bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mental Health, Burnout, and Job Stressors Among Healthcare Workers During the COVID-19 Pandemic in Iran: A Cross-Sectional Survey
Authors: Hajebi Ahmad , Abbasinejad Maryam , Zafar Masoud , Hajebi Amirali , Taremian Farhad 
Published: May 2022

IntroductionThe COVID-19 pandemic has caused increasing levels of mental health problems such as anxiety and depression among doctors, nurses and other healthcare workers in hospitals or health centers. The main objective of this study was to assess the mental health, job stressors, and burnout among healthcare workers in Iran.Materials and MethodsA cross-sectional study was performed in the primary healthcare centers and hospitals affiliated with six of the medical universities in Iran. The selection of participants was done using multi-center convenient sampling. The Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Copenhagen Burnout Inventory were used for gathering data through an online platform. Data related to job stressors were obtained using a validated checklist. Data analysis was performed using Chi-square and multiple regression tests and the phi coefficient.ResultsThe results of our study showed that 53% of the healthcare workers of the hospitals and primary healthcare centers enrolled in our study either had generalized anxiety disorder or major depressive disorder or both disorders. Moderate and high levels of burnout were seen among 48.9% of the study participants. The prevalence of mental disorders and burnout were significantly higher among the female healthcare workers compared to the male (p = 0.0001) and a higher rate of mental disorder and burnout was also seen among healthcare workers of hospitals compared to those working in primary healthcare centers (p = 0.024). “Worry about children and old members of family,” “family worries for my health condition” and “lack of specific effective treatment for COVID-19” were found to be predictive of mental disorder and burnout. The most prevalent job stressor among the total sample was “low payment or income during the COVID-19 period”.ConclusionThe results of our study revealed high psychological distress and burnout among healthcare workers of the hospitals during the fourth peak of the COVID-19 pandemic in Iran. This study highlights the need for health officials to pay attention to the job stressors of healthcare workers and obliges them to perform effective interventions to address their needs and concerns.
Catatonia Spectrum: Validation of a Questionnaire Investigating Catatonia Spectrum
Authors: Dell’Osso Liliana , Amatori Giulia , Cappelli Andrea , Cremone Ivan Mirko , Massimetti Gabriele , Gravina Davide , Nardi Benedetta , Benedetti Francesca , Chiarantini Ilaria , Luciano Mario , Berardelli Isabella , Brondino Natascia , De Gregorio Marianna , Deste Giacomo , Nola Marta , Reitano Antonino , Muscatello Maria Rosaria Anna , Pompili Maurizio , Politi Pierluigi , Vita Antonio , Carmassi Claudia , Maj Mario 
Published: May 2022

AimA growing body of literature has demonstrated the utility of a dimensional perspective on mental disorders. The current study aims to determine the psychometric properties of the Catatonia Spectrum (CS), a new questionnaire specifically tailored to assess the spectrum of catatonia, from full blown forms to subthreshold ones.Methods86 adults with at least three symptom criteria for catatonia according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 81 adults affected by borderline personality disorder (BPD), 104 adults with a diagnosis of major depressive disorder (MDD), and 105 subjects without mental disorders (CTL), were recruited from six Italian University Departments of Psychiatry and administered the: Bush-Francis Catatonia Rating Scale (BFCRS), Bush-Francis Catatonia Screening Instrument (BFCSI), and CS.ResultsCS scale demonstrated a high level of internal consistency and excellent test-retest reliability for total and domain scores. CS domain scores were positively and significantly correlated with each other (p &lt; 0.001) with Pearson’s coefficients ranging from 0.337 to 0.663. All the CS domain scores were highly correlated with the CS total score. The correlation coefficients between CS and alternative measures of catatonia appeared all significant and positive. Significant differences among diagnostic groups on both CS domains and total scores were found. CS total scores increased significantly and progressively from the CTL, to the MDD and the BDP group, up to the catatonia group, which reported the highest value.ConclusionThe CS showed excellent internal consistency and test-retest reliability and strong convergent validity with alternative dimensional measures of catatonia. The questionnaire performed differently across the four diagnostic groups, with an increasing score gradient from healthy controls to patients with MDD, BPD and up to the catatonia group.
Case Report: Severe Listeria Encephalitis With Complicated or Secondary Autoimmune Encephalitis and CNS Demyelinating Diseases
Authors: Zhang Xiaomin , Feng Peng , Meng Pengfei , Li Dongfang , Gao Huizhong , Zhao Yang , Yuan Jingjing , Wang Yongqing , Xia Han 
Published: May 2022

