bluuebunny/crossref_metadata_2025_split huggingface dataset:
Feasibility to estimate mean systemic filling pressure with inspiratory holds at the bedside
Authors: Wijnberge Marije , Jansen Jos R. C. , Pinsky Michael R. , Klanderman Robert B. , Terwindt Lotte E. , Bosboom Joachim J. , Lemmers Nikki , Vlaar Alexander P. , Veelo Denise P. , Geerts Bart F. 
Published: November 2022

Background: A decade ago, it became possible to derive mean systemic filling pressure (MSFP) at the bedside using the inspiratory hold maneuver. MSFP has the potential to help guide hemodynamic care, but the estimation is not yet implemented in common clinical practice. In this study, we assessed the ability of MSFP, vascular compliance (Csys), and stressed volume (Vs) to track fluid boluses. Second, we assessed the feasibility of implementation of MSFP in the intensive care unit (ICU). Exploratory, a potential difference in MSFP response between colloids and crystalloids was assessed.Methods: This was a prospective cohort study in adult patients admitted to the ICU after cardiac surgery. The MSFP was determined using 3–4 inspiratory holds with incremental pressures (maximum 35 cm H2O) to construct a venous return curve. Two fluid boluses were administered: 100 and 500 ml, enabling to calculate Vs and Csys. Patients were randomized to crystalloid or colloid fluid administration. Trained ICU consultants acted as study supervisors, and protocol deviations were recorded.Results: A total of 20 patients completed the trial. MSFP was able to track the 500 ml bolus (p &lt; 0.001). In 16 patients (80%), Vs and Csys could be determined. Vs had a median of 2029 ml (IQR 1605–3164), and Csys had a median of 73 ml mmHg−1 (IQR 56–133). A difference in response between crystalloids and colloids was present for the 100 ml fluid bolus (p = 0.019) and in a post hoc analysis, also for the 500 ml bolus (p = 0.010).Conclusion: MSFP can be measured at the bedside and provides insights into the hemodynamic status of a patient that are currently missing. The clinical feasibility of Vs and Csys was judged ambiguously based on the lack of required hemodynamic stability. Future studies should address the clinical obstacles found in this study, and less-invasive alternatives to determine MSFP should be further explored.Clinical Trial Registration:ClinicalTrials.gov Identifier NCT03139929.
Ecological predictors of academic satisfaction in senior secondary school students in Hong Kong: The mediating role of academic confidence
Authors: Dou Diya , Shek Daniel T. L. , Wong Tingyin 
Published: November 2022

IntroductionAlthough the secondary school curriculum reform has taken place for more than 1 decade in Hong Kong, very few studies have examined senior secondary school students’ academic satisfaction and its predictors at the individual and school levels. The present study examined the influence of academic stress, school support, positive youth development (PYD) attributes on academic satisfaction via the mediation of academic confidence among senior secondary school students using three-wave longitudinal data.MethodsThis study was derived from a 6-year longitudinal project examining youth development among Hong Kong adolescents. Only three waves of data collected from 2,023 students, including 959 boys (47.4%) and 1,040 girls (51.4%), from grade 10 to 12 (i.e., Waves 4–6), were used in the present study focusing on senior high school years. Students responded to a questionnaire concerning different aspects of their development, including their perceptions of school support, PYD attributes, academic stress, academic confidence, and satisfaction with the NSS curriculum. We conducted structural equation modeling (SEM) to test the hypothesized model.ResultsResults showed that while Wave 4 academic stress negatively predicted academic satisfaction at Wave 6, Wave 4 positive youth development attributes and school support had positive associations with Wave 6 academic satisfaction; Wave 5 academic confidence also served as a mediator in these relationships, except for the relationship between school support and academic satisfaction.DiscussionThe theoretical, practical, and policy implications of the findings are discussed. The present study generally supports previous findings on the relationships between academic stress, school support, PYD attributes, academic confidence, and academic satisfaction. The findings emphasize the prominence of PYD attributes, school support, and confidence in enhancing students’ academic satisfaction.
Impact of vitamin D on cognitive functions in healthy individuals: A systematic review in randomized controlled clinical trials
Authors: Silva Ana Beatriz Januário da , Barros Waleska Maria Almeida , Silva Mayara Luclécia da , Silva José Maurício Lucas , Souza Ana Patrícia da Silva , Silva Karollainy Gomes da , de Sousa Fernandes Matheus Santos , Carneiro Antonietta Cláudia Barbosa da Fonseca , Toscano Ana Elisa , Lagranha Cláudia Jacques 
Published: November 2022

