bluuebunny/crossref_metadata_2025_split huggingface dataset:
The impact of work schedules, workplace bullying and some demographic characteristics on nurses’ sleep quality in Iran
Authors: Najafzadeh Masoomeh , Amini Kourosh , Sadeghniiat-Haghighi Khosro , Kamali Koorosh 
Published: May 2022

ABSTRACT
Introduction: Sleep quality in nurses along with workplace bullying, are concerned with nursing care quality. There exist a few investigations on workplace bullying and its relationship with sleep quality. This study aims at determining the impact of work schedules, workplace bullying, and some demographic characteristics on nurses’ sleep quality.
Material and Methods: This study was conducted on 333 nurses who worked in a hospital in Tehran, Iran. Sampling conducted from February 12 to April 23, 2020. Instruments of this study were Pittsburg sleep quality index and Quine’s workplace bullying scale.
Results: 63% of nurses had low sleep quality. Male nurses had lower sleep quality in comparison with females; 90% of nurses had encountered workplace bullying. Bullying and work schedules did not have a statistically significant effect on nurses’ sleep quality.
Conclusion: According to this study, work schedules and workplace bullying had no significant effect on nurses’ sleep quality; but regarding that low sleep quality and encountering bullying is a cause of mental and physical problems for nurses and reduces the quality of care, it is recommended that nurses’ sleep quality and facing the bullying behavior should be taken into account by hospital authorities.
Psychometric properties of the Turkish version of the Anxiety and Preoccupation about Sleep Questionnaire in clinical and non-clinical samples
Authors: Uygur Ömer Faruk , Orhan Fatma Özlem , Uygur Hilal , Kandeger Ali , Hursitoglu Onur 
Published: May 2022

ABSTRACT
Objectives: The aim of the study was to investigate the psychometric properties of the Turkish version of Anxiety and preoccupation about sleep questionnaire (APSQ) in clinical and non-clinical samples.
Material and Methods: Two samples (141 university students and 42 patients with major depressive disorders) completed Turkish APSQ, the Pittsburgh sleep quality index (PSQI), the insomnia severity index (ISI) and the sociodemographic data form. Content validity analysis was performed with the Davis technique after the translation process of the original scale. Explanatory factor analysis and principal component analysis were performed to determine the scales construct validity, and internal consistency and temporal stability analyses were conducted to evaluate its reliability. The PSQI and the insomnia severity index (ISI) were used to assess criterion- related validity. In addition, we divided all the participants into two groups as good-sleepers and clinical insomnia according to ISI scores. Predictive validity analyses were also computed via comparing groups.
Results: Confirmatory factor analysis showed that the scale model aligns well with the original scales 10 items and two-factor structure. The scales and subdimensions Cronbach’s alpha coefficients were excellent (Factor 1; 0.935, factor 2; 0.906, total scale; 0.952). The test-retest correlations were 0.661 and 0.828 for depression group and university student group, respectively. Turkish APSQ scores were found to be significantly higher in both of the clinical groups (depression group vs. university student group, clinic insomnia group vs. good-sleepers group).
Conclusion: The Turkish APSQ is adequate reliability and validity for assessing anxiety and preoccupation about sleep in Turkish clinical and non-clinical samples.
COVID-19 pandemic is associated with increased sleep disturbances and mental health symptoms but not help-seeking: a cross-sectional nation-wide study
Authors: Moreno Claudia Roberta de Castro , Conway Silvia G. , Assis Márcia , Genta Pedro Rodrigues , Pachito Daniela V. , Tavares Almir , Sguillar Danilo A. , Moreira Gustavo , Drager Luciano F. , Bacelar Andrea 
Published: May 2022

