bluuebunny/crossref_metadata_2025 huggingface dataset:
Three new species of Nautilus Linnaeus, 1758 (Mollusca, Cephalopoda) from the Coral Sea and South Pacific
Authors: Barord Gregory J. , Combosch David J. , Giribet Gonzalo , Landman Neil , Lemer Sarah , Veloso Job , Ward Peter D.
Published: January 2023

Nautiloids are a charismatic group of marine molluscs best known for their rich fossil record, but today they are restricted to a handful of species in the family Nautilidae from around the Coral Triangle. Recent genetic work has shown a disconnect between traditional species, originally defined on shell characters, but now with new findings from genetic structure of various Nautilus populations. Here, three new species of Nautilus from the Coral Sea and South Pacific region are formally named using observations of shell and soft anatomical data augmented by genetic information: N. samoaensissp. nov. (from American Samoa), N. vitiensissp. nov. (from Fiji), and N. vanuatuensissp. nov. (from Vanuatu). The formal naming of these three species is timely considering the new and recently published information on genetic structure, geographic occurrence, and new morphological characters, including color patterns of shell and soft part morphology of hood, and will aid in managing these possibly endangered animals. As recently proposed from genetic analyses, there is a strong geographic component affecting taxonomy, with the new species coming from larger island groups that are separated by at least 200 km of deep water (greater than 800 m) from other Nautilus populations and potential habitats. Nautilid shells implode at depths greater than 800 m and depth therefore acts as a biogeographical barrier separating these species. This isolation, coupled with the unique, endemic species in each locale, are important considerations for the conservation management of the extant Nautilus species and populations.
La prématurité au fil du temps : fonction des soignants dans le tissage des enveloppes psychiques
Authors: Bréhat Cécile , Ravier Anaïs
Published: January 2023

À partir de deux recherches en psychopathologie clinique, les auteures proposent une dialectisation des enjeux de la construction du lien mère-enfant dans le temps entourant une naissance très prématurée et plusieurs années après en illustrant leur propos par deux vignettes cliniques issues de leur corpus. La première recherche a été réalisée à partir d’une analyse discursive et thématique d’entretiens menés auprès de quinze femmes primipares. La deuxième recherche s’appuie sur une méthodologie qualitative à partir d’études de cas dans le cadre de suivis en camsp . Ces deux recherches mettent en exergue l’impact du traumatisme dans la construction du lien, notamment dans la difficulté à construire un « regard auréolé » qui a une fonction de contenant. Elles permettent de préciser la spécificité des fonctions des différentes enveloppes psychiques constituées par les professionnels de soin au regard de la temporalité dans laquelle elles prennent place et des enjeux intersubjectifs repérés.
Un regard psychanalytique sur les visites médiatisées : le rôle de la contenance dans le soutien à la parentalité
Authors: Janin Maxime
Published: January 2023

Le présent article s’appuie sur une pratique psychologique dans le cadre de visites médiatisées. Il cible notamment les entretiens cliniques réalisés par le psychologue avec les parents dans l’après-coup des visites médiatisées et a pour objectif de saisir l’enjeu clinique de ces temps d’entretiens. Deux vignettes cliniques permettent d’esquisser les potentialités des rencontres en l’absence des enfants. Il apparaît que ces entretiens favorisent le rétablissement d’une activité de mentalisation et de symbolisation. Enfin, une discussion métapsychologique éclaire les études de cas.
« J’avais juste envie de baffer le client, mais bon »
Authors: Bazdah Myriam , Allard-Poesi Florence
Published: January 2023

Reprenant les théories de la dissonance, cet article met au jour les sources de dissonance ressentie par les consultants ainsi que les leviers organisationnels susceptibles de réduire cette dissonance. S’appuyant sur l’observation de missions de conseil en management et de 19 entretiens avec des consultants et managers, cette recherche révèle des phénomènes 1/ de dissonance cognitive induite par un écart entre les compétences et/ou aspirations professionnelles des consultants et le type de missions auxquelles ils sont affectés, 2/ de dissonance émotionnelle suscitée par le comportement irrespectueux du client. Ces résultats contribuent à la littérature existante en soulignant la dimension normative des dissonances ressenties, celles-ci étant suscitées par un écart entre les attentes des consultants induites par les normes professionnelles du métier et les pratiques effectives des cabinets et des clients. Ils soulignent également en quoi l’accompagnement managérial et le soutien social sont susceptibles de modérer voire prévenir ces états de dissonance.
Quelles stratégies individuelles pour s’intégrer ?
Authors: Fournier Céleste , Perrot Serge
Published: January 2023

Les stratégies et tactiques individuelles d’ajustement constituent l’un des volets de la littérature sur la socialisation organisationnelle, qui renvoie au processus d’intégration des individus dans les organisations. La littérature a permis d’identifier des typologies de comportements proactifs (tactiques), et plusieurs finalités génériques associées à ces comportements (stratégies). Cependant, la plupart des recherches se fonde sur des échantillons classiques comme des jeunes diplômés lors de leur premier emploi. Cette recherche propose de compléter l’analyse des stratégies et tactiques associées dans un contexte extrême, celui des infirmières de l’arctique québécois. Nous qualifions ce contexte d’extrême en matière de socialisation car il est caractérisé par une grande distance (voire absence) de l’organisation (l’hôpital). En effet, les infirmières évoluent dans des équipes très réduites, en autonomie dans une zone isolée, et l’essentiel du processus de socialisation repose donc très largement sur les individus, et très faiblement sur l’hôpital. Nous faisons ainsi émerger deux nouvelles finalités des stratégies individuelles d’ajustement, qui complètent la littérature existante et constituent autant de repères pour repenser les pratiques d’intégration.
Handicap, musique et petite enfance
Authors: Bouteloup Philippe
Published: January 2023

