bluuebunny/crossref_metadata_2025_split huggingface dataset:
Curse of the technology-computer related musculoskeletal disorders and vision syndrome: a study
Authors: Pandey Rahul , Gaur Shikhar , Kumar Rakesh , Kotwal Narendra , Kumar Sanjeev 
Published: January 2020

Background: Computer Related Musculoskeletal disorders and Vision Syndrome (CRMSKVS) is defined as symptoms due to prolonged use of Visual Display Terminal (VDT).Methods: A cross-sectional observational study was done among office-workers working on computer terminal. A self-reported questionnaire was distributed and Musculoskeletal (MSK) and visual symptoms in the preceding 12 months (01 October 2017 to 30 September 2018) were taken as dependent variable. Multivariate analysis was done to identify the determinants of CRMSKVS.Results: Responses from 1193 subjects were included in the study. CRMSKVS was present in 489 cases (40.98%; males - 37.5%, females - 58.29%). The main MSK symptoms were pain/stiffness in neck (40.98%), shoulder (38.99%), lower back (35.6%) and elbow/wrist/hand/fingers (23.1%). The ocular symptoms were excessive watering (39.6%), pain (24.99), irritation (18.6%), burning/itching sensation (29.8%), redness (40.7%), blurring of vision (13.2%) and headache (40.9%). Female gender (OR-1.498(1.262-1.778)), long duration of working hours (OR-2.77(2.399-3.214)), poor break duration (OR-2.59(2.172-3.089)), excessive smart phone use (OR-2.071(1.834-2.338)), poor posture (OR-3.883(3.282-4.592)), inappropriate distance of computer screen (OR-2.173(1.829-2.582)), low height of screen (OR-1.936(1.527-2.454)), distance of keyboard (OR-3.161(2.528-3.953)) and distance of mouse (OR-5.785(3.932-8.512)) were identified as significant determinants of CRMSKVS.Conclusions: CRMSKVS is an emerging pandemic which needs urgent attention by medical and administrative authorities. The device factors, personal factors, environmental and ergonomic factors are the modifiable risk factors for CRMSKVS.
Awareness and sources of the digital transactions schemes: a cross sectional study in a rural block of Jabalpur, Madhya Pradesh, India
Authors: Tomar Shashi Prabha , Dangwal Nipun , Kasar P. K. 
Published: January 2020

Background: India is a developing country and is on the road of rapid progress, in every aspect. So, to further boost the development process, India joined many other developing countries and showed an intent to promote a cashless economy. However, this penetration is not much in the rural areas which constitute the building blocks of the country. Awareness regarding digital transaction schemes of government of India is imperative to success of such schemes. Hence, the current study for assessing the awareness of the digital transaction schemes and finding out the sources in their implementation will help cater these issues.Methods: A descriptive cross sectional study was conducted among 60 respondents belonging to different age groups, socio economic strata and with different education status, to explore the awareness and acceptance percentage of respondents in rural block Paragraph in relation to digital transaction schemes and methods and the their sources of information. Study was done in three-month duration from1st July 2018 to 30th September 2018.Results: It was found that the awareness for mobile banking among all the age groups was a massive 93.36% while that of the Digital Dakiya scheme is a meagre 8.30%.It was inferred from the study that social interaction was the major information source (51%) and there was a significant association between the use of mobile banking and younger age of the individual.Conclusions: Awareness among the older population and rural females is lesser as compared to counterparts and was massive for mobile banking. Disparity about awareness the of schemes points that overall usage needs to be promoted.
A prospective study to determine the application of site, ischemia, neuropathy, bacterial infection and depth scoring in the outcome and management of diabetic foot ulcers
Authors: Venkataramana Ashwath V. H. , B. D. Manjunath , Razack Abdul , H. R. Harindranath , Arish Hussain 
Published: January 2020

