Amphibians and reptiles of the Refúgio Biológico Bela Vista - Itaipu Dam, state of Paraná, southern Brazil / Anfíbios e répteis do Refúgio Biológico Bela Vista - hidrelétrica Itaipu, estado do Paraná, sul do Brasil

Abstract Information regarding species occurrence is fundamental to understanding biodiversity distribution. However, the biodiversity from the west of the state of Paraná has been historically less studied, especially amphibians and reptiles. For this reason, we present the first reptile list of species from the west of the state of Paraná and extend the current list of anurans for the municipality of Foz do Iguaçu. The species list was based on a systematic field study conducted at Refúgio Biológico Bela Vista (RBV) a conservation area within the Hydroelectric Power Itaipu Binacional. We integrated the species list with previous species observations available in the literature for the same place where our sampling was conducted. A total of 41 species of amphibians and reptiles are presented. All amphibians species found were recorded in the field; however, from the 22 species of reptiles recorded, three were historical records obtained before this study. Species were all classified as Least Concern and/or had stable populational status according to the IUCN. Sampling sufficiency was achieved for anurans but not for reptiles, probably due to low abundance of several snake species. The most abundant species of anuran was Dendropsophus nanus, from the Hylidae family, whereas Leptodactylus plaumanni and Scinax squalirostris were represented by only one individual each. The lizard Salvator merianae was the most abundant reptile, and seven species were represented by only one individual each. The most successful sampling method for adult anurans was active search in water bodies whereas most of reptile species were observed by accidental encounters and not through a systematic sampling method. We found that herpetofauna composition from RBV was similar to other communities from Paraná state that also occur within the Semideciduous Seasonal Forest. Finally, as additional information to the species list, we offer species identification keys and discuss the importance of Refúgio Biológico Bela Vista to harbor the anuran and reptile diversity of the region.

Resumo Informações sobre a ocorrência de espécies são fundamentais para a compreensão da distribuição da biodiversidade. Porém, a biodiversidade do oeste do Estado do Paraná tem sido historicamente menos estudada, especialmente a de anfíbios e répteis. Por esse motivo, apresentamos a primeira lista de espécies de répteis do oeste do Estado do Paraná e ampliamos a lista atual de anuros para o município de Foz do Iguaçu. A lista de espécies foi baseada em um estudo sistemático de campo realizado em uma área de conservação dentro da Usina Hidrelétrica Itaipu Binacional. Integramos a lista de espécies com observações de espécies anteriores disponíveis na literatura para o mesmo local onde nossa amostragem foi realizada. Um total de 41 espécies são apresentadas. Todas as espécies de anuros encontradas foram registradas em campo; entretanto, das 22 espécies de répteis registradas, três foram registros obtidos antes deste estudo. Todas as espécies foram classificadas como "Pouco Preocupante" e/ou tinham status de "População Estável" de acordo com a IUCN. A suficiência amostral foi alcançada para anuros, mas não para répteis, provavelmente devido à baixa abundância de diversas espécies de serpentes. A espécie de anuro mais abundante foi Dendropsophus nanus, da família Hylidae, enquanto Leptodactylus plaumanni e Scinax squalirostris foram representados por apenas um indivíduo cada. O lagarto Salvator merianae foi o réptil mais abundante, e sete espécies foram representadas por um indivíduo cada. O método de amostragem mais bem sucedido para anuros adultos foi a busca ativa em corpos d'água, enquanto a maioria das espécies de répteis foi observada por encontros acidentais e não através de um método de amostragem sistematizado. Descobrimos que a composição da herpetofauna do Refúgio Biológico Bela Vista foi semelhante à de outras comunidades do estado do Paraná que também ocorrem dentro da Floresta Estacional Semidecidual. Por fim, como informações adicionais à lista de espécies, oferecemos chaves de identificação das espécies e discutimos sobre a importância da área de Itaipu para abrigar a diversidade de anuros e répteis da região.

Validation of the Brazilian version of the Short Inventory of Grazing (SIG)

Abstract Objective Grazing is a disturbed eating pattern that has been associated with eating disorders and obesity. One of the new measures to investigate this eating behavior is the Short Inventory of Grazing (SIG), a two-item questionnaire that assesses grazing in general and grazing associated with the feeling of loss of control over eating (LOC grazing). However, the psychometric properties of the SIG have not been assessed in the Brazilian population. The present study aimed to cross-culturally adapt and validate a Brazilian version of the SIG. Methods The SIG was adapted to the Brazilian context following international guidelines. Then, 90 undergraduate students completed an online survey including questions from the SIG, the Binge Eating Scale (BES), the Patient Health Questionnaire-9 (PHQ9), the Generalized Anxiety Disorder-7 (GAD7), and a question related to self-reported health status. The internal consistency, test-retest reliability, and convergent validity of the questionnaire were assessed. Results The prevalence rates of at least one weekly episode of grazing in general and LOC grazing were 71.1 and 54.5%, respectively. The internal consistence of the SIG was acceptable (0.81). In addition, SIG scores on both items were positively and significantly associated with BES, GAD7, and PHQ9 scores, and with poorer self-rated health. However, SIG test and retest scores differed significantly. Conclusion Overall, the Brazilian version of the SIG demonstrated adequate psychometric properties. The instrument had adequate internal consistency, with both items exhibiting good convergent validity with related measures.

