bluuebunny/crossref_metadata_2025_split huggingface dataset:
An equity-oriented admissions model for Indigenous student recruitment in an undergraduate medical education program
Authors: Henderson Rita , Walker Ian , Myhre Doug , Ward Rachel , Crowshoe Lynden (Lindsay) 
Published: March 2021

Background: With the 2015 publication of the Truth and Reconciliation Commission of Canada’s calls to action, health professional schools are left grappling with how to increase the recruitment and success of Indigenous learners. Efforts to diversify trainee pools have long looked to quota-based approaches to recruit students from underserved communities, though such approaches pose dilemmas around meaningfully dismantling structural barriers to health professional education. Lessons shared here from developing one multi-layered admissions strategy highlight the importance of equity—rather than equality—in any recruitment for learners from medically underserved communities.
Summary: The promotion of fairness in the recruitment of future practitioners is not just a question of equalizing access to, in this case, medical school; it involves recognizing the wider social and structural mechanisms that enable privileged access to the medical profession by members of dominant society. This recognition compels a shift in focus beyond merely giving the disadvantaged increased access to an unfair system, towards building tools to address deeper questions about what is meant by the kind of excellence expected of applicants, how it is to be measured, and to what extent these recruits may contribute to improved care for the communities from which they come.
Conclusion: Equity-based approaches to student recruitment move health professional schools beyond the dilemma of recruiting students from marginalized backgrounds who happen to be most similar to the dominant student population. Achieving this requires a complex view of the target population, recognizing that disadvantage is experienced in many diverse ways, that barriers are encountered along a spectrum of access, and that equity may only emerge when a critically, socially conscious approach is embedded throughout institutional practices.
L’émancipation des habitants pour une gouvernance adaptative de la biodiversité : étude d’un dispositif participatif
Authors: Houte Sylvie , Lorant David , Becu Nicolas 
Published: March 2021

L’article s’appuie sur l’évaluation d’un dispositif participatif, « Mon village espace de biodiversité ». Celui-ci amène les participants à prendre conscience de leurs connaissances et de leur pouvoir d’agir sur leur territoire, ce qui permet le développement d’une dynamique constructive d’actions pour les biens communs dans leurs formes les plus fondamentales (la protection de la nature et du lien social). Surtout, ces actions nécessitent et favorisent des liens resserrés et légitimants avec les institutions locales, dont les élus et les salariés sont invités à s’impliquer aux côtés des habitants.
Diversité et importance de la flore ligneuse de la ville de Sokodé (Centre - Togo)
Authors: Tourey Samsahatou , Boukpessi Tchaa , Kpedenou Koffi Djagnikpo , Tchamie Tanzidani Komlan Thiou 
Published: March 2021

Les recherches menées dans la ville de Sokodé (Centre-Togo) en juin 2017 ont permis d’évaluer la diversité des ligneux et de relever les perceptions des populations sur leur importance. Les ligneux des concessions, les voiries, les établissements, les interstices et les places publiques ont été inventoriés. Dans les différents placeaux, les noms scientifiques des espèces présentes ont été identifiés. Au total 118 espèces ligneuses regroupées en 98 genres et 38 familles ont été recensées à travers 209 relevés. L’indice de diversité de Shannon (4,8 bits) est relativement plus élevé au niveau des établissements, suivi des concessions (4,61 bits), des interstices (4,03 bits) puis des voiries (3,7 bits). Par contre l’équitabilité de Piélou est plus élevée (0,87) au niveau de la voirie. Les familles des Fabaceae (25 espèces et 22 genres), Moraceae (11 espèces et 3 genres), Rutaceae (7 espèces et 4 genres), Apocynaceae (6 espèces et 5 genres), Arecaceae et des Malvaceae (6 espèces et 6 genres chacune), Annonaceae (5 espèces et 3 genres), Bignonaceae (5 espèces et 5 genres) et Euphorbiaceae (5 espèces et 4 genres) sont les plus représentées. Les Microphanérophytes (54,7 %) et les Mésophanérophytes (29,91 %) sont les types biologiques les plus abondants. Sur le plan phytogéographique, les espèces soudano-zambéziennes (20,41 %) sont les plus représentées, suivies des espèces Pantropicales (19,39 %). Une enquête par questionnaire a été réalisée auprès de 120 personnes. L’importance des ligneux en milieu urbain est reconnue par les populations locales. Le principal avantage reconnu est l’alimentation (63,5 %), auquel viennent s’ajouter d’autres tels que l’ombrage (59,5 %), le repos (41,9 %), la lutte contre les vents et l’érosion (39,9 %). Les fruits (84,7 %), les feuilles (38,7 %), les racines (16,7 %) et les écorces (16,7 %) de nombreuses espèces ligneuses sont récoltées pour satisfaire les besoins des populations; ce qui fait qu’elles font face à plusieurs menaces. Dans ce contexte, seule une gestion durable permettrait une meilleure conservation de cette ressource dans la ville de Sokodé.
The Effect of Peers Support on Fear of Hypoglycemia in Iranian Patients with Type 1 Diabetes
Authors: Dehghankar Leila , Namdar Peyman , Yekefallah Leili , Hosseini Narges , Moradi Mahnaz 
Published: March 2021

