bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of Organizational Atmosphere and Organizational Practice on Knowledge, Attitude, and Practice Toward Diffusion and Utilization of Hepatic Contrast-Enhanced Ultrasound Among Physicians
Authors: Lu Junhong , Deng Qingwen , Liu Wenbin 
Published: March 2022

BackgroundPromoting technology diffusion and utilization is a key measure to address the great disparity in technical capacity within integrated health systems. However, even the effectiveness and appropriateness regarding technology has been widely recognized, its diffusion and utilization are still stagnant. The mechanisms that influence the technology from being recognized to being widely applied in practice remain largely unknown.PurposeTaking hepatic contrast-enhanced ultrasound (CEUS) as an example, this study aimed to investigate the comprehensive influencing mechanism of organizational atmosphere and organizational practice on the knowledge, attitude, and practice toward diffusion and utilization of hepatic CEUS in the medical alliance.MethodsBased on the integration of organizational ready for change (ORC) and knowledge-attitude-practice (KAP), a structured questionnaire was developed. A multistage random sampling method was applied to investigate physicians who directly use CEUS working at the liver disease-related departments of sampled health institutions. Structural equation modeling (SEM) was used to verify the proposed hypotheses, and determine the relationship between the factors.ResultsIn total, 292 physicians were included. SEM results demonstrated that knowledge influenced both attitude and practice, while attitude positively predicted practice. Organizational practice and organizational atmosphere associated positively with each other. Organizational atmosphere positively affected the physicians' attitude toward CEUS diffusion and utilization (β = 0.425, p &lt; 0.001), while organizational practice positively affected corresponding knowledge (β = 0.423, p &lt; 0.001) and practice (β = 0.275, p &lt; 0.001). Additionally, there was a partial mediating effect between organizational practice and physicians' CEUS diffusion and utilization behavior.ConclusionBy verifying the influencing mechanism of organizational atmosphere and organizational practice on the physicians' KAP of hepatic CEUS diffusion and utilization, this study benefit tailoring strategies for promoting technology diffusion and utilization within medical alliance. It is recommended to develop an organizational atmosphere of advocating technology innovation, establish organizational support mechanism (SM) with multiple concrete supporting countermeasures, and so on.
A Qualitative Study of Health Workers' Experiences During Early Surges in the COVID-19 Pandemic in the U.S.: Implications for Ongoing Occupational Health Challenges
Authors: Goff Sarah L. , Wallace Kate , Putnam Natalia , Fernandes Meghan , Chow Eva , DaCosta Marisa , Clary Kelsey 
Published: March 2022

BackgroundHealth workers (HWs) have faced significant threats to physical and psychological health during the COVID-19 pandemic. The recent surges associated with the spread of the delta variant in the U.S., coupled with political resistance to effective public health mitigation strategies, indicate that the risks experienced early in the pandemic are not likely to abate soon. This study sought to better understand the experiences, thoughts, concerns, and recommendations of HWs during one of the first major surges in the U.S. and to explore how these experiences might inform efforts to mitigate potential ongoing COVID-related negative health and psychological impacts on HWs.MethodsHWs were recruited using a multi-faceted approach tailored to public health mitigation guidelines. Semi-structured interviews were conducted via video conference with front line HWs, support staff, and opioid use disorder service organization providers between April 1 and July 9, 2020 using the Social-Ecological Model as a framework. Interviews were audio-recorded and professionally transcribed; transcripts were analyzed inductively and deductively using thematic analytic methods, generating major themes and subthemes.ResultsA total of 22 HWs participated in the study; 14 were female; 3 identified as a member of a racial or ethnic minority population. Major themes identified included: (1) Institutions, Infrastructure, and the Pandemic; (2) Working Under Fire; (3) The Political Becomes Personal and (4) Hope. Themes and subthemes explicated the ways in which phenomena at personal, interpersonal, community, organizational, and societal levels affected HWs experiences and suggested potential mechanisms through which negative effects on HW mental health and health may be mitigated.ConclusionsPrevious global infectious disease epidemics have had profound negative effects on HWs' health and mental health. This study suggests the potential for similar negative impacts that may be exacerbated by the U.S.'s current sociopolitical milieu. Efforts to systematically describe and quantify these effects and to intervene to mitigate them are warranted.
Psychological impact of the COVID-19 pandemic on primary care workers: a cross-sectional study
Authors: Aragonès Enric , Cura-González Isabel del , Hernández-Rivas Lucía , Polentinos-Castro Elena , Fernández-San-Martín Maria Isabel , López-Rodríguez Juan A , Molina-Aragonés Josep M , Amigo Franco , Alayo Itxaso , Mortier Philippe , Ferrer Montse , Pérez-Solà Víctor , Vilagut Gemma , Alonso Jordi ,   the MINDCOVID-19 research group
Published: March 2022

