bluuebunny/crossref_metadata_2025_split huggingface dataset:
Awareness and practices regarding biomedical waste management among housekeeping staff of a tertiary care hospital in Western India
Authors: Pandve Harshal T. , Gaikwad Shruti Rajendra , Bhure Bhagyashri Suryakant , Kadam Varsha Maroti , Justin Jilu 
Published: September 2022

Abstract

Background:
The World Health Organization biomedical waste guidelines of 2004 emphasizes the importance of the “human factor” over technology and equipment. Housekeeping staff members are directly involved in the collection, transport, and disposal of biomedical waste and are at high risk of acquiring infections. At the same time, they are usually unskilled, uneducated, and have little to no knowledge about the segregation and disposal of biomedical waste, which further compounds their health risk.

Objective:
To assess the awareness and practices regarding biomedical waste management in housekeeping staff of a tertiary care hospital.

Subjects and Methods:
A cross-sectional study was conducted among 100 housekeeping staff members of a tertiary teaching hospital in Pune, Maharashtra, from February to April 2022. A semi-structured, pretested questionnaire was used for data collection. Knowledge of the study participants was scored on a scale of 0–10 and the median score of all the study participants was taken as a cutoff for determining good and poor knowledge. The data were entered into MS Excel 2010 and analyzed using IBM SPSS software 16-trial version. The Chi-square test was used as a test of significance.

Results:
In the present study, 73% of study participants had good knowledge regarding biomedical waste management. All the participants (100%) were following appropriate practices regarding biomedical waste management. Age and experience were found to be significantly associated with knowledge regarding biomedical waste management (P < 0.05).

Conclusion:
There is a gap in the knowledge regarding biomedical waste management among the study subjects which needs to be addressed through repeated and diligent training exercises.
Long- and Very Long-Term Unfavorable Outcomes of the Laparoscopic Adjustable Gastric Band in the Surgical Approach of Morbid Obesity
Authors: Bastos Eduardo Lemos de Souza , Viegas Fábio , Valezi Antonio Carlos , Marchesini João Caetano Dallegrave , Canavarros Juliano Blanco , Silvinato Antonio , Bernardo Wanderley Marques 
Published: September 2022

Aim:
The aim is to assess the long- and very long-term rate of unfavorable outcomes associated with the laparoscopic adjustable gastric band (LAGB) in morbid obesity.

Methods:
The Preferred Reporting Items for Systematic Reviews and Meta-analyses statement was used in this systematic review. The search for evidence was performed in the MEDLINE (PubMed), EMBASE, LILACS, Clinical Trials, and Google Scholar databases from the inception to October 2021. The main eligibility criteria were obese adult undergoing LAGB, unfavorable outcomes, and a minimum follow-up of 4 years. Outcomes were aggregated using the Comprehensive Meta-Analysis software for noncomparative studies, and the quality of evidence was sorted. Heterogeneity was assumed when I
2 >50%. Because of expected differences among retrieved studies and several uncontrolled variables, the random-effects model was used to perform a proportional meta-analysis.

Results:
Data on 23,916 unfavorable outcomes were extracted from 28 studies (N = 107,370 patients). The use of the LAGB may be related to a rate of around 30% for reoperation (95% confidence interval [CI] = 20.4%–41.4%), 18% for band removal (95% CI = 13.3%–24.5%), 12% for nonresponse (95% CI = 5.2%–23.8%), 8% for port/tube complications (95% CI = 5.1%–13.6%), 7% for slippage/prolapse (95% CI = 5.3%–9.7%), 6% for pouch enlargement (95% CI = 3.4%–9.9%), and 3% for erosion/migration (95% CI = 2.0%–4.3%) in the long- and very long-term follow-up. However, the quality of evidence was considered very low.