ABSTRACT
Objective: This study aimed firstly to describe sleep-related and mental health symptoms before and during the COVID-19 pandemic in a national-wide sample and, secondly, to verify attitudes towards help-seeking to treat these symptoms.
Material and Methods: Data were collected through an online questionnaire sent through the Brazilian Sleep Association’s social media. The questionnaire included sociodemographic and sleep aspects questions currently and before the pandemic period. In addition, the survey addressed current and previous anxiety, depression, and burnout symptoms. The outcome help-seeking was addressed in the questionnaire as well by a single question asked when the participant reported mental or sleep problems.
Results: The study covered 6,360 participants, mean age 43.5 years (SD=14.3), 76.7% female and 63.7% with undergraduate or higher degree filled out the survey. Seventy percent of participants reported sleep disturbances and 80% reported symptoms of anxiety during the pandemic. Help-seeking behavior was found only in one third of them. Hours of sleep reduced from 7.12 to 6.2h, which can be related with the increase in 28.2% of dissatisfaction with sleep duration during the pandemic. The highest frequency of complaints related to sleep was difficulty to fall asleep three or more times a week (going from 27.6% before the pandemic to 58.9% during the pandemic; p<0.001). Moreover, it was observed that help-seeking was more prevalent in men than women, and more in younger participants than in older ones.
Conclusion: There was an increase of sleep and mental self-reported problems during the pandemic, which was not followed by help-seeking.
Myofunctional assessment for obstructive sleep apnea and the association with patterns of upper airway collapse: a preliminary study
Authors: Kayamori Fabiane , Rabelo Fabio Augusto Winckler , Nazario Daniella , Thuller Eric Rodrigues , Bianchini Esther Mandelbaum Gonçalves 
Published: May 2022

ABSTRACT
Objectives: To organize an assessment instrument with questionnaires and myofunctional orofacial/oropharyngeal assessment for OSA patients and correlate it with the upper airway obstructive site detected during drug-induced sleep endoscopy (DISE).
Material and Methods: 29 OSA patients aged 22-65 years with an indication to undergo DISE to evaluate an alternative treatment to PAP and signed the consent form. Patients over 65 years old with maxillofacial deficiency and BMI>30 were excluded. The subjects answered the Pittsburgh, Berlin (snore), and Epworth questionnaires. The myofunctional orofacial/oropharyngeal assessment comprised soft palate, palatine pillars, and uvula (structure and mobility), tonsils (size), mandible (bony bases), hard palate (depth and width), tongue (posture, volume, width, and height), floor of mouth (mylohyoid), tongue suction and sustaining (mobility), “lowering of the back of the tongue” (stimulus), which were scored by three speech-language pathologists with expertise. DISE was scored according to VOTE classification. The statistical analysis (t-test) compared groups without and with obstruction in VOTE with questionnaires and myofunctional orofacial/oropharyngeal assessment.
Results: The following were significantly different: snoring frequency (p=0.03) with VOTE/velopharynx; intensity (p=0.02) and frequency of snoring (p=0.03) with VOTE/lateral wall of oropharynx; suction the tongue and sustain (p=0.02) with VOTE/velopharynx; hard palate depth (p=0.02) and width (p=0.05) with obstruction VOTE/epiglottis; tonsils volume (p=0.05) with VOTE/epiglottis; tongue posture (p=0.00) with obstruction VOTE/epiglottis; floor of the mouth (p=0.02) with VOTE/epiglottis.
Conclusion: Higher snoring frequency and intensity was observed in patients with obstruction at the velopharynx and oropharyngeal lateral wall. Obstruction at the velopharynx was associated with poor tongue ability to suck the tongue against the hard palate. Obstruction at the epiglottis had structural and functional associations, including the oropharyngeal lateral wall, affected by the palatine tonsils size, depth and width of the hard palate, tongue position, and flaccidity of the floor of mouth. Considering that this is a preliminary study, the data should be carefully verified and not generalized.
Bedtime procrastination during the second COVID-19 lockdown in Portugal
Authors: Oliveira André , Pereira Beatriz , Rosário Pedro , Magalhães Paula 
Published: May 2022

