bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stimulating Sunscreen Use Among Outdoor Construction Workers: A Pilot Study
Authors: Keurentjes Anne J. , Kezic Sanja , Rustemeyer Thomas , Hulshof Carel T. J. , van der Molen Henk F. 
Published: April 2022

BackgroundOutdoor workers (OW) receive a higher dose of ultraviolet radiation (UVR) compared to indoor workers (IW) which increases the risk of non-melanoma skin cancer (NMSC). Regular sunscreen use reduces the NMSC risk, however, adequate sun-safety behavior among OW is poor. The main objective was to conduct method- and intervention-related elements of a future intervention trial among OW, based on providing sunscreen and assessing sunscreen use on group- and individual level.MethodsThis pilot study was conducted at a construction site in the Netherlands from May-August 2021. Nine dispensers with sunscreen (SPF 50+) were installed at the worksite. OW (n = 67) were invited to complete two (cross-sectional) questionnaires on sun-safety behavior, before and after providing sunscreen. Stratum corneum (SC) samples for the assessment of UV-biomarkers were collected from the forehead and behind the ear from 15 OW and 15 IW. The feasibility of the following elements was investigated: recruitment, (loss to) follow-up, outcome measures, data collection, and acceptability of the intervention.ResultsThe first questionnaire was completed by 27 OW, the second by 17 OW. More than 75 percent of the OW were aware of the risks of sun exposure, and 63% (n = 17) found sunscreen use during worktime important. The proportion of OW never applying sunscreen in the past month was 44.4% (n = 12) before, and 35.3% (n = 6) after providing sunscreen. A majority of OW (59.3%, n = 16) found sunscreen provision encouraging for sunscreen use, the dispensers easy to use (64.7%, n = 17) and placed in practical spots (58.8%, n = 18). Collecting SC-samples was fast and easy, and several UV-biomarkers showed higher levels for sun-exposed compared to less exposed body parts. There was no significant difference in UV-biomarker levels between OW and IW.ConclusionsThis pilot study revealed low sunscreen use among OW despite providing sunscreen, overall satisfaction with the sunscreen, and the sufficient awareness of the risks of UVR-exposure. Collecting SC-samples at the workplace is feasible and several UV-biomarkers showed to be promising in assessing UVR-exposure. The low participation rate and high loss to follow-up poses a challenge for future intervention studies.
Minimally Invasive Revisional Bariatric Surgery in a MBSAQIP Accredited High-Volume Center
Authors: Xie Julia , Dreifuss Nicolas H. , Schlottmann Francisco , Cubisino Antonio , Mangano Alberto , Vanetta Carolina , Baz Carolina , Valle Valentina , Bianco Francesco M. , Gangemi Antonio , Masrur Mario A. 
Published: April 2022

BackgroundWith the rising number of bariatric surgeries performed annually, there has also been an increase in revisional bariatric surgeries (RBS). The aim of this study is to evaluate the safety and postoperative outcomes of RBS performed with a minimally invasive approach.MethodsRetrospective analysis on a prospectively collected database of patients who underwent minimally invasive RBS between 2012 and 2019. Primary endpoints were conversion rate, major morbidity, mortality, and 30-day reoperation rate. Comparative analysis of laparoscopic adjustable gastric banding (LAGB) conversion to sleeve gastrectomy (SG) vs. conversion to Roux-en-Y gastric bypass (RYGB) was performed.ResultsA total of 221 patients underwent minimally invasive RBS, 137 (62%) laparoscopically and 84 (38%) robotically. The most common RBS were LAGB to SG (59.3%) and LAGB to RYGB conversions (16.7%). The main indication was weight loss failure (88.7%). Conversion rate, major morbidity, and mortality were 0.9, 3.2, and 0.4%, respectively. Urgent reoperation was required in 3.2% of cases. Total weight loss at 1 and 2-years follow- were 14.3 and 17.3%, respectively. Comparative analysis of LAGB conversion to SG vs. RYGB showed similar major morbidity (SG: 2.3% vs. RYGB 0%, p = 1). Greater total weight loss was achieved in LAGB to RYGB conversions at 1-year (SG: 14.8% vs. RYGB 25.3%, p &lt; 0.001).ConclusionsMinimally invasive RBS can be performed safely in a broad patient population with low conversion and complication rates, and improved weight loss outcomes. LAGB to RYGB conversions are associated with greater weight loss. Further randomized trials are needed to draw more conclusive recommendations.
Validity and Reliability of the Secondary Traumatic Stress Scale—Chinese Version
Authors: He Yi , Liu Zhiqun , Zhang Juan , Yao Jiapei , Xiao Huan , Wan Huan 
Published: April 2022

