bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mental health problems and needs of frontline healthcare workers during the COVID-19 pandemic in Spain: A qualitative analysis
Authors: Mediavilla Roberto , Monistrol-Mula Anna , McGreevy Kerry R. , Felez-Nobrega Mireia , Delaire Audrey , Nicaise Pablo , Palomo-Conti Santiago , Bayón Carmen , Bravo-Ortiz María-Fe , Rodríguez-Vega Beatriz , Witteveen Anke , Sijbrandij Marit , Turrini Giulia , Purgato Marianna , Vuillermoz Cécile , Melchior Maria , Petri-Romão Papoula , Stoffers-Winterling Jutta , Bryant Richard A. , McDaid David , Park A-La , Ayuso-Mateos José Luis ,   RESPOND Consortium
Published: July 2022

BackgroundHealthcare workers (HCWs) from COVID-19 hotspots worldwide have reported poor mental health outcomes since the pandemic's beginning. The virulence of the initial COVID-19 surge in Spain and the urgency for rapid evidence constrained early studies in their capacity to inform mental health programs accurately. Here, we used a qualitative research design to describe relevant mental health problems among frontline HCWs and explore their association with determinants and consequences and their implications for the design and implementation of mental health programs.Materials and methodsFollowing the Programme Design, Implementation, Monitoring, and Evaluation (DIME) protocol, we used a two-step qualitative research design to interview frontline HCWs, mental health experts, administrators, and service planners in Spain. We used Free List (FL) interviews to identify problems experienced by frontline HCWs and Key informant (KI) interviews to describe them and explore their determinants and consequences, as well as the strategies considered useful to overcome these problems. We used a thematic analysis approach to analyze the interview outputs and framed our results into a five-level social-ecological model (intrapersonal, interpersonal, organizational, community, and public health).ResultsWe recruited 75 FL and 22 KI interviewees, roughly balanced in age and gender. We detected 56 themes during the FL interviews and explored the following themes in the KI interviews: fear of infection, psychological distress, stress, moral distress, and interpersonal conflicts among coworkers. We found that interviewees reported perceived causes and consequences across problems at all levels (intrapersonal to public health). Although several mental health strategies were implemented (especially at an intrapersonal and interpersonal level), most mental health needs remained unmet, especially at the organizational, community, and public policy levels.ConclusionsIn keeping with available quantitative evidence, our findings show that mental health problems are still relevant for frontline HCWs 1 year after the COVID-19 pandemic and that many reported causes of these problems are modifiable. Based on this, we offer specific recommendations to design and implement mental health strategies and recommend using transdiagnostic, low-intensity, scalable psychological interventions contextually adapted and tailored for HCWs.
Movement characteristics during customized exergames after total knee replacement in older adults
Authors: Janhunen Maarit , Löppönen Antti , Walker Simon , Punsár Taavi , Katajapuu Niina , Cheng Sulin , Paloneva Juha , Pamilo Konsta , Luimula Mika , Korpelainen Raija , Jämsä Timo , Heinonen Ari , Aartolahti Eeva 
Published: July 2022

