bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ambulophobia as a Specific Phobia—Defining the Problem Among Patients of Long-Term Care Facilities in Poland
Authors: Górski Michał , Buczkowska Marta , Krzywkowska Karolina , Całyniuk Beata , Górska Karolina , Buczkowski Krzysztof , Fojcik Joanna , Grajek Mateusz , Polaniak Renata 
Published: April 2022

BackgroundAmbulophobia is a type of specific phobia that involves a fear of walking. This phobia mainly affects older people, who prefer not to leave their bed or home to avoid walking on uneven surfaces and reduce the risk of falling. The problem seems to be very important in terms of public health and the organization of long-term care, as Poland has one of the highest rates of elderly population growth.ObjectivesThe aim of the study was to determine the prevalence of ambulophobia among patients of long-term care facilities in Poland and to identify factors increasing the risk of this specific phobia in the study group.Material and MethodsThe study was conducted between January and July 2021. Data collected from 379 patients of 16 long-term care facilities located in Poland were analyzed. The study used the diagnostic criteria for specific phobias according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, and standardized questionnaires such as MMSE, GDS-16, DOS and ADL. The χ2 test was used to test the significance of differences (p = 0.05).ResultsThe prevalence of ambulophobia in the study group was 30.1%. Ambulophobia significantly more often concerned the female sex (37.7%) and people over 70 years of age (42,1%). Factors such as depression, Parkinson's disease, orthostatic hypotonia, a history of falling or being a witness to another person falling, and disability of at least a moderate degree increased the likelihood of ambulophobia.ConclusionsBased on the obtained results, it was found that the protective factors in the development of ambulophobia are male sex, younger age, high independence, fewer drugs used per day and no previous falls or seeing another person fall.
The Association Between Maternal Shaking Behavior and Inappropriate Infant Parenting: The Japan Environment and Children's Study
Authors: Sakakihara Aya , Masumoto Toshio , Kurozawa Youichi 
Published: April 2022

BackgroundAlthough many studies have identified risk factors for maternal shaking behavior, it is unknown whether mothers who have shaken their infants repeat shaking behavior or show other inappropriate parenting behaviors. Using data from the Japan Environment and Children's Study (JECS) birth cohort study, we investigated the associations between continuous shaking behavior and the associations between shaking behavior and other inappropriate parenting behaviors.MethodsJECS data starting from 2011 were used. Logistic regression was used to perform a cross-sectional analysis. The explanatory variable was shaking behavior and the dependent variables were leaving the infant home alone and hitting the infant (both at 1 month postpartum), and non-vaccination and infant burns (both at 6 months postpartum). A longitudinal analysis using logistic regression was also performed; here the explanatory variable was shaking behavior at 1 month postpartum and the dependent variables were shaking behavior, non-vaccination of the infant, and infant burns (all at 6 months postpartum).ResultsIn this study, 16.8% and 1.2% of mothers reported shaking behavior at 1 month and 6 months postpartum, respectively. Mothers who shook their infants at 1 month postpartum were approximately five times more likely to shake them at 6 months postpartum compared with mothers who had not shown previous shaking behavior (OR = 4.92, 95% CI [4.22, 5.73], p &lt; 0.001). In Cross-sectional study, there were associations between shaking behavior and inappropriate parenting behavior such as hitting the infant and infant burns.ConclusionThe findings suggest that mothers who report early shaking behavior tend to subsequently repeat this behavior, and that shaking behavior may be associated with other inappropriate parenting behaviors.
From Start-to-Finish: A Partnership With Advanced Practice Providers in Tele-Consultation Within Pediatric Urology
Authors: Crigger Chad , Sholklapper Tamir , Mitchell Katharina , Eckert Kristie , Zupper Shirley , Bartlett Megan , Ost Michael C. , Al-Omar Osama 
Published: April 2022

