bluuebunny/crossref_metadata_2025_split huggingface dataset:
Awareness and Attitudes of the Pakistani Population With Regard to Physician–Pharmaceutical Company Interaction: A Cross-Sectional Study
Authors: Gillani Ali Hassan , Omer Sumaira , Arshad Hafsa , Liu Wenchen , Chen Chen , Bashir Sadia , Ahmed Asma Bashir , Munir Abubakar , Saeed Amna , Bashir Kamran , Fang Yu 
Published: January 2022

Objective: To determine the awareness and attitudes of the Pakistani population regarding physician–pharmaceutical company interactions.Methods: The data were collected from primary health care clinics and pharmacy outlets located within cities of six randomly selected districts of the Punjab Province. Those individuals (age ≥18 years) who have just completed their visit to the physician and well understand Urdu language were approached. Descriptive analysis was performed for all variables by using SPSS (IBM version 26).Results: A total of 3,852 participants fully completed the study out of 4,301 (response rate 89.5%). Of those, 30.9% were female; two-thirds (66.7%) were aware of drug representatives’ visits to clinics. The majority were aware of pharmaceutical company material presence (or absence) in the physicians’ rooms (56.6%), company items with logos (66.8%), patient education materials (73.4%), and 60.8% thought that receiving gifts from companies was “wrong/unethical” practice for physicians, which was lower in comparison to other professions such as judges to accept gifts from lawyers (65.6%) and professional sports umpires to acknowledge gifts (64.3%). A minority said that they have lower trust on physicians for using drug company notepads or pens (16.7%), going on trips sponsored by the company (16.7%), accepting gifts &lt;15,000 PKR (90.3 US$) (26.7%), and accepting gifts &gt;15,000 PKR (90.3 US$) (40.0%).Conclusion: Survey participants were well aware of physician–pharmaceutical company interactions. Participants were more knowledgeable regarding the pharmaceutical company presence (or absence) in physicians’ offices than about gift-related practices of physicians. Trust on the physician was not affected by small gifts but by the large gifts.
The Functional Psychotherapy Approach: A Process-Outcome Multiple Case Study
Authors: Rocco Diego , Rizzi Luca , Dell’Arciprete Gaia , Perrella Raffaella 
Published: January 2022

Objective: The present work aims to conduct the first naturalistic empirical investigation of the process and outcome assessment of functional psychotherapy (FP) treatment. The FP model of psychotherapy is rooted in psychoanalysis and integrates the verbal communication approach founded on transference and countertransference dynamics with the analysis of bodily processes.Method: The study sample included ten patients recruited on a voluntary basis and treated by clinicians in their private practices. Each patient received FP with an average duration of 40 h (min 35 and max 42). Therapies had weekly sessions, were audio-recorded with the patient’s written consent, and lasted for an average of 10 months (min 9 and max 12). Outcome and process tools included the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Luborsky’s the Core Conflictual Relationship Theme (CCRT), used to assess therapeutic benefit, and the Metacognition Assessment Scale (MAS) and the Italian Discourse Attributes Analysis Program (IDAAP) system, used to evaluate therapeutic benefit and process. The MMPI-2 was used also in the follow-up assessment.Results: Results show that FP had a positive therapeutic outcome on the patients assessed in this study, and that the therapeutic benefits were maintained over time. Some specific features of the FP approach were found to contribute more than others to the observed therapeutic benefits.Conclusion: The current investigation constitutes a first step toward assessment of the therapeutic effectiveness of FP. Future developments should apply the methodology to a larger sample, possibly introducing different methodologies to enable detection of specific bodily oriented processes and techniques.
Prevalence Rates and Evolution of Psychiatric Disorders Among Incarcerated Youths in Comparison With Non-incarcerated Youths
Authors: Heller Patrick , Morosan Larisa , Badoud Deborah , Laubscher Manon , Jimenez Olariaga Lisa , Debbané Martin , Wolff Hans , Baggio Stéphanie 
Published: January 2022