BackgroundThe COVID-19 pandemic has had a major impact on the mental health of healthcare workers, yet studies in primary care workers are scarce.AimTo investigate the prevalence of and associated factors for psychological distress in primary care workers during the first COVID-19 outbreak.Design and settingThis was a multicentre, cross-sectional, web-based survey conducted in primary healthcare workers in Spain, between May and September 2020.MethodHealthcare workers were invited to complete a survey to evaluate sociodemographic and work-related characteristics, COVID-19 infection status, exposure to patients with COVID-19, and resilience (using the Connor–Davidson Resilience Scale), in addition to being screened for common mental disorders (depression, anxiety disorders, post-traumatic stress disorder, panic attacks, and substance use disorder). Positive screening for any of these disorders was analysed globally using the term ‘any current mental disorder’.ResultsA total of 2928 primary care professionals participated in the survey. Of them, 43.7% (95% confidence interval [CI] = 41.9 to 45.4) tested positive for a current mental disorder. Female sex (odds ratio [OR] 1.61, 95% CI = 1.25 to 2.06), having previous mental disorders (OR 2.58, 95% CI = 2.15 to 3.10), greater occupational exposure to patients with COVID-19 (OR 2.63, 95% CI = 1.98 to 3.51), having children or dependents (OR 1.35, 95% CI = 1.04 to 1.76 and OR 1.59, 95% CI = 1.20 to 2.11, respectively), or having an administrative job (OR 2.24, 95% CI = 1.66 to 3.03) were associated with a higher risk of any current mental disorder. Personal resilience was shown to be a protective factor.ConclusionAlmost half of primary care workers showed significant psychological distress. Strategies to support the mental health of primary care workers are necessary, including designing psychological support and resilience-building interventions based on risk factors identified.
Nurse-led service delivery models in primary care: a scoping review protocol
Authors: Moulton Jessica E , Withanage Nishadi Nethmini , Subasinghe Asvini K , Mazza Danielle 
Published: March 2022

BackgroundEnsuring equitable access to health care is reliant on the strengthening of primary care services. Increasing the utilisation of task-sharing and telehealth models is one strategy to improve patient access and outcomes in primary care. This protocol details the methodology of a proposed scoping review of nurse and midwife involvement in task-sharing and telehealth models in primary care.AimTo identify what task-sharing and telehealth models have been utilised in the primary care setting globally, and to capture the characteristics and health and economic outcomes of the models, and whether they are acceptable and feasible.Design & settingThis protocol was developed in line with the Joanna Briggs Institute (JBI) methodology for scoping reviews and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols (PRISMA-P).MethodFive databases (Ovid MEDLINE, Embase, PubMed, Cumulative Index to Nursing and Allied Health Literature [CINAHL] and Cochrane Library) will be searched for relevant studies published in English. Articles will be screened for inclusion in Covidence by three authors, with data extracted and synthesised using a chart designed for this review. Evidence will be mapped in both tabular and narrative forms to show characteristics, outcomes, and acceptability of the models of care.ConclusionUnderstanding how nurse- and midwife-led models of care may operate is crucial to strengthening service provision in primary care. Evidence on nurse and midwife-led primary care models will be collated and synthesised to inform future models.
Estimation of Total Fertility Rate (TFR) Using Small Area Estimation (SAE) in Nusa Tenggara Timur (NTT) Province
Authors: Mellinda Mellinda , Sumarni Cucu 
Published: March 2022