BackgroundTelemedicine is now commonplace and an accepted modality for delivering health care due to the coronavirus pandemic. It has proven useful in increasing access to traditionally limited subspecialties and bridged the gap of local regional geographic restraints. We report a follow up of our experience building tele-consultation capacity for pediatric urology in a resource constrained area. Specifically, we hypothesize that hybrid tele-consultation is a safe modality for postoperative evaluation. A secondary goal of this study is to evaluate perceived barriers to implementing this practice from the perspective of advanced practice providers (APPs).MethodsAfter obtaining IRB approval (IRB# 1910741113), patients were prospectively recruited for tele-consultation encounters with a tertiary academic center between August 2018 and March 2020 (pre-dating the coronavirus pandemic). Advanced practice providers received additional training in physical diagnosis and examination prior to returning to satellite clinics in their local communities and facilitating tele-consultation with an academic pediatric urologist. Postoperative outcomes were analyzed out to eight weeks and any peri- and postoperative complications were assessed using the Clavien-Dindo classification system. Finally, anonymous surveys were administered to the APPs at the conclusion of the recruitment period to assess their satisfaction with telemedicine clinics and perceived barriers to implementation.Results92 telemedicine encounters took place between August 2018 and March 2020. The most common reasons for presentation were undescended testis (UDT) (n=15), urinary tract infection (n=13) and enuresis (n=13). The most common surgical case booked by the APPs in the satellite clinic was orchiopexy (n=10). Mean distance travel saved was 299.8 miles. In 23 patients who were schedule surgery, only two patients (8.7%) had an initial diagnosis that differed with their APP pre-operative diagnosis. Of the 22 patients who underwent surgery, all elected telemedicine visits for postoperative evaluation. No patient experienced complications. Initial consultations averaged 14 minutes (range 9 to 20 minutes), while mean duration of postoperative evaluations was 9 minutes (range 6 to 13 minutes). With regards to surveys, APPs reported an overall positive experience with tele-consultation (4.5/5, n=7) and all planned on incorporating it into their future practice (4.9/5, n =7).ConclusionA hybrid tele-consultation video conferencing clinic with heavy reliance on APPs is a safe, reliable and economical way to address pediatric subspecialty surgical needs in the rural setting. With proper training and exposure, APPs can safely perform preoperative assessments and correctly refer patients for surgical intervention, adding efficiency to the surgical subspecialty workflow.
Ultra-Long Range Refractive Index Fiber Sensor
Authors: Domínguez-Flores Carmen E. , Valdés-Hernández Alessandra I. , Reyes Ana Karen , Monzón-Hernández David , Rodríguez-Quiroz Osvaldo , Ochoa-Valiente Raúl 
Published: April 2022

The dynamic range of optical fiber refractive index sensors is mainly determined by the refractive index (RI) of the sensor surface in contact with the sample under test. In case of the refractive index sensor based on the hybrid fiber Fabry–Perot interferometer (HFFPI), the largest measurable refractive index value is equal to that of the fiber core. In this work, we demonstrate that it is possible to extend the refractive index dynamic range of a HFFPI by simply adjusting the optical path length (OPL) of the air and solid cavity to be equal or differ by just a small amount. Two isometric versions of the HFFPI (i-HFFPI) with a total length of 100 and 172 μm, where the OPL of the air and solid cavity are very similar, were fabricated and tested. The interferometers were immersed in different samples with a refractive index ranging from 1.000 to 1.733. The response of the interferometers was analyzed in the Fourier domain, and it was possible to establish a one-to-one relationship between the refractive index of the liquid sample and the amplitude of one of the peaks in the Fourier spectra. The amplitude of this peak experienced a linear increment when the RI of the surrounding medium was increased. Tracking the amplitude changes of a Fourier spectrum peak is straightforward which simplifies the online monitoring of the sensor. These features make this compact refractive index fiber sensor very appealing for biosensing applications.
Outcomes of Interventions for Angiosarcoma
Authors: Yan Qi , Fernandez Roman A. , Elmi Maryam , Gelfond Jonathan , Davies Mark G. 
Published: April 2022