Conclusion:
Despite the very low quality of evidence, LAGB was associated with not negligible rates of unfavorable outcomes in long- and very long-term follow-up.
Histological Changes in the Background Renal Parenchyma in Neoplastic Nephrectomies and Nephroureterectomy: A 10-Year Single-Center Experience
Authors: Al Zahrani Reem A. 
Published: September 2022

Background:
Nephrectomies and nephroureterectomies specimen with neoplastic diagnosis provide a great opportunity to examine the background kidney parenchyma. This will help in exploring any microscopic abnormality that may affect the functional capacity of the residual renal tissue and assess the possible need for nephrologist intervention in maximizing the function of the residual renal parenchyma.

Aim:
Evaluation of this part of the kidney is overlooked in different centers around the world.

Method:
A total of 124 specimens of nephrectomies and nephroureterectomies performed at King Abdulaziz University Hospital between January 2010 and December 2019 were reviewed. The microscopic findings in the nonneoplatic parenchyma were documented. Furthermore, the extent to which these findings were initially identified, investigated, and reported was measured.

Results:
Hypertensive and diabetic nephropathy were among the most common findings in the diseased kidney. The nonneoplastic kidney was well sampled in 95% of the cases and mentioned in the report in 25% of the cases.

Conclusion:
Although, the evaluation of this part of the kidney is essential, and of great help for the patient prognosis, and quality of kidney function, it is overlooked in different centers around the world, and the causes behind this requires further exploration.
An Assessment of COVID-19 Infection after Vaccination Amongst Health-Care Workers at a Tertiary Care Centre, Kodagu, Karnataka
Authors: Narasimha B. C. , Udayar Sharvanan Eshwar , Raja N. Sabari , Madeshan Ashwini , Katoch Jissun 
Published: September 2022

Background:
The equitable COVID-19 vaccination is an effective tool to end the pandemic globally. Many studies have reported, namely, in the western population, vaccination protected against the severe form of COVID-19 infection.

Aims and Patients:
To estimate the prevalence of COVID-19 infection amongst health-care professional's post vaccination at a Tertiary Care Centre in Kodagu, Karnataka.

Methods:
A cross-sectional study was conducted amongst 336 health-care workers in a Tertiary Care Centre Kodagu from November 2021 to January 2022. A convenient sampling technique was used to collect the data using a semi structured questionnaire. Data were entered into Excel and analysed using Epi-info version 7.2.

Results:
Of 336 study participants, females were 195 (58.04%), and males were 141 (41.96%). The mean (standard deviation) age of the participants was 25.80 (4.67) years. The total prevalence of infection was 83 (24.4%); after the first dose of the vaccine was 22 (6.52%), and after the second dose was 61 (21.73%). The total number of hospital admissions after the first and second dose was 1 and 9, respectively. None of them required intensive care in the hospital.

Conclusions:
The COVID-19 infection reported after vaccination amongst health care workers was minimal. None of them required intensive care in the hospital.
Understanding Pathophysiology of Cluster Headache
Authors: Sahin Erdi , Ekizoglu Esme , Orhan Elif Kocasoy , Bilge Ahmet Kaya , Baykan Betul 
Published: September 2022

Aim:
The underlying mechanisms of cluster headache (CH) have not been fully understood yet. The cranial autonomic activation suggests that both sympathetic and parasympathetic systems are impaired in the clinical presentation; however, the systemic autonomic involvement during pain-free episodes is not well-known.

Methods:
Thirty-five subjects were included in 24 h Holter monitoring and electrophysiological studies in this controlled study.

Results:
In Holter monitoring, heart rate variability parameters, RMSSD (P = 0.001), and pNN50 (P = 0.024) were significantly higher in patients compared to age and gender-matched controls. The R-R variations during breathing and deep breathing and sympathetic skin responses of all patients were normal.

