bluuebunny/crossref_metadata_2025_split huggingface dataset:
EFFECT OF GENDER ON LEARNING STYLE PREFERENCES OF NURSING STUDENTS IN SOME INSTITUTIONS IN EDO STATE, NIGERIA
Authors: Esewe R.E. , Ogunleye M. E. 
Published: October 2021

Nursing previously a female-dominated profession is beginning to see a handful of male entrants. Students often ask questions in class concerning their learning styles. This study investigated learning style preferences based on gender. A descriptive cross-sectional survey research design with the aid of a self-administered questionnaire was applied to investigate 206 nursing students from 2 institutions in Edo State, Nigeria. The instrument used for the study, the questionnaire was validated by extensive literature search based on study objectives and consultation with 2 experts; 1 in measurement and evaluation in educational studies and another in nursing science with expertise in mental health nursing. Reliability was through the use of an adapted instrument by Kolb. Data were analyzed with Statistical Package for Social Sciences (SPSS) version 21 in tables and percentages. Chi-square statistical technique was used to analyse the non-parametric data at a significance level of 0.05. Findings revealed that 52(36.1%) of the respondents were female convergers while 12(27.1%) were male divergers. There are 8(16.7%) male assimilators and 28(19.4%) female accommodators respectively. The females scored more on concrete experience such as watching videos or fieldwork, with a mean and Standard Deviation of 40.15±5.80 while the males had 9.24±5.98, with a p-value of 0.026 indicating that this was statistically significant. The only concrete experience was significant while reflective observation, abstract conceptualization and active experimentation were not significant. The study concludes that students have their own preferred way to recognize, retain and retrieve information irrespective of gender. It, therefore, recommends the development of comprehensive, up-to-date resources for learning such as a departmental library with internet facilities and the use of blended learning by nurse lecturers.
PERCEPTION OF POSTGRADUATE FAMILY MEDICINE TRAINEES ABOUT THE OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) ASSESSMENT METHOD
Authors: Ullah Ihsan 
Published: October 2021

Abstract
Background: Assessment drives learning and improving the quality of assessment has a remarkable impact on the quality of learning. Objective Structured Clinical Examination is termed more reliable and valid as compared to conventional practical examination.
Objective: The objective of this study was to find the perception of postgraduate family medicine trainees about the OSCE assessment method and compare those having previous experience with those having no previous experience.
Methodology: This was a cross-section study conducted at the end of exit examination of diploma in family medicine at the Family Medicine Department, Khyber Medical University Peshawar. Data were collected on an eleven items questionnaire on a five-point Likert Scale. Study participants were categorized based on their previous experience of the OSCE, and were grouped into two categories. Data were analyzed by using Fisher’s Exact test and a p-value of ? 0.05 was considered statistically significant.
Results: 56 out of 60 candidates returned completed questionnaires. The response rate was 93.33% where the majority were males 52(92.9%). Participants with experience of the OSCE were 22 (39.3%) while 34 (60.7%) were having no experience of the assessment method. There was a significant difference (p= 0.001) in the perception about the OSCE with the simulated patient than real patient, fairness and reliability of the OSCE, stress and length of the OSCE and reduction of bias in the OSCE. The perception about weightage to be given to the OSCE in any examination was significantly different (p=0.004) between the two groups.
Conclusion: Participants of both groups (experienced vs non-experienced) agreed on some aspects of the OSCE. Their opinion differed about the fairness, validity and stress related to the OSCE assessment method. This difference is probably explained by the inadequacy of an experience to form an opinion.
Keywords: Conventional practical examination, Family medicine, OSCE.
COVID-19 PANDEMIC: HOW STRESSED THE STUDENTS AND FACULTY ARE?
Authors: Aslam Kinza , Zaidi Syed Hussain Raza , Urooj Mahwish , Sethi Ahsan 
Published: October 2021

Objective: To assess the perceived stress levels amongst faculty and students of medicine, dentistry and allied health sciences during COVID-19 pandemic.
Methods: This multi-institutional descriptive study was conducted from April to June 2020. All the students and faculty from three institutes namely University College of Medicine, University College of Dentistry and Institute of Allied Health Sciences were invited to participate. Data were collected using a pre-validated Perceived Stress Scale (PSS -10). Descriptive and inferential statistics were calculated using SPSS v.21.
Results: 1199 responses were obtained. Students from University College of Medicine reported higher score on the perceived stress scale (23.02+11.85) than those from University College of Dentistry (21.87+10.86) and Institute of Allied Health Sciences (21.95+11.32). The students and the faculty experienced stress ‘sometimes to fairly often’ during this pandemic. Females experienced more stress than males and there were no significant differences among students and faculty of various age groups.
Conclusion: During COVID-19 pandemic, the students and the faculty from medicine, dentistry and allied health sciences institutes are moderately stressed. The medical students are more affected than the allied health students and the faculty in general. Institutions should promote resilience and mental well-being and provide for flexible work schedules.
ORAL HEALTH-RELATED QUALITY OF LIFE AND ITS ASSOCIATED FACTORS IN ELDERLY POPULATION
Authors: Makhdoom Shazia , Khan Aliya , Khan Imaad , Khattak Farhad 
Published: October 2021