En partant de l’origine du mot handicap, en passant par l’égalité des droits puis par les nourritures culturelles et l’exemple d’enfants malentendants, il s’agira de montrer comment la musique vivante et active participe à l’éveil artistique et culturel et à l’inclusion des jeunes enfants en situation de handicap.
« C’était peut-être à cause de moi ? »
Authors: Joselin Laurence , Dayan Clémence
Published: January 2023

Cette contribution met en regard les résultats des recherches concernant le vécu des frères et sœurs d’un enfant en situation de handicap et la représentation qu’en donne la littérature de jeunesse, via l’analyse de dix albums, édités entre 2006 et 2022, dont la voix narrative appartient à un membre de la fratrie. Les trames narratives mettent fidèlement en scène les principaux éléments observés par la recherche : désarroi et incompréhension au moment de l’annonce, questions complexes que pose le processus d’identification/différenciation, culpabilité et honte, ou bénéfices de la parentification. Mais elles abordent explicitement des émotions souvent réprimées par les frères et sœurs d’enfants en situation de handicap, telles que l’agressivité ou la jalousie. Aussi, les enfants peuvent trouver dans les albums un écho à ce qu’ils vivent mais ne peuvent pas forcément exprimer, et les albums se révèlent un support précieux pour parler des affects en lien avec la situation de handicap.
Comment accueillir un enfant différent ?
Authors: Korff-Sausse Simone
Published: January 2023

L’auteure décrit un certain nombre de conséquences lorsque l’enfant qui naît est différent. Devenir père ou mère d’un enfant handicapé est un véritable traumatisme qui touche toute la famille : parents, grands-parents, fratrie. L’anormalité pose des questions douloureuses à propos de la transmission et de la filiation qui auront un impact sur la construction identitaire de l’enfant lui-même.
Tempêtes et marées de l’accompagnement
Authors: Gardou Charles
Published: January 2023

Le texte reprend des extraits de l’ouvrage de Charles Gardou, La fragilité de source. Ce qu’elle dit des affaires humaines , paru en mars 2022 aux éditions érès. Quel peut être le statut d’un être totalement tributaire de celui qui donne et qui peut être tenté de devenir maître de son destin ? Tel est l’enjeu de la première partie. La deuxième aborde la question des accompagnants « pas comme les autres ». La dernière débat de la société inclusive espérée, notamment, par les « personnes empêchées ».
Jeanne, éducatrice de jeunes enfants et référente santé en crèche
Authors: Borson Jeanne
Published: January 2023

Il s’agit du témoignage d’une éducatrice, référente et accompagnante d’enfants en situation de handicap et de leurs familles, et référente du projet Handicap à la Crèche de la Friche.
« Lire aux bébés » et soins en périnatalité : une expérience innovante en unité parents-bébé
Authors: Boulaire Cécile , Fidry Elise , Loncle Coline , Métais Catherine , Saby Agathe
Published: January 2023

Depuis deux ans, une expérience innovante de lecture d’albums en unité parents-bébé à Amboise vient démontrer la richesse et la complémentarité entre les soins et les propositions culturelles. La lecture, adressée, d’albums de littérature jeunesse vient faire tiers, ouverture vers le monde social dans l’univers soignant de la psychiatrie périnatale. Le dispositif articulé culture/soin semble potentialiser les processus thérapeutiques en cours dans le lien parent-bébé. Cet article présente ce dispositif puis l’illustre autour d’une situation clinique.
La guerre et la question de l’ illimité
Authors: Hoffmann Christian
Published: January 2023

La guerre de la Russie contre l’Ukraine et l’Occident nous rappelle qu’il y a des guerres , et ce ceci depuis les Grecs, dont la plus redoutée est la guerre globale ou la guerre de destruction. La psychanalyse apporte sa contribution aux sciences politiques qui essayent de faire une lecture de ces barbaries humaines. Nous développons une réflexion en interrogeant le caractère limité ou illimité d’une guerre, qui ouvre, ou pas, sur sa fin par une réconciliation en redonnant le pouvoir de la limite à la parole.
De la situation anthropologique et fondamentale du sujet âgé
Authors: Gutton Philippe
Published: January 2023

L’objectif de cet article est de distinguer et de souligner les deux modèles de processus dans le cadre de la subjectivation au grand âge. Processus négatif blessant le fonctionnement de la deuxième topique et posant la question de l’être et de l’identité ; processus positif favorisant la créativité et la valorisation de l’Autre, resignifiant le maternel.
Temporalité, identité
Authors: Bertrand Michèle
Published: January 2023

comment définir l’identité propre du sujet ? On a tendance à considérer l’identité comme permanence dans le changement. Mais l’identité n’est-elle pas construite dans le temps ? Se référant à la fois à Freud, à Piera Aulagnier, et à Ricoeur, l’auteur propose de définir l’identité comme une auto-construction du Je.
Le Conseil constitutionnel garant du caractère unitaire de l’État ?
Authors: Haquet Arnaud
Published: January 2023