ObjectiveAngiosarcoma is a rare malignant vascular tumor, and the management and outcome of this disease are not well-described. The aim of this study was to report the incidence, patient demographics, and outcomes of angiosarcoma based on national data.MethodsData on patients with angiosarcoma were obtained from the Surveillance, Epidemiology, and End Results (SEER) database. Inverse probability treatment weights (IPTW) were used to assess the survival benefit of operation with additional chemo or radiation therapy compared to operation alone. These variables were further compared against patients who did not receive an operation despite being initially offered one. Cox regression was used to assess survival. Statistical analyses were performed on RStudio.ResultsFor this study, 5,135 patients (46% men; median age 69, range 0–102) with angiosarcoma were identified in the SEER database between 1975 and 2016. The age-adjusted incidence rate was 1–4%. Patients were mostly non-Hispanic Caucasian (75.4%). The average tumor size was 4.7 cm, range (.1–98.9). Tumor grades were high at presentation (Grade III 17.2, Grade IV 19, and unknown 50.6%), but half were considered localized tumors. Most patients underwent an operation (66.1%). In 5.6% of patients, the operation was recommended but not performed. The overall 5-year survival was 26.7% (95% CI 25.4–28.1%). IPTW with adjusted Cox proportional hazard model demonstrated worse survival, showing that operation compared to no operation and operation with chemo/radiation compared to operation alone had worse survival between months 0 and 25 but had improved survival after month 25.ConclusionsThe incidence of angiosarcoma is low and long-term survival is poor. Multimodal therapy in the form of neoadjuvant or adjuvant chemo/radiation therapy offers significant long-term survival benefits over operation alone.
Restoring Theoretically Optimal Lumbar Lordosis Deduced from Pelvic Incidence and Thoracic Kyphosis has Advantages to Decrease the Risk of Postoperative Mechanical Complications in Adult Spinal Deformity
Authors: Wang Jingyu , Zhang Qianshi , Liu Fubing , Yuan Hui , Zhang Yi , Wang Xiaobin , Li Jing 
Published: April 2022

ObjectiveTo establish a regression formula for LL based on individual PI and TK in asymptomatic population aged over 50 years and evaluate its predictive power for the occurrence of postoperative mechanical complications in patients with adult spinal deformity (ASD).MethodsA total of 178 asymptomatic adults were recruited for the study. The association between LL and PI, LL and TK, was investigated to establish a predictive formula for ideal LL based on PI and TK. Additionally, 93 ASD patients undergoing posterior correction surgery were retrospectively analyzed. The absolute value of the gap between postoperative actual LL and theoretical LL was defined as ΔLL. Patients were classified into two groups depending on the presence or absence of mechanical complications. The demographic and radiological data of patients were compared between the two groups.ResultsA significant association was found between LL and PI (r = 0.599, P &lt; 0.001), LL and TK (r = 0.523, P &lt; 0.001). A novel formula was developed as follows: LL = 0.7*PI + 0.4*TK + 1 (R2 = 0.524). In the validation cohort, 29 patients developed mechanical complications. Postoperative ΔLL (12.5 ± 7.6° vs. 7.0 ± 5.4°, P = 0.001) significantly increased the incidence of mechanical complications. The most appropriate threshold of ΔLL for predicting mechanical complications was 9.8°. For patients whose ΔLL were &lt;9.8° and &gt;9.8°, the incidence of mechanical complications was 19.4% and 54.8%, respectively.ConclusionIdeal lumbar lordosis should be matched for PI and TK. The developed prediction formula for LL based on PI and TK in asymptomatic adults may help surgeons to understand the mechanisms of lumbar alignment generation and predict occurrence of mechanical complications after ASD surgery.
Socioeconomic differences in help seeking for colorectal cancer symptoms during COVID-19: a UK-wide qualitative interview study
Authors: Ip Athena , Black Georgia , Vindrola-Padros Cecilia , Taylor Claire , Otter Sophie , Hewish Madeleine , Bhuiya Afsana , Callin Julie , Wong Angela , Machesney Michael , Fulop Naomi J , Taylor Cath , Whitaker Katriina L 
Published: April 2022