Background: Our main objective was to provide estimates of the prevalence rates of psychiatric disorders and comorbidities among youths in a juvenile detention center in Geneva, Switzerland. We also aimed to investigate potential positive effects of intensive psychotherapeutic and educational services this center provides. Finally, we examined psychiatric care prior to and after custody as well as the evolution of the youths' mental health during detention.Methods: We conducted a longitudinal study including a group of incarcerated (n = 86) and a group of non-incarcerated (n = 169) youths (12–18 years old). Measures included diagnoses of psychiatric disorders, cognitive functions, trauma, psychopathic traits and the Youth Self-Report (aggressive behavior, attentional disorders, criminal behavior, social withdrawal, anxiety, depression and somatic complaints) collected at baseline and at discharge for the incarcerated group. Data were analyzed using mixed-effect models.Results: Psychiatric disorders were prevalent in the incarcerated group (82.6, 95% CI: 71.6–90.7%), but young people also often suffered from several disorders simultaneously. Two-thirds of the incarcerated participants had a diagnosis of two or more psychiatric disorders. Regarding health care, most incarcerated participants (79.1%) had psychiatric care prior to detention. The planned care after detention was associated with psychiatric comorbidities, care being more likely planned for those with comorbidities (p = 0.030). Compared to the non-incarcerated group, the incarcerated group had lower scores on cognitive functioning (p &lt; 0.001) and higher scores on trauma (p &lt; 0.021) and psychopathic traits (p &lt; 0.034). The youths' stay in the detention center was associated with a positive change of mental health, with externalized problems being significantly reduced at the end of their stay (p = 0.017).Conclusion: Our findings showed that youths in conflict with the law are characterized by (1) their internal vulnerabilities: a high prevalence of psychiatric disorders and psychiatric comorbidities, lower cognitive functions, externalized problems and psychopathic traits; (2) environmental factors: victims of violence and sexual abuse; and (3) their psychiatric history. Besides, the evolution of the most prevalent issues was favorable over time, which puts into question the usual perspective about the deleterious effect of detention.
From a View of the Hospital as a System to a View of the Suffering Patient
Authors: Gabay Gillie , Ben-Asher Smadar 
Published: January 2022

Purpose: Hospitals aspire to provide patient-centered care but are far from achieving it. This qualitative mixed methods study explored the capacity of hospital directors to shift from a hospital systemic-view to a suffering patient-view applying the Salutogenic theory.Methods: Following IRB, we conducted in-depth narrative interviews with six directors of the six Israeli academic tertiary public hospitals, focusing on their managerial role. In a second meeting we conducted vignette interviews in which we presented each director with a narrative of a suffering young patient who died at 33 due to medical misconduct, allowing self-introspection. Provisional coding was performed for data analysis to identify categories and themes by the three dimensions of the sense-of-coherence, an anchor of Salutogenics: comprehensibility, manageability, and meaningfulness.Results: While at the system level, directors reported high comprehensibility and manageability in coping with complexity, at the patient level, when confronted with the vignette, directors acknowledged their poor comprehensibility of patients' needs and patient's experience during hospitalizations. They acknowledged their poor capacity to provide patient-centered care. Meaningfulness in the narrative interview focused on the system while meaningfulness in the vignette interview focused on providing patient care.Conclusions: The evident gaps between the system level and the patient level create lack of coherence, hindering the ability to cope with complexity, and are barriers to providing patient-centered care. To improve the delivery of patient-centered care, we suggest ways to consolidate the views, enabling the shift from a systemic-view to a patient-view.
Quadriceps Muscle Fatigue Reduces Extension and Flexion Power During Maximal Cycling
Authors: O'Bryan Steven J. , Taylor Janet L. , D'Amico Jessica M. , Rouffet David M. 
Published: January 2022

Purpose: To investigate how quadriceps muscle fatigue affects power production over the extension and flexion phases and muscle activation during maximal cycling.Methods: Ten participants performed 10-s maximal cycling efforts without fatigue and after 120 bilateral maximal concentric contractions of the quadriceps muscles. Extension power, flexion power and electromyographic (EMG) activity were compared between maximal cycling trials. We also investigated the associations between changes in quadriceps force during isometric maximal voluntary contractions (IMVC) and power output (flexion and extension) during maximal cycling, in addition to inter-individual variability in muscle activation and pedal force profiles.Results: Quadriceps IMVC (−52 ± 21%, P = 0.002), voluntary activation (−24 ± 14%, P &lt; 0.001) and resting twitch amplitude (−45 ± 19%, P = 0.002) were reduced following the fatiguing task, whereas vastus lateralis (P = 0.58) and vastus medialis (P = 0.15) M-wave amplitudes were unchanged. The reductions in extension power (−15 ± 8%, P &lt; 0.001) and flexion power (−24 ± 18%, P &lt; 0.001) recorded during maximal cycling with fatigue of the quadriceps were dissociated from the decreases in quadriceps IMVC. Peak EMG decreased across all muscles while inter-individual variability in pedal force and EMG profiles increased during maximal cycling with quadriceps fatigue.Conclusion: Quadriceps fatigue induced by voluntary contractions led to reduced activation of all lower limb muscles, increased inter-individual variability and decreased power production during maximal cycling. Interestingly, power production was further reduced over the flexion phase (24%) than the extension phase (15%), likely due to larger levels of peripheral fatigue developed in RF muscle and/or a higher contribution of the quadriceps muscle to flexion power production compared to extension power during maximal cycling.
RETRACTED: Hypertonic Saline Compared to Mannitol for the Management of Elevated Intracranial Pressure in Traumatic Brain Injury: A Meta-Analysis
Authors: Han Chengchen , Yang Fan , Guo Shengli , Zhang Jianning 
Published: January 2022