Preliminary checklist of dragonflies (Insecta: Odonata) of the Santa Catarina State, Brazil / Checklist preliminar de libélulas (Insecta: Odonata) do Estado de Santa Catarina, Brasil

Abstract In this study, we provide a checklist of the species of Odonata (Insecta) from the state of Santa Catarina (southern Brazil), along with their location records in the municipalities across the state (whenever possible). We compiled 147 species from 60 genera and nine families, making Santa Catarina the second state with the most Odonata species recorded in southern Brazil. The families with the highest number of species were Libellulidae (54 species from 18 genera), followed by Coenagrionidae (36 species from 17 genera), Gomphidae (20 species from ten genera) and Aeshnidae (15 species from eight genera). Several regions of Santa Catarina are unexplored (mostly the westernmost and central regions of the state), whereas the knowledge in the southern coast and the subtropical highland grasslands remains restricted to sparse occurrence records. Moreover, the distribution records in the state show an enormous historical track associated with the establishment of late entomologists in the region. Our study highlights the role of Atlantic Forest biome in maintaining high levels of diversity of Odonata species richness in Brazil and also shows that many areas in subtropical forests in Brazil are not adequately sampled.

Resumo Neste estudo, fornecemos um checklist das espécies de Odonata (Insecta) do estado de Santa Catarina (sul do Brasil), juntamente com seus registros de localização nos municípios do estado (quando disponíveis na literatura). Compilamos 147 espécies distribuídas em 60 gêneros e nove famílias, tornando Santa Catarina o segundo estado com mais espécies de Odonata registradas na região Sul do Brasil. As famílias com maior número de espécies foram Libellulidae (54 espécies distribuídas em 18 gêneros), seguida por Coenagrionidae (36 espécies distribuídas em 17 gêneros), Gomphidae (20 espécies distribuídas em dez gêneros) e Aeshnidae (15 espécies distribuídas em oito gêneros). Diversas regiões de Santa Catarina seguem inexploradas (principalmente as regiões centrais e do extremo oeste do estado), enquanto conhecimento no litoral sul e campos de altitude subtropicais permanecem restritos a registros pontuais de ocorrência. Além disso, os registros de distribuição no estado mostram um enorme legado histórico associado à fixação de entomologistas tradicionalmente lotados na região. Nosso estudo destaca o papel do bioma Mata Atlântica na manutenção de altos níveis de diversidade da riqueza de espécies de Odonata no Brasil e também mostra que muitas áreas de florestas subtropicais no Brasil não são amostradas adequadamente.

Checklist of Odonata species from Serra of Itabaiana National Park, and an update and new records for the state of Sergipe, Brazil / Checklist das espécies de Odonata do Parque Nacional da Serra de Itabaiana, e uma atualização e novos registros para o estado de Sergipe, Brasil

Abstract Understanding species diversity and distribution cannot be overstated in the development of effective management and biological conservation strategies. Our goal was to address the knowledge gap regarding dragonfly diversity in the northeastern Atlantic Forest, specifically in the Serra of Itabaiana National Park in the state of Sergipe, Brazil. During our study, we recorded 40 species and 969 Odonata individuals across six families and 25 genera. This study contributes 27 new occurrence records of Odonata species in Sergipe, Brazil, highlighting the significance of preserving and protecting the habitats of this region. Our findings provide valuable information on the distribution of dragonfly species in the state of Sergipe and the Northeast region.

Resumo A compreensão da diversidade e distribuição das espécies é fundamental para o desenvolvimento de estratégias efetivas de manejo e conservação biológica. Nosso objetivo foi abordar a lacuna de conhecimento sobre a diversidade de libélulas na Mata Atlântica nordestina, especificamente na Serra do Parque Nacional de Itabaiana, no estado de Sergipe, Brasil. Durante nosso estudo, registramos 40 espécies e 969 indivíduos de Odonata em seis famílias e 25 gêneros. Este estudo contribui com 27 novos registros de ocorrência de espécies de Odonata em Sergipe, Brasil, destacando a importância de preservar e proteger os habitats desta região. Nossos resultados fornecem informações valiosas sobre a distribuição das espécies de libélulas no estado de Sergipe e na região Nordeste.

Cross-Cultural Adaptation and Validation of the Persian Version of the M. D. Anderson Dysphagia Inventory

Abstract Introduction Dysphagia is a common issue in patients with head and neck cancer (HNC) and is known to negatively impact their quality of life. To evaluate the impact of dysphagia on the quality of life of HNC patients, the M. D. Anderson Dysphagia Inventory (MDADI) questionnaire was developed. Objective The present study aimed to culturally adapt and validate the MDADI for Persian-speaking individuals. The MDADI is a self-administered questionnaire designed to assess the impact of dysphagia on the quality of life of HNC patients. Methods The original MDADI questionnaire was translated into Persian using the forward-backward method, following the guidelines of the World Health Organization (WHO) for cultural adaptation. The content validity of the Persian version, MDADI-P, was assessed by 10 speech-language pathologists using the content validity index (CVI). Seventy-five HNC patients completed the MDADI-P to evaluate its convergent validity, which was determined by comparing the results with the Short-Form 36 (SF-36) questionnaire. Internal consistency and test-retest reliability were assessed using Cronbach α coefficient and intraclass correlation (ICC), respectively. Results The scale content validity index (S-CVI) for the MDADI-P was 0.90, indicating good content validity. The MDADI-P demonstrated satisfactory internal consistency (Cronbach α coefficient = 0.728) and test-retest reliability (ICC = 0.91). The total MDADI-P score exhibited a significant correlation with the physical and mental components of the SF-36 (0.456 and 0.349, respectively, p < 0.05). Conclusion The findings of the present study confirm the suitability of the MDADI-P in terms of content validity, construct validity, internal consistency, and test-retest reliability.

