bluuebunny/crossref_metadata_2025_split huggingface dataset:
Integrating Home Care: An Innovative Approach for Simulation Learning
Authors: Sutherland Jodi L. , Palmer Deborah , Reuther Patricia , Leiby Patrick 
Published: March 2021

Background:
The nature of a nurse's job is changing dramatically. Nurses are assuming expanded roles for a broad range of patients in community-based care. Nurse educators have a responsibility to teach nursing students about the needs of patients and families in the home care setting.

Method:
To describe how the creation of a home care video series and a medication reconciliation simulation scenario were used as a teaching strategy in a simulation center.

Results:
The teaching strategy supported senior-level nursing students' understanding of the complexity of home care nursing and the nurse's role and responsibilities in care coordination, care transitions, and interprofessional practice.

Conclusion:

The home care video scenario was received favorably by nursing students. Additional simulation video scenarios are needed that address the health disparities among underrepresented and vulnerable groups. There is potential to offer the simulation in a virtual-online format during the COVID-19 pandemic and social distancing mandates.

[
J Nurs Educ
. 2021;60(3):172–176.]
Forme et valeur de la théorie des miroirs chez Lucrèce (De rerum natura, IV, 269-323)
Authors: Dumont Samuel 
Published: March 2021

En s’intéressant au cas particulier du miroir, Lucrèce trouve l’occasion de combiner la démonstration de la théorie épicurienne de la sensation vraie avec une éducation de l’esprit aux procédures de raisonnement de l’école. Bien loin d’être seulement un appendice à une conception matérialiste générale de l’ombre et de la lumière, le motif du miroir ne cesse de s’enrichir à mesure que le poète s’attarde sur ses spécificités et vient à bout des difficultés que cet objet d’étude devrait naturellement susciter. Lucrèce fait preuve ici d’une grande maîtrise rhétorique consistant moins à écarter ou à dissoudre les objections qu’à les assumer pleinement, y compris dans ce qu’elles peuvent avoir de plus problématique, pour les creuser encore et encore et montrer qu’elles prouvent en réalité la validité de la doctrine d’Épicure. À cet égard, Lucrèce ne se contente pas d’un austère exposé dogmatique et physique, mais cherche au contraire à donner véritablement à voir et à sentir cette vie des images que permet le modèle des simulacres. Tout à la fois, il expose cette théorie, fournit à son lecteur un exercice de pensée, et prépare déjà ses armes pour la controverse contre les sceptiques qui apparaît plus loin dans le chant IV, faisant ainsi passer le miroir de curiosité scientifique à un statut de véritable instrument.
Temporary spanning internal fixation for management of complex upper cervical spine fractures
Authors: AlSaleh Khalid , Abulras Muteb , Alrehaili Osama 
Published: March 2021

Introduction:
Fractures of the upper cervical spine are often but not always amenable to either internal fixation or conservative management using a rigid cervical collar. For all other fractures in this area, management with a halo-vest orthosis is indicated, but it also has limitations. Here, we present an operative alternative to the halo-vest orthosis that provides more secure stability and less complications.

Methods:
Three patients presented to our hospital with atypical fractures of C1 and C2 and were given the choice of either a halo-vest orthosis or secure internal fixation without fusion and accepted the latter. Internal fixation without fusion from occiput to the subaxial spine was performed for all three and then removed-6 months later -after radiologic confirmation of healing.

Results:
All three patients underwent the procedure successfully and achieved and maintained acceptable alignment. Range of motion was preserved, and no intermediate-term issues were observed.

Conclusion:
Spanning internal fixation provides a safe and effective technique in the management of complex upper cervical spine injuries without the drawbacks of using a halo-vest orthosis.
Effect of age-adjusted alignment goals and distal inclination angle on the fate of distal junctional kyphosis in cervical deformity surgery
Authors: Passias Peter Gust , Horn Samantha R , Lafage Virginie , Lafage Renaud , Smith Justin S , Line Breton G , Protopsaltis Themistocles S , Soroceanu Alex , Bortz Cole , Segreto Frank A , Ahmad Waleed , Naessig Sara , Pierce Katherine E , Brown Avery E , Alas Haddy , Kim Han Jo , Daniels Alan H , Klineberg Eric O , Burton Douglas C , Hart Robert A , Schwab Frank J , Bess Shay , Shaffrey Christopher I , Ames Christopher P 
Published: March 2021

Background:
Age-adjusted alignment targets in the context of distal junctional kyphosis (DJK) development have yet to be investigated. Our aim was to assess age-adjusted alignment targets, reciprocal changes, and role of lowest instrumented level orientation in DJK development in cervical deformity (CD) patients.

