bluuebunny/crossref_metadata_2025_split huggingface dataset:
Le groupe SEMA : Un groupe « philo-éducatif » innovateur pour partager son expérience morale comme proche aidant
Authors: Éthier Sophie , Marcoux Lyson , Lauzer Carolanne , Carbonneau Hélène , Beaulieu Marie 
Published: October 2021

Cet article présente les caractéristiques et le déroulement d’un groupe d’éducation innovateur auprès des proches aidants. En huit ou neuf rencontres de deux heures et demie (2 h 30) chacune, la démarche vise à sensibiliser les proches aidants à l’expérience morale vécue dans l’exercice de leur rôle. Les écrits démontrent que ce sont les dilemmes éthiques rencontrés au quotidien qui contribuent le plus à l’épuisement des aidants et que cette expérience de soin peut s’avérer moralement douloureuse pour certains. Basées sur un modèle théorique qui décline en sept processus la construction du sentiment de responsabilité morale qui incombe aux aidants, les activités proposées aux membres permettent une réflexion éthique qui donne un nouveau sens à leur rôle. Plusieurs de ces activités sont décrites dans l’article, où est soulignée la possibilité de combiner les dimensions psychosociale et philosophique en intervention de groupe. La discussion fait néanmoins ressortir que le groupe SEMA ne correspond pas tout à fait aux caractéristiques d’un groupe d’éducation, ni à celles d’un groupe de délibération éthique ou de communauté de recherche philosophique. En fin de compte, l’approche d’intervention proposée et la vision du rôle de l’intervenant nous amènent à conclure que le groupe SEMA peut être désigné comme un groupe d’éducation philosophique ou « philo-éducatif ». This article presents the characteristics and program of an educational, innovative group who deals with caregivers. For a given period of 8-9 meetings of two hours each, the group’s goal is to heighten awareness of caregivers with regard to their moral experience when performing their role. Indeed, studies show that it is these daily, ethical dilemmas that contribute the most to their burden and that this experience can be very painful, morally, for some. Based on a theoretical model which includes seven processes dealing with the moral sense of responsibility that comes with being a caregiver, the activities proposed in the group allow an ethical reflection which gives new meaning to their role. Several of these activities are described in this article, putting an emphasis on the possibility of combining the psychosocial and philosophical dimensions in group interventions. However, the discussion shows that this group does not quite fit the characteristics of an education, or an ethical deliberation group, or a philosophical research community. Finally, the intervention approach adopted by? the stakeholder’s role in this particular group lead us to conclude that it can be referred to as a “philo-educational’ group
Reduksi Informasi Hoax di Era Digital Melalui Pendidikan Karakter Berbasis Pancasila
Authors: Armawi Armaidy 
Published: October 2021

<p>Informasi sudah menjadi suatu kebutuhan utama bagi warga negara, namun fenomenanya ialah tidak semua informasi yang beredar di masyarakat ialah fakta, bisa jadi baru opini, atau bahkan suatu informasi yang tidak benar. Perkembangan teknologi informasi dan komunikasi secara langsung maupun tidak langsung memberikan dampak positif dan negatif di masyarakat. Adapun tujuan dari penelitian ini yaitu untuk mengetahui proses pendidikan karakter berbasis Pancasila di era digital. Penelitian ini menggunakan metode penelitian lapangan dan termasuk jenis penelitian deskriptif. Hasil penelitian menunjukkan bahwa pendidikan karakter berbasis Pancasila di era digital di HMP Demokratia PPKn FKIP UNS, Surakarta dilakukan dengan kegiatan peningkatan literasi mahasiswa melalui berbagai kegiatan seperti seminar, FGD, dan kelas kebangsaan. Adapun proses mereduksi informasi hoax dilakukan dengan cara cross check information, dan pendidikan karakter yang dilakukan melalui diskusi publik dengan dewan dosen. Literasi warga negara dalam hal berkewarganegaraan umumnya di dunia nyata, khususnya di dunia maya, sangat perlu diperhatikan. Salah satu cara membangun literasi kewarganegaraan tersebut melakukan reaktualisasi nilai-nilai Pancasila baik dalam kehidupan nyata maupun kehidupan maya yang pada saat ini sudah menjadi bagian dari kehidupan warganegara. Kemampuan literasi teknologi informasi dan komunikasi merupakan hal yang sangat penting dan diperlukan masyarakat dalam rangka menghadapi kemajuan era digital saat ini. Dengan literasi saja tidak cukup, untuk itu negara perlu memperkuat dengan nilai-nilai yang sudah dibangun sejak lama yaitu nilai-nilai Pancasila. Negara perlu memastikan bahwa nilai-nilai tersebut dipraktikkan untuk mencegah hal-hal yang dapat merugikan masyarakat pada umumnya.</p><p><strong>Kata kunci: </strong> Reduksi, Informasi Hoax, Pendidikan Karakter Pancasila.</p>
Recurrent Osteomyelitis Requiring Surgical Management Secondary to Nail-Biting
Authors: Hoof Marcus , Cognetti Daniel J. , Mcclain William D. , Plucknette Benjamin 
Published: October 2021