ABSTRACT
Introduction: Bedtime procrastination is the deliberate delay of the time an individual goes to bed in the absence of external reasons. The COVID-19 pandemic has pushed families to establish new routines and ways of managing newfound roles and responsibilities. This scenario is likely to exacerbate bedtime procrastination due to, for example, a challenge in balancing professional and personal life.
Objective: The aim is to present preliminary findings regarding bedtime procrastination and its relation to sociodemographic characteristics, sleep routines, perceived daily fatigue, dinnertime, and activities performed near bedtime, during the second lockdown in Portugal.
Material and Methods: A cross-sectional online survey was conducted with a sample of 560 adults.
Results: During home confinement, most people (79.46%) delayed their bedtime. However, this delay does not seem to be affecting the number of hours of sleep, as 88.60% were sleeping the recommended or appropriate number of hours. Nevertheless, most of the participants reported feeling tired throughout the day (53.04%), and individuals who reported to have procrastinated their sleep are those who reported more tiredness (r
pb=.33, p<.01). Additionally, bedtime procrastination is positively associated with findings related to dinnertime (e.g., dinner between 9 p.m. and 10 p.m., r
pb=.19, p<.01) and with engagement in activities near bedtime (e.g., studying/working, r
pb=.39, p<.01).
Conclusion: Current data shows relationships between bedtime procrastination and most of the studied variables. Specifically, findings indicate that lack of routines, especially scheduled nighttime routines (e.g., studying/working near bedtime), may have contributed to bedtime procrastination during the second lockdown in Portugal.
The hypothalamic-pituitary-adrenal axis and the central monoaminergic systems: a pathophysiological link to insomnia with clinical implications
Authors: Bezerra Marcio Luciano de Souza , Rodrigues Raimundo Nonato Delgado , Souza Ricardo Oliveira 
Published: May 2022

ABSTRACTThe authors present a theoretical overview of the hypothalamic-pituitary-adrenal axis and the central monoaminergic systems, focusing on a putative pathophysiological relationship to insomnia complaints. Insomnia is an independent and self-perpetuating disorder that requires diagnostic and therapeutic attention in the presence of concomitant disorders, likely with bidirectional influence. An adequate understanding of such mechanisms can help for a better understanding of the interplay between clinical features, neurotransmitters, and the adrenal hypothalamic-pituitary axis may help clinicians to better manage insomnia patients
El principio de competencia ante las nuevas responsabilidades de la contratación pública
Authors: Gallastegi Ormaetxea Itxaso , Arnáez Arce Vega María 
Published: May 2022

RESUMEN. Las Directivas europeas de 2014 sobre contratación pública han transformado definitivamente los contratos públicos en cauce estratégico para la consecución de objetivos sociales, ambientales y de innovación comunes, al mismo tiempo que han reconocido, por vez primera de forma expresa, el principio de competencia como pilar fundamental de todo el sistema de contratación. Dos realidades, antagónicas para algunos, pero cuya articulación constituye, para muchos otros, uno de los retos más grandes del Derecho administrativo de nuestros días. Es por ello que con este modesto trabajo hemos pretendido plantear algunas vías de compaginación, en las que, si bien la integridad y la eficiencia tienen un peso capital, debe hacerse hincapié en la necesidad de una voluntad política real de conseguirlo. PALABRAS CLAVE. Contratos públicos; cauce estratégico; objetivos comunes; principio de competencia; voluntad política real.
ABSTRACT. The European Public Procurement Directives 2014 have definitively transformed Public Procurement into a strategic instrument to achieve common social, environmental and innovation objectives, as well as have recognised, for the first time expressly, the principle of competition as a fundamental pillar of the entire contracting system. Two realities, antagonistic according to some people, but whose articulation constitutes, for many other, one of the greatest challenges of today’s administrative law. Therefore, through this modest paper, we have tried to propose a few ways of combining them, in which, although integrity and efficiency have a capital importance, emphasis must be placed on the need for a real political will to get it. KEYWORDS. Public procurement; strategic instrument; common objectives; principle of competition; real political will.
La incidencia del COVID-19 en el IRPF de 2020
Authors: Rovira Irene 
Published: May 2022

The main goal of this study is to analise the impact of COVID-19 in the Personal Income Tax for 2020. Specifically, in addition to clarifying the taxation of the main situations generated by the economic and health crisis and the principal consequences, the fundamental implications that have been produced in different elements of the Tax will be determined, highlighting at the same time the most important warnings to be taken into consideration.
El principal objetivo del presente trabajo es analizar el impacto del COVID-19 en el Impuesto sobre la Renta de las Personas Físicas del año 2020. Así, mediante la determinación de las implicaciones más relevantes y la clarificación de la tributación de las principales situaciones derivadas de la fuerte crisis sanitaria y económica acontecida (como el cobro de las prestaciones a causa de un Expediente de Regulación Temporal de Empleo, las extraordinarias por cese de actividad o las modificaciones de los contratos de alquiler de bienes inmuebles), se determinarán las consecuencias fundamentales en los distintos tipos de renta gravada y en determinados aspectos concretos (como su impacto en determinadas deducciones a la cuota íntegra y diferencial), resaltando al mismo tiempo las advertencias más importantes que deben tenerse en consideración.
Notas en torno a los artículos 42 y 43 del Código civil
Authors: Carrión María de la Almudena 
Published: May 2022