Le Conseil constitutionnel défend la forme de l’État prévue dans la Constitution. Celle de « l’État unitaire » n’est certes pas mentionnée de façon expresse dans le texte constitutionnel, mais les éléments qui la caractérisent apparaissent. De surcroît, le juge constitutionnel ne peut ignorer la forme unitaire traditionnellement reconnue à l’État français. Cette forme a néanmoins évolué. Depuis la révision de la Constitution de 2003, l’«  organisation » de la République «  est décentralisée  ». Un État unitaire décentralisé est supposé reposer sur un équilibre entre l’unité et la pluralité. Pour autant, le Conseil constitutionnel n’a pas renoncé à défendre l’unité de la structure politique et juridique de l’État.
La décentralisation : étude comparative au sein de l’UE
Authors: Blairon Katia
Published: January 2023

La plupart des États de l’Union européenne connaissent un double mouvement décentralisateur : intégrant progressivement la démocratie locale, la décentralisation fait l’objet de réformes régulières consistant dans des transferts de compétences supplémentaires aux collectivités locales et une incitation à leurs regroupements. Cette convergence est d’autant plus remarquable que les États européens font preuve d’une très grande diversité. La décentralisation obéit en effet à des modèles opposés dans les États unitaires et fédéraux. Elle est modérée dans les premiers, soucieux de privilégier une centralisation de la prise de décision ; elle est au contraire exacerbée dans les seconds désirant valoriser une tradition locale. La décentralisation connaît enfin des modulations en faveur de certaines régions, façonnant une décentralisation à la carte.
La décentralisation en Espagne (notamment le cas de l’Andalousie)
Authors: Cerda-Guzman Carolina
Published: January 2023

Alors qu’elle ne la précède que de quelques années, la décentralisation espagnole s’avère extrêmement différente de celle mise en place en France. Conçue avant tout comme une autonomie politique, elle se caractérise par l’important transfert de compétences au niveau local, mais aussi par une grande hétérogénéité de situations. Si cette radicalité a longtemps constitué sa force, cet élan décentralisateur semble aujourd’hui en souffrance. La cause est souvent mise sur le conflit catalan. Toutefois, en analysant ce processus à travers une autre communauté autonome, moins polarisante comme c’est le cas de l’Andalousie, on perçoit alors que la faille réside dans le modèle étatique lui-même. Faute de clarification de la nature de l’État autonomique espagnol, celui-ci se trouve aujourd’hui confronté à de nombreux dysfonctionnements qui révèlent sa profonde vulnérabilité.
Kalanchoe dineshii (Crassulaceae), a new species from southern Western Ghats, India
Authors: Radh Sasi Syam , Nampy Santhosh
Published: January 2023

A new species of Kalanchoe (Crassulaceae), K. dineshii Syam Radh & Nampy, is described and illustrated. The new species occurs in the Mathikettan Shola National Park in southern Western Ghats, Kerala, India, and it is only known from the Idukki district. It is morphologically most similar to K. bhidei, but distinguished from the latter by its small stature (30-40 cm high), obovate to obtrullate sessile leaves adnate to stem in the basal ¼th, and widely ovate calyx lobes. Information is also given on the distribution, habitat, phenology, and conservation status of the new taxon.
Development of a Fuzzy Model and Usability Test of a Recommended Interface Design for Mobile Phones for Elderly Users
Authors: Polnigongit Weerapong , Chanwimalueng Waiwit , Fitzgerald Sandey
Published: January 2023

Although mobile phone application developers aim to design software to be user-friendly, elderly users report having problems with flexible user interfaces. The purpose of this study was to examine a range of flexible user interface designs for mobile phones with the aim of locating and addressing the limitations reported by elderly users. Accordingly, a fuzzy model drawing on a range of variables was developed from an age/vision impaired related data set for the development of a variety of basic design elements for user interfaces. The model was tested to assess the preciseness and accuracy of its functions, achieving a Mean Absolute Error (MAE) close to 0 and an Effectiveness Index (EI) close to 1, giving the model a high value for effectiveness. A subsequent usability test of the generated design interfaces using four types of mobile phones (18 screens in all) was conducted among 25 elderly users with vision impairment.  The findings showed that the size and shape of both numeric and function buttons was a significant factor in assessing phone usability both for communication and for social media use, as was text and number size, although, significantly, the latter was qualified by screen size. Recommended numeric and dial function button sizes are 15.6mm and 16.2 mm, respectively. Likewise, recommended text and numbers sizes are 14 and 25 points, respectively. Furthermore, square-shaped buttons with rounded-edge buttons are the most suitable for elderly users, as is a background in a light shade, with texts and icons in dark colors. The model demonstrates that it is possible to design user interfaces with particular groups in mind such as the elderly and vision-impaired, in order to enhance mobile phone usability for these groups.
Factors Behind Virtual Assistance Usage Among iPhone Users: Theory of Reasoned Action
Authors: Farhi Faycal , Jeljeli Riadh , Zahra Ala'aldin , Saidani Salami , Feguiri Leila
Published: January 2023

