bluuebunny/crossref_metadata_2025_split huggingface dataset:
COVID-19 and older people’s wellbeing in northern KwaZulu-Natal – the importance of relationships
Authors: Manyaapelo Thabang , Edwards Anita , Mpanza Nondumiso , Nxumalo Samukelisiwe , Nxumalo Zama , Gumede Ntombizonke , Ngwenya Nothando , Seeley Janet 
Published: June 2022

Background: The COVID-19 pandemic and the non-pharmacological prevention methods have affected the wellbeing of older people. In this paper we focus on the wellbeing, and vulnerability, of older people in rural northern KwaZulu-Natal, South Africa during the first year of the pandemic. Methods: We conducted a series of up to four monthly in-depth interviews with 26 people aged 60 years and older. Interviews were conducted by telephone, because of restrictions on face-to-face contact, and digitally recorded. After transcription and translation, the data were coded thematically, with analysis guided by a wellbeing theoretical framework. Results: Having access to food, to healthcare and to somewhere they felt safe to stay, was essential for everyone, but for many managing expenses became more of a struggle as adult children who had lost their source of employment came home to stay. However, despite the shortages of money, the importance of relationships, whether they are familial or the close community of neighbours, was highlighted in the accounts from a number of participants. Older people not only got help with day-to-day life from others, but also found solace in the company of others. The sense of community, from family and neighbours, helped to ease some of the stress experienced as a result of the lockdowns. Conclusions: The COVID-19 pandemic and the restrictions imposed to limit the spread of the virus impacted the wellbeing of older adults in rural KwaZulu-Natal. Wellbeing for many older people has been nurtured by relationships with family and friends.
Exactitud y precisión de los métodos dentales para estimar la edad basados en la transparencia de la dentina radicular
Authors: Peralta-Cerro Liz , Alvarado-Muñoz Erika , Aguirre-Siancas Elías 
Published: June 2022

Introducción: este trabajo buscó determinar la exactitud y precisión de los métodos dentales para estimar la edad, basados en la transparencia de la dentina radicular. Materiales y métodos: estudio transversal de tipo comparativo en el que se evaluaron 90 dientes unirradiculares de una muestra peruana de 90 cadáveres adultos masculinos. En cada diente se midió la altura de la periodontosis, altura radicular y longitud de la transparencia de la dentina radicular. Con estas edidas se hallaron las edades dentales de acuerdo con los métodos de Prince-Ubelaker, Ubelaker-Parra y Vilcapoma, y se compararon los resultados entre sí y con la edad cronológica (edad real). Debido a la normalidad de los datos y a su homocedasticidad, se utilizó la prueba de Pearson, el Anova de un factor para muestras relacionadas y la prueba de Tukey. La exactitud se evaluó mediante las diferencias entre las edades cronológicas y las estimadas por cada método, y la precisión se obtuvo del análisis de confiabilidad y repetibilidad, mediante diagramas de Bland-Altman. El nivel de significancia fue 0.05. Resultados: las exactitudes y precisiones fueron de 0.15-0.14, 2.18-2.07, 3.5-3.11 y 9.92-9.82 para los métodos de Vilcapoma, Ubelaker-Parra, Prince-Ubelaker para masculinos blancos y Prince-Ubelaker para para masculinos negros, respectivamente. Conclusiones: el método de Vilcapoma tuvo mayor exactitud y precisión para estimar la edad.
Surgical care practitioners: an audit across the surgical specialties
Authors: Fletcher Nicholas , Russell Bradley 
Published: June 2022

Introduction: The Royal College of Surgeons of England (RCS), when devising their curriculum for surgical care practitioners (SCPs), aimed to provide a level of training to produce a practitioner able to work across the surgical patient's journey, providing care to, arguably, an advanced level. This audit planned to examine the reality of this. Method: SCPs from a closed group, on the Facebook social media platform were invited to complete an online questionnaire about their role as an SCP. Results: A total of 92 responses were gathered from across the surgical specialty SCP community and from around the UK. Data were collected on the breakdown of the SCP's role and working practices. Conclusion: The data collected demonstrated the multifunctional nature of the SCP and their ability to work at a level as envisioned by the RCS curriculum.
Perceived sleep quality: a comparison between hospital nurses and student nurses
Authors: Rahman Hanif Abdul , Hatsanee Asma' , Menjeni Nurmarinah Aqilah , Salleh Zainatul Ashiqin , Hamid Ramlah Abdul , Ali Mursidi 
Published: June 2022