BackgroundCOVID-19 has led to rapid changes in healthcare delivery, raising concern that these changes may exacerbate existing inequalities in patient outcomes.AimTo understand how patients’ help-seeking experiences in primary care for colorectal cancer symptoms during COVID-19 were affected by their socioeconomic status (SES).Design and settingQualitative semi-structured interviews with males and females across the UK, recruited using purposive sampling by SES.MethodInterviews were carried out with 39 participants (20 higher SES; 19 lower SES) who contacted primary care about possible symptoms of colorectal cancer during COVID-19. Data were analysed using framework analysis followed by comparative thematic analysis to explore differences between groups.ResultsThree themes were identified with differences between SES groups: 1) how people decided to seek medical help through appraisal of symptoms; 2) how people navigated services; and 3) impact of COVID-19 on how patients interacted with healthcare professionals. The lower SES group expressed uncertainty appraising symptoms and navigating services (in terms of new processes resulting from COVID-19 and worries about infection). There was also potential for increased disparity in diagnosis and management, with other methods of getting in touch (for example, email or 111) taken up more readily by higher SES patients.ConclusionThe findings suggest that COVID-19 exacerbated disparities between higher and lower SES participants. This study raises awareness around challenges in help seeking in the context of the pandemic, which are likely to persist (post-COVID-19) as healthcare systems settle on new models of care (for example, digital). Recommendations are provided to reduce inequalities of care.
METHODS OF INCREASING THE WEAR RESISTANCE OF THE WORKING BODIES OF A ROTARY-VORTEX MILL
Authors: Romanovich A. , Duhanin S. , Romanovich M. 
Published: April 2022

The article is aimed at increasing the durability of the working bodies of rotary-vortex mills, which are widely used in the production of dry building mixes. The description of the device of a rotary-vortex mill is given.
The article proposes a new method developed by scientists of the V.G. Shukhov BSTU to increase the durability of the mill's working bodies by applying cells with dimensions on their surfaces that allow particles of the crushed material to be pressed into them, and thereby protect the surface from rapid wear.
As a result of an analytical study of the force interaction of the crushed material with the surface of the beale cell, an equation was obtained to determine the geometric dimensions of the cell, allowing due to friction forces to keep the volume of particles of the pressed material from falling out of it.
It is established that the dimensions of the cell are interconnected and are determined in such a way that the resulting pushing force is equal to or less than the holding force (friction force). It is proved that the pressing of particles of the crushed material, in rectangular cells of the deposited mesh on the working surface of the bat, is largely determined by the geometric dimensions of the cell, and also depends on the physical and mechanical characteristics of the crushed materials. The design of the bill is proposed, which allows to increase its durability by reducing the contact area of the crushed material with the working surface of the bill.
Pengaruh Prenatal Gentle Yoga Terhadap Kemajuan Persalinan
Authors: Nasifah Isri , Sari Kartika , Susanti Rini 
Published: April 2022

The nursing intervention to prepare for labor is physical exercise, such as prenatal gentle yoga. The yoga movements taught have been formulated in such a way that they are safe for pregnant women and provide optimal benefits for the health of mothers and children. Prenatal gentle yoga is a means to learn about the health of pregnant women, in a face-to-face form aimed at increasing knowledge and skills regarding pregnancy, childbirth, postpartum care and newborn care. And can be used to keep the progress of labor going properly. This study was to determine the description of the progress of labor in the control group, the description of the progress of labor in the treatment group and the effect of prenatal gentle yoga on the progress of labor. Methods: This study used a quasi-experimental research (Quasi Experimental) with Post-test Only Control Group Design. This study was conducted on pregnant women with a gestational age of 32-36 weeks (6 weeks before delivery) divided into a control group of 20 women giving birth and a treatment group of 20 women giving birth. To assess the progress of labor using a partograph observation sheet. Results: Prenatal Gentel Yoga has an effect on the progress of labor. There is an effect of Prenatal Gentel Yoga on the progress of labor. Further research with different methods is urgently needed for the effectiveness of prenatal gentle yoga on physical and psychological responses to childbirth. AbstrakIntervensi asuhan yang dilakukan untuk persiapan persalinan adalah latihan fisik, seperti prenatal gentle yoga. Gerakan yoga yang diajarkan telah di formulasi sedemikian rupa sehingga aman dilakukan untuk ibu hamil dan memberikan manfaat yang optimal bagi kesehatan ibu dan anak. Prenatal gentle yoga merupakan sarana untuk belajar tentang kesehatan ibu hamil, dalam bentuk tatap muka yang bertujuan meningkatkan pengetahuan dan keterampilan mengenai kehamilan, persalinan, perawatan nifas dan perawatan bayi baru lahir. Serta dapat digunakan untuk menjaga kemajuan persalinan berjalan semestinya. Tujuan: penelitian ini adalah mengetahui gambaran kemajuan persalinan pada kelompok kontrol, gambaran kemajuan persalinan pada kelompok perlakuan dan pengaruh prenatal gentle yoga terhadap kemajuan persalinan. Penelitian ini menggunakan penelitian eksperimen semu (Quasi Experimental) dengan rancangan Post-test Only Control Group Design. Penelitian ini dilakukan pada ibu hamil dengan usia kehamilan 32-36 minggu (6 minggu sebelum persalinan) terbagi dalam kelompok kontrol sejumlah 20 ibu melahirkan dan kelompok perlakuan sejumlah 20 ibu melahirkan. Untuk menilai kemajuan persalinan menggunakan lembar observasi partograf. Prenatal gentel yoga berpengaruh terhadap kemajuan persalinan Kesimpulan: Terdapat pengaruh Prenatal gentle Yoga terhadap kemajuan persalinan. Penelitian lebih lanjut dengan metode yang berbeda sangat diperlukan untuk efektifitas prenatal gentle yoga terhadap respon fisik dan psikologi menghadapi persalinan
Electric field dependence of terahertz wave emission in temperature-controlled GaAs epitaxial films
Authors: Hasegawa Takayuki , Marui Masaya , Tanaka Yoshihito 
Published: April 2022