Smartphone usage is increasing due to several features and opportunities offered by manufacturers and service providers. Existing literature attributes this increased usage to the availability of virtual assistants, mainly voice assistants, that ensure users' facility and maximum benefit. This research also focused on the factors behind voice assistant usage, particularly in iPhones among users in the United Arab Emirates. Notably, the conceptual framework in this research is supported by the Theory of Reasoned Action. The researchers adopted a cross-sectional design and gathered data from n= 251 respondents. Data analysis through Structural Equation Modelling revealed that, Perceived Ease of Use, Subjective Norms, and Perceived Behavioral Control work as significant factors contributing to iPhone-based voice assistant usage. On the other hand, Expectation Confirmation also works as a significant factor in Siri usage. On the other hand, Satisfaction significantly mediated (p> .022) the users’ Expectation Confirmation leading to Siri usage among the respondents. Further, the Artificial Neural Network Analysis (ANN) revealed an overall accuracy regarding Training at 14.8% and 30.8% concerning Testing. Thus, it is concluded that the devices accompanied by ease of use are preferred due to their distinguished services. In this regard, highlighting voice assistants' help also reflects the importance of technology in our daily lives. Especially mobile computing is playing a significant role in improving our everyday technology experiences.
Proposed Multi-Layer Firewall to Improve the Security of Software Defined Networks
Authors: AbdulRidha Hussein Mohammed
Published: January 2023

one of the most important motivations behind the use of software-defined networking (SDN) is the desire to move from the approach of traditional networks to a more flexible and intelligent software development technology. This paper focuses on the importance of the SDN-based platform POX controller security firewall modules and its effectiveness on networks including the central administration of the SDN-based platform controller for protecting the network from possible attacks. The work is performed using the Mininet emulator with the aid of iperf bandwidth measurement tool.  Result reveals that the proposed multi-layer firewall does not compromise the flexibility of the network in any way.
Surface Coating Modification of Lithium-Rich Manganese-Based Oxide as Cathode Material for Lithium-Ion Batteries
Authors: Bu Sheng Zhou , Long Yu Xing , Zhang Liang Bin , Lu Mei Yan , Li Yue Mei , Wei Dan , Xia Yong Peng , Luo Yu Mei , Qiu Shu Jun , Xu Fen , Sun Li Xian , Chu Hai Liang
Published: January 2023

Lithium-rich manganese-based oxides (Li1.2Mn0.54Ni0.13Co0.13O2, LMNCO) as cathode materials were prepared by the sol-gel method. Then, LMNCO was coated with γ-basic manganese oxide (γ-MnOOH) to form the composite cathodes. Through the structural characterization and performance test, it is found that the composite cathode with 10% γ-MnOOH coating exhibits the best electrochemical performance. After 50 cycles at 0.1 C (1 C = 200 mA g-1), the specific discharge capacity is 264.4 mAh g-1 with capacity retention of 96.1%. Even at a high current density of 1C, its discharge capacity reaches up to 200.5 mAh g-1 after 30 cycles, which suggests that surface coating of γ-MnOOH is an effective strategy for further enhancing the electrochemical performance of LMNCO.
Analyse the Effect of Glasswool Roof Insulation Based on the Orientation of the Room to the Sun
Authors: Yanto Budi , Lim Chong Lye , Hassan Cik Suhana , Shahul Syafiq
Published: January 2023

In the countries with tropical climates such as Malaysia, humidity and hot weather are well-regarded; this weather can affect the heat conditions and indoor room. The effects of the poor thermal condition are non-conducive human activities and a comfortable environment in the room. They improved the tilt angle for roof building or house design with insulation to achieve comfort and reduce the indoor temperature. Thermal insulation is one of the methods to reduce heat transmission through the room by applying proper material and installation. The main objective of this study is to test Glasswool insulation in different orientations of the roof for Malaysian houses. The insulation material has been tested by airflow simulation using SolidWorks software which applies to the rooftop on the east and west orientations, where the indoor temperature of the house has been reduced from (29°C - 27°C East and 30°C - 28°C West) without considering any air movement. The simulation result shows the temperature reduction before and after applying the insulation corresponds, while the reduction is 2°C temperature (7.4% reduction) at both orientations. The significant reduction helped the occupants to reach their comfort zone and save the cost of the electrical bill.
Straightness Geometric Error Assessment for CNC Milling Machine
Authors: Harja Herman Budi , Nurbaniah Anisa , Muhadi Novi Saksono Brodjo , Noviandi Andi
Published: January 2023

The straightness movement error of the machine tools axis contributes significantly to the straightness of the workpiece machining feature. This paper focuses on the assessment study of CNC machine tools’ straightness geometric error for obtaining recommendation information to improve machine geometric accuracy. A research method by determining measurement parameters according to ISO 230 procedure, no-load measurement of straightness vertical-horizontal geometric error using a laser interferometer, collecting data, data analysis. Data analysis calculates positional straightness deviation, mean positional deviation, systematic positional deviation, repeatability, and accuracy of straightness movement for each machine axis, and generating error compensation values for improving machine geometric error. The travelled distance of the X, Y, and Z-axis CNC milling machine tested is about 1100 mm, 560 mm, and 520 mm. The assessment result shows mean deviation straightness horizontal of X, Y, and Z-axis is 4.14 μm, 3.41μm, and 0.95 μm. The mean deviation straightness vertical of X, Y, and Z-axis is 3.75 μm, 2.63 μm, and 2.30 μm. Finally, the assessment outcome is generating error compensation values of each axis. It could be recommendation information for setting back error compensation parameter on CNC controller, hence the mean deviation of straightness geometric error machine tools to be less than 1 μm.
Regulating Li+ Transfer and Solvation Structure via Metal-Organic Framework for Stable Li Anode
Authors: Li Yao Yao , Hu Yin , Yang Cheng Tao
Published: January 2023