Background: The prevalence of poor sleep quality is high among nurses, and affects them physically and psychologically as well as organisational functioning. However, evidence on equipping student nurses with good sleep practices that could mitigate poor sleep as they transition into the nursing workforce is lacking. Aim: This study compared the prevalence and quality of good sleep among hospital nurses and student nurses. Methods: A descriptive cross-sectional study of 130 hospital nurses and 130 student nurses in Brunei was carried out. Sleep quality was assessed using the Pittsburgh Sleep Quality index. Multiple logistic regression was applied. Results: Hospital nurses were 4.29 times more likely to experience poor sleep than student nurses. Those who were overweight were 2.35 times more likely to have poor sleep quality than those with a healthy weight. Although students had significantly good sleep latency, needing less time to fall asleep, they experienced significantly more sleep disturbances, shorter sleep duration and less sleep efficiency. Conclusion: The prevalence of poor sleep quality among nurses in Brunei is higher than global estimates. Stakeholders such as nursing leaders, nursing educators and healthcare policymakers should prepare student nurses and help existing nurses by formulating strategies to promote working schedules and rosters that minimise circadian disruption.
Developing therapeutic relationships with people living with HIV: exploring the nurse–patient relationship
Authors: Croston Michelle , Wibberley Christopher , Jack Kirsten 
Published: June 2022

Background: The care paradigm for HIV has changed from one of an infectious, life-limiting disease to that of a chronic manageable condition. This shift poses challenges for practitioners working in this area when providing care that is both person centred and reflective of the demands placed on an evolving disease area. Objectives: The overall aim of this study was to explore how therapeutic relationships are developed and their subsequent use within person-centred care. Design: An interpretative phenomenological analysis research design was used to collect data from 10 purposively recruited HIV specialist nurses in the north-west region of the UK. In-depth, semistructured interviews were used to collect the data. Results: Data analysis revealed three themes that captured person-centredness in HIV care. These were: ways of being; the nurse-patient relationship; and the influence of stigma. Conclusion: The research illuminates key features that are important when developing therapeutic relationships and offers a framework to explain how these features were also key elements of person-centred care.
Concurrent optical and magnetic stimulation therapy in patients with lower extremity hard-to-heal wounds
Authors: Reinboldt-Jockenhöfer Finja , Traber Jürg , Liesch Georg , Bittner Christiane , Benecke Ulf , Dissemond Joachim 
Published: June 2022

Objective: The treatment of patients with hard-to-heal wounds represents a major multidisciplinary challenge. Therefore, the development and clinical validation of new technologies remains extremely important. The novel application of concurrent optical and magnetic stimulation (COMS) offers a promising noninvasive approach to support physiological wound healing processes, especially in hard-to-heal wounds. Method: In a multicentre, prospective, comparative, clinical trial, patients with hard-to-heal wounds on lower extremities of different aetiologies were treated with COMS as an adjunct to standard of care (SOC). The primary endpoint was safety; secondary endpoints were wound healing, pain and wound-specific quality of life (Wound-QoL). Results: A total of 40 patients were enrolled in this study (intention to treat population (ITTP), n=40). Of these patients, 37 were included in the analysis of the primary endpoint (primary endpoint population, (PEP), n=37). A further subgroup of 30 patients was included in the analysis of the secondary endpoint (secondary endpoint population (SEP), n=30). Finally, the SEP was stratified regarding patients' responsiveness to SOC in an SOC non-responder subgroup (NRSG), n=21, and in an SOC responder subgroup (RSG), n=9. A total of 102 adverse events (AEs) were recorded, of which 96% were ‘mild’ or ‘moderate’, and 91% were either a singular or transient event. Only 11 AEs were serious and associated with inpatient treatments unrelated to the studied intervention. In the NRSG, reductions in wound size were found to be statistically significant within the different study periods. Additionally, an acceleration of the healing rate was detected between the baseline and the first four weeks of COMS treatment (p=0.041). The rate of near-complete and complete wound closure in the SEP after 12 weeks were 60% and 43%, respectively. Pain reduction across the treatment group was statistically significant (p≤0.002 for both the SEP and NRSG). The Wound-QoL score improved by 24% during the study (p=0.001). Conclusion: In this study, COMS treatment for patients with hard-to-heal wounds on lower extremities was a safe and effective novel treatment option, especially for patients who did not respond to SOC.
Amizade, Sucesso e Expansão: Tudo ia bem até que a Pandemia Chegou
Authors: Lenzi Vicente Thaís Helena , Pedrini Roberta , Souza Felipe Cristiane Pauline , Behling Hans Peder 
Published: June 2022

