bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors predisposing to limb ischemia among critically ill patients receiving inotropes
Authors: Abdelkader AbouShair El Said S. , Morsy Warda Y.M. , El-Feky Hanaa A.A. , Sayed Mohamed S. 
Published: August 2022

Background
Critically ill patients receiving positive inotropes are at risk for developing many complications, of these is peripheral limb ischemia. Therefore, they require assessment, prevention, early detection, and management that might shorten hospital stay and improve patient outcomes.

Aim
To assess factors predisposing to limb ischemia among critically ill patients receiving positive inotropes.

Research design
A descriptive exploratory research design was utilized in this study.

Results
Severe peripheral/limb ischemia affected 70.6% of the studied participants. It was most frequently found in the right and left lower limbs at a percentage of 81.6 and 79.4%, respectively. Limb ischemia was most frequently noticed among male patients in the age group of 50–60 years old, who had comorbid diseases such as diabetes and hypertension. Many factors predisposes the patient to limb ischemia such as intravenous administration of both epinephrine and norepinephrine at a percentage of 81.6%, with a significant statistical relationship between limb ischemia and positive inotrope administration (χ
2=31.52, P≤0.000), epinephrine doses (χ
2=43.53, P≤0.000), and norepinephrine doses (χ
2=69.55, P≤0.000): smoking (χ
2=12.46, P≤0.002), family history (χ
2=24.01, P≤0.000), total cholesterol level (χ
2=7.64, P≤0.022), BMI (χ
2=55.02, P≤0.000), and comorbidities (χ
2=20.55, P≤0.002).

Conclusion
Based on the findings of this study, it can be concluded that limb ischemia is a common problem among critically ill patients receiving positive inotropes. Therefore, continuous and strict assessment could play an important role in its prevention and early detection.

Recommendations
Closed observation for patients receiving inotrope infusions, especially for those at risk for developing limb ischemia, and replication of this study on a larger probability sample selected from different geographical areas in Egypt.
Impact of collaboration behavior among staff nurses on their quality of work life and job satisfaction
Authors: Etway Hafaz Eman A.E. 
Published: August 2022

Background
Nursing collaboration is a key component of promoting a good work environment in a health-care organization, as it helps to support acceptable workloads and levels of complexity, which leads to improved nurses’ quality of life and job satisfaction.

Aim
To assess the impact of collaboration behavior among staff nurses on their quality of work life and job satisfaction.

Design
A descriptive correlational study design was utilized.

Setting
The study was conducted in the medical critical care units at New Kasr El Aini Teaching Hospital.

Subject
A convenience sample of staff nurses (n=90) who are working in the previous mentioned setting.

Tools
Three questionnaires were used for this study: nurse collaboration behavior scale (20 items), quality of work life (38 items), and job satisfaction questionnaire (28 items).

Results
Results of the present study regarding collaboration behavior items revealed that around two-thirds (64.4%) of the participants agreed on listening to each other’s opinions and suggestions item, while 34.4% of them disagreed about no qualms in sharing their ideas with one another item. Also, participants were highly perceived for all-quality work life dimensions (mean%=72.1%) and most of the study participants had a moderate level of job satisfaction (78.9%). However, this study showed that there was a statistically significant positive correlation between nurse collaboration behavior and quality of work life, but no correlation was found between nurse collaboration behavior and job satisfaction (P=0.000).

Conclusion
The current study concluded that the majority of participants agreed about most of collaboration behavior items, participants were highly perceived for all-quality work life dimensions, and most of them had a moderate level of job satisfaction. However, there was statistically significant positive correlation between collaboration behavior and quality of work life, but no statistically significant correlation between collaboration behavior and job satisfaction as well as there was a positive statistically significant correlation between quality of work life and job satisfaction.

Recommendations
Nurse managers should display collaboration behaviors to construct an engaging climate, collaborative relationship with nurses and health team to preserve quality of patients’ care, and hospital administration must regularly monitor nurse job satisfaction and resolve points of dissatisfaction to encourage staff affiliation with the organization and to improve quality of work life.
Efficacy of oral cryotherapy versus chewing gum on mucositis in children receiving chemotherapy
Authors: Sadek Eman H. , Elhay Hanan A.A. 
Published: August 2022

Background
Oral mucositis is considered one of the most common debilitating and serious complications of cancer treatment.