Background:
Fear of hypoglycemia is a medical emergency which leads to disrupt individuals' normal lives. Peers support is a hopeful approach to improve diabetes self-care behaviors. This study was conducted to assess the effect of peers support on the fear of hypoglycemia in patients with type 1 diabetes.

Materials and Methods:
This randomized clinical trial study was performed among 60 patients with type 1 diabetes in Qazvin city from September 2019 to October 2020. Patients were assigned to control and intervention groups using a random method. The data collection tools included demographic characteristics and a standard questionnaire for Hypoglycemia Fear Survey (HFS). Patients in the intervention group were trained by skilled peers for 2 months, but those of the control group only received routine hospital training. The data were analyzed by SPSS version 16 and paired and independent t-test.

Results:
The scores of the fear of hypoglycemia in diabetic patients in the two groups had no significant statistical difference before intervention (t53 = 0.93, p = 0.94). But after the intervention, the independent t-test showed that there was a significant difference between the scores of the fear of hypoglycemia in both groups (t53 = -2.13, p = 0.03).

Conclusions:
Considering the results of the current study, peer support for diabetic patients is an effective way to reduce the fear of hypoglycemia. Therefore, it is recommended using this training method to train diabetic patients.
The Predictive Power of Sleep Quality by Morning-Evening Chronotypes, Job Satisfaction, and Shift Schedule in Nurses
Authors: Hemmati-Maslakpak Masumeh , Mollazadeh Farzin , Jamshidi Hossein 
Published: March 2021

Background:
Among nurses, sleep quality is an important factor which can be associated with many other factors, including job satisfaction, Morning-Evening (ME) chronotypes, and shift schedule. Besides, poor sleep quality can cause some problems for nurses and negatively affect the quality of nursing care. Therefore, the present study aimed to determine the predictive power of sleep quality by ME chronotypes, job satisfaction, and shift schedule in nurses working in Urmia teaching hospitals in 2019.

Materials and Methods:
A total of 327 nurses working in teaching hospitals affiliated to Urmia University of Medical Sciences were recruited using stratified sampling. Data were collected using the demographic questionnaire, the Pittsburgh Sleep Quality Index (PSQI), the Minnesota Satisfaction Questionnaire (MSQ), and the Composite Scale of Morningness (CSM). Data were analyzed using linear regression analysis and Pearson correlation coefficient.

Results:
The results of the Pearson correlation coefficient and linear regression analysis showed that the ME chronotypes (R
2 = 0.51, p = 0.006), job satisfaction (R
2 = 0.51, p = 0.001), and shift schedule (R
2 = 0.51, p = 0.005) are significantly correlated with the sleep quality among nurses.

Conclusions:
We concluded that the sleep quality was correlated with ME chronotypes, job satisfaction, and shift schedule, so that increased job satisfaction was associated with improved sleep quality, and the shift to the morning chronotype was associated with decreased sleep quality. Rotating shifts were also associated with higher sleep quality.
May The Neutrophil Lymphocyte Ratio be A New Marker For Uveitis Development In Ankylosing Spondylitis?
Authors: YILMAZ BOZKURT Zeynep , DALKILIÇ Hüseyin Ediz 
Published: March 2021

May The Neutrophyl Lymphocıde Ratıo Be A New Marker For Uveıt Development In Ankylosıng Spondilitis?
Introduction
Neutrophil-lymphocyte ratio (NLR) is a marker that has been researched in recent years to be used as a marker of inflammation. The aim of our study is to evaluate the NLR in Ankylosing Spondylitis (AS) patients with uveitis, which is an extraarticular involvement, while having uveitis and to compare it with the NLR at first admission.
Methods:
Ninety patients with uveitis and diagnosed with AS according to the modified New York Criteria were included in the study. The files of the patients were analyzed retrospectively. NLR was calculated arithmetically using neutrophil and lymphocyte values in complete blood count.
Results:
There was no significant difference between the genders in terms of age, duration of diagnosis, and body mass index (p = 0.104, p = 0.073, p = 0.557, respectively). No significant difference was found between genders in terms of NLR values at first admission and at the time of uveitis (p = 0.016). The aim of our study was that there was a significant difference between the NLR values (1.660 ± 0.67 and 2.623 ± 1.293, respectively) in both genders at first admission and at the time of uveitis (p
Sensibilidad al fluconazol de aislamientos de Trichophyton rubrum
Authors: Martínez Norma T. Gross , Sánchez Moisés Ureña , Madrigal Olga Chaves 
Published: March 2021

