bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nursing Students and Cognitive Rehearsal Training as an Antibullying Strategy: A Canadian National Study
Authors: Carissa Fehr Florriann , Seibel Michelle 
Published: February 2022

Background:
Bullying in nursing is a well-documented phenomenon and is a factor in job satisfaction, nurse retention, and client safety. Both nursing students and nursing staff experience these negative interactions in clinical settings.

Method:

This study was conducted to refine and improve the cognitive rehearsal training (CRT) intervention. Experiential workshops were conducted with third-year or equivalent baccalaureate nursing students at five different schools of nursing across Canada (
N
= 329).

Results:
Students supported the CRT approach as a first response toward dealing with bullying behavior in the health care workplace and offered advice for its improvement.

Conclusion:

Currently, schools of nursing and health authorities typically use theoretical and online approaches to address bullying. The CRT intervention described in this study is novel as it involves role-play, which promotes learning at a deeper level than didactic approaches.

[
J Nurs Educ
. 2022;61(2):80–87.]
Implantation d'une nouvelle approche éducative visant l'engagement environnemental des citoyens. Biodôme, Espace pour la vie
Authors: Gladu Stéphanie , Curadeau Manon 
Published: February 2022

Depuis 1992, le Biodôme de Montréal s’emploie à exposer le vivant dans toute sa complexité et ses interconnexions à travers la représentation de cinq écosystèmes. Une de ses missions : « S’engager à protéger l’environnement en favorisant une prise de conscience individuelle et collective ». Sa division Programmes publics et éducation se penche sur une façon de concrétiser davantage cette mission à travers ses activités. Le présent article fait état de la démarche qui accompagne cette réflexion. Pour l’essentiel, il s’agit de la proposition d’une nouvelle approche éducative s’appuyant sur un modèle développé au cœur même du Biodôme : « La pyramide d’interventions ». Une approche qui appelle les visiteur.euse.s à passer à l’action. Y sont également présentés les principaux défis qui accompagnent l’implantation d’une telle approche, ainsi que les dispositions mises en place pour faciliter cette dernière.
Évaluer l’efficacité de l’éducation relative au changement climatique en milieu non formel : une étude de cas
Authors: Champagne St-Arnaud Valériane , Samson Ghislain 
Published: February 2022

Les outils permettant d’évaluer l’efficacité de l’éducation relative au changement climatique en milieu non formel sont peu nombreux et souffrent souvent de l’absence d’assises théoriques solides. Dans le contexte de la campagne Sors de ta bulle menée par la Fondation Monique-Fitz-Back, un cadre d’évaluation novateur reposant sur douze indicateurs a été élaboré. Ces indicateurs ont servi à évaluer les effets de la participation de jeunes de 12 à 17 ans au Sommet jeunesse sur le changement climatique, l’une des activités de la campagne. Un devis mixte combinant la réalisation d’une enquête en ligne auprès des participant.e.s et un entretien de groupe avec douze d’entre eux a permis de constater que la campagne Sors de ta bulle a contribué à stimuler efficacement le processus d’adoption de comportements écoresponsables selon trois axes : augmentation de la motivation, renforcement du sentiment d’efficacité personnelle et intensification de l’engagement dans la lutte climatique.
Comment faire face à l’éco-anxiété : 11 stratégies d’adaptation en contexte éducatif
Authors: Desmarais Marie-Élaine , Rocque Rhéa , Sims Laura 
Published: February 2022

Les défis soulevés par les changements climatiques sont de plus en plus importants et préoccupent un nombre grandissant d’individus. Certains ressentent une urgence d’agir, comme une responsabilité sociale : il faut mener dès maintenant des actions concrètes dans l’espoir de gérer la crise. En raison du fait que les actions individuelles, bien que pertinentes et nécessaires, n’ont pas les effets espérés par la personne qui les mènent, plusieurs vivent de l’éco-anxiété. Afin de canaliser cette écoanxiété, cet article présente onze stratégies d’adaptation, en fonction de trois axes prioritaires : les émotions, le problème et la signification.
Producer responsibility in managing plastic packaging waste in Sri Lanka: A legal framework based on lessons learned from Germany
Authors: Balachandra B.A.K.S. , Abeysekara T.B. 
Published: February 2022

