bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengaruh Membaca Al-Qur’an Terhadap Kecemasan Pada Lanjut Usia Di Panti Sosial Tresna Werdha (PSTW) Khusnul Khotimah Pekanbaru
Authors: Arfina Angga , Nita Yureya , Khairiyati Khairiyati 
Published: November 2019

Lanjut usia (lansia) merupakan tahap akhir perkembangan pada daur kehidupan manusia yang telah mencapai usia lebih dari 60 tahun. Pada lansia terjadi proses degeneratif yang akan berdampak terjadinya perubahan-perubahan diri manusia. Perubahan yang terjadi pada lansia mengakibatkan berbagai masalah yang kompleks baik secara fisik maupun psikologis. Kecemasan merupakan salah satu respon yang paling dini dan sering muncul pada lanjut usia. Selain dengan farmakologis, kecemasan juga dapat ditangani secara non farmakologis salah satunya dengan membaca Al-Qur’an. Penelitian ini bertujuan mengetahui pengaruh membaca Al-Qur’an terhadap kecemasan pada lansia di Panti Sosial Tresna Werdha (PSTW) Khusnul Khotimah Pekanbaru. Desain penelitian adalah quasy eksperiment dengan metode penelitian one group pretest & posttest. Sampel penelitian adalah lansia berjumlah 42 orang menggunakan metode probability sampling dengan teknik simple random sampling. Pengumpulan data dilakukan dengan lembar observasi untuk membaca Al-Qur’an dan penilaian kecemasan dengan Hamilton Anxiety Rating Scale. Data dianalisis secara statistik deskriptif dan Paired Sample T Test. Hasil penelitian menunjukkan bahwa ada pengaruh membaca Al-Qur’an dengan kecemasan pada lanjut usia dengan p value 0.002 < 0.05. Penelitian ini diharapkan dapat meningkatkan asuhan keperawatan gerontik sehingga membaca Al-Qur’an dapat dijadikan salah satu intervensi dalam meningkatkan spiritualitas serta menurunkan kecemasan pada lansia.
10-Year Results of FLEx Refractive Surgery
Authors: Blum Marcus , Kunert Kathleen S. , Schulze Mathias , Sekundo Walter 
Published: November 2019

PURPOSE:
To evaluate the 10-year results of femtosecond lenticule extraction (FLEx) for treatment of myopia and myopic astigmatism.

METHODS:
This long-term follow-up of a prospective clinical trial was conducted at HELIOS Klinikum Erfurt and Phillips University of Marburg, Germany. In 2006, 108 eyes underwent the FLEx procedure. All patients were invited for reexamination 10 years after FLEx treatment for myopia and astigmatism. Visual acuity, objective and manifest refraction, intraocular pressure, and slit-lamp examination and side effects were documented. Main outcome measures were uncorrected (UDVA) and corrected (CDVA) distance visual acuity, objective and manifest refraction, and slit-lamp examination and side effects.

RESULTS:
A total of 77 eyes of 40 patients of the original treatment group volunteered for a reexamination 10 years after surgery. The mean age of the patients was 45.9 years; 26 were women and 14 were men. UDVA was 0.09 ± 0.19 logMAR and CDVA was stable at −0.1 ± 0.09 logMAR. More than half of the eyes gained one or two Snellen lines, and none of the eyes lost two or more lines. Over the 10-year period, regression was 0.18 D.

CONCLUSIONS:
FLEx has stable results 10 years after treatment for myopia and astigmatism.

[
J Refract Surg
. 2019;35(11):707–711.]
Influence of Extrinsic and Intrinsic Parameters on Myopic Correction in Small Incision Lenticule Extraction
Authors: Arba-Mosquera Samuel , Kang David Y.S. , Luger Michiel H.A. , Taneri Suphi 
Published: November 2019

PURPOSE:
To evaluate the influence of different extrinsic and intrinsic parameters on outcomes in eyes with myopia or myopic astigmatism that underwent small incision lenticule extraction.

METHODS:
This was a multicenter retrospective chart review of three private centers. At last follow-up, 2,564 eyes of 1,524 patients (> 340 patients per center, time span of > 2 years for each center) were analyzed. The effect of different parameters on postoperative spherical equivalent refraction was assessed using univariate linear and multilinear correlations. Seasonal variations in the outcomes were evaluated through a sine fit. The analyses were performed per individual practice and combined.