The large population in Indonesia has an impact on providing basic services for population which is not optimal so the condition and distribution of the population in a country must be addressed through fertility control methods. Total Fertility Rate (TFR) is one of fertility measures used in Indonesia. The estimation of TFR at the district level is very important, especially for the Nusa Tenggara Timur (NTT) Province as the province with the highest TFR in Indonesia. The availability of TFR data up to the district level is difficult to obtain every year due to data limitations. This study uses the National Socio-Economic Survey to address these problems. TFR estimation through survey data (direct estimation) generally results in a large Relative Standard Error (RSE) value, so it is necessary to estimate using an indirect estimate in the form of Small Area Estimation (SAE). By using SAERestricted Maximum Likelihood (REML) procedure, TFR with an RSE that is lower than the direct estimate is obtained. There are 5 district that have a medium-high TFR, namely: Sumba Barat Daya, Sumba Tengah, Sabu Raijua, Sumba Barat, and Manggarai Barat. The government is recommended to focus more on that 5 districts to suppress the high TFR in NTT.
Spatial Analysis of Crime in East Java Province in 2019
Authors: Ummah Choirul , Rahani Rini 
Published: March 2022

Crime is one of the consequences of fluctuations in the economic condition of a country. Crime incidents harm many parties. The number of criminal acts increased in 2019, especially in Sumatra and Java Island. Most provinces experienced an increasing number of criminal acts, one of them was East Java. East Java contributed more than a quarter of the number of crimes throughout Java Island. The number of criminal acts is count data with overdispersion because its variance is higher than its average. This study aims to analyze the number of criminal acts by applying Geographically Weighted Negative Binomial Regression (GWNBR). The result shows that GWNBR formed two regional groups based on significant variables. The four independent variables namely the unemployment rate, the number of poor people, the Gini ratio, and the police population ratio have a significant effect on all districts/cities. However, the mean year of schooling shows a significant effect only in certain districts/cities. The GWNBR is the best model in modelling the number of criminal acts in East Java.
Peculiarities of Sexual Behavior of Belarusian State Medical University Students and its Relationship with Academic Performance and Anxiety Level
Authors: Козырева В.М. , Налимов Д.П. , Пикиреня В.И. 
Published: March 2022

Студенты Белорусского государственного медицинского университета часто смотрят порно (несколько раз в неделю и чаще – 41%, раз в неделю и чаще – 50%). Не было обнаружено связи между частотой просмотра и уровнем тревожности студентов. Гендерные отличия носят значительный характер. Среди мужчин было больше тех, кто считает себя порнозависимым (12% мужчин против 2% женщин). Выявлена слабая положительная корреляция между частотой просмотра порно и количеством пересдач экзаменов.
BSMU students are frequently watching pornography (more than few times a week – 41%, once a week and more often – 50%). No connection was revealed between the frequency of watching and anxiety levels in students. Gender differences are very large. There are far more men who considered themselves addicted to pornography than women (12% of men and 2% of women, respectively). It was found that the frequency of watching porn had a weak positive correlation with the number of exam retakes.
Electroconvulsive Therapy. Application Experience
Authors: Докукина Т.В. , Ходжаев А.В. , Евсегнеев Р.А. 
Published: March 2022

В последнее время наблюдается рост фармакорезистентных психических расстройств. В таких случаях доказала свою эффективность и безопасность модифицированная электросудорожная терапия (ЭСТ). В ГУ «Республиканский научно-практический центр психического здоровья» (Минск) метод внедрен в клиническую практику и проводятся научные исследования по персонализации режимов выполнения процедуры ЭСТ. Разработаны инструкции по применению ЭСТ в условиях стационара, в амбулаторных условиях, комбинированному применению с транскраниальной магнитной стимуляцией.
Recently, there has been an increase in drug-resistant mental disorders. In such cases, modified electroconvulsive therapy has proven to be effective and safe. In the Republican Scientific and Practical Center for Mental Health, the method has been introduced into clinical practice and scientific research is being carried out to personalize the modes of performing the ECT procedure. Instructions have been developed for the use of ECT in a hospital setting, in an outpatient setting, and for combined use with transcranial magnetic stimulation.
The Phenomenon of Mental Pain in the Context of Suicidal Behavior in Post-schizophrenic Depression: a Literature Review
Authors: Скугаревский О.А. , Савицкая В.В. , Объедков В.Г. 
Published: March 2022

