bluuebunny/crossref_metadata_2025_split huggingface dataset:
The optimal shift length for the resilient millennial chef
Authors: Esterhuyse Nadia , Wakelin-Theron Nicola , Geyser Ita 
Published: August 2022

The amount of millennial employees who are employed in the hospitality and tourism industry has increased significantly. The millennial generation does not endorse the same level of commitment and work ethic to their careers as previous generations. The millennial are more likely to develop mental health problems as they are often dissatisfied with the working conditions. The purpose of the study was to determine the optimal shift length for chefs between the ages of 25 and 39 to promote resilience. A quantitative research approach and a cross-sectional design was used. Two groups of chefs working various work shift lengths were identified. Shift length was dived into two categories: up to 8 hours and more than 8 hours. The Adult Resilience Measure (ARM-R) was used to measure resilience. There were 150 millennial chef participants who took part in this study. The study found that the millennial chefs who worked more than 8 hour shifts are less resilient than those who worked more than eight hour shifts. The results furthermore indicated that social skills play a significant role in a millennial chef’s levels of resilience. Social support and an eight hour or less work shift contributes to the resilience levels of millennial chefs and is therefore, and optimal shift length for resilience. This study serves as a guideline to provide advice to both restaurant managers and chefs on coping with stressors in the kitchen environment specifically post COVID-19 where longer working hours would be required.
Penilaian Vitalitas Flap Otot dengan Stimulasi Listrik Otot : Perbandingan Sumbatan Pada Arteri dan Vena
Authors: Saputra Deddy 
Published: August 2022

Pendahuluan: Permasalahan yang sering timbul pada penilaian vitalitas flap otot pada evaluasi pasca operasi mikrovaskular adalah masih kurang adekuatnya cara dan alat pengamatan yang sederhana, murah, tingkat objektivitas yang tinggi, dan mudah dilakukan. Pengamatan praktis dengan pemeriksaan klinis pada skin paddle atau pada ototnya langsung, seperti warna, temperatur, turgor, dan refilling capilar, masih mempunyai nilai subjektivitas dan bias yang tinggi dalam menilai vitalitas flap otot. Pada flap otot yang baik mempunyai manifestasi yang sama dengan keadaan otot secara umum, dimana didapatkan warna, perdarahan dan kontraktilitas-nya baik. Metode: Dilakukan penilaian kontraktilitas flap otot dengan menggunakan flap otot rectus abdominis tikus Sprague-Dawley yang diperlakukan sumbatan arteri dan venanya. Hasil: Dalam uji klinis awal pada flap otot tikus tersebut memperlihatkan adanya hubungan antara kontraktilitas dengan vitalitas flap otot, dan perbedaan vitalitas flap otot antara sumbatan arteri dan vena.
Treatment Of The Cleft Foot
Authors: Saputra Deddy 
Published: August 2022

Congenital cleft foot is a rare anomaly that exhibits many morphological variations. The typical cleft foot is characterized by congenital absence of one or several median rays bordering the cleft. Treatment has been focused on improving function and aesthetic appearance. The most common surgical treatment in the literature includes excision of the useless bony remnants and closure of the cleft. There should be some cases of the cleft foot been managed in M DJamil Hospital but there is no data available during 10 years (2011-2021). We reported a 15-month-old girl born with cleft of the right and polysindactyly of the left foot. The right foot has one central ray deficiency. We performed simple reconstruction of the cleft of the right foot and corrected the polysyndactyly at the same time. The evaluation of the procedures were based on assessments on cosmetic, functional, and roentgenographic results. At 3 month after surgery it showed no widening of the reconstructed foot, no hypertrophic scarring, and no overlapping of the toes. The functional assessment includes evaluation on gait disturbance and ulceration of the foot, we did not find gait disturbance nor ulceration found. According to the roentgenographic evaluation, we found no valgus deformity of the first toe and the distance between the first and fifth metatarsal was not narrowing.
First Dawn
Authors: Battiston Roberto 
Published: August 2022

