bluuebunny/crossref_metadata_2025 huggingface dataset:
Application of Target Costing To Reduce Production Costs And Increase Profits at CV. Tiga Putra Perkasa
Authors: KAROUWAN Gabriella Anatasya Maria
Published: October 2023

Target Costing is a method or strategy that allows companies to target product costs based on the selling price expected by consumers. This study aims to determine whether the application of target costing can be a tool to reduce production costs and increase profits at CV. Tiga Putra Perkasa. The analysis method used in this research is descriptive qualitative analysis. Namely, data collected through interviews and then described, and the type of research used is descriptive qualitative. This research will describe the application of target costing to CV. Tiga Putra Perkasa to compare production costs and profits obtained before and after implementing target costing. The company can save production costs of Rp 7,456,700. The results of this research showed that the impact on the increase in profits earned by the company from 37.4% before the application of target costing can increase to 42.7%, which shows that the company's expected profit target of more than 40% can be achieved by using target costing. The research results show that the company can reduce production costs so that the profit increase reaches 5% using target costing
Post-Training Evaluation of 2021 Class VI Administrative Leadership Training for East Nusa Province at the NTT Regional Human Resources Development Agency
Authors: SALEM Fransiskus Da Sores , NEOLAKA Melkiesedek. N. B. C. , TODA Hendrik
Published: October 2023

Every ASN who holds this position must be equipped with adequate competencies in order to be able to answer a number of opportunities and challenges in realizing bureaucratic reform and increasing effectiveness in the delivery of public services and one of the regional institutions that carries out human resource training and development activities is the Resource Development Agency Human (BPSDMD) East Nusa Teggara Province. The type of research used in this research is a case study. Informants in this research will be selected purposively. In analyzing the data, the author uses the Miles and Huberman analysis model (1992:16) which states that qualitative data analysis is carried out interactively and continues continuously until completion, so the data becomes saturated. Activities in data analysis, namely data reduction, data display, verification/conclusion drawing. The results of the research found that on side (1) the input for the implementation of the 2021 Batch VI Administrative Leadership Training Training by BPSDMD NTT province includes supporting resources and basic materials needed to implement the 2021 Batch VI Administrative Leadership training policy, it is stated (1) Regulations (2) Availability of Budget (3) Organizers (4) Teaching Staff (5) Participants and (6) Facilities, while on side (b) The process of implementing the 2021 class VI Administrative Leadership Training training by BPSDMD NTT province includes (1) Methods learning and training (2) Effectiveness during the learning and training process as well as in (c) Output from the implementation of the Adminsitrator Leadership Training Training class VI in 2021 by BPSDMD NTT province.
PERCEPTIONS OF PRESERVICE PRESCHOOL TEACHERS ON CONCEPT OF CREATIVITY
Authors: Sali Güneş , Özbay Özdemir İpek
Published: October 2023

The aim of this study is to determine perceptions of preservice preschool teachers on concept of creativity. Sixty preservice preschool teachers were included in the study conducted with the qualitative research design. In the first stage of the data collection process, the preservice preschool teachers were asked to define creativity. In the second stage, they were asked to explain the concept of creativity by drawing a picture. They were allowed to write explanations on their pictures about what they had drawn. The data of the study included definitions and pictures made by the preservice preschool teachers. Content analysis method was employed to analyse the data. The findings of the study indicated that preservice preschool teachers emphasised that an individual should have some personality traits to exhibit creativity, they reflected this on the pictures they drew, they highlighted that a person’s creative ideas during the creativity process should be at most original, they also reflected the creativity process on their pictures they drew, they declared that a creative product should have an original and functional/useful quality, they reflected creativity as the ability to produce a functional (useful) and original product on the pictures they drew for the creative product, and they stated that the environmental features supporting the formation of creativity should be free and natural without any limitation, restriction and direction.
First Metis Detection of the Helium D3 Line Polarization in a Large Eruptive Prominence
Authors: Heinzel Petr , Jejčič Sonja , Štěpán Jiří , Susino Roberto , Andretta Vincenzo , Russano Giuliana , Fineschi Silvano , Romoli Marco , Bemporad Alessandro , Berlicki Arkadiusz , Burtovoi Aleksandr , Da Deppo Vania , De Leo Yara , Grimani Catia , Jerse Giovanna , Landini Federico , Naletto Giampiero , Nicolini Gianalfredo , Pancrazzi Maurizio , del Pino Alemán Tanausú , Sasso Clementina , Spadaro Daniele , Stangalini Marco , Telloni Daniele , Teriaca Luca , Uslenghi Michela , Arévalo Andrés Vicente
Published: October 2023

Metis on board Solar Orbiter is the space coronagraph developed by an Italian–German–Czech consortium. It is capable of observing solar corona and various coronal structures in the visible-light (VL) and UV (hydrogen Lyα) channels simultaneously for the first time. Here we present observations of a large eruptive prominence on 2021 April 25–26, in the VL, taken during the mission cruise phase, and demonstrate that apart from the broadband continuum emission, which is due to the Thomson scattering on prominence electrons, we detect a significant radiation in the neutral-helium D3 line (587.6 nm), which lies within the Metis VL passband. We show how the prominence looks like in Stokes I, Q, and U. We consider two extreme cases of the prominence magnetic field, and we separate the Stokes I and Q signals pertinent to Thomson scattering and to the D3 line. The degree of linear polarization of the D3 line (both Q and U) indicates the presence of the prominence magnetic field; hence Metis can serve as a magnetograph for eruptive prominences located high in the corona.
Abundances of Light Elements in the B8 Mn Star HD 110073
Authors: Monier Richard
Published: October 2023