В обзоре литературы поднимаются проблемные вопросы клинической феноменологии, диагностики и систематики постшизофренических депрессий в контексте суицидальной активности при шизофрении. Освещаются вопросы актуальности своевременной диагностики таких состояний. Рассматриваются различные подходы к оценке эмоциональности при шизофрении за пределами формализованных оценок при различных подходах к данному вопросу с точки зрения медицинской психологии. Особое внимание уделяется трансдиагностической категории «душевной боли», дефиниции этой категории и отношению к суицидальности пациентов с постшизофренической депрессией. Авторы обзора приходят к выводу о том, что формализованная диагностика депрессии при шизофрении недостаточно эффективна для оценки суицидального поведения таких пациентов, а также находят аргументы в пользу необходимости исследования душевной боли при шизофрении вопреки устоявшемуся концепту о неизбежности эмоционального дефекта при этом заболевании.
The literature review raises problematic issues of clinical phenomenology, diagnosis and systematics of post-schizophrenic depression in the context of suicidal activity in schizophrenia. The issues of relevance of timely diagnosis of such conditions are highlighted. Various approaches to assessing emotionality in schizophrenia beyond formalized assessments are discussed with different approaches to this issue from the point of view of medical psychology. Particular attention is paid to the transdiagnostic category of "mental pain", the definition of this category and the attitude towards suicidality in patients with post-schizophrenic depression. The authors of the review conclude that the formalized diagnosis of depression in schizophrenia is not effective enough to assess the suicidal behavior of such patients, and also find arguments for the need to study mental pain in schizophrenia, contrary to the well-established concept of the inevitability of an emotional defect in this disease.
Are Russian Addictologists Susceptible to Emotional Burnout? Sententia Personalis. Part 1
Authors: Плоткин Ф.Б. 
Published: March 2022

Приведены краткие сведения из истории изучения проблемы снижения психологической устойчивости человека в профессиональной деятельности. Указаны различные точки зрения на патогенетические механизмы, а также семантическое именование процесса, самым распространенным из которых является «синдром эмоционального выгорания» (СЭВ). Подчеркивается неопределенность самого понятия«синдром эмоционального выгорания» и его нечеткая дифференциация от других состояний, сопровождающихся аналогичной клинической картиной. Сообщается о разработке концепции деструктивного профессиогенеза, предлагаемого на смену синдрому профессионального выгорания. Проведен критический анализ исследований, посвященных синдрому профессионального выгорания у врачей, преимущественно наркологов. Рассмотрены некоторые личностные особенности людей, избирающих своей профессией медицину, а особенно профессии, связанные с охраной психического здоровья. Обосновывается неправомерность отнесения наблюдаемых у этих специалистов психологических и соматических проблем на счет СЭВ. Указано на наличие профессионалов, не подвергнувшихся «выгоранию», на необходимость изучения причин их «огнеупорности», а также проведения серьезных клинических исследований, состоятельных с позиций доказательной медицины.
Brief information is given from the history of studying the problem of reducing the psychological stability of a person in professional activity. Various points of view on the pathogenetic mechanisms, as well as the semantic naming of the process, are indicated, the most common of which is the "burnout syndrome". The author emphasizes the ambiguity of the concept of "Burnout Syndrome" and its fuzzy differentiation from other conditions accompanied by a similar clinical picture. Reports are given on the development of the concept of "destructive professiogenesis", aimed to replace the "syndrome of professional burnout". A critical analysis of studies devoted to the syndrome of professional burnout in doctors, mainly narcologists, has been carried out. Some personal characteristics of people who choose medicine as their profession, and especially the professions associated with mental health care, are considered. The issue of attributing psychological and somatic problems observed in these specialists to the "professional burnout syndrome" is raised. The presence of professionals who have not undergone "burnout", the need to study the reasons for their "stamina", as well as to conduct serious clinical studies consistent from the standpoint of evidence-based medicine, are pointed out.
Safety and Health Management Implementation
Authors: Abdul Jumali Muhamad , Utomo Yitno , Rusdiyantoro  
Published: March 2022