From the very first moments of the universe to the birth of the first star, our solar system, and our planet: a physicist traces the known and the unknown.
Since the beginning of the twentieth century, the horizon of our knowledge about the universe has expanded to encompass the infinitesimally small—and the infinitely vast. In First Dawn, physicist Roberto Battiston takes readers on a journey through space and time, to the boundaries of our knowledge and beyond. From the violence of the Big Bang and the birth of the first star, hundreds of millions of years later, to the emergence of our solar system, the dawn of life on Earth, and the possibility of life on other planets, Battiston maps what we know about the universe and how we came to know it—cautioning us, however, that what we know is a minuscule fraction of what there is to know.
Battiston outlines discoveries by some of the greatest theoretical physicists of the twentieth century, including Einstein, Bohr, Schrödinger, Heisenberg, Fermi, and Hubble; discusses the mysteries of dark energy and dark matter; and considers what it means for the universe to have emerged out of nothing. The ignition of the first star illuminated a universe that had been expanding, unobserved and unobservable, in the dark. Drawing on his own research, Battiston discusses the birth of the Sun, the formation of planets, the origins of life, interstellar migrations, extrasolar planets, black holes, gravitational waves, and much more. But, he warns, for some questions—the dimensions of the universe, for example, or the existence of other universes—we are destined to remain in the realm of speculation.
Impact of emotional intelligence on adherence to the Mediterranean diet in elementary education school students. A structural equation model
Authors: Melguizo-Ibáñez Eduardo , Badicu Georgian , Clemente Filipe Manuel , Silva Ana Filipa , Ubago-Jiménez Jose Luis , González-Valero Gabriel 
Published: August 2022

Background
Adolescence is one of the stages where a large number of physical, psychological and emotional changes occur, the latter playing a key role in adherence to a healthy dietary pattern. Taking into account the above, this research reflects the objectives of developing an explanatory model of the incidence of attention, clarity and emotional repair on adherence to the Mediterranean diet and to contrast the structural model through a multigroup analysis based on Mediterranean adherence to this dietary pattern.

Methods
To this end, a comparative descriptive cross-sectional study has been carried out with 293 students from the third cycle of primary education. The instruments used were a sociodemographic questionnaire, the KIDMED test and the Trait Meta-Mood Scale (TMMS-24).

Results
Students who show low adherence to the Mediterranean diet have a negative association with the repair of negative emotions. Participants who show a medium adherence to the Mediterranean diet, it is observed that they have a negative relationship with emotional clarity, while students who claim to have a high adherence to the Mediterranean diet show positive relationships with each of the constructs that make up emotional intelligence.
Pediatrics HIV-positive status disclosure and its predictors in Ethiopia: a systematic review and meta-analysis
Authors: Belay Getaneh Mulualem , Yehualashet Fikadu Ambaw , Ewunetie Amare Wondim , Atalell Kendalem Asmare 
Published: August 2022

Introduction
HIV-positive status disclosure for children is challenging for family members, guardians, and healthcare professionals. Disclosure is very challenging, particularly for children, yet no systematic synthesis of evidence accurately measures HIV-positive status disclosure in children. This systematic review and meta-analysis study aimed to quantify the national prevalence of pediatric HIV-positive status disclosure in Ethiopia and identify factors associated with HIV-positive status disclosure.

Method
We systematically searched PubMed, EMBASE, Web of Science databases, and google scholar for relevant published studies. Studies published in the English language and conducted with cohort, case-control, and cross-sectional designs were eligible for the review. The primary and secondary outcomes of the study were HIV-positive status disclosure and factors associated with HIV-positive status disclosure, respectively. The quality of the included studies was assessed using the Joanna Briggs Institute critical appraisal tools. A random effect- model was used to estimate the pooled prevalence of HIV-positive status disclosure. Heterogeneity and publication bias of included studies was determined using I2 and Egger’s test, respectively.

Result
From 601 records screened, nine relevant studies consisting of 2,442 HIV-positive children were included in the analysis. The overall pooled prevalence of HIV-positive status disclosure among children living with HIV/AIDS in Ethiopia was 31.2% (95% CI [23.9–38.5]). HIV-negative status of caregivers (AOR: 2.01; 95% CI [1.28–3.18]), long duration on ART (greater than 5 years) (AOR: 3.2; 95% CI [1.77–5.78]) and older age of the child (>10 years) (AOR: 7.2; 95% CI [4.37–11.88]) were significantly associated with HIV-positive status disclosure.

