bluuebunny/crossref_metadata_2025_split huggingface dataset:
Simulation du travail en formation : constructivisme, intentions didactiques et mannequins en maïeutique
Authors: Vadcard Lucile , Dépret Christian , Markaki-Lothe Vasiliki 
Published: December 2021

La formation professionnelle en santé recourt désormais largement à la simulation. Ces dispositifs matériels permettent de mobiliser les situations de travail comme ingrédient de la formation. Ils reposent cependant sur une évidence peu questionnée, qui consiste à penser que la réalité se saisit de manière univoque et aisée pour tous, et qu’elle permet de fonder des connaissances partagées sur le domaine. Nous étudions dans ce texte une situation de travaux pratiques sur mannequin en maïeutique. Nous proposons quatre catégories d’analyse qui permettent de saisir la complexité des interactions didactiques qui se jouent entre formatrice et étudiantes : ce qu’il faut percevoir, et ne pas percevoir, dans une situation de simulation, n’est pas de l’ordre de l’évidence et le travail de guidage de l’enseignant y est tout à fait central.
Predictors of patient satisfaction with surgical care in a low-middle-income country
Authors: Okonta Kelechi E. , Ogaji Daprim S. 
Published: December 2021

Introduction:
Patient attending a surgical clinic may have some factors contributing to favorable satisfaction following consultations. This study is to determine the predictors of patient satisfaction with care in the surgical outpatient clinic (SOPC) of a University Teaching Hospital in a low-middle-income country.

Materials and Methods:
This is an analytical cross-sectional study which was conducted at the SOPC of a University Teaching Hospitals. A systematic sampling method with a sample interval of 1:2 was used to enroll respondents after consultation with a doctor using the short form of the Patient Satisfaction Questionnaire-18. The reliability test showed that the questionnaire section for overall satisfaction was acceptable (α =0.67 which was higher than the lowest acceptable threshold of 0.60 (obtained from substantial sample). Descriptive and inferential analyses were performed using the SPSS statistical software and P ≤ 0.05 was considered significant.

Results:
A total of 466 respondents provided complete information giving a response rate of 95.1%. About 52.8% were males and 47.2% were females. The mean age ± standard deviation was 43.2 ± 15.2. The overall level of satisfaction was 60.9%, 95% confidence interval was 59.7–62.0, and the predictors for overall patients' satisfaction were male gender, older age of patient, higher monthly income, higher self-rated health status, and beneficiaries of free health care.

Conclusion:
The level of patients' satisfaction with quality of surgical care was high and the identified predictors being male, free health care, and patients' self-rating of health status.

The following core competencies are addressed in this article:
Interpersonal and communication skills, Patient care, Practice-based learning and improvement, Systems-based practice.
Respiratory morbidities among wood workers
Authors: Bose Aritra Kumar , Kadam Dilip Dhaku 
Published: December 2021

Introduction:
Data on morbidities among workers working in the informal sector are scares; the current study attempts to determine the respiratory morbidities among wood workers and its severity.

Materials and Methods:
The study was a cross-sectional study conducted in the field practice area of a medical college's urban health center in a metropolitan city. One hundred and five wood workers from the study area were recruited by complete enumeration method. Data were collected using one to one interview method. Peak expiratory flow rate (PEFR) of every worker was measured using a peak expiratory flow meter. The data were analyzed using SPSS version 22.

Results:
Respiratory morbidities such as cough (61%), chest tightness (15.2%), and breathlessness (18.98%) were found among the workers. Nearly 68.56% of wood workers had abnormal PEFR. Decreased PEFR was significantly associated with lack of ventilation at the workplace, increased duration of work, use of electricity driven tools and tenure of the worker's job. Using logistic regression, we devised a model that shows abnormal PEFR is significantly dependent on work duration, hours of work per day, category of job, use of protective devices, and electrical instruments.

Conclusions:
The study pointed at a high prevalence of respiratory morbidities among wood workers. It also pointed out that the problem is in implementing occupational health standards already laid by international labor organizations (ILO).