Efectos de un curso universitario de extensión sobre habilidades sociales de adolescentes / Efeitos de um curso universitário de extensão sobre habilidades sociais de adolescentes / Effects of a university extension course on adolescent's social skills

As habilidades sociais têm importante papel na vida escolar e profissional. Este estudo, de natureza descritiva e correlacional, analisa os efeitos de um Curso de extensão intitulado "Imersão na Universidade: você protagonista do seu futuro", sobre as habilidades sociais de estudantes do Ensino Médio da rede pública. Para tanto, aplicou-se o Inventário de Habilidades Sociais em Adolescentes (IHSA-DelPrette) no momento inicial e três meses após o término do curso, considerando dois indicadores: (1) frequência e (2) dificuldade com que reagiam às diferentes demandas de interação social. Verificou-se diferença estatisticamente significante entre os escores pré e pós intervenção (p = 0,014), evidenciando aumento da frequência das habilidades. Para a dificuldade não foi observada diferença significante, embora tenha ocorrido uma diminuição de 13,45%. A universidade pode ser um espaço não apenas para capacitação analítica e instrumental, mas para o desenvolvimento interpessoal tanto da comunidade interna quanto externa.

Las habilidades sociales poseen importante papel en la vida escolar y profesional. En este estudio, de naturaleza descriptiva y correlacional, se analiza los efectos de un Curso de extensión intitulado "Inmersión en la Universidad: usted es protagonista de su futuro", sobre las habilidades sociales de estudiantes de la enseñanza secundaria de la red pública. Para tanto, se aplicó el Inventario de Habilidades Sociales en Adolescentes (IHSA-DelPrette) en el momento inicial y tres meses tras el término del curso, considerando dos indicadores: (1) frecuencia y (2) dificultad con que reaccionaran a las diferentes demandas de interacción social. Se verificó diferencia estadísticamente significante entre los escores pre y tras intervención (p = 0,014), evidenciando aumento de la frecuencia de las habilidades. Para la dificultad no se observó diferencia significante, aunque haya sucedido una disminución del 13,45%. La universidad puede ser un espacio no solo para capacitación analítica e instrumental, pero también para el desarrollo interpersonal de la comunidad interna y externa.

Social skills play an important role in school and professional life. This descriptive and correlational study analyzes the effects of an extension course entitled "Immersion in the University: you are the protagonist of your future", about the social skills of High School students in public schools. To this end, the Inventory of Social Skills in Adolescents (IHSA-DelPrette) was applied at the beginning and three months after the end of the course, considering two indicators: (1) assiduity and (2) difficulties they had when handling the different demands of social interaction. There was a statistically significant difference between the pre and post intervention scores (p = 0.014), showing an increase in the frequency of skills. For difficulty, no significant difference was observed, although there was a decrease of 13.45%. The university can be a space not only for analytical and instrumental training, but for the interpersonal development of both the internal and external community.

To study the effect of 'Covishield' vaccination on pre-donation platelet counts of plateletpheresis donors

ABSTRACT Introduction: Approximately 55.52% of the Indian population had been fully vaccinated by Jan. 2022, since its first roll out on January 16, 2021. A few concerns were raised concerning the Covishield vaccination related to thrombotic thrombocytopenia. Apheresis-derived platelet concentrates are frequently required in a plethora of clinical situations and post-vaccination decrement of platelet counts might lead to increased deferral of the plateletpheresis donors. Objectives. The aim of the study was to discover the effect of the Covishield vaccination on deferral rates of plateletpheresis donors. Methods: Blood samples were collected from the potential platelet donors for the completion of the standard questionnaire for the complete blood count. The data collected were tabulated in the MS Excel spreadsheet and the biostatistical analysis was performed with the SPSS v23. A p-value of < 0.05 was taken as significant. We compared this data with age-and sex-matched controls. Results: The mean age of cases and controls was 29.69 ± 8.57 and 30.15 ± 7.11, respectively. There was a significant difference in platelet counts of cases (188496.35 ± 72065.66/cumm) and controls (269524.50 ± 53981.60/cumm). Furthermore, donors who received one dose had higher platelet counts of 248676.47 ± 80075.24/cumm than those who received both doses of vaccine (179970.83 ± 66773.73/cumm). The difference in deferral rates between the two groups was remarkable (34.7% vs. 0.9%, with the p-value < 0.001). Conclusion: Vaccination certainly increased the deferral rates of plateletpheresis donors due to low platelet counts. Average platelet counts were low in fully vaccinated individuals, however, the platelets returned to normal counts as the post-vaccination days progressed.

Síndrome de Burnout en residentes y posgrados de Neonatología en un centro hospitalario de tercer nivel: análisis situacional y seguimiento, período 2021-2023 / Burnout Syndrome in Neonatology Fellows in a Hospital Center: situational Analysis and Monitoring, Period 2021-2023 / Síndrome de burnout em residentes de neonatologia e pós-graduandos em um centro hospitalar de terceiro nível: análise e monitoramento situacional, período 2021-2023

Introducción: los residentes y posgrados son un eslabón central en los servicios hospitalarios. El síndrome de Burnout se define como el agotamiento físico y emocional resultado de la exposición crónica al estrés en el ámbito laboral. El Maslach Burnout Inventory (MBI-HSS) es un instrumento diseñado y validado para evaluarlo. El objetivo de este estudio es determinar la prevalencia del síndrome de Burnout en nuestro servicio y compararla entre los estudiantes de distintas generaciones para luego poner en marcha mecanismos que permitan realizar seguimiento, detección temprana e identificación de factores modificables. Material y método: estudio transversal, descriptivo, observacional, desarrollado en abril de 2021 a través de la realización del test MBI-HSS para el diagnóstico de situación. Este estudio continuará con una segunda etapa que consta de la aplicación del test cada cuatro meses, la cual no desarrollaremos en el presente trabajo. La población objetivo la constituyen todos los residentes y posgrados de la especialidad de Neonatología en un centro hospitalario de tercer nivel. Se aplicó el cuestionario MBI-HSS y un cuestionario general para caracterizar a la población. Resultados: se incluyeron un total de 22 participantes, de los cuales 13 presentaron puntajes altos de agotamiento emocional, 9 obtuvieron un valor alterado de despersonalización y 9 presentaron puntajes bajos de realización personal. Seis participantes (27%) presentaron puntajes alterados para las tres variables. Conclusiones: se evidenció una alta prevalencia de Burnout, el 27% en la población total. Se encontraron diferencias estadísticamente significativas para los ítems despersonalización y realización personal entre los distintos años de la especialidad, con mayor puntaje de despersonalización y menor puntaje de realización personal en los de segundo y tercer año. Esto constituye un elemento de alarma que exige la modificación inmediata del funcionamiento y de las actividades.

