bluuebunny/crossref_metadata_2025_split huggingface dataset:
L’émotionnel aux confins de la vie : une approche prospective des compétences en gériatrie hospitalière
Authors: Dickason Rebecca 
Published: September 2020

Les résultats de la concertation « grand âge et autonomie » révèlent, d’une part, la proportion actuelle des personnes âgées à l’hôpital (30 % des patients en court séjour et 65 % de ceux des soins de suite et de réadaptation) (Ministère de la santé, 2019) et, d’autre part, une augmentation du nombre de personnes âgées dépendantes à l’horizon 2030 de 15 % à 33 % selon le scénario retenu (Libault, 2019). À l’horizon 2050, un doublement de la population française âgée de plus de 80 ans est attendu, de même qu’une augmentation de la part des plus de 65 ans (OCDE, 2019). Dans ce contexte, se pencher sur les compétences de demain en gériatrie prend tout son sens. C’est ce que nous faisons en nous appuyant sur une étude de terrain en USLD (soins de longue durée). Cet article met en évidence deux niveaux de compétences (individuel et collectif) ainsi qu’une dyade de compétences sur le plan émotionnel : des compétences de réalisation du travail émotionnel, pour les soignants (infirmières et aides-soignantes), et des compétences de détection de pénibilité et de (sur)charge émotionnelles, pour l’encadrement.
Critical Care Guidance for Tracheostomy Care During the COVID-19 Pandemic: A Global, Multidisciplinary Approach
Authors: Pandian Vinciya , Morris Linda L. , Brodsky Martin B. , Lynch James , Walsh Brian , Rushton Cynda , Phillips Jane , Rahman Alphonsa , DeRose Troy , Lambe Leah , Lami Lionel , Wu Sarah Pui Man , Garza Francisco Paredes , Maiani Simona , Zavalis Andrea , Okusanya Kafilat Ajoke , Palmieri Patrick A. , McGrath Brendan A. , Pelosi Paolo , Sole Mary Lou , Davidson Patricia , Brenner Michael J. 
Published: September 2020

Purpose
Critical care nurses caring for patients with a tracheostomy are at high risk because of the predilection of SARS-CoV-2 for respiratory and mucosal surfaces. This review identifies patient-centered practices that ensure safety and reduce risk of infection transmission to health care workers during the coronavirus disease 2019 (COVID-19) pandemic.

Methods
Consensus statements, guidelines, institutional recommendations, and scientific literature on COVID-19 and previous outbreaks were reviewed. A global interdisciplinary team analyzed and prioritized findings via electronic communications and video conferences to develop consensus recommendations.

Results
Aerosol-generating procedures are commonly performed by nurses and other health care workers, most notably during suctioning, tracheostomy tube changes, and stoma care. Patient repositioning, readjusting circuits, administering nebulized medications, and patient transport also present risks. Standard personal protective equipment includes an N95/FFP3 mask with or without surgical masks, gloves, goggles, and gown when performing aerosol-generating procedures for patients with known or suspected COVID-19. Viral testing of bronchial aspirate via tracheostomy may inform care providers when determining the protective equipment required. The need for protocols to reduce risk of transmission of infection to nurses and other health care workers is evident.

Conclusion
Critical care nurses and multidisciplinary teams often care for patients with a tracheostomy who are known or suspected to have COVID-19. Appropriate care of these patients relies on safeguarding the health care team. The practices described in this review may greatly reduce risk of infectious transmission.
Association between the morphometric parameters of placenta and umbilical cord with the birth weight
Authors: Nazeefa H. M. F. J. , Thirukumar M. , Thayabaran M. 
Published: September 2020