Methods:
CD patients were evaluated based on lowest fused level: cervical (C7 or above), upper thoracic (UT: T1–T6), and lower thoracic (LT: T7–T12). Age-adjusted alignment targets were calculated using published formulas for sagittal vertical axis (SVA), pelvic incidence-lumbar lordosis (PI-LL), pelvic tilt (PT), T1 pelvic angle (TPA), and LL-thoracic kyphosis (TK). Outcome measures were cervical and global alignment parameters: Cervical SVA (cSVA), cervical lordosis, C2 slope, C2–T3 angle, C2–T3 SVA, TS-CL, PI-LL, PT, and SVA. Subanalysis matched baseline PI to assess age-adjusted alignment between DJK and non-DJK.

Results:
Seventy-six CD patients included. By 1Y, 20 patients developed DJK. Non-DJK patients had 27% cervical lowest instrumented vertebra (LIV), 68% UT, and 5% LT. DJK patients had 25% cervical, 50% UT, and 25% LT. There were no baseline or 1Y differences for PI, PI-LL, SVA, TPA, or PT for actual and age-adjusted targets. DJK patients had worse baseline cSVA and more severe 1Y cSVA, C2–T3 SVA, and C2 slope (P < 0.05). The distribution of over/under corrected patients and the offset between actual and ideal alignment for SVA, PT, TPA, PI-LL, and LL-TK were similar between DJK and non-DJK patients. DJK patients requiring reoperation had worse postoperative changes in all cervical parameters and trended toward larger offsets for global parameters.

Conclusion:
CD patients with severe baseline malalignment went on to develop postoperative DJK. Age-adjusted alignment targets did not capture differences in these populations, suggesting the need for cervical-specific goals.
Body composition in patients with early rheumatoid arthritis
Authors: Gorbunova Yu. N. , Kondratyeva L. V. , Popkova T. V. , Demin N. V. , Smirnov A. V. , Nasonov E. L. 
Published: March 2021

Aim of the study was to clarify the body composition in patients with early rheumatoid arthritis before starting therapy with synthetic basic anti-inflammatory drugs, genetically engineered biological drugs and glucocorticoids using dual-energy X-ray absorptiometry and to assess the effect of inflammation and metabolic syndrome on body composition.Material and methods. The study included 37 patients (31 women and 6 men) with early rheumatoid arthritis. The control group consisted of 19 healthy donors without rheumatic diseases. Patients with rheumatoid arthritis and the control group were measured by waist size, height and weight, and body mass index was calculated. Body composition was determined by means of dual-energy X-ray absorptiometry using the “Whole Body” program on the HOLOGIC device (USA). The presence of metabolic syndrome was assessed according to the criteria of the International Diabetes Federation (IDF).Results. Patients with early rheumatoid arthritis had less lean tissue mass, which was negatively correlated with inflammatory markers (ESR and C-reactive protein levels). Overweight and obesity were diagnosed in 24% and 27% of patients with early rheumatoid arthritis, respectively. Patients with rheumatoid arthritis and metabolic syndrome had a higher body weight, body mass index, waist size, and adipose tissue mass than patients without metabolic syndrome. With the help of instrumental methods, it is shown that in rheumatoid arthritis there is a redistribution of fat mass in the body, its predominant accumulation in the trunk area and a parallel decrease in the volume of muscle tissue.Conclusion. Rheumatoid inflammation and metabolic syndrome affect body composition of patients with early rheumatoid arthritis before the start of antirheumatic therapy.
Using two languages to inform and inspire: a case study using bilingual digital technology to educate healthcare students demonstrating the importance of language choice in enhancing communication and patient care in Wales
Authors: Cooledge Beryl , Murphy Peggy 
Published: March 2021