Background: We performed a meta-analysis to evaluate the effect of hypertonic saline compared to mannitol for the management of elevated intracranial pressure in traumatic brain injury.Methods: A systematic literature search up to July 2021 was performed and 17 studies included 1,392 subjects with traumatic brain injury at the start of the study; 708 of them were administered hypertonic saline and 684 were given mannitol. They were reporting relationships between the effects of hypertonic saline compared to mannitol for the management of elevated intracranial pressure in traumatic brain injury. We calculated the odds ratio (OR) and mean difference (MD) with 95% confidence intervals (CIs) to assess the effect of hypertonic saline compared to mannitol for the management of elevated intracranial pressure in traumatic brain injury using the dichotomous or continuous method with a random or fixed-effect model.Results: Hypertonic saline had significantly lower treatment failure (OR, 0.38; 95% CI, 0.15–0.98, p = 0.04), lower intracranial pressure 30–60 mins after infusion termination (MD, −1.12; 95% CI, −2.11 to −0.12, p = 0.03), and higher cerebral perfusion pressure 30–60 mins after infusion termination (MD, 5.25; 95% CI, 3.59–6.91, p &lt; 0.001) compared to mannitol in subjects with traumatic brain injury.However, hypertonic saline had no significant effect on favorable outcome (OR, 1.61; 95% CI, 1.01–2.58, p = 0.05), mortality (OR, 0.59; 95% CI, 0.34–1.02, p = 0.06), intracranial pressure 90–120 mins after infusion termination (MD, −0.90; 95% CI, −3.21–1.41, p = 0.45), cerebral perfusion pressure 90–120 mins after infusion termination (MD, 4.28; 95% CI, −0.16–8.72, p = 0.06), and duration of elevated intracranial pressure per day (MD, 2.20; 95% CI, −5.44–1.05, p = 0.18) compared to mannitol in subjects with traumatic brain injury.Conclusions: Hypertonic saline had significantly lower treatment failure, lower intracranial pressure 30–60 mins after infusion termination, and higher cerebral perfusion pressure 30–60 mins after infusion termination compared to mannitol in subjects with traumatic brain injury. However, hypertonic saline had no significant effect on the favorable outcome, mortality, intracranial pressure 90–120 mins after infusion termination, cerebral perfusion pressure 90–120 mins after infusion termination, and duration of elevated intracranial pressure per day compared to mannitol in subjects with traumatic brain injury. Further studies are required to validate these findings.
Early Efficacy Assessment of Arthroscopic Lower Trapezius Transfer With Tendon Autograft in the Management of Massive Irreparable Posterosuperior Rotator Cuff Tears
Authors: Ye Lingchao , Han Dawei , Zhang Qingguo , Yang Xiangdong , Tung Tao-Hsin , Zhou Xiaobo 
Published: January 2022