The life cycle of plastic packaging ends in polluting the environment and negatively impacting wildlife, marine life, and human health. In Sri Lanka, manufacturers and distributors are not responsible for the end life cycle of plastic packaging under our domestic legislation. In 1991, Germany was the first country to introduce the legislative implemented "Extended Producer Responsibility" to the rest of the world through the German Packaging Ordinance. In 2016, Germany's domestic recycling rate was "65 percent," making it the world's "leading race" country (Singapore Environmental Council, 2018). Because Sri Lanka is a developing country, this study examines the various disposal options for plastic packaging waste, realising that Germany has much to teach Sri Lanka. Due to the lacuna in national policy in managing post-consumer plastic packaging waste, this study intends to examine the applicability of legislatively implemented Extended Producer Responsibility (EPR) in Sri Lanka through the lessons learned from the German jurisdiction. Additionally, this qualitative study examines how lessons from Germany can be incorporated into the legal framework in Sri Lanka to manage plastic packaging and packaging waste better. National Environmental Act, Special Regulations published in the gazette are given more attention and analysed and discussed accordingly in identifying the lacuna in Sri Lanka's Jurisdiction in managing the end life cycle of post-consumer plastic packaging waste. The recommendations based on the findings through the in-depth literature reviews in this research form an implementation plan for plastic packaging waste policies in the domestic jurisdiction highlighting the mandatory final disposal and recovery of plastic packaging by manufacturers and distributors in Sri Lanka to ensure sustainable business practices.
Missing appointments by patients on antiretroviral therapy: Professional nurses’ perspective
Authors: Lowane Mygirl P. , Lebese Rachel T. 
Published: February 2022

Background: Missed appointments for medicine pick-ups are regarded as a predictor of poor adherence, and should trigger immediate questions about issues that may affect follow-up visits to healthcare settings.Objectives: The study explored and described professional nurses’ perspectives about the factors that contribute to missing appointments by people living with Human Immunodeficiency Virus (PLWHIV) on antiretroviral therapy (ART) at Mopani and Vhembe district in Limpopo Province.Method: A qualitative explorative contextual approach was used for the study. Non-probability, purposive sampling was used to select 14 professional nurses who met the inclusion criteria. Data were collected through face-to-face unstructured interviews. One central question was asked and probing questions were based on the participants’ responses to the central question. Thematic analysis of the findings was carried out. Trustworthiness was ensured through intercoder agreement, audio recording, triangulation, bracketing, and member checking. Required permission, approval, and ethical clearance were also ensured.Results: Organisational health system and management of the healthcare facility were found to be the barriers that negatively impacted on the ability of the PLWHIV on ART to maintain clinic visits appointments. Lack of patient involvement, stereotyped appointment dates selection, poor patient-provider relationships, errors of recording appointment dates and long waiting times came up as sub-themes derived from the main theme.Conclusion: The results suggest that there is a need to increase and improve mutual trust in patient-provider relationships, improve nurses working conditions, develop proper booking systems and reduce clinic waiting hours.
Differential EUS findings in focal type 1 autoimmune pancreatitis and pancreatic cancer
Authors: Tacelli Matteo , Zaccari Piera , Petrone Maria Chiara , Della Torre Emanuel , Lanzillotta Marco , Falconi Massimo , Doglioni Claudio , Capurso Gabriele , Arcidiacono Paolo Giorgio 
Published: February 2022

ABSTRACT

Background and Objectives:
Autoimmune pancreatitis (AIP) often mimics pancreatic cancer (PC), particularly if presenting as a focal lesion. EUS may orient the differential diagnosis between them. This study aims to identify EUS findings that might be useful to differentiate type 1 focal autoimmune pancreatitis (f-AIP1) and PC.

Materials and Methods:
F-AIP1 and PC patients were retrospectively collected, matched, and compared. EUS findings considered were: focal mass echogenicity, loss of lobularity, distal atrophy, peripancreatic hypoechoic margins (PHM), pancreatic duct dilation, duct-penetrating sign (DPS), pancreatic/common bile duct thickened walls (PD/CBD-TW), and vessel infiltration (VI). Elastography findings were also recorded. Variables with a P < 0.05 at univariate analysis were included in logistic multiple regression.

Results:
Fifteen patients with f-AIP and 60 with PC were studied. FE was hypoechoic in all patients from both groups. PHM was observed in 40% of f-AIP1 cases but not in PC ones (P < 0.001). DPS was found in 10/15 (66.7%) f-AIP1 and in 7/60 (11.7%) PC patients (P < 0.001). PD-TW and CBD-TW were observed in 66.7%/60% f-AIP1 cases and in 6.7%/13.6% PC patients, respectively (P < 0.001 for both comparisons). Pancreatic masses were significantly different at EUS elastography (elastic respectively in 71.4% f-AIP1 and 3.8% PC, P < 0.001). VI was suspected in 20% of f-AIPs and 85% of PCs (P < 0.001). At multiple regression, PD-TW, CBD-TW, elastic pattern, and the absence of VI independently supported a diagnosis of f-AIP1.