Este caso para ensino retrata as dificuldades enfrentadas na comunicação interna de uma empresa de tecnologia, especialista em trade marketing, em um momento de crise. Tem como objetivos proporcionar a reflexão sobre a importância da comunicação interna em uma organização; ilustrar os desafios da comunicação interna em momento de crise e identificar oportunidades de melhoria no processo de comunicação de demissões em massa. Sugere-se a aplicação em cursos de graduação, especialmente nos cursos de Administração, nas disciplinas que abordem gestão de pessoas, comunicação organizacional e empresarial, comunicação interna, clima organizacional ou gestão da mudança. É indicado para alunos que tenham adquirido conteúdo sobre comunicação interna, gestão de crise ou gestão de mudança, e que necessitem de exemplos práticos para aproximação à realidade do mercado de trabalho. A história relatada neste caso de ensino é verídica e aconteceu no ano de 2020, momento sensível para a economia mundial dada a pandemia da Covid-19.
Palavras-chave: Comunicação Interna; Gestão de Crise; Covid-19; Empreendedorismo.
Feasibility of a new multifactorial fall prevention assessment and personalized intervention among older people recently discharged from the emergency department
Authors: HEPKEMA Bouke W. , KÖSTER Lydia , GELEIJN Edwin , VAN DEN ENDE Eva , TAHIR Lara , OSTÉ Johan , PRINS Bernard , VAN DER VELDE Nathalie , VAN HOUT Hein , NANAYAKKARA Prabath W. B. 
Published: June 2022

Background and importance
Falls among older people occur frequently and are a leading cause of Emergency department (ED) admissions, disability, death and rising health care costs. Multifactorial fall prevention programs that are aimed to target the population at risk have shown to effectively reduce the rate of falling and fall-related injuries in community-dwelling older people. However, the participation of and adherence to these programs in real life situation is generally low.

Objective
To test the feasibility of a transitionally organized fall prevention assessment with accompanying personalized intervention initiated at the ED.

Design, settings and participants
A process evaluation, of a non-randomized controlled pilot trial for implementing a transitionally organized multifactorial fall prevention intervention, was performed using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework to gain insight into the barriers and facilitators of implementation. Older fallers (>70yrs) presenting at the ED were selected based on ZIP-code and after obtaining informed consent, data for the evaluation was collected through questionnaires and interviews. Furthermore, feedback was collected from the healthcare providers.

Main results
The consent was obtained by 24 (70%) of the patients approached directly at the ED and 17 (26%) of the patients approached later by phone. Adherence to the protocol by the participants, clinical assessors and family practice were all more than 90%. After three months, nine (26%) of the participants had at least one recurrent fall: three (20%) patients in the intervention group and six (32%) in the control group.

Conclusion
ED presentation due to a fall in older persons provides a window of opportunity for optimizing adherence to a multifactorial fall prevention program as willingness to participate was higher when the patients were approached at the ED during their stay. Implementing a transitionally organized multidisciplinary fall prevention program was successful with a high protocol adherence.