Objectives: The aim of this study was to evaluate oral health related quality of life and its associated factors in elderly.
Material and Methods: A cross sectional study was done at medical OPD of KTH Peshawar by using Non-probability consecutive sampling method of 411 elderly patients. All the patients had oral examination, followed by an interview through a validated questionnaire having demographics and oral health related quality of life( OHRQoL) was measured using OHIP-14 having Likert, with higher scores indicating poor oral health (lower OHRQoL) and vice versa. Results: The mean OHIP-14 score (range 0-56) was 62.35± 10.94 which is much higher than the threshold for poor OHRQoL ‘poor OH’ ?11.0 (SD?±?6.9). OHRQoL was found good in the participants having good oral Hygiene (51.74) and who were more qualified. Females had relatively good OHRQoL (61.4).Mean OHIP score was higher in the participants belonging to rural areas (67.1) as compared to urban areas. Conclusion: This study found poor OHRQoL in elderly population in Peshawar. Participants who had good oral hygiene & who were qualified had good OHRQoL. OHRQoL was found poor in rural areas participants; it was relatively good in females as compared to males.
PERSEPSI MASYARAKAT TERHADAP BANK SYARIAH
Authors: Sholikin Eko Roy , Muhyidin Syaiful , Pratiwi Ira Eka 
Published: October 2021

Bank Syariah adalah bank yang menjalankan kegiatan usaha berdasarkan prinsip Islam yaitu prinsip keadilan dan keseimbangan, serta kemaslahatan. Ada beberapa penyebab umat Islam belum menggunakan jasa bank Syariah. Diantaranya karena adanya sikap netral atau keragu-raguan dari masyarakat terhadap pemahaman akan riba. Penelitian ini bertujuan untuk menganalisis persepsi masyarakat terhadap bank Syariah studi kasus masyarakat Distrik Abepura.
Penelitian ini menggunakan metode penelitian kualitatif deskriptif. Jenis penelitian ini adalah penelitian lapangan. Data penelitian dikumpulkan melalui wawancara kepada informan yang merupakan masyarakat Distrik Abepura Kota Jayapura. Analisis data dilakukan dengan Teknik analisis data Miles dan Hubermen. Hasil penelitian ini menunjukan bahwa masyarakat sudah mengetahui dan sudah paham Bank Syariah. Masyarakat juga sudah menabung di Bank Syariah. Meskipun demikian ada beberapa masyarakat yang tidak menabung di bank Syariah tetapi memahami tentang bank Syariah. Penelitian ini menyimpulkan bahwa persepsi Masyarakat Distrik Abepura terhadap bank Syariah adalah positif atau baik.
Articulo docente: Estado, soberanía y participación política en sociedad actual
Authors: García Escribano Juan José , Ivorra Alemañy Adrian , Ortíz García Pilar 
Published: October 2021

Es un hecho que las democracias actuales viven una crisis de representación como consecuencia del paulatino descrédito en el que han caído la política y la actuación de algunos políticos. Este descrédito ha conducido, por una parte, a la aparición de movimientos populistas cuyo discurso trata de obtener réditos del descontento ciudadano y, por otra, a la búsqueda de formas complementarias de representación de los intereses de la ciudadanía. Al mismo tiempo, ha llevado al planteamiento de varios interrogantes que precisan respuesta. El primero está relacionado con el papel del Estado que, si bien continúa siendo el protagonista de la escena pública y de poder, se encuentra seriamente comprometido por movimientos como la globalización y sus múltiples caras. El segundo interrogante es el papel que juega la ciudadanía en el proceso de regeneración democrática y como protagonista de una forma de democracia participativa que devuelva la política a la noble actuación de gestión de lo público. Este artículo es una reflexión sobre los interrogantes planteados.
Clinicopathological correlation between trophic-adipose levels and poor prognosis outcomes in Brazilian women diagnosed with breast cancer
Authors: Rech Daniel , Tebaldi Daniel G , Malanowski Jessica , Scandolara Thalita B , Jaques Hellen dos Santos , Alves Fernanda Mara , Teixeira Gessica T , Silva Janaína Carla da , Vasselai Maria Eduarda , Moura Juliana B , Damo Rayana T , Panis Carolina 
Published: October 2021