Objectives: Birth weight is a vital parameter used to predict the future growth and development of a new born. The survival of the foetus in utero depends on proper functions of the placenta. The study aims to express the relation between the birth weight and placental and umbilical cord morphometric parameters. Materials and methods: The study was conducted on 418 singleton normal vaginal deliveries. The collected placentae were washed to remove the blood clots and the weight, thickness, and diameters of placentae and the length of umbilical cord were measured. Shape and margin of the placentae, location of umbilical cord insertion and number of cotyledons and the twist pattern of umbilical cord have been determined through careful examination. the birth weight of the foetus was obtained immediately after the delivery. Results: The collected data has been analysed by multiple linear regression test using R software with p value ≤ 0.05 as the significance. The weight of the foetus exhibited positive significant linear relationship with thickness (p=0.001), weight (p=0.000) and Surface area (p=0.000) of the placental disk. The velamentous cord insertion showed (p=0.019) negative relation with birth weight. The non-twist umbilical cord showed positive significant (p=0.04) association with birth weight. Other parameters were not significant with the birth weight. Conclusion: Thickness, weight and surface area of the disk and non-twist umbilical cord increases the birth weight of the foetus. However, velamentous cord insertion related to reduction in the birth weight.
The Association between Hyperemesis Gravidarum and Periodontal Disease in Pregnancy
Authors: Altaş Nurcan , Boyama Burcu Aydin , Çakmak Burcu Dinçgez 
Published: September 2020

Abstract
Purpose: Periodontal diseases (PDs) are considered a risk factor for some systemic conditions such as cardiovascular diseases, diabetes, and adverse pregnancy outcomes. Hyperemesis gravidarum (HG) is a common health problem, and inflammation is claimed to play a vital role in its etiopathogenesis. Here, we aimed for the first time to demonstrate the relationship between PD and HG. Materials and Methods: A total of 30 pregnant with HG and 30 healthy pregnant between the age group of 18 and 40 years were enrolled in the study. HG was diagnosed if the followings were present: at least one-positive ketonuria, >5% weight loss, and severe vomiting, which is >2 times a day. Periodontal status was evaluated by the plaque index (PI), gingival index (GI), probing pocket depth (PPD), and bleeding on probing index (BOPI), and these parameters were recorded. All measurements were performed at 6 points of each tooth (mesiobuccal, midbuccal, distobuccal, mesiolingual, midlingual, and distolingual) and compared between the groups. Results: Mean age was 29 ± 3 in HG and 28 ± 4 in the control group. There was no difference between two groups according to the age (P = 0.421), gravida (0.524), and parity, (P = 0.54). PI, GI, PPD, and BOPI were significantly higher in HG group as compared to controls. Conclusions: Gingival inflammation is more common in patients with HG, and it is possibly associated with insufficient tooth brushing because it may stimulate the gagging reflex and vomiting. Since there could be a vicious cycle between PD and HG, periodontal preventive programs are crucial for pregnant women with HG.
Evaluation of Abutment Parallelism and Path of Withdrawal Using Three Intra- and One Extra-Oral Methods: A Survey and In vitro Study
Authors: Sayed Mohammed , Dewan Harisha , Mubaraki Manal , Khubrani Zahra , Hummadi Sabreen , Jurado Carlos Alberto 
Published: September 2020

Abstract
Purpose: The purpose of this study is to evaluate four different methods used to examine preparation taper and relative parallelism of the prepared abutment teeth. Materials and Methods: A total of 12 artificial teeth were prepared simulating six sets of prepared abutments. Proximal walls of the premolars in all sets were prepared parallel and 90° to the occlusal plane, whereas walls of the second molars were prepared either 0°, 20°, or 45° to the long axis of the premolar preparation. A total number of 210 participants were involved in the study. All data of the taper evaluation and responses to the questionnaire were coded and entered into an Excel Spreadsheet file. Statistical analyses of the participants' responses were performed using the Chi-square test with P < 0.05 was considered statistically significant. Results: No significant difference was found between the educational levels relative to their responses to level of difficulty, sensitivity, skills, and technical demands for the four techniques. The intraoral mirror technique in the mandibular arch was found to be statistically significantly (P < 0.05) better. The surveyor technique in the maxillary arch was found to be statistically significantly (P < 0.05) better. The highest percentage of faculty members (50%) chose dental surveyor (DS) as the most preferred technique to be included into the academic curriculum. Conclusions: The DS was more favored among the respondents across all educational levels. This technique presented high potential in accurately evaluating tooth preparation in comparison to the intraoral techniques.
Robot-assisted laparoscopic pyeloplasty
Authors: Kumar Sunil , Bhirud Deepak Prakash , Mittal Ankur , Navriya Shiv Charan , Ranjan Satish Kumar , Mammen Kim Jacob 
Published: September 2020