The following core competencies are addressed in this article:
Medical knowledge, Patient care, Practice-based learning and improvement, Systems-based practice.
Cephalometric evaluation based on Steiner's analysis in local population of Uttarakhand
Authors: Rathod Dhananjay , Kumar Santosh , Priyadarshini Arya , Pritam Amrita , Venugopal Binita , Kumari Jyoti 
Published: December 2021

Objective:
The purpose of the study was to evaluate and establish norms for the class I subjects of Uttarakhand population using the Steiners Analysis.

Aims and Objectives:
1. To Establish Cephalometric norms for population in Uttarakhand Using Anteroposterior and Vertical Dimensions. 2. To Compare the hard and soft Tissue Cephalometric Norms of Individuals of Uttarakhand by Steiners Analysis. 3. To Compare male and female cephalometric norms of individuals of Uttarakhand.

Materials and Method:
The sample included pre-treatment lateral cephalograms of 60 subjects belongIng to Uttarakhand and possessing a skeletal class I malocclusion with pleasing profile (age 11-36 years).

Results:
The Mean values obtained fro the male and female subjects were compared to that of caucasian Populations and statistical different obtained were used to create a new value for the Uttarakhand Population.

Conclusion:
Beta angle is relatively a stable parameter in population with different ethnicities.
Post-Traumatic Cervicothoracic Junction Fracture–Dislocations
Authors: Sharma Ravi , Borkar Sachin A , Kumar Ajay , Narwal Priya , Gupta Deepak , Agrawal Deepak , Kale Shashank Sharad 
Published: December 2021

Aim:
This study aimed to evaluate the factors determining the outcome after surgical management of C7–D1 fracture–dislocation and compare the various surgical approaches.

Materials and Methodology:
Retrospective analysis of 41 patients operated on for C7–D1 fracture–dislocation between 2015 and 2019 is assessed for the outcome. The data about preoperative clinicoradiological parameters and the surgical approach were collected and correlated with the outcome 1 week after surgery and final follow-up.

Results:
Forty-one patients were operated on for cervicothoracic junction (CTJ) fracture–dislocation during the study period. Out of these, 33 patients were treated via the anterior-only approach, while 4 were treated using the posterior-only and combined approach. Patients with American Spinal Injury Association (ASIA)-B score were found to have significant improvement as opposed to those with ASIA-A score at 1 week after surgery (54% vs. 10%, P = 0.005), at discharge (72.7% vs. 16%, P = 0.002), and at final follow-up (43.5% vs. 91%, P = 0.01). Pneumonia was the most common complication in the postoperative period developing in 36.5% of the patients. Other complications were sepsis (19.5%), bedsores (12.1%), and inhospital mortality (12.1%).

Conclusions:
CTJ is a notorious area for surgical management due to its unique biomechanical properties. The surgical approach should be customized according to the individual patient profile for optimum results in the postoperative period. CTJ injuries can be surgically managed with anterior, posterior, or combined approaches. Preoperative ASIA score can act as a valuable predictor of postoperative outcome in patients with CTJ injuries.
Psychological Competencies and 100 Meter Runner Student Athletes’ Performance
Authors: Rachman Widohardhono  , Nurhasan  , Edy Mintarto  , Miftakhul Jannah  
Published: December 2021

This research aims to analyze the suitability of the theoretical model of the psychological competencies model b of the 100-meter runner student athletes with the empirical model. This study uses a quantitative approach. Total 65 (50 men and 15 women) 100-meter runner student athletes who participated in the national athletic championships. Instruments uses the Psychological Competency Scale and time records documentation data on the results of national championships. Data analyzed using partial least square (PLS). The results of the inner model test show a Q-square value of 0.919 (> 0.00). It means that there was suitability of the theoretical model of psychological competency of 100-meter runner student athletes’ with the empirical model. The R-square value of performance is 0.881. It means that the 100-meter runner student athletes’ performance were influenced by psychological competencies by 88,1%. These findings have implications for the selection and coaching of 100-meter runner student athletes. Further research needs to design mental skills training comprehensively based on psychological competencies.
The Quality of Supervision and Assessment in Industry-Based Learning
Authors: Phuthi Nduduzo , Mpofu Lungisani 
Published: December 2021