Various functions in the central nervous system, such as growth, development, and cognition can be influenced by vitamins and minerals, which are capable of helping to maintain brain health and function throughout life. Cognition is understood as the aspects related to knowledge, learning, and understanding, as well as the ability to develop these functions. A possible association between low levels of vit D and deficit in the performance of cognitive functions in healthy humans or with some pathological condition is discussed. Because of this, the present systematic review analyzed only randomized clinical trials carried out in healthy non-athlete adults about intellectual and/or mental processes involving cognitive functions to identify whether these individuals with different levels of vit D are capable of interfering with the performance of the cognitive function. To do so, we adopted the PRISMA method criteria and registered it in the PROSPERO database. The search was performed in PubMed (MEDLINE), PsycINFO, Science Direct, Scopus, and Web of Science databases, 2,167 records were identified. The 5 most frequent cognitive domains in the selected studies were: processing speed, attention, verbal learning/memory, executive function, and general cognitive functions. We found that there are positive changes in the following domains: verbal memory and verbal working memory, learning memory, attention, executive function, and also cognitive function in general. We highlight the following suggestions for improvements that vitamin D supplementation may promote in the cognitive domains of healthy adults: a) low doses between 400 and 600 IU/d seem to be more effective when compared to doses between 2,400 and 5,000 IU/d and b) food fortification and enrichment with vit D, need further studies, as they seem to be more or as effective as synthetic supplementation. We evident that there is a need for trials that evaluate the control of vit D levels for healthy adult individuals is important, as they have the potential to minimize health problems, especially those involved in the reduction of cognitive abilities. Thus, the development of more clinical trials to obtain satisfactory answers on this topic needs to be encouraged.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42021262413.
Longitudinal relationship between body fat percentage and risk of type 2 diabetes in Chinese adults: Evidence from the China Health and Nutrition Survey
Authors: Zhang Siting , Jiang Hongru , Wang Liusen , Jia Xiaofang , Zhang Jiguo , Wang Huijun , Zhang Bing , Wang Zhihong , Ding Gangqiang 
Published: November 2022

ObjectiveBody fat percentage (BF%) might be an alternative index of obesity which is the major risk factor for developing type 2 diabetes (T2D). We aim to longitudinally evaluated the relationship between BF% and risk of T2D.MethodsA sample of 5,595 adults aged 18–65 who participated in two waves of China Health and Nutrition Survey (CHNS 2015 and 2018) was analyzed. Two level mixed-effects modified Poisson regression with robust estimation of variance stratified by sex was used to evaluate the risk ratios (RRs) for T2D according to quintiles of BF%, and the curves of receiver operating characteristic (ROC) were plotted to identify the optimal total and trunk BF% cut-off points for predicting an increased T2D risk.ResultsIn males, compared with subjects in the first quintile of total BF%, those in the third (RR = 2.03, 95% CI 1.09–3.79), fourth (RR = 2.56, 95%CI 1.46–4.48), and fifth (RR = 2.16, 95%CI 1.22–3.82) quintile had higher risk of T2D after adjusting for all potential confounders (p-trend &lt; 0.001). For females, the RR (95% CI) was 1.92 (1.14, 3.24) in the fifth quintile (p-trend = 0.014). Males and females with a trunk BF% &gt;25.5 and 34.4% (≥ quintile 4), respectively, were at significantly increased risk of T2D (p-trend = 0.001). Besides, the optimal cut-off values of total and trunk BF% were 21.9 and 25.2% for males, and 36.7 and 30.3% for females, respectively.ConclusionsThe incident risk of T2D significantly increased over specific level of total and trunk BF% in both Chinese males and females, and the optimal BF% cut-off values were valuable for clinical application of BF% based on sex difference, which may be a cost-effective implementation for prevention and treatment of T2D in China.
Perception of men's need for preconception care—A qualitative exploration among health care providers and community members
Authors: Ojifinni Oludoyinmola O. , Ibisomi Latifat 
Published: November 2022