Introduction:
Anderson-Hynes pyeloplasty has been gold standard in the management of pelviureteric junction obstruction (PUJO). It has evolved from open to laparoscopic and now robotic surgery. Open surgery has its drawback of long incision and scar mark, significant post-operative pain and long hospital stay. The main limitation of laparoscopic surgery had been the difficulty in endosuturing. Robotic surgery has incorporated the minimal access method of laparoscopy and endowrist movement of open surgery to overcome the challenge of intracorporeal suturing. Here, we present our initial experience of robotic pyeloplasty.

Patients and Methods:
A total of 30 patients underwent robot-assisted laparoscopic pyeloplasty (RALP) over 19 months. Diagnosis of PUJO was made by computed tomography urography, diuretic renogram and retrograde pyelogram in selected patients. All patients underwent RALP by colon reflecting approach. Post-operative evaluation was done by DTPA scan at 3- and 6-month follow-up. Data were analysed after a mean follow-up of 11 months.

Results:
The mean operative time was 148 min and the mean hospital stay was 3.5 days. While 93% of the patients showed objective improvement in their drainage pattern on DTPA renogram, 90% of the patients were symptom-free at the end of 6 months.

Conclusions:
Robotic pyeloplasty is a safe and easily conquerable technique with comparable outcomes in the hands of surgeons who are beginners in this technique.
Radiographic and metabolic evolution of prostate cancer lung metastasis detected by prostate-specific membrane antigen and fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography
Authors: Tsakiridis Theodoros , Bonert Michael , Zukotynski Katherine , Anagnostopoulos Alexander 
Published: September 2020

AbstractWe describe the case of a 75-year-old patient who progressed over a 12-year period from localized to symptomatic metastatic prostate cancer (PrCa) with lung as the sole organ of involvement. In this case, the specific sequence of positron emission tomography (PET)-based next-generation imaging with 18F-sodium fluoride-, 18F-fluoro-2-deoxy-D-glucose-, and 18F-DCFPyL PET/computed tomography and biopsies allowed illustration of the pathway of disease progression from nonglycolytic hormone-sensitive PrCa to glycolytic castrate-resistant PrCa without neuroendocrine features. The observations provide a unique insight into the timelines of anatomical and metabolic progression of metastatic PrCa. They highlight the value of close radiographic surveillance of metastatic PrCa with modern imaging to guide early treatment interventions.
Appropriate use criteria in myocardial perfusion imaging in a tertiary care hospital in South India: An audit
Authors: Srivastava Madhur Kumar , Pagala Ram Manohar , Kendarla Vinodh , Nallapareddy Kavitha 
Published: September 2020