Effective student assessment measures the rigor, effectiveness and quality of learning and teaching. There is a persistent concern among higher education practitioners about the accuracy and quality of academic supervision and assessment, particularly in areas of experiential learning. The purpose of this study was to critically evaluate practitioner conceptions on the effectiveness of supervision and assessment practices of industry-based learning in enhancing quality academic practices carried out at five universities in Zimbabwe. This paper analyses stakeholder views, reflections and understandings on student supervision and assessment processes in industry-based learning programs in Zimbabwe universities. Through interviews, focus group discussions, and open and closed questions in structured questionnaires, the participants in the mixed methods study, drawn from universities and their workplace partner organizations, give insights into their activities that characterize the dominant student supervision and assessment practices. The research results show that the participants were moderately satisfied with the overall assessment processes, raising concerns on quality issues, supervisor qualities and competencies, assessment visits by lecturers, and student guidance in the workplace. It is evident that the assessment systems in the work-integrated learning program in the affected universities not only compromised the desired confidence and trust of the students in their assessors but unsettled the assessors themselves, a situation that would naturally invite appropriate corrective action. Participative assessment, an approach where the facilitator seeks to directly involve and share the responsibility for assessment with learners is compatible with industry-based learning approaches because students can engage in self-regulation and intrinsically sanctioned learning.
PLATAFORMA TEAMS: INTERAÇÃO E ENSINO
Authors: Caldas Alba Helena Fernandes 
Published: December 2021

Frente ao isolamento social, muitas escolas ofereceram o ensino remoto aos estudantes, para manter as aulas, mesmo a distância. Assim, muitos alunos e professores passaram a utilizar as plataformas digitais como espaço de sala de aula. Nesse contexto, o ensino de leitura e escrita assume relevante função, uma vez que os textos produzidos e compartilhados por professores e alunos advêm dos recursos de multimídias, disponíveis no contexto digital. A partir desse cenário, temos como objetivo, neste artigo, propor uma discussão sobre como esses textos ambientados em plataforma digital – hipertextos – são constituídos em termos de características, aspectos contextuais, multimodais, composicionais, interacionais e quais são os tipos de interação que esses textos produzem em um ambiente de ensino. Com fundamentação teórica na Linguística Textual de perspectiva sociocognitiva e interacional, o trabalho foi desenvolvido por meio de pesquisa bibliográfica e análise de conteúdo, tendo sido selecionados como corpus hipertextos ambientados na plataforma Teams, na qual alunos e professores criam conteúdo e compartilham recursos de maneira integrada. Os resultados encontrados apontam que o uso da plataforma Teams como sala de aula pode ampliar as perspectivas teórico metodológicas para o ensino de leitura e escrita em ambiente digital, bem como as novas formas de interação, tornando o aluno autônomo, mais crítico, podendo alternar papeis de leitor e produtor de textos multimodais, de forma mais lúdica.
Palavras-chave: Hipertexto. Interação. Ensino.
Pengaruh Ukuran Perusahaan, Leverage, Kebijakan Dividen dan Profitabilitas terhadap Nilai Perusahaan Studi pada Perusahaan Manufaktur Sektor Food And Beverages
Authors: Anisa Nur , Hermuningsih Sri , Maulida Alfiatul 
Published: December 2021

This study aims to examine the effect of firm size, leverage, dividend policy and profitability on firm value in the study of manufacturing companies in the food and beverages sector. This research uses quantitative research. The technique used in sampling is the purposive sampling method, namely the selection of samples is carried out with predetermined criteria. So that as many as 35 data were obtained from 7 food and beverages companies listed on the IDX during the 2016-2020 period. The data analysis method used is multiple linear regression analysis using the SPSS version 23 program. Based on the results of the study, it shows that: (1) firm size has no effect on firm value, (2) leverage has a negative and significant effect on firm value, (3) dividend policy has no effect on firm value, (4) profitability has a positive and significant effect on firm value.
Keywords: firm size, leverage, dividend policy and profitability.
Literature Review : Pengaruh Kompres Kayu Manis Untuk Menurunkan Intensitas Nyeri Pada Penderita Arthritis Gout
Authors: Kala Cakra Taruna Praba , Prasojo Sigit , Sugiharto S 
Published: December 2021

