bluuebunny/crossref_metadata_2025_split huggingface dataset:
Le modèle d’ « organizing » de Weick : un cadre pertinent pour l’analyse de l’enseignement à distance
Authors: Marsal Christine 
Published: June 2021

Les exigences de l’économie de la connaissance, l’élévation régulière des qualifications requises pour exercer tel ou tel métier, nécessitent la mise en place de dispositifs de formation tout au long de la vie. Les dispositifs d’enseignement à distance tels que MOOC 1 , SPOC 2 , enseignements hybrides font l’objet d’une attention soutenue tant de la part des managers que des professionnels de l’éducation. Ces dispositifs s’inscrivent dans un environnement variable, ambigu dans lequel le statut de connaissance pertinente évolue régulièrement. De fait, les enseignements à distance peuvent être source de désordre, d’ambiguïté et d’équivocité. L’utilisation du cadre théorique de Weick (1995,2001) concerne précisément l’équivocité de l’environnement. Dans ce contexte, nous cherchons à mieux connaître la systémique actions/interactions dans le cadre de deux dispositifs d’enseignement en comptabilité. Les résultats indiquent que le processus de création de sens se construit essentiellement sur les actions proposées. La phase d’équivocité semble être plus « longue » dans les enseignements à distance. Les étudiants à distance consultent moins les ressources du cours, interagissent moins entre eux, et obtiennent de moins bons résultats académiques.
Technique et méthode chez Aristote
Authors: Stephanou Henri 
Published: June 2021

La distinction qu’Aristote propose de la connaissance pratique et de la connaissance théorique semble laisser le statut de la technique problématique : présentée comme une étape vers la science en Métaphysique A 1, la technique est rapprochée de la prudence en Éthique à Nicomaque VI 1, en ce qu’elles relèvent toutes deux de la même « raison délibérative ». Cette indétermination semble légitimer la critique célèbre adressée par Kant à la distinction aristotélicienne, ainsi que la conclusion radicale qu’il en tire de rapatrier l’ensemble de la technique et des maximes de la prudence dans le domaine de la connaissance théorique. Le commentaire aristotélicien lui-même reste divisé sur cette question. Dans cet article, nous souhaitons proposer une interprétation nouvelle de la place qu’assigne Aristote à la technique dans le domaine du savoir, et notamment de son autonomie vis-à-vis des sciences théoriques. Cette interprétation se fonde sur l’analyse par Aristote de la délibération pratique comme d’une forme de recherche (ζήτησις), qui s’oppose fondamentalement à l’ἐπιστήμη comme savoir constitué et achevé dans sa présentation déductive. La technique apparaît alors comme le savoir positif qui permet de guider la délibération, et qui a donc trait aux méthodes. L’intérêt de cette lecture est de suggérer l’existence d’un lien profond entre la technique et la logique de l’ Organon , qui pointe vers notre concept moderne de « procédure », dont le rôle est central dans la théorie moderne de la calculabilité et en informatique.
Le renouvellement de l’antiféminisme dans la manosphère : idéalisation de la tradition et individualisme masculiniste
Authors: Morin Céline 
Published: June 2021

La consolidation sur Internet d’une « manosphère », où convergent les défenseurs de la « cause masculine », témoigne du recalibrage des politiques masculinistes en fonction des avancées féministes. Les participants y critiquent les mouvements d’émancipation féminine des années 1960 et dénoncent les dérives néolibérales engagées à compter des années 1980, tout en idéalisant une certaine vision de la société française d’immédiate après-guerre. Le champ sentimental et sexuel apparaît aujourd’hui comme le principal point de crispation des mouvements masculinistes en ligne. Partant d’une cartographie de la manosphère, cet article explore l’hybridation stratégique entre la défense d’une domination traditionnelle du masculin sur le féminin et l’inscription dans l’individualisme contemporain, avec une récupération adroite des outils et techniques féministes de conscientisation.
Le rôle controversé de la radio dans les « événements sénégalo-mauritaniens » de 1989
Authors: Niang Bocar 
Published: June 2021