BackgroundListeria monocytogenes is an important food-borne bacterium. It rarely infects patients with complete immunity and causes meningocephalitis. Patients with severe Listeria encephalitis always experience a bad prognosis.Case PresentationA 39-year-old male patient was admitted to our hospital due to fever for more than 10 days and disturbance of consciousness accompanied by convulsions for 2 days. Metagenomic next-generation sequencing (mNGS) results showed L. monocytogenes in both cerebrospinal fluid (CSF) and blood, indicating L. monocytogenes encephalitis. Autoimmune encephalitis and central nervous system (CNS) demyelinating autoantibodies in the CSF also showed positive results. The case was finally diagnosed as severe Listeria encephalitis with complicated or secondary autoimmune encephalitis and CNS demyelinating diseases.ConclusionsIt is necessary to carry out infection and immunity screening in patients with severe encephalitis, especially for immunocompromised patients. mNGS plays a pivotal role in screening patients with severe and difficult neurological diseases.
Baropodometric Assessment of the Podiatric Profile of Nursing Students in Clinical Settings: A Study Protocol
Authors: Bernardes Rafael A. , Caldeira Sílvia , Parreira Pedro , Sousa Liliana B. , Almeida Inês F. , Santos-Costa Paulo , Paiva-Santos Filipe , Guardado Cruz Arménio 
Published: May 2022

IntroductionNursing students are exposed to increased risks of developing foot and ankle disorders due to prolonged standing and walking positions during clinical settings. This can lead to high dropout rates from nursing degree, thus contributing to a future shortage in nursing professionals. This protocol aims to develop a study to understand the influence of prolonged standing and walking positions on nursing students' foot health, and specifically to study the relationship between the podiatric profile (regional force and pressure exerted on the foot) and related signs and symptoms.Methods and AnalysisA prospective observational cohort study will be conducted with 194 nursing students. Participants will be asked to walk through a baropodometric platform before and after a 5-month clinical training session. Assessment will focus on the change in podiatric profile, namely foot posture and foot function, at 5 months, and changes in foot health at 5 months. The study will start in January 2022 and it's expected to end by June 2022.DiscussionThe study aims to perform an innovative assessment of nursing students' podiatric profile, which will allow for a comprehensive description of foot/ankle changes and their relationship with prolonged standing and walking contexts.Ethics and DisseminationThe study was approved by The Ethical Committee of the Health Sciences Research Unit: Nursing (UICISA: E), of the Nursing School of Coimbra (ESEnfC), with the approval code nr. P799_07_2021. The study was also recorded in ClinicalTrials.gov on the number NCT05197166. Findings will be used to publish articles in peer-review scientific journals and oral communications and posters at scientific meetings.
On Imported and Domestic Human Papillomavirus Vaccines: Cognition, Attitude, and Willingness to Pay in Chinese Medical Students
Authors: Zhou Liangru , Gu Baiyang , Xu Xiaoxue , Li Yue , Cheng Pengxin , Huo Yue , Liu Guoxiang , Zhang Xin 
Published: May 2022

This study aimed to analyze the cognition, attitude, and willingness to pay (WTP) for imported and domestic human papillomavirus (HPV) vaccines in Chinese medical students.MethodsMedical students in Eastern, Central and Western China were investigated. We used the HPV cognitive list to measure the cognition of participants and implemented contingent valuation method (CVM) to value WTP. Tobit model was used to analyze the factors associated with WTP.ResultsThe participants' average score for the 21 cognitive questions was 13.05 (±5.09). Among the participants, 60.82 and 88.01% reported that they would wish to be vaccinated and support the partners to be vaccinated. In addition, 92.54% (670) of the participants were willing to pay for HPV vaccines, at mean values (in RMB) of 1,689.80 (±926.13), 2,216.61 (±1190.62), and 3,252.43 (±2064.71) for imported bivalent, quadrivalent, and 9-valent vaccines, respectively, and at 910.63 (±647.03), 1,861.69 (±1147.80), and 2,866.96 (±1784.41) for their domestic counterparts, respectively. The increase in cognitive score has a positive effect on the WTP for imported vaccines (P &lt; 0.05).ConclusionsMost of the participants were likewise willing to receive the HPV vaccines. Their perceptions of the HPV vaccines valent and origin may affect their willingness to be vaccinated and pay for the vaccines. Increasing awareness of the HPV vaccines and the inclusion of the HPV vaccines in a Medicare reimbursement policy or immunization program could increase the coverage of the HPV vaccine.
Correlation Among Self-Care Ability, Psychological Status, and Quality of Life in Discharged Patients with Hepatolithiasis Complicated with Diabetes Mellitus and T-Tube
Authors: Huang Chunqiu , Wang Ying , Cai Yimin , Shen Zhoumin , Zhang Honghui , Tan Zhaoxia , Chen Hongjiao , Zhou Bifang 
Published: May 2022