AbstractOne of the non-pharmacological therapies to reduce gout arthritis pain is to apply compresses with cinnamon. This study aims to examine how the therapy affects in reducing pain intensity in patiens with gout arthritis. Since it is a literaturereview, it took four related articles from Google scholar with compress using cinnamon, pain, and Gout Arthritis as the keywords. Those articles were full-text, published in 2017-2020. The result of respondents characteristics analysis, it stated the number of respondents was 81. Most of them (75%) are aged >50 years. There is a different in reducing pain scale during the treatment: 7,09 into 4,64. It proved the therapy has effectively reduced pain intensity in patients with gout arthritis. Thus, nurses suggested educating this therapy as an alternative way to overcome the problem stated aboveKeywords: Compress using Cinnamon, Pain, Gout Arthritis
AbstrakSalah satu terapi non farmakologi untuk menurunkan nyeri arthritis gout adalah kompres kayu manis. Penelitian ini bertujuan untuk menggambarkan penerapan kompres kayu manis berdasarkan literature review. dengan jumlah jurnal artikel empat yang diambil dari laman jurnal google scolar dengan kata kunci "Kompres kayu manis" "Nyeri" dan " Arthritis gout" berupa artikel fulltex, terbit tahun 2017-2020. Hasil analisa karakteristik responden dari empat artikel menunjukan jumlah responden 81, sebagian besar 75% umur > 50 tahun. Nilai rata-rata skala nyeri sebelum intervensi 7,09 dan setelah intervensi 4,64. Kesimpulannya adalah kompres kayu manis dapat menurunkan intensitas nyeri pada penderita Arthritis gout. Saran bagi pelayanan kesehatan hendaknya mengedukasi tentang kompres kayu manis sebagai alternative untuk menurunkan nyeri penderita Arthritis gout.Kata kunci : Kompres kayu manis, Nyeri dan Arthritis Gout
Literature Review : Pengaruh Kompres Air Dingin Untuk Menurunkan Intensitas Nyeri Pada Pasien Fraktur Tertutup
Authors: Asfarotin Triana , Fajriyah Nuniek Nizmah , Faradisi Firman 
Published: December 2021

AbstractColdwater compression is one of the non-pharmacological therapies to reduce pain in closed fracture patients. This study highlights the application of cold compress therapy in closed fracture patients by finding research articles from google-scholar. Key words for the search included “kompres air dingin untuk pasien patah tulang” and “patah tulang tertutup” published between 2014 and 2018. Three articles were analyzed. Those articles conclude a similar result. That is, cold water compression effectively reducing pain in closed fracture patients. Hence, healthcare providers are suggested to promote cold water compress therapy as an alternative to reduce pain among closed fracture patients.Keywords : cold compression, pain, closed fracture.
AbstrakSalah satu terapi non farmakologis untuk menurunkan intensitas nyeri pada pasien fraktur tertutup adalah kompres air dingin. Penelitian ini bertujuan untuk mendeskripsikan penerapan terapi kompres air dingin pada pasien fraktur tertutup berdasarkan tinjauan pustaka. Rancangan karya tulis ilmiah berupa tinjauan pustaka dengan tiga artikel yang diambil dari halaman jurnal Google Scolar dengan kata kunci “kompres air dingin untuk pasien patah tulang” dan “patah tulang tertutup” dengan publikasi tahun 2014 - 2018. Hasil analisis ketiga jurnal tersebut memiliki hasil yang sama. yaitu berkurangnya nyeri saat pemberian kompres dingin. Kesimpulannya terapi kompres air dingin dapat menurunkan intensitas nyeri pada pasien fraktur tertutup. Saran bagi pelayanan kesehatan hendaknya mengedukasi tentang terapi kompres air dingin sebagai alternatif untuk mengurangi intensitas nyeri pada pasien patah tulang tertutup.Kata kunci: kompres air dingin, nyeri, fraktur tertutup.
Factors that have led to increased HIV/AIDS Prevalence among Adolescents aged 13-21 Years in Hoima Regional Referral Hospital, Hoima District. A Cross-Sectional Study.
Authors:   , Kusilika Caleb 
Published: December 2021