The synthesis of spectral intervals in the optical range allows the determination of LTE abundances of several chemical elements lighter than titanium for HD 110073. Compared to the solar abundances, helium, magnesium, oxygen, aluminum, silicon and calcium are underabundant by factors of 0.4, 0.25, 0.90, 0.20, 0.85, 0.5 times the respective solar abundances. Carbon and sulfur have solar abundances. Phosphorus and scandium are overabundant by factors of 10 and 30 times their solar abundances. These new determinations differ from previous determinations partly because the atomic data have changed. A non-uniform distribution of the elements over the surface of HD 110073 could also account for the differences.
La danse en jeux ? De la culture hip-hop à l’olympisme
Authors: Nguyen Anne , Gauthier Céline , Conquet Angela , Homsey Jonathan
Published: October 2023

Anne Nguyen, chorégraphe et praticienne des danses urbaines, pose un regard rétrospectif sur les filiations artistiques qui font la richesse culturelle du hip-hop. Elle témoigne aussi des mécanismes économiques et des modes de mise en scène par lesquels les battles de breakdance ont progressivement intégré les règles du jeu de la compétition sportive.
Quand la danse interprète les gestes (des) sportifs
Authors: Agid Roméo , Gardner Sally
Published: October 2023

D’entrée de jeu, les gestes sportifs et dansés partagent un même lexique et de nombreuses similitudes kinésiques. Pourtant, les artistes puisent régulièrement leur inspiration dans les corps athlétiques pour enrichir leurs œuvres de figures inédites. Du duel au duo, du maillot de sport au costume de scène, Roméo Agid propose quelques pistes pour articuler autrement les performances physiques et chorégraphiques.
Les gestes de l’ombre
Authors: Orts Marie , Gauthier Céline , Conquet Angela
Published: October 2023

Le projet « Desport » rassemble trois danseurs (Roméo Agid, Talia de Vries et Marie Orts) et la plasticienne Marion Robin. Parcourant les salles d’entraînement du stade Charléty, ils convoquent les outils de la notation Laban pour observer les mouvements des athlètes. À la manière d’un négatif photographique, des « contreformes » se dévoilent : des gestes mineurs, presque invisibles ou fictionnels, qui révèlent le potentiel chorégraphique des corps sportifs.
Quels imaginaires du jeu pour faire une danse ?
Authors: Bouvier Mathieu , Touzé Loïc , Gauthier Céline , Conquet Angela
Published: October 2023

Dans la composition chorégraphique comme dans le travail sensoriel des danseurs, les dispositifs de jeu surprennent l’imaginaire et délèguent l’acte créatif à un coup de dé. Loïc Touzé, artiste, et Mathieu Bouvier, chercheur, ont développé pour cela des « techniques fabuleuses » : des consignes à jouer qui admettent l’échec, la défaillance ou le hasard. Sans visée de réussite, le jeu devient une pratique relationnelle, partagée entre interprètes et avec les spectateurs.
Les images de la femme « terroriste » dans l’archive médiatique canadienne
Authors: Nicol Camille , Zaoré-Vanié Émilie , Niemeyer Katharina
Published: October 2023

Cet article vise à réfléchir la place de l’image d’archive télévisuelle et de la photographie de presse en sciences humaines et sociales, notamment en études médiatiques et visuelles. Il s’agit d’interroger ce que l’image fait au, pour et avec le savoir sur le passé et pour quels horizons dans le contexte de la médiatisation historique du terrorisme, et plus spécifiquement au sujet de la médiatisation de la femme « terroriste ». L’objectif de cet article est de montrer que les images montrant des femmes « terroristes » ne sont pas seulement illustratives d’un discours médiatique, mais qu’elles montrent surtout comment s’est construit un regard journalistique dans le temps et une « façon de faire » quand il s’agit de construire la mise en scène, donc les signes, autour de la problématique des femmes impliquées dans des violences politiques qualifiées de « terrorisme » au moment ou en aval de leur résurgence.
L’idéologie de l’organisation animaliste L214 : entre empowerment audiovisuel et vidéomilitantisme
Authors: Bourgatte Michaël
Published: October 2023

Cet article s’intéresse aux enjeux sociaux de l’action menée par l’association animaliste L214, ainsi qu’à la place donnée à la vidéo comme outils d’ empowerment . L’association milite contre la maltraitance animale dans les élevages et les abattoirs. Son action passe par la réalisation et la diffusion de vidéos en ligne qui remplissent une fonction d’ empowerment . Grâce à ces vidéos, l’organisation a réussi à instruire et sensibiliser très largement le grand public, les médias et les pouvoirs publics. Des images qui ont agi comme un électrochoc : nul ne peut plus désormais fermer les yeux sur les dysfonctionnements de cette industrie. Mais il y a un revers à la médaille : les leaders de L214 restent des militants. Ainsi, leurs vidéos sont tout autant des outils de mobilisation que des outils d’ empowerment . C’est l’analyse socio-sémiologique de leur structure qui permet d’en attester. Ainsi, sans qu’il ne s’agisse ici de remettre en cause les conclusions de L214, il convient toutefois de les nuancer.
Contribution à la métapsychologie de la sublimation
Authors: Chervet Bernard
Published: October 2023