Welsh is the indigenous language of Wales, the Welsh Language (Wales) Measure (2011) means that English and Welsh have equal parity in Wales. Many nursing students are now embarking on their studies having completed their formal education throughout the medium of Welsh and thus feel more comfortable studying in their mother tongue. Therefore, Bangor University aims to teach Welsh speakers alongside English speakers and offers a choice to their students so they can study in their preferred language. This case study examines how a bilingual ethos can be incorporated to provide a dynamic approach to teaching using pre-recorded lectures and innovative group work. Presentations are recorded in two different languages and are supported by a gapped handbook, ensuring that students focus on the most important aspects of the lecture. The pre-recorded lecture capture is available for students to access after the lecture to reinforce the learning. Crossover group work (Mortiboys, 2010) was included to ensure that each member of the class contributed to discussions and fully understood the topic of managing pain in various scenarios.This resulted in a stimulating session which increased students' motivation and fostered ownership and interest in digital technology, but at the same time met the language and educational needs of a diverse population of students.
Creating learning communities: three social software tools
Authors: Tinker Amanda , Byrne Gillian , Cattermole Christine 
Published: March 2021

Use of the web today, particularly amongst young people, is now more social and participative. Collectively known as Web 2.0, freely available tools have emerged that facilitate communication, user-generated content and social connectivity. Facebook and MySpace have become the most popular forms of this kind of online activity and networks are formed around all kind of interest and issues whether they are political, educational, professional or hobbies. In a recent survey of 500 students, 80% claimed that they regularly use social networking tools to communicate with peers (JISC, 2008). This pervasive use of Web 2.0 technology for everyday interaction has yet to see its potential fully recognised and integrated into Higher Education pedagogy. Despite 73% of students using such tools to 'discuss coursework' and 75% of these students recognising their value for enhancing learning, only 25% were encouraged to use such social software by academic staff (JISC, 2008). This raises the question as to whether Web 2.0 technology can promote social learning within educational contexts and how this might be realised in practice. In a bid to harness this creativity, energy and sociability, the Academic Skills Tutors (ASTs) at the University of Huddersfield have been exploring Web 2.0 technologies to investigate how such tools might enhance teaching and learning. This paper introduces practical examples of social software tools; how these are currently used to foster learning communities and promote academic development. Three distinct social software tools are discussed (del.icio.us, PBwiki - now PBworks - and Ning), illustrating current use of these with students and their initial evaluation.
Making a case for behaviour based learning strategies in supporting students' academic performance
Authors: Gallagher Maeve Ann , Flynn Niamh 
Published: March 2021

The aim of this article is to raise the profile of time and resource management interventions, not just as part of the delivery of Student Learning Development Services but as a core strategy, supported with interventions and resources that can be systematically evaluated, to help students (both undergraduate and postgraduate) maximise academic and employment potential. This opinion piece puts forward a case for Student Learning Development practitioners to design and deliver interventions aimed at improving students' self-regulated learning skills. The case is illustrated by examples from research on self-regulated learning (e.g. Pintrich, 2004) and from reports on graduate employment figures (e.g. OECD Heckmann, 2013) and employers' perceptions of graduates' employability skills (e.g. Council for Industry and Higher Education, Archer and Davison, 2008). There are also examples of interventions delivered by the Student Learning Development Service, Trinity College Dublin Ireland to help students improve self-efficacy and time management skills. The aim of this opinion piece is to stimulate discussion and ideas as to how educationalists and, in particular, professionals working in Student Learning Development Services in third level environments, can help students to develop these behavioural skills to enhance both their academic and employment potential.
Learning Development and Education for Sustainability: what are the links?
Authors: Winter Jennie , Barton Graham , Allison Joseph , Cotton Debby 
Published: March 2021

Learning Development (LD) is an emerging discipline developing a unique disciplinary identity. In common with many other new fields, it is considering its position and relevance to other disciplines and bodies of thought, for example, educational development and the sociology and philosophy of education. This paper considers one such area of debate: the link between Learning Development and Education for Sustainability (EfS). EfS is a topic of considerable and growing importance in Higher Education (HE) and universities. Its underpinning systemic and epistemic philosophies suggest the need for integration across all facets of university activity, including LD.ÃÂ In this paper, we argue that there are identifiable links between LD and EfS characterised by the following: 1) commonalities surrounding the foci of their pedagogic practices, 2) shared methodologies for undertaking their practices, and 3) ways in which these methodologies are helping to situate both professions and disciplines within organisational contexts. The commonalities and possible distinctions between LD and EfS form a starting point for discussion, and raise the possibility that explicit identification of the links may encourage the development of new ideas and innovative practices. ÃÂ
Leisure Time Habits of BEd Students in Sagaing University of Education
Authors: Chit Yar Zar 
Published: March 2021