Lithium metal batteries (LMBs) possess large application potential for advanced rechargeable batteries due to the high energy density (> 500 Wh kg−1) and alternative cathode materials. Random Li dendrite growth caused by uneven Li+ distribution and local ion depletion near surface of Li anode induces battery failure with inferior long-term stability. Therefore, regulation of ion distribution near anode surface is essential to realize dendrite-free and uniform Li deposition. Herein, a metal-organic framework (MOF), i.e., ZIF-8, is applied to regulate Li+ solvation structure via unsaturated metal-ion sites to achieve uniform Li+ distribution and Li deposition. A stable cycling performance over 800 h for Li symmetrical cell at 3 mA cm−2 and 3 mAh cm−2 without short circuit is realized. The facilitated Li+ solvation via the adsorption effect of metal-ion sites on anions is demonstrated, which further enhances the uniform Li+ distribution near Li anode surface. This work demonstrates an effective strategy for regulating ion coordination and Li+ distribution to stabilize Li anode via MOF-based materials.
Reinforced Hydrophobic Molecular Layer Promoting Waterproof Lithium for High-Performance Lithium-Metal Batteries
Authors: Ma Yu Hong
Published: January 2023

The employment of lithium (Li) metal is crucial to sustainable Li metal batteries (LMBs) with realistically high energy density. The management and usage of Li in reality, however, remain high challenge due to the desirable of obtaining an undamaged Li structure arising from the indispensable in extenuating strongly environmental dependence of Li during stored procedure and minimizing the Li depletion and pulverization on long-term cycles. Herein, we impair the molecular hydrogen bonding cooperation between lithium and water molecules on the surface of Li to demonstrate an achievement of environmental independent and durable Li via integrating a reinforced molecular hydrophobic interface on the surface of Li. As a result, the molecular hydrophobic interface modified Li metal can exhibit dendrite-free Li deposition and achieve stable operation for 200 cycles in Li-S full cell at a current of 1 C.
Knowledge, attitude and practices towards human papillomavirus infection, vaccination and cervical cancer among paramedical students at a Sri Lankan University
Authors: Priyadarshani H. S. , Arunasalam S. , Noordeen F.
Published: January 2023

Introduction: Human papillomavirus (HPV) infection is one of the most common sexually transmitted infections, and HPV is an aetiological agent for cervical cancer (CC). In Sri Lanka, CC is the second most frequent cancer affecting women. The present study was undertaken to determine knowledge, attitude and practices (KAP) regarding HPV infection, vaccination and CC among paramedical students of the Faculty of Allied Health Sciences (FAHS), University of Peradeniya.
Methods: A purposive sample of 200 students following 5 different degree programmes at FAHS including 128 females and 72 males were surveyed. A pre-tested questionnaire was used to assess the KAP, and the analysis scale used for KAP ranged from ‘satisfactory’ and ‘fair’ to ‘inadequate’.
Results: Twelve percent of the study participants reached fair to satisfactory knowledge scores on HPV infection, vaccination and CC. A significant difference in the knowledge score was noted between males and females, academic year of study, and ethnicities. A percentage of 79.5 of the study participants reached fair to satisfactory attitude scores towards HPV infection, vaccination and CC. Attitude score also significantly differed between males and females. Only 12% of the participants reached a fair to satisfactory practice score and no significant difference was noted among different categories in the practice score.
Conclusion: Overall, knowledge and practice scores regarding HPV infection, vaccination, CC and its preventive measures among the respondents were low. However, the majority of study participants had a positive attitude. As considerable gaps in KAP exists in many areas, and there is an urgent need for educational programmes to improve KAP related to the prevention of HPV infection and CC including vaccination among paramedical students.
Clinicians’ contribution to cost-related medication non-adherence: Impact of irrational prescribing and influence of pharmaceutical promotional activities on prescribing behavior of clinicians
Authors: Nwani Paul Osemeke
Published: January 2023

Poor training of clinicians on the Rational Use of Medicines (RUMs) and the impact of pharmaceutical promotional activities fuel irrational prescribing behavior, which is a major contributor to cost-related medication non-adherence. The aim of this study was to determine how training on the RUMs and related concepts and the influence of pharmaceutical promotional activities impact on clinicians prescribing behavior, a major cause of cost-related medication non-adherence. This was a cross-sectional descriptive study, conducted among medical practitioners in South-eastern Nigeria using a self-administered questionnaire. The questions were designed to determine the clinicians’ knowledge and practice of the basic concepts of the RUMs, as well as how much pharmaceutical promotional activities (information and incentives) impact on their prescribing behaviors. There were 100 clinicians, 71 (71%) males and 29 (29%) females, with mean years of practice of 8.2±5.8 years. About 66% of the respondents claimed they were trained on the concept of the RUMs, however, only 20% were aware of the Personal Drugs (Pdrugs) concept, and 17% had their own list of P-drugs, which is basic to rational prescribing. Fifty-six percent (56%) agreed that pharmaceutical promotional activities influenced their prescribing habits, while 32% were indifferent. The poor knowledge of the basic concepts of the RUMs as seen in this study makes clinicians vulnerable to irrational prescribing and the negative impact of pharmaceutical promotional activities. In developing nations, where medicines are mostly paid out of pocket by the patient, such prescribing habits fuel cost-related medication non-adherence.
Effect of Core Stability Training on Postpartum Mother's Sexual Desire
Authors: Maleki Mahshid , Bahadoran Parvin , Shekarchizadeh Parivash
Published: January 2023

Background:

Women may experience different problems in every aspect of their sexual life throughout their lives; therefore, it is essential to check women's sexual health and try to improve it. The present research aims to assess core stability trainings on postpartum mothers' sexual desire.

