bluuebunny/crossref_metadata_2025_split huggingface dataset:
Traditional Versus Objective Structured Clinical Examination on Pediatric Nursing Students’ Performance
Authors: Said Khadiga M. , Draz Safaa F. 
Published: April 2021

Context: The Objective Structured Clinical Examination (OSCE) method is an effective tool for evaluating the clinical nursing skills of nursing students. OSCE is an assessment technique in which the student demonstrates their competence under a variety of simulated conditions
Aim: This study aimed to compare objective structured clinical examinations versus traditional clinical examination on pediatric nursing students' performance.
Methods: A quasi-experimental research design (study and control group) was used to conduct this study. The study was conducted in the laboratory of pediatric nursing skills at the faculty of nursing, Benha University. All male and female pediatric nursing students in the 3rd year (n. =228), who were studying in the academic year 2018-2019, first semester, faculty of nursing, Benha University, was recruited. A simple random sample chose to achieve the aim of this study. The odd number was for the OSCE group and the even number for the traditional clinical examination (TCE) group. Four tools were utilized to collect data for the current study. A Structured Questionnaire Sheet, A modified Self-administered Questionnaire, Pediatric Nursing Students' Practice Observational Checklists, and Clinical Scenarios were designed to assess the pediatric nursing student OSCE exam and compare between the traditional method and OSCE method of exams.
Results: The current study discovered statistically significant differences were found with a high percentage of agreement responses among pediatric nursing students for related items of OSCE method compared to those in TCE. Additionally, the results clarify a highly statistically significant difference between the studied pediatric nursing students' in TCE and OSCE total performance scores.
Conclusion: Objective Structured Clinical Examination (OSCE) was opinioned as a tool for clinical evaluation. This finding appeared in pediatric nursing students' responses, which confirmed their acceptance of OSCE. The OSCE subsequently remains a more objective method of assessment than the traditional clinical forms of the exam that was previously used. OSCE can be used most effectively in undergraduate nursing curricula to assess fair practice. This type of exam provided an accurate measure of clinical skill competencies. Therefore, OSCE should be adopted as a strategy for examining clinical skills for students in all academic years. The current study recommended that Objective Structured Clinical Examination can be used as effective and meaningful assistance to fitness for practice, and OSCE should be adopted as a strategy for examining clinical skills for students in all academic years.
Effect of Tailored Patient Education Program on the Outcomes of Pregnant Women with Hyperemesis Gravidarum
Authors: Ali Hala A. , Ahmed Amany M. 
Published: April 2021

Context: Hyperemesis gravidarum (HG) is a harmful condition associated with serious physical and psychological complications that affect pregnant women's health. The etiology of hyperemesis gravidarum is not well understood and mainly unknown but is probably unmodified multi-factorial risk factors.
Aim: This research aimed to examine the effect of a tailored patient education program on pregnant women's outcomes with hyperemesis gravidarum.
Methods: A quasi-experimental (study/control group) design was adopted in this study to achieve the stated aim. A convenience sample of 50 pregnant women diagnosed with hyperemesis gravidarum was recruited. The research was conducted at the inpatient obstetrics and gynecology department, Kafrelsheikh General Hospital, Kafrelsheikh Governorate, Egypt. Data collected using three tools: Structured interviewing questionnaire; Modified 24-hour Pregnancy-Unique Quantification of Emesis/Nausea (PUQE) index; and health status assessment record.
Results: The research findings revealed that 56.00% of the study group at baseline assessment have severe nausea and vomiting compared to 52.00% of the control group, with no statistically significant difference between both groups (P = 0.776). While at three-weeks post-program, no one of the study group women has severe nausea and vomiting compared to 16.00% of the control group with a statistically significant difference between both groups (P = 0.044). Concerning signs and symptoms of dehydration, there was no statistically significant difference between the study and control group regarding any signs and symptoms of dehydration at the three times of assessment. A statistically significant difference was revealed between the study and control group about the length of hospital stay (P = 0.041) and hospital readmission (P = 0.029).
Conclusions: Although there is no statistically significant difference between the study and control group regarding signs and symptoms of dehydration, the decreased severity of nausea and vomiting, length of hospital stay, and hospital readmission rate are valued outcomes. The study recommended that a pregnant woman be equipped with adequate health information related to HG by conducting such a health education program that should be tailored according to women's needs.
Age-Group Differences in Reactive Strength and Measures of Intra-day Reliability in Female International Footballers
Authors: Doyle Brian , Browne Declan , Horan Dan 
Published: April 2021