Background: The objective of the study was to classify diabetic ulcers based on the recently described SINBAD classification system and to determine the management based on SINBAD score.Methods: Prospective study, conducted in Victoria Hospital from November 2017 to May 2019. 120 patients with diabetic ulcers were classified according to the SINBAD classification system, wherein a score of one is given for site beyond forefoot, presence of ischemia, presence of neuropathy, bacterial infection, area >1 cm2 and depth beyond subcutaneous tissue. The wounds are scored at presentation and the outcome are evaluated according to respective score.Results: In this study 120 patients with mean age of 50.12 years were included. Lower socio-economic groups correlated with higher incidence of diabetic foot. According to SINBAD classification 42.5% had forefoot, 57.5% had hind foot wounds, 56.3% were purely ischemic ulcers, 19.2% were neuropathic ulcers, 40.0% were neuro-ischemic ulcers 68.3% had bacterial infection, 70.8% had ulcer, size >1 cm2, 55% had ulcer deeper than skin & sub cutaneous tissues. Healing probability in score 1 was 100%, score 2 was 87.5%, Score 3 was 70%, score 4 was 58.6% healing, score 5 was 7.1% and score 6 was 1.1% healing (p=0.004). Ischemia, neuropathy, bacterial infection, area >1 cm2 and depth beyond subcutaneous tissue had significant effect on healing.Conclusions: SINBAD classification system includes 6 parameters, describing the pathological evolution of diabetic ulcers. Treatment protocols can be determined based on the score. The system is easy to score and apply in routine practise.
Prospective study of laparoscopic surgery in paediatric patients
Authors: Pipal Dharmendra Kumar , Kumar Neeraj , Kothari Saurabh 
Published: January 2020

Background: Laparoscopic cholecystectomy and laparoscopic appendectomy is gold standard treatment modality for symptomatic cholelithiasis and appendicitis. Laparoscopy in paediatric patient have many limitations and factors restricting its use in paediatric patient are smaller surface area for access, compliant abdominal wall, the liver margin below the rib cage, the bladder being an intra-abdominal structure, the viscera close to anterior abdominal wall and small sized abdominal cavity and conventional instruments too long for paediatrics use. The so-called obliterated structures like umbilical vein, umbilical artery and urachus remain relatively large and partially patent in infants further restricting use of therapeutic laparoscopy.Methods: The present study was carried out in Department of General Surgery, MDM Hospital, Dr. S. N. Medical College, Jodhpur, Rajasthan. Total 50 patients were included in the present study of laparoscopic surgery in paediatric patients below 14 years of age and were studied in terms of, duration of surgery, postoperative pain, analgesic requirement, postoperative hospital stay, intraoperative and postoperative complication and factors necessitating conversion of laparoscopic procedure to open method.Results: As per the present study inguinal hernia was most common diagnosis (48%) followed by hydrocele (22%) and acute appendicitis (22%).Conclusions: It is concluded from the present study that laparoscopic surgery in paediatric patients is safe, complication free, had less analgesic requirement, shorter duration of surgery, short postoperative hospital and total hospital stay and better cosmetic results.
Acute Epstein-Barr virus hepatitis presenting clinically as ascending cholangitis in an immunocompetent patient
Authors: Colbran Rachel , Ng Jessica 
Published: January 2020

Symptomatic acute Epstein-Barr virus (EBV) hepatitis, without associated infectious mononucleosis syndrome, is exceptionally rare. A 30-year-old female presented to hospital with jaundice, fevers, and right upper quadrant abdominal pain. Her blood tests demonstrated marked hyperbilirubinemia and mild global liver function test abnormalities consistent with obstructive jaundice. Preliminary imaging with ultrasound showed gallbladder wall thickening and cholelithiasis, suggestive of potential cholecystitis. Authors were concerned for potential ascending cholangitis in the setting of her hyperbilirubinemia. The diagnosis was refuted after magnetic resonance cholangiopancreatography demonstrated no choledocholithiasis. A hepatic panel was performed which revealed positive EBV IgM serology. This case highlights the importance of considering EBV hepatitis as a potential differential diagnosis in patients with right upper quadrant pain, fevers and jaundice in the absence of an obstructing cause.
Phyllodes tumor presented as fungating mass on right breast and fibroadenoma on contralateral breast: a case report
Authors: Mahapatra Sribatsa Kumar , Panigrahi Pramit Ballav , Mahapatra Abinash , Mahapatra Srimanta 
Published: January 2020

This is an article reporting a large phyllodes tumor with fibroadenoma. A 25 years female presented with a fungating mass of size 20×15 cms in right breast since last 1 year and amass of size 3×3 cms in left breast since 6 month. Biopsy from right side and left side breast mass proven to be Cystosarcomaphyllodes and fibroadenoma respectively. Wide local excision with 1cm normal tumor margin on right side and excision of mass on left side done. Proliferative markers like Ki-67 and P53 were in range of 1-2% and 3-4% respectively. Histopathological diagnosis of tumor was borderline phyllodes tumor (right side) and fibroadenoma (left side). Patient had an uneventful post-operative course and is presently on three monthly follow up since 1 year.
Improving Health Literacy at the Organizational Level
Authors: Isibel Denise 
Published: January 2020

