bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical nurses' experiences about "breaking bad news" during the COVID-19 pandemic: A qualitative study
Authors: Rafiei Malihe , Mohammadi Zakieh , Mohamadirizi Shahla 
Published: July 2024

BACKGROUND:Nurses have the most contact with COVID-19 patients and their families, while it is unclear how nurses react when they give bad news during pandemic disaster, particularly in the cultural and social context of Iran. So, our main purpose was to explore the experiences of clinical nurses about breaking bad news (BBN) in the context of the COVID-19 epidemic era.MATERIALS AND METHOD:The study was a qualitative content analysis approach. Data were collected by the purposive sampling method through in-depth interviews with 13 nurses in Isfahan University of Medical Sciences. The method of data analysis was conventional qualitative content analysis.RESULTS:The participants of this study were 13 nurses. The work experience range was from 2 to 18 years, and in terms of education, one of them was Ph.D., eight had a bachelor’s degree education, and four had a master’s degree in nursing. Qualitative data of content analysis were obtained in four main categories such as nurses’ avoidance of BBN, considering the patient’s and family’s beliefs in BBN, nurses’ unpreparedness to deliver bad news during the pandemic crisis