RESULTS:
Higher corrections and younger patients showed relative undercorrections (almost 1% per diopter [D] of planned correction or decade of age). Female patients showed relative overcorrections compared to male patients (> 1%). There was a systematic undercorrection (−0.40 D). Other parameters showed statistical significance in one or two practices, but not in all three cohorts. Seasonal variations in postoperative outcomes were found.

CONCLUSIONS:
Higher corrections, older patients, and gender affected postoperative outcomes in a subtle yet significant manner at all three centers. A system-universal correction, age, and gender-dependent adjustment may help optimize small incision lenticule extraction refractive outcomes. Other parameters and seasonal variations may benefit from an individual center-based adjustment because nomogram adjustment was different for each center.

[
J Refract Surg
. 2019;35(11):712–720.]
Explicit and implicit ethical issues in the reports of the Intergovernmental Panel on Climate Change: the example of the “tipping points” metaphor
Authors: Fries Marie-Hélène 
Published: November 2019

Le changement climatique est à la fois une cause de préoccupations (dans le monde anglophone et au-delà), et un large secteur de recherche situé au carrefour des sciences et technologies, de l’économie et de la politique, Il est lié à des controverses socio-scientifiques importantes, dans lesquelles les questions d’éthique jouent un rôle essentiel, d’un point de vue déontique aussi bien qu’épistémique. L’objectif de cet article est d’explorer les points de vue éthiques exprimés dans les rapports d’évaluation du Groupe International d’Études sur le Climat (GIEC), à la fois de façon explicite, à travers l’usage des mots « éthique », « morale » et de leurs dérivés, mais aussi de façon implicite, à travers l’utilisation des termes métaphoriques contenus dans les rapports du GIEC. L’accent est mis sur les termes métaphoriques fondés sur des métaphores constitutives des théories liées au changement climatique, Cette perspective est développée, avec l’exemple des « points de bascule ».
Des « taches solaires » et des « vagues », au « cheval à bascule » et au « pendule » : que nous apprend l’étude des métaphores du cycle économique sur un siècle (1850-1950) ?
Authors: Resche Catherine 
Published: November 2019

L’objet de cette étude est de montrer comment l’examen des métaphores utilisées par les spécialistes d’un domaine peut aider le linguiste à mieux comprendre l’histoire des idées qui ont contribué à en forger la théorie. Les métaphores proposées, adoptées et discutées dans leurs écrits par les théoriciens du cycle économique, en liaison avec les notions d’équilibre et de crise, illustrent les divers rôles que peut jouer la métaphore aux niveaux heuristique, épistémologique, analytique et en termes de modélisation et d’argumentation. La terminologie du cycle économique, elle-même métaphorique, sert de toile de fond à l’analyse, qui montre que la réflexion théorique sur le cycle économique emprunte aux deux grandes veines métaphoriques traditionnelles : elle est d’abord pensée selon les lois de la nature, puis celles de la physique. Les échanges intellectuels et scientifiques entre théoriciens sont pris en compte pour illustrer les diverses fonctions de la métaphore et la façon dont elle a nourri leurs débats théoriques.
"Le soldat n’a pas fui, il est parti chercher de la force" : explorer les imaginaires migratoires à l’aune des carrières artistiques dans le rap au Sénégal
Authors: Navarro Cécile 
Published: November 2019

De l’étude des imaginaires migratoires à l’étude des mobilités artistiques, la prise en compte de l’expression artistique a considérablement renouvelé l’approche des migrations. Les productions musicales ont notamment été considérées comme une manière privilégiée de recueillir les imaginaires migratoires. La musique, et notamment le rap, n’est-elle alors que la représentation fidèle d’une parole migrante ? Par la mise en perspective des imaginaires migratoires avec le vécu des mobilités au cours de carrières artistiques, à partir des exemples des groupes de rap sénégalais Wagëblë et Daara-J Family, l’article montre comment des artistes peuvent faire appel à un imaginaire migratoire particulier, celui du « soldat » plutôt que celui de l’« aventurier » pour mettre en scène leurs parcours artistiques, en fonction des conventions propres au genre musical auquel ils souhaitent appartenir.
Le fleuve qui fait résonner le son du tambour : musique et patrimonialisation de la folia de reis au Minas Gerais (Brésil)
Authors: Campos Lúcia 
Published: November 2019