BackgroundSeveral studies have shown that suboptimal health in men can result in poor reproductive health outcomes. The factors associated include lifestyle exposures and poor health-seeking behavior. The poor reproductive health outcomes can be mitigated through preconception care (PCC). PCC services for men are however rare. This qualitative study explored views about men's need for PCC in Nigeria.MethodsThis exploratory qualitative study was done in Ibadan North Local Government Area, Oyo State, Nigeria. Focus group discussions were held with 12 religious leaders, 22 men and 23 women of reproductive age at the community level. There were key informant interviews with two community leaders and 26 health workers including specialist physicians and nurses at the primary, secondary, and tertiary health care levels. Transcribed data were analyzed thematically using inductive coding on MAXQDA.ResultsThe reasons participants proffered for men's health requiring attention included men's genetic contribution to pregnancy, treatment of low sperm count, and preventing transmission of infection to their partners. Participants stated however that men are often reluctant about accessing health services until complications arise. Opinions differed on men's need for PCC: while some believed that men need PCC, others expressed contrary views stating that men do not require PCC as the service is more appropriate for women.ConclusionSuccessful deployment and uptake of PCC services require the availability of the services and improved awareness about the need to optimize men's health along with that of their partners.
Facing the unknown COVID-19 pandemic: A qualitative study with nurses and nursing assistants in three European countries
Authors: Podgorica Nertila , Zenzmaier Christoph , Rungg Christine , Bertini Beatrice , Perkhofer Susanne 
Published: November 2022

BackgroundThe coronavirus disease (COVID-19) is now a worldwide public health emergency. As essential and central parts of the COVID-19 patient care team, nurses and nurse assistants are facing all kinds of challenges caused by the disease and the pandemic. Understanding these challenges and the way nurses and nurse assistants handle and cope with them provides important knowledge on how to improve management of future pandemics and endemic situations. Thus, the present study explored the challenges faced by nurses and nurse asssitants who cared for COVID-19 patients in hospitals and long term care facilities in Italy, Austria and Germany.MethodsThe study employed a qualitative design. Purposive sampling was used to select the participants consisting on nurses (n = 30), nurse coordinators (n = 6) and nurse assistants (n = 5) from hospitals (n = 32) and long-term care facilities (n = 9) in Austria, Germany, and Italy. Data were collected between August and December 2020 through semi-structured interviews. The collected data were analyzed using qualitative content analysis.ResultsThe analysis of the data revealed three main themes with twelve sub-categories: (i) Knowledge, skills, and training (lack of knowledge; skills; organizational issues; training); (ii) resources and risk (lack of protective equipment; difficulties with protective equipment; risk and infection; feelings and isolation); (iii) coping strategies (humor; adaption; team effort; self-care; family and friends).ConclusionNurses and nurse assistants who participated in this study faced many personal and professional challenges, and used different coping strategies to manage the situation. Some of these strategies can be applied to reduce these challenges and create better working conditions for nurses and nurse assistants in similar events. Further research, training of staff, and adaptation of institutional policies may help develop new strategies to face future pandemics successfully.
Disseminated Human Subarachnoid Coenurosis
Authors: Labuschagne Jason , Frean John , Parbhoo Kaajal , Mutyaba Denis , Pillay Tanyia , Boughan Shareen , Nkala Hlezikuhle 
Published: November 2022