La sublimation est un destin de pulsion à différencier de la désexualisation et de la production des formations de l’inconscient. Elle réunit une retenue pulsionnelle première, un court-circuit de l’autoconservation, une référence à un idéal et un usage de matériaux concrets tangibles. La matérialité des réalités tangibles externes tient lieu d’inscription narcissique. La désexualisation fondatrice des investissements narcissiques utilise la tendance à la réduction à l’inorganique, alors que la création de nouvelles réalités est mue par l’aspiration à une extension infinie. Le travail de sublimation de Freud se déroule selon des après-coups successifs. Chaque étape offre aux précédentes une intelligibilité quant à la fonction anti-traumatique qu’elles assurent et à leur fonction fondatrice du psychique. La sublimation crée un matériau censé être idéal. Mais par sa création elle réintroduit des différences et par elles les éprouvés de manque qu’elle a cherché à éliminer. Elle est infinie.
Entre toutes les langues. Marie Bonaparte et Sigmund Freud, un dialogue sur tous les registres
Authors: Mannoni Olivier
Published: October 2023

Entamée en 1925, la relation épistolaire entre Marie Bonaparte et Sigmund Freud s’étalera sur plus de treize ans et regroupera près d’un millier de lettres. Exubérante, débordant d’énergie, Marie Bonaparte s’adresse d’abord en français à un Sigmund Freud que cette femme résolument moderne et curieuse ne tarde pas à intriguer. Marie passera ensuite à l’allemand, puis, au fil des séances, à la langue de la psychanalyse, méthode et pensée qu’elle va largement contribuer à faire connaître en France, et pour finir à celle de la confiance et de l’amitié.
Deuil et amour. Apports du vécu du deuil à l’analyse du transfert (amoureux) et du contre-transfert
Authors: Mazoyer Anne-Valérie , Estellon Vincent
Published: October 2023

Cet article est né d’une réflexion partagée sur le cadre et l’écoute cliniques mobilisés auprès d’une patiente endeuillée (Emma) lorsque le thérapeute est lui aussi touché dans sa vie personnelle par un événement de même teneur dramatique. Autrement dit, nous nous penchons sur ce qui fait point de contact entre le vécu du patient et celui du clinicien. À la faveur d’un cas unique, Emma, nous avons aussi discuté les modalités de traitement du deuil et analysé comment l’objet d’amour passionnel pouvait rappeler de façon métonymique l’objet perdu, suspendre le deuil et contenir la douleur. Seule l’analyse des mouvements transférentiels et contre-transférentiels favorise une reprise de l’espace de pensée, et évite de tomber dans les pièges de l’identification, de la séduction mutuelle ou encore de la réparation dans le cadre thérapeutique.
Nouveaux propos sur le genre en psychanalyse : un inconscient genré, crise ou révolution ?
Authors: Marchand Jean-Baptiste
Published: October 2023

De nos jours, le terme de genre est de plus en plus utilisé. Il est régulièrement convoqué dans des débats de société parfois houleux. De son côté, la psychanalyse est questionnée et (re)mise au travail par les mêmes questions de société et par le concept de genre lui-même, aux niveaux théorique, clinique, et même politique. Ainsi, afin d’apporter quelques éclairages à propos des défis auxquels le genre confronte la psychanalyse, et afin de recentrer (et peut-être de dépassionner) les débats, cet article propose dans un premier temps de revenir sur la définition du concept de genre et sur la question qu’il pose à la psychanalyse. Ensuite, il s’agira de situer la clinique du genre et sa spécificité, puis de tenter de définir le genre en psychanalyse, notamment au sein du développement libidinal et dans la métapsychologie. Enfin, pour conclure, il sera exposé une hypothèse concernant les difficultés, débats et discordes que le genre ne cesse de susciter en psychanalyse, sans aboutir.
Advanced-Comfort: Usability Testing of a Care Planning Intervention for Nursing Home Residents With Advanced Dementia
Authors: Lopez Ruth Palan , Wei Andrea , Locke Jenna Ryan , Plys Evan
Published: October 2023

Many nursing home (NH) residents with advanced dementia receive burdensome interventions rather than interventions that promote comfort or quality of life. The purpose of the current study was to test the usability of a novel intervention, ADVANCED-Comfort, which aims to enhance the provision of personalized care for residents with advanced dementia. The intervention comprises structured care plan meetings between the NH team and proxies of residents with dementia (e.g., family members). Using the ADVANCED-Comfort workbook, proxies create individualized care plans addressing six domains adapted from the Age-Friendly Health System Framework. The purpose of this article is to describe the intervention and its theoretical underpinnings and report the usability of the intervention evaluated with surveys, observation, and exit interviews. The study demonstrated that proxies and NH staff found the intervention usable (acceptable, appropriate, and feasible). Based on these preliminary findings, additional testing of the ADVANCED-Comfort intervention is warranted. [
Journal of Gerontological Nursing, 49
(11), 15–23.]
Enhancing public health strategies for tungiasis: A mathematical approach with fractional derivative
Authors: Shah Norliyana Nor Hisham , Jan Rashid , Ahmad Hassan , Razak Normy Norfiza Abdul , Ahmad Imtiaz , Ahmad Hijaz
Published: October 2023