Objectives: To explore the indications and surgical techniques for arthroscopic lower trapezius transfer (LTT) with tendon autograft in managing massive irreparable posterosuperior rotator cuff tears (PSRCTs); to validate the feasibility, safety, and efficacy of this technique.Methods: This study retrospectively enrolled 23 patients with massive irreparable PSRCTs, admitted to and followed up by the Taizhou Hospital of Zhejiang province between July 2020 and April 2021, and treated with ipsilateral LTT and ipsilateral hamstring tendon autograft. The control group consisted of 23 patients with massive RCTs receiving conventional repair procedures within the same frame. Follow-up data at the preoperative visit, and postoperative month 3 were collected to assess the active range of motion, Constant–Murley Score (CMS),American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASES), University of California, Los Angeles (UCLA)shoulder score, visual analog scale (VAS)and the post-operative MRI results, all of which could provide a comprehensive postoperative early efficacy assessment.Results: Three months follow-up visits were completed for all patients, revealing improvements in all aspects compared to the preoperative state, with no complications, such as postoperative infection of surgical sites and nerve injuries of infection and nerve injury. The distribution of active shoulder range of motion of patients and function scores with two types of operation was as follow: angles of flexion and lifting (130.00° ± 31.55° vs. 90.78° ± 19.85°), abduction (123.26° ± 30.47°vs. 85.87° ± 18.74°), external rotation at side (101.74° ± 14.74° vs. 91.74° ± 11.92°), external rotation at 90° abduction (41.52° ± 21.97° vs. 24.57° ±12.60°), VAS (0.74± 0.81 vs. 1.87 ±0.87), CMS(56.3 ± 13.01 vs. 48.30 ± 8.38), UCLA shoulder score (24.04 ± 2.88 vs.20.96 ± 3.47), ASES (72.91 ± 9.99 vs.60.74 ± 8.84). Significantly better improvements were found in the study group on month 3.19 of 23 patients in the study group and 17 of 23 patients in the control group underwent MRI on the 3 months follow up. Retear was found in only one patient who had grade 4 subscapularis tendon injury, However, revision was not performed due to postoperative pain relief and functional improvement.Conclusion: Compared to conventional repair procedures, in the early postoperative period, LTT with tendon autograft could achieve better pain relief, more rapid motor functional recovery, and higher functional scores for massive irreparable PSRCTs.
Sosialisasi Edukasi dalam Upaya Meningkatkan Spiritualitas Umat pada Masa Pandemic COVID-19
Authors: Aletheia Pattiasina  , Apin Manuhutu  , Feronika Lambiombir  , Denia Koritelu  , Megawati Matital  , Sadrak Wutres  , Rivaldo Mail  , Beatrix J.M. Salenussa  , Martha Patty  
Published: January 2022

Pandemic COVID-19 telah membawa pengaruh besar terhadap kehidupan normal masyarakat saat ini. Ruang perjumpaan yang biasanya terjadi secara luring (di luar jaringan) berubah menjadi pertemuan daring (di dalam jaringan) karena adanya anjuran physical distancing sebagai salah satu upaya untuk mencegah penularan COVID-19 yang merupakan kebijakan pemerintah pusat maupun daerah untuk dilaksanakan dalam lini kehidupan masyarakat, bahkan kebijakan tersebut kemudian membuat sinode Gereja Protestan Maluku pun harus mengatur kebijakan pelayanan. Untuk membantu kebijakan pelayanan tersebut kelompok 1 KKN Universitas Kristen Indonesia Maluku yang berada di Klasis Kota Ambon, kemudian melaksanakan berbagai program kegiatan yang bertujuan untuk mengedukasi umat agar mengetahui dengan benar tentang COVID-19 dan bagaimana meningkatkan spiritualitas umat dalam beribadah selama masa pandemic COVID-19. Program kegiatan ini menggunakan metode pemberian edukasi dan sosialisasi terkait COVID-19 dan upaya meningkatkan spiritualitas umat. Kegiatan ini berupaya untuk mengedukasi umat dan masyarakat tentang kesadaran menerapan 5M dan upaya meningkatkan spiritualitas umat dalam beribadah, baik secara offline dan online melalui webinar dengan menggunakan aplikasi zoom. Program kegiatan ini dilaksanakan dalam bentuk pengadaan dan pemasangan spanduk penerapan protokol kesehatan 5M di 3 lokasi (jembatan Putih, tempat putar oto dan gereja Gloria yang baru), untuk mengedukasi anggota jemaat dan masyarakat agar sadar menerapkan protokol kesehatan 5M; Pengadaan dan pemberian Masker, sabun cuci tangan dan tissue sebanyak 13 buah sesuai jumlah sektor yang ada di Jemaat GPM Ebenhaezer yaitu 13 sektor pelayanan, dan Webinar tentang “Fenomena COVID-19 dan peningkatan spiritualitas umat” yang melibatkan beberapa jemaat di klasis kota Ambon yakni Jemaat GPM Ebenhaezer, Jemaat GPM Kategorial Polri Bukit Kasih, Jemaat GPM Bukit Doa, Jemaat GPM Syaloom, dan Jemaat GPM Imanuel. Kegiatan ini berdampak positif bagi jemaat dan masyarakat di klasis kota Ambon, terutama di Jemaat GPM Ebenheizer-Skip yang merupakan kawasan Zona Merah. Jemaat dan masyarakat menjadi lebih paham pentingnya menerapkan protokol kesehatan melalui giat 5M untuk menjaga kesehatan diri dan lebih memahami pentingnya spiritualitas umat dalam pelaksanaan ibadah dari dan di rumah di masa pandemic COVID-19 sebagai wujud mempertahankan kehidupan di tengah pandemic COVID-19.
Peran Mahasiswa Teologi UKIM dalam Program Taat Protokol Kesehatan 5M dan Vaksinasi di Jemaat GPM Rehoboth
Authors: Susi Rumthe  , Hetreda Apalem  , Lisela Rahadat  , Jeanly Hukunala  , Tasya Sinay  , Vania Tanjaya  , Ensia Wasaleruai  , Dave Stenly Nenkeula  , Aleta Apriliana Ruimassa  
Published: January 2022