Cet article porte sur la patrimonialisation de la folia de reis, pratique religieuse et musicale du Minas Gerais (Brésil). Il met l’accent sur les articulations et décalages entre les groupes de folias de reis et les politiques du patrimoine culturel immatériel quant à leurs conceptions et usages respectifs de la musique. Une ethnographie de la Folia de Reis do Campo Belo met au jour les liens entre musique, religion et mémoire à travers lesquels les foliões conçoivent leur patrimoine. C’est en revanche le paradigme de la « musique-objet » qui prévaut dans le cadre des politiques publiques, en phase avec les paramètres de la production culturelle conventionnelle : les formats de présentation sont survalorisés, et l’un des instruments en jeu, la viola, déclaré « patrimoine culturel immatériel », entretient avec la pratique de la folia une relation métonymique. Dès lors, il convient d’analyser l’articulation entre matériel et immatériel dans le processus de patrimonialisation. Notre conclusion souligne quant à elle la dimension participative des politiques de sauvegarde du patrimoine immatériel, ainsi que le défi que représente la valorisation du patrimoine au quotidien à travers l’éducation et les recherches collaboratives.
A Survey Based Feedback Analysis of the Current Medical Teaching Methodology and Trends in Medical Research Practice in a South Indian Medical Institute
Authors: Nekkanti Supreeth , Manjunath Sagarika , Mahtani Arun , Meka Archana , Rao Tanushree 
Published: November 2019

Background: The spine of a good healthcare system is the medical education received by its doctors. As medicine is evolving, the same can be inferred regarding the delivery of medical education. This study was conducted among 541 students in a prestigious medical college in India. The aim of the study was to find out lapses in our current medical education system and steps to improve it.
Methods: A total of 541 medical students were included in this study. The only inclusion criteria being that they should be in their 2nd year MBBS or above. A questionnaire of 20 questions was given to each student and they were asked to mark the answers they felt was most appropriate. The questionnaire dealt with issues faced in our current education system regarding teaching methodology, clinical postings, research, evidence based medicine and steps to improve the healthcare system. Data was collected, analysed and statistically evaluated using Microsoft Excel and SPS version 21.0.
Results: Majority of the students felt that classroom strength should not be more than a hundred students. They felt that more innovative teaching methods and discussions should be included. Students laid emphasis on research, clinical skills training and evidence based medicine. They felt that the healthcare system also needs tweaking in terms of funding and practicing evidence based medicine to be on par with healthcare systems across the world.
Conclusion: The results in this study, resonates with the results of various other studies regarding delivery of medical education. It also takes into account the holistic approach of improving medical education and healthcare rather than focusing on one single aspect.
Do Thai Medical Students Understand What Does ‘AEC’ Mean? A Cross-sectional Survey.
Authors: Kittrakulrat Jathurong , Jurjai Ravipol , Jongjatuporn Witthawin , Jarupanich Nicha , Bhamani Annabel , Pongpirul Krit 
Published: November 2019

Background: Thai medical students are inevitably involved in the regional collaborative movement of 10 countries toward the ASEAN Economic Community (AEC), this study explored how well they understand the term.
Methods: Twelve students proposed an abbreviation list, which was then rated for their difficulty level by another 55 students using a 5-point Likert scale. Three easy, three medium and three difficult abbreviations were randomly chosen and randomly listed in the final questionnaire, along with ‘AEC’. Another randomly selected 60 students were asked to write the full term of the 10 abbreviations.
Results: Of 34 abbreviations in the initial list, the selected terms were: CMCTSD, SRL, LSC, SOS, AM, LOL, WHO, USA, UK. They were correctly answered in 0, 0, 0, 6.67, 13.33, 46.67, 81.67, 96.67, and 98.33 percent, respectively. AEC was deemed moderately difficult, as 30% correctly expanded the abbreviation.
Conclusion: Majority of medical students lacked an understanding of the current AEC movement.
Detachment of the Amplatzer Device after Interventional Closure of a Mitral Prosthesis Paravalvular Leak
Authors: Pavel Alexandra 
Published: November 2019