En avril 1989, une crise diplomatique et humanitaire de grande ampleur éclate entre le Sénégal et la Mauritanie. Elle provoque alors de meurtriers affrontements intercommunautaires et des déplacements massifs de populations de part et d’autre de la frontière entre les deux pays. Le rôle joué par les médias en général, la radio en particulier, dans le surgissement et l’amplification des violences, constitue une des grandes variables de cette crise diplomatique aux relents identitaires et politiques très ancrés dans l’histoire précoloniale, coloniale et post-indépendance des deux voisins. L’instrumentalisation de la radio par les pouvoirs en place n’a-t-elle pas exacerbé les nombreux différends opposant mauritaniens et sénégalais au point d’aboutir à un passif humanitaire non encore soldé à ce jour ? Au-delà de cette problématique, se dévoilent surtout à travers cette crise des enjeux politiques et historiques en rapport avec la question de la viabilité et la solidité des projets d’État-nation mis en place au moment des indépendances.
Telephone Triage Simulation Activity for Prelicensure Nursing Students
Authors: Ehly Erin , Fitzwater Julie 
Published: June 2021

Background:
To meet the demands of a complex health care environment, nursing students need education that includes telephone triage in outpatient settings. Developing telephone triage communication skills requires the use of a different set of senses than in-person assessments. The purpose of this pilot study was to measure the effect of a telephone triage classroom simulation on prelicensure nursing students' knowledge and skills.

Method:
A simulation was developed to learn outpatient telephone triage protocols focused on lower respiratory illness. Students documented the encounter, gave a report to the provider, and completed the Simulation Effectiveness Tool-Modified.

Results:
Eighty-eight percent of students strongly agreed that learning about telephone triage and outpatient nursing was useful. Student perceptions of learning pathophysiology and teaching patients about illness scored lowest. Most students had inaccurate documentation of patient encounters.

Conclusion:

Identified areas for curricular improvement included accurate documentation, pathophysiology, and patient teaching opportunities in outpatient telephone triage.

[
J Nurs Educ
. 2021;60(6):352–355.]

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Developing Mental Health–Related Simulation Activities for an Australian Undergraduate Nursing Curriculum
Authors: McGough Shirley , Heslop Karen 
Published: June 2021

Background:
Although simulation-based learning experiences have been widely used in nursing curricula to develop confidence, knowledge, and skills, the use of mental health–related simulation in undergraduate nursing education is sparse.

Method:
This project aimed to develop a simulation activity that incorporated the National Safety and Quality Health Service standards in acute mental health for undergraduate nursing students to prepare them for their clinical practicum in mental health. Clinical confidence was evaluated using the Mental Health Clinical Confidence scale.

Results:
Mental health clinical confidence increased in students following the activity.

Conclusion:

The findings show simulation activities that build on existing knowledge improve student confidence in providing care for people with mental health conditions. This article reports on the development and implementation of a mental health–related simulation-based learning experience in an undergraduate nursing program and builds on the existing knowledge of simulation-based learning in health care education.

[
J Nurs Educ
. 2021;60(6):356–361.]

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Compliance of spectacle wear among school children
Authors: Gajiwala Uday R , Patel Rajesh Umedbhai , Sudhan Anand , Sil Asim , Jain Elesh , Jhala Laxmi , Mahendra Manish , Bezankiwar Vijayalaxmi 
Published: June 2021

Purpose:
In India, school eye screening is an important component of the National Programme for the Control of Blindness providing spectacles free of cost to children from primary section. The primary aim of this study was to know the compliance of wearing spectacles provided during school screening program and to find out reasons for noncompliance. The secondary aim of this study was to get information regarding the types of modifications required in the school eye screening program to improve the compliance level.

Methods:
It was a cross-sectional follow-up study involving school children of age group 10–16 years, class 5–9 from different parts of the country. Public or private schools were randomly selected based on their distance from the base hospitals/partner organizations. Data were collected by standard format directly from the students after informed written consent from school principal or class teacher.

Results:
The utilization of spectacles was found to be only 29.8% (n = 289) within 2 years of receiving the spectacles. Thirty-five percent (n = 108) students were using spectacles with less than 0.75 D. Appearance of the frame was a deciding factor. It was observed that the frames provided by the DBCS were especially not liked by the children. Twenty-five percent (n = 79) children were found to be wearing adult frames.