Se investigó la sensibilidad in vitro al fluconazol de 80 aislamientos de T. rubrum, obtenidos de muestras de piel y sus anexos. El método utilizado fue el de microdilución M-38A, descrito por el “National Committee for Clinical Laboratory Standards”. Las diluciones finales del fluconazol fueron de 0,25 a 128 μg/ml.
Estado actual de la diabetes mellitus en el mundo
Authors: Corrales Erick Mora 
Published: March 2021

"El último informe de la Federación Internacional de Diabetes (IDF), presentado en su publicación periódica como la sexta edición de Diabetes Atlas y entregado en diciembre de 2013, durante la celebración de su Congreso Mundial, preocupa seriamente, porque esta enfermedad sigue afectando de manera grave la salud de la humanidad. Los datos e informaciones estadísticas alarman, pues sus dañinas consecuencias para la salud de la población, se mantienen y aumentan."
Pitiriasis rubra pilaris tratada con lámpara excímero
Authors: Argüello Ruiz Daniel , Molina Loaiza Jimena 
Published: March 2021

La pitiriasis rubra pilaris, es una dermatosis inflamatoria papuloescamosa e hiperqueratósica de origen desconocido y de progresión crónica, la cual puede evolucionar incluso a eritrodermia. El presente caso trata de un paciente de 27 años portador del virus de inmunodeficiencia humana, diagnosticado con pitiriasis rubra pilaris tipo IV, inicialmente tratado con corticosteroide tópico y fototerapia, por cuatro meses. Sin embargo, presentó reactivación de las lesiones, por lo que se recurrió a la aplicación de lámpara excímero, utilizada en otras patologías dermatológicas, mas no de uso habitual en la pitiriasis rubra pilaris.
Descriptores: lámpara excímero, pitiriasis rubra pilaris, linfoma cutáneo de células T tipo micosis fungoide, virus de inmunodeficiencia humana
Hubungan Pendidikan dan Pekerjaan Orang Tua dengan Pertumbuhan Balita di Desa Ingin Jaya Kecamatan Rantau Kabupaten Aceh Tamiang
Authors: Ayunin Syahida  
Published: March 2021

Di Negara-negara ekonomi maju dan berkembang, tumbuh kembang balita (1-5 tahun) menjadi prioritas utama untuk diawasi karena balita akan mengalami masa keemasan. Pengawasan dan perhatian dari orang tua sangat menentukan tumbuh kembang balita. Sempurna tidaknya tumbuh kembang anak sangat ditentukan oleh peranan orang tua. Berdasarkan data yang diperoleh oleh peneliti di Desa Ingin Jaya dengan jumlah balita sebanyak 142 orang dengan tumbuh kembang tidak normal sebanyak 36 orang. Tujuan penelitian ini mengetahui hubungan karakteristik orang tua dengan tumbuh kembang balita di Desa Ingin Jaya Kecamatan Rantau Kabupaten Aceh Tamiang. Metode penelitian ini menggunakan pendekatan Cross Sectional. Populasi dalam penelitian ini yaitu semua orang tua yang memiliki anak balita yang berumur 1 – 5 yang berjumlah 142 orang dan jumlah sampel sebesar 33 orang dengan menggunakan teknik purposive sampling. Hasil penelitian terdapat hubungan antara pendidikan dan pekerjaan dengan pertumbuhan balita dengan pendidikan didapat p value (0,001) dan pekerjaan didapat p value (0,005). Kesimpulan ada hubungan pendidikan dan pekerjaan orang tua dengan pertumbuhan balita di Desa Ingin Jaya Kecamatan Rantau Kabupaten Aceh Tamiang.
Hubungan Sanitasi Fisik Rumah dan Kebiasaan Merokok dengan Kejadian Infeksi Saluran Pernafasan Akut (ISPA) di Desa Alue Ie Mirah Kecamatan Pante Bidari Kabupaten Aceh Timur Tahun 2019
Authors: Risnati Malinda  , Khairil Fauzan K  
Published: March 2021