Conclusions:
High RMSSD and pNN50 levels are the two indicators of increased parasympathetic activity in CH patients. Considering the intense stress because of severe pain of the CH patients, who are mostly adult men and smokers, there is an urgent need for broader studies with prospective follow-up in terms of cardiac health.
Clinical Course and Outcomes of Complicated Mild Traumatic Brain Injury in Children
Authors: Hanalioglu Sahin , Hanalioglu Damla , Elbir Cagri , Sahin Omer Selcuk , Sahin Balkan , Turkoglu Mehmet Erhan , Kertmen Huseyin Hayri 
Published: September 2022

Objective:
Mild traumatic brain injury (mTBI) constitutes majority of TBI cases. A considerable portion of mTBI cases has intracranial imaging abnormalities (complicated mTBI), which pose challenges in the diagnosis and management to clinicians. Here, we aimed to evaluate the early clinical course and outcomes of pediatric complicated mTBI cases treated at a large-volume tertiary referral center.

Materials and Methods:
A single-center retrospective cohort study was conducted at a large-volume tertiary trauma referral center for 12-month period between 2017 and 2018. Pediatric mTBI cases with at least one of the following computed tomography (CT) findings were included a depressed skull fracture, pneumocephalus, intracranial hemorrhage, edema, or contusion. Demographic, clinical, and radiological data were collected and analyzed.

Results:
One hundred and twenty-four patients with complicated mTBI were identified. Falls were the leading mechanisms of trauma (71.8%). Most patients (90.3%) had a Glasgow coma score (GCS) of 15 at initial evaluation. Most frequent radiological findings on initial CT scan were epidural hematoma (EDH) (34.7%) and pneumocephalus (31.5%), followed by subdural hematoma (SDH) (19.4%), subarachnoid hemorrhage (16.9%), contusion (14.5%), and depressed skull fracture (8.1%). Radiological findings in the routine repeat CT scan were stable in 55.6% of the patients, whereas the findings progressed in 15.3% and improved in 29% of patients during this interval period (median 7 h). Neurosurgical operation was performed in 7 (5.6%) patients. Thirty-six (29%) patients were identified as having clinically important TBI (ciTBI). Average length of stay at emergency department was 9.7 ± 4.9 h, and the average length of hospital stay was 3.6 ± 2.3 days. Multivariate analysis revealed that age, GCS, pneumocephalus, depressed skull fracture, EDH, and SDH were independent predictors of ciTBI.

Conclusion:
Pediatric complicated mTBI is associated with higher rates of hospitalization and therefore ciTBI but relatively lower rates of need for neurosurgery. Effective decision-making tools and algorithms are needed to guide optimal management strategies of these patients.
Childhood Trauma, Loneliness, and Quality of Life in Adults with Euthymic Bipolar Disorder
Authors: Chein Karen , Hsieh Yi-Ting , Tseng Huai-Hsuan , Lee I Hui , Yang Yen Kuang , Chen Po See 
Published: September 2022

Background:Individuals with childhood trauma may experience loneliness throughout their lives, which can potentially aggravate mental and physical health conditions. Moreover, accumulating evidence suggests that associations exist between childhood trauma and certain features of bipolar disorder (BD), including cognitive dysfunction, severity, and clinical course. But, it remains unclear whether loneliness is associated with childhood trauma or quality of life in adult patients with BD.Methods:We recruited 83 patients with euthymic BD and 40 control participants from the psychiatric outpatient clinic at National Cheng Kung University Hospital. Their severity of mood symptoms was measured according to the Hamilton Depression Rating Scale (HDRS) and Young Mania Rating Scale (YMRS). All study participants completed the childhood trauma questionnaire (CTQ), World Health Organization Quality of Life (WHOQOL) Scale and University of California, Los Angeles Loneliness Scale.Results:Compared with controls, patients with euthymic BD had significantly higher scores of HDRS (p< 0.01), YMRS (p< 0.001), CTQ (p< 0.001), loneliness scores (p< 0.001), but significantly lower WHOQOL scores (p< 0.001). In patients with euthymic BD, a significantly positive correlation was found between loneliness and CTQ scores (p< 0.001) and a significantly negative correlation was present between loneliness and WHOQOL scores (p< 0.001). These correlations were also present in the control group (p< 0.05 andp< 0.001).Conclusion:Euthymic BD patients had stronger feelings of loneliness than controls overall. In both euthymic BD and control patients, loneliness was positively correlated with childhood trauma and negatively correlated with quality of life. These findings warrant further investigations to strengthen the findings of the causal relationship between childhood trauma and loneliness.
Rating Inter-Rater Reliability of Shih–Hsu Test of Attention between an Experienced Psychiatric Occupational Therapist and an Occupational Therapy Student
Authors: Shih Yi-Nuo , Wu Chia-Chun , Shih Pei-Yun , Hsu Jia-Lien , Liao Yin-Huang 
Published: September 2022