Marriage can be accompanied by a previous promise to contract it referred to in articles 42 and 43 of the Civil Code, a promise that is less and less usual in practice given the times that run although, in spite of it there is numerous jurisprudence on the matter, so that it seems that it could not be spoken of an obsolete figure, but only less used. There are even authors who speak of a certain renaissance of the former, now inserted in the framework of a life in common already initiated as a de facto union, under promise of celebrating a future marriage.
El matrimonio puede ir acompañado de una promesa previa de contraerlo a la que se refieren los artículos 42 y 43 del Código Civil, promesa cada vez es menos habitual en la práctica dados los tiempos que corren si bien, a pesar de ello existe numerosa jurisprudencia sobre la materia , por lo que parece que no podría hablarse de una figura obsoleta, sino únicamente menos utilizada. Incluso, existen autores que hablan de un cierto renacimiento de aquella, insertada ahora en el marco de una vida en común ya iniciada como unión de hecho, bajo promesa de celebrar un futuro matrimonio
The Writer and Existentialism: Fiction as a means of expressing existential ideas
Authors: Mysovskikh Lev Olegovich 
Published: May 2022

The article examines the existential paradigm in fiction through the prism of the literary theory of the French philosopher and writer Jean-Paul Sartre. The author explores the relationship between the writer and the reader in their social context. It is argued that the task of a literary critic is mainly to study the writer's technique. The task of a philosophical critic can be defined as the study of the metaphysics of a writer. Writers need the freedom of the reader for their work to exist authentically. Without this, they will cease to exist as authors, and their works will be in obscurity. Literature is an ideal means for both the writer and the reader to realize their own freedom and each other's freedom. В The author of the article comes to the conclusion that Sartre's ideas are still relevant today. As the concepts of nationality and belonging are being revised and changed, the process of globalization is underway, Sartre's theories allow critics to contextualize writers beyond such obvious boundaries. Today it seems interesting to find out whether Sartre's ideas about existentialism and literature can be applied to writers and their work in such a way that the "critic" can analyze both the metaphysics of the novelist and his artistic technique, and, moreover, assess his role in society and beyond. In the light of Sartre's theories, literature is the most appropriate way by which a person can realize and change society. The theories of literature and existentialism of Jean Paul Sartre can be applied to identify and analyze existential concepts in a wide variety of works of fiction, including retrospectively, which is demonstrated in this article by the example of Russian writers вЂ“ M. Y. Lermontov and F. M. Dostoevsky.
School Sports Program of Luna District in the Province of Apayao and Its Level of Competence
Authors: Español King Irol Y. , Español Shane Pearl Lae S. 
Published: May 2022

This research work was conducted to assess the school sports program of Luna District in the Province of Apayao using the descriptive research method, specifically employing the survey and comparative techniques. It looked into the profile of teacher-coaches as to age, sex, civil status, educational attainment, years of teaching experience, years of experience as P.E teacher/coach/trainer and trainings regarding P.E. It further gauged the adequacy of sports facilities of the schools in Luna District, the level of competition the school has reached and the relationship between the profile of the PE teachers/coaches/trainers and perceived adequacy of equipment and the level of competition reached by the athletes.
Findings show that the teacher-coaches of Luna District are still young having a mean age of 33.11 year old. They are male dominated, married, almost 10 years in the teaching job but more or less 5 years as coaches/trainers.
This study found out that there is scarcity of basic equipment aside from dama and chess sets and whistles. However, as teachers, they are resourceful enough to have trainings and coaching even there is lack of equipment to be used. In this connection, this study found out that Arnis is the only combat event wherein athletes have reached as far as Palarong Pambansa. Other events like table tennis, gymnastics, chess, volleyball (8.5%) and athletics have reached regional level of competition or the CARAA meet (Cordillera Administrative Region Athletic Association). This study also found out that Luna District is making its best to be known also in the field of school sports amidst the scarcity and insufficiency of the different sports equipment or apparatuses.
Finally, this study found out that the ability of the athletes count much in order for him or her to go to higher level of competition. It is his/her will, power and determination that bring his/her as far as Palarong Pambansa. One thing more, the efficiency and patience of the coach surely made the athlete to reach as far as he can.
Hunteria Umbellata Extract is a Potent Agent for Effec-Tive Diabetes Control
Authors: Ahajumobi E. N. , Anderson Peter B. 
Published: May 2022