Introduction: Residents and postgraduates are a fundamental part of hospital services. Burnout Syndrome is defined as physical and emotional exhaustion resulting from chronic exposure to stress in the workplace. The Maslach Burnout Inventory (MBI-HSS) is an instrument designed and validated to evaluate it. The objective of this study is to determine the prevalence of Burnout Syndrome in our service and to compare it among students of different generations to then implement mechanisms that allow monitoring, early detection and identification of modifiable factors. Materials and methods: Cross-sectional, descriptive, observational study carried out in April 2021 through the Maslach Burnout Inventory - Human Services Survey (MBI-HSS) test to carry out a diagnosis of the situation. This study will continue with a 2nd stage consisting of the application of the test every 4 months, which we will not develop in this work. The target population is all residents and postgraduates in the neonatology specialty at a tertiary level hospital. The MBI-HSS questionnaire and a general questionnaire were applied to characterize the population. Results: A total of 22 participants were included, of which 13 presented high scores of emotional exhaustion, 9 obtained an altered value of depersonalization and 9 presented low scores of personal fulfillment. Six participants, 27%, presented altered scores for the three variables. Conclusions: A high prevalence of Burnout was evidenced, being 27% in the total population. Statistically significant differences were found for the items "depersonalization" and "personal fulfillment" between the different years of the specialty, with higher depersonalization scores and lower personal fulfillment scores in the second and third years. This constitutes an alarm element, which requires immediate modification of the operation and activities.

Introdução: Residentes e pós-graduandos constituem um elo central nos serviços hospitalares. A Síndrome de Burnout é definida como exaustão física e emocional resultante da exposição crônica ao estresse no ambiente de trabalho. O Maslach Burnout Inventory (MBI-HSS) é um instrumento elaborado e validado para avaliá-lo. Objetivo: O objetivo deste estudo é determinar a prevalência da Síndrome de Burnout no Serviço de Neonatologia do Centro Hospitalario Pereira Rossel e compará-la entre estudantes de diferentes gerações para então implementar mecanismos que permitam monitoramento, detecção precoce e identificação de fatores modificáveis. Materiais e métodos: Estudo transversal, descritivo, observacional realizado em abril de 2021 por meio do teste Maslach Burnout Inventory - Human Services Survey (MBI-HSS) para diagnóstico da situação. Este estudo continuará com uma 2ª etapa que consiste na aplicação do teste a cada 4 meses, que não desenvolveremos neste trabalho. A população-alvo são todos os residentes e pós-graduandos da especialidade de neonatologia de um hospital de nível terciário. O questionário MBI-HSS e um questionário geral foram aplicados para caracterizar a população. Resultados: Foram incluídos 22 participantes, dos quais 13 apresentaram escores elevados de exaustão emocional, 9 obtiveram valor alterado de despersonalização e 9 apresentaram escores baixos de realização pessoal. Seis participantes, 27%, apresentaram escores alterados nas três variáveis. Conclusões: Evidenciou-se uma alta prevalência de Burnout de 27% na população total. Foram encontradas diferenças estatisticamente significativas nos itens "despersonalização" e "realização pessoal" entre os diferentes anos da especialidade, com maiores pontuações de despersonalização e menores pontuações de realização pessoal no segundo e terceiro anos. Isto constitui um elemento de alarme, que requer modificação imediata do funcionamento e das atividades.

Coping with Transgressions by the Romantic Partner: An Inventory Validation and its Correlation with Forgiveness / Afrontamiento ante las Transgresiones de la Pareja: Validación de un Inventario y su Relación con el Perdón

Abstract Almost every person has to deal with transgressions committed by a romantic partner and faces their negative psychological outcomes, and coping strategies might be key to understanding post-transgression dynamics and forgiveness. We tested the construct validity of the Inventory of Strategies for Coping with a Partner's Transgression which include the emotion (E-FCS), problem (P-FCS), and meaning-focused coping strategies (M-FCS) scales. Results replicated the factor structure of each of the three scales through confirmatory factor analysis techniques, tested its reliability with the McDonald's omega coefficient, and then correlated the scales with forgiveness and resentment, strengthening its construct validity. In general, the validity and reliability of scales were confirmed. Emotion-focused strategies showed a negative correlation with forgiveness, while problem and meaning-focused strategies had a positive correlation. These findings were discussed in the context of theory and their practical implications.

Resumen Las personas tienden a lidiar con transgresiones cometidas por su pareja y enfrentar sus consecuencias psicológicas aversivas, por lo que las estrategias de afrontamiento pueden ser clave para la dinámica post-transgresión, y el perdón. Validamos tres escalas para medir estrategias de afrontamiento ante las transgresiones cometidas por la pareja: Estrategias enfocadas en la emoción (E-FCS), el problema (P-FCS) y el sentido (M-FCS). Los resultados muestran que las estructuras factoriales se replicaron en mediante análisis factoriales confirmatorios, se puso a prueba su confiabilidad mediante el coeficiente omega de McDonald, y finalmente se correlacionaron con el perdón y resentimiento, fortaleciendo su validez de constructo. En general los resultados muestran evidencia de validez de constructo y confiabilidad, en general los factores de la E-FCS se correlacionaron negativamente con al perdón, mientras que de P-FCS Y M-FSC lo hicieron positivamente. Se discuten los hallazgos a la luz de la teoría, y sus implicaciones prácticas.