Objective:
The “Shih-Hsu Test of Attention” (SHTA) is an iPad-based attention assessment tool developed by occupational therapists in recent years, and has acceptable criterion-related validity and high test–retest reliability in preliminary application. In this study, we intended to explore the inter-rater reliability of SHTA between experienced and inexperienced occupational therapists.

Methods:
We recruited 24 voluntary study participants aged 20–24 years in this study. The participants completed twice the SHTA by an experienced occupational therapist and an occupational therapy student.

Results:
Analytical results showed that the inter-rater reliability between experienced and inexperienced occupational therapists using SHTA had satisfactory reliability (intraclass correlation coefficient = 0.65).

Conclusion:
Our preliminary findings showed that the new attention assessment tool, SHTA, had satisfactory inter-rater reliability between experienced and occupational therapy students. We need to wait for a future study with more numbers of study participants in both groups to strengthen the study finding of this pilot study. At this moment, we suggest improving the guidance and training for inexperienced occupational therapists to improve accuracy, and reducing the gap when testing with experienced occupational therapists in future.
Factors Associated with the Quality of Life in Family Caregivers of People with Dementia in Taiwan
Authors: Yeh Teng-Yin , Su Jian-An , Chang Chih-Cheng 
Published: September 2022

Objectives:
Previous studies showed that caregivers of patients with dementia (PWD) have lower quality of life (QoL) due to several clinical factors related to caregivers and their ill relatives. In this study, we intended to assess the associated factors of QoL in caregivers of PWD in Taiwan.

Methods:
A cross-sectional survey with 270 dyads of PWD and their caregivers was conducted. We assessed family members' depressive symptoms, anxiety, affiliate stigma, care burden, and QoL, and patients' cognition, severity of dementia, self-care, and mobility skills, as well as neuropsychiatry symptoms of PWD.

Results:
Caregivers' longer years of education were significantly associated with better QoL in environment domains (β = 0.21, p < 0.01), while the children of caregivers had significantly better QoL in physical domains compared to spouses of caregivers (β = 0.28, p < 0.05). Patients with a past history of psychiatric hospitalization (β = 0.11, p < 0.05) and longer caregiving time (β = 0.13, p < 0.05) were significantly related to better QoL in environment domain. High levels of depression were associated with significantly lower QoL in physical health (β = −0.24, p < 0.05) and psychological domains (β = −0.32, p < 0.01), while more anxiety symptoms were related to significantly lower QoL in physical health (β = −0.26, p < 0.01) and environment domains (β = −0.27, p < 0.01). Higher levels of affiliate stigma were significantly related to lower QoL of caregivers in psychological (β = −0.23, p < 0.01), social relationships (β = −0.27, p < 0.01), and environment (β = −0.19, p < 0.05) domains. Higher levels of care burden were significantly related to lower QoL of caregivers in physical health (β = −0.24, p < 0.01) and environment (β = −0.23, p < 0.05) domains.