IntroductionThere is limited understanding of how older adults can reach kinematic goals in rehabilitation while performing exergames and conventional exercises, and how similar or different the kinematics during exergaming are when compared with conventional therapeutic exercise with similar movement. The aim of this study was to describe the movement characteristics performed during exercise in custom-designed exergames and conventional therapeutic exercises among patients who have undergone unilateral total knee replacement (TKR). In addition, the secondary aim was to assess the relation of these exercise methods, and to assess participants' perceived exertion and knee pain during exergaming and exercising.Materials and methodsPatients up to 4 months after the TKR surgery were invited in a single-visit exercise laboratory session. A 2D motion analysis and force plates were employed to evaluate movement characteristics as the volume, range, and intensity of movement performed during custom-designed knee extension-flexion and weight shifting exergames and conventional therapeutic exercises post TKR. The perceived exertion and knee pain were assessed using the Borg Rating of Perceived Exertion and Visual Analog Scale, respectively.ResultsEvaluation of seven patients with TKR [age median (IQR), 65 (10) years] revealed that the volume and intensity of movement were mostly higher during exergames. Individual goniometer-measured knee range of motion were achieved either with exergames and conventional therapeutic exercises, especially in knee extension exercises. The perceived exertion and knee pain were similar after exergames and conventional therapeutic exercises.ConclusionsDuring custom-designed exergaming the patients with TKR achieve the movement characteristics appropriate for post-TKR rehabilitation without increasing the stress and pain experienced even though the movement characteristics might be partly different from conventional therapeutic exercises by the volume and intensity of movement. Physical therapists could consider implementing such exergames in rehabilitation practice for patients with TKR once effectiveness have been approved and they are widely available.
The treatment practices for anterior urethral strictures in China: A case-based survey
Authors: Hou Changhao , Lin Jiahao , Gu Yubo , Yuan Wei , Wang Zeyu , Xiu Xianjie , Fu Qiang , Song Lujie 
Published: July 2022

ObjectiveTo investigate the treatment concept of Chinese urologists for anterior urethral strictures based on actual cases.MethodsA self-designed case-based questionnaire was distributed to the members of Official WeChat account of Learning Union from March 19, 2020, to April 10, 2020. Questionnaires requested respondents' demographic information and responses to five cases of anterior urethral stricture: short obliterative bulbar urethral stricture caused by straddle injury (Case 1), idiopathic bulbar urethral stricture after failure of multiple endoscopic therapy (Case 2), iatrogenic long penile urethral stricture (Case 3), lichen sclerosis-related urethral stricture (Case 4), and anterior urethral stricture in indwelling catheter after multiple failure of endoscopic surgery (Case 5). Data was described by frequency and percentage.ResultsA total of 1,267 valid anonymous questionnaires were received. Urethroplasty was recommended more frequently than endoscopic surgery (Case 1: 47.8% vs. 32.8%,Case 2: 42.5% vs. 33.8%, Case 3: 36.1% vs. 26.7%). Referrals patients to other urologists engaged in urethral repair and reconstruction account for a high portion of the treatment (Case 1:18.4%, Case 2:23.1%, Case 3:36.5%, Case 4:27.7%,Case 5:9.3%). Excision and primary anastomosis urethroplasty (EPA) was preferred for treatment of Case 1 (42.5%). For Case 2, the most popular choice was EPA (30.6%). Although the patient has a history of failure in endoscopic surgery, 33.8% of urologists continue to choose endoscopic surgery. For Case 3, 20.0% of urologists would perform oral mucosal urethroplasty. Surprisingly, 5.9% chose EPA. For Case 4, 37.3% of urologists selected meatotomy, 30.4% suggested that glans and urethral biopsies should be performed. 21.0% chose to use steroid ointment after surgery. For Case 5, 26.3% of the respondents believed that urethrography should be performed after removing catheter more than one week, if the urine is obstructed during the period, performing cystostomy firstly.ConclusionsIn China, the concept of urethroplasty is more widely accepted than endoscopic surgery for the treatment of anterior urethral strictures. The concept of referral has been widely formed among Chinese urologists. Better understanding of the comprehensive treatment of lichen sclerosis related anterior urethral stricture and the principle of urethral rest should be strengthened.
Case report: Reoperative parathyroidectomy for large ectopic hyperplastic parathyroid in the mediastinum of a patient with recurrent secondary hyperparathyroidism
Authors: Lv Yong , Wang Qiuyuan , Zhang Ling , Zhou Qing , Mi Zhiyu , Wu Yi , Cheng Jingning 
Published: July 2022