Marathi translation, linguistic validation, and cross?cultural adaptation of M.D. Anderson dysphagia inventory in patients of head and neck squamous cell cancer

Background: Self?reported treatment outcome is a better way to measure patient抯 quality of life (QOL). This study was undertaken to translate dysphagia?specific QOL questionnaire M. D. Anderson Dysphagia Inventory (MDADI) in Marathi language, its linguistic validation, and cross?cultural adaptation in patients of head and neck squamous cell cancer (HNSCC). Methods: After Institutional ethics committee approval, MDADI was translated into Marathi with prior permission from the author of original English questionnaire (AOEQ). The translation procedure included � two forward translations (English to Marathi), formation of first intermediate Marathi translation (FIMT), two back translations (BT) (Marathi to English) of FIMT and interim Marathi translation (IMT) formation. Second intermediate Marathi translation (SIMT) was prepared after face validation of IMT by Marathi subject expert. Pretesting of SIMT was done in 10 patients of HNSCC for linguistic validation and cross?cultural adaptation. After incorporating the patients� suggestions, final Marathi translation was formulated and forwarded to primary author for approval. Results: The grammatically acceptable and conceptually equivalent face?validated SIMT was prepared and given to HNSCC patients. The questionnaire was well understood and unobjectionable reflecting its linguistic validity and cross?cultural adaptation. Some of the patients suggested changes in a few words which were then rectified, rechecked with BT, and the final Marathi translated questionnaire was prepared. The credit statement for AOEQ was used as a footnote in the translated questionnaire. Conclusion: Marathi translation of MDADI is well accepted and comprehensible. It can be used for future studies.

Effect of tinnitus on sound localization ability in patients with normal hearing

Abstract Objectives To determine whether tinnitus negatively impacts the accuracy of sound source localization in participants with normal hearing. Methods Seventy-five participants with tinnitus and 74 without tinnitus were enrolled in this study. The accuracy of sound source discrimination on the horizontal plane was compared between the two participant groups. The test equipment consisted of 37 loudspeakers arranged in a 180° arc facing forward with 5° intervals between them. The stimuli were pure tones of 0.25, 0.5, 1, 2, 4, and 8 kHz at 50 dB SPL. The stimuli were divided into three groups: low frequency (LF: 0.25, 0.5, and 1 kHz), 2 kHz, and high frequency (HF: 4 and 8 kHz) stimuli. Results The Root Mean Square Error (RMSE) score of all the stimuli in the tinnitus group was significantly higher than that in the control group (13.45 ± 3.34 vs. 11.44 ± 2.56, p = 4.115, t < 0.001). The RMSE scores at LF, 2 kHz, and HF were significantly higher in the tinnitus group than those in the control group (LF: 11.66 ± 3.62 vs. 10.04 ± 3.13, t = 2.918, p = 0.004; 2 kHz: 16.63 ± 5.45 vs. 14.43 ± 4.52, t = 2.690, p = 0.008; HF: 13.42 ± 4.74 vs. 11.14 ± 3.68, t = 3.292, p = 0.001). Thus, the accuracy of sound source discrimination in participants with tinnitus was significantly worse than that in those without tinnitus, despite the stimuli frequency. There was no difference in the ability to localize the sound of the matched frequency and other frequencies (12.86 ± 6.29 vs. 13.87 ± 3.14, t = 1.204, p = 0.236). Additionally, there was no correlation observed between the loudness of tinnitus and RMSE scores (r = 0.096, p = 0.434), and the Tinnitus Handicap Inventory (THI) and RMSE scores (r = −0.056, p = 0.648). Conclusions Our present data suggest that tinnitus negatively impacted sound source localization accuracy, even when participants had normal hearing. The matched pitch and loudness and the impact of tinnitus on patients' daily lives were not related to the sound source localization ability. Level of evidence 4.

Análisis psicométricos del Inventario de los Cinco Continuos de la Personalidad, versión corta (ICCP-SF) / Psychometric analyses of the Five Continua Personality Inventory, Short Form (FCPI-SF)

Resumen El objetivo de este trabajo fue generar una versión corta del Inventario de Cinco Continuos de la Personalidad (ICCP; de la Iglesia y Castro Solano, 2021). Para ello se analizó una muestra de 2 183 adultos de población general de edad promedio de 39.04 años (DE = 14.18; 51.95 % mujeres, 47.64 % varones, 0.41 % otro). Se obtuvo una versión corta de 55 elementos que cumplían con los criterios de calidad interna, externa y de juicio esperados. Los elementos resultaron claros, no redundantes y altamente correlacionados con la puntuación total de la escala a la que pertenecían (entre .89 y .96). Además, la estructura factorial de diez rasgos de la personalidad presentó un buen ajuste y buena consistencia interna. Las correlaciones entre las versiones cortas de las escalas y las largas fueron todas positivas y altas (entre .89 y .96). Además, los análisis de asociación con los criterios externos resultaron como se esperaba: los rasgos patológicos correlacionaron de manera directa con la presencia de sintomatología psicológica (entre .26 y .64) y de manera inversa con el bienestar (-.18 y -.43); los rasgos positivos y los índices de ajuste correlacionaron de manera inversa con la presencia de sintomatología psicológica (entre -.09 y -.53) y de manera directa con el bienestar (entre .11 y .44). Se concluye que la versión corta del ICCP resulta ser una medida psicométrica apropiada y se sugiere su uso para el ámbito de investigación o para instancias de rastrillaje en el ámbito aplicado.