Conclusions:
Our results suggest that EUS findings deserve consideration in the diagnostic workup of AIP to improve the differential diagnosis with PC.
Study of water and sediment surface quality on defilement of heavy metals Pb & Cd at a downstream section of Musi River, South Sumatera, Indonesia
Authors: Tjahjono Agus , Sugiharto Rudy , Wahyuni Okvita 
Published: February 2022

This research (1) analyzed the content of Pb and Cd in water and sediment; (2) analyzed physical and chemical parameters in water; (3) determined the enrichment factor and accumulation index of Pb and Cd in sediments; and (4) to identified water quality based on the Pollution Index (IP) and STORET. The analysis was carried out using PCA (Principal Component Analysis) and Pearson's correlation, and was conducted in the downstream section of the Musi River, Palembang, using a random sampling technique. Based on the analysis, it was found that the content of Pb and Cd in the waters had surpassed the quality standard whereas the contents of both heavy metals found in the sediment still met the quality standard. It was also found that several variables of the physical and chemical parameters did not meet the criteria. Based on the Enrichment Factor (EF) and the Accumulation Index (Igeo) of Pb and Cd, the river had not been defiled. The pollution index values of both IP and STORET indicated that the water had been heavily polluted. Based on the PCA, three factors which affected the quality of the river water were found.
Keywords: abiotic, defilement, evaluation, index, mud, quality.
Moringa oleifera seed husks for methylene blue dye adsorption: kinetic, equilibrium, and thermodynamic analyses
Authors: Lopes Carolina Almeida , Roledo Cely , Reis Adriano Gonçalves dos 
Published: February 2022

M. ole·ifera se·ed hu·sks (H-M·O) w·ere u·sed as adsorbent for the removal of methylene blue (MB) dye from an aqueous solution. The ads·orbent was char·acterized by SE·M, ED·X, X·RD, F·TIR, B·ET, and p·HPZC. To evaluate adsorption capacity, the influences of p·H, kinetics, isotherms, and thermodynamic prop·erties were anal·yzed. Characteri·zation tech·niques indic·ated that H-MO has het·erogeneous morp·hological charac·teristics wi·th a spe·cific sur·face a·rea of 3.24 m2 g-1, mai·nly comp·osed of ce·llulose distr·ibuted in an amor·phous stru·cture. MB adsorption was favorable at pH values higher than pHPZC of 6.6, using an adsorbent dosage of 1.0 g L-1. Equilibrium was achieved in the first 240 min, and the pseudo-second-order model was suitable for describing the kinetic data. Freu·ndlich was the mo·st adeq·uate model for descri·bing the isoth·erm cur·ves, pred·icting a max·imum adsor·ption capa·city of 122.7 mg g-1 at 24°C, hig·her tha·n oth·er natu·ral ad·sorbents. The ads·orption proc·ess w·as spo·ntaneous and exoth·ermic, indic·ating that lo·wer temper·atures fav·or the ad·sorption and th·at it is cont·rolled by p·hysical fo·rces. The da·ta presen·ted indic·ate the M·B has t·he pot·ential to be succ·essfully trea·ted by the eco-fr·iendly and l·ow-cost ads·orbent M. oleif·era seed h·usks.
Keywords: agricultural wastes, low-cost adsorbent, physisorption.
VKORC1 gene polymorphism (-1639G>A) in warfarin therapy patients of Pakistani population
Authors: Muhammad Bilal Ghafoor  , Faiza Yasmeen  , Abdul Wadood Khalid  , Ghulam Mustafa  , Shagufta Khaliq  , Shahida Mohsin  
Published: February 2022