ObjectivesThis study aimed to investigate the correlation between self-care ability, psychological status, and quality of life in patients with hepatolithiasis complicated with diabetes mellitus with T-tube.MethodsThe purpose of this study was to select a total of 240 patients with hepatolithiasis complicated with diabetes with T-tube from June to September 2019 in a Third-class Grade A hospital in Changsha, Hunan Province. Self-designed general information questionnaire, self-care ability implementation scale (ESCA), self-rating anxiety scale (SAS), self-rating depression scale (SDS), and quality of life scale (SF-36) were used to conduct a questionnaire survey. The correlation among self-care ability, psychological status, and quality of life of patients with hepatolithiasis complicated with diabetes mellitus with T-tube was analyzed.ResultsThe total score of self-care ability of 240 patients with hepatolithiasis combined with diabetes with T-tube was positively correlated with the total score of quality of life (p &lt; 0.05). The standard scores of anxiety and depression were negatively correlated with the total score of quality of life (p &lt; 0.05). The total score of self-care ability was negatively correlated with the standard score of anxiety and depression (p &lt; 0.05).ConclusionImproving the self-care ability of patients with hepatolithiasis complicated with diabetes with T-tube and improving their anxiety and depression can improve their quality of life, which provides reference for further study.
Anal Canal Duplication Mimicking Recurrent Abscess: A Case Report and Review of the Literature
Authors: Li Dandan , Liu Shuaibin , Feng Jiexiong , Yang Jixin 
Published: May 2022

BackgroundAnal canal duplication (ACD) is a very rare duplication of the gastrointestinal tract and is described as a secondary anal orifice along the posterior side of the normal anal canal. Early surgical removal is advisable, also in asymptomatic patients, because of the risk of inflammatory complications, such as recurrent crissum abscess, and malignant changes.Case presentationA previously healthy 2-year-old boy was evaluated in the emergency department with fever. He complained of anal pain in the absence of incentive. Physical examination and ultrasound confirmed a diagnosis of perianal abscess. He was treated with incision and drainage of the abscess and intravenous antibiotics. Two months after his discharge from the hospital, he developed fever and had intervals discharge pus and pain in the same locations. Colorectal endoscopy revealed that there was no fistula opening at the rectal wall. Intraoperative fistulography showed a fistulous tract that was connected to a subcutaneous cavity. Excision of the fistulous tract and wide drainage of the deep postanal space were performed. The patient was referred to our hospital for further evaluation 6 months later. Physical examination showed a secondary anus that had not been noticed before. MRI showed an anal fistula between 1 and 3 o’clock, and preoperative fistulography revealed a 3-cm-long tubular structure without any connection with the rectum. The diagnosis of ACD was made by intraoperative examination with a metal catheter and the postoperative pathological analysis. The duplicated anal canal was resected completely via a perianal approach without any rectal injury. Histology showed a squamous epithelium in the distal end with some smooth-muscle fibers. After a follow-up of 8 months, the patient has been doing well.ConclusionRecurrent crissum abscess should raise clinical attention to alimentary tract congenital malformations such as ACD. Prompt recognition of these unique presentations of ACD is needed, and complete excision through a perineal approach or posterior sagittal approach is recommended.
Implementasi Akad Nikah dengan Tulisan atau Isyarat dalam Tinjauan Imam Syafi‘i
Authors: Sobirin Sobirin 
Published: May 2022