Conclusion:
Caregiver's depression, anxiety, affiliate stigma, and care burden were found to play a critical role in maintaining QoL of family caregivers. We suggest developing effective programs as a direction of future intervention for PWD to improve their QoL.
Filološko in prosvetno delo Josipa Pipenbacherja
Authors: Hriberšek Matej 
Published: September 2022

Josip Pipenbacher se je po maturi leta 1891 vpisal na študij klasične filologije na Dunaju; tu je leta 1895 doktoriral (v disertaciji se je ukvarjal s Ksenofontovim spisom Ustava Lakedajmoncev) in opravil profesorski izpit. Najprej je kot suplent poučeval na Državni c. kr. nižji gimnaziji v Ljubljani (zdaj gimnazija Poljane), nato kot profesor na Višji c. k. gimnaziji v Novem mestu in končno znova na Drugi c. kr. državni gimnaziji v Ljubljani; to je med letoma 1921 in 1928 vodil kot direktor. Po ustanovitvi Univerze v Ljubljani je med letoma 1920 in 1939 kot honorarni predavatelj vodil latinske proseminarje in tečaje latinščine. Napisal je vrsto učnih pripomočkov, najbolj znani so latinska slovnica in štiri latinske vadnice, vse v več izdajah, sodeloval pa je tudi pri nastajanju Wiesthalerjevega Latinsko-slovenskega slovarja, za katerega je obdelal črko R. Bil je strog ocenjevalec, posebej odmevna je bila njegova ocena Latinske slovnice Josipa Tominška), napisal pa je tudi nekaj prispevkov s področja metodike pouka latinskega jezika. Kot šolnik se je vključeval v delo različnih društev in organizacij, vseskozi je finančno podpiral različna študentska, prosvetna in druga društva, nekaj časa pa je deloval tudi v lokalni politiki kot član ljubljanskega mestnega sveta. Zadnja leta svojega življenja je preživel na svojem posestvu v Sveti Marjeti na Dravskem polju. Umrl je 11. aprila 1949 v Mariboru.
Eksistenca literarnih likov in neverbalna motivacija v Sofoklovi tragediji
Authors: Senegačnik Brane , Valijev Sergej 
Published: September 2022

Ker nimamo avtorskih didaskalij, je celoten svet drame (vključno s psihično in materialno realnostjo) predstavljen izključno z besedami, ki jih govorijo dramski liki. Roman Ingarden imenuje takšen način predstavljanja shematična reprezentacija: na ta način predstavljeni predmeti so namreč samo skicirani, nešteta nedoločena mesta v njihovi predstavitvi vabijo bralca, da jih v procesu konkretizacije alirekonstrukcije zapolni z intelektualnimi in domišljijskimi operacijami in se pri tem opira na svoje znanje in izkušnje. Tako konkretizacijo kot rekonstrukcijo je treba ločevati od literarnega dela samega; ker ju oblikuje bralec s svojo domišljijsko dejavnostjo, predstavljata oviro pri spoznavanju dela samega. Ingardnovo teorijo so kritizirali prav zaradi tega, ker daje bralcu preveč manevrskega prostora pri konstituiranju in tudi pri rekonstrukciji literarne umetnine (Ray, Kos, Holub, Calinescu). Zdi se, da te kritike temeljijo v nekoliko poenostavljenem razumevanju Ingardnove izredno kompleksne analize, v kateri se kaže, da je vloga bralca sicer omejena s tekstom, a vendarle vitalnega pomena za sekundarno eksistenco literarne umetnine. V članku so obravnavani neverbalni dejavniki motivacije v Sofoklovi tragediji; razdeljeni so v tri skupine: značajske poteze, dramska klima in čutne izkušnje. Članek se zaključi z analizo Odisejeve neverbalne motivacije v tragediji Ajant, ki predstavlja poseben primer, saj je tu odločilni dejavnik motivacije Odisejeva izkušnja numinoznega.
Hemşirelik Öğrencilerinin Objektif Yapılandırılmış Klinik Sınav Becerisinin Teorik ve Uygulama Başarısı ile İlişkisi
Authors: ÖZDEN Dilek , GÜROL ARSLAN Gülşah , ERTUĞRUL Büşra , ADANIR Abdülmenef 
Published: September 2022