Conclusion
Low prevalence of pediatric HIV-positive status disclosure was observed in Ethiopia. The longer duration of ART, the HIV-negative status of the caregiver, and older age greater than 10 years were the predictors of pediatric HIV-positive status disclosure. Health system leaders and policymakers shall design training and counseling programs for healthcare professionals and caregivers to enhance their awareness about HIV-positive status disclosure.

Trial registration
This review was registered under PROSPERO and received a unique registration number, CRD42019119049.
The Prevalence of Tuberculosis among BCG Vaccinated Individuals at the North West Region of Cameroon
Authors: Hubert Donfack Jean , Kidia Dosi Samuel , Faustin Atemkeng Tsatedem , Rene Wandji Kounougo , Florence Ngueguim Tsofack 
Published: August 2022

Aims: This study focuses as it main objective to determine the effectiveness of early BCG vaccination in preventing tuberculosis.
Study Design: It was a cross sectional descriptive study. The study population being all early BCG vaccinated individuals.
Place and Duration of Study: This study was carried out from March to June 2017 at the Saint Elizabeth General Hospital Shisong, situated in Kumbo Town (Bui Division), North West region of Cameroon.
Methodology: It was based on the administration of a structured questionnaire to all early BCG vaccinated individuals. Biological data were obtained from sputum collected from participants. Sputum was analyzed using Xpert MTB/RIF assay which simultaneously detects MTB-complex and rifampin resistance strain by amplifying and identifying a MTB-complex specific sequence of the rpoB gene.
Results: This finding shows an overall prevalence of 13.08% on early BCG vaccinated individuals seeking medical care at the Saint Elizabeth General Hospital Shisong. The prevalence of TB in HIV positive subjects was 22.05%. The occurrence was high among HIV subjects not living on ART, 6 (33.33%) against 3 (13%) in HIV subject on ART. This study also showed that male patients 11 (15.94%) developed TB compared to female patients 3 (7.89%). The rate of infection, 9 (28.13%) occurring within the age range of > 28 - 38 associated to the development of TB with no correlation. Drinking habit was found to be associated with the development of TB with weak correlation and the occurrence of TB do not seem to be associated drinking duration.
Conclusion: These results show the necessity of the application of a suitable measure to prevent TB in adults, especially those at high risk of developing the disease irrespective of early childhood BCG vaccination status.
Discrimination of Root System Architectural Traits, Morphometric Traits and Identification of Potential Genotypes in Response to Drought and Irrigated Conditions in Pearl Millet (Pennisetum glaucum (L.) R. Br.)
Authors: Ebenezar I. Santha , Iyanar K. , Ravikesavan R. , Djanaguiraman M. 
Published: August 2022

Aims: To identify the potential genotypes and the important traits for drought tolerance based on root system architectural traits and morphometric traits that can be used as a selection criteria in future crop improvement programs.
Study Design: Completely randomized design for root system architectural traits and Randomized block design with two replications for morphometric traits.
Place and Duration of Study: Department of Millets, Tamil Nadu Agricultural University, Coimbatore during Summer 2022.
Methodology: The 33 elite genotypes were raised in polybags with two factors, one is genotype and other is treatment for observing root system architectural traits in completely randomized design. Also these genotypes were raised in the field in randomized block design with two treatments, irrigated and drought at early stage of the crop for observing morphometric traits.
Results: Based on root system architectural traits, the significant traits were network perimeter, network surface area, network length and network volume. Under irrigated and drought condition, high phenotypic coefficient of variation and high genotypic coefficient of variation were observed for single plant yield, high heritability and high genetic advance for days to 50 per cent flowering, plant height, leaf blade length, spike length, 1000 seed weight and single plant yield. Correlation study revealed that all the characters except number of tillers and days to 50 per cent flowering had positive significant correlation with single plant yield. Path analysis showed that spike length had positive direct effect on single plant yield.
Conclusion: The identified traits for drought tolerance were network perimeter, network surface area, network length, network volume, days to 50 per cent flowering, plant height, leaf blade length, spike length, 1000 seed weight and single plant yield. The identified drought tolerant genotypes were Nattu cumbu, ICMB 10444, 86M38 and PT 6752.
Integrated Crop Management Practices in Ridge Gourd Hybrid COH 1 for Increasing Yield and Income under Cuddalore District of Tamil Nadu, India
Authors: Sundharaiya K. , Sriram N. , Sivakumar V. , Sathish G. 
Published: August 2022