Materials and Methods:

This quasi-experimental research was conducted by random sampling on 72 mothers who referred to comprehensive health centers in Isfahan in 2019 in postpartum period. The samples were divided into experimental and control groups by random placement method (blocking). Core stability exercises were performed in the experimental group for 24 sessions. The demographic questionnaire and Female Sexual Function Index (FSFI) were filled out in two stages (before and one month after the intervention) by the samples, and the data were analyzed by Mann-Whitney, independent t-test, paired t-test, Chi-square.

Results:

The result of this study showed that the average score of the sexual desire after intervention in the experimental group was significantly higher than that in the control group (p = 0.03). The average score of the sexual desire after the intervention in the experimental group was significantly higher than that before the intervention (p < 0.001). The average scores of the sexual desire before and after the intervention in the control group were not significantly different (p = 0.40).

Conclusions:

Eight weeks of core stabilization exercises can improve endurance of the pelvic floor muscles and the central part of the body, subsequently promoting females' sexual desire. The findings of this study can be considered in the fields of education, health, clinical, and policy.
Use of Propanolol versus Intralesional Bleomycin in the Management of Infantile Hemangioma
Authors: Chaudhry Ali Raza , Gondal Mudassar Fiaz , Khan Rashid , Rehman Inayat Ur , Saman Rumaisaa , Abbas Khawar
Published: January 2023

Introduction:

Infantile haemangiomas (IHs) are widespread vascular tumours having incidence of 10% and most of them involute spontaneously. However, they are known to be located in proximity of vital organs and can have poor cosmetic and functional sequel if left untreated. Objective: To assess the efficacy of oral propranolol and intraleisonal bleomycin in the treatment of infantile cutaneous haemangioma in terms of size regression.

Materials and Methods:

IH patients presenting in the outpatient department in PIMS were divided randomly by stratified random sampling in two groups. Out of 90 patients, 45 patients had treatment with oral propranolol and other 45 patients received intralesional bleomycin. Baseline size of haemangiomas was taken and regression in size was noted again at 3 and 6 months. Mean and standard deviation were calculated for the age and size of haemangioma in both groups. The mean size regression for both treatments was compared using independent t-test taking P < 0.05 as significant.

Results:

Out of 90 cases included in this study, the mean age of patients was 10.9 ± 6.1 months in Bleomycin group compared to 10.2 ± 6.9 months in propranolol group. The average size of haemangioma at baseline was 9.5 cm2 in bleomycin group compared to 8.9 cm2 in propranolol group. At 3 months after the intervention, the mean size regression was 3.5 cm2 in bleomycin group compared to 5.3 cm2 in propranolol group and after 6 months of treatment with bleomycin group the mean size of haemangioma was 0.45 cm2, whereas in the propranolol group, it was 2.8 cm2 and difference in the two was found statistically highly significant (P < 0.001).

Conclusion:

The present study concluded that treatment with intralesional injection Bleomycin for IHs helps in size reduction more efficiently with minimal side effects as compared to oral propranolol for comparable sized haemangiomas.
Increased airway resistance among exclusive waterpipe smokers detected using impulse oscillometry
Authors: Chami Hassan A. , Houjeij Nourhan , Makki Maha , Itani Lina , Tamim Hani , Al Mulla Ahmad , Celli Bartolome , Zeineldine Salah
Published: January 2023

INTRODUCTION:

Waterpipe smoking is increasing in popularity, yet the evidence implicating waterpipe smoking in lung disease is limited. We hypothesized that impulse oscillometry (IOS) would detect airway abnormalities in waterpipe smokers (WPS).

METHODS:

We studied 210 participants, 40 years or older, from the community, of whom 92 were exclusive WPS and 118 were never-smokers. Waterpipe smoking history was assessed using a validated questionnaire. All participants underwent spirometry, and IOS and absolute and percentage predicted results (for age, sex, height, and weight) were compared between WPS and nonsmokers. The association of IOS parameters with waterpipe smoking duration and extent (waterpipe smoked/day * smoking duration) was evaluated using linear regression.

RESULTS:

WPS smoked on average 1.8 ± 1.2 waterpipes/day, over an average duration of 23.3 ± 39.8 years. WPS and nonsmokers were largely asymptomatic and had similar age, body mass index, sex distribution, and spirometric values. Nevertheless, WPS had higher IOS measured resistance at 5Hz compared to nonsmokers, (0.53 ± 0.2 vs. 0.48 ± 0.2 kPa/L/s, P = 0.03) and higher percentage-predicted resistance (124.5 ± 36.3 vs. 115.7% ± 35.6%, P = 0.04). Waterpipe smoking duration was also associated with resistance (β = 0.04 kPa/L/s/year, P = 0.01) and with percentage-predicted resistance (β = 0.05/year, P = 0.02). Waterpipe smoking extent was associated with resistance (β = 0.009 kPa/L/s/waterpipe-year, P = 0.04), while the association with percentage-predicted resistance was near significance (β = 0.009/waterpipe-year, P = 0.07).