ABSTRACT
Objective: To describe the clinicopathological profile of breast cancer patients and association with excess body weight.
Methods: This was a descriptive observational study of 126 women with breast cancer lesions treated between 2015 and 2017 at a cancer referral hospital for 27 municipalities in southwestern Paraná. Patients were categorized according to age at diagnosis, body mass index, menopausal status, molecular subtyping of tumors, histological characteristics, and risk stratification. Data were coded for analysis using the Statistical Package for Social Sciences (SPSS) 22.0.0 software.
Results: There were 126 patients diagnosed with breast cancer and more than half of these had an excessive body weight (mean BMI 27.5kg/m2). There was a predominance of the triple negative molecular subtype in overweight women; they also had a higher frequency of tumors larger than 2cm and high histological grade tumors. There were significant associations in the overweight/ obese subgroup such as tumors in the intermediate grade luminal B subtype, presence of angiolymphatic emboli, and a high-risk of disease recurrence.
Conclusion: The data indicate that being overweight is a determinant of worse prognosis in women with breast cancer in southwestern Paraná.
Real-world data suggest that geriatric assessment fails to stratify risk in treating older adults with lung cancer
Authors: Donadio Mauro Daniel Spina , Oliveira Audrey Cabral F , Moura Luciana Leite , Jesus Victor Hugo Fonseca de , Felisimino Tiago Cordeiro , Dettino Aldo Lourenço Abbade 
Published: October 2021

ABSTRACT
Introduction: Older adults require attention to risks of treatment toxicity. The purpose of this study was to evaluate epidemiological data and clinical outcomes of patients with lung cancer treated with non-curative intent assessed by geriatric assessment (GA) and restricted access to new therapies.
Methods: We evaluated older adults with non-small cell lung cancer treated with palliative chemotherapy or first generation target therapy who underwent GA. Overall survival (OS) was calculated and we performed univariate and multivariate analysis to determine prognostic factors for OS.
Results: Fifty-four patients aged ≥70 years had a median age of 76 years, 76% was classified as Katz A and 50% as Lawton <27. 68.5% were at risk of malnutrition or malnourished; 61.1% had ≥2 comorbidities. The mean OS was 17.1 months. In the univariate analysis, lower survival results were observed for patients with ECOG≥2 (HR=5.9; p<0.001), higher number of metastasis sites (HR=2.0; p=0.04) and liver metastasis (HR=12.6; p<0.001). In multivariate analysis, male gender, ECOG≥2, more than 2 metastatic sites and liver metastases were associated with higher risk of death. We did not observe differences in survival according to functional capacity.
Conclusion: GA showed no prognostic relationship in our small population. Patients with ECOG≥2, more than 2 metastatic sites and hepatic metastasis presented higher risk of death. For the older population, new treatment modalities are fundamental and outweigh the prognostic importance of the clinical factors of GA.
Cenário e perspectiva da criptomoeda bitcoin no Brasil
Authors: Pinheiro Genisson dos Santos , Sousa Júnior Alvani Bomfim de , Moura Josivan dos Santos 
Published: October 2021

Este artigo tem o propósito de compreender questões pertinentes a respeito do contexto econômico da Criptomoeda Bitcoin, tanto no cenário mundial quanto no cenário nacional. Levando em consideração dados históricos e projeções futuras, fazendo também, uma análise fundamentalista dos princípios de tal Criptomoeda. O estudo em questão busca mostrar uma nova forma de investimento para pessoas que buscam potencializar seus rendimentos financeiros através de renda variável, ou seja, de um investimento que aproveita a volatilidade do mercado para adquirir rentabilização. Além do exposto, este estudo também aborda os conceitos voltados a compreensão do Bitcoin e das Criptomoedas, trazendo uma relação com a economia tradicional e desvendando qual é o público-alvo desse novo mercado, além de assimilar os principais motivos pelos quais esse público faz essas aplicações. A metodologia utilizada no desenvolvimento deste trabalho foi a partir da pesquisa bibliográfica e web bibliográfica.
Gravhøjen åbnes
Authors: Møller Andreas Hjort 
Published: October 2021