The Netherlands trial register
NTR NL8142, November 8, 2019.
Timely health care seeking and first source of care for acute febrile illness in children in Hawassa, southern Ethiopia
Authors: Shimelis Techalew , Schierhout Gill , Tadesse Birkneh Tilahun , Dittrich Sabine , Crump John A. , Kaldor John M. , Vaz Nery Susana 
Published: June 2022

Background
Timely health care seeking with access to quality health care are crucial to improve child survival. We conducted a study which aimed to identify factors influencing timely health care seeking and choice of first source of health care in Ethiopia.

Methods
A total of 535 caregivers who sought health care for febrile children aged under 5 years at a tertiary hospital, and one urban and two rural health centres in Hawassa, southern Ethiopia were recruited to participate in the study from August to November 2019. Caregivers were interviewed using pretested structured questionnaires on socio-demographic and clinical factors to identify associations with health care seeking practice and first source of care, and reasons for particular practices. Delayed care seeking was defined as seeking care from a health facility after 24 hours of onset of fever.

Results
Of 535 caregivers who participated, 271 (50.7%) had sought timely health care; 400 (74.8%) utilized a primary health care (PHC) facility as first source; and 282 (52.7%) bypassed the nearest PHC facility. Rural residents (adjusted odds ratio (AOR) 1.85; 95% CI 1.11–3.09), and those who reported cough (AOR 1.87; 95% CI 1.20–2.93) as a reason for consultation were more likely to delay seeking health care. While caregivers were less likely delayed for children aged 24–35 months (AOR 0.50; 95% CI 0.28–0.87) compared to infants. Utilizing higher-level hospitals as the first source of care was less frequent among rural residents (AOR 0.15; 95% CI 0.06–0.39) and in those with no formal education (AOR 0.03; 95% CI 0.01–0.27). Those having a longer travel time to the provider (AOR 2.11; 95% CI 1.09–4.08) more likely utilized higher hospitals.

Conclusion
We identified a need to improve timely health seeking among rural residents, infants, and those presenting with respiratory symptoms. Improvements may be achieved by educating communities on the need of early care seeking, and ensuring the communities members’ expectations of services at each level consistent with the services capacity.
A School Tablet in the Shape of a Five-Sided Prism in Adana Museum
Authors: Akdoğan Rukiye , Ünlü Tülay , Weeden Mark 
Published: June 2022

Abstract
In 2002 a 5-sided prism with a handle inscribed with cuneiform was acquired by Adana Museum by means of confiscation, but it is thought to be from Osmaniye-Toprakkale in the Adana province of south-central Turkey. The prism has a grey slip and a handle-like portion on its top with a hole through it, whereby it could have been used as an amulet or at least somehow displayed. The text on the prism consists of the first 54 lines of a basic cuneiform exercise for students, known as “Syllable Alphabet A”. This prism school-tablet, which is written in Babylonian script, is probably to be dated to the first half of the 2nd millennium BC, although a date later in the 2nd millennium cannot be excluded. The article presents the object and its text, considers its possible use-function, as well as raising the question of possible connections with Old Babylonian traders’ networks, such as evidenced at Tilmen Höyük on the other side of the Amanus mountains.
The Survey of Qaleh (Ghalee) Tepe in Sīstān: Chronology and Analysis of Findings
Authors: Pahlavan Mehdi Dahmardeh , Ebrahimiabareghi Setareh , Keikha Mohammad , Nasiripour Yasaman 
Published: June 2022

Abstract
The Sīstān Plain in south-eastern Iran with its suitable living conditions and fertility was an important contact zone and home of human societies in many periods of history. Despite numerous archaeological activities in this region, the chronology and the history of occupation are still ambiguous. Hence it is necessary to conduct more systematic studies on the pre-Islamic sites. The present project uses field and analytical research methods to gain new insights; data has been collected from both new fieldwork and the evaluation of documented sites. The new field work included some soundings dug for determining the extent of Bībī Dōst, and a survey in the southern part of the Bībī Dōst area, in Qaleh (Ghalee) Tepe. All the information and data related to Qaleh Tepe, including previous studies, geographical literature, and pottery references have been collected. The ceramic indicates that Qaleh Tepe was occupied during the Parthian and Sasanid periods and that, after a long hiatus, the southern part of this site was used as a cemetery in the later Islamic era.
Hethitischmāri-,Sichelschwert(?)‘ aus archäologischer, philologischer und etymologischer Sicht
Authors: Opfermann Andreas , Sasseville David , Süssenguth Riko 
Published: June 2022