The aim of this present study was to compare the reactive strength index (RSI) characteristics and trial to trial reliability of U17, U19 and Senior female international soccer players. Fifty – seven elite female soccer player participated in the study, (age: 18.1 + 3.1 years; height: 167.5 + 6.3 cm; weight: 61.84 + 7.7 kg). Participants performed 3 maximal repetitions of the 10/5 repeated jump test (10/5RJT) following a specific warm-up and familiarisation protocol. Senior players possessed higher levels of RSI with large effect size present when compared with the U17 (P= 0.043, ES = .97) and U19 (ES = 0.85) age groups. Trivial differences (ES = 0.17) in RSI existed between the U17 and U19 age categories. Trial-to-trial analyses demonstrated 10/5 RJT RSI to possess adequate levels of reliability with a range of mean coefficients of variance (CV) of 3.1 – 7.3 % and intraclass correlation (ICC) between 0.95 – 0.98 present across all three age groups. However, large variations in the between – athlete CV for RSI were revealed ranging from 1 – 27 %, 0.4 – 10.3%, and 1 – 7 % for U17, U19 and senior age groups respectively. These results suggest that age group can distinguish reactive strength capabilities. In addition, female international footballers with higher levels of RSI appear to produce more reliable measures of RSI via the 10/5 RJT.
ДИДАКТИЧЕСКИЙ ПОТЕНЦИАЛ ЛИНГВОКУЛЬТУРНОГО КОММЕНТАРИЯ
Authors: Атиркуль Егембердиевна Агманова  , Мария Валерьевна Валова  
Published: April 2021

"В статье в рамках лингвоконцептологического подхода к обучению русскому языку и литературе рассматривается дидактический потенциал лингвокультурного комментария. Исследование культурного концепта как образовательного объекта изучения русского языка и литературы в школе позволяет разработать методическую систему моделирования семантического содержания культурного концепта. Предлагаются методы и формы реализации лингвоконцептологического подхода через лингвокультурный комментарий, который помогает преодолеть трудности, возникающие у учащихся при работе с разными видами текстов на уроках русского языка и литературы. Лингвокультурный комментарий применим при анализе единиц разных уровней (отдельного слова, предложения, целого текста или его фрагмента, конкретного образа), а также на разных этапах работы с концептом: на входе и на выходе. "
Falls Occurring After a Spinal Cord Injury: A Scoping Review
Authors: Marshall Kathryn , Gustafsson Louise , McKittrick Andrea , Fleming Jennifer 
Published: April 2021

Abstract
Importance: Falls have a considerable physical and psychological impact on people with spinal cord injury (SCI). Occupational therapy practitioners require evidence to support the timely development of occupation-based programs that can be applied to fall prevention in daily life.
Objective: To determine what is known about falls after SCI, including wheelchair users and people who are ambulatory, and to understand elements of fall prevention to be addressed by occupational therapy practitioners. We applied the Canadian Measure of Occupational Performance and Engagement to understand elements to be addressed in fall education and prevention with this population.
Data Sources: We searched eight databases using the key words falls and spinal cord injury with no limit set on dates.
Study Selection and Data Collection: Studies were included that reported on falls among adults with SCI and measured one or more of the following: incidence of falls, consequences of falls, contributing factors for falls, the person’s experience of falls, and strategies to prevent falls.
Findings: Thirty-five articles were included. The majority of the articles included information on the incidence (n = 20), consequences (n = 26), and contributing factors (n = 30) of falls. Two articles analyzed the person’s experience of falls, and 1 study reviewed a fall prevention program for people with SCI specifically.
Conclusions and Relevance: Research on participants’ experience of falls and fall prevention programs used in spinal cord rehabilitation is extremely limited. Future research on the lived experience of falls for people with SCI is warranted.
What This Article Adds: This review of evidence on falls after SCI highlights gaps in the current available evidence.
Bupropion for Treatment-Resistant Depression
Authors: Tran Khai , McGill Sarah C. , Horton Jennifer 
Published: April 2021