Background: Paraprosthetic leak is a complication of mitral and aortic valve implantation interventions, that can be treated either through a surgical procedure (repair or replacement of the prosthesis) or by means of a less-invasive percutaneous transcatheter approach. Nevertheless, this percutaneous intervention carries complications on its own, one of them being displacement of the occluder device.
Results: This is the case of a 66-year-old patient, with a clinical history of two mitral valve replacement procedures, who presented with dyspnea, fatigue, and peripheral edema. Echocardiographic findings described severe mitral regurgitation due to the presence of a paravalvular leak. Considering the high perioperative mortality, renal and respiratory impairment, and the fact that this reoperation would have been the third cardiac surgery for the patient, percutaneous transcatheter closure of the leak was recommended. Four days after the successful procedure, a checkup echocardiogram revealed the migration of the occluder device to the left atrial cavity. Even though the operative risk was high and the prognosis poor, the only available treatment option was the surgical management that achieved the removal of the device and replacement of the diseased prosthesis.
Conclusion: Albeit less invasive, lower risks, and better outcomes, the percutaneous intervention for leak closure has some clinically relevant complications that must be addressed promptly. One of these complications – detachment of the occluder device – even if quite rare, is a significant event that requires immediate surgical or interventional approach. A careful postoperative checkup is therefore essential to detect any complication and to address it directly.
Case Report: 56-year-old Woman Presenting with Progressive Hearing Loss, Chronic Otitis Media and Pulsatile Tinnitus
Authors: Morejon-Troya Luis , Jimenez-Zambrano Joyce 
Published: November 2019

Introduction: Glomus tumors are rare benign lesions of the middle ear that are often associated with symptoms of progressive hearing loss and pulsatile tinnitus. Diagnosis is often delayed due to the slow growth of the tumor, and surgical resections of the mass are the mainstay treatment.
Case Presentation: A 56-year-old Latin American female was admitted to the hospital with a year-long history of intermittent pulsatile buzzing noise, progressive hearing loss, pain and discharge of the left ear. High-resolution Computerized Tomography and Magnetic Resonance Imaging revealed evidence of an enhancing mass lesion, which extended into the external auditory canal. A tympanomastoidectomy was performed. Most of the mass was removed, but some remained because of massive bleeding. The patient received 3 months of radiation therapy after the tympanic paraganglioma was surgically removed.
Conclusion: This case exposed the audiological findings, the location, and the extent of the tumor. Management options consist of radiation therapy and surgical management, depending on the size of the tumor. Early detection of glomus tumors is essential to prevent non-reversible complications.
An essay on individual self-determination
Authors: Afonso Margarete , Barros Ernane Pedro Matos , Cavalcanti Matheus Paiva Emidio , Ribeiro Mariane Albuquerque Lima 
Published: November 2019

There are several understandings about the role of human gender identity in the scientific field, this discussion correlates definitions of both social and biological basis. The current confusion in the conceptualization of “sex” and “gender” demonstrates the need for a comparative analysis of the scientific dynamic vocabulary, as well as the insertion of an interdisciplinary historical, social and cultural point of view together with the biological view outside the normative binary logic. The word “gender” can be defined as the social construction of sex, differing from the variable “sex” because it refers to a biological dimension of the anatomo-physiological characterization of humans, recognized as essential and innate in determining the distinctions between male and female. Therefore, the JHGD presents a thematic diversity that focuses on issues related to public health, demonstrating the need to develop knowledge to generate impact on public policy strategies, aiming at universality, equity and comprehensiveness in scientific research involving sexand gender and their impacts on health sciences.
Impacto da idade materna na acidez do colostro de nutrizes em maternidade do interior do Estado de São Paulo
Authors: Moraes Lucas Lima de , Campos Letícia de Aguiar , Ferrari Denise Vasconcelos de Jesus , Saeki Erika Kushikawa , Polettini Jossimara , Morceli Glilciane 
Published: November 2019