Case:
Onychophagia, or nail-biting, is a common habit seen in both children and adults. Harmful effects include oral exposure to a variety of pathogens and concomitant damage to dentition and fingers. This report focuses on the most severe reported case of recurrent osteomyelitis of the bilateral hands with destructive changes secondary to onychophagia.

Conclusion:
Successful treatment relies on a multidisciplinary approach which in this case included surgical management and counseling on cessation, with referrals to other providers to address underlying psychiatric and/or psychologic conditions that may predispose to this compulsion.
Application of Neural Networks and Cokriging for Predicting Reservoir Porosity-Thickness (Σøh)
Authors: Yoshioka Katsuhei , Shimada Nobusuke , Ishii Yoshiro 
Published: October 2021

ABSTRACT
The distribution of the porosity-thickness (Σøh) of the Arab C4 Zone in the offshore El Bunduq field was estimated using neural network and geostatistical techniques. The Arab C4 Zone is approximately 10 to 15 meters thick which corresponds to a time window of less than 20 milliseconds. The reservoir is faulted and the reflection has a poor signal-to-noise ratio. The study utilizes 21 seismic attributes which were derived from a 3-D seismic survey calibrated from 42 wells, 27 of which are deviated. The attributes include different types of amplitudes, complex trace statistics, sequence statistics and frequencies. Three methods are compared: (I) simple kriging using only well data, (II) the neural network technique using 3-D seismic and well data, and (III) cokriging using the output of the neural network technique. Cross validation tests indicate that Method III is not consistently more precise than Method I. Also Method II, in cross-validation tests, demonstrated relatively large dispersion between data and estimates. It appears that although neural networks achieve good correlation between seismic attributes and reservoir properties, the physical relationship remains ambiguous.
Hyperlactatemia and its adverse patient outcomes among patients who underwent cardiopulmonary bypass surgery at national cardiac centre Addis Ababa, Ethiopia 2021. Retrospective observational study
Authors: Tesfaye Tigist , Mulu Getaneh Baye , Atinafu Bantalem Tilaye , Tarekegn Fetene Nigussie , kebede Worku Misganaw 
Published: October 2021

Abstract
Background: Hyperlactatemia and lactic acidosis are commonly encountered during and after cardiac surgery. Hyperlactatemia is highly suggestive of tissue ischemia and is associated with a prolonged intensive care unit stay, a prolonged requirement for respiratory and cardiovascular support, and increased postoperative mortality. Objective: To assess hyperlactatemia and adverse outcomes among patients who underwent cardiopulmonary bypass surgery at Cardiac Center Ethiopia, Addis Ababa, Ethiopia, 2021.Method: An institution-based retrospective cross-sectional study was employed among all patients who underwent cardiopulmonary bypass surgery from December to January 2020. Blood lactate samples were collected intraoperatively and postoperatively. We entered the collected data into Epidata version 4.2 and export it to SPSS 25 for analysis. We did descriptive statistics for categorical and continuous variables and chi-square to show an association between the outcome variable and independent variables. We entered variables fitted in bivariate analysis into multivariable analysis to show the strength of the association and the statistically significant variable.Result: The prevalence of hyperlactatemia in this study among patients who underwent cardiac surgery procedures at Cardiac Center Ethiopia was 37.5 %. A rise in lactate level prolongs ICU stay, prolongs intubation duration, and increases the need for Inotropes support. Lactate level was measured on the immediate postoperative day within 10 hours after the surgery and was defined as lactate level > 3 mmol/L in the first hour after surgery. Age > 40 years [AOR: 6.8 (95% CI 1.7-25), P=<0.008]. female gender [AOR: 1.8 (95% CI 1.1-3.8), P=0.048]. Variables statistically significant were declared at 95 % CI, p-value < 0.05.Conclusion and Recommended: An early rise in lactate levels in patients who underwent cardiopulmonary bypass surgery is a strong and robust predictor of morbidity. As a result, screening of patients in the preoperative period and strict follow-up management of those factors is recommended.
Is High Sensitive-Troponin I A Reliable Biomarker For Cardiac Injury In Methadone Toxicity? A Prospective Cross-Sectional Study
Authors: Shemirani Hasan , Sadeghi Masoumeh , Dehkordi Azadeh Davoudian , Gheshlaghi Farzad 
Published: October 2021