Switching to monotherapy after failure with a first antidepressant resulted in no significant difference in efficacy and tolerability among bupropion, sertraline, and venlafaxine.
In treatment-resistant depression, augmentation of previous treatment with bupropion did not result in significant differences in remission compared with switching to bupropion monotherapy, augmentation with aripiprazole, or augmentation with buspirone.
Switching to bupropion monotherapy or augmentation with bupropion was associated with significantly higher incidence of anxiety, decreased appetite, dry mouth, and increased blood pressure, but lower incidence of increased appetite, increased weight, somnolence, akathisia, and laboratory test abnormality compared to augmentation with aripiprazole.
Augmentation therapy with bupropion or aripiprazole may be a cost-effective option relative to switching to bupropion in treatment-resistant depression.
Among the monotherapies, switching to vortioxetine appeared to be the most cost-effective option relative to other medications such as agomelatine, bupropion, venlafaxine, or sertraline; bupropion, venlafaxine, and sertraline monotherapies were not significantly different from one another in terms of cost-effectiveness.
Rituximab for the Treatment of Myasthenia Gravis: A 2021 Update
Authors: Young Calvin , McGill Sarah C. 
Published: April 2021

Low-quality evidence suggests that treatment with rituximab may be associated with improvements in clinical status, use of concurrent immunomodulatory therapies, quality of life, and various laboratory parameters in patients with myasthenia gravis, compared to before treatment. However, substantial methodological limitations of the included literature limit the use of these findings for informing clinical and policy decisions.
Adverse events associated with the use of rituximab were relatively common, occurring in approximately 25% to 45% of patients treated with rituximab. The adverse events experienced by patients were not considered serious by primary study authors.
No studies were identified that compared the effectiveness of rituximab to other therapies for the treatment of myasthenia gravis. Summarized studies lacked control groups, meaning that any outcomes observed in study participants should not be attributed to rituximab alone.
There is a lack of evidence on the cost-effectiveness of rituximab for the treatment of myasthenia gravis. Additionally, no evidence-based guidelines were identified.
Տրանսցենդենտալ ֆենոմենալոգիան որպես իրավական հետազոտությունների իրականացման մեթոդ
Authors: Barseghyan Gevorg , Markosyan Mane , Hovakimyan Hrayr 
Published: April 2021

This article examines the essential meanings of phenomenological philosophy and law school of transcendental phenomenology. Attention is paid to methodological features of phenomenological approach of legal perception. In the context of domestic legal doctrine, attention is paid to both advantages and disadvantages of this approach. Conclusion is made that phenomenology is a specific, effective methodology synthesizing diverse explorative perceptions. Phenomenology, as a theory and methodology of law, is part of non-classical legal science, separate elements of this method are used in the context of other non-classical legal approaches such as hermeneutics and axiology of law. It must be emphasized that phenomenology of law is an alternative to sociological and natural-legal perception of law and, at the same time, in its context the synthesis of these two methods of legal exploration is done to some extent. The main feature of legal phenomenology is its orientation to modern law as a sociological process that is going on in the world of “open” life on the one hand, and to potential law as a basis for universal ideal law, on the other hand. Phenomenological approach can be used as a mechanism for exploring current positive law. From such point of view, ideal legal system is discovered in any legal regulation due to which the enforcement of legal regulation is exercised.
The purpose of this work is to conduct a comprehensive study of transcendental phenomenology of law as a method of conducting legal study.
In order to satisfy the purpose set above, the following problems are introduced.
	The study of transcendental phenomenology as an approach,
	The study of transcendental phenomenology as a research method,
	The reveal of transcendental phenomenology essence as a means of methodology of acknowledgement of law.
The methodological basis of this article are the dialectical and historical methods. The object and subject of the research were observed using such general and special methods of scientific knowledge, as dogmatic, comparative-legal, legal modeling, logical analysis.
Based on the analysis made in the context of this work, suggestions are made which are directed at developing the efficiency of phenomenology as a means of conducting legal studies, as well as the accomplishment of legal modeling.
Analisa Kesalahan Trajektori dan Algoritma Solusi Invers pada Robot Lengan Berdasarkan Jaringan QACA-RBF
Authors: Ardiansyah Al Farouq  , Presto Fani  , Muhammad Yanuar Muhaimin  
Published: April 2021