In this study, we formulate a mathematical model in the framework of the Atangana-Baleanu fractional derivative in Caputo sense to study the transmission of tungiasis. In this formulation, interactions between the human host and the sand fleas are taken into consideration, including factors like infestation rate, incubation duration, and recovery rate. We calculate the basic reproduction parameter for the system, symbolized by $\mathcal{R}_0$ with the help of the next-generation matrix technique. A novel numerical scheme for encapsulating the non-local and memory-dependent aspects of the system is conceptualized via the Atangana-Baleanu fractional derivative. We prove the existence and uniqueness of the solution of the model of the infection and establish stability of the steady-states of the model. In addition to this, numerical simulations are carried out to evaluate the efficiency of interventions like campaigns for better sanitation and treatment, and to investigate the influence of various management techniques on the prevalence of tungiasis. The outcomes of the numerical simulations give us information about the possible efficacy of different control strategies in lowering the incidence of tungiasis. This research gives quantitative tools to enhance decision-making processes in public health treatments and advances our understanding of the dynamics of the tungiasis.
Femmes religieuses catholiques en Tunisie contemporaine : l’imaginaire religieux de la mission à l’épreuve de l’ultra-minorisation
Authors: Artaud de La Ferrière Alexis
Published: October 2023

La présence contemporaine des congrégations féminines en Tunisie représente une continuité historique avec l’action enseignante, médicale et pastorale que les femmes religieuses y menaient durant la période du protectorat (1881-1956). Cependant, les changements entraînés par l’indépendance nationale ainsi que par les réorientations dans la doctrine sociale et interreligieuse de l’Église, que les constitutions issues du concile Vatican II ont consacrées, marquent une rupture dans la vie de ces congrégations. Nous présentons ici une analyse des conditions extérieures (composition, implantation, activités) des congrégations féminines en Tunisie telles que nous pouvons les observer aujourd’hui : une présence d’origine exogène, alimentée par divers flux d’immigration, petite en effectifs et en diminution progressive, pourtant dynamique par ses activités éducatives, sociales et pastorales. Dans un deuxième temps, nous nous intéressons au sens que ces femmes attribuent à leur présence missionnaire, en interrogeant la dimension eschatologique de leur imaginaire religieux et du regard qu’elles portent sur la Tunisie.
Thomisme contre atomisme. Les théories de la matière au centre des tensions entre science et catholicisme au xixe siècle
Authors: Miqueu Adrien
Published: October 2023

Cet article propose de relire sous l’angle de l’atomisme la résurgence du thomisme et la création d’une « science catholique » au xixe siècle en France. Plus que tout autre domaine scientifique, la question de la structure de la matière apparaît à cette période comme l’enjeu central du conflit entre scientifiques anticléricaux et défenseurs de la tradition catholique romaine. Ces derniers vont alors cibler la théorie atomique, liée à la philosophie matérialiste en plein essor, et proposer comme alternative « concordiste » la théorie scolastique de la substance et de la forme. En intégrant dans la trame de l’histoire atomique ce retour de la philosophie de Thomas d’Aquin, on pourra lire d’un nouvel œil les positions antiatomistes de l’historien des sciences Pierre Duhem et du chimiste Jean-Baptiste Dumas.
La question économique chez les Goncourt
Authors: Baubeau Patrice
Published: October 2023

Le Journal et les œuvres littéraires des Goncourt sont riches en références à l’actualité politique, sociale et économique. Peut-on pour autant lire chez les Goncourt une opinion économique ? Et si oui, comment s’articule-t-elle avec leurs opinions réactionnaires bien connues et leur fascination pour le XVIIIe siècle ? En rappelant certains aspects cruciaux des utopies socialistes et libérales, d’une part, de leur critique par les « réactionnaires » d’autre part, il est possible de restituer le fond général à partir duquel les Goncourt jugent du contexte économique et d’éclairer leurs positions. En particulier, cela permet de comprendre la nature et l’évolution de leur antisémitisme, pierre de touche de la pensée conservatrice et catholique du XIXe siècle.
Droit moral et droit patrimonial chez les Goncourt
Authors: Mollier Jean-Yves
Published: October 2023

Le Journal des frères Goncourt met en scène un certain nombre d’éditeurs de leur temps, d’Édouard Dentu à Georges Charpentier, en passant par Ambroise Firmin-Didot, Michel et Calmann Lévy et d’autres de leurs contemporains. Ces milliers de pages et de notations accumulées au fil du temps montrent aussi une évolution de l’attitude des deux écrivains, et surtout d’Edmond par rapport à leurs intermédiaires auprès du public. Ô combien jaloux de préserver intact leur droit moral, ils ne tolèrent aucune intrusion des éditeurs dans la littérarité de leurs œuvres. En revanche, sur le plan des droits patrimoniaux, ils n’ont pas de prétention précise et se montrent prêts à accepter aussi bien le compte d’auteur que le compte à demi, le compte d’éditeur l’emportant cependant avec le temps. Après 1870, la rencontre avec Georges Charpentier conduira Edmond de Goncourt à l’admettre dans son grenier, signe évident d’un changement d’attitude et, peut-être, de l’octroi d’un statut d’artiste à l’éditeur qui, en 1896, perd à la fois son auteur et sa maison d’édition.
Égalité et démocratie dans Sœur Philomène, Germinie Lacerteux et La Fille Élisa : à la croisée de la charité et du care
Authors: Mugierman Alice
Published: October 2023

