression (r = 0.422), anxiety (r = 0.490), stress (r = 0.490), and insomnia (r = 0.375), with all of these relationships being significant (p &lt; 0.01) and large size statistical effects. However, other analyzes found that none of the socio-demographic background factors had meaningful associations with the behavioral health risk factors (0 of 28 tests) and very few background factors were associated with the abnormal eating attitude measures (only 3 of 35 tests). Females had higher levels than males on dieting and bulimia but not on the other two eating attitude components.ConclusionsThis study determined that behavioral health risk factors (sleep problems and anxiety in particular) were common among high school students in China and that mental health and sleep disorder risks also tended to co-occur in some students with abnormal eating attitudes. Therefore, prevention and early identification programs for behavioral risk factors are needed for this population. It is important to pay more attention to students with abnormal eating attitude-related symptoms, who may have also underlying mental health problems and need further evaluation.
Delayed sleep-wake rhythm is associated with cognitive dysfunction, social dysfunction, and deteriorated quality of life in patients with major depressive disorder
Authors: Takaesu Yoshikazu , Kanda Yuta , Nagahama Yu , Shiroma Ayano , Ishii Miho , Hashimoto Tasuku , Watanabe Koichiro 
Published: November 2022

BackgroundThe delayed sleep-wake phase is commonly observed in major depressive disorder (MDD) and thought to be associated with functional impairments. This study aimed to evaluate the relationship between the delayed sleep-wake phase, cognitive dysfunction, social dysfunction, and quality of life in patients with MDD.MethodsThis cross-sectional design included 33 outpatients with MDD. Objective sleep-wake rhythm was assessed by actigraphy. Functional impairments were evaluated by the Japanese version of the Brief Assessment of Cognition in Schizophrenia (BACS-J), World Health Organization Disability Assessment Schedule (WHO-DAS), and Euro QOL 5 dimensions (EQ5D).ResultsActigraphic assessment of the delayed sleep-wake phase (midpoint of sleep) was significantly correlated with the composite score of the BACS-J (r = –0.489, p = 0.010), WHO-DAS score (r = 0.466, p = 0.014), and EQ5D score (r = 0.472, p = 0.013). No significant correlation was found between the other actigraphic sleep parameters (sleep latency, total sleep time, and sleep efficiency) and functional impairments.ConclusionOur study’s results suggested that the delayed sleep-wake phase is associated with cognitive dysfunction, social dysfunction, and deteriorated quality of life in patients with MDD. Clinicians should pay attention to the sleep-wake rhythm in patients with MDD in clinical settings.
Psychiatry and mental health teaching programs of eight portuguese-speaking schools of medicine: A comparative analysis
Authors: Pedro Maria Rosel , Palha Antonio Pacheco , Ferreira Maria Amelia 
Published: November 2022

BackgroundImprovement of teaching methods in psychiatry has been the subject of permanent adaptation and innovation. Strengthening graduate education skills in psychiatry and mental health will allow physicians to have the knowledge, skills, and attitudes to carry out early diagnosis and treatment at primary healthcare settings, taking into consideration that the population should benefit from the best interventions by general practitioners.ObjectiveThe objective of this study was to examine how the undergraduate program of psychiatry and mental health subject in the schools of medicine of the Community of Portuguese-Speaking Countries in the three continents is structured.MethodsThe methods include a narrative description of the program of psychiatry, the workload, the delivery and assessment methods, and the ethical and socio-cultural aspects in psychiatry and research made by the director of the course of psychiatry in Portugal, Brazil, and Mozambique.ResultsEight schools of medicine from Portugal, Brazil, and Mozambique participated in the study. All these schools use standards which are defined by the regulatory bodies of their countries. The teaching year varied between the third and the sixth. The workload varied between 140 and 224 h. Topics were addressed in presence or virtual methods. Combined qualitative and quantitative assessment is done to encompass competencies, skills and knowledge based on clinical histories, ongoing assessment, seminars, and final written tests. Ethical and socio-cultural aspects in various strands are taught to be linked to the local reality. Research is encouraged by using grants.ConclusionTeaching psychiatry follows global and national standards and is organized according to the reality of each country. Psychiatry departments from these three continents invest in teaching methodologies that encourage self-knowledge and the development of critical thinking, which is evaluated in a holistic context. The authors consider that the programs should have a workload according to the current burden of mental illness.
Patient-centered care and patient satisfaction: Validating the patient-professional interaction questionnaire in China
Authors: Han Tao , Li Sisi , Li Xueyuan , Yu Chenhao , Li Jiahui , Jing Tiantian , Bai Mayangzong , Fang Yue , Qian Kun , Li Xiaoyan , Liang Huigang , Zhang Zhiruo 
Published: November 2022