AbstractMyocardial perfusion imaging (MPI) is an important investigative tool in the diagnosis and management of coronary artery disease. This investigation has seen a manifold increase in number in past decades as compared to other investigations such as cardiac magnetic resonance imaging/positron emission tomography or computed tomography. In 2005, “Appropriate use criteria (AUC) in cardiac radionuclide imaging” was formulated by the American College of Cardiology Foundation and the American Society of Nuclear Cardiology for effective use of this investigation, later revised in 2009. We assessed the appropriateness of indications for MPI in patients presenting to the nuclear medicine department of a tertiary care hospital according to the latest AUC for cardiac radionuclide imaging. This is a retrospective analysis of all cardiac perfusion scans performed from June 2019 to January 2020 in a tertiary care teaching hospital in South India. All patients' indications for MPI were assessed for appropriateness using AUC 2009 as appropriate, inappropriate, and uncertain indications by two experienced nuclear medicine physicians blinded for results of the test and hospital stay of the patients. A total of 1015 cardiac scans were performed in the given period, which were analyzed. This included 613 males and 402 females, with most of the patients aged above 60 years (n = 640; males = 385, females = 255). Most of the patients had diabetes mellitus or hypertension or both except in 161 patients (15.8%) which did not have either of the comorbidities. Chest pain and/or shortness of breath were the most common presenting complaints. The appropriate indication for imaging was found in 784 patients (77.2%), inappropriate in 121 patients (12%), and uncertain in 110 patients (10.8%). Our results showed appropriate indication to be 77.2% and inappropriate indications as 12% for MPI referrals in a tertiary care teaching hospital, similar to Western literature but can be improved further by continued teaching and awareness campaigns.
Qualité physico-chimique des eaux littorales de la partie Sud-Ouest du Lac Albert, RD Congo
Authors: Ciwanine Kasigwa Dieudonné , Katho Lonze Joël , Kankonda Busanga Alodor , Micha Jean-Claude 
Published: September 2020

Le lac Albert est moins étudié en ce qui concerne l’évolution de la qualité de ses eaux. L’objectif de cette étude était de contribuer à la connaissance de quelques paramètres physico-chimiques des eaux littorales de la partie Sud-Ouest du lac Albert. Pour y parvenir, nous avons utilisé un kit multi-parameter AZ8603 pour le prélèvement, in situ, du pH, de l’oxygène dissous, de la conductivité électrique et de la température pendant un cycle de 24 heures à intervalle de 3 heures durant une année. Il ressort de cette étude que les moyennes de température, conductivité, oxygène dissous et pH sont respectivement de 29,07 °C, 631,65 μs/cm, 4,8 mg/l et 8,01. La concentration en oxygène dissous était plus élevée le jour que la nuit. La différence non significative de température entre le cycle diurne et nocturne montre que l’activité photosynthétique est l’élément explicatif de l’augmentation du taux d’oxygène dissous. Les mois d’avril et de mai se sont distingués par une forte température et une baisse de la concentration en oxygène dissous. Ceux de mars, août, octobre et novembre ont été marqués par une conductivité élevée corrélée positivement à la température.Mots clés : Eaux, lac Albert, physico-chimie, variation nycthémérale.

English Title: Physico-chemical of coastal waters of the South-Western part of Albert Lake, DR CongoThe Albert Lake is barely investigated with regard to the evolution of the quality of its waters. The objective of this study was to contribute to the knowledge of some physico-chemical parameters of the coastal waters of the South-Western part of the Albert Lake. To reach the above objective, a kit multi AZ8603 parameter was used to record, in situ, the pH, the dissolved oxygen, the electric conductivity and the temperature during a cycle of 24 hours, with 3 hours interval. This was done during a year. This survey evidenced that the averages of temperature, conductivity, dissolved oxygen and pH were respectively 29.07 °C, 631.65 μs/cm, 4.8 mg/l and 8.01. The concentration of dissolved oxygen was higher during the day as compared to its concentration in the night. The slight difference of temperature between the diurnal and nocturnal cycle showed that the photosynthesis activity was responsible of the increase of the dissolved oxygen rate. The months of April and May were characterized by relatively higher temperature and a lower concentration of dissolved oxygen. Those of March, August, October and November showed higher conductivity correlating positively to the temperature.Keywords: Waters, Albert Lake, physico-chemistry, circadian variation.
Caractérisation physico-chimique des eaux d’un système lacustre du cordon littoral ivoirien : cas du lac Labion
Authors: Odjohou Ella , Amani Mireille , Soro Gbombélé , Monde Sylvain 
Published: September 2020