Dans leurs trois romans « peuple », les frères Goncourt représentent, à travers les questions de la souffrance et du soin apporté à autrui, la vertu de charité. Celle-ci constitue également un fondement de leur pensée éthique et esthétique, ainsi qu’ils l’affirment au seuil de Germinie Lacerteux. La charité renvoie à un modèle aristocratique rêvé, celui du sacrifice et de la sensibilité, marginal à l’ère de l’individualisme démocratique. Toutefois, l’idéologie égalitaire répandue après la Révolution de 1789 n’est pas sans impact sur l’approche goncourtienne des valeurs. C’est pourquoi les théories du care, examinant les liens individuels et sociaux selon un angle démocratique non libéral, apportent des notions intéressantes pour étudier ces romans des Goncourt en complétant les réflexions autour de la charité. À la lumière des concepts d’empathie, d’inquiétude éthique ou de dépendance réciproque, on peut considérer les formes d’engagement de leurs œuvres, et les tensions entre les modèles aristocratique et démocratique qu’elles mettent au jour.
What does a floating mass in a young patient's heart do?
Authors: Sonnessa Tommaso , Vaira Daniela
Published: October 2023

A previously healthy 57-year-old male patient presented to our emergency department for palpitations, dry cough, and non-exertional chest pain. He denied lipothymia or syncope. Blood pressure was 160/90 mmHg, heart rate 76 beats/min, body temperature 36.4°C, respiratory rate was 14 breaths/min, and oxygen saturation 96% on room air. Physical examination revealed symmetrical air entry without wheezing or crackles, and a classical diastolic "tumor plop", not accompanied by another significant murmur at cardiac auscultation. Laboratory tests were all in the normal range, including troponin T (9.1 ng/mL, normal value <14) and C-reactive protein (2.2 mg/dL, normal value <6). An electrocardiogram showed a sinus rhythm and normal ventricular repolarization. Point-of-care ultrasound (POCUS) revealed a floating mass within the left atrium and a normal lung pattern without pleural effusion.
Effectiveness of Prophylactic Laparoscopic Surgery for Benign Adnexal Mass during Pregnancy: A Single-center Retrospective Study
Authors: Naing Zaw Htet , Ozaki Rie , Kitade Mari , Murakami Keisuke , Kawasaki Yu , Itakura Atsuo
Published: October 2023

Objectives:

This study aimed to evaluate the effectiveness of prophylactic laparoscopic surgery for avoiding adnexal torsion in pregnant women with benign adnexal masses.

Materials and Methods:

This report contains two analyses, each for a different group of patients. Analysis 1: Surgical and pregnancy outcomes were examined among the 126 cases who underwent laparoscopic assisted cystectomy for adnexal masses during pregnancy in our hospital between January 2001 and December 2020. Analysis 2: The incidence of adnexal torsion during pregnancy was evaluated among the cases with adnexal masses ≥5 cm who opted for conservative follow-up in our hospital between January 2011 and December 2020.

Results:

In analysis 1, the most common pathological diagnosis was a mature cystic teratoma (76.2%). The mean gestational age at surgery was 13.1 ± 1.3 weeks. No cases were converted to laparotomy and oophorectomy. Regarding delivery outcomes, 97.4% of cases went on to have full-term deliveries. In Analysis 2, the incidence of adnexal mass ≥5 cm that did not resolve spontaneously during pregnancy was 89 cases (0.8%). The frequency of malignancy was 3 cases (0.03%). In 28 cases who opted for conservative treatment, 5 (17.9%) underwent emergency surgery for adnexal torsion.

Conclusion:

Prophylactic surgery for benign adnexal masses during pregnancy can be performed laparoscopically and preserved ovarian functions. In pregnant women with adnexal masses that do not resolve spontaneously, planning laparoscopic surgery is considered beneficial for complications, such as adnexal torsion.
High-intensity Focused Ultrasound is a Better Choice for Women with Fertility Desire: A Systematic Review and Meta-analysis of the Comparison between High-intensity Focused Ultrasound and Laparoscopic Treatment of Uterine Fibroids
Authors: Hu Ying , Song Xiaohong , Xu Linjun , Zhou Zhenfeng
Published: October 2023

High-intensity focused ultrasound (HIFU) is commonly used to treat uterine fibroids and adenomyosis, but there is no evidence using metadata to compare fertility outcomes between conventional laparoscopic procedures and HIFU. The purpose of this study analysis is that evidence-based fertility outcomes may provide better treatment options for clinicians and patients considering fertility. The literature on fertility data for HIFU surgery versus laparoscopic myomectomy was searched in seven English language databases from January 1, 2010, to November 23, 2022. A total of 1375 articles were received in the literature, 14 of which were selected. We found that women who underwent HIFU surgery had higher rates of spontaneous pregnancy, higher rates of spontaneous delivery, and higher rates of full-term delivery but may have higher rates of miscarriage or postpartum complications than women who underwent laparoscopic myomectomy. Looking forward to future studies, it is hoped that the literature will examine endometrial differences in women who undergo HIFU and laparoscopic myomectomy to demonstrate the ability of endometrial repair. The location of fibroids in the sample should also be counted to allow for attribution statistics on the cause of miscarriage.
An unusual case of late spontaneous reattachment of Descemet membrane detachment after deep anterior lamellar keratoplasty: A case report
Authors: Kodavoor Shreesha Kumar , Patekar Komal Bhimrao , Dandapani Ramamurthy
Published: October 2023