Conclusion:
Less than a third of the students were compliant with their spectacle prescription in this study. To improve the compliance, children should not be prescribed spectacles for nonsignificant refractive errors, should be given choices for frames and quality of work being conducted under school screening program needs a review.
Macular associations of tilted disc syndrome
Authors: Kumar Vinod , Surve Abhidnya , Kumawat Devesh , Azad Shorya , Vohra Rajpal , Venkatesh Pradeep 
Published: June 2021

Purpose:
The aim of this study was to describe macular changes associated with tilted disc syndrome (TDS) using multimodality imaging.

Methods:
This is a retrospective observational study of the consecutive TDS cases which were studied for macular changes using color fundus photographs and optical coherence tomography (OCT). Fundus autofluorescence, fundus fluorescein angiography, and OCT angiography were performed wherever required.

Results:
Twenty consecutive TDS cases (36 eyes) were included. OCT showed inferior depression of all layers in specific scans and macular pathologies seen included lamellar macular hole, full-thickness macular hole, retinal pigment epithelial detachment, acute and resolved subretinal fluid, central serous chorioretinopathy, and choroidal neovascular membrane. Macular involvement was seen in 13 eyes (36.11%) while in the remaining 23 eyes, outer retinal changes were seen on OCT in 9 eyes and normal retinal layers in 14 eyes (38.89%).

Conclusion:
Various macular pathologies associated with TDS are described using multimodality imaging. These provide understanding of changes which can occur with TDS. It also highlights the need for recognition, differentiation from similar confusing entities, and the necessity to follow-up of these cases carefully to detect the macular changes earlier.
Resident-performed immediate sequential bilateral cataract surgery during the COVID-19 pandemic
Authors: Chen Tiffany A , Chen Stephanie P , Ahmad Tessnim R , Pasricha Neel D , Parikh Neeti , Ramanathan Saras 
Published: June 2021

Purpose:
To assess visual outcomes and patient satisfaction for senior resident-performed immediate sequential bilateral cataract surgery (ISBCS) versus delayed sequential bilateral cataract surgery (DSBCS) during the COVID-19 pandemic, when minimizing healthcare-related exposures for patients and providers are paramount.

Methods:
This was a pilot retrospective cohort study of all ISBCS and DSBCS patients who underwent senior resident-performed cataract surgery from May to September 2020 at a single academic institution. Outcome measures were final corrected distance visual acuity (CDVA), final manifest refraction (MRx), intraoperative and postoperative complications rates, total number of visits, and patient satisfaction assessed postoperatively by telephone questionnaire.

Results:
Twenty-two eyes of 14 patients and 56 eyes of 28 patients underwent senior resident-performed ISBCS and DSBCS, respectively. Final CDVA was 20/25 or better in 21 (95%) ISBCS and 51 (91%) DSBCS eyes (P = 0.670). Deviation of final MRx from target refraction was within 0.50 D in 17 (77%) ISBCS and 47 (84%) DSBCS eyes (P = 0.522). There was no significant difference in intraoperative (P = 1.000) or postoperative (P = 1.000) complications. ISBCS patients averaged 3.5 fewer visits than DSBCS patients (5.9 vs 9.5, P < 0.001). All ISBCS and 20 DSBCS patients (87%) reported they were “very satisfied” or “satisfied” with their experience (P = 0.701). Five of six senior residents responded that they preferred performing ISBCS over DSBCS.

Conclusion:
This early experience suggests that senior resident-performed ISBCS is as safe and effective as DSBCS, with the added benefit of averaging fewer in-person visits. Residency programs should consider offering senior resident-performed ISBCS to select patients during the COVID-19 pandemic.
Training Indian ophthalmologists in phacoemulsification surgery: Nine-year results of a unique two-week multicentric training program
Authors: Farooqui Javed Hussain , Mathur Umang , Pahwa Rashmi Rani , Singh Aditi , Vasavada Vaishali , Chaudhary Reena M ,   Phaco Development Program Working Group
Published: June 2021

Purpose:
To assess the outcome of 2 weeks phacoemulsification training program that is a unique collaboration between premier ophthalmic training institutes of India and Alcon Inc. initiated 10 years ago.