This study investigated the leisure time habits of BEd students from Sagaing University of Education in Myanmar. A total of 400BEd students in Sagaing University of Education participated in this study. Descriptive research design and survey method were used. “Leisure time: activities and satisfaction” section from “ISSP 2007 Leisure Time and Sports Questionnaire” was adapted and used to collect the required data. Findings from questionnaire surveys revealed that students commonly used their leisure time for relaxation and entertainment (67.25%). It was also found that there was a significant difference in students’ leisure time habits by gender at =0.01 level. Moreover, by four habits, male students used more leisure times for physical, emotional, and social activities because their mean values are significantly different at =0.01 level. In the total mean scores, since second-year students’ mean scores are highest, they used mostly their leisure times among students (Mean=37.38). The mean and percentage of “to relax” are 2.82 and 16.40% and so it is highest among reasons. Moreover, the mean and percentage of “lack of time due to school” are 1.76 and 14.75% and so it is highest among limitations. This study hopes to give some ideas to support students’ leisure activities.
ANNE EBEVEYNİN KENDİ ANNE RED KABULÜNÜN, EBEVEYNLİK TUTUMU ÜZERİNE ETKİSİ
Authors: EKER Engin , TÜRK Arzum 
Published: March 2021

Pek çok farklı literatür çalışması göstermektedir ki; insan gelişiminin en önemli aşamalarından biri olan çocukluk çağı sürecinde, kişinin anne babasıyla kurmuş olduğu iletişim ve onlardan aldığını düşündüğü ebeveynlik, yetişkinlik dönemindeki tavır, davranış ve tutumlarına etki etmektedir. Bu etkileşimin kişinin ebeveynlik tutumlarını yordaması da kaçınılmaz olacaktır. Araştırmanın amacı anne ebeveynlerin kendi anne ret-kabullerinin, ebeveynlik tutumu üzerine etkisinin incelenmesidir. Bu amaç kapsamında araştırmaya 2-6 yaş arasında çocuğu bulunan 493 anne dahil edildi. Araştırmada anket yöntemi kullanılmıştır. Verilerin elde dilmesi için Demografik Bilgi Formu, Ebeveyn Tutum Ölçeği (ETÖ) ve Yetişkin Ebeveyn Kabul-Ret Ölçeği (EKRÖ) kullanıldı.
Katılımcıların ebeveyn kabul düzeyinin yüksek olduğu görülmüştür. Katılımcıların demokratik tutumları yüksek, otoriter tutumları düşük, aşırı koruyucu ve izin verici tutumları orta düzeyde bulundu. Katılımcıların EKRÖ alt boyutları ve ETÖ alt boyut puanları gelir durumuna göre değiştiği sonucuna ulaşılmıştır. Sonuç olarak araştırmada katılımcı annelerin ret kabul düzeyleri ile ebeveynlik tutumları arasında düşük düzeyde ilişki bulunmuştur.
Primary Synovial Sarcoma of Thyroid Gland: A Case Report
Authors: Hazarika Biswajyoti , Julaha Manish , Lal Ranjeet K 
Published: March 2021

ABSTRACT
Aim and objective
We report a case of synovial sarcoma of the thyroid gland and review the literature of few such reported cases.

Background
Synovial sarcoma of the thyroid gland is exceedingly rare with aggressive features and very poor prognosis.

Case description
We report a case of 65-year-old man from Iraq who presented initially with a neck mass and was operated at the local hospital for total thyroidectomy, and a separate neck mass extending from the thyroid gland to the upper mediastinum was found. A re-excision of the mass was done with HPE showing malignant peripheral nerve sheath tumor. He was referred to our institute with relapse of the neck mass with compressive symptoms. The mass was excised with the HPE and IHC staining showing grade 2 biphasic synovial sarcoma. Within twenty days of surgery, he presented with severe respiratory distress and tumor with intraluminal tracheal growth. He died of compressive symptoms two weeks after the relapse.