Deep anterior lamellar keratoplasty (DALK) is a feasible option in children with advanced keratoconus with or without stromal scarring. Descemet membrane detachment (DMD) and formation of double anterior chamber is one of the rare but serious complication of DALK surgery. Various treatment methods like descemetopexy with air, perfluoropropane gas (C3F8), and SF6 (sulfur hexafluoride gas) can be tried. We report a case of spontaneous reattachment of DMD in a pediatric male patient with Descemet membrane microperforation during DALK.
Post trabeculectomy hypotonous maculopathy: Miraculous result with autologous blood injection in a young lad
Authors: Medikonda Malleswari , Mayuri Totli K , Singh Manmeet
Published: October 2023

A 28-year-old male patient was referred to us for the management of hypotonous maculopathy developed post trabeculectomy for angle recession glaucoma. After examination, the patient was advised cycloplegics, oral and topical steroids, but maculopathy had not settled even after treatment for 3 weeks and so scleral patch grafting was done. Post grafting also macular folds persisted and a part of the graft was exposed and so amniotic membrane grafting was done, still hypotony persisted with the development of neurosensory detachments. The over-filtration hypotonus maculopathy finally resolved with peri bleb injection of autologous whole blood.
Management of migrated hyaluronic acid dermal filler with a delayed presentation
Authors: Garala Pavitra , Awad John , Vydianath Sanjay , Mudhar Hardeep S , Sandramouli Soupramanien
Published: October 2023

Hyaluronic acid (HA)-based dermal fillers are extremely popular among many seeking aesthetic treatment due to the short downtime and immediate results. Although HA is biodegradable, the body can still mount immune responses to this foreign body and molecules can persist in the system for longer than anticipated, resulting in complications months or years after the initial injection. We report a rare case of a 47-year-old Caucasian female who presented to us with bilateral lid swelling secondary to migration of her dermal filler and how she was successfully managed three years post administration with the injection of hyaluronidase along with histopathological results.
Post-keratoplasty glaucoma—Tackling tube exposure
Authors: Natarajan Radhika , Mohan Madhuvanthi
Published: October 2023

Glaucoma drainage implants (GDI) are sometimes used in the treatment of refractory glaucoma associated with keratoplasty. An important complication of GDI is the exposure of the drainage tube. Two patients presented after penetrating keratoplasty and Ahmed glaucoma valve, with exposure of the GDI tube following prolonged topical steroid usage. This report addresses the risk factors and early signs of tube exposure that guide its prevention and management.
Prevalence of non-alcoholic fatty liver and its related factors in Iran: Systematic review and meta-analysis
Authors: Chegeni Maryam , Nili Sairan , Darabi Mehdi , Gheysvandi Elham , Zahedi Razieh , Sharifian Elham , Shoraka Hamid Reza , Rostamkhani Mohammad , Gheshlaghi Leili Abedi
Published: October 2023

Non-alcoholic fatty liver disease (NAFLD) is a systemic disorder with a complex multifactorial and heterogeneous pathogenesis and has become the most common cause of chronic liver disease in many countries around the world. Numerous studies in Iran have presented different results on the prevalence and risk factors of NAFLD, in this study, which has been done in a systematic review and meta-analysis, provides a good estimate of the prevalence and risk factors of the disease in Iran. Following the peer review of electronic search strategies (PRESS and the preferred reporting items for systematic reviews and meta-analyses [PRISMA] statement, we searched Web of Science, PubMed, Embase, Scopus, and Persian scientific searcher (Elmnet) from inception to September 19, 2022. In the present study, 71 articles were reviewed for qualitative and meta-analysis. The overall mean prevalence of NAFLD in children studies was 22.4% (95% confidence interval [CI]: 10.9% to 33.9%). The prevalence was notably higher in adult studies 40.5% (95% CI: 35.1% to 46%). In 24 studies, the association between NAFLD and sex was reported, 10 of which showed significant relationships. Out of 46 studies observed that NAFLD prevalence increased significantly with body mass index (BMI). Eight out of 14 studies reported significant associations between FBS and NAFLD in children's studies. Though Iran has a high NAFLD prevalence compared to most areas, and due to the unfavorable situation of risk factors contributing to the NAFLD, it is necessary to take the necessary interventions to control these risk factors and prevent NAFLD.
Comparison of the effect of acceptance and commitment therapy and reality therapy on the self-care of diabetes type II patients
Authors: Zandi Anahita , Dinpanah-Khoshdarehgi Hossein , Ebrahim-Madahi Mohammad , Jamehri Farhad
Published: October 2023

BACKGROUND:

Self-care is one of the most important factors affecting the lives of people with chronic diseases such as diabetes. This study attempted to compare the effectiveness of acceptance and commitment therapy (ACT) and reality therapy on self-care in type II diabetes patients.

MATERIALS AND METHODS:

It was a quasi-experimental study with pretest–post-test control group design. The statistical population included 100 patients referred to diabetes clinics in Torbat Heydariyeh, 2020-2021. Using available sampling method, 60 patients were selected and randomly assigned to three groups of 20 people (2 experimental groups and a control group). Data collection instrument included demographic information and standard diabetes self-care questionnaire. Data analysis was performed using analysis of covariance and Bonferroni post hoc test.