CONCLUSIONS:

Waterpipe smoking is associated with increased airway resistance assessed by IOS but not by spirometry in largely asymptomatic individuals from the community.
Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancer
Authors: Liu Bo , Li Xu , Yu Min-Jie , Xie Jin-Bao , Liao Guo-Liang , Qiu Ming-Lian
Published: January 2023

BACKGROUND:

As a novel alternative to the conventional minimally invasive esophagectomy (MIE) to treat esophageal cancer, single-port laparoscopic retrograde three-step gastric mobilization (SLRM) for esophageal reconstruction during MIE to treat esophageal cancer was attempted in our department. The aim of the present study was to explore the preliminary clinical outcomes and feasibility of this innovative surgery.

METHODS:

From March 2020 to November 2021, patients undergoing SLRM combined with four-port thoracoscopic McKeown esophagectomy for their esophageal cancers were reviewed. Gastric mobilization with abdominal lymph node dissection was performed through SLRM. The clinical characteristics and short-term outcomes were analyzed retrospectively.

RESULTS:

A total of 120 patients underwent R0 resection without conversion to open surgery. The mean times needed for the thoracic part, abdominal part, and total operation were 43 ± 6 min, 60 ± 18 min, and 230 ± 20 min, respectively. The numbers of mediastinal and abdominal lymph nodes harvested were 13.2 ± 2.7 and 10.2 ± 2.5, respectively. Postoperative pneumonia was encountered in 10 (8.3%) patients. Anastomotic leakage occurred in 3 (2.5%) cases. Temporary vocal cord paralysis was reported in 20 (16.6%) cases. The mean length of hospital stay was 8.5 ± 4.6 days.

CONCLUSIONS:

The SLRM is a technically feasible and safe treatment for patients with esophageal cancer. It can be considered an alternative method for patients, especially for the ones with obesity and gastric distension.
General rehabilitation for the Post-COVID-19 condition
Authors: Sari Dian Marta , Wijaya Laurentia Cindy Gani
Published: January 2023

COVID-19 significantly impacts the acute phase or the period after being infected by severe acute respiratory syndrome coronavirus-2. Studies have shown it has affected multiorgan and needs continuous care by a multidisciplinary team. Nowadays, guidance is required to assist the recovery process of survivors who reported at least one symptom as a residual effect. This study aims to describe the rehabilitation management of post-COVID-19 conditions. As the number of survivors seems to be increasing, it is expected that COVID-19 survivors will recover through a holistic approach by all physicians. Comprehensive rehabilitation for long COVID or COVID-19-related illnesses includes exercising, nutrition, education, managing voice, breathlessness, neurocognitive problems, mental health, feeding problems, and daily activities. Specific recommendations have already been published to support rehabilitation for survivors in every targeted organ. Supportive care, especially rehabilitation programs, is recently an urgent knowledge in this pandemic.
Effect of Empowerment Model-Based Program on Quality of Life in Patients with Type 2 Diabetes
Authors: Ebrahimi Hossein , Sadeghi Mahdi , Esmaeili Seyed-Mahdi , Janmohammadi Farahnaz , Bahonar Elahess
Published: January 2023

Background:

Type 2 diabetes (T2D) is a chronic disease with a high prevalence globally, which is in the second place of importance for the investigation of chronic diseases. According to previous studies, Quality of Life (QOL) is low in diabetic patients. Hence, this study was conducted with the aim to evaluate the effect of the empowerment model on the QOL of patients with T2D.

Materials and Methods:

A randomized controlled trial was performed on 103 T2D patients over 18 years of age, with a definitive diagnosis of diabetes and medical records in a diabetic center. Patients were randomly assigned to either the intervention or the control groups. Routine education was presented to the control group, and the empowerment model was used for education in the experimental group for 8 weeks. The data collection tools used consisted of a demographic characteristics form and the diabetic clients QOL questionnaire. The one-way analysis of variance, Chi-square test, paired t-test, and independent t-test were used for data analysis.

Results:

After the intervention, there were significant differences between the two groups in terms of the physical (p = 0.003), mental (p = 0.002), social (p = 0.013), economic (p = 0.042), and illness and treatment dimensions of QOL (p = 0.033), as well as the total QOL score (p = 0.011).

Conclusions:

According to the results of this study, the training program based on empowerment significantly increased the QOL of patients with T2D. Therefore, using this method can be recommended in patients with T2D.
Factors Affecting the Providing of Sexual Health Services by Midwives
Authors: Mohseni Maryam , Riazi Hedyeh , Karimian Zahra , Kariman Nourossadat , Nasiri Malihe
Published: January 2023

Background:

Sexual health is one of the most important aspects of health. In Iran, most services associated with reproductive and sexual health are provided by midwives at health centers. As different factors are effective in providing care services associated with sexual health, the present study aims to investigate the factors affecting the provision of sexual health services by midwives.

Materials and Methods:

In this qualitative content analysis study, data were collected by conducting in-depth interviews with 16 midwives, 7 key informants, and 6 stakeholders. Besides, the sampling method was purposeful, and data analysis was conducted using conventional content analysis and MAXQDA software.

Results:

After analyzing the content of the qualitative data, two themes were extracted, which included facilitators of and barriers to providing sexual health services by midwives.