L’analyse spatio-temporelle des paramètres physico-chimiques des eaux du lac Labion dans le système lagunaire ivoirien, a été abordé dans un contexte de variabilité climatique. L’objectif est de caractériser la physico-chimie des eaux au cours des saisons climatiques. Pour y parvenir, une analyse hydrologique a été réalisé à partir de mesure in situ des paramètres pH, Température, Conductivité électrique, Oxygène dissous, Matières en suspension, Transparence et Turbidité. Ces paramètres ont été mesurés à l’aide d’un multi-paramètre. Celui-ci est mis à l’eau et les résultats s’affichent à l’écran. Seule la transparence a été mesuré à l’aide du disque de Secchi. La température (31 °C) indique des eaux relativement chaudes. Quant au pH, il varie du neutre (6,79) à alcalin (8,99). La conductivité moyenne sur le lac est de 40 μS/cm. Les eaux sont bien oxygénées (7 à 8 mg/L) et présente peu de matières en suspension. L’analyse en composante principale montre une forte corrélation (r > 0,7) entre les variables température, oxygène, pH et conductivité. Ces résultats mettent en évidence deux (02) mécanismes qui sont à l’origine des forçages naturel et artificiel. Il s’agit du mécanisme de la photosynthèse occasionnant une bonne oxygénation des eaux et du mécanisme de pollution traduisant une forte turbidité.Mots clés : Lac, saison climatique, paramètre, mécanisme, évolution.

English Title: Physico-chemical characterization of the waters of a lake system of the ivorian coastal cordon: case of Lake LabionThe spatio-temporal analysis of the physicochemical parameters of the waters of Lake Labion in the Ivorian lagoon system was tackled in the context of climate variability. The objective is to characterize the physico-chemistry of the waters during the climatic seasons. To achieve this, a hydrological analysis was carried out using in situ measurement of the parameters pH, Temperature, Electrical conductivity, Dissolved oxygen, Suspended matter, Transparency and Turbidity. These parameters were measured using a multi-parameter. It is launched and the results are displayed on the screen. Only transparency was measured using the Secchi disk. The temperature (31 °C) indicates relatively warm waters. As for the pH, it varies from neutral (6.79) to alkaline (8.99). The average conductivity on the lake is 40 μS / cm. The waters are well oxygenated (7 to 8 mg / L) and have little suspended matter. The principal component analysis shows a strong correlation (r> 0.7) between the variables temperature, oxygen, pH and conductivity. These results highlight two (02) mechanisms which are at the origin of natural and artificial forcings. This is the mechanism of photosynthesis causing good oxygenation of water and the pollution mechanism reflecting high turbidity.Keywords: Lake, climatic season, parameter, mechanism, evolution.
GAMBARAN KARAKTERISTIK IBU, NILAI BISHOP DAN CARA TERMINASI PERSALINAN PADA PERSALINAN KALA 1 DENGAN INDUKSI PADA KETUBAN PECAH DINI DI RSUD K.R.M.T WONGSONEGORO, KOTA SEMARANG
Authors: Rhomadona Shinta Wurdiana 
Published: September 2020