ISPA adalah penyakit saluran pernafasan akut yang meliputi saluran pernafasan bagian atas seperti rhinitis, fharingitis, dan otitis serta saluran pernafasan bagian bawah seperti laryngitis, bronchitis, bronchiolitis, dan pneumonia yang dapat berlangsung selama 14 hari. Batas waktu 14 hari diambil untuk menentukan batas akut dari penyakit tersebut. Penelitian ini bertujuan untuk mengetahui hubungan sanitasi fisik rumah yang meliputi ventilasi rumah, lantai, dinding serta atap rumah dan kebiasaan merokok dengan kejadian ISPA. Jenis penelitian ini menggunakan penelitian survei analitik dengan desain yang digunakan adalah rancangan case control dimana 27 responden berusia > 20 tahun sebagai kasus dan 27 responden berusia > 20 tahun sebagai kontrol dengan total sampel sebanyak 54 responden. Teknik analisis data menggunakan statistik Chi square. Hasil penelitian menunjukkan bahwa ada hubungan antara sanitasi fisik rumah dengan kejadian ISPA di Desa Alue Ie Mirah Kecamatan Pante Bidari Kabupaten Aceh Timur (P value = 0.000), sedangkan tidak ada hubungan antara kebiasaan merokok dengan kejadian ISPA di Desa Alue Ie Mirah Kecamatan Pante Bidari Kabupaten Aceh Timur (P value = 1.000).
Noise Induced Hearing Loss: A Case Study from a Speech-Language Pathologist’s Perspective
Authors: Brice Alejandro 
Published: March 2021

Hearing loss is very common in the United States and the most widespread disability in the U.S. Hearing loss is the third most chronic health condition in the U.S. Noise induced hearing loss (NIHL) results from damaging external noise. This injury leads to temporarily or permanently affecting sensitive inner ear structures (e.g., cochlea, organ of Corti, and hair cells). NIHL can result from a single high-level noise exposure or repeated exposures to excessively loud noises [i.e., typically 85 dBA or greater, (A weighted decibel)]. Damage to the inner ear can also result from aging (i.e., presbycusis). This case study documents the hearing loss of an otherwise healthy 21-year-old, male individual and his progressive moderate-to-severe sensorineural hearing loss over a period of 41 years. His history will be reported along with his perspective as a speech-language pathologist and speech scientist. The individual with hearing loss has adapted to wearing hearing aids over the last five years. Issues that have occurred affecting comprehension along with compensatory strategies that assisted listening and comprehension will be discussed.
Disminución de la ansiedad en las víctimas del bullying durante el confinamiento por el COVID-19
Authors: Gómez León María Isabel 
Published: March 2021

Los factores estresantes asociados a la pandemia por el COVID 19 han tenido importantes consecuencias en la salud mental de muchos adolescentes, sin embargo, es posible que este confinamiento junto con los medios digitales disponibles para el aprendizaje y la interacción social hayan supuesto un alivio para aquellos que eran víctimas de bullying. En esta investigación se comparan las puntuaciones que han obtenido 276 adolescentes (94 víctimas de bullying y 182 no víctimas) de entre 12 y 14 años, en ansiedad, depresión, rendimiento académico y ciberbullying antes y después del confinamiento. Antes del confinamiento las víctimas obtuvieron puntuaciones significativamente mayores en ansiedad, depresión y ciberbullying y menores en rendimiento académico. Durante el confinamiento las diferencias en ansiedad se invirtieron, siendo significativamente menores en el caso de las víctimas de bullying, quienes, además, obtuvieron puntuaciones significativamente menores en depresión y en ciberbullying que antes de la pandemia. Sin embargo, el rendimiento académico descendió significativamente en el grupo no-víctimas mientras que no se apreciaron cambios significativos en las puntuaciones de ciberbullying.
The stressors associated with the pandemic by COVID 19 have had important consequences on the mental health of many adolescents, however, it is possible that this confinement along with the digital media available for learning and social interaction have provided relief for those who were victims of bullying.. This research compares the scores obtained by 76 adolescents (94 victims of bullying and 182 not victims) between 12 and 14 years old, in anxiety, depression, academic performance and cyberbullying before and after confinement. Before confinement, the victims obtained significantly higher scores in anxiety, depression and cyberbullying and lower scores in academic performance. During confinement, the differences in anxiety were reversed, being significantly lower in the case of victims of bullying, who also obtained significantly lower scores in depression and cyberbullying than before confinement. However, academic performance decreased significantly in the non-victim group, while no significant changes in cyberbullying scores were observed.
Comparative analysis of complete plastid genomes from Lilium lankongense Franchet and its closely related species and screening of Lilium-specific primers
Authors: Su Danmei , Xie Fumin , Liu Haiying , Xie Dengfeng , Li Juan , He Xingjin , Guo Xianlin , Zhou Songdong 
Published: March 2021