Conclusion
The early diagnosis and margin-free resection give the best chance of survival for the patient.
How to cite this article
Lal RK, Hazarika B, Julaha M. Primary Synovial Sarcoma of Thyroid Gland: A Case Report. Int J Otorhinolaryngol Clin 2020;12(2):27–30.
Clinical study on prevention of atopic dermatitis by oral administration of probiotics in infants
Authors: He Jia-huan , Zhao Xin-guo , Sun Feng , Peng Wen-qi , Li Huan-yun , Li Hui 
Published: March 2021

IntroductionThis study aimed to investigate the preventive effects of oral administration of probiotics on the incidence and severity of atopic dermatitis (AD) in infants.Material and methodsA total of 396 full-term infants were enrolled in this study. Of these, 132 newborns without a family history of AD were assigned to group A, and the other 264 newborns were randomly divided into groups B and C. Infants in groups A and B were solely breastfed, while probiotics were administered to those in group C as well as breastfeeding. The information of all subjects was recorded, and the incidence of AD was followed up. The levels of serum IgE and IL-4 were measured at the age of 3 years.ResultsThe incidence of AD in infants in group B was higher than that in group A at 3 months, 4–6 months, and 7–36 months after birth, together with increased symptom scores. For infants in group C, the incidence of AD at 4–6 months and 7–36 months after birth and the SCORAD scores at 0–3 months and 4–6 months after birth were lower than those in group B. The levels of IgE and IL-4 in group B were higher than those in groups A and C at 36 months old.ConclusionsAdding probiotics could favor the establishment of the intestinal microecological balance in the neonatal period, thereby reducing the incidence of AD, decreasing the levels of serum immune indexes and alleviating the severity of the disease.
The effect of α-lipoic acid treatment on plasma asymmetric dimethylarginine, a biomarker
of endothelial dysfunction in diabetic neuropathy
Authors: Sztanek Ferenc , Lőrincz Hajnalka , Molnár Ágnes , Szentpéteri Anita , Zöld Eszter , Seres Ildikó , Páll Dénes , Harangi Mariann , Kempler Péter , Paragh György 
Published: March 2021

IntroductionDiabetic neuropathy may develop on a background of hyperglycaemia and is associated with increased oxidative stress. Elevated asymmetric dimethylarginine (ADMA) levels are linked to oxidative stress reducing the synthesis of nitric oxide (NO) by uncoupling NO synthase. Oxidative stress induces considerable changes in nerve conduction velocity in diabetic patients. There is strong evidence that α-lipoic acid (ALA) as an antioxidant may improve nerve conduction and relieve neuropathic symptoms. We aimed to investigate the relationship between endothelial dysfunction and NO synthesis in type 2 diabetic patients with peripheral neuropathy after ALA treatment.Material and methodsFifty-four type 2 diabetic patients with neuropathy were included in the study. Serum ADMA concentration, ICAM-1, VCAM-1, oxidised low-density lipoprotein (oxLDL), and TNF-α levels were determined with Enzyme-Linked Immunosorbent Assay (ELISA). Nitric oxide concentration was measured by Griess reaction. Peripheral sensory nerve function was assessed by current perception threshold (CPT) testing. Autonomic function was assessed by Ewing’s five standard cardiovascular reflex tests composite autonomic score (CAS).ResultsAsymmetric dimethylarginine levels were significantly decreased (0.62 ±0.11 vs. 0.53 ±0.11 µmol/l, p < 0.001), as well as TNF-α concentrations (1.21 ±0.42 pg/ml vs. 1.05 ±0.5 pg/ml, p < 0.05), while NO levels were significantly increased (16.78 ±11.1 vs. 21.58 ±8.84 µmol/l, p < 0.05) after six-months of 600 mg/day ALA treatment. VCAM-1, ICAM-1, and oxLDL levels did not change significantly. The CPT and CAS significantly improved after ALA treatment. The improvement of CPT values was correlated positively with the change of ADMA levels (r = 0.58, p < 0.001). The change in ADMA level was more pronounced in responder patients based on both CPT and CAS.ConclusionsOur results suggest that ALA supplementation improves endothelial function characterised by serum levels of ADMA and TNF-α in patients with diabetic neuropathy. Changes in serum ADMA levels may predict the clinical response to ALA treatment.