RESULTS:

The results showed that there was a significant difference between self-care scores of ACT and reality therapy groups compared to control group among type II diabetes patients (P < .05, F = 56.55). The effectiveness of ACT and reality therapy interventions on self-care rates in type II diabetes patients is different. The mean of self-care variable after intervention in the ACT group increased compared to reality therapy.

CONCLUSION:

Due to the significant effect of ACT treatment on self-care behaviors of patients with type II diabetes, it is recommended that this therapy can be used in diabetes treatment centers to promote self-care and thus improve the control of diabetes in patients.
Examining the role of perceived stress on learning satisfaction under the influence of academic burnout in the post-COVID world
Authors: Sen Sujoy , Sharma Bhuvnesh K. , Saxena Madhukar J.
Published: October 2023

BACKGROUND:

In the last two years, due to the impact of COVID-19, students were forced to continue their education online because the government imposed restrictions to limit the spread of the virus. However, with the resumption of offline classes, the students seem to be suffering more from stress and isolation as they must face the challenges of the real world, which are quite different from the virtual one to which they have become accustomed. In this study, the effect of stress on students leading to their academic burnout and the influence of burnout on their learning satisfaction was studied.

MATERIALS AND METHODS:

The data were collected from 343 students of final year postgraduation courses in business management studies in India. The collected data were subject to analysis using PLS-SEM through SmartPLS 4.0 software.

RESULT:

The results of the study state that the perceived stress significantly increases cynicism, and exhaustion with a coefficient value of 0.481 each and decreases self-efficacy with − 0.03. Additionally, exhaustion acts as a mediator that decreases the effect of perceived stress over learning satisfaction with a positive indirect effect of 0.176.

CONCLUSION:

The study concludes that not all types of stress are bad for students; hence, increasing perceived stress leads to increased learning satisfaction. Whereas, in the presence of burnout factors, such as exhaustion and cynicism, learning satisfaction decrease. However, self-inefficacy, one of the factors under burnout, doesn't show any effect on learning satisfaction. The present study is widely applicable to industry and academia to deal with burnout to improve students learning satisfaction.
Prevalence and correlates of depression, anxiety, and stress among high school students in a block of Hooghly district, West Bengal: Across-sectional study
Authors: Gupta Sukanya , Das Sulagna , Das Mridul , Banerjee Sumitaksha , Neogi Riddhiman , Mukherjee Soumopriya
Published: October 2023

BACKGROUND:

Adolescent mental health is a concern. A high magnitude of deranged mental health conditions among adolescents is prevailing, which often gets extended into adulthood too. Hence, assessment of mental health morbidities like depression, anxiety, and stress is crucial to address them. This study aimed to estimate the prevalence of depression, anxiety, and stress among school-going adolescents studying in classes IX–XII and find out its correlates among the subjects.

MATERIALS AND METHODS:

This cross-sectional study was conducted among 812 adolescents studying in classes IX–XII in four randomly selected schools of Haripal block of Hooghly district, West Bengal, in 2022. A complete enumeration of students in each class of the selected schools was done. Data were collected by using a pretested schedule that included standardized depression, anxiety, and stress scale (DASS-21). Descriptive statistics and a Chi-square test were applied. Regression analysis was doneto determine associations and compute the adjusted odds ratio. Data were analyzed using SPSS version 23.

RESULTS:

Overall prevalence of depression, anxiety, and stress were found to be 52.3%, 47.4%, and 33.7% respectively. Subscale scores shows 16.1% and 10.8% suffered from extremely severe depression and anxiety, respectively. It was noted that these were more common among female students, the late adolescent age group (16–19 years), students having social problems in the family, and those reporting using substances.

CONCLUSION:

The prevalence of depression, anxiety, and stress being high among school students indicates a significant burden of mental health disease. Effective strategies to alleviate the adverse mental health, along with early identification of disease, can help in along way.
Entering aesthetic concept into the field of patient education: A protocol for an interdisciplinary study to develop a conceptual model
Authors: Khooshab Elham , Rakhshan Mahnaz , Khorasani Parvaneh
Published: October 2023

BACKGROUND:

According to the significance of patient education, new conceptual models are constantly required to promote pedagogical competences of health educators. In the field of educational sciences, aesthetic-based education is known as one of the effective types of curriculum planning which has shown many positive pedagogical outcomes. Thus, the researcher's assumption is that, the concept of “aesthetic education” could be transposed from educational sciences to health sciences in order to develop a new formula in the patient education process. The purpose of this study is to explain methods in detail, to develop an aesthetic-based patient education conceptual model through the concept derivation strategy.

MATERIALS AND METHODS:

1. Scoping review and inductive data analysis using Walker and Avant's approach to achieve conceptual categories of the concept “aesthetic education.” 2. Semi-structured qualitative interviews and directed content analysis to extract the main categories of the concept “aesthetics in the patient education process.” 3. Drawing an aesthetic-based patient education conceptual model by allocating new conceptual components to each general step of the patient education process, including needs assessment, goal setting, implementation, and evaluation. 4. Modified Delphi technique to validate the final conceptual model.

RESULTS:

The first phase will represent the main categories and subcategories of attributes, antecedents, and consequences of “aesthetic education.” The second phase will show the main categories and subcategories of attributes, antecedents, and consequences of the new concept named “aesthetic-based patient education.” In the third phase, it is expected to achieve a new conceptual model representing the components of aesthetics in the general steps of the patient education process. The fourth phase will propose the final validated conceptual model.