ObjectiveTo introduce patient-centered approach in China and to relate it with Chinese patient satisfaction via validating the Chinese version of Patient-Professional Interaction Questionnaire (PPIQ-C).DesignThis cross-sectional survey was conducted through face-to-face interviews from June to September in 2019. Participants rated their patient-centered care experience via the 16-item translated PPIQ, their experience of the received medical service, and their overall satisfaction.SettingKunshan Huaqiao People's Hospital in Jiangsu, China.ParticipantsA total of 230 participants (87 males and 143 females; 108 outpatients and 122 inpatients).ResultsPPIQ-C exhibited acceptable psychometric properties. Data revealed a single factor model of the 16 PPIQ-C items [χ(4)2 = 12.394, p = 0.823, CFI = 1.000, TLI = 1.019, RMSEA = 0.000, SRMR = 0.032] had a superior model fit over the original first-order with four correlated factors and the second-order structures. The overall reliability was excellent (McDonald's ω = 0.975). In terms of patient satisfaction, process, treatment quality, and communication significantly predicted patient satisfaction, while environment, staff attitude, and medical ethics did not [R2 = 0.427, F(6) = 24.887, p &lt; 0.001]. Most importantly, the total score of PPIQ-C predicted patient satisfaction above and beyond the above-mentioned medical service perspectives (B = 0.595, SE = 0.207, p = 0.004). Finally, the constructive effect of PCC on patient satisfaction was stronger for departments of Pediatrics than Surgery.ConclusionsThe Chinese version of the PPIQ scale (PPIQ-C) exhibited acceptable psychometric properties. Yet the distinction among the four factors was not supported, suggesting potential difference(s) across cultures. Patient-centered care (PCC), reflected by the overall PPIQ-C score, predicted overall patient satisfaction above and beyond other medical service perspectives. Adopting PCC approach in appropriate situations will probably advance the development of performance evaluation systems in China, thus improving the overall health care and patient satisfaction.
Herpes simplex virus type 2 seroprevalence and associated factors in fertility-treatment-seeking population: A cross-sectional survey in the United Arab Emirates
Authors: Abdo Noor Motea , Aslam Irfan , Irfan Shazia , George Junu A. , Alsuwaidi Ahmed R. , Ahmed Luai A. , Al-Rifai Rami H. 
Published: November 2022

BackgroundHerpes simplex virus type 2 (HSV-2) is a common genitally-transmitted viral infection affecting more than 400 million individuals globally. In the United Arab Emirates (UAE), in specific at-risk population groups, the burden of HSV-2 has not been reported. This study investigated the prevalence of HSV-2 IgG antibodies in patients seeking fertility treatment and characterized patients with seropositivity to HSV-2 IgG antibodies.MethodologyA cross-sectional sample of patients seeking fertility treatment in a major fertility clinic in Abu Dhabi, UAE was surveyed from April to May 2021. Patients were consecutively invited to complete self-administered questionnaires and provide blood for HSV-2 testing. Information on sociodemographics, medical history, and infertility was collected. Serum specimens were screened using an enzyme-linked immunosorbent assay for HSV-2 IgG antibodies detection.ResultsTwo hundred and ninety-nine patients were surveyed and provided blood samples. The mean age of the patients was 35.9 ± 6.8 [mean ± standard deviation (SD)] years with 89.3% being women. Sixty-six percent were overweight or obese, 25.0% had at least one chronic comorbidity, and 19.6% reported ever-had genital infection. More than two-thirds (68.3%) of the patients were infertile for ≥ 6 months. Of the 42 infertile males, 69.0% had an abnormal semen analysis. HSV-2 IgG antibodies was detected in 12.4% of patients. The HSV-2 IgG seropositive patients had a higher mean age (39.5 vs. 35.4 years; p &lt; 0.001) compared to seronegative patients. HSV-2 IgG antibodies seropositivity was more common in males (15.6%) than females (12.0%), in patients with secondary (14.1%) vs. primary (9.2%) infertility, or in males with abnormal (10.3%) vs. normal (7.7%) semen.ConclusionExposure to HSV-2 at any time in patients seeking fertility treatment in the UAE was found to be slightly common in more than one out of 10 patients. Tailored health campaigns on HSV-2 prevention are warranted.
Obstetric complications in mothers with ADHD
Authors: Walsh Caroline J. , Rosenberg Sofie L. , Hale Elijah W. 
Published: November 2022