Abstract This research aimed at developing a short version of the Five Continua Personality Inventory (FCPI; de la Iglesia y Castro Solano, 2021). The FCPI is a 120 item measure that operationalizes the Dual Personality Model (DPM). The DPM proposes that personality traits may and must be assessed in their pathological and positive aspects conjointly. DPM is based on the notion of traits conceived as dimensional and in the notion of continuum of traits. These two pillars allow to study the degree of presence of each trait (dimensionally) and their pathological and positive aspects (continuum). Pathological traits included in the model are negative affect, detachment, antagonism, disinhibition and psychoticism. Positive traits are serenity, humanity, integrity, moderation and sprightliness. An assessment of this kind would provide a notion of the total personality adjustment that considers both aspects of the phenomenon as well as an integrated view of personality functioning as a whole, in contrast to a dissociated one. The strengths of the DPM are: (1) the integrated view of personality that includes healthy and pathological aspects simultaneously; (2) the use of dimensional measures in contrast of categories; and (3) its link to current diagnostic nosologies (DSM-5). Since the FCPI could be considered too long for many instances of psychological assessment, the development of a shorter version could provide a more versatile measure. Shorter versions of this type of instruments are recommended for long research surveys and longitudinal studies since they would prevent the undesirable effect than long scales have on attrition rates or attention levels. To develop a shorter version three main aspects were considered: (1) the characteristics of the items that can be assessed by studying their association with each other (internal item qualities); (2) the correlation of the new instrument with other variables or indicators (external item qualities); and (3) the properties that exceed statistical analyses, such as clarity, non-redundancy, invasiveness and "face" validity (judgmental item qualities). Sample was composed of 2 183 adults of the general population with a mean age of 39.04 (SD = 14.18; 51.95 % female, 47.64 % male, 0.41 % other). A shorter version was obtained which had 55 items that met the internal, external and judgement quality criteria expected. Selected elements were clear, non-redundant and had a high correlation with the total score of the scale they belonged to (between .89 and .96). In addition, evidence of the ten-trait personality model (five pathological traits and five positive traits) was obtained by means of a confirmatory factor analysis since the structure showed an excellent fit. Internal consistency was assessed by Cronbach, ordinal and Omega alphas and their values were as expected and also indicated a good psychometric functioning of the scale. Associations between the long version and the short version of each scale were all positive and strong (between .89 and .96). Additionally, correlation analyses with external criteria resulted as expected: pathological traits were positively associated with psychological symptoms (between .26 and .64) and negatively associated with well-being (between -.18 and -.43); positive traits and adjustment indexes were negatively related to psychological symptoms (between -.09 and -.53) and positively related to well-being (between .11 and .44). An interesting result is that, when compared with the ten individual traits, indexes had stronger associations with psychological symptoms and well-being. It is possible that these combined measures have greater explanatory power since they provide an integrated view of personality in contrast to a disaggregated assessment. It is concluded that the short version of the FCPI meets the three criteria sought and it is an appropriate psychometric measure and it is suggested to be used for research purposes or for screening assessments in the applied fields.

How common is burnout? Are there protective factors? A study from a tertiary cancer center

Background: Heathcare professionals (HCPs) in the field of oncology face challenging clinical situations, difficult conversations, and death. This can seriously affect their physical and psychological health. Methods: One hundred and eighty doctors and nurses participated in this descriptive study. The primary objective was to determine the proportion of burnout in HCPs in a tertiary care cancer hospital. The secondary objectives included assessment of psychological morbidity, correlation of burnout with demographic factors and years of experience, and resilience and its correlation with burnout. Data were collected using Maslach Burnout Inventory, General Health Questionnaire� (GHQ-28), and a Resilience scale (Dr. Vijaya Lakshmi and Dr. Shruti Narain). Descriptive statistics correlation and regression analysis were used to analyze the data. Results: One hundred and twenty-six (70%) respondents were young adults. Thirty-two (17.78%) respondents had a high Emotional Exhaustion (EE) score. A high Depersonalization score (DP) was seen in 24 (13.33%) and a low sense of Personal Accomplishment (PA) was perceived by 22 (12.22%). More nurses (55, 52.4%) had high resilience scores compared with doctors (21, 28%). Doctors (21, 28%) experienced more psychological morbidity than nurses (15, 14%). Among the domains of GHQ-28, high scores were observed in Somatic, Anxiety/Insomnia, and Social Dysfunction (mean 4.44 � 3.92, 4.61 � 3.85, and 4.54 � 3.16, respectively) and low scores in the severe depression domain (mean 2.48/�29). Conclusion: Fifteen to eighteen percent of HCPs scored high levels of EE, DP, and low PA. Burnout was more common in doctors who had worked in the cancer center for longer. However, the converse was true for nurses. HCPs with high resilience scores had less burnout. Age and resilience protect from burnout.

Prevalence and Factors Associated With Depression among School Going Adolescents in Bengaluru: A Cross-Sectional Study

Introduction: The period of adolescence involves a lot of emotional changes as it is a period of transition to adulthood demanding independence.Adolescents with depression are more likely to have anxiety, disruptive behavior disorder and substance abuse when compared to those who are not depressed. Objective: To estimate the prevalence of depression among school going adolescents and to assess the factors associated with depression among them. Method: A cross-sectional study was conducted among school going adolescents aged 13-16 years in the urban field practice area of a Medical College. Depression was assessed using Beck's depression inventory (BDI). Total 896 adolescents were included in this study. Single stage cluster sampling method was done in which schools were considered as clusters and students constituted the sampling units. Schools were selected by simple random sampling technique using lottery method. Results: In this study about 45.2% of the adolescents had depressive disorder, out of which mild depression was reported among 22.2% students, 12.4% moderately depressed and 10.6% severe depression. Factors like mother's education, lack of communication by father and mother with their children, lack of needs satisfied by the fathers of the adolescents (61.9%), father's role in adolescents' life (62%) and domestic violence in family (69.7%) were some of the important reasons for developing depression among adolescents. Adolescent whose parents were having conflict (69.2%) were found be depressed when compared to those adolescents whose parents had no conflicts this difference was statistically significant (p<0.05). Conclusion: The prevalence of depression was found to be 45.2%. Finding of the study emphasizes the need for creating awareness about the early identification of behavioral changes leading to depression among adolescents by the parents and teachers. It is also important to emphasize to the parents on how their relationship and behavior towards the family affects the mental wellbeing of the adolescents.