ObjectivesTo test the validity and reliability of the Secondary Traumatic Stress Scale—Chinese version in clinical nurses.MethodsAccording to the translation principles of the Brislin Scale, the original scale was translated, back translated and cross-culturally adapted to form the Chinese version of the Secondary Traumatic Stress Scale. Nurses in three general hospitals in Changsha, Hunan province were surveyed by convenient sampling method from July 2020 to September 2021. Exploratory factor analysis, confirmatory factor analysis, content validity and criterion validity was used to evaluate the validity of the scale. Internal consistency Cronbach's α coefficient, split-half reliability and test-retest reliability were used to evaluate the reliability of the scale.ResultsA total of 678 nurses were included in the study. There were 460 people in sample 1 and 218 people in sample 2. Two common factors were extracted by exploratory factor analysis. The cumulative contribution was 65.560%. The two-factor structure model was good (χ2/df = 3.137, CFI = 0.928, IFI = 0.929, GFI = 0.842, TLI = 0.917, RMSEA = 0.099). The I-CVI of the scale was 0.8–1.0. The S-CVI/Ave was 0.94. The Cronbach's alpha coefficient is 0.956. The broken half reliability is 0.920. The retest reliability is 0.910.ConclusionThis study identified two components of the Secondary Traumatic Stress Scale—Chinese version, which has 2 dimensions and 17 items. With good validity and reliability, it is suitable for the assessment of secondary traumatic stress among clinical nurses in the Chinese context.
Computed Tomography Assessment of Tidal Lung Overinflation in Domestic Cats Undergoing Pressure-Controlled Mechanical Ventilation During General Anesthesia
Authors: Martins Alessandro R. C. , Ambrósio Aline M. , Fantoni Denise T. , Pinto Ana Carolina B. C. F. , Villamizar-Martinez Lenin Arturo , Soares João H. N. , Otsuki Denise A. , Malbouisson Luiz Marcelo S. 
Published: April 2022

ObjectiveThis study aimed to evaluate lung overinflation at different airway inspiratory pressure levels using computed tomography in cats undergoing general anesthesia.Study DesignProspective laboratory study.AnimalsA group of 17 healthy male cats, aged 1.9–4.5 years and weighing 3.5 ± 0.5 kg.MethodsSeventeen adult male cats were ventilated in pressure-controlled mode with airway pressure stepwise increased from 5 to 15 cmH2O in 2 cmH2O steps every 5 min and then stepwise decreased. The respiratory rate was set at 15 movements per min and end-expiratory pressure at zero (ZEEP). After 5 min in each inspiratory pressure step, a 4 s inspiratory pause was performed to obtain a thoracic juxta-diaphragmatic single slice helical CT image and to collect respiratory mechanics data and an arterial blood sample. Lung parenchyma aeration was defined as overinflated, normally-aerated, poorly-aerated, and non-aerated according to the CT attenuation number (−1,000 to −900 HU, −900 to −500 HU, −500 to −100 HU, and −100 to +100 HU, respectively).ResultAt 5 cmH2O airway pressure, tidal volume was 6.7± 2.2 ml kg−1, 2.1% (0.3–6.3%) of the pulmonary parenchyma was overinflated and 84.9% (77.6%−87.6%) was normally inflated. Increases in airway pressure were associated with progressive distention of the lung parenchyma. At 15 cmH2O airway pressure, tidal volume increased to 31.5± 9.9 ml kg−1(p&lt; 0.001), overinflated pulmonary parenchyma increased to 28.4% (21.2–30.6%) (p&lt; 0.001), while normally inflated parenchyma decreased 57.9% (53.4–62.8%) (p&lt; 0.001). Tidal volume and overinflated lung fraction returned to baseline when airway pressure was decreased. A progressive decrease was observed in arterial carbon dioxide partial pressure (PaCO2) and end-tidal carbon dioxide (ETCO2) when the airway pressures were increased above 9 cmH2O (p&lt; 0.001). The increase in airway pressure promoted an elevation in pH (p&lt; 0.001).Conclusions and Clinical RelevanceVentilation with 5 and 7 cmH2O of airway pressure prevents overinflation in healthy cats with highly compliant chest walls, despite presenting acidemia by respiratory acidosis. This fact can be controlled by increasing or decreasing respiratory rate and inspiratory time.
A Lurking Threat of Community-Acquired Acinetobacter Meningitis—A Rare Case Report from Punjab, India
Authors: Jindal Navodhya , Jain Sonia , Bhowmick Arghya , Bhargava Vyom 
Published: April 2022