Abstract
We have investigated the dependence of terahertz wave emissions on the internal electric field in undoped GaAs/n-type GaAs epitaxial structures irradiated by ultrashort laser pulses. The undoped layer has an electric field, the strength of which was controlled by the temperature in addition to the undoped layer thickness. We observed the electric field dependence of the terahertz waveform, and the results were explained by the calculation of the transient dynamics of electrons and phonons under electric fields. Furthermore, we indicated that the terahertz amplitude can be linearly controlled by the electric field strength in a wide electric field range.
ANALISIS PERBEDAAN PARAMETER STIMULASI PSIKOSOSIAL PADA BALITA STUNTING DAN NORMAL
Authors: Agustin Lia , Rahmawati Dian 
Published: April 2022

Pengaruh stimulasi psikososial pada balita sangat besar, hal ini dapat menentukan kemampuan balita dalam setiap tahapan perkembangan. Perkembangan dalam hal motorik kasar, motorik halus, kognitif, sosial emosi dan bahasa. Dari hasil riset kesehatan menunjukkan angka kejadian stunting mengalami peningkatan mulai dari tahun 2007 sampai 2013 yaitu dari 29,2 % sampai 40,9 %. Dampak dari stunting dapat menurunkan kecerdasan anak. Penelitian ini menganalisis perbedaan parameter stimulasi psikososial pada balita stunting dan normal. Rancangan penelitian ini adalah menggunakan metode observasional, dengan populasi seluruh balita di Bangkok kecamatan Gurah Kabupaten Kediri sampel pada penelitian ini menggunakan purposive sampel diambil 25 balita stunting dan 25 balita normal (tidak stunting). Data dikumpulkan dengan wawancara menggunakan instrument HOME. Kemudian data dianalisis menggunakan uji Mann Whitney.
Hasil penelitian ini menunjukan bahwa terdapat perbedaan pada parameter stimulasi belajar balita stunting dengan normal dengan nilai Sig (2-sided) 0,046, variasi stimulasi pada anak dengan nilai Sig (2-sided) 0,008, hukuman positif dengan nilai nilai Sig (2-sided) 0,001 yang berarti nilai p value kurang dari 0,005. Pada parameter stimulasi bahasa didapatkan nilai nilai Sig (2-sided) 0,905, lingkungan fisik nilai nilai Sig (2-sided) 0,145, kehangatan dan penerimaan serta parameter stimulasi akademik nilai p value 0,652 dan parameter modeling nilai nilai Sig (2-sided) 0,694 dimana nilai p value yang > 0,005 berarti tidak terdapat perbedaan. Peran keluarga sangat penting dalam pemberian stimulasi pada anak balita guna untuk mengasah tahap perkemangan, selain itu pendampingan oleh nakes dan monitoring juga sangat dibutuhkan pada balita stunting.