Incidência de infecção do trato urinário em unidade de terapia intensiva: implementação de um checklist assistencial / Incidence of urinary tract infection in intensive care unit: implementation of assistance checklist / Incidencia de infección del tracto urinario en una unidad de cuidados intensivos: implementación de una lista de verificación de cuidados

Objetivo: Avaliar a efetividade do checklist reconstruído por uma equipe interdisciplinar, como estratégia de redução de incidência de infecção do trato urinário e do tempo de permanência do uso do cateter vesical de demora em uma Unidade de Terapia Intensiva Adulto. Métodos: Estudo quantitativo, retrospectivo, observacional, realizado entre os meses de janeiro de 2018 a junho de 2019, em Unidade de Terapia Intensiva de um hospital universitário da Cidade de Ponta Grossa ­ Paraná. O checklist, implementado na instituição, é baseado no Centers for Disease Control and Prevention, na prevenção de infecções relacionadas a assistência à saúde. Os dados foram analisados pelo teste t-student. Resultados: Observou-se uma redução de casos novos após a implementação do checklist (p=0,0005), e nos dias de permanência com o cateter vesical de demora, que teve uma média (115,3) antes do checklist ser implementado, diminuindo para (69,6) após. Conclusão: As ações desenvolvidas pelos profissionais de saúde trazem resultados atenuantes na redução de Infecções relacionadas à assistência à saúde. (AU)

Objective: To assess the effectiveness of the checklist reconstructed by an interdisciplinary team, as a strategy to reduce the incidence of infection from urinary treatment and the time of permanence of the use of a delay bladder catheter in an Adult Intensive Care Unit. Methods: Quantitative, retrospective, observational study, carried out between the months of January 2018 to June 2019, in the Intensive Care Unit of a University Hospital of the City of Ponta Grossa - Paraná. Or checklist, implemented by the institution, based on the Centers for Disease Control and Prevention, on the prevention of infections related to health care. The given foram analyzed hair test t-student. Results: Observation of a reduction of new cases after the implementation of the checklist (p = 0.0005), and the days of permanence with a late bladder catheter, which had a mean (115.3) before the checklist was implemented, decreasing to (69.6) after. Conclusion: The actions developed by health professionals bring attenuating results in the reduction of Healthcare-Related Infections. (AU)

Objetivo: Evaluar la efectividad del checklist reconstruido por un equipo interdisciplinario, como estrategia para reducir la incidencia de infección del tracto urinario y el tiempo de estadía en el uso de catéteres urinarios permanentes en una Unidad de Cuidados Intensivos de Adultos. Métodos: Estudio observacional cuantitativo, retrospectivo, realizado entre enero de 2018 y junio de 2019, en la Unidad de Cuidados Intensivos de un hospital universitario de la ciudad de Ponta Grossa - Paraná. La lista de verificación, implementada en la institución, se basa en los Centros para el Control y la Prevención de Enfermedades, en la prevención de infecciones relacionadas con la salud. Los datos se analizaron mediante la prueba t-student. Resultados: Hubo una reducción de casos nuevos luego de la implementación de la lista de chequeo (p = 0.0005), y en los días de estadía con el catéter urinario permanente, que tuvieron un promedio (115.3) antes de la implementación de la lista de chequeo, disminuyendo a (69.6) después. Conclusión: Las acciones realizadas por los profesionales de la salud traen resultados mitigantes en la reducción de infecciones relacionadas con la atención de la salud. (AU)

The Agreement between State-Trait-Anxiety-Inventory (STAI) and Beck Anxiety Inventory (BAI) on Measuring Anxiety Level Among Adult Patients Before Venepuncture Procedure

@#Introduction: Venepuncture procedure is painful and anxiety associated with venepuncture is common. There are many tools for assessing anxiety levels in an outpatient setting. Hence, this study is to compare the degree of agreement between State-Trait-Anxiety-Inventory (STAI) and Beck Anxiety Inventory (BAI) for measuring anxiety levels among adult patients before venepuncture procedure. Methods: A cross-sectional pilot study was conducted among patients while waiting for a venepuncture procedure in the Phlebotomy Unit, UiTMMC in April 2020. The Malay-validated version of the State-Trait-Anxiety-Inventory (STAI) and Beck Anxiety Inventory (BAI) were used to assess the anxiety level. Differences between sets of data were plotted as described by Bland-Altman to determine the agreement between these two assessment tools. Results: A total of 330 patients participated in the study with a mean age of 46.34 ± 14.34 years old and gender was equally distributed. The scores of state-anxiety (STAI-S), trait-anxiety (STAI-T) and BAI score were 30.04 ± 20.74; 29.51 ± 19.11; and 40.98 ± 20.45, respectively. The score of anxiety using BAI was higher compared to STAI-S (p<0.001) and STAI-T (p<0.001). The mean difference between the STAI-S and BAI was -10.94 (95%CI: -53.01, 26.87) and between the STAI-T and BAI was -11.47 (95%CI: -42.26, 19.32). However, very few patients’ scores outside the 95% LOA for both differences. Conclusion: The STAI and BAI are concordances in measuring anxiety levels among these patients. However, the anxiety score using BAI was higher than STAI. Thus, both assessment tools can be used in clinical practice in measuring anxiety in the out-patients setting.