Objective: To observe vitamin K epoxide reductase complex subunit 1-1639 G>A polymorphism in patients resistant to warfarin therapy, and to calculate the allele frequency of the polymorphism in local patients.
Method: The cross-sectional case-control study was conducted at the Punjab Institute of Cardiology, Lahore, from 2013 to 2014, and comprised patients with heart valve replacement. Thy were divided into warfarin-resistant group 1 taking 10mg/day, 70mg/week, and control group 2 taking a standard dose of 5mg/day, 35mg/week. The vitamin K epoxide reductase complex subunit 1-1639 G>A polymorphism analysis was done by polymerase chain reaction, followed by restriction fragment length polymorphism technique. Data was analysed using SPSS 20.
Results: Of the 146 patients, there were 73(50%) in each of the two groups. In group 1, there were 37(50.68%) males and 36(49.32%) were females with an overall mean age of 33±12 years, while group 2 had 36(49.32%) males and 37(50.68%) females with an overall mean age of 37±13 years. There were no significant differences in mean values of age, serum cholesterol, triglycerides and albumin levels between the groups (p>0.05). The G allele was the most frequently found in both groups, with 140(96%) in group-1 and 137(94%) in group-2. Overall, the homozygous GG genotype was significantly higher in the sample 132(90.4%) (p<0.05).
Conclusions: There was evidence found that vitamin K epoxide reductase complex subunit 1-1639 G>A polymorphism alone may not be the dominant genetic factor associated with warfarin response variability.
Key Words: Warfarin, VKORC1 gene, Single nucleotide polymorphism, PCR-RFLP.
Demographic variables of Vestibular schwannoma’s patients presented in Radio Surgical out- patient department of Cyberknife Robotic Radiosurgery, JPMC Karachi
Authors: Kadri Shazia , Ahmed Naveed , Ghulam Muhammad Aneeta , Saeed Kamran , Ahmad Hashmi Syed Furqan , Mahmood Tariq 
Published: February 2022

Objective: To determine the age, gender and sites of vestibular schwannoma cases using contrast-enhanced magnetic resonance imaging.
Method: The retrospective descriptive study was conducted at the Department of Cyberknife Robotic Radiosurgery, Jinnah Postgraduate Medical Centre, Karachi, and comprised data of patients with vestibular schwannomas from January 2016 to September 2018. Some of them were histologically proven and rest were radiologically proven. Cases were reviewed on contrast-enhanced magnetic resonance imaging of the brain. Statistical Package for the Social Sciences version 20 (SPSS) was applied.
Results: Of the 500 cases of vestibular schwannomas identified with 515 tumours, 300(60%) were males and 200(40%) were female. The overall mean age was 42.7+/-14.4 years (range: 17-85 years). Out of 515 tumours, the commonest site was the right cerebellopontine angle in 340(66%) cases. There were 15(3%) cases of radiologically-proven neurofibromatosis type 2. Overall, 490(98%) patients had main clinical complaint of progressive unilateral hearing loss, 5(1%) had vertigo and 5(1%) had facial palsy.
Conclusion: Vestibular schwannomas were found to be more common among adults, with male preponderance and right cerebellopontine angle being the common site.
Key Words: Vestibular schwannoma, VS=, Cerebellopontine angle, P angle, MRI, Magnetic resonance imaging, Neurofibromatosis type II, NF II.
Continuous...
Mother-NICU: An approach to reducing the Neonatal Mortality Burden
Authors: Siddiqua Ayesha , Haniya Waseem  
Published: February 2022

Respected Mam,
Pakistan ranks 3rd on highest newborn deaths by WHO. 75% of all neonatal occur during the first week of life, with the most common causes being preterm birth, birth asphyxia, infections and birth defects.(1) Kangaroo Mother Care (KMC) is one of the best options to provide care for premature babies in low socioeconomic countries (LSIC).It involves continuous skin-to-skin contact of the infant with the mother and feeding of exclusively breast milk. It reduces neonatal mortality, improves weight gain, reduces hospital stay and promotes mother-infant attachment. Currently, WHO recommends initiation of continuous KMC sessions when an infant has stabilized (2), which is usually after the first week of life in which most neonatal deaths happen. Previously studies showed that immediate KMC (iKMC) during incubator care before stabilization improves the survival of preterm (LBW) low birth weight infants (3, 4). A recent multicenter trial(5) was conducted WHO KMC study group in five LSIC to study the efficacy of iKMC among LBW infants. The results showed significant improvement (25%) in neonatal survival. The trial was stopped early owing to the finding of reduced mortality among infants receiving iKMC. For the provision of iKMC, establishment of mother- Neonatal Intensive Care Units (M-NICU) is essential. In standard NICU, the mother is only a visitor but in M-NICU, she is a permanent resident with mother’s beds alongside the baby’s warmer/incubator. This facilitates longer iKMC sessions and she becomes an active caregiver to the baby. (6) Currently there are only 17 established KMC wards in Pakistan where UNICEF provides necessary equipment and training to healthcare staff. The establishment of M-MICU’s reduce the neonatal mortality rate in LSIC like Pakistan. It involves the collaboration of administration and funding stakeholders to convert existing NICU to M-NICU’s. Team work of Gynae/Obs and Neonatology departments is needed to provide post-delivery care to mothers in M-NICU’s, KMC training to health care staff, surrogates for mothers who are unable to provide iKMC due to major post-op complications and awareness campaigns to make the concept of KMC more acceptable in our society.
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The Airport Disaster Preparedness Program: A Lesson Learned from Recent Indonesia’s Earthquake in 2018
Authors: Herqutanto Herqutanto , Pakasi Trevino A. , Wijaya Albert , Anthony Garry 
Published: February 2022