BackgroundThere is currently limited research on the intersection of pregnancy and ADHD and the unique pregnancy risk factors for mothers with an ADHD diagnosis. With an increased population of patients with ADHD in the recent decades and an increase in ADHD medication use during pregnancy it is important to consider what unique risks mothers with ADHD face during the perinatal period.ObjectiveInvestigate a variety of outcomes in maternal ADHD.MethodsWe identified female patients with a diagnosis of pregnancy and ADHD diagnosis. We also further separated the ADHD cohort for separate sub-analyses based on medication type. Odds ratios and relative risk were calculated from outcome incidence within each cohort. Cohorts were balanced on age, sex, and race.ResultsWe identified 45,737 pregnant females with ADHD. We matched these patients to pregnant females without ADHD, for a total of 42,916 pairs. Compared to the group without ADHD, mothers with ADHD had higher rates of every outcome except for HPV infection, which was statistically insignificant (P = 0.768). The odds ratios ranged from 1.08 for anemia complicating pregnancy to 2.63 for depressive episodes. Most outcomes were between 1.2 and 1.8 times more likely to occur in the cohort with ADHD.ConclusionThis study presents substantial advancements in our knowledge of pregnancy-related ADHD care. Armed with an increased awareness of these potential complications and their relationship with ADHD, obstetricians, psychiatrists, and providers of all specialties may be able to reduce the rate of complications within this specific patient population.
Multi-instrument observations of the Pajala fireball: Origin, characteristics, and atmospheric implications
Authors: Vierinen Juha , Aslaksen Torstein , Chau Jorge Luis , Gritsevich Maria , Gustavsson Björn , Kastinen Daniel , Kero Johan , Kozlovsky Alexandre , Kværna Tormod , Midtskogen Steinar , Näsholm Sven Peter , Ulich Thomas , Vegum Ketil , Lester Mark 
Published: November 2022

Meteor observations provide information about Solar System constituents and their influx onto Earth, their interaction processes in the atmosphere, as well as the neutral dynamics of the upper atmosphere. This study presents optical, radar, and infrasound measurements of a daytime fireball that occurred on 4 December 2020 at 13:30 UTC over Northeast Sweden. The fireball was recorded with two video cameras, allowing a trajectory determination to be made. The orbital parameters are compatible with the Northern Taurid meteor shower. The dynamic mass estimate based on the optical trajectory was found to be 0.6–1.7 kg, but this estimate can greatly vary from the true entry mass significantly due to the assumptions made. The meteor trail plasma was observed with an ionosonde as a sporadic E-like ionogram trace that lasted for 30 min. Infrasound emissions were detected at two sites, having propagation times consistent with a source location at an altitude of 80–90 km. Two VHF specular meteor radars observed a 6 minute long non-specular range spread trail echo as well as a faint head echo. Combined interferometric range-Doppler analysis of the meteor trail echoes at the two radars, allowed estimation of the mesospheric horizontal wind altitude profile, as well as tracking of the gradual deformation of the trail over time due to a prevailing neutral wind shear. This combined analysis indicates that the radar measurements of long-lived non-specular range-spread meteor trails produced by larger meteoroids can be used to measure the meteor radiant by observing the line traveled by the meteor. Furthermore, a multistatic meteor radar observation of these types of events can be used to estimate mesospheric neutral wind altitude profiles.
Mediator Microbial Biosensor Analyzers for Rapid Determination of Surface Water Toxicity
Authors: Kharkova Anna , Arlyapov Vyacheslav , Medvedeva Anastasia , Lepikash Roman , Melnikov Pavel , Reshetilov Anatoly 
Published: November 2022

Microbial mediator biosensors for surface water toxicity determination make it possible to carry out an early assessment of the environmental object’s quality without time-consuming standard procedures based on standard test-organisms, and provide broad opportunities for receptor element modifying depending on the required operational parameters analyzer. Four microorganisms with broad substrate specificity and nine electron acceptors were used to form a receptor system for toxicity assessment. Ferrocene was the most effective mediator according to its high rate constant of interaction with the microorganisms (0.33 ± 0.01 dm3/(g × s) for yeast Saccharomyces cerevisiae). Biosensors were tested on samples containing four heavy metal ions (Cu2+, Zn2+, Pb2+, Cd2+), two phenols (phenol and p-nitrophenol), and three natural water samples. The «ferrocene- Escherichia coli» and «ferrocene-Paracoccus yeei, E. coli association» systems showed good operational stability with a relative standard deviation of 6.9 and 7.3% (14 measurements) and a reproducibility of 7 and 5.2% using copper (II) ions as a reference toxicant. Biosensor analysis with these systems was shown to highly correlate with the results of the standard method using Chlorella algae as a test object. Developed biosensors allow for a valuation of the polluted natural water’s impact on the ecosystem via an assessment of the influence on bacteria and yeast in the receptor system. The systems could be used in toxicological monitoring of natural waters.
Activated Carbons Produced from Hydrothermally Carbonized Prickly Pear Seed Waste
Authors: Hsini Nourhen , Saadattalab Vahid , Wang Xia , Gharred Nawres , Dhaouadi Hatem , Dridi-Dhaouadi Sonia , Hedin Niklas 
Published: November 2022