Burnout Among Critical Care Personnel In Intensive Care Unit During COVID-19 Pandemic In A Malaysian Tertiary Hospital

@#Introduction: During the early phase of Coronavirus disease (COVID-19), there were various uncertainties, which had a detrimental impact on the prevalence of burnout among critical care personnel worldwide. This study aims to investigate the prevalence of burnout and its associated factors in critical care personnel involved in the COVID-19 pandemic. Methods: This is a single-center, cross-sectional study with 81 critical care personnel for a survey using Copenhagen Burnout Inventory. Binary logistic regression analysis was conducted to identify factors associated with personal burnout. Results: More than half of the respondents were female (60.5%) over the age of 30 (61.7%), and 54.3% were medical doctors. A large number (72.8%) of the respondents experienced personal burnout, with twothirds of them experiencing work-related (65.4%) and client-related burnout (59.3%). Personal burnout was found to be associated with those who had children [OR: 11.31 (1.90, 67.37), p = 0.008], stayed with family, relatives, or friends [OR: 9.40 (1.27, 69.46), p = 0.028], were medical doctors [OR: 26.52 (2.79, 252.22), p = 0.004], worked more than 45 hours per week [OR: 8.68 (1.45, 58.09), p = 0.018], and previously never had COVID-19 viral test [OR: 6.93 (1.17, 40.89), p = 0.033]. Conclusion: Overall, more than half of the critical care personnel experienced burnout. There were possible associations between personal burnout with social characteristics such as having children and living with family, relatives, or friends, and occupational characteristics such as being a medical doctor, long working hours, and previously never had COVID-19 viral test.

Influential factors of the efficacy of tinnitus multivariate integrated sound therapy for the treatment of subjective tinnitus / 中国基层医药

Objective:To investigate the influential factors of the efficacy of tinnitus multivariate integrated sound therapy (T-MIST) in the treatment of subjective tinnitus.Methods:A total of 431 patients with subjective tinnitus who received treatment in The First Affiliated Hospital of Xiamen University from June 2019 to June 2020 were included in this study. A cross-sectional study method was used to conduct refined testing on tinnitus patients using the T-MIST matching platform. The severity of tinnitus patients was evaluated using the Tinnitus handicap inventory scale. SPSS software was used to analyze the factors affecting the effectiveness of the T-MIST for subjective tinnitus based on patients' basic characteristics.Results:Multivariate logistic regression analysis showed that compared with patients with short-term tinnitus, OR (95% CI) was 1.982 (1.033-3.804), P = 0.040, in patients with 3-12 months of disease duration, OR (95% CI) was 2.411 (1.322-4.396), P = 0.004 in patients with > 12 months of disease duration. With the increase in tinnitus handicap inventory score, the efficacy of T-MIST became better [ OR (95% CI) = 1.014 (1.004-1.024), P = 0.007]. The efficacy of T-MIST was better in the hearing compensation-effective patients [ OR (95% CI) = 0.133 (0.081-0.216), P < 0.001]. Conclusion:The course of the disease, tinnitus handicap inventory score, and effective hearing compensation are the influential factors of T-MIST. They can provide evidence for the treatment of subjective tinnitus.

Impact of COVID-19 epidemic on inventory of red blood cells in local and municipal blood stations in China / 中国输血杂志

【Objective】 To evaluate and analyze the impact of COVID-19 epidemic on inventory of red blood cells (RBCs)in local and municipal blood stations in China, and to provide reference for the management of public health emergencies. 【Methods】 Relevant data from 2018 to 2021 were collected, and the differences in the volume of qualified RBCs, the usage efficiency of inventory RBCs, the average daily distribution of RBCs,the blood distribution rate of RBCs prepared by 400 mL whole blood, the difference in the average storage days of RBCs at the time of distribution, the average daily inventory of RBCs and the time of the average daily inventory of RBCs to maintain the distribution in 24 local and municipal blood stations in China during the COVID-19 epidemic and non-epidemic periods were retrospectively analyzed. 【Results】 Compared with non-epidemic periods, the volume of qualified RBCs [(117 525.979 ±52 203.175)U] and the average daily distribution of RBCs [( 156. 468 ± 70. 186) U ] increased significantly, but the usage efficiency of inventory RBCs decreased(97.24%±0.51%) significantly (P0.5). 【Conclusion】 During the COVID-19 epidemic, the inventory management of RBCs operated well, the overall inventory remained relatively stable, the stock composition and storage period showed no significant change.

Status and influencing factors of occupational health literacy among workers in automobile manufacturing industry in Beijing City / 中国职业医学

Objective To analyze the current status and influencing factors of occupational health literacy(OHL) among workers in automobile manufacturing industry in Beijing City. Methods A total of 1 639 frontline workers from 15 automobile manufacturing enterprises in Beijing City were selected using stratified cluster sampling method. The National Occupational Health Literacy Monitoring for Key Groups Questionnaire was used to investigate the OHL of the workers. Results The overall awareness of OHL was 60.5% in these 1 639 automobile manufacturing workers. The awareness of OHL in the four dimensions, from high to low, were basic knowledge of occupational health protection, info of healthy working style and behaviors, legal knowledge of occupational health and basic skills of occupational health protection (82.1% vs 73.2% vs 57.5% vs 43.3%, P<0.01). The multivariate logistic regression analysis results showed that gender, marriage status, education level, personal monthly income and enterprise scale were influencing factors of OHL of automobile manufacturing workers (all P<0.05). Conclusion The OHL awareness among workers of automobile manufacturing industry in Beijing City, especially the basic skills of occupational health protection and the legal knowledge of occupational health, needs to be improved. It is essential to focus on promotion and intervention of occupational health in female workers, those with low education levels, low-income levels, and workers in small- and medium-sized enterprises.