Methods:
Cataract surgeons eager to adopt phacoemulsification surgery as the primary treatment modality were enrolled in an intensive 2 weeks training program across seven premier ophthalmic institutes in India. These surgeons performed supervised phacoemulsification surgery under the guidance of expert faculty. Simultaneously didactic lectures, postoperative video discussions, and wet laboratory training were conducted. To assess improvement in the surgical skills each surgery was scored using the International Council of Ophthalmology-Ophthalmology Surgical Competency Assessment Rubrics (ICO-OSCAR). Phaco Development Specialist supported these surgeons for minimum duration of 1 year and maximum of 9 years and 2 months. In this multicentric study, surgical data of the participants enrolled between June 2010 to August 2018 was retrospectively analyzed.

Results:
Nine hundred 89 ophthalmologists across 27 Indian states and 4 Union Territories were trained between June 2010 and August 2018. The mean age of participants was 40.6 (+ 8.2 years) and 64.8% were males. After completing their training they performed 1,022,508 phacoemulsification surgeries in 9 years and 2 months. At follow-up, 92.11% and 88.77% of the surgeons were performing phacoemulsification at the end of 1 year and final follow-up, respectively.

Conclusion:
This program highlights how partnership model between industry and ophthalmologists can go hand in hand for training and skill development of doctors contributing to much-needed improvement in patient care across societies.
Preferred practice pattern and observed outcome of deep anterior lamellar keratoplasty – A survey of Indian corneal surgeons
Authors: Fogla Rajesh , Sahay Pranita , Sharma Namrata 
Published: June 2021

Purpose:
This study aimed to assess the preferred surgical technique and outcome of deep anterior lamellar keratoplasty (DALK) among corneal surgeons in India.

Methods:
An online questionnaire-based cross-sectional survey was conducted among members of the Cornea Society of India (CSI) with experience of performing >10 DALK procedure. The responses pertaining to their surgical experience, preferred technique, complications, and outcome of DALK were collected and analyzed.

Results:
A total of 156 responses were received. In total, 35.9% of participants reported annual keratoplasty of >50, and DALK constituted >25% surgeries for 25% of participants. Ectatic corneal disorder was reported as the most common indication for DALK by 71.6% of the respondents. Big-bubble (BB) DALK (WA-1.82) was the most preferred technique, along with suction trephine (50%) for partial trephination and bottom port cannula (45.5%) for BB formation. On statistical analysis, no difference was observed in the surgeon reported success rate of BB formation with or without anterior lamellar keratectomy (ALK) (Χ2 (1,156) = 3.1498, P = 0.08) or paracentesis (Χ2 (1,156) = 0.2737, P = 0.60) before stromal air injection, and method of stromal air injection (Χ2 (1,156) = 4.7325, P = 0.09). Conversion to penetrating keratoplasty was reported by 16% of participants in >25% cases, while 66.7% reported in <10% cases. Cataract and double anterior chamber were the most common complications. 50% of participants suggested that >20 procedures are required to overcome the learning curve.

Conclusion:
BB DALK is the most commonly practiced DALK technique, and its success is independent of ALK and paracentesis being performed prior to air injection and method of air injection (cannula/needle).
Translation, validation and cross-cultural adaptation of the geriatric depression scale (GDS-30) for utilization amongst speakers of Malayalam; the regional language of the South Indian State of Kerala
Authors: Thomas Ann Mary , Cherian Vinu , Antony Ashok 
Published: June 2021

Background:
The Geriatric Depression Scale (GDS-30) is a popular instrument that has been ratified and is being used around the world as a screening tool for over three decades. However, a validated version of the scale is not available for use among speakers of Malayalam. In this paper, we elaborate on the procedure involved in the translation and validation of the GDS-30 from the official English version into Malayalam, the hurdles encountered in the process, and how they were overcome.