Background: The study's broad objective was to determine the factors influencing the increasing prevalence of HIV/ AIDS among adolescents to suggest relevant and appropriate interventions that may be applied in the future in order to decrease the prevalence and combat HIV/ AIDS. Methodology: A cross-sectional study was carried out at Hoima Regional Referral Hospital to determine the factors which have influenced HIV/AIDS prevalence among adolescents from 12th March 2013 to 18th March 2013. Data were collected from adolescents who attended OPD services and it involved interviewing the adolescents using a questionnaire by the researcher on the demographics, HIV-related knowledge, awareness, and attitudes on preventive measures and social factors that influence the increase in HIV prevalence. The data was analyzed manually using a scientific calculator and was compiled in form of tables, pie charts, and bar graphs Results: Unplanned sex (35%), Beautiful partners (22%), the influence of partners (4%), presence of AVRs(10%), and Fear to buy condoms(29%), were the factor that has led to the increased HIV/AIDS amongst adolescents. Conclusion: The involvement of other sectors of a community like local councils, learning institutions, churches, civil society organizations, and NGOs will do a long way in promoting effective knowledge to the adolescents about HIV preventive measures. Recommendations: The government through the ministry of health should continue to sensitize adolescents through health education about ABC strategies and safe male circumcision importance in an effort to combat HIV new infections.
TÌNH TRẠNG DINH DƯỠNG Ở TRẺ 6 THÁNG ĐẾN 5 TUỔI TẠI PHÒNG KHÁM DINH DƯỠNG BỆNH VIỆN NHI TRUNG ƯƠNG
Authors: Souliyakane Aphanhnee , Thị Yến Nguyễn , Thị Thuý Hồng Nguyễn , Thị Phương Mai Chu , Hữu Thành Lê 
Published: December 2021

Đặt vấn đề: Dinh dưỡng là yếu tố quan trọng trong quá trình phát triển thể chất và tinh thần ở trẻ nhỏ, đặc biệt trẻ dưới 5 tuổi. Mục tiêu: Mô tả tình trạng dinh dưỡng ở trẻ từ 6 tháng đến 5 tuổi và một số yếu tố liên quan tại Phòng khám Dinh dưỡng Bệnh viện Nhi Trung ương. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang 234 trẻ từ 6 tháng đến 5 tuổi đến khám tại Phòng khám Dinh dưỡng Bệnh viện Nhi Trung ương từ tháng 9/2020 đến tháng 6/2021. Trẻ được đánh giá tính trạng dinh dưỡng theo tiêu chuẩn của Tổ chức Y tế Thế giới (WHO) 2006. Kết quả: Tỷ lệ trẻ được bú sữa mẹ trong vòng 1 giờ là 56,0%. Phần lớn trẻ bú mẹ hoàn toàn dưới 6 tháng (67,1%). Tỷ lệ trẻ bú mẹ kéo dài trên 18 tháng là 58,8%. Phần lớn trẻ ăn bổ sung đúng thời điểm (87,0%); thành phần bữa ăn bổ sung có đủ các nhóm thực phẩm chiếm 67,9%. Đa số trẻ ăn bổ sung đủ số bữa (77,8%) nhưng chỉ có 41,9% trẻ ăn đủ số lượng thức ăn mỗi bữa. Tỷ lệ suy dinh dưỡng (SDD) thể thấp còi, nhẹ cân và gầy còm lần lượt là 25,6%, 22,7% và 18,4%, thừa cân béo phì chiếm 6,8%. Trẻ có cân nặng lúc sinh thấp < 2500g có nguy cơ suy dinh dưỡng thể nhẹ cân cao hơn nhóm trẻ có cân nặng lúc sinh bình thường. Kết luận: Tỷ lệ trẻ SDD ở cả ba thể còn cao, ngoài ra có 1 tỷ lệ không nhỏ trẻ thừa cân béo phì. Cân nặng lúc sinh thấp có liên quan đến tình trạng dinh dưỡng của trẻ.
TẮC RUỘT QUAI ĐÓNG: GIÁ TRỊ CHẨN ĐOÁN CỦA CẮT LỚP VI TÍNH ĐA DÃY
Authors: Thị Thoa Phạm , Duy Hùng Nguyễn , Duy Huề Nguyễn 
Published: December 2021