Background: Acinetobacter spp. are a potential life-threatening cause of severe meningitis noted as a nosocomial infection after neurosurgical procedures in patients admitted to neurosurgical ICUs. Community-acquired Acinetobacter meningitis is extremely rare, and only a few cases have been reported in the literature. Case presentation: In this study, we report a patient from Punjab, India, who was infected after a roadside accident in which he developed CSF otorrhea and subsequent meningitis with Acinetobacter lwoffii. The patient was managed with the cephalosporin group of antibiotics as per the sensitivity report. For the first time, we report a rare case report of community-acquired Acinetobacter meningitis from Punjab, India. Conclusions: This case report highlights the potential pathogenicity of Acinetobacter lwoffii and increases concerns that this organism might rapidly evolve into a dreadful antibiotic-resistant community pathogen.
Implicancias del cambio climático en el rendimiento de la producción de CHENOPODIUM PALLIDICAULE (cañihua) en Lampa, Región Puno-Perú
Authors: Quispe Mamani Julio Cesar , Guevara Mamani Marcial , Aguilar Pinto Santotomas Licimaco , Flores Turpo Giovana Araseli , Velásquez Velásquez Wily Leopoldo , Quispe Lino Carmen Nievez 
Published: April 2022

El objetivo de la investigación fue determinar el efecto del cambio climático en la producción de Chenopodium pallidicaule (cañihua) en la zona productora de Lampa, de la región de Puno-Perú. Se utilizó un enfoque cuantitativo, aplicando el modelo teórico de la función de producción polinómica de segundo grado para la prueba de hipótesis, utilizando la información del Ministerio de Agricultura y Riego y del Servicio Nacional de Meteorología e Hidrología del Perú. Se determinó que las variables climáticas influyen en el rendimiento de la producción de Chenopodium pallidicaule (cañihua), en un 53.68%. La humedad relativa y la temperatura mínima son las variables que tienen mayor influencia en el rendimiento de la producción de este cultivo, en vista que a un incremento en 1% de la humedad relativa y de la temperatura mínima en 1 °C provoca un incremento de 15.91 kg/ ha y 7.62 Kg/Ha en el rendimiento de la producción de Chenopodium pallidicaule (cañihua).
Educação Ambiental no contexto pandêmico: aspectos gerais e o caso de São Carlos (SP)
Authors: Santos Junior Edimilson Rodrigues dos , Mendonça Nayara Fernandes de , Almeida Maria Rita Raimundo e 
Published: April 2022

A complexidade dos sistemas socioecológicos foi agravada pela COVID-19, que impôs uma série de dificuldades aos processos educacionais. Assim, este artigo objetiva levantar os desafios e perspectivas da prática da Educação Ambiental no contexto pandêmico e, de modo específico, para o caso da cidade de São Carlos (SP). Foi aplicada uma abordagem multi-método, associando Revisão Bibliográfica Sistemática com relatos coletados por um questionário disponibilizado a instituições locais. Dentre os resultados, foram identificadas as necessidades de adaptações das metodologias usualmente desenvolvidas; ressaltada a importância da participação da comunidade; e sintetizadas sugestões ao enfrentamento do cenário atual e futuro.
Conocimientos, actitudes y prácticas preventivas del COVID-19 en padres de familia de la provincia de Yauyos-Lima
Authors: Arbieto-Fajardo Alexia del Rosario 
Published: April 2022