Front line demonstration on integrated crop management practice in ridge gourd (Luffa acutangula Roxb.) hybrid COH – 1was conducted at Cuddalore District of Tamil Nadu during 2021-2022 to increase the yield and income of the farming community. Totally ten progressive farmers were selected at Vridhachalam, Kammapuram and Panruti blocks of Cuddalore District, Tamil Nadu with an acreage of one acre per farmer. Bottlenecks of ridge gourd cultivation were identified through participatory approach preferential ranking techniques. The selected farmers were trained through skill development programme and the beneficiaries were taught with improved scientific production techniques of ridge gourd hybrid COH -1, seed treatment, plant growth regulators, integrated nutrient management, integrated pest and disease management. Results of the present study revealed that demonstrated plot recorded higher number of fruits per plant, fruit length, fruit girth, fruit weight, yield per plant and yield per hectare as compared to farmers practice. The demonstrated plot also recorded high gross income, net income and benefit cost ratio than farmers practice. Low technology gap and technology index observed in the present study revealed the effectiveness of technical interventions.
An innovative approach to teaching depression and anxiety medication management: Virtual choose your own adventure, psychiatry edition
Authors: Vadiei Nina , Lee Jeannie K. 
Published: August 2022

Abstract

Introduction
Rates of depression and anxiety continue to increase in the United States. It's important for pharmacy students to graduate knowledgeable and confident in treating these disorders. The purpose of this study was to evaluate whether a virtual active-learning exercise (choose your own adventure) is helpful in teaching students how to manage medications for depression and anxiety.

Methods
Third-year pharmacy students responded to preactivity questions and then worked on a single patient case in which the presenting problem is worsening depression and anxiety. Students worked in virtual groups of 4 to 5 to select 1 treatment among 5 multiple-choice options and documented the rationale for their choice. Each multiple-choice option led to a different follow-up case. After writing their assessment and plan, the instructor debriefed on therapeutic concepts from each follow-up case. Students then answered postactivity questions and participated in a voluntary survey consisting of 10 retrospective questions.

Results
Of 106 participants, 85 completed the survey (80.2% response rate). Most agreed that their understanding of treatment of depression and anxiety disorders increased following participation (92.9% strongly/somewhat agreed). This was supported by an increase in the percentage of correct responses on the knowledge questions (preactivity: 67.2%, n = 91; postactivity: 83.5%, n = 97; P = .01). Additionally, students reported their confidence in their understanding of depression and anxiety management increased following activity participation (93.0% strongly/somewhat agreed).

Discussion
The virtual active-learning exercise improved student knowledge and confidence in managing depression and anxiety treatments. Educators teaching depression and anxiety pharmacotherapy may consider implementing such activity into their lecture(s).
Do buprenorphine doses and ratios matter in medication assisted treatment adherence?
Authors: Kavanagh Kevin , Tallian Kimberly , Sepulveda Joe A. , Rojas Sarah , Martin Shedrick , Sikand Harminder 
Published: August 2022

Abstract

Introduction
Buprenorphine (BUP), generally prescribed as buprenorphine/naloxone, is a key component of medication-assisted treatment (MAT) to manage opioid use disorder. Studies suggest higher doses of BUP increase treatment adherence. Routine urine drug screens (UDS) assist in monitoring MAT adherence via measurement of excreted BUP and its metabolite, norbuprenorphine (NBP). The clinical significance between BUP/NBP concentrations and their ratios for assessing adherence and substance use is not well-described.

Methods
We conducted a single-center, retrospective chart review of 195 clients age ≥18 years enrolled in a local MAT program from August 2017 to February 2021. Demographics, BUP doses, prescription history, and UDS results were collected. Participants were divided based on MAT adherence (&lt;80% vs ≥80%) and median total daily dose (TDD) of BUP (≥16 mg vs &lt;16 mg) in addition to pre- and post-COVID-19 cohorts.