Andreas Hjort Møller: “The Opening of the Barrow – From Rococo Medievalism in Johann Elias Schlegel’s Canut to Viking Romanticism in Johannes Ewald’s Rolf Krage”
This article demonstrates how the representation of the Middle Ages changes from the picture of a barbaric period into the vision of a glorified past. Johann Elias Schlegel adapted a passage from Saxo’s Gesta Danorum for his 1746 play King Canute, which influenced Johannes Ewald’s widely read 1770 Saxonian play Rolf Krage. Both plays were highly popular in their time. Schlegel portrays the Middle Ages as a stark contrast to the absolutist Enlightenment ideals of his own time, whereas Ewald embraces the heathen Middle Ages as world in its own right, in which the author explores the human condition in all its aspects.
Applications mobiles pour soutenir la santé mentale des jeunes : opportunités et défis
Authors: Ouellet-Morin Isabelle , Robitaille Marie-Pier , Juster Robert-Paul 
Published: October 2021

Introduction L’adolescence est une période sensible pendant laquelle plusieurs changements ont le potentiel d’affecter le développement cognitif et psychosocial de l’individu. C’est aussi au cours de cette période que l’on note la plus forte augmentation des troubles de santé mentale. Plusieurs initiatives cherchent à prévenir l’émergence ou la détérioration de ces troubles auprès de jeunes en situation de vulnérabilité parce que vivant des difficultés émotionnelles ou du comportement, ou bien en raison d’expériences adverses auxquelles ils sont (ou ont été) confrontés. À ces efforts, le recours à la technologie est habituellement perçu comme naturel, voire souhaitable, auprès de ces « natifs du numérique ».
Objectif Cette recension critique propose d’examiner les avantages et inconvénients documentés dans la littérature et rencontrés dans le cadre du développement d’une application mobile (app) afin d’évaluer leur potentiel à soutenir la santé mentale et la résilience des jeunes en contextes d’adversité et les facteurs susceptibles d’amoindrir ces impacts.
Résultats/Constats Les apps, par leur format et mode d’utilisation, permettent de transmettre aux jeunes une information juste et fondée sur les meilleures connaissances tout en étant arrimée à leur réalité. Les apps représentent aussi une opportunité d’engager certains jeunes dans un processus de changement ou de les soutenir dans une éventuelle demande d’aide. Bien qu’elles soient disponibles en tout temps et qu’elles peuvent respecter leurs besoins d’autonomie et de confidentialité, de nombreux défis demeurent afin qu’elles puissent soutenir la santé mentale des jeunes, incluant le peu d’attention accordée à la validation scientifique, la protection des données personnelles et la capacité de rétention et d’engagement des jeunes.
Conclusion. Cette analyse critique des connaissances propose une réflexion qui pourrait s’avérer utile afin de soutenir le développement de futures apps rencontrant les meilleurs standards auprès d’une multitude d’acteurs susceptibles de les créer et de les utiliser.
Le phénotypage digital pour une pratique clinique en santé mentale mieux informée
Authors: Bougeard Alan , Guay Hottin1 Rose , Houde Valérie , Jean Thierry , Piront Thibault , Potvin Stéphane , Bernard Paquito , Tourjman Valérie , De Benedictis Luigi , Orban Pierre 
Published: October 2021

Objectifs Cette revue trouve sa motivation dans l’observation que la prise de décision clinique en santé mentale est limitée par la nature des mesures typiquement obtenues lors de l’entretien clinique et la difficulté des cliniciens à produire des prédictions justes sur les états mentaux futurs des patients. L’objectif est de présenter un survol représentatif du potentiel du phénotypage digital couplé à l’apprentissage automatique pour répondre à cette limitation, tout en en soulignant les faiblesses actuelles.
Méthode Au travers d’une revue narrative de la littérature non systématique, nous identifions les avancées technologiques qui permettent de quantifier, instant après instant et dans le milieu de vie naturel, le phénotype humain au moyen du téléphone intelligent dans diverses populations psychiatriques. Des travaux pertinents sont également sélectionnés afin de déterminer l’utilité et les limitations de l’apprentissage automatique pour guider les prédictions et la prise de décision clinique. Finalement, la littérature est explorée pour évaluer les barrières actuelles à l’adoption de tels outils.
Résultats Bien qu’émergeant d’un champ de recherche récent, de très nombreux travaux soulignent déjà la valeur des mesures extraites des senseurs du téléphone intelligent pour caractériser le phénotype humain dans les sphères comportementale, cognitive, émotionnelle et sociale, toutes étant affectées par les troubles mentaux. L’apprentissage automatique permet d’utiles et justes prédictions cliniques basées sur ces mesures, mais souffre d’un manque d’interprétabilité qui freinera son emploi prochain dans la pratique clinique. Du reste, plusieurs barrières identifiées tant du côté du patient que du clinicien freinent actuellement l’adoption de ce type d’outils de suivi et d’aide à la décision clinique.
Conclusion Le phénotypage digital couplé à l’apprentissage automatique apparaît fort prometteur pour améliorer la pratique clinique en santé mentale. La jeunesse de ces nouveaux outils technologiques requiert cependant un nécessaire processus de maturation qui devra être encadré par les différents acteurs concernés pour que ces promesses puissent être pleinement réalisées.
Positional changes in the uvula tip after adenotonsillectomy in children: preliminary result
Authors: Chang Suk Won , Song Chan Il , Kim Jeong Hong , Lim Gil-Chai , Kang Ju Wan 
Published: October 2021