Abstract
Background: Methadone is a synthetic opioid mostly used for detoxification therapy, as its use increases; the possibility for methadone-induced cardiotoxicity may rise. The aim of this study was to determine the association of high-sensitivity troponin I levels as a predictor of cardiac injury in methadone toxicity.Methods: Sixty methadone toxicity patients included in this prospective cross-sectional study from October 2018-November 2020. High-sensitivity troponin I level and electrocardiogram were assessed in patients at admission. All patients underwent echocardiography at admission and 30 days later and compared this findings between two groups based on high-sensitivity troponin I results.Results: Mean age of the patients was 34.5±11.1 years (males: 66%). Twelve (20%) patients had positive high sensitive-troponin results. Long QT interval and inverted T in precordial leads were mostly observed in individuals with positive high-sensitivity troponin I (75% vs. 35%, P=0.013 and 83% vs. 16%, P<0.001, respectively). Patients with elevated troponin had reduced left ventricular ejection fraction in comparison to normal group during admission (43.1±15.4% vs. 55%, P<0.001) and this left ventricular ejection fraction remained abnormal after 30 days (43.7±21.6%). Patients in positive high-sensitivity troponin I group had higher regional wall motion abnormality frequency both at admission and 30 days later compared to the other group (0 day: 42% vs. 0, P<0.001, 30th days: 25% vs. 4%, P=0.020).Conclusion: Patients with simultaneous methadone toxicity and positive high-sensitivity troponin I had worse cardiac outcomes and this biomarker could be probably used for better implementation of therapeutic interventions and prognosis.
Stigma after being newly diagnosed with acute leukemia: the contributing factors among those patients
Authors: Lin Miaoran , Hu Rong , Jiang Xiao-Ying , Lin Ying-chun , Weng Yi-mei 
Published: October 2021

Abstract
Objective:

To date, little research has been done to answer whether people with acute leukemia (AL) experience stigma. No previous studies investigated stigma and its relationship with most common negative emotion and coping styles in patients newly diagnosed as AL. Therefore, the study was designed to find out stigma and its possible contributing factors among the patients with initial diagnosis of AL.
Methods:

A total of 167 patients newly diagnosed as AL were recruited and investigated by Social Impact Scale (SIS), Medical Coping Modes Questionnaire, Hospital Anxiety and Depression Scale. The data was analyzed by multivariate linear regression to identify influencing factors of stigma.
Results:

The mean score of SIS was 60.61 ± 9.45, with 13.17% of patients at high level. Almost individuals experienced anxiety or depression during first chemotherapy after diagnosis. The main coping strategy was acceptance-resignation. Patients with following characteristics tend to experienced stronger stigma: male, childless, lower family income, higher degree of dependence, having chronic diseases, more severe depression, and tendency to adopt acceptance-resignation.
Conclusions:

Patients newly diagnosed as AL were in moderate level of stigma. Effective measures were suggested to alleviate stigma the patients undergoing when struggling for complete remission, especially for those exposed to risk factors of stigma.
Current Pattern and Clinico-Bacteriological Profile of Healthcare Associated Infections (HAI) in an ICU Setting: An Observational Study
Authors: Daga Mradul Kumar , Mawari Govind , Wasi Saman , Kumar Naresh , Sharma Udbhav , Hussain Maryam 
Published: October 2021

Abstract
Objective

To understand the pattern and types of healthcare associated infections (HAI) at our healthcare facility, and to determine the common causative agents and their antibiotic susceptibility profile.
Methods

One hundred consecutive patients diagnosed with HAI were enrolled and monitored; the causative organisms isolated on culture were recorded and their sensitivity profile was generated.
Results