AbstractThis study is intended to explore the provisions of Islamic law from Imam Syafi'i's point of view regarding the practice of the marriage contract carried out by using writing which is due to an obstacle for the groom to be present in person at the marriage contract assembly, and / or practice the marriage contract using sign language because the groom is not able to speak properly. This study is conducted qualitatively based on literature review which refers to the mu'tabar books of Imam Syafi'i. The results of this study explain that the majority of scholars, and specifically in the book al Umm by Imam Syafi'i, state that the marriage contract is permitted to use writing provided that the prospective bride is accompanied by a representative and evidence of the authentic information of the prospective groom. Likewise, it is permissible for the marriage contract to use a sign provided that there is no ability to write, then it may be with clear or sharih signs.AbstrakKajian ini dimaksudkan untuk mendalami ketentuan hukum Islam dalam sudut pandang Imam Syafi‘i tentang praktik akad nikah yang dilakukan dengan menggunakan tulisan yang dikarenakan adanya halangan bagi pengantin pria untuk hadir secara langsung di majelis akad nikah, dan atau praktik akad nikah dengan menggunakan bahasa isyarat yang dikarenakan pengantin pria tidak mampu berbicara dengan baik. Kajian ini dilakukan secara kualitatif dengan mendasarkan pada kajian kepustakaan yang merujuk pada kitab-kitab mu‘tabar dari Imam Syafi‘i. Hasil kajian ini menjelaskan bahwa mayoritas ulama, dan secara khusus dalam kitab al-Umm karya Imam Syafi’i menyatakan diperbolehkannya akad nikah menggunakan tulisan dengan ketentuan calon pengantin wanita disertai wakil dan bukti tentang keterangan yang ontentik dari calon pengantin pria. Demikian pula diperbolehkan akad nikah menggunakan isyarat dengan ketentuan tidak ada kesanggupan untuk menulis, maka boleh dengan isyarat yang sharih atau jelas.
TRADISI PRASAH DI SIDIGEDE WELAHAN JEPARA DALAM PERSPEKTIF ‘URF
Authors: Izza Nur Naila 
Published: May 2022

the Prasah tradition in marriage in Sidigede Village, Welahan District, Jepara Regency and to understand the implementation of the Prasah tradition in the 'urf review in Sidigede Village, Welahan District, Jepara Regency. This research uses a normative-sociological approach, qualitative research and deductive analysis methods. The data collection methods used were interviews, observation, and documentation. The results of this study state that, first, the Prasah tradition in Sidigede Village, Welahan District, Jepara Regency which is preserved as a tradition that leads to a gift of a buffalo to the prospective bride. The word prasah comes from the Javanese resigned language which means surrendered, approved. To make it easier to pronounce, the word surrender is changed to prasah. However, over time there was a difference of opinion among the people of Sidigede Village who said that prasah was a dowry and an ordinary gift. Second, the prasah tradition is an utterance or agreement and is not contained in the Qur'an, sunnah, ijmak, and qiyas, so the researcher categorizes that prasah is included in the 'urf category, namely al-'urf al-sahih. Prasah is also included in the category of al-'urf al-'amali because prasah is a habit in the form of actions carried out by the people of Sidigede Village. And prasah is also categorized into al-'urf al-khas because prasah is devoted to the people of Sidigede Village, Welahan District, Jepara Regency. Penelitian ini bertujuan untuk meneliti tentang tradisi Prasah dalam perkawinan di desa Sidigede Kecamatan Welahan Kabupaten Jepara dan untuk memahami pelaksanaan tradisi Prasah dalam tinjauan ‘urf di Desa Sidigede Kecamatan Welahan Kabupaten Jepara. Penelitian ini menggunakan pendekatan normatif- sosiologis, jenis penelitian kualitatif dan metode analisis deduktif. Metode pengumpulan data yang digunakan wawancara, observasi, dan dokumentasi. Hasil penelitian ini menyatakan bahwa, pertama, tradisi Prasah di Desa Sidigede Kecamatan Welahan Kabupaten Jepara yang dilestarikan sebagai suatu tradisi yang mengarah pada suatu pemberian seekor kerbau kepada calon mempelai wanita. Kata prasah berasal dari bahasa jawa pasrah yang artinya diserahkan, disahkan. Supaya lebih mudah dilafalkan maka kata pasrah diubah menjadi prasah. Namun, seiring berjalanya waktu terjadi perbedaan pendapat masyarakat Desa Sidigede yang mengatakan bahwa prasah merupakan sebuah mahar dan pemberian biasa. Kedua, tradisi prasah merupakan suatu ucapan atau kesepakatan dan tidak ada
Avaliação da atividade antimicrobiana do óleo da macaúba (Acrocomia aculeata (Jacq.) Lodd. ex. Mart) / Evaluation of the antimicrobial activity of macaúba oil (Acrocomia aculeata (Jacq.) Lodd. ex. Mart)
Authors: Fonseca Raissa Sayumy Kataki , De Souza Leiliane do Socorro Sodré , Pereira Anderson Mathias 
Published: May 2022