Giriş: Öğrencilerin teorik bilgilerini uygulamaya yeterince aktaramaması ve uygulama becerilerinin objektif olarak değerlendirilememesi ülkemizdeki hemşirelik eğitiminin en önemli sorunları arasında yer almaktadır. Öğrencilerin neden olabileceği hataları önlemenin yollarından biri, hastaya zarar vermeden becerilerin incelenmesine fırsat sağlayan objektif yapılandırılmış klinik sınavdır (OYKS). Amaç: Bu çalışmanın amacı, hemşirelik öğrencilerinin OYKS başarısının teorik ve uygulama başarıları ile ilişkisini incelemektir.Yöntem: Araştırmada, retrospektif inceleme yöntemi kullanılmıştır. Araştırma verilerinin toplanması, 1 Ekim 2020 - 01 Ocak 2021 tarihleri arasında OYKS kontrol listelerinin retrospektif olarak incelenmesi ile gerçekleştirilmiştir. Çalışmanın örneklemini, devamsızlık ya da bireysel nedenler sebebi ile OYKS, ara sınav ve klinik uygulamaya katılmayan öğrencilerin örneklemden dışlanması sonucunda toplamda 490 öğrenci oluşturmuştur. Bulgular: Öğrencilerin puan ortalamaları incelendiğinde, subkutan uygulamanın 35.48 ± 6.62, kan alma uygulamasının 34.83 ± 9.82, intramüsküler uygulamanın 33.24 ± 7.13 ve üçlü musluktan intravenöz ilaç uygulamanın puan ortalaması 31.98 ± 8.6 olarak belirlenmiştir. Öğrencilerin OYKS uygulamalarından aldıkları puan ortalamasının ara sınav not ortalamaları ile anlamlı fakat çok zayıf (p &lt; .001, r = .23), uygulama not ortalamaları ile anlamlı fakat zayıf ilişkisi olduğu bulunmuştur (p &lt; .001, r = .26). Bunun yanında öğrencilerin 1. Ara sınav not ortalamaları ile uygulama puanları arasında da anlamlı ancak zayıf (p &lt; .001, r = .39) ilişki olduğu bulunmuştur. Sonuç: Öğrencilerin beceri puanlarının ortalamadan yüksek olduğu görülse de, hasta güvenliğini tehlikeye atabilecek birçok noktada hataların yüksek oranda olduğu görülmektedir. OYKS sınavbaşarısının öğrencilerin teorik ve uygulama başarıları ile anlamlı olmasına rağmen çok düşük ve düşük derecede ilişkili olduğu belirlenmiştir.
Analisis Sikap Keagamaan Tokoh Utama dalam Novel "Rentang Kisah" Karya Gita Savitri Devi
Authors: Hanifa Nur , Sugiarti  
Published: September 2022

Religious attitudes became essential to the main character because it was an indication of a servant's obedience to his Lord. The study is intended to describe (1) forms of religious attitude of the lead character in the novel Rentang Kisah by Gita Savitri Devi and (2) factors that influenced the religious attitude of the lead character in the novel Rentang Kisah by Gita Savitri Devi. The approach used in this study is religious psychology. The research data source is Gita Savitri Devi's Rentang Kisah novel. Research data consists of a storyline of words, sentences, and paragraphs that are relevant to the focus of the study. Data collection is done using the listen and take notes. Data analysis is made by identifying data, classifying data, analyzing data, and drawing conclusions. Research shows that (1) forms of religious attitude lead character in Gita Savitri Devi's Rentang Kisah novel include belief in the traditional, belief in religious consciousness, and inaction. (2) factors that affect religious attitudes of internal and external factors. The conclusion of the religious attitude of the lead character in the novel Rentang Kisah by Gita Savitri Devi’s is that religious attitude are shaped by the consciousness of the Gita character influenced by family, friendship, and environment.