Background
Adenotonsillectomy has become the primary treatment for children with sleep-disordered breathing or obstructive sleep apnea. However, few studies have investigated positional changes in the soft palate or uvula after adenotonsillectomy in children. The present study aimed to evaluate positional changes in the uvula tip using cephalometric analyses after adenotonsillectomy in children.

Methods
We analyzed 160 pediatric patients from December 2015 to July 2016, with 94 pediatric patients who underwent adenotonsillectomy as the experimental group and 66 children who were treated and followed up with frequent tonsillitis as the control group. Positional changes in the uvula tip after surgery in the adenotonsillectomy group were investigated using lateral cephalograms obtained within 1 month before surgery and 3–4 months after surgery. Two lateral cephalogram intervals for a few months in the control group who did not undergo adenotonsillectomy were analyzed.

Results
The palatal length (23.92 ± 3.47 vs. 24.46 ± 3.26; p = 0.032), palatal angle (43.13 ± 7.76 vs. 46.12 ± 5.91; p < 0.001), and retrouvula length (15.60 ± 3.51 vs. 16.60 ± 2.97; p = 0.009) were significantly increased on postoperative images relative to those on preoperative images. In the control group, there was a significant change in the palatal angle (2.99 ± 5.85 vs. 0.27 ± 4.14; p < 0.001) and retrouvula length (0.99 ± 3.64 vs. 0.05 ± 1.44; p = 0.025), but not in the palatal length (0.58 ± 2.38 vs. 0.043 ± 1.26; p = 0.065).

Conclusion
The findings of the present study suggest that the uvula tip is displaced in the anteroinferior direction 3 or 4 months after adenotonsillectomy in children. Thus, clinicians should be aware that the retropalatal space may expand after adenotonsillectomy in the pediatric population.
Evaluation of In vitro Antioxidant and Qualitative Phytochemical Analysis of Methanol Leaf Extract of Fadogia cienkowskii Scheinf Fam. Rubiaceae
Authors: Chukwube Vincent O. , Okonta Elejeje O. , O. Ezugwu Christopher , Odoh Uchenna E. 
Published: October 2021

Aim: Fadogia cienkowskii Scheinf has been used in ethno medicine for the treatment of pyrexia, convulsion in children, inflammation and malaria. The aim of this work is to ascertain the presence of some phytochemicals in the leaf of Fadogia cienkowskii Scheinf and to investigate the antioxidant property of the methanol leaf extract of the plant.
Study Design: This work was designed to investigate the presence of some phytochemicals in the plant and to further evaluate the antioxidant property of the methanol leaf extract of the plant using three models.
Methodology: The pulverized leaves (1 kg) was extracted with 5.0 L of 95% methanol employing cold maceration technique. The extract obtained was dried using rotatory evaporator.
Qualitative and quantitative phytochemical evaluations were carried out using standard methods. Antioxidant capacity was investigated using 2,2 diphenyl-1- picrylhydrazyl, ferric reducing antioxidant power and total antioxidant capacity models.
Results: The percentage yield of extract is 20%. Flavonoids, saponins, tannins, glycosides, terpenoids, alkaloids and steroids were present in the extract. Total phenol concentration was 0.55+ 0.13 ug/ml. The amount of flavonoid was 3.28+0.01 g by gravimetry with sample weight of 5+0.02 gm. The antioxidant activity of the plant methanol leaf extract showed maximal effect as demonstrated by its EC 50 of 3.811+0.03 ug/ml compared with the ascorbic acid standard 4.989+0.02 ug/ml using DPPH method. This result was validated by the FRAP and TAC models.
Conclusion: The presence of polyphenolic biomolecular compounds in the extract confirms the use of the plant in Ethnomedicine.