AbstractThis paper addresses the Hittite wordgišmāri-, which designates a kind of weapon and is often translated as ‘mari-spear’. A philological re-evaluation of the Hittite attestations rather calls for the meaning ‘scimitar (sickle-shaped sword),’ which has previously been suggested but was largely disregarded. At the same time, archaeological evidence for the presence of scimitars in the Hittite culture is adduced. Subsequently, the role of this type of weapon in the ancient Near East is reassessed. Finally, a new Indo-European etymology for the wordmāri-is offered, which brings additional support for the meaning ‘scimitar (sickle-shaped sword).’
Verbal Art in Luwian and Hittite Incantations
Authors: Rieken Elisabeth 
Published: June 2022

Abstract
The present article wants to draw attention to the artful wordplay featured in the Cuneiform Luwian incantations known from Hittite Anatolia in the 2nd millennium BCE. Special focus is placed on the combination of assonant, or even alliterating, verbs and their direct objects. In order to compose such a stylistic figure, it is often necessary to make compromises regarding the semantics, leading to combinations that are still understood, but less than ideal to convey the meaning they are intended for. Phonological requirements override meaning. The technique applied by the authors of the spells is to start from a central determining concept (e.g., some kind of evil), then to combine it with a second variable concept that is somehow compatible with the intended sense (e.g., any verb of destruction that has the appropriate phonological shape) and to fill the clause with any further elements required on syntactic grounds. Although there are parallels between the techniques of Luwian spell composition and those in use in Mesopotamia (expected degree of assonance, choice of paraphernalia on account of the phonological shape of their designations), the locus of the use of the relevant words is not the same. In Luwian spells, both words must co-occur in the very same clause uttered in front of the ritual client in order to unfold their effects.
Hurrian and Luwian Elements in the Kizzuwatna Religious Texts
Authors: Görke Susanne 
Published: June 2022

AbstractKizzuwatna, roughly the area around the present-day Turkish city of Adana in the plains of Cilicia in Southeastern Turkey, is known to be the origin of several magical ritual texts that were found in the archives of the Hittite Capital, Ḫattuša, in Central Anatolia. These texts are characterized by varying amounts of Luwian and Hurrian elements and rites in them. This article, however, aims to foreground festival texts with connections to Kizzuwatna and adjacent regions, namely the “Festival for Teššub and Ḫebat of Lawazantiya (CTH 699)” and the “Cults for Teššub and Ḫebat of Aleppo (CTH 698)”. Both festivals reveal very little Luwian, but they do exhibit obvious Hurrian influences. This article offers first thoughts toward an interpretation of the lack of Luwian in these texts, along with other texts with an alleged origin in Southeastern Anatolia or Northern Syria.
Application of cloud computing key technology in aerospace TT&C
Authors: Chen Gang , Tong Xin , Du WeiBing , Zhao Jing , Zhang HanYong 
Published: June 2022

Abstract
The basic concepts, technical implementation, and application scenarios of computer simulation, virtualization, and cloud computing are intertwined and each has its characteristics. In this article, the basic concepts, necessity, feasibility, and core difficulties of computer simulation, virtualization, and cloud computing are analyzed. Also, the application prospects of the three technologies are expounded, the technical differences are analyzed, and the application of some key technologies in the data center is introduced. The generalization of computer simulation technology, the specialization of virtualization technology, and the systematization of cloud computing technology are expounded, which represent the mainstream direction of technology development in the field of information and communication at this stage. The application examples of the three in the aerospace telemetry, tracking, and command field are taken to illustrate that information technology essentially serves the business logic of their respective fields, which also well reflects the basic characteristics of demand-oriented, safety-oriented, innovation, and long-term development. It has guiding significance for the technical orientation, technical selection, and engineering implementation of information system architecture design.