Background: As many as 422 million of the world population, which is 8.5% of the global population were suffering from diabetes in 2014, in 2016, diabetes as a cause of death rose by 5%, and 1.5 million lives were lost to diabetes in 2019 hence, solution-driven interventions to bring the diabetes epidemic under control is necessary. Diabetes treatment is too expensive for the poor and its modern medicine treatment adverse side effects stand in the way of treatment thus, the demand for affordable and harmless herbal alternative is on the rise, and many Africans use Hunetria umbellata to treat diabetes. It is rich in pharmacological phytochemical compounds.
Objectives: Conduct a review of clinical epidemiological studies performed to determine Hunteria umbellata extract efficacious potency in controlling blood sugar and diabetes. Purpose is to encourage and promote its proper use if evidence supports its use, or discourage its use if evidence states the contrary.
Methods: A systematic review study that used various search engines to locate, assess, review, and summarize clinical studies conducted to investigate the potency of Hunteria umbellata extract in blood sugar and diabetes control. The samples size n, (n=22) of the studies reviewed from which the conclusion of this study was drawn. Search words were “Hunteria umbellata, composition of Hunteria umbellata , Hunteria umbellata and diabetes, Hunteria umbellata and sugar”.
Results: Results revealed that Hunteria umbellata extract is a potent agent for controlling blood sugar and diabetes significantly, its effect manifests after six hours and its sugar reduction action continues progressively over time as the dose and concentration increases.
Conclusion: Hunteria umbellata extraction in all clinically approved standards of extraction showed straight antagonism to blood sugar and diabetes, it is a potent agent against blood sugar and diabetes thus, its use in Africa as native medicine for treating diabetes is justified.
Drug Eluting Stents versus Coronary Artery Bypass Graft Surgery for Patients with Diabetes Mellitus and Multivessel Disease
Authors: Abo-Elyazed Hesham Mohamed , Al-Sharnoubi Khaled Abdel Salam , Abdallah Taymour Mustafa , Al-Amrousy Mahmoud Zaki 
Published: May 2022

Background: through coronary artery bypass graft (CABG) or through utilization of percutaneous coronary intervention (PCI) with stenting, coronary revascularization can be achieved. Diabetics represents a particularly challenging group for both treatments. This work aimed to estimate clinical outcome in diabetic individuals with multiple vessels disease (MVD) who had either PCI or CABG over 30 days.
Methods: This prospective research was conducted on 200 diabetic individuals with MVD established as severe stenosis. Into 2 equal groups, individuals were divided: Group (A) [underwent CABG], and group (B) [performed Drug Eluting Stents (DES) PCI]. All individuals underwent full history taking, resting twelve-leads electrocardiogram, complete clinical examination, transthoracic echocardiography, coronary angiographic, SYNTAX score and Euro score.
Results: In CABG group, age, statin, ACE-I/ARB, β- -blocker and dual antiplatelet therapy was significantly higher than PCI group. PCI group had significantly higher PCI, MI and repeated revascularization than the group of CABG. In PCI group, stroke and MI, death, myocardial infarction (MI), were significantly higher than in group of CABGS.
Conclusions: DES have developed for the coronary artery disease (CAD) treatment and are increasingly being utilized for complex CAD treatment, such as multivessel or left main CAD. PCI is preferred over CABG in high surgical risk individuals due to the shorter hospital stay, faster time of recovery, and potentially decreased stroke rate.