Desde o início da civilização, o homem dedicou-se a aprender a cultivar e domesticar espécies de vegetais que pudessem ajudá-lo. A utilização de frutos para extração de óleos vegetais tem aumentado gradativamente e vem substituindo parte do consumo de gorduras animais. Os óleos vegetais são substâncias líquidas insolúveis em água, extraídas de plantas oleaginosas e muito utilizados por vários setores industriais. A macaúba é uma das palmeiras mais promissoras no Brasil como fonte de óleo para indústria farmacêutica, alimentícia e de combustíveis. Este trabalho teve como objetivo avaliar a potencialidade do óleo da polpa de macaúba como agente antimicrobiano. Para estudos, foram utilizados 30 frutos coletados na cidade de Parintins, comunidade Zé Açu, Amazonas. Foram realizadas análises biométricas do fruto, composição centesimal da polpa, determinação de características físico-químicas do óleo da polpa e avaliação de atividade antimicrobiana em difusão em ágar para Staphylococcus aureus, Escherichia coli e Candida albicans, todas as análises foram realizadas seguindo normas oficiais. Os valores para as análises biométricas, composição centesimal e características do óleo encontram-se de acordo com a literatura. O óleo de macaúba apresentou atividade antimicrobiana positiva para E. coli e C. albicans, com diâmetros do halo de 34 mm e 60 mm, respectivamente, e não apresentou inibição frente a S. aureus. Este trabalho demonstrou que não há diferença elevada quanto as características fenotípicas dos frutos e propriedades físico-química da polpa. Quanto as características do óleo, notou-se que este possui grandes aplicações e tem sido alvo de frequentes estudos, apresentando alta potencialidade antimicrobiana, principalmente antifúngica para o micro-organismo utilizado.
Aleitamento materno: conhecimento e prática dos profissionais de saúde e atividades desenvolvidas pelas unidades da atenção primária / Breastfeeding: knowledge and practice of health personnel and activities developed by primary care units
Authors: Bazzarella Andressa Zacchi , Pereira Emmily Matias , Faria Izabella Caser Lopes de , Garoze Guilherme Leite , Pontes Monica Barros de , Poton Wanessa Lacerda 
Published: May 2022

O aleitamento materno é importantíssimo para a saúde nutricional, imunológica, intelectual e mental da criança, por esse motivo a Organização Mundial da Saúde (OMS) recomenda o aleitamento materno exclusivo até os seis meses de vida e complementado até dois anos ou mais. Com isso, considera-se a relevância do papel dos profissionais de saúde para o aumento da prevalência do aleitamento materno. Este artigo avaliou o conhecimento de médicos, enfermeiros e técnicos de enfermagem que atuam na atenção primária quanto à prática de ações de incentivo à amamentação. Foi aplicado um questionário a todos os profissionais de saúde que atuam em quatro unidades de saúde de um município da região metropolitana do Espírito Santo. Ao todo, 72 profissionais foram entrevistados, sendo 23,6% médicos, 23,6% enfermeiros e 52,8% técnicos de enfermagem. A maioria era do sexo feminino, em união estável e sem capacitação em aleitamento materno. Metade teve vivência com amamentação ou filhos amamentados. Na maior parte das questões, os técnicos de enfermagem tiveram pior desempenho que os médicos e enfermeiros. Os médicos apresentaram maiores pontuações na maior parte das questões, entretanto, não houve diferenças no conhecimento entre capacitados e não capacitados em aleitamento materno. Estratégia de capacitação que promova a incorporação do conhecimento sobre as práticas adequadas em aleitamento materno deve ser implementada para que os profissionais de saúde possam orientar e apoiar adequadamente as lactantes.