Background: Traditionally, human coenurosis has been ascribed to Taenia multiceps while neurocysticercosis has been attributed solely to Taenia solium infection. Historically, however, the identification and differentiation of cestodal infection was primarily based on inaccurate morphological criteria. With the increasing availability of molecular methods, the accuracy of identification of the larval cestode species has improved, and cestodal species not typically associated with central nervous system (CNS) infection are now being identified as aetiological agents. Case report: We present a case of a 5-year-old male patient who presented with acute hydrocephalus. Initial MRI revealed multiple cysts in the cerebrospinal fluid (CSF) spaces with a predominance of clumped grape-like cysts in the basal cisterns with resultant acute obstructive hydrocephalus. The child underwent an emergency ventriculo-peritoneal (VP) shunt. A presumptive diagnosis of neurocysticercosis racemosus was made and the child was started on empiric albendazole (15 mg/kg/day) and praziquantel (30 mg/kg/day) treatment, along with concomitant prednisone (1 mg/kg) treatment. Despite prolonged anti-helminthic therapy, the child continued to deteriorate, and endoscopic removal of the 4th ventricular cysts was required. Post-operative MRI revealed radiological improvements, with a reduction in the number and size of cysts, especially in the basal cisterns, with no cysts visualized in the fourth ventricle. DNA was extracted from CSF and cyst tissue using the QiAMP DNA mini kit (Qiagen). The PCR performed on the extracted DNA displayed a band of 275 bp on an agarose gel. The consensus sequence had 97.68% similarity to Taenia serialis 12S ribosomal RNA gene. The child, unfortunately, continued to do poorly, requiring multiple VP shunt revisions for repeated blockage of the VP shunt system, and ultimately demised, despite the ‘successful’ surgical intervention and continued maximal medical management. Discussion and conclusions: There have been approximately 40 reported cases of human CNS coenurosis, with the assumed etiological agent being confined to T. multiceps. In 2020, the first case of human CNS coenurosis caused by T. serialis was reported. This case involved a single parenchymal lesion in the occipital lobe, which, following complete surgical excision, was confirmed to be T. serialis by mitochondrial gene sequencing. The case we present is the first case of disseminated subarachnoid coenurosis caused by T. serialis. It appears that T. serialis infection can mimic either of the two basic pathological forms of neurocysticercosis, namely, cysticercosis cellulosae or cysticercosis racemosus. We postulate that the term coenurosis racemosus is applicable if CNS T. serialis infection presents with extensive, multiple grape-like bladders proliferating within the subarachnoid space.
O papel do enfermeiro no cuidado paliativo da oncologia: uma revisão integrativa da literatura
Authors: Gabriella Pires Talita , Martins Rodrigues Adelmo 
Published: November 2022

Objetivo: Relatar as evidências científicas encontradas na literatura sobre o papel do enfermeiro que atua no cuidado paliativo, com enfoque no paciente oncológico.
Métodos: Trata-se de uma revisão integrativa realizada por meio da metodologia PRISMA, usando a pergunta norteadora: Qual o papel do enfermeiro frente aos cuidados paliativos?
Resultados: A literatura mostra que o enfermeiro tem papel fundamental nos cuidados paliativos, no auxílio psicológico e humanizado ao paciente e sua família em tempo integral.
Considerações finais: É essencial a atuação do enfermeiro no cuidado paliativo oncológico, sendo pontual a identificação de medidas direcionadas a cada caso.
Reflexões sobre as experiências vividas por enfermeiros imigrantes
Authors: Ferreira Aydogdu Ana Luiza 
Published: November 2022

Objetivo: Refletir sobre as experiências vividas por enfermeiros imigrantes.
Método: Reflexão teórica elaborada por meio da leitura, análise e interpretação de estudos sobre as experiências de enfermeiros imigrantes pelo mundo.
Resultados: Enfermeiros imigram buscando melhores condições de trabalho e de vida, porém podem enfrentar muitos desafios no país para o qual imigraram. Essas dificuldades podem estar relacionadas à barreira da língua estrangeira, às diferenças culturais, às diferentes práticas de enfermagem e à discriminação.
Considerações Finais: A adaptação do enfermeiro imigrante é importante para a qualidade da assistência de enfermagem. Enfermeiros precisam estar cientes dos problemas que poderão enfrentar ao trabalharem no exterior.
Análise epidemiológica comparativa do infarto agudo do miocárdio referente ao ano 2020
Authors: Rodrigues dos Santos Isabela Mendonça , Miranda Bruno Luiz Galvão de , Silva Diogo Matheus Barros da 
Published: November 2022

Objetivo: Objetivou-se analisar o efeito da localidade (região geográfica do Brasil) e sexo (feminino ou masculino) nos óbitos por Infarto Agudo do Miocárdio. Metodologia: Trata-se de um estudo de natureza quantitativa, com abordagem documental e retrospectiva. Utilizada base de dados online e gratuita do Ministério da Saúde – Departamento de Análise em Saúde e Vigilância de Doenças não Transmissíveis (DASNT), qualquer cidadão pode consultar os dados epidemiológicos que lhes convém. Buscado por óbitos devido Infarto Agudo do Miocárdio, ocorridos em hospitais, no ano 2020, no país, atestados por médicos em todas as faixas etárias, raça/cor, sexo. Resultados: Averiguado um total de 8662 óbitos e superioridade da região Sudeste (3790). Diferenças encontradas quanto aos sexos e quanto aos quesitos geográficos por diferenças socioeconômicas. Conclusão: Destarte, os critérios de segregação dos grupos vulneráveis levam em consideração conhecer a individualidade dos pacientes para, assim, intervir de forma efetiva.
Descritores: Morte; Doenças cardiovasculares; Infarto agudo do miocárdio
Inteligência artificial e enfermagem: reflexão sobre o uso de tecnologias no processo de cuidar
Authors: Ferreira Aydogdu Ana Luiza 
Published: November 2022