Methods:
The steps recommended by the World Health Organization (WHO) were applied for the translation of the original questionnaire. This involved initial forward translation of the English questionnaire, discussion by an expert panel, back-translation, pre-testing, and pilot testing of the final version. The Malayalam translation thus obtained was administered to 100 elderly persons in the community. These individuals were then examined by a qualified doctor, who had received the necessary training from a consultant psychiatrist in the diagnosis of depressive disorders. This doctor evaluated the study subjects clinically using theInternational Classification of Diseases-tenth revision (ICD-10) criteria for the diagnosis of depression, which is considered as the gold standard. Sensitivity, specificity, Cronbach'salpha, and split-half reliability were calculated to determine validity.

Results:
The translated scale yielded a sensitivity of 87.20%, a specificity of 73.80%, an area under the Receiving Operator Curve (ROC) of 0.814, Cronbach's α of 0.920, and split-half reliability of 0.897, thereby proving to be a valid screening tool.

Conclusion:
The Malayalam translation of the GDS-30 is a valid instrument to screen for depression in an elderly Malayalam-speaking population.
Prevalence of depression amongst the Elderly population in old age homes of Mangalore city
Authors: Kumar Saurabh , Joseph Sharon , Abraham Athul 
Published: June 2021

Context:
Depression is a silent killer. The people living in the old age homes (OAHs) appear to be overtly neglected by the community and depression is easily overlooked in such individuals especially in elderly people with comorbidities. Its early detection and treatment are imperative to improve quality of life.

Aim:
To find the prevalence of depression and the socio-demographic factors associated with depression among the elderly of OAHs.

Materials and Methods:
A Cross-sectional study in geriatric population of OAHs around Mangalore city was conducted over a duration of 5 months. About 142 elderly above the age of 60 years participated in the study. The study tools used were Geriatric Depression Scale-15 (GDS-15), Activities of Daily Living Scale (Katz index) and socio-demographic questionnaire.

Statistical Analysis Used:
The results were expressed in percentages and proportions. Univariate logistic regression analysis was done to find out the associated sociodemographic factors. Means and standard deviation of the GDS-15 and KATZ index scores were calculated and correlation was assessed between both the scores.

Results:
The overall prevalence of depression was 47.8% by using the GDS. The GDS score and Katz score were found to have a significant negative correlation. (r = -0.245 P = 0.003). Less social interaction amongst the peers was found to be associated with depression.

Conclusions:
The prevalence of depression in this study population was moderately high. Spending time with other residents was protective and functionally able people were less likely to have depression.
Burnout and its correlates in Saudi family medicine residents
Authors: Al-Ghamdi Malak Aziz , Nahar Shamsun , Siddiqui Aesha Farheen , Al-Saleem Safar Abadi 
Published: June 2021

Background:
Burnout is a workplace phenomenon and is high among healthcare workers, particularly physicians. It brings in significant negative impact on patient care and physicians. Considerable number of studies have highlighted burnout issues on residents of other specialties; however, scarcity of data exist on burnout among family medicine residents.

Objectives:
This study aimed to measure the prevalence of burnout, and its predictors amongst family medicine residents in Aseer region, Saudi Arabia.

Methodology:
This cross-sectional study was conducted among 133 family medicine residents using a custom-designed and validated Self administered questionnaire. The Maslach Burnout Inventory Human Services Survey (MBI-HSS) was used to measure the three dimensions of burnout: emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA).

Results:
The overall prevalence of burnout was 84.2%. In terms of three dimensions of burnout, 29.3% of respondents scored high for EE burnout, 19.5% for DP and 79.7% for PA. High burnout in all three dimensions was found to be strongly associated with a number of variables under study. Male gender (aOR = 3.41, 95% CI 1.1-11.10; P = 0.042), married residents (aOR = 3.32, 95% CI 1.1-10.48) and use of anti-anxiety drugs (aOR = 3.75,95% CI = 2.0-21.26) were identified as predictors of high emotional exhaustion. A work schedule of more than 8 hours per day (aOR = 3.79, 95% CI 1.12-10.87) and young age (aOR = 2.6, 95% CI 1.12-10.87) were identified predictors for high depersonalisation and low personal accomplishment, respectively.

Conclusions:
Prevalence of burnout in this study exhibits that it is a common problem in family medicine residents. There is a need for a nationwide longitudinal study targeting the family medicine residents to study the effects of burnout on physician well-being and patient care.