Objetivo: determinar la relación entre los conocimientos, actitudes y prácticas sobre la prevención del COVID-19 en padres de familia de una institución educativa inicial de la provincia de Yauyos, Lima. Materiales y métodos: estudio correlacional de corte transversal. La población estuvo constituida por 100 padres de ambos sexos. Se usó el programa estadístico Stata para el análisis univariado y bivariado de los datos. Resultados: los participantes resultaron con promedios de conocimientos de 13.28 puntos. El promedio de actitudes fue de 36.16 y un 62% mostró prácticas regulares sobre prevención del COVID-19. Se encontró relación entre el nivel de prácticas preventivas y las actitudes sobre prevención del COVID-19 (p-valor 0.025). El nivel de prácticas se asoció con la procedencia de información (p-valor 0.050) y la actitud se relacionó con tener algún dispositivo con internet (p-valor 0.001) y con haber tenido COVID-19 (p-valor 0.038). Los conocimientos se relacionaron con el nivel educativo (p-valor 0.025) y contar con un dispositivo con acceso a internet (p-valor 0.002). Conclusión: los padres tienen promedios que indicarían conocimientos altos y actitudes indiferentes, así como prácticas regulares sobre la prevención del COVID-19. El nivel de prácticas se relaciona con la procedencia de la información, la actitud con tener un dispositivo con acceso a internet y con haber tenido COVID-19. Los conocimientos se relacionan con el nivel educativo y con contar con un dispositivo con acceso a internet. Es esencial considerar los conocimientos y actitudes de la población para tomar decisiones y acciones preventivas sobre el COVID-19.
Analisis Postur Kerja Aktivitas Pemindahan Barang dengan Metode Rapid Upper Limb Assessment (RULA) di UKM Sembako Asri Karawang
Authors: Nanda Riananda , Dene Dene Herwanto , Asep Asep Erik Nugraha 
Published: April 2022

Abstrak, Musculoskeletal disorders (MSDs) adalah masalah ergonomi yang sering dijumpai di tempat kerja, khususnya yang berhubungan dengan kekuatan dan ketahanan manusia dalam melakukan pegawaiannya. Aktivitas pemindahan barang secara manual berisiko mengalami gangguan MSDs. Studi pendahuluan yang dilakukan di UKM Asri Karawang menunjukkan bahwa pegawai di bagian gudang yang bertugas memindahkan barang sering mengalami keluhan pada bagian lengan, pinggang, dan punggung. Tujuan penelitian ini memberikan usulan perbaikan sikap kerja dengan membuat rancangan alat bantu kerja untuk mecegah keluhan MSDs. Metode yang digunakan dalam penelitian ini ialah rapid upper limb assessment (RULA) untuk mengidentifikasi keluhan otot skeletal yang dirasakan oleh pegawai serta menggunakan kuesioner nordic body map (NBM) untuk mengetahui kategori tingkat risiko MSDs. Metode ergonomic function deployment (EFD) untuk merancang alat bantu sesuai kebutuhan pegawai sesuai voice of customer (VoC). Berdasarkan hasil pengolahan data menggunakan software Ergofellow 3.0 dapat disimpulkan bahwa postur kerja berdiri pada kegiatan pengangkatan barang mendapatkan grand score sebesar 6 yang berarti memiliki level risiko sedang dan perbaikan dapat dilakukan jika diperlukan. Postur kerja berjalan dengan tangan membawa barang dan menurunkan barang memiliki grand score sebesar 7 yang berarti memiliki level risiko tinggi dan harus segera di lakukan perbaikan. Untuk mengurangi postur kerja yang tidak ergonomis, dibuat rancangan alat bantu berupa troli hidrolik menggunakan software Solidworks 2020 SP5. Setelah dilakukan perbaikan postur kerja menggunakan alat bantu troli hidrolik, kegiatan memangangkat, membawa, dan menurunkan barang mendapatkan grand score 3 yang berarti memiliki level risiko rendah.