Pandemi COVID-19 telah mewabah di dunia bahkan di Maluku terlebih khusus Jemaat GPM Rehoboth kurang lebih 1 tahun. Pandemi ini berdampak besar bagi berbagai aspek kehidupan warga jemaat. Namun banyak upaya yang sudah dilakukan oleh pemerintah, tenaga kesehatan maupun gereja dalam memutus mata rantai penyebaran COVID-19. Upaya yang dilakukan seperti peraturan untuk mematuhi Prokes 5M. Pada survey lapangan di sektor Sumber Kasih, Elefantin, Galilea dan Bethania ditemui bahwa masih kurangnya kesadaran warga jemaat untuk mematuhi Prokes 5M. Selain itu upaya yang juga dilakukan adalah melakukan program vaksinasi. Pada survey awal, melalui pembagian kuesioner di sektor Sumber Kasih Jemaat GPM Rehoboth, ditemukan bahwa masih minimnya pemahaman warga tentang manfaat dari vaksin. Hal tersebut dapat kita lihat dari hasil kuesioner pertama yang mengasilkan beberapa persoalan yang membuat warga jemaat masih takut untuk divaksin, di antaranya yatu: 1). Warga jemaat mempunyai penyakit bawaan, 2). Menganggap bahwa COVID-19 bukanlah masalah yang sulit sehingga merasa tidak membutuhkan vaksin, 3) Tidak yakin akan efektivitas vaksin COVID-19, 4). masih takut akan efek samping dari vaksin. 5). warga jemaat yang percaya akan isu tentang vaksin yang mengandung chip. Berdasarkan masalah yang ada, maka edukasi yang diimplementasikan dalam sektor Sumber Kasih adalah: 1). Melakukan sosialisasi vaksin melalui pengeras suara gereja, 2). Himbauan mengikuti vaksinasi melalui audio yang diputar sebelum kebaktian melalui pengeras suara gereja, 3). Melakukan sosialisasi lewat media luar ruangan tentang taat protokol kesehatan 5M. Seperti pemasangan spanduk taat protokol kesehatan 5M. Luaran kegiatan ini telah diupload pada chanel YouTube https://youtu.be/R8i3W9G6INg.
Sosialisasi dan Pelaksanaan Vaksinasi COVID-19 serta Penerapan Disiplin Protokol Kesehatan (5M) pada Mahasiswa Sektor Petra dan Elim Jemaat GPM Rehoboth
Authors: Monike Hukubun  , Yesintha Tahalele  , Rikarson Tasidjwa  , Risty A. Hattu  , Madelin Koljaan  , Maria A. Beruat  , Indah Gracelia Tamtelahitu  , Santy Leslesy  
Published: January 2022

Jemaat Rehoboth Klasis Pulau Ambon merupakan salah satu jemaat terbesar yang berada di wilayah pelayanan Gereja Protestan Maluku (GPM). Karena memiliki lokasi yang luas sehingga pegabdian kepada masyarakat dalam rangkaian Kuliah Kerja Nyata difokuskan kepada dua sektor pelayanan yaitu Sektor Elim dan Sektor Petra yang secara administratif berada di Kelurahan Wainitu tepatnya di kompleks Talake. Dalam konteks mitra ditemukan sejumlah mahasiswa perantauan yang menetap sebagai warga kos-kosan belum mengikuti vaksinasi dan dalam kesehariannya tidak menerapkan disiplin protokoler kesehatan. Penyabab utamanya adalah pihak mitra tidak terdaftar secara resmi pada RT/RW setempat dan tidak terdaftar secara resmi sebagai anggota Jemaat GPM Rehoboth sehingga tidak dilibatkan pada kegiatan-kegiatan jemaat. Berdasarkan persoalan mitra kelompok berinisyatif untuk membuka jejaring kerjasama dengan majelis jemaat agar melibatkan mahasiswa kos-kosan dalam kegitan vaksinasi yang nantinya akan berlangung. Serta kelompok melakukan sosialisasi dan pelaksanaan vaksinasi dan disiplin protokoler kesehatan kepada mitra. Sebagai langkah menciptakan kekebalan imunitas kelompok dan menciptakan masyarakat yang cerdas dalam menerapkan disiplin protokoler kesehatan, yang berguna dalam rangka mencegah penyebaran pandemi COVID-19.