The agro-sector generates organic waste of various kinds, which potentially could be used to prepare functional materials, lessen environmental problems, and enhance circularity. In this context, the hypothesis that was put forward in this work is that prickly pear seed waste from the Tunisian agro-food industry could be used to prepare activated carbons. The prickly pear seed waste was first hydrothermally carbonized and the resulting hydrochar was activated in CO2 at 800 °C. The yield of the hydrothermal carbonization process is of importance, and it was the highest at intermediate dwell times and temperatures, which was ascribed to the re-precipitation of hydrochar particles on the heat-treated biomass. The hydrochars and activated carbons were characterized with scanning electron microscopy, thermogravimetry, Raman spectroscopy, and N2 and CO2 adsorption/desorption analyses. The activated carbons had micro- (<2 nm) and mesopores (2–50 nm), and specific surface areas and total pore volumes of about 400 m2 −1 and 0.21 cm3 g−1. The study showed that the prickly pear seed waste could be effectively transformed into both hydrochars and activated carbons and that is advisable to optimize the hydrothermal process for the mass yield. A life cycle analysis was performed to assess the environmental impact of the production of typical activated carbons using the approach of this study. Further studies could be focused on enhancing the properties of the activated carbons by further optimization of the activation process.
Biodegradation and Decolorization of Textile Azo Dyes by Paramecium caudatum Isolated from Industrial Wastewater
Authors: Ramzan Uzma , Shakoori Farah Rauf , Zahid Muhammad Tariq , Majeed Waqar , Zahra Itrat , Abbas Syed Zaghum , Hedfi Amor , Hassan Sabry , Shakoori Abdul Rauf , Mutery Abdullah Al 
Published: November 2022

Azo dyes in textile industry effluent are one of the major toxic contaminants causing a severe threat to life. Bioremediation is the most cost-effective and environmentally beneficial innovative biotechnologically technique used to mitigate dyes’ toxic effects in aquatic environments. The purpose of the present study was to determine the azo dyes degradation potential of a ciliate, Paramecium caudatum, isolated from industrial wastewater. Under optimum conditions, P. caudatum was found to possess a 90.86% decolorizing ability of RR2 (reactive red), 83.06% of RB5 (reactive blue) and 85.43% of LY (Levafix reactive yellow) dyes. The P. caudatum showed maximum growth at 25 °C and pH 7.5 in the presence of azo dyes at a concentration of 20 ppm (0.02 mg/mL). After being exposed to RR2, RB5, and LY azo dyes, the level of GSH in P. caudatum increased for the control i.e., 54, 43, and 23%, respectively. Sequentially, the GSSG level decreased by 26% after treatment with the LY azo dye, while exposure to RR2 and RB5 enhanced the value by more than twofold and by 0.86%. The results for the decolorization and biodegradation of azo dyes indicated that P. caudatum is a potential candidate for the treatment of textile industry effluents.
LA HISTORIA DE LOS DESASTRES, SUS CATEGORÍAS, Y ALGUNAS NOTAS PRELIMINARES PARA EL ESTUDIO DE LOS FUNDAMENTOS CULTURALES Y DEL DESARROLLO HISTÓRICO DE LA VISIÓN PROVIDENCIALISTA DEL DESASTRE
Authors: De Nardi Loris , Cordero Fernández Macarena 
Published: November 2022

La Historia de los Desastres demostró que el origen de terremotos, epidemias, inundaciones, entre otros, no radica en el fenómeno natural o biológico, en sí mismo, sino que se deben considerar como el resultado de la vulnerabilidad de una comunidad a una determinada amenaza. El presente artículo por lo tanto iniciará dando cuenta acerca de los estudios relativos a desastres y su gestión que se han ido llevado adelante en las últimas décadas, de qué manera y mediante qué proceso han conceptualizado la construcción social de riesgo y vulnerabilidad, con miras a comparar esta conceptualización con la visión providencialista del desastre, y cuál fue la percepción social y cultural, a partir de la cosmogonía antigua-medieval, que perduró hasta la modernidad.