IntroductionSecondary hyperparathyroidism (SHPT) is a common complication in hemodialysis patients with chronic renal failure uremia. For severe SHPT, parathyroidectomy is effective. Owing to the variability in parathyroid anatomy, surgical parathyroidectomy can be complex and many patients experience recurrent SHPT, which may require repeated surgery. These cases pose significant challenges to surgeons.Case descriptionAn elderly woman with recurrent severe SHPT was admitted to our hospital. Preoperative methoxyisobutylisonitrile (MIBI) examination found a large ectopic parathyroid gland in the superior mediastinum, and she underwent reoperative parathyroidectomy. A large parathyroid gland in the right anterior mediastinum and another parathyroid gland in the left lingual lobe of the thymus were removed. The patient had postoperative hypocalcemia that was successfully corrected with calcium supplementation via femoral vein catheterization. During the 1-year postoperative follow-up, the patient's iPTH was well controlled and her blood calcium was within the normal range.ConclusionWe report a case of parathyroidectomy to remove multifocal ectopic hyperplastic parathyroid tissue in the mediastinum. Preoperative MIBI accurately detected the lesions. Calcium supplementation via femoral vein catheterization successfully corrected postoperative hypocalcemia. Postoperative follow-up for 1 year indicated that the surgery was successful.
Double purse-string suture technique for circular-stapled anastomosis during robotic Ivor Lewis esophagectomy
Authors: Zhang Hanlu , Zuo Zeping , Yan Xiuji , Wang Fuqiang , Yang Lin , Qiu Guanghao , Chen Long-Qi , Wang Yun 
Published: July 2022

BackgroundWith the advantage of the robotic suturing capacity, the purse-string suture is technically simple and convenient. This study aimed to present our technical aspects and initial results of robotic Ivor Lewis esophagectomy using two purse-string sutures for circular-stapled anastomosis.MethodsAfter stomach mobilization, gastric conduit formation, esophagus mobilization and two-field lymphadenectomy, the first robotic hand-sewn purse-string suture was applied to the esophageal muscular layer with an adequate margin above the tumor. A longitudinal incision in the anterior wall of the esophagus was made and the circular stapler anvil was inserted. The esophagus was transected by scissors 1 cm caudal to the first purse-string suture and the purse-string tied to secure the anvil. Then the second robotic hand-sewn purse-string suture was applied to the whole-layer of the proximal end of the esophagus and tied. Finally, the anvil was connected to the body of the stapler and fired.ResultsThe clinical data of ten patients who underwent robotic Ivor Lewis esophagectomy with an intrathoracic circular-stapled end-to-side anastomosis from February 2022 to April 2022 were collected. There were seven male and three female patients and had a mean age of 63.2 ± 7.6 years. Tissue donuts were complete in all cases and all operations were successfully performed without conversions. The mean overall operative time was 358.2 ± 40.3 min. The mean estimated blood loss was 83.2 ± 15.6 ml. The median length of hospital stay was 11.5 ± 4.1 days. All the patients had an uneventful postoperative period.ConclusionTwo purse-string sutures are necessary to obtain a tight seal of the esophageal tissue around the anvil to avoid potential anastomotic leak and are an essential process for the safety of circular-stapled anastomosis during robotic Ivor Lewis esophagectomy.
Metodología cualitativa para evaluar la relación entre la gestión administrativa y la gestión académica en instituciones de educación superior
Authors: Bazurto Macías Yuly Viviana , Lucio Pinargote Wilma Piedad , Flores Urbáez Matilde , Bravo Giler María Amelia 
Published: July 2022

Se establece una propuesta metodológica cualitativa para evaluar la relación entre la gestión administrativa y la gestión académica en instituciones de educación superior. La metodología se aplicó en la Universidad Técnica de Manabí, Ecuador. Se utilizó la entrevista en profundidad para recabar la información y el programa Atlas.ti, para procesarla y codificarla. Se usó el análisis FODA (Fortalezas, Oportunidades, Debilidades y Amenazas) para organizar la información y así elaborar recomendaciones para mejorarla relación gestión administrativa - gestión académica. Los resultados indican que la metodología es adaptable a la realidad de cada institución de educación superior donde se aplique y proporciona información clave para mejorar el proceso de toma de decisiones y la coordinación de las acciones que se requieran en la institución evaluada. Se concluye que la metodología es apropiada para evaluar de forma cualitativa la relación entre la gestión administrativa y la gestión académica, así como la incidencia de una sobre otra.