CONCLUSIONS:

The provided study protocol can be a road map to developing derivative models through concept derivation strategy in health sciences.
The relationship between anxiety caused by coronavirus disease and marital satisfaction mediated by empathy and conflict resolution styles in married women
Authors: Sokhanvar Sajedeh , Shirinzadeh-Feizabadi Atefeh , Raeiyat-Doost Farzad , Seyyedmoharrami Iman , Ghodrati-Torbati Abbas
Published: October 2023

BACKGROUND:

Crises such as the coronavirus outbreak is associated with a lot of fear and anxiety. This study aimed to investigate the relationship between anxiety caused by coronavirus disease (COVID) and marital satisfaction mediated by empathy and conflict resolution styles in married women.

MATERIALS AND METHODS:

This descriptive-analytical study was carried out on 326 married women referring to a marriage counseling center in Tehran. Data were collected using the questionnaires of marital satisfaction, marital empathy, conflict resolution styles, and the coronavirus disease anxiety scale (CDAS). Data analysis was performed by Pearson correlation coefficient and structural equation modeling (SEM).

RESULTS:

The psychological symptoms of coronavirus disease anxiety (CDA) had a positive and significant effect on empathy and conflict resolution styles (P < 0.05) while the physical symptoms of CDA had a negative and significant effect on empathy, conflict resolution styles, and marital satisfaction (P < 0.05). The indirect effect of psychological symptoms of CDA on marital satisfaction due to empathy and conflict resolution styles was positive and significant (P < 0.05). The explained variance of marital satisfaction in terms of psychological and physical symptoms of CDA, empathy, and conflict resolution styles was equal to R2 = 0.42.

CONCLUSION:

Psychological symptoms of CDA increased marital satisfaction by affecting problem-solving styles and marital empathy. Therefore, empathy skills and conflict resolution styles can be used to reduce coronary anxiety and increase satisfaction levels.
The relationship between moral courage and providing safe care in nurses: A cross-sectional study
Authors: Kashani Maryam , Bozorgzad Parisa , Masror Roudsary Daryadokht , Janani Leila , Asghari Hosein , Asgari Mohammad Reza , Babamohamadi Hassan
Published: October 2023

BACKGROUND:

Moral courage is one of the moral virtues, which can have a great impact on the provision of safe care for patients. Providing safe care is one of the most significant and fundamental principles of healthcare. This study aimed to determine the relationship between moral courage and safe care among nurses and explain the factors predicting safe care.

MATERIALS AND METHODS:

This is a cross-sectional study conducted on 172 nurses who worked in selected hospitals affiliated with the Iran University of Medical Sciences in 2019. For this purpose, self-report questionnaires on moral courage and safe nursing care were used. The collected data were analyzed in the Statistical Package for Social Sciences (SPSS) version 23.0 using descriptive (mean, standard deviation, percentage, and frequency) and inferential (Pearson's correlation coefficient and multiple linear regression) statistics. P values less than 0.05 were considered statistically significant.

RESULTS:

Mean scores of nurses' moral courage and safe care were desirable (407.57 ± 53.97) and satisfactory (311.31 ± 39.48), respectively. There was a significant correlation between the scores of nursing safe care and moral courage (r = 0.69, P < 0.001). Moral courage, gender, and work experience explained 54% of the variance of nursing safe care.

CONCLUSION:

The results showed that there is a positive and significant relationship between safety care and moral courage. It seems that increasing nurses' awareness of ethical principles leads to their courageous ethical behaviors, and safety and high-quality care should be one of the goals of all healthcare professionals. Also, the results of this study support the need to improve the knowledge and awareness of nurses and nurse managers regarding the importance of moral courage in providing safe nursing care and improving patient safety.
Barriers in Notification of Tuberculosis Cases by Private Practitioners of an Administrative Block of District Una, Himachal Pradesh: A Mixed Method Study
Authors: Bhardwaj Ashok , Bansal Avi Kumar , Goel Chirag , Attri Ajay , Singh Mitasha , Kumar Sanjay
Published: October 2023

Background:

Notification of tuberculosis (TB) cases is an important step in its elimination from India by 2025. However, there has not been much rise in the notification from the private sector; COVID-19 is one of the reasons.

Objective:

The objective is to determine the notification of TB cases by private practitioners (PPs), their current practices in treatment, enablers, and barriers to TB notification from Una district, Himachal Pradesh.

Methodology:

The PPs of two TB units were enrolled in the study. A mixed method study design was used. The quantitative component comprised of interviewer-introduced questionnaire-based cross-sectional study. The qualitative component was conducted using a grounded theory design to provide an explanation behind the current notification practice.

Results:

Out of 71 practitioners, 20 were treating presumptive TB patients. Eighty percent of these were aware of the NIKSHAY portal and 75% were aware of mandatory reporting of TB patients through the portal. The focused group discussions with the study population yielded a major theme, “Barriers to notification,” which had the following themes, namely affective attitude, logistic problems, provider misconceptions regarding non-directly observed treatment shortcourse (DOTS) regimens, patient confidentiality, stigma and discrimination and lack of cohesion and coordination between the public and private sectors.

Conclusion:

The ignorance and lack of education regarding ever-changing management policy of TB were one of the important barriers in notifying TB cases.