Conclusions:

By modifying educational curricula, providing in-service training, and adopting appropriate policies, barriers for providing accessible sexual health services by midwives can be reduced.
Psychometric Properties of the Disrespect and Abuse Questionnaire in Iranian Parturient Women
Authors: Hajizadeh Khadije , Jafarabadi Mohammad Asghari , Vaezi Maryam , Meedya Shahla , Mohammad-Alizadeh-Charandabi Sakineh , Mirghafourvand Mojgan
Published: January 2023

Background:

Disrespect and abuse during childbirth is regarded as harassment of women and a violation of their rights. The aim of this study was to assess the psychometric properties of the disrespect and abuse questionnaire in Iranian parturient women.

Materials and Methods:

This cross-sectional study was conducted on 265 postpartum women in both private and public hospitals in Tabriz, Iran. The scale was translated from English into Farsi. In the quantitative face validity, the impact score was determined for each item. Moreover, in the quantitative content validity, the Content Validity Ratio (CVR) and Content Validity Index (CVI) were assessed based on the comments of experts on the relevance, clarity, and simplicity of items (CVI) and the necessity of items (CVR). Construct validity was assessed through exploratory and confirmatory factor analyses.

Results:

In the face validity assessment, all items received a minimum impact score of 1.5. In assessing the content validity, all the items attained the minimum acceptable value of CVR (>0.69) and CVI (>0.79). According to the exploratory factor analysis, the Disrespect and Abuse Questionnaire has 23 items and five factors, including abandoning the mother, improper care, mother's immobility, not talking to the mother, and mother's deprivation. The construct validity of the scale was confirmed by the confirmatory factor analysis, in which X
2
/df <5 and root mean square error of approximation <0.08.

Conclusions:

The Farsi version of the disrespect and abuse questionnaire can be used as a valid tool for assessing instances of lack of respectful maternity care in the postpartum period.
Use of Complementary and Alternative Medicine and its Related Factors Among Pregnant Women in Shiraz, South of Iran
Authors: Vardanjani Hossein Molavi , Steel Amie , Mofarrahi Darya , Jaladat Amir Mohammad , Amini Fatemeh , Zeraatpishe Mahdi , Pasalar Mehdi
Published: January 2023

Background:

Women are known to use Complementary and Alternative Medicine (CAM) during pregnancy despite the subsequent potential unknown effects associated with its use. This study was performed to evaluate the use of CAM products and its related factors among pregnant women in Shiraz, Iran.

Materials and Methods:

This cross-sectional study of 365 pregnant women referred to obstetrics clinics affiliated to Shiraz University of Medical Sciences (Iran) was conducted in 2020. Sampling was performed in all three affiliated centers based on a probability, proportional to size protocol. Pregnant women were nominated using a systematic random sampling scheme using their health record numbers. A 20-item questionnaire was administered via in-person interviews and data on demographics, use of CAM products, reasons for use, and referral and information sources were collected. Binary logistic regression was applied and adjusted odds ratios were estimated.

Results:

CAM use was reported for recent pregnancies by 56.92% of participating women, with a significantly higher use in participants of low socioeconomic status (Chi21 = 5.12; p < 0.024). The main reason for CAM use was having faith in the efficacy of CAM (72.73%). Reported CAM use was restricted to herbal preparations. Most of the women who used CAM (73.0%) did not report their CAM use to their doctor.

Conclusions:

There is a high rate of CAM use among pregnant women. More maternal care services during current pregnancy, parity, and general and pregnancy-related history of CAM use were correlated with CAM use. Mother–healthcare provider relationship should be improved in the field of CAM.
Effect of Local Hyperthermia on Respiratory Indices of Patients with Chronic Obstructive Pulmonary Disease
Authors: Shahpasand Masume , Mohammadpour Ali , Najafi Samane , Sobhani Mansooreh
Published: January 2023

Background:

Change in respiratory indices is the most common problem in Chronic Obstructive Pulmonary Disease (COPD) patients. This problem is managed through pharmaceutical and non-pharmaceutical methods. This study aimed to determine local hyperthermia effect on respiratory parameters of COPD patients.

Materials and Methods:

This randomized controlled trial study was conducted on 46 patients with COPD referred to Allameh Bohlool Hospital in Gonabad, Iran in 2019. The participants were randomly assigned into two groups using quadrupled blocks. In both groups, a local pack was placed on the anterior chest for 23 min twice daily for 5 days. In the intervention group, the temperature of the hot pack was 50° and in the placebo group was the same as the body temperature. Respiratory indices including force vital capacity (FVC), forced expiratory volume in first second (FEV1), etc., were measured and compared before and after the last intervention in both groups. To gather data, demographic information form and respiratory indices record form were used.

Results:

Compared to before the intervention, all respiratory indices such as vital capacity (VC) (z = -4.25, p < 0.001), FEV1 (t22 = -114.18, p < 0.001), PEF (t22 = 5.91, p < 0.001) in the experimental group were increased significantly. Moreover, the difference in the mean respiratory indicators such as Pick Expiratory Flow rate (PEF) (t44 = 94.63, p < 0.001) and SPO2 (z = -3.27, p < 0.05) was also statistically significant in the two groups before and after the intervention.

Conclusions:

Local hyperthermia is effective in the improvement of respiratory indices among COPD patients, but it is recommended to conduct further studies before the implementation of this approach.