Palabras clave: administración universitaria, eficiencia académica, entrevistas, evaluación cualitativa, gestión académica

ABSTRACT
A qualitative methodological proposal is established to evaluate the relationship between administrative management and academic management in higher education institutions. The methodology was applied at Universidad Técnica de Manabi, Ecuador. The in-depth interview was used to collect the information; and the Atlas.ti, program was applied to process and encode it. The use analysis FODA (Strengths, Opportunities, Weaknesses and Threats) was used to organize the information and thus prepare the proposal to improve the relationship between administrative management and academic management. The results indicate that the methodology is adaptable to the reality of each higher education institution where it is applied and provides key information to improve the decision-making process and the coordination of the actions required in the evaluated institution. It is concluded that the methodology is appropriate to qualitatively evaluate the relationship between administrative management and academic management, as well as the impact of one on another.

Keywords: university administration, academic efficiency, interviews, qualitative evaluation, academic management
Kepentingan Amerika Serikat Dalam Pengakuan Yerusalem Sebagai Ibukota Israel Tahun 2017
Authors: Oktaviani Silvi 
Published: July 2022

Penelitian ini bertujuan untuk mendeskripsikan kepentingan nasional Amerika Serikat dalam mengakui Yerusalem sebagai ibukota Israel serta dampak yang ditimbulkan atas pengakuan tersebut. Status kota Yerusalem sendiri berada dibawah kewenangan internasional berdasarkan resolusi Majelis DK PBB nomor 181 tahun 1947 dan diberikan status hukum dan politik yang terpisah (separated body). Resolusi ini juga memberikan mandat berdirinya negara Arab (Palestina) dan negara Yahudi (Israel)yang masing-masing berstatus merdeka.
Dalam menjelaskan fenomena yang peneliti telaah, peneliti menggunakan teori kepentingan nasional, hal ini terkait dengan kebijakan yang dilakukan Amerika Serikat dalam usaha pemenuhan kepentingan nasionalnya. Metode penelitian yang digunakan adalah kualitatif. Sebagian besar data yang dikumpulkan melalui studi kepustakaan, observasi, dokumentasi dan penelusuran data online. Penelitian dilakukan di Kedutaan Amerika untuk Indonesia di Jakarta dan pusat kajian kebijakan yaitu Center for Strategic and International Studies Indonesia di Jakarta.
Hasil penelitian menunjukkan bahwa pengakuan yang dilakukan Amerika Serikat adalah upaya untuk pemenuhan kepentingan nasional negaranya, hal ini berdampak terhadap hubungan kedua negara yang semakin erat pasca pengakuan tersebut. Dibawah kepemimpinan Trump, untuk pertama kalinya Amerika mengakui Yerusalem sebagai ibukota Israel dan melakukan pemindahan kedutaan Amerika dari Tel Aviv ke Yerusalem. Pengakuan tersebut pun mendapat penolakan dari berbagai aktor internasional.
Peran Food And Agriculture Organization (FAO) Melalui Program Emergency Center For Transboundary Animal Disease (ECTAD) Dalam Mengurangi Resiko Penyakit Pada Peternakan Unggas Di Indonesia
Authors: Nursandy Nadya Juliani 
Published: July 2022