BackgroundThe lack of health literacy is associated with higher mortality, more frequent hospitalizations, and increased use of healthcare services. Organizations must create an environment that prepares a workforce with a heightened sensitivity for health literacy.ObjectiveThe local Program of All Inclusive Care for the Elderly (PACE) program desired to have an organized plan to address health literacy.MethodsTwelve interdisciplinary team members of a Program for all Inclusive Care of the Elderly completed the Assessment Questionnaire from the Agency for Healthcare Research and Quality (AHRQ) Health Literacy Universal Precautions Toolkit. Once the questionnaire was complete organizational priorities were identified and the AHRQ Toolkit was utilized to develop next steps.ResultsThe organization identified three areas as priorities: development of a health literacy team, improving spoken communication with patients and care givers, and improving written information given via letters and home instructions.ConclusionsOrganizations, nursing, and quality care leaders may find these results useful to assess organizational literacy and develop improvement plans.Implications for NursingImplementation of the AHRQ Health literacy Universal Precautions toolkit may increase understanding and training health literacy, improve passage of health care information and increase patient safety.
Multimodal Education Program to Improve Nurses' Knowledge and Confidence on Delirium Recognition in a Surgical-Trauma Intermediate-Care Setting
Authors: Choi Min , DeGennaro Regina , Blevins Cheri 
Published: January 2020

BackgroundHigh incidence of delirium in hospitalized patients has been reported in the United States and is significantly associated with increased morbidity and mortality. The lack of knowledge and confidence in performing delirium assessment (KCDA) has led to significant underrecognition of delirium by nurses regardless of evidence-based education intervention.ObjectiveThe purpose of this study was to determine the effectiveness of a multimodal educational program (MEP) to enhance nurses' KCDA.MethodsA MEP including an online didactic with a video-simulation and 1:1 bedside coaching with delirium screening (DS) was conducted in the surgical intermediate-care unit of an academic medical center. A quasi-experimental pre- and post-test design was used.ResultsOf 23 nurses, the majority were <41 years old (73.9%) and had at least a bachelor of science in nursing degree (78.3%) with <6 years of experience (60.9%). The overall KCDA scores and the performance of DS improved significantly after the MEP (p < .001). A positive correlation was noted between the changes of the KCDA scores (p = .009).ConclusionsThe MEP demonstrated improvement in nurses' KCDA. The MEP should focus on an individualized learning approach with a targeted patient population, using current delirium screening tools.Implications for NursingEducational programs are recommended in either an orientation or continuing education program on nursing units. This is also recommended for use in other academic centers that encompass similar clinical settings and could possibly be considered for use in other disease processes.
Framework Development for an Immediate Postpartum Long-Acting Reversible Contraception Program
Authors: Poulsen Jessica , Liese Kylea 
Published: January 2020

BackgroundWith the high rates of unintended pregnancy and associated maternal morbidity and mortality in the United States, particularly among poor and minority women, it is imperative that all individuals have information about and access to long-acting reversible contraception (LARC) methods in the immediate postpartum period.ObjectiveThe creation of a framework to provide guidance, address barriers, and dispel myths associated with the implementation of an immediate postpartum LARC program.MethodsA multistep approach to develop a framework to guide planning and implementation of an immediate postpartum LARC program. A literature review, telephone and e-mail interviews with clinical experts involved with successful implementation of immediate postpartum LARC programs, development of a list of interdisciplinary specialists, and steps required to initiate a change in current practice.ResultsThe provision of a framework to guide the planning and implementation of an immediate postpartum LARC program to streamline the process while addressing perceived barriers and myths.ConclusionsAddressing the lack of knowledge about LARCs, financial concerns, and absence of a standardized framework related to planning and implementation of this complex process will hopefully begin the process of making effective and reliable contraception available.Implications for NursingThe use of a standardized framework to guide the implementation of an immediate postpartum LARC program provides the potential for easier access to LARC methods in this critical time period.
PrEParing for Preexposure Prophylaxis
Authors: Zappas Michelle Peters , Foreman Ruth Madden 
Published: January 2020