The development of industry by empowering high technology is accompanied by an increase in players and technology users in the industrial era and globalization. So it is necessary to pay attention to work safety as an effort to improve human resources in the field of Occupational Safety and Health Management System. The theme of Occupational Safety and Health Management System is very interesting to study and continue to develop. So the purpose of this research is to know the implementation of Occupational Safety and Health Management System in accordance with the Standard Operating Procedure and to know the use of Personal Protective Equipment for employees in the maintenance department of a shoe-making company according to the rules and rules of Occupational Safety and Health Management System.
The research method used is comparative quantitative research (comparing quantitatively). The research subjects were employees in the maintenance department of a shoe-making company which collected 60 people.
The results of this study indicate that the Post-Test value > from the Pre-Test results. Therefore, the implementation of the Health and Safety Management System in the maintenance department has been implemented or in accordance with standart operation procedure and policies of a shoe-making company.
Concurrencia en la Licitación de Proyectos, 2018.
Authors: Castro Coria Eva Grissel , Gómez Monge Rodrigo 
Published: March 2022

El objeto de investigación es analizar la concurrencia en la licitación pública del Programa de Estrategia de Impulso a los Proyectos APP, bloque II, para ello, como metodología se utiliza la minería de datos con la intención de obtener datos públicos, identificar patrones y dar respuesta a nuestra pregunta de investigación: ¿Cuál es la concurrencia en la licitación pública del Programa de Estrategia de Impulso a los Proyectos APP, Bloque II?, con ese fin, se analizan los datos, se presentan los resultados, se resaltan los hallazgos y como conclusión se propone implementar una etapa previa denominada: precalificación, de naturaleza obligatoria, para asegurar la participación de un mayor número de ofertas, verificar la capacidad de los posibles licitantes, reunir propuestas completas para la evaluación económica, y considerar la negociación, para evaluar las propuestas de los licitantes.
Post-Concussion Syndrome Latent Onset Related to Intracranial Lesion on Head Injury Patient in Dr. M. Djamil General Hospital Padang
Authors: Meyadsa Pela , Saiful Saanin  , Hesty Lidya Ningsih  
Published: March 2022

Background. Post-concussion syndrome is associated with damaged axons in patients with a mild head injury but little is known about their consequences for brain tissue. This study aims to examine the relationship between latent onset post-concussion and intracranial lesions in head injury patients at Dr. M. Djamil General Hospital Padang.
Methods. The research design is an analytical observational study with a cross-sectional approach. A total of 25 patients with head injuries participated in this study with inclusion criteria being hospitalized patients alive without physical and mental disabilities and patients diagnosed with latent onset post-concussion syndrome (PCS) without any additional diagnoses for patients with a history of trauma.
Results. The average age of the respondents in this study was 34.08 ± 17.45 years and more than half of the respondents were male, namely 18 (72%) respondents. half of respondents with persistent PCS symptoms > 6 months experienced EDH, as many as 5 (55.6%) respondents, ICH 2 (66.7%) respondents, and cerebral contusion 6 (60%) respondents. The results of statistical tests showed that there was no relationship between latent onset PCS and lesion appearance (p>0.05). The results of statistical tests showed that there was no relationship between latent onset PCS and the degree of head injury (p>0.05).
Conclusion. There is no significant relationship between post-concussion syndrome (PCS) latent onset with a degree of head injury and lesion description in head injury patients at Dr. M. Djamil General Hospital Padang.