Objective: To analyze sociodemographic and gestational characteristics and to compare colostrum acidity content in adolescent and advanced maternal age mothers. Methods: This cross-sectional study included 98 adolescents (up to 18 year-old) and 33 advanced maternal age (more than 35 year-old) mothers admitted at the maternity of Presidente Prudente Regional Hospital, Brazil. An approximated volume of 10 mL of colostrum was obtained by manual expression of the breasts within 72h postpartum and stored at -20oC up to processing. Acidity of colostrum was evaluated in Dornic degrees. Statistical analysis was performed using Mann-Whitney test or X2. Results: The median age adolescents and advanced maternal age mothers were 20 years (12-24) 37 years (35-45), respectively. The majority of the adolescents (66.3%) were primiparous and C-section delivery had occurred in 66.7% of advanced age mothers. Gestational body mass index (BMI) was statically higher in advanced maternal age women (32.17±5.6 vs 26.09±3.6, p< 0.0001). Acidity measurement was similar between the studied groups. Conclusions: Sociodemographic and gestational characteristics of adolescents and advanced age mothers showed population heterogeneity, thus, specific follow up and orientations should be applied at each one. Colostrum constitution was constant regarding casein and proteins content, independently of maternal age.
Efeitos de 12 semanas de intervenções interdisciplinares em parâmetros comportamentais e alimentares de adolescentes com excesso de peso ou obesidade
Authors: Costa Lorany , Rubio Ketlin Laise , Lopes Solange Munhoz Arroyo , Tanouye Andressa Tiemi de Andrade , Bertolini Sônia Maria Marques Gomes , Branco Braulio Henrique Magnani 
Published: November 2019

Objetctive: To analyze the 12 weeks’ effects of interdisciplinary interventions on behavioral and eating parameters of overweight or obese adolescents. Methods: This study presents a longitudinal and quasiexperimental design. 40 adolescents aged 16 ± 1 years were selected to participate on the study. Therefore, only 17 completed the 12 weeks of interdisciplinary interventions. The interventions were realized by physical education professionals (physical exercises three times a week), physiotherapists (exercises to strengthen the core and postural exercises three times a week), nutrition (feeding re-education twice a week) and cognitive-behavioral therapy (focus on behavior change and adoption of an active lifestyle once a week). In order to quantify the adolescents’ behavioral parameters, the questionnaires were: Body Shape Questionnaire (BSQ), Eating Attitudes Test (EAT), Rosenberg self-esteem scale (RAS) and Hamilton anxiety scale (HAS). Results: For BSQ’s answer 9: “are you with thin people of the same sex as you, make you feel worried about your physique? “A significant reduction in the responses attributed by the adolescents at the post-intervention (p<0.05) level was identified, as well as for the HAS, in question 3: fear - of the dark, of unknown, of the crowd, of being abandoned, large animals, transit”, with lower values (p<0.05) after interdisciplinary interventions. Conclusion: Interdisciplinary interventions resulted in improvements in body image in relation to the perception of physical state, as well as in a decrease in fear presented by adolescents. The 12 weeks of interventions presented slight changes in the adolescents’ behavior analyzed in the study.
Complete Androgen Insensitivity Syndrome and Literature Review
Authors: Calderon Mauricio Giusti , Lemos Carolina Maria Barbosa , Alem Mariana Drigo , Pinelli Thais Cristina , Raimundo Rodrigo Daminello 
Published: November 2019

Backgroung: Complete Androgen Insensitivity Syndrome (CAIS) has been reported since 1923, but in 1953 it became known as “testicular feminization”. It is a rare recessive genetic disorder linked to the X chromosome that results in different mutations in the androgen receptor. The main clinical presentation in childhood is the presence of bilateral inguinal hernia in phenotypically female subjects. Incidence of androgen insensitivity syndrome in phenotypically females with inguinal hernia is estimated in 0.8% to 2.4%. This is a case report of complete androgen insensitivity syndrome and literature review of preoperative diagnostic methods. Case Summary: We present a 3 years and 6 months old child with female phenotype, born in São Paulo, Brazil which was diagnosed intraoperatively with complete androgen insensitivity syndrome, during inguinal hernia repair and present potential diagnostic alternatives that we consider viable options in order to avoid this kind of surprise during surgery. Conclusion: Investigation of CAIS should be standard in prepubertal girls with bilateral inguinal hernia, genetic techniques involving X chromatin or Y chromosome tests present the best choices.