Aim
This study aimed to evaluate the effect of oral cryotherapy versus chewing gum on mucositis in children receiving chemotherapy. Patients and method A quasi-experimental design was conducted on a convenient sample of 90 children from both sex with cancer and undergoing chemotherapy, who attended the pediatric outpatient clinics and in-patient pediatric oncology department in Cancer Institute of South Egypt. The children were in the age range from 6 to 18 years, newly diagnosed with cancer and in the induction stage of chemotherapeutic protocol and had a healthy oral mucosa.

Tools
A structural interview questionnaire dealt with characteristics, clinical data of children, and oral assessment guide.

Results
More than half of children in the cryotherapy group and one-third of children in the chewing gum group had moderate mucositis compared with 83.3% of children in the control group who had severe mucositis during day 21.

Conclusion
Using oral cryotherapy with honey flavor and sugar-free gum lead to healthier oral mucosa and lower mucositis score compared with children using only the routine mouth care.

Recommendations
Provide in-services, up-to-date, regular training programs to improve nurses’ knowledge and practices regarding the use of flavored cryotherapy and chewing gum technique as routine care for children treated with chemotherapy.
Case Report: Late-Onset Pneumonitis after Apoica pallida (Insecta: Hymenoptera) Sting with Anaphylactic Reaction in the Brazilian Amazon
Authors: Pivoto João Guilherme Augusto , Bonates Paula , de Araújo Thelma Silva , Alencar Aline , da Silva Carvalho Érica , Baia-da-Silva Djane Clarys , de Almeida Gonçalves Sachett Jacqueline , Monteiro Wuelton Marcelo 
Published: August 2022

ABSTRACT.
Hymenopteran venoms, inoculated during stings by ants, bees, and wasps, are the most frequent cause of an IgE-mediated systemic hypersensitivity reaction in adults, which is a key process in drastic manifestations of anaphylaxis. Respiratory involvement is usually caused by pulmonary edema but is rarely described as including interstitial pneumonitis or acute respiratory distress syndrome. Here, we describe a case of severe allergic reaction after a sting by Apoica pallens with late-onset pulmonary involvement, including signs of vasoplegia (pleural effusion) and interstitial pneumonitis with mild rhabdomyolysis. The presence of late onset of pulmonary involvement after a severe allergic reaction after a sting by A. pallens shows the importance of keeping a patient with severe reactions under medical care for a minimum of 5 days to avoid serious late complications outside the hospital environment.
Kadın Suçluluğu Olgusu Üzerine Toplumsal Cinsiyet Odaklı Bir Değerlendirme: Y Kuşağı Kadınlarının Gözüyle
Authors: AYATA KÜÇÜKBÜKÜCÜ Ruşen , ÇAMUR Gülsüm 
Published: August 2022

Amaç: Araştırma Y kuşağı kadınlarının toplumsal cinsiyet odağında kadın suçluluğuna bakış açılarını ortaya koymayı amaçlamaktadır. Kuşaklar arasında ortaya çıkan farklılıklar önemli görülmektedir. Bu araştırmada Y kuşağı kadınların toplumsal cinsiyet ve kadın suçluluğu konularını nasıl ilişkilendirildiklerini ortaya koymak amaçlanmaktadır. Y kuşağı kadınlarının gözüyle toplumsal cinsiyet kavramının tanımlanması, Y kuşağı kadınlarının maruz kaldıkları eşitsizlikler ile hemcinslerinin maruz kaldıkları eşitsizlikleri değerlendirmelerini ve kadın suçluluğuna bakış açılarını incelemek araştırmanın alt amaçlarını oluşturmaktadır.
Yöntem: Araştırma nicel olarak tasarlanmıştır ve betimsel çalışma yöntemine dayalıdır. Araştırmanın amaçları çerçevesinde hazırlanan ‘Y Kuşağı Kadınlarının Toplumsal Cinsiyete ve Kadın Suçluluğuna Bakış Açısı’ veri toplama aracı ile araştırmanın verileri 29.11.2021-20.05.2022 tarihlerinde çevrimiçi ortamda toplanmıştır. Araştırmaya sadece Y kuşağı kadınlar dahil edilmiştir. Araştırma kartopu örnekleme yöntemine dayalıdır.
Bulgular: Araştırma kapsamında 130 Y kuşağı kadına ulaşılmış olup, kadınların %63,1’i cinsiyet ayrımcılığına maruz kaldıklarını ve %97,6’sı kadın erkek eşitsizliğinin var olduğunu belirtmiştir. Y kuşağı kadınları kadın suçluluğuna neden olan faktörleri; kendini koruma, şiddet, baskı ve tükenmişlik olarak değerlendirmiş ve aynı zamanda katılımcılar toplumsal cinsiyet ve şiddet/baskı faktörleri ile kadın suçluluğunun ilişkili olduğunu ifade etmişlerdir. Y kuşağı kadınları, kadın suçluluğunu önleme noktasında eğitim, sağlıklı aile yapısı, baskı ve şiddetin azalması, kadının çalışma yaşamına katılımı gibi faktörlerin etkili olabileceğini ifade etmişlerdir.
Pengaruh Harga Dan Kualitas Produk Terhadap Keputusan Pembelian Makanan Khas Lapek Barajuik One Azumar Di Nagari Koto Tinggi Kecamatan Enam Lingkung Kabupaten Padang Pariaman
Authors: ASRUL ASRUL 
Published: August 2022