Kata Kunci Postur Kerja, Rapid Upper Limb Assessment, Grand Score.
O circuito espacial inferior de produção da mandioca representado pelos produtores rurais do assentamento Carlos Marighella em Poxoréu-MT
Authors: Oliveira Ivan de , Nardes Antonia Marilia Medeiros 
Published: April 2022

O presente artigo tem como objeto de estudo o circuito espacial de produção da mandioca no Assentamento Carlos Marighella, em Poxoréu/MT. Este circuito possui alguns aspectos que carecem de melhor compreensão científica. Esses aspectos específicos a partir dos quais foi desenvolvida a problemática estão relacionados às instâncias da produção da mandioca em sua dimensão territorial, à produção propriamente dita, bem como às características de seu processo de circulação e de consumo. O objetivo central da pesquisa é compreender o circuito espacial, os atores produtores de mandioca do Assentamento Carlos Marighella, localizado em Poxoréu/MT, e seus consumidores das feiras livres da Vila Aurora, em Rondonópolis/MT. O estudo foi desenvolvido a partir da pesquisa exploratória descritiva com abordagem qualitativa, sendo possível adotar os seguinte procedimentos metodológicos: pesquisa bibliográfica realizada em livros e revistas científicas periódicas; e estudo de campo com aplicação de entrevistas e preenchimento de formulários, a fim de coletar os dados para atingir os objetivos propostos. Os resultados obtidos revelam que os produtores de mandioca do Assentamento Carlos Marighella são pequenos produtores agrícolas familiares, os quais produzem a mandioca de forma rudimentar e utilizam principalmente o veículo particular para realizar o transporte de mandioca e farinha. Quanto ao consumo da mandioca, verificou-se que os principais consumidores desse produto e de seus derivados são a parcela da população mais pobre. Na prática, este estudo pretende contribuir de forma a gerar conhecimento científico para a sociedade e também para o debate acerca da necessidade de novas políticas públicas destinadas a melhoria da infraestrutura dos assentamentos rurais. O estudo apresenta como limitação a pequena expressividade de participantes que compõem a amostra.
Palavras-chave: Assentamento rural, Produção de mandioca, Circuito inferior de produção.
ANALISIS PENGELOLAAN ADMINISTRASI KEUANGAN SEKOLAH (STUDI KASUS PADA SMP LAB UNESA)
Authors: Rahmawati Yuliana Harry , Erny Roesminingsih  , Nunuk Hariyati  
Published: April 2022

Tujuan penelitian ini adalah untuk (1) memperoleh pemahaman langsung tentang pengelolaan administrasi keuangan sekolah di SMP Laboratorium YDWP Unesa; dan (2) mendapatkan pemahaman langsung tentang pengelolaan administrasi keuangan sekolah di SMP Laboratorium YDWP Unesa (3). Membantu Pengelolaan Administrasi Keuangan Sekolah SMP Laboratorium YDWP Unesa dan memberikan saran perbaikan jika ada kekurangan dalam administrasi. Kajian ini menggunakan pendekatan dekspritif kualitatif dengan instrument penelitian terdiri dari lembar observasi, dokumentasi dan wawancara. Subjek penelitian dilaksanakan di sekolah SMP YDWP UNESA dengan melibatkan seluruh perangkat administrasi sekolah. Analisis data menggunakan pendekatan triangulangsi untuk menguji keabsahan data. Hasil analisis disajikan dalam bentuk deskriptif dengan beberapa bukti pendukung terkait hasil observasi ataupun wawancara. Hasil analisis diperoleh bahwa (1) Bendahara dan Pembukuan Sekolah yang diangkat oleh sekolah berdasarkan Surat Keputusan Pengangkatan sebagai Bendahara Pengelolaan dan Pembukuan, melaksanakan kegiatan pengelolaan keuangan sekolah; (2) Proses pelaporan keuangan sekolah biasanya triwulanan (3 bulan), dan pelaporan dilakukan sesuai dengan peraturan yang telah ditetapkan. Hasilnya, dapat disimpulkan bahwa pengelolaan dan penggunaan keuangan sudah memadai; namun ada beberapa hal yang perlu diperhatikan seperti laporan pertanggungjawaban bulanan yang kurang lengkap dan tidak efektif sehingga perlu penambahan beberapa fungsi dan format baru agar lebih lengkap dan informatif.
Discerner une posture à incarner aujourd’hui dans l’accompagnement spirituel en milieu laïc de santé
Authors: Compaoré Valérie 
Published: April 2022