Of the 100 patients diagnosed with HAI (mean age ± SD being 42 ± 17 years), there were a total of 110 hospital acquired infections with 10 patients having two infections each. Out of 100 patients with HAI, 69 patients had ventilator associated pneumonia (VAP), 21 patients had catheter associated urinary tract infection (CAUTI) patients, and 20 patients had central line associated bloodstream infection (CLABSI). There were 10 patients with both VAP and CAUTI. All of the HAIs were device associated. A total of 76 pathogens were isolated on culture. No organism was isolated in 40 HAI. Majority (94.7%) of the organisms isolated from HAIs were gram-negative bacteria and all were multidrug resistant. Seventy-seven of the enrolled patients expired while 23 were discharged from the hospital
Conclusions

Our study demonstrated that HAIs occur in patients of all age groups; younger patients are not spared. Majority of the HAIs were caused by multidrug resistant gram-negative bacteria and were associated with high patient mortality. Acinetobacter species was the most common organism associated with HAI.
Changes in hyperglycaemia-related testing for prediabetes and type 2 diabetes mellitus management: a prospective, cross-sectional survey of 16 years of general practice data from Australia
Authors: Leigh Andrew , Hunter Jennifer , Harrison Christopher , Britt Helena , Molodysky Eugen 
Published: October 2021

Abstract
BackgroundThe rising prevalence of prediabetes increases the population risk of type 2 diabetes mellitus (T2DM), metabolic syndrome and cardiovascular disease. Early identification by General Practitioners (GPs) provides opportunities for lifestyle modifications that can lower these risks.MethodsThis study examined 16 years of annual trends (2000/01-20015/16) in hyperglycaemia-related testing for patients in Australia aged 13 years or older with, or at risk of a diagnosis of T2DM. The Bettering the Evaluation and Care of Health (BEACH) study is a national cross-sectional survey, with a single-stage, cluster sampling design. Approximately 1,000 GPs were randomly selected annually (2000/01-20015/16) from across Australia, who each recorded details of 100 consecutive clinical encounters with consenting patients. Means and 95% confidence intervals were adjusted for intracluster correlation and GP characteristics.Results15,679 GPs recorded details of 1,387,190 clinical encounters with patients aged 13+ years. Prediabetes and T2DM were managed at 0.25% (95% CI: 0.24-0.27%) and 3.68% (95% CI: 3.62-3.73%) of encounters respectively. By the end of the study, annual management rates were 2.3 times higher for prediabetes and 1.5 times for T2DM management. The likelihood of ordering at least one hyperglycaemia-related test during prediabetes management occasion was twice the likelihood in management of T2DM. For prediabetes, glucose tolerance tests were most common but from 2014/15, requests for HbA1c tests began to increase. For T2DM, HbA1c tests were most common, and requests for one or more glucose tests gradually declined.ConclusionThe observed 16-year annual trends align with the rising incidence of prediabetes and T2DM. GPs appeared to be strongly influenced by changes to the national insurance scheme and clinical guidelines for hyperglycaemia-related pathology testing. However, some GPs may have been pre-empting policy changes as there was also evidence of ‘unendorsed’ testing, notably for prediabetes that warrants further investigation. The increasing management rates for prediabetes, coupled with higher rates of pathology requesting have substantial resource implication. Calls to lower the risk threshold for prediabetes screening therefore warrant an economic analysis. Ongoing, reliable, up-to-date data is needed to inform clinical practice guidelines and policy in Australia.
Detection of an Autism EEG Signature Through a New Processing Method Based on a Topological Approach
Authors: GROSSI ENZO , White Rebecca , Swatzyna Ronald 
Published: October 2021

Abstract
A new pre-processing approach of EEG data to detect topological EEG features has been applied to a continuous segment of artifact-free EEG data lasting 10 minutes in ASCII format derived from 50 ASD children and 50 children with other Neuro-psychiatric disorders, matched for age and male/female ratios. Each EEG was manipulated using a Cin-Cin algorithm, based on an input vector characterized by a linear composition of city-block matrix distances among19 electrodes. From the resulting triangular matrix of 171 numbers expressing all of the one-by-one distances among the 19 electrodes a minimum spanning tree(MST) is calculated. Electrode identification serial codes, sorted according to the decreasing number of links in MST, and the number of links in MST are taken as input vectors for machine learning systems. With this method all the content of an EEG is transformed in 38 numbers which represent the input vectors for machine learning systems classifiers. Machine learning systems have been applied to build up a predictive model to distinguish between the two diagnostic classes. The best machine learning system (KNN algorithm) obtained a global accuracy of 93.2% (92.37 % sensitivity and 94.03 % specificity) in differentiating ASD subjects from NPD subjects. In conclusion the results obtained in this study suggest that the two new pre-processing methods introduced, in particular the MST algorithm, have great potential to allow a machine learning system to discriminate EEGs obtained from subjects with autism from EEGs obtained from subjects affected by other psychiatric disorders.
Orthorexia Nervosa: When Healthy Eating Becomes Unhealthy
Authors: Andreoli Audryn , Aragon Patrick J. , Bennett Demara B. 
Published: October 2021