Tujuan dari penelitian ini ialah untuk mengetahui mengenai peran organisasi internasional dalam mengatasi permasalahan di Indonesia. Permasalahan dari penelitian ini ialah dengan munculnya penyakit pada hewan ternak unggas di Indonesia semenjak tahun 2003 yang menyebabkan kematian jutaan ekor unggas serta kerugian puluhan hingga ratusan juta rupiah bagi para peternak. Selain itu, permasalahan mengenai penyakit pada unggas pula tidak hanya mengancam kerugian materi akan tetapi dapat berdampak bagi Kesehatan manusia serta lingkungan. Maka dari itu Food and Agriculture Organization hadir melalui program ECTAD untuk berupaya mengurangi resiko penyebaran penyakit pada unggas dari tahun ke tahun.
Metode yang digunakan dalam penelitian ini yakni menggunakan metode kualitatif. Data yang dikumpulkan dari hasil wawancara, jurnal, studi pustaka dan penelusuran online dianalisis menggunakan pendekatan Hubungan Internasional. Penelitian dilaksanakan melalui wawancara kepada staff Food and Agriculture Organization.
Hasil penelitian menunjukkan bahwa Food and Agriculture Organization melalui program Emergency Center for Transboundary Animal Disease (ECTAD) memiliki peran yang sangat penting bagi Indonesia dalam membantu mengurangi resiko penyebaran penyakit pada unggas di Indonesia. Hal tersebut dibuktikan dengan adanya angka penurunan di setiap tahunnya untuk kematian unggas yang disebabkan oleh penyakit di Indonesia.
United States of America Policies in Managing Treats of Drugs from Mexico (2017-2019)
Authors: Saragih Hendra Maujana , Zulham Muhammad , Deaziska Laras 
Published: July 2022

Drugs has become a trend among the US – Mexico citizens that resulted imbalance in the national security of each country especially in the border area between US – Mexico. In this study, author use the national interest theory with the concept of national security and Transnational Organized Crime. By using descriptive qualitative research, this study aims to determine the efficiency of US policies that were continued by President Donald Trump. Even though the relationship between Mexico and the US is going-well and President Donald Trump is taking serious way for handling drug abuse in the US, unfortunately, the large sense of dependence from US citizen on drugs makes the policies that have been implemented inefficient. In addition, President Donald Trump’s policy can also have other impacts, such as an increase in the number of illegal immigrants entering the US through the border wall and an increasing number of the availability of several types of drugs such as heroin and marijuana in some states.
Keyword : Drugs, Drug Trafficking, Drug Abuse, Mexico Cartel
Kebijakan Pemerintah Kota Denpasar Dalam Menerapkan Praktik Paradiplomasi Melalui Kerja Sama Sister City
Authors: Alfiansyah Vero , Purnomo Eko Priyo , Kurniawati Dyah Estu 
Published: July 2022

Artikel ini bertujuan untuk mengeksplorasi kerja sama Sister City sebagai sebuah paradoks untuk menjalin hubungan internasional di kota Denpasar. Kerja sama Sister City ini diambil dari perspektif interdisipliner dalam studi hukum kerja sama daerah dan hubungan internasional. Artikel ini mencoba menjawab bagaimana kota Denpasar melakukan paradiplomasi melalui Sister City untuk mempromosikan kerja sama internasional. Implementasi tiga level paradiplomasi yang terdiri dari isu ekonomi (tingkat 1), budaya, pendidikan, teknologi dan aspek multidimensi lainnya (tingkat 2) dan pertimbangan politik (tingkat 3). Koridor hukum kerja sama daerah untuk penegakan para-diplomatik dieksplorasi dengan menggunakan data yang dikumpulkan melalui instrumen hukum dan hubungan internasional. Para-diplomatik yang dimaksud adalah pemerintah daerah mengevaluasi kerangka hukum dan kendala yang diperlukan untuk berinteraksi dengan aktor internasional. Artikel ini menggunakan pendekatan empiris kualitatif untuk menghubungkan kedua disiplin ilmu tersebut. Artikel menunjukkan bahwa kerja sama Sister City Denpasar dapat dikaitkan dengan praktik para-diplomatik hanya pada tingkat pertama (ekonomi) dan tingkat kedua (budaya, pendidikan dan teknologi). Pemerintah Denpasar menghadapi beberapa tantangan dalam melaksanakan inisiatif Sister City, antara lain hambatan hukum, kontinuitas kerja sama, keterbatasan sumber daya manusia, redistribusi dana dan keterbatasan partisipasi warga. Pandemi COVID-19 juga mempengaruhi pelaksanaan kerja sama Sister City yang direncanakan
Dampak Implementasi Program Pembelajaran Merdeka Belajar Kampus Merdeka Pada Fakultas Ilmu Budaya Universitas Komputer Indonesia
Authors: Setiana Soni Mulyawan , Bustam Muhammad Rayhan , Ali Mohammad , Febrianty Fenny , Sari Retno Purwani 
Published: July 2022