BackgroundIn 2012 the Food and Drug Administration (FDA) approved Truvada (emtricitabine [FTC] 200 mg/tenofovir disoproxil fumarate [TDF] 300 mg) for preexposure prophylaxis (PrEP) against HIV. There was a substantial decline in new HIV diagnoses which has since stabilized.ObjectiveThe plateau is thought to be because preventative efforts are not reaching high-risk groups. About 1.2 million adults in the United States could benefit from PrEP but only 80,000 individuals are taking it. This article aims to increase provider awareness of PrEP so primary care providers feel confident discussing risk reduction options, initiating, and monitoring PrEP.MethodsA case based approached is used to achieve the objective.ResultsTarget populations, baseline labs, follow up labs and monitoring parameters, and side effects of medication will be reviewed. Patient counseling with regards to dosing, administration, side effects and adverse events will be discussed.ConclusionsHIV prevention is an integral public health goal. PrEP is a way to achiveeve continued reduction in HIV incidence. PCPs should be offering PrEP to at risk individuals.Implications for NursingMany nurse practitioners work as primary care providers, this article hopes to increase the confidence of PCPs in prescribing PrEP to those who would benefit from it.
Variasi Penambahan CTABr Sebagai Template Terhadap Pembentukan TiO2 Anatase Dari Senyawa Natrium Titanat dan Aplikasinya Sebagai Fotokatalis
Authors: Dewi Widya Puspita , Haryati Tanti , Suwardiyanto Suwardiyanto , Sulistiyo Yudi Aris , Andarini Novita 
Published: January 2020

TiO2 anatase mesopori (ukuran pori 2-50 nm) memiliki aktivitas fotokatalitik yang besar. Metode sintesis kimia padat dapat digunakan sebagai alternatif untuk memperoleh TiO2 anatase dari natrium titanat dengan menggunakan prekursor yang murah berupaTiO2 rutile komersial. Surfaktan CTABr (Cetyltrimethylammonium Bromide) mampu menghasilkan TiO2 anatase mesopori dengan kemampuannya sebagai template atau agen pembentuk pori. Penelitian ini bertujuan mengetahui pengaruh variasi penambahan CTABr terhadap distribusi ukuran pori, volume total pori, luas permukaan TiO2 dan dan aktivitas fotokatalitik TiO2 hasil sintetis. Sintesis dilakukan menggunakan metode reaksi kimia padat dengan penambahan variasi perbandingan mol CTABr dan tanpa penambahan CTABr sebagai pembanding. Karakterisasi menggunakan XRD (X- Ray Powder Difraction), SEM (Scanning Electron Microscopy) dan Gas Sorption Analyer (GSA) untuk mengetahui struktur, morfologi dan sifat pori TiO2. TiO2 anatase mesopori hasil sintesis diaplikasikan sebagai fotokatalis dalam mendegradasi metilen biru. Hasil penelitian ini menunjukkan bahwa TiO2 anatase mesopori berhasil didapatkan dengan morfologi partikelnya berbentuk seperti balok, sisi tidak seragam serta ukuran partikel berkisar 200-500 nm. Variasi penambahan CTABr tidak memberikan pengaruh yang signifikan terhadap distribusi ukuran pori, volume total pori, luas permukaan dan aktivitas fotokatalitik dari TiO2 anatase mesopori, dengan hasil distribusi pori mayoritas pada 2 nm dan aktivitas fotokatalitik sekitar 77%
ASEAN E-Commerce Legal Framework and Alignment of Lao PDR: A Review
Authors: Sengpunya Phet 
Published: January 2020

In the era of digital, the internet has become a new channel for meeting and social interaction of people all around the world, and it has also become an essential platform for commercial activities, especially e-commerce. E-commerce has become a significant driving force for the growth of the economy for all regions around the world. For example, ASEAN, ICT, and e-commerce are recognized as an essential segment for regional integration. ASEAN developed its legal framework in order to promote and facilitate the development of ICT and the growth of e-commerce within the region. Unlike the European Union, ASEAN is not a supranational organization, and it cannot legislate for a whole community. Thus its e-commerce legal framework is developed by harmonizing the Member Countries' national laws into the regional legal system. This paper aims to introduce how ASEAN designs its legal framework for regional cooperation, with a focus on e-commerce. The paper presents how Lao PDR, as a member country of ASEAN, fulfills provisions agreed under the e-ASEAN framework to help understand the way ASEAN Member Countries undertake action to align with ASEAN e-commerce legal framework. To this end, this paper also provides an overview of the e-commerce of ASEAN as a whole and Lao PDR.
Keywords: ASEAN, Lao PDR, E-Commerce Legal Framework, Regional Legal System.
OS OLHARES DA COMUNICAÇÃO ORGANIZACIONAL NO BRASIL PARA O ENSINO SOB O PARADIGMA DA COMPLEXIDADE
Authors: Theodoro Luciana Santos Almeida , Porto Junior Francisco Gilson Rebouças 
Published: January 2020