Dans cet article, Valérie Compaoré présente une perspective théologique de l’accompagnement spirituel en milieu laïc de santé à partir d’un terrain emblématique et spécifique en Suisse romande : l’aumônerie œcuménique au Centre hospitalier universitaire vaudois (CHUV). Après avoir exposé le contexte et les enjeux se présentant aux aumôniers/accompagnants spirituels aujourd’hui, la discipline de la théologie pratique permettra de dégager une posture dans l’accompagnement spirituel auprès des patients ainsi que vis-à-vis des institutions partenaires. Une spécificité en voie de construction apparaîtra, incluant notamment une dimension symbolique et subversive.
Écrire l’absence
Authors: Maginot Éva , Roux Sébastien 
Published: April 2022

En France, l’accouchement dit « sous X » permet à toute femme de mettre un enfant au monde sans dévoiler son identité ni établir de lien de filiation. Depuis la fin du xx e siècle, ce silence s’est vu tempéré par l’adoption croissante de dispositions facilitant l’accès partiel des enfants à certaines informations lorsqu’ils atteignent leur majorité – si tant est qu’ils en expriment la volonté. Mais comment ces informations sont-elles produites ? Et que révèlent-elles du traitement institutionnel de la filiation ? Consignées dans des documents rédigés et archivés par des services spécialisés, elles font pourtant l’objet d’un traitement singulier dont l’étude renseigne sur la fabrique des attaches et des relations. Adossé à une enquête ethnographique menée auprès de professionnelles de l’accompagnement, cet article étudie la production des informations biographiques et montre comment le traitement des « origines » participe d’une mise en ordre institutionnelle des sentiments, des liens et des subjectivités – forçant le lien au cœur même du dispositif censé l’empêcher.
E3 Ubiquitin Ligase Riplet Is Expressed in T Cells and Suppresses T Cell–Mediated Antitumor Immune Responses
Authors: Iwamoto Asuka , Tsukamoto Hirotake , Nakayama Hideki , Oshiumi Hiroyuki 
Published: April 2022

Abstract
The E3 ubiquitin ligase Riplet mediates retinoic acid–inducible gene-I polyubiquitination and is essential for viral-induced expression of type I IFNs in dendritic cells and macrophages. The function of Riplet in innate immunity has been well demonstrated; however, its role in adaptive immunity during the antitumor immune response is unclear. In this study, we examined the role of Riplet in the T cell–mediated antitumor immune response. Riplet was expressed in T cells and upregulated in CD8+ T cells in response to TCR-mediated stimulation. Furthermore, PR domain containing 1, eomesodermin, and killer cell lectin-like receptor G1 expression was increased in effector CD8+ T cells by Riplet knockout in vitro, which suggests that Riplet is involved in the effector function of CD8+ T cells. Our results indicated that Riplet deficiency augmented the antitumor response of MO4 (OVA-expressing melanoma)–bearing mice treated with OVA peptide-pulsed dendritic cells. Moreover, both CD4+ and CD8+ T cells played important roles in Riplet-mediated augmentation of the antitumor immune response. In tumor-draining lymph nodes, the Th1 response was promoted, and the induction of OVA-specific CD8+ T cells and IFN-γ production were enhanced by Riplet deficiency. Furthermore, the IFN-γ response and OVA-specific cytotoxicity of CD8+ T cells in tumor tissue were augmented by Riplet deficiency. The expression of Cxcl9fluorescence-minus-one and Cxcl10 mRNA was also enhanced in the tumor microenvironment by Riplet knockout, consistent with the augmented recruitment of CTLs. Overall, we clarified a function of Riplet in T cells, which is to suppress the antitumor immune response through modulating Th1 and CTLs.