Introduction. In the event of a disaster, an airport serves two essential roles, as the central hub for incoming supplies such as food and medication and provide a lifeline to the affected communities, and as a coordination and information center to register, brief, and task for the incoming humanitarian organizations and rescue teams. What happens if the disaster itself impacts the airport? This paper describes the conditions at Palu airport during an earthquake and the state one year after.
Method. This is a qualitative study, utilizing information gathered from interviews, articles in newspapers, and reports from official websites. Findings from the official websites were confirmed with findings from newspapers or other printed media and were also confirmed with the results of the observations and interviews. The interviews were conducted with several key informants at the airport. Data were then analyzed verbatim and written in a narrative description.
Result and Discussion. Many factors contributed to the chaos at Palu Airport. The earthquake's impact was significant enough for a small airport such as Palu Airport. There was no clear incident command system and coordination between institutions within the airport and the city. There was a lack of disaster readiness planning and regular training before the earthquake. The first initial training in 2009 was not followed up.
Conclusion. The 2018-earthquake in Palu was a big disaster that impacted the airport. Lack of capacity was related to the discontinuity of the 2009 training into a continuous disaster management program. The unclear management system inside the airport and the local authority worsened the impact of the disaster on both the airport and the community.
Environmental Pollution towards the Workplace in the Philippines
Authors: Lu Jinky Leilanie 
Published: February 2022

Introduction. Air pollution is an emerging global concern, especially in the Western Pacific and South-East Asia regions; smoke-belching and emissions from vehicles on the road are associated with air pollution. In the Philippines, the Clean Air Act of 1999 was passed to address the growing concern for poor air quality to cover mobile sources such as vehicles.
Objective. This study aimed to come up with a descriptive analysis of emissions of vehicles as this has an impact on air pollution and road-environmental safety.
Methodology. This study analyzed a secondary database of vehicle emissions violation cases from the Land Transportation Organization (LTO) office in Region 11, the Philippines. The study was retrospective in nature and involved a review of traffic violation cases. The data were encoded and analyzed using the SPSS ver. 23 software program.
Results. Two hundred eighty-two vehicle emission standard violations were recorded by the Land Transportation Office (LTO) from 2018 to 2019. Most cases were from 2018 (72.7%), with January (30.9%) recorded the highest number of unsafe vehicle emission standard violation cases. Of the apprehended drivers, the majority (88.3%) were of the driving professional license category. All the drivers (100.0%) were caught due to the violation of smoke-belching (V16). In comparison, a small proportion was also seen as cases of driving without a valid driver’s license or conductor’s permit (1.8%) and failure to carry driver’s license/OR/CR (0.8%). All the violators were caught on daytime working and rush hours, between 6:00 am and 5:00 pm. More than half of the apprehended drivers’ vehicles (55.3%) were classified as for hire, while the remaining (41.8%) were classified as private vehicles. The majority (99.3%) of the vehicles did not pass the first emissions standards. Meanwhile, the most common vehicles caught for unsafe emissions were UV vehicles (n = 239). The vehicles caught for dangerous emissions were more than ten years old, with one-third (35.9%) of the vehicles were between 10 to 19 years old. The mean years of use or age of the vehicle were 15.724 ± 8.553 years. Opacity results for the first emission testing were 6.691 ± 2.404, while the Average Light Absorption (ALA) coefficient for the second emissions testing was 1.102 ± 0.577.
Conclusion. This study provided an overview of unsafe vehicle emissions within an urban city and suggested a need for more robust monitoring of vehicle emissions within safe limits. Vehicles that do not meet safety standards should not be allowed on the road, and disposal of old inefficient running vehicles may be beneficial in reducing dangerous air pollution.