RESUMO
Inseridos em um mundo onde o processo de ensino-aprendizagem carece superar a visão conteudista para se tornar, no mínimo, eficiente, já não é possível pensarmos em pesquisas sobre formação na área da comunicação organizacional sem antes relacioná-la a novas metodologias que objetivam melhorias em sala de aula. Nesse contexto é que esse artigo pretende buscar como o termo Paradigma da Complexidade tem aparecido nos artigos publicados nos Anais do Congresso da Abrapcorp, o mais representativo da área no Brasil.

PALAVRAS-CHAVES: Paradigma da Complexidade; Abrapcorp; Congresso.

ABSTRACT
Inserted in a world where the teaching-learning process needs to overcome the contentist vision to become, at least, efficient, it is no longer possible to think about research on training in the area of ​​organizational communication without first relating it to new methodologies that aim at improvements in the classroom. In this context, this article intends to look for how the term Complexity Paradigm has appeared in articles published in the Annals of the Congress of Abrapcorp, the most representative of the area in Brazil.

KEYWORDS: Complexity paradigm; Abrapcorp; Congress.

RESUMEN
Insertado en un mundo donde el proceso de enseñanza-aprendizaje necesita superar la visión contendiente para ser, al menos, eficiente, ya no es posible pensar en la investigación sobre capacitación en el área de comunicación organizacional sin primero relacionarla con nuevas metodologías que apuntan a mejorar En el aula. En este contexto, este artículo tiene la intención de buscar cómo ha aparecido el término Paradigma de complejidad en los artículos publicados en el Annals of Abrapcorp Congress, el más representativo del área en Brasil.

PALABRAS CLAVE: paradigma de complejidad; Abrapcorp; Congreso.
Partial Lateral Meniscectomy Affects Knee Stability Even in Anterior Cruciate Ligament-Intact Knees
Authors: Novaretti João V. , Lian Jayson , Patel Neel K. , Chan Calvin K. , Cohen Moises , Musahl Volker , Debski Richard E. 
Published: January 2020

Background:
The effects of a partial lateral meniscectomy on knee kinematics and forces in the lateral meniscus are critical to understand. The purpose of this study was to quantify the effects of varying sizes of partial lateral meniscectomies of the posterior horn and a total lateral meniscectomy on knee kinematics and resultant forces in the lateral meniscus.

Methods:
Using a robotic testing system, loads (134-N anterior tibial load + 200-N axial compression, 5-Nm internal tibial torque + 5-Nm valgus torque, and 5-Nm external tibial torque + 5-Nm valgus torque) were applied to 10 fresh-frozen cadaveric knees. The resulting joint motion and resultant forces in the lateral meniscus were determined for 4 knee states: intact, one-third and two-thirds partial lateral meniscectomies of the posterior horn, and total lateral meniscectomy.

Results:
A decrease in lateral translation of the tibia (up to 166.7%) was observed after one-third partial lateral meniscectomies of the posterior horn compared with the intact knee, in response to an anterior load at all knee flexion angles tested (p < 0.05). One-third partial lateral meniscectomies of the posterior horn decreased the resultant forces in the lateral meniscus compared with the intact knee at all knee flexion angles tested in response to an anterior load (p < 0.05) and to an internal tibial torque (p < 0.05). The results of two-thirds partial lateral meniscectomies of the posterior horn were similar to those of one-third partial meniscectomies (p > 0.05). Total lateral meniscectomies further decreased the lateral translation of the tibia (up to 316.6%) compared with the intact knee in response to an anterior load (p < 0.05).

Conclusions:
The changes in joint motion and meniscal forces observed in this study after even small partial lateral meniscectomies may predispose knees to further injury.

Clinical Relevance:
Surgeons should always consider repairing and minimizing the resection of even small lateral meniscal tears to prevent the potential deleterious effects of partial meniscectomy reported in this cadaveric study.