Results
Median BUP/NBP urinary concentrations were significantly correlated with MAT adherence (P &lt; .0001 for each) and a reduced percentage of positive UDS for opioids (P = .0004 and P &lt; .0001, respectively) but not their ratios. Median TDD of BUP ≥16 mg (n = 126) vs &lt;16 mg (n = 68) was not correlated with MAT adherence (P = .107) or incidence of nonprescription use (P = .117). A significantly higher incidence of UDS positive for opiates (P = .049) and alcohol (P = .035) was observed post-COVID-19.

Discussion
Clients appearing adherent to MAT who had higher concentrations of urinary BUP/NBP demonstrated a reduced incidence of opioid-positive UDS independent of the BUP dose prescribed. An increase in opioid- and alcohol-positive UDSs were observed during the COVID-19 pandemic.
Prazosin dosed 3 times a day to treat flashbacks related to PTSD: A case report
Authors: Richardson Christie , Swartz Alexander , Forsberg Martin 
Published: August 2022

Abstract
Prazosin is an alpha-1 adrenergic receptor antagonist widely known by mental health providers for its off-label use for nightmares in patients with PTSD. Prazosin is lipophilic and crosses the blood-brain barrier to antagonize alpha-1 receptors in the central nervous system, potentially reducing autonomic arousal caused by PTSD. There have been numerous case reports describing the reduction of nightmares and daytime flashbacks due to PTSD with prazosin dosed at night and during the day, respectively. This case report illustrates the resolution of flashbacks related to chronic PTSD with prazosin dosed 3 times a day. As the half-life of prazosin is only 2 to 3 hours, even a twice daily dosing regimen may lead to breakthrough symptoms between doses. This case proposes a unique dosing strategy for prazosin and need for further research utilizing multiple daily doses of prazosin in the treatment of PTSD.
AS DESIGUALDADES AMPLIADAS E AS ALTERNATIVAS EM CONSTRUÇÃO
Authors: Cattani Antonio David 
Published: August 2022

As desigualdades socioeconômicas estão aumentando em todos os sentidos, e isso está articulado à expansão contraditória do capitalismo. Após algumas décadas de vigência de processos inclusivos, o capitalismo restabeleceu sua lógica inexorável de exploração, fundamentada no aproveitamento pático das desigualdades. As alternativas à dinâmica excludente não parecem barrar os efeitos socialmente negativos. O grande desafio colocado para as Ciências Sociais é recuperar a capacidade de análise crítica dos processos fundamentais, identificando os limites e as possibilidades das alternativas em construção. PALAVRAS-CHAVE: desigualdades, inclusão social, exclusão social, alternativas ao capitalismo, economia solidária. GROWING INEQUALITIES AND ALTERNATIVES BEING DEVELOPED The socioeconomic inequalities are increasing in all directions in connection with the contradictory expansion of capitalism. After some decades of inclusive processes that were in force, capitalism reestablished its inexorable exploitation logic, resorting to the shameful inequality background. The alternatives to the excluding dynamics do not seem to refrain the socially negative effects. Social Sciences have to face the challenge of restoring the capacity of reviewing the essential processes, identifying the limits and possibilities of the alternatives being constructed. KEY WORDS: inequalities, social inclusion, social exclusion, alternatives to capitalism, solidary economy. LA CROISSANCE DES INEGALITES ET LES ALTERNATIVES EN COURS Les inégalités socioéconomiques, liées à l’expansion contradictoire du capitalisme, sont en train d’augmenter. Suite à des processus d’inclusion en vigueur pendant quelques décennies, le capitalisme a rétabli sa logique inexorable d’exploitation basée, dans la pratique, sur le profit des inégalités. Les alternatives s’opposant à une dynamique d’exclusion ne semblent pas avoir la force de s’opposer aux effets socialement négatifs. Pour les Sciences Sociales, le grand défi est d’être à nouveau capable de faire une analyse critique des processus fondamentaux et d’identifier les limites et les possibilités des alternatives en cours. MOTS-CLÉS: inégalités, inclusion sociale, exclusion sociale, alternatives contre le capitalisme, économie solidaire. Publicação Online do Caderno CRH: http://www.cadernocrh.ufba.br