Abstract
Purpose Orthorexia Nervosa (ON) is a recently proposed eating disorder that has gained growing acknowledgment. However, there exists a significant gap in the literature regarding ON. Additionally, the lack of formal criteria for the diagnosis of ON has led to a debate regarding whether it is a standalone diagnosis or part of another condition, including other eating disorders. This debate is further fueled by shared characteristics and consequences between ON and other disorders, namely Anorexia Nervosa (AN) and Bulimia Nervosa (BN). Moreover, ON has been recognized as highly prevalent in individuals’ post-treatment for AN and BN. Thus, this study aimed to determine whether eating disorder history predicts greater severity of ON symptomology. Additionally, we aimed to determine whether sex, racial, and age group differences exist in severity of ON symptomology.Method The Eating Habits Questionnaire (EHQ) was administered to 535 individuals along with questions regarding previous eating disorder history and demographic variables. Results Analysis confirmed that individuals previously diagnosed with an eating disorder and those who previously received eating disorder treatment demonstrated higher ON symptomology severity. Minimal-to-no group differences among sex, race, and age in EHQ scores, except for Caucasian/White individuals scoring higher than Asian/Asian American individuals, were revealed.Conclusion ON is highly prevalent among individuals previously diagnosed with an eating disorder and those who previously received eating disorder related treatment. Little to no age, sex, and racial differences were demonstrated in ON symptomology. Level III: Evidence obtained from well-designed cohort or case-control analytic studies
Identification of Aquaporin Gene Family in Response to Natural Cold Stress in Ligustrum × Vicaryi Rehd.
Authors: Dong Jiahui , Niu Shance , Zhou Juan , Qian Ji , Zhao Mengnan , Meng Yu , Di Bao 
Published: October 2021

Abstract

Background: Maintaining water balance in various adversities is a difficult and critical challenge for plants. Studies have shown that aquaporins located on cytomembrane play an important role in maintaining water homeostasis under various environmental stresses. Some studies have shown that aquaporins are involved in the tolerance mechanism of plant cells under cold stress, and the aquaporin gene family is closely related to the cold resistance of plants. Ligustrum × vicaryi Rehd. plays a significant role in urban landscaping with poor cold resistance at the seedling stage and early planting stage. Screening the target aquaporin genes of Ligustrum × vicaryi related to cold resistance during natural cold stress will provide a scientific theoretical basis for cold resistance breeding of Ligustrum × vicaryi.Results: In this study, the genome-wide identification of the aquaporin gene family was performed at four different overwintering periods in September, November, January and April, and finally 58 candidate Ligustrum × vicaryi aquaporin (LvAQP) genes were identified. The phylogenetic analysis revealed that four subfamilies of the LvAQP gene family: 32 PIPs, 11 TIPs, 11 NIPs, and 4 SIPs, among which there were more genes in the PIPs subfamily than that in other plants. The key LvAQP genes were found through analyzing aquaporin genes related to cold stress in other plants and LvAQP genes expression profiles. The up-regulated key LvAQP genes were Cluster-9981.114831, Cluster-9981.104986, and Cluster-9981.120365, and the down-regulated key LvAQP genes were Cluster-9981.112839, Cluster-9981.109034, Cluster-9981.89369, Cluster-9981.110451, Cluster-9981.107281, Cluster-9981.112777, Cluster-9981.112789, Cluster-9981.122691 and Cluster-9981.88037. These genes play a key role related to cold tolerance in the nature low temperature growth stage of Ligustrum × vicaryi. Conclusions: This study systematically identified the AQP gene family in Ligustrum × vicaryi and screened for 20 differential expression LvAQP genes related to cold stress, among which 11 genes belonged to PIPs subfamily. The results of this research will lay the foundation for further biological function verification of cold resistance-related aquaporin candidate genes in Ligustrum × vicaryi, especially PIPs subfamily, and provide theoretical basis and technical support for improving seedling quality and breeding.