Lilium lankongense Franchet is a lily species found on the Qinghai-Tibet Plateau. It is pink with deep red spots, has a high ornamental value, and is used in hybrid breeding of horticultural lily varieties. We have insufficient knowledge of the genetic resources of L. lankongense and its phylogenetic relationships with related species. Recent molecular phylogenetic studies have shown a very close phylogenetic relationship between L. lankongense and the five species L. duchartrei, L. stewartianum, L. matangense, L. lophophorum, and L. nanum. However, molecular markers still lack sufficient signals for population-level research of the genus Lilium. We sequenced and compared the complete plastid sequences of L. lankongense and its five related species. The genomes ranged from 152,307 bp to 152,611 bp. There was a slight inconsistency detected in inverted repeat and single copy boundaries and there were 53 to 63 simple sequence repeats in the six species. Two of the 12 highly variable regions (trnC-petN and rpl32-trnL) were verified in 11 individuals and are promising for population-level studies. We used the complete sequence of 33 plastid genomes, the protein-coding region sequence, and the nuclear ITS sequence to reconstruct the phylogenetic tree of Lilium species. Our results showed that the plastid gene tree and nuclear gene tree were not completely congruent, which may be caused by hybridization, insufficient information contained in the nuclear ITS, or the small number of samples. The results of phylogenetic analysis based on plastid genomes indicated that the six Lilium species were closely related. Our study provides a preliminarily rebuilt backbone phylogeny that is significant for future molecular and morphological studies of Lilium.
Assessment of Soil Fertility Attributes in Selected Districts of Bundelkhand Region of Central India
Authors: Prasad Mahendra , Mahawer Sonu Kumar , Govindasamy Prabhu , Kumar Sunil 
Published: March 2021

An observational study was carried out to assess the soil fertility attributes of three districts (i.e. Jhansi, Datia and Tikamgarh) of the Bundelkhand region of central India. Soil samples were collected randomly from 0-15 cm soil depth using a soil auger with a diameter of 5 cm and followed the standard protocols for assessing the soil fertility attributes. A total number of samples were 58 (randomly selected sites). The soil reaction was neutral to strongly alkaline (pH 7.28-9.71) in nature. The electrical conductivity (EC) values were low (0.01- 0.89 dS m-1) indicating that of no harmful effect on crop growth. Most of the soils were found under low category of soil organic carbon (SOC), available nitrogen (N) and phosphorus (P). The available potassium (K) and sulphur (S) were found in the range between 68.32 to 781.76 kg ha-1 and 7.97 to 273.24 kg ha-1, respectively. With respect to DTPA extractable micronutrients i.e. copper (Cu) and zinc (Zn) were in sufficient range but boron (B), iron (Fe), and manganese (Mn) were in low category. Based on the Soil Nutrient Index (SNI), the soils of the study area were found in low fertility status for N and P and medium in SOC and K. The SNI for S was ranging from medium to high fertility category. Thus, SOC, N, P, K, B, Fe and Mn were the key soil fertility constraints in the Jhansi, Datia and Tikamgarh districts of the Bundelkhand region. The balanced use of chemical fertilizers and micronutrients (B, Fe and Mn) based on the soil test results along with the combination of bio-fertilizers and organic manures as an integrated nutrient management (INM) approach could greatly help in maintaining the soil fertility and sustainable crop production in Bundelkhand region of central India.
Induction of labor with vaginal prostaglandin‐E2 in grand multiparous women with one previous cesarean section
Authors: Yamani T.Y. , Rouzi A.A. 
Published: July 2002

AbstractObjective: To review the outcome of induction of labor with vaginal prostaglandin‐E2 in grand multiparous women with one previous cesarean section. Methods: Twenty‐six grand multiparous women with one previous cesarean section were induced with vaginal prostaglandin‐E2. Results: Twenty (76.9%) women delivered vaginally and six (23.1%) women delivered by emergency cesarean section. The mean duration of labor was 6±3.6 h. There was no uterine rupture or dehiscence. There was one neonatal death and two stillbirths. Conclusions: Our limited study suggests that induction of labor with vaginal prostaglandin‐E2 in selected grand multiparous women with one previous cesarean section may be a reasonable option. However, further studies are needed to document its safety.