Penelitian ini bertujuan untuk mengamati dampak implementasi program pembelajaran MBKM pada Fakultas Ilmu Budaya Universitas Komputer Indonesia (Unikom); selain itu, penelitian ini juga mengamati pemahaman dan ketertarikan mahasiswa Fakultas Ilmu Budaya Unikom terhadap program tersebut. Penelitian ini menggunakan metode kualitatif deskriptif, dengan mengambil sumber data dari hasil survey kuesioner pelaksanaan program MBKM yang diisi oleh mahasiswa Fakultas Ilmu Budaya Unikom; kuesioner ini sendiri difasilitasi oleh Kemdikbud sebagai pembuat program MBKM ini. Hasil dari penelitian ini menunjukkan bahwa mahasiswa memiliki persepsi positif mengenai pelaksanaan kegiatan pembelajaran Program MBKM. Hal ini ditandai dengan pemahaman yang baik terhadap program tersebut; ditambah lagi dengan ketertarikan yang cukup besar untuk mengikuti program tersebut, dan dampak yang cukup menjanjikan untuk pelaksanaan program ini ke depannya bagi mahasiswa Fakultas Ilmu Budaya Unikom. Penelitian ini diharapkan dapat berdampak positif untuk perbaikan kegiatan pembelajaran Program MBKM ke depannya, terutama untuk pengelolaannya di Unikom, khususnya di Fakultas Ilmu Budaya Unikom.
Kata Kunci: Dampak, Fakultas Ilmu Budaya, Program MBKM, Unikom
Kajian Kompetensi dan Orientasi Terhadap Kinerja Usaha (Survei Tentang Kewirausahaan Simping Wanita di Kabupaten Purwakarta)
Authors: Munandar Dadang 
Published: July 2022

Mengetahui pengaruh kompetensi dan orientasi kewirausahaan terhadap kinerja usaha pada pengusaha Simping pada wanita di Kabupaten Purwakarta merupakan tujuan dari penelitian ini. Dalam penelitian ini, peneliti menggunakan penelitian kuantitatif dengan metode survei. Sampel sebanyak 90 perempuan pengusaha yang dipilih secara purposive. Analisis jalur digunakan sebagai teknik analisis. Penelitian ini menghasilkan variabel kompetensi dan orientasi yang berpengaruh positif dan signifikan terhadap kinerja bisnis secara simultan. Selanjutnya, variabel kompetensi mempengaruhi kinerja bisnis secara positif dan signifikan secara parsial dan dengan cara yang sama orientasi mempengaruhi kinerja bisnis secara positif dan signifikan. Sementara itu, kinerja usaha wirausaha perempuan Simping mengalami penurunan karena kompetensi tenaga kerja yang tidak sesuai dengan perkembangan tuntutan dunia usaha saat ini . Dengan demikian dapat disimpulkan bahwa kompetensi dan orientasi para wirausaha Simping perempuan berdampak pada peningkatan kinerja mereka dalam mengelola bisnis tersebut.
Kata Kunci: kompetensi, wirausaha perempuan, orientasi, kinerja