Pendahuluan : Persalinan dengan induksi merupakan salah satu intervensi obstetris yang paling sering diterapkan di seluruh dunia. Beberapa indikasi induksi persalinan yang paling sering adalah kehamilan post term, Ketuban Pecah Dini (KPD), kemungkinan terjadinya kegawatan, kondisi medis ibu yang dapat membahayakan kehamilan, sindrom antifosfolipid, korioamnionitis, solusio plasenta dan kematian janin. Manajemen persalinan pada KPD dengan induksi dapat mengurangi risiko morbiditas infeksi pada ibu tanpa meningkatkan persalinan dengan tindakan dan seksio cecaria, serta lebih sedikit bayi yang pergi ke perawatan intensif neonatal meskipun tidak ada perbedaan yang terlihat pada tingkat infeksi neonatal. Namun keputusan ini tetap dengan mempertimbangkan beberapa hal diantaranya presentasi janin, kematangan serviks, dan kemungkinan infeksi karena hal tersebut yang mempengaruhi keberhasilan induksi persalinan. Penelitian ini bertujuan untuk mengetahui karakteristik ibu, nilai shop dan cara terminasi persalinan pada persalinan kala 1 dengan induksi pada Ketuban Pecah Dini Di RSUD K.R.M.T Wongsonegoro, Kota Semarang. Metode : Desain penelitian yang digunakan adalah penelitian deskriptif. Jumlah jumlah sampel 30 orang. Pengambilan sampel dilakukan secara consecutive sampling. Hasil : Dari 30 ibu bersalin dengan induksi didapatkan rerata usianya adalah 30,66±5,88 tahun dengan rentan usia responden termuda adalah 22 tahun dan usia tertua adalah 41 tahun. Paritas rerata responden adalah 2,03±0,98 kali dengan rentan jumlah kehamilan paling rendah 1 kali dan paling tinggi 4 kali. Rerata usia kehamilan adalah 40,01±1,19 minggu dengan rentan usia kehamilan termuda 37 minggu 2 hari dan usia kehamilan tertua adalah 41 minggu 5 hari. Sebagian besar ibu memiliki nilai bishop kurang dari 5 yaitu sebanyak 19 orang (63,3%). Jenis persalinan pada penelitian ini mayoritas secara spontan yaitu sebesar 56,6%.
HUBUNGAN UMUR, TINGKAT PENDIDIKAN, PEKERJAAN DAN PARITAS TERHADAP PENGGUNAAN METODE KONTRASEPSI JANGKA PANJANG (MKJP) DI DUSUN III DESA PANANJUNG KECAMATAN CANGKUANG KABUPATEN BANDUNG
Authors: Aningsih Baharika Suci Dwi , Irawan Yetty Leoni 
Published: September 2020

Keluarga Program Keluarga Berencana merupakan suatu program yang membantu pasangan usia subur untuk menghindari kelahiran yang tidak diinginkan, mendapatkan kelahiran yang diinginkan, mengatur interval kelahiran dan menentukan jumlah anak dalam keluarga yaitu melalui penggunaan alat kontrasepsi. Di Indonesia Metode kontrasepsi yang paling banyak diminati adalah metode kontrasepsi jangka pendek yaitu suntikan dan pil, sementara yang menggunakan metode kontrasepsi jangka panjang (MKJP) masih rendah. Penelitian ini bertujuan untuk mengetahui hubungan umur, tingkat pendidikan, pekerjaan dan Paritas terhadap penggunaan metode kontrasepsi jangka panjang di Dusun III Desa Pananjung, Kecamatan Cangkuang, Kabupaten Bandung. Penelitian ini menggunakan metode penelitian deskripstif analitik dengan pendekatan cross sectional, yang dilaksanakan di Dusun III Desa Pananjung Kec Cakuang Kab Bandung. Populasi dalam penelitian ini adalah seluruh PUS yang menjadi akseptor KB dengan besaran sampel sebanyak 516 responden. Instrumen yang digunakan dalam penelitian ini menggunakan data primer dengan pengisian kuesioner. Uji Statistik yang digunakan adalah Chi-Square. Dari hasil analisis data dari 516 Responden sebanyak 91 responden (17,6%) menggunakan MKJP dan yang menggunakan KB Non MJKP sebanyak 425 responden (82,4%). Hasil penelitian disimpulkan bahwa terdapat hubungan antara umur, Tingkat pendidikan dan paritas terhadap penggunaan MKJP dan tidak ada hubungan antara pekerjaan penggunaan MKJP.