Dalam rangka meningkatkan akurasi posisi dan trajektori dari robot lengan UR5, algoritma solusi invers pada robot lengan berdasarkan jaringan QACA-RBF diajukan. Desain algoritma ini menggunakan model prediksi melalui jaringan saraf dan menggunakan algoritma koloni semut kuantum untuk mengoptimalkan bobot keluarannya. Dalam memecahkan masalah ini, algoritma koloni semut kuantum memiliki presisi konvergen yang rendah dan mudah jatuh ke dalam solusi local optimal dalam algoritma solusi invers dari derajat kebebasan pada robot lengan, maka peningkatan pengukuran seperti local optimasi dan batas maksimum minimum feromon dan variasi dibutuhkan. Dengan membandingkan hasil simulasi dari hasil simulasi robot lengan UR5 dan hasil simulasi berdasarkan jaringan saraf ACA, QACA, dan RBF untuk mendapatkan posisi dan gerak trajektori pada titik ruang dengan kepresisian disetiap algoritma. Dengan skema tersebut agar dapat membuktikan kelayakan algotirma jaringan QACA-RBF.
KAP study regarding contraceptive use among married women in Hayatabad, Peshawar
Authors: Aliya Bibi , Imtiaz Aymen , Hasnain Bakhtawar , Ashraf Seema 
Published: April 2021

Introduction: Population growth has great impact on economic development of a country. Despite population growth contraceptive prevalence rate in Pakistan is 35.4%. There is need to increase knowledge and awareness regarding contraception among people of Pakistan.
Objectives: To determine the knowledge, attitude, and practice regarding contraceptive use among married women of Hayatabad, Peshawar, as well as the reasons for not adopting contraception.
Materials & Methods: A cross-sectional descriptive study was conducted in Hayatabad Medical Complex, Peshawar, from March to May 2019 on married women attending the Gynecology Outpatients, who were willing to provide data. Participants were interviewed through a structured questionnaire containing demographics, and relevant sections on Knowledge, Attitude, and Practice of contraceptive use; a section on reasons for not using contraceptives was also included. SPSS version 24.0 and Microsoft Excel were used for descriptive data analysis.
Results: A total of 200 married women were interviewed through structured questionnaires; 76.5% of them were uneducated. The most prevalent method of contraception was Oral Contraceptive Pills (23%); 31% of participants fell below the poverty line with monthly household income of PKR 20,000 or below. Majority (83.2%) of women showed positive attitude towards contraceptive use.
Conclusion: There is a need to create awareness about the use of contraceptive methods as this awareness is crucial to improve contraceptive prevalence rate of Pakistan.
Keywords: Contraceptive Agents; Contraceptive Prevalence; Family Planning Services.
Residential status of medical students as a factor affecting formative and summative academic performance in Forensic Medicine at Rehman Medical College, Peshawar, Pakistan
Authors: -Rehman Khalil-Ur , Faisal Rizwan , Qaisar Rizwan , Shah Mian Mujahid 
Published: April 2021

Introduction: A rigorous characterization of the impact of residential status of medical students (hostelites vs. day scholars) on the particulars of their academic performance has been lacking in Pakistan.
Objective: To determine the relation of residential status of third year MBBS students to their academic performance in Forensic Medicine based on comparison of their pre-professional and professional examinations results during 2019.
Materials & Methods: A comparative study was conducted from August to October 2019 on the examination performance of third year MBBS students of Rehman Medical College, Peshawar in the subject of Forensic Medicine. The results of theory and viva pre-professional and professional examinations were compared and categorized by residential status of students (Hostelites or Day Scholars). Students were categorized into groups according to their academic performance. Descriptive and Comparative data analysis was performed by SPSS 22.0, keeping p≤0.05 as significant.
Results: No significant difference was found in the mean marks of hostelites and day scholars in pre-professional and professional examinations. The trend of significant improvement from pre-professional to professional examinations was similar in both groups, and it applied to both the theory and viva examinations. A significant correlation existed between the performance in two examinations among all students with no difference between the hostelites and day scholars.
Conclusion: Residential status of MBBS students had no effect on their academic performance in the subject of Forensic Medicine.
Keywords: Academic performance, Forensic Medicine, hostelites, day scholars
Spectrum of postoperative complications and histopathological findings of appendectomy in Rehman Medical Institute from 2017-2018
Authors: Khan Zubair Ahmad , Ateeq Hamza , Shamim Hira , Zahid Waqas , Majeed Shama , Saeed Aimen , Arshad Sahal 
Published: April 2021

Introduction: Documentation of post-appendectomy complications along with histopathological findings help in clinical management of acute appendicitis.
Objective: To determine the postoperative complications occurring in appendectomy patients of a tertiary care hospital of Peshawar, Khyber Pakhtunkhwa, based on two-years archival data.
Materials & Methods: A descriptive study was conducted at Rehman Medical Institute, Peshawar, from January to February 2019 on 130 archival cases of appendectomies done from 2017-2018 to document postoperative complications and histopathological findings. Data were collected on a structured Performa consisted of demographic data, symptoms, complications, investigations performed, preoperative position of appendix, pathology and comorbidities. Descriptive data analysis was done with SPSS 25.0.
Results: The most common age group for acute appendicitis was 19 years (n=9, 6.9%) followed by 40 years (n=8, 6.2%); more patients were males (n=73, 56.15%) compared to females, (n=57, 43.85%). Patients presented with the common complaint of pain in right iliac fossa with nausea, (n=102, 78.5%), followed by generalized abdominal pain (n=20, 15.4%) and epigastric pain and vomiting (n=8, 6.2%). Retrocecal appendix was the most frequent site (75.4%); 52.3% of patients did not develop any postoperative complication.
Conclusion: Wound infection and pain were the commonest complications after surgery. Malignancy was rare.
Keywords: acute appendicitis, postoperative complications, histopathological finding, wound infection.
Histopathological examination of thyroid specimens - a single center study from Peshawar, Khyber Pakhtunkhwa
Authors: Khan Salman , Hayat Muhammad Khizar , Nasim Omer , Fahad Muhammad Shah 
Published: April 2021

Introduction: Thyroid gland enlargement is a surgical problem that affects about a third of the world's adults. Thyroid enlargement is best diagnosed by histopathology of surgical specimen and can also give a clue about different pattern of diseases that include simple goiter, multinodular goiter, thyroiditis, adenoma, and last but not the least, carcinoma.
Objective: To determine presentation of thyroid lesions based on their histopathology in patients presenting to Rehman Medical Institute (RMI), Peshawar from August 2018 to July 2019.
Materials & Methods: This was a descriptive cross-sectional study, inclusive of all thyroid specimens, irrespective of age and gender, received in the Department of Pathology, Rehman Medical Institute (RMI), Peshawar, from August 2018 to July 2019. Data were retrieved and analyzed for descriptive statistics in MS Excel.
Results: A total of 64 samples were collected; 56(87.5%) were non-neoplastic lesions while 08(12.5%) were neoplastic. 40(71%) multi nodular goiters, 11(19.64%) simple nodular goiter, 01(1.7%) case of Hashimoto’s thyroiditis, among neoplastic 04(50%) were found to be papillary carcinoma and 02(25%) each were follicular and medullary carcinoma. Female to male ratio was 5:3 or 1.67:1 in neoplastic lesions.
Conclusion: The most common cause of goiter was multinodular goiter. Among the neoplastic lesions, follicular adenoma was the commonest, while papillary carcinoma was the most common malignant lesions.
Keywords: Multinodular goiter, follicular adenoma, Papillary carcinoma, Fine needle aspiration cytology.
Duodenal perforation in an adult with uncorrected Tetralogy of Fallot
Authors: Ahmad Jamil , Bakhtiar Hira , Karim Maryam 
Published: April 2021

Intestinal perforation is a common cause of acute abdomen presenting in the Accident & Emergency department. A rare case is presented of a 34-year-old male, known case of uncorrected Tetralogy of Fallot (TOF), developing sudden abdominal pain, bilious vomiting and jaundice.
The authors declared no conflict of interest. All authors contributed substantially to the planning of research, data collection, data analysis, and write-up of the article, and agreed to be accountable for all aspects of the work.