Objetivo: Refletir sobre o uso da inteligência artificial na área de enfermagem. Metodologia: Reflexão teórica elaborada através de pesquisa bibliográfica realizada na Biblioteca Virtual em Saúde (BVS). Foi realizada leitura, análise e interpretação de artigos científicos sobre o uso da inteligência artificial na enfermagem. Resultados: A inteligência artificial deve ser vista como aliada de estudantes e de profissionais de enfermagem, que devem ser capacitados para serem agentes de transformação e não passivos seguidores dos avanços tecnológicos. Considerações Finais: Profissionais de enfermagem devem assumir papéis de coordenadores das tecnologias, sem temer serem substituídos por elas, que por mais inteligentes que sejam nunca poderão compreender a amplitude da ciência e da arte do cuidar.
PERANAN SISTEM INFORMASI AKUNTANSI DALAM PEMBELIAN BAHAN BAKU DAN PEMBAYARANNYA PADA PT. FORMITRA MULTI PRAKARSA
Authors: Andhani Dwita Riesty , Wardani Deni 
Published: November 2022

One of the many factors that would make a company to remain competitive in the market is an implementation of an accounting information system that goes well at the company, in order to minimize the occurrence of fraud, particularly in raw material purchasing cycle, and disbursements of transactions which is related to the purchase of raw materials . This research uses a descriptive qualitative method. Elements in this study using the elements of internal control, the structure of the organization, authorization, and recording system, sound practices and quality employees in accordance with its responsibilities. To determine whether the information system is effective or not is by using the COSO (Committee of Sponsoring Organizations of The Treadway Commissions)method. There are 5 components of COSO which is: control environment, risk assessment, information and communication, monitoring, and control activities. After analyzing PT Formitra on that aspect, there is only one factor that is a weakness to the company, which is the absence of separation of functions between the recording of the inventory and control function (protecting) of the inventory.
Analisis Implementasi COBIT 4.1 pada STIE Indonesia Banking School serta Dampaknya terhadap Focus IT Governance
Authors: Saad Bani 
Published: November 2022

This research aimed to analyze Implementation CobiT 4.1 at STIE Indonesia Banking School and the impact to Focus IT Governance. The deployment questionnaires to respondence were 7 copies. Data assessment using Capability Maturity Model from CobiT 4.1, After assess Capability Maturity Model, the author analyse the impact to IT Governance Focus (5 point).The assessment result shows that maturity level from four domain CobiT 4.1 significantly impact on IT Governance focus at STIE Indonesia Banking School. This domain are IT process at STIE Indonesia Banking School, including Plan & Organise, Acquire & Implement, Deliver & Support, and Monitor & Evaluate. IT Governance Focus: Strategic alignment, Value delivery, Resource Management, Risk Management and Performance Measurement.
The Effect of Earning Per Share and Debt to Asset Ratio on Firm’s Value : Case Study on Food and Beverage Corporation Listed in Indonesia Stock Exchange
Authors: Ekaprastyana Devy , Anwar Saiful 
Published: November 2022

This study aimed to analyze the effect of earnings per share and the debt to asset ratio on the firm’s value. The population in this research is all companies sub-sectors of food and beverages listed in Indonesia Stock Exchange. Based on purposive sampling technique from the population selected six companies as a sample for six years (2009-2014). The result showed that: (1) earnings per share have a positive and significant effect on firm’s value. This is consistent with the signaling theory, where the company’s decision gives high dividend is a positive signal to investors that the company’s revenue growth in the future is also high. Therefore, the maximum potential dividend can be measured by earnings per share, the higher the earnings per share higher the bargaining power of the company’s shares so that the value of the company will also increase. (2) Debt to asset ratio has the negative and significant effect on firm’s value. The increase in the amount of debt is regarded as a negative signal by investors so that their effect is negative. Each side is competing to be the winner. The company seeks to attract investors through good financial performance and investors are competing to invest in companies that provide maximum benefit.