Mục tiêu: đánh giá giá trị của cắt lớp vi tính (CLVT) đa dãy trong chẩn đoán tắc ruột quai đóng (TRQĐ). Phương pháp: 145 bệnh nhân tắc ruột trong đó có 40 bệnh nhân TRQĐ được xác định bằng phẫu thuật đã được chụp CLVT có tiêm thuốc cản quang trước mổ tại bệnh viện Việt Đức từ tháng 7/2019 đến tháng 4/2021. Hai bác sỹ chẩn đoán hình ảnh không biết trước kết quả phẫu thuật xem phim CLVT và đánh giá 11 dấu hiệu trên CLVT. Từ đó đánh giá độ nhạy, độ đặc hiệu, giá trị dự đoán dương tính và giá trị dự đoán âm tính của từng dấu hiệu. Kết quả: Chẩn đoán TRQĐ, dấu hiệu có ít nhất hai điểm chuyển tiếp có độ nhạy 100%, độ đặc hiệu 97,1%. Dấu hiệu mỏ chim có độ nhạy 87,5%, độ đặc hiệu 66,7%. Dấu hiệu quai ruột hình chữ U/ chữ C, quai ruột giãn nằm ở vị trí bất thường trong ổ bụng có độ đặc hiệu 100% và độ nhạy tương ứng là 32,5% và 15%.Chấn đoán biến chứng thiếu máu thành ruột, dấu hiệu thành ruột ngấm thuốc kém có độ nhạy 62%, độ đặc hiệu 94,7%; mạch máu mạc treo ngấm thuốc kém có độ nhạy 23,8%, độ đặc hiệu 100%. Kết luận: Ở những bệnh nhân được khảo sát của chúng tôi, có ít nhất hai điểm chuyển tiếp, quai ruột chữ U/C, quai ruột giãn ở vị trí bất thường trong ổ bụng có giá trị cao trong chẩn đoán TRQĐ. Sự giảm ngấm thuốc thành ruột và mạch máu mạc treo tương ứng là dấu hiệu gợi ý tốt cho thiếu máu ruột.
ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ TÍNH NHẠY CẢM KHÁNG SINH CỦA STREPTOCOCCUS PNEUMONIAE GÂY VIÊM PHỔI CỘNG ĐỒNG Ở TRẺ EM DƯỚI 5 TUỔI TẠI BỆNH VIỆN SẢN NHI NGHỆ AN
Authors: Anh Sơn Bùi , Thị Minh Hằng Lê , Thị Thúy Hằng Nguyễn 
Published: December 2021

Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng của viêm phổi cộng đồng do Streptococcus Pneumoniae (S.Pneumoniae) và mô tả tính nhạy cảm kháng sinh của các chủng S.Pneumoniae phân lập được ở trẻ dưới 5 tuổi bị viêm phổi cộng đồng tại bệnh viện Sản Nhi Nghệ An. Đối tượng và phương pháp nghiên cứu: Mô tả tiến cứu, 65 bệnh nhân dưới 5 tuổi đủ tiêu chuẩn chẩn đoán viêm phổi cộng đồng do S.Pneumoniae điều trị tại Bệnh viện Sản Nhi Nghệ An từ 1/2021 – 9/2021 được nghiên cứu, mô tả đặc điểm lâm sàng và cận lâm sàng của viêm phổi, xác định tính nhạy cảm kháng sinh bằng đo nồng độ ức chế tối thiểu (MIC). Kết quả và kết luận: Tỷ lệ bệnh nhân Nam/Nữ là:1,9/1. Lứa tuổi hay gặp nhất là 2 tháng – 24 tháng với tỷ lệ 76,9%. Tỷ lệ bệnh nhân đã dùng kháng sinh trước vào viện cao, chiếm 64,6%. Các triệu chứng như sốt, ho, chảy nước mũi, thở nhanh, phổi có ran gặp tỷ lệ > 69%. Xét nghiệm chủ yếu dựa vào Xquang tim phổi, công thức máu, CRP và nuôi cấy dịch tỵ hầu làm kháng sinh đồ. Viêm tai giữa ứ mủ gặp 43,1%. S.Pneumoniae kháng với Azithromycin, Clarithromycin, Erythromycin là 100%; kháng với Cefotaxime là 61,5%, Ceftriaxone là 52,3%, Penicillin là 18,5%. S.Pneumoniae còn nhạy 100% với Rifampicin, Vancomycin, Linezolid, Levofloxacin.