This study was conducted to determine the effect of price and product quality on purchasing decision for typical food from Lapek Barajuik One Azumar, Nagari Koto Tinggi Enam Lingkung District, Padang Pariaman Regency. The purpose of this study was to test simultaneously and partially the effect of price and product quality on purchasing decisions for typical food from Lapek Barajuik One Azumar Nagari Koto Tinggi, Padang Pariaman Regency. The population in this study was all consumers of One Azumar , which amounted to tasted Lapek Barajuik One Azumar, totaling 249, people while the sample was 71 people used using the slovin formula with the accidental sampling technique. The data analysis technique used is multiple linear regression analysis. The research instrument test used is the validity and reliability test. The classical assumption test used is the normality test of the data, the linearity test of the multicollinearity test and the heteroscedasticity test. Meanwhile, to test the hypothesis used F test and t test. The analytical tool used to test the effect of price and product quality on purchasing the decision for typical food from Lapek Barajuik One Azumar Nagari Koto Tinggi, Padang Pariaman Regency is regression with the help of SPSS version 23 for windows. The results showed that price had a significant effect on purchasing decision for typical food from Lapek Barajuik One Azumar in Nagari Koto Tinggi, Enam Lingkung District, Padang Pariaman Regency. It is proven by showing the tcount value of 3,316 with a significance level of 0.001 which means less than 0.05 (0.000 < 0.05). Product quality have a significant effect on purchasing decision for typical food from Lapek Barajuik One Azumar . This is proven by showing the tcount value of 5,900, with a significance level of 0.000 which means less than 0.05 (0.000 <0.05). Price and product quality have a significant effect on purchasing decisions for typical food fromLapek Barajuik One Azumar. This is evidenced by the results of statistical calculations showing the value of fcount = 58, 436. By using a significance limit of 0.000, it is obtained that the significance value is smaller than 0.05. The magnitude of price and product quality on purchasing decision of typical Lapek Barajuik food is 62,1% while the remaining 38.9% is influenced by other than the model studied.
Digital games & special education
Authors: Chaidi Irene , Drigas Athanasios 
Published: August 2022

Educators define three factors of interaction or as they refer to the 3 C's in education: Children (children), Community (communication), and Computer (computers) [1]. Information and Communication Technologies are an integral tool of the educational process for modern educational systems, helping the learning process to turn from passive to active, pushing each student to learn independence and autonomy. In recent years, the sciences of education have turned their attention and have already recognized the importance of games and even digital games as a learning tool, emphasizing the benefits for students with or without educational needs.
A SOCIAL REALIST PERSPECTIVE OF CHALLENGES FACING EDUCATORS IN IMPLEMENTING THE REVISED CURRICULUM IN OMPUNDJA CIRCUIT IN NAMIBIA
Authors: Josua Lukas , Miranda Helena , Auala Rehabeam 
Published: August 2022

Purpose: This article explores the challenges experienced by Namibian public schools’ educators when implementing the revised curriculum in Ompundja Circuit and suggests how the challenges can be addressed.
Methodology: A qualitative design using a semi-structured interview guide was employed to collect data from five purposively sampled principals. About 45-minute long face-to-face interviews were conducted with each of the principals. The data collected through interviews were transcribed and read several times to make meaning from the volume data. After reading all the interview transcripts, various codes were assigned to themes using a priori or pre-existing coding. The interpretation was derived from the transcribed responses of participants.
Findings: The study found that there are structural, cultural and agential constrains that could hinder the successful management and implementation of the revised curriculum in Namibian public schools in Ompundja Circuit. These challenges may derail the purpose of instructional leadership, which seeks to improve learners’ academic performance country-wide. The study proposed some enabling mechanisms to address the identified challenges.
Unique contribution to theory, practice and policy: This study made a set of recommendations such as: training of educators on curriculum implementation should be conducted regularly; stakeholders should be provided with the necessary instructional materials and teachers are encouraged to use alternative teaching and learning resources. Further, it is recommended that the teacher-learner ratio policy should be morphed to respond to contexts. It is also recommended that schools should mobilise monetary or in-kind assistance from stakeholders, including parents. The current policy that prevents schools from soliciting school development funds from parents and denies teachers the opportunities to use the Universal Primary Education funds for educational excursions should be revised. It is also recommended that schools should be provided with the necessary physical infrastructures. Finally, it is recommended that teachers should be involved in every curriculum development process and decision making thereof.
A lógica da decisão nas universidades públicas a partir da perspectiva sociológica
Authors: Castello Rebecca do Nascimento , Vidal Josep Pont 
Published: August 2022

Este artigo busca identificar como a conceituação sociológica da decisão, trazida por Niklas Luhmann, é aplicada nas decisões administrativas das Instituições de Ensino Superior (IES) públicas. Para isso, comparou-se três universidades com níveis de atuação e reconhecimento diferenciados[1]. Os dados coletados por meio de entrevistas semiestruturadas e pesquisa documental foram analisados através da análise do conteúdo, numa abordagem qualitativa. Identificou-se que as universidades brasileiras ainda se utilizam de códigos secundários quando se trata de nomeação para cargos da alta administração, que podem impactar diretamente na utilização dos sobrecódigos. Em relação à decisão, em todas as IES evidenciou-se a necessidade de argumentação da escolha selecionada, gerando assim diferenças no sistema. Esses dados evidenciam que as IES conseguem ser inovadoras em momentos desafiadores, mas os regimentos internos das IES brasileiras, quanto aos requisitos para ocupar cargos da alta administração, precisam ser revisados de forma que os gestores se utilizem de códigos primários em suas decisões.

[1] Este artigo é o resultado parcial da tese de doutorado da autora intitulado: ENTRAVES E DESAFIOS PARA A EFETIVAÇÃO DA GOVERNANÇA ADMINISTRATIVA NAS IES: um estudo comparativo entre a Universidade de Melbourne, a Universidade de Campinas e a Universidade Federal do Pará (Brasil – Austrália)
Evaluation of infrared thermography with a portable camera as a diagnostic tool for peripheral arterial disease of the lower limbs compared with color Doppler ultrasonography
Authors: Passos Mauro , Rocha Adson 
Published: August 2022

IntroductionWe aimed to evaluate whether infrared thermography (IRT) with a portable camera is a useful tool for diagnosing or screening peripheral arterial disease of the lower limbs (PAD-LL) when compared with the traditional method of color Doppler ultrasonography.Material and methodsThe study enrolled 90 volunteers: 45 who were diagnosed with PAD-LL (PAD-LL group) and 45 who did not have a diagnosis of PAD-LL (control group). The diagnosis was made using color Doppler ultrasonography, and the results were compared with those of IRT.ResultsThe IRT-based procedure evaluated in this study had a sensitivity of 97.62% and a specificity of 91.67% for PAD-LL diagnosis compared to color Doppler ultrasonography. The method was limited for diagnosing PAD-LL manifesting above the knees (suprapopliteal PAD-LL). Our results also suggest that the ankle-brachial index is an important predictor of PAD-LL, with a sensitivity of 91.17% and a specificity of 75% at a value of ≤ 0.9. Current or previous smoking habits, higher body mass index, and the presence of diabetes mellitus were significantly elevated in the PAD-LL group.ConclusionsOur results indicate that IRT is an efficient and low-cost method for screening and diagnosing PAD-LL, particularly infrapopliteal PAD-LL manifesting below the knees. However, further studies are required to establish the validity of this technique.
Impact of bariatric surgery on circulating PCSK9 levels as marker of cardiovascular disease risk: a meta-analysis
Authors: Jamialahmadi Tannaz , Banach Maciej , Almahmeed Wael , Kesharwani Prashant , Sahebkar Amirhossein 
Published: August 2022

IntroductionThis systematic review and meta-analysis focuses on PCSK9 changes in obese patients following bariatric surgery.Material and methodsA systematic literature search in four databases was performed.ResultsThe results of meta-analysis on 4 trials including 260 individuals demonstrated a remarkable decline of PCSK9 after bariatric surgery (WMD: -57.34 ng/ml, 95% CI: -87.97, -26.71, p<0.001; I2:96.25%). Consistently, a significant decrease of LDL-C after bariatric surgery (WMD: -22.57 mg/dl, 95% CI: -27.5, -17.574, p<0.001; I2: 86.35%) was observed.ConclusionsPCSK9 is reduced significantly after bariatric surgery. The decrease of PCSK9 might be utilized as an independent surrogate marker of improvement of ASCVD risk after bariatric surgery.
Evaluation of aerosol optical depths and clear-sky radiative fluxes of the CERES Edition 4.1 SYN1deg data product
Authors: Fillmore David W. , Rutan David A. , Kato Seiji , Rose Fred G. , Caldwell Thomas E. 
Published: August 2022

Abstract. Aerosol optical depths (AODs) used for the Edition 4.1 Clouds and the Earth's Radiant Energy System (CERES) Synoptic 1∘ (SYN1deg) product are evaluated. AODs are derived from Moderate Resolution Imaging Spectroradiometer (MODIS) observations and assimilated by an aerosol transport model (the Model for Atmospheric Transport and Chemistry – MATCH). As a consequence, clear-sky AODs closely match with those derived from MODIS instruments. AODs under all-sky conditions are larger than AODs under clear-sky conditions, which is supported by ground-based AErosol RObotic NETwork (AERONET) observations. When all-sky MATCH AODs are compared with Modern-Era Retrospective analysis for Research and Applications (Version 2; MERRA-2) AODs, MATCH AODs are generally larger than MERRA-2 AODs, especially over convective regions (e.g., the Amazon, central Africa, and eastern Asia). This variation is largely due to the differing methods of assimilating the MODIS AOD data product and the use of quality flags in our assimilation. Including AODs with larger retrieval uncertainty makes AODs over the convective regions larger. When AODs are used for clear-sky irradiance computations and computed downward shortwave irradiances are compared with ground-based
observations, the computed instantaneous irradiances are 1 %–2 % larger than observed irradiances. The comparison of top-of-atmosphere clear-sky irradiances with those derived from CERES observations suggests
that AODs used for surface radiation observation sites are 0.01–0.03 larger, which is within the uncertainty of instantaneous MODIS AODs. However, the comparison with AERONET AODs suggests that AODs used for computations over desert sites are 0.08 larger. The cause of positive biases in downward shortwave irradiance and in AOD for the desert sites is possibly due to the dust particle size and distribution, as defined by the MATCH transport model, and the transfer of that information into the radiative transfer model.
ANALYSIS OF THE RELATIONSHIP BETWEEN KNOWLEDGE LEVELS AND STUDENTS ATTITUDES TOWARDS THE SELECTION OF HEALTH SUPPLEMENTS IN FACING COVID 19 IN THE PANDEMIC ERA
Authors: Puspasari Heny , Puspita Weni , Sinta Sinta 
Published: August 2022

Background: Coronavirus Disease 2019 (Covid 19) has happened declared by WHO a global pandemic. Covid 19 in Indonesia has displayed a type of disease that causes public health emergencies and non-natural disasters, which cause death and considerable economic losses. Objective:Â This study determined the relationship between student knowledge and attitudes towards selecting health supplements in dealing with Covid 19.Â Methods:Â The research has been carried out using a descriptive survey method with a prospective approach. Sampling has been done using a stratified random sampling technique for active students at the Akademi Farmasi Yarsi Pontianak at all levels/semesters. In addition, this research has conducted by giving a questionnaire via a google form.Â Results:Â The study obtained was processed with the chi-square analysis test. Results show from the chi-square analysis that there is a relationship between the level of knowledge and attitudes of students towards the selection of health supplements in dealing with Covid 19 in the pandemic era with a value (p-value (0.000) < alpha (0.05).Â Conclusion:Â The analysis results show a relationship between the level of knowledge and student attitudes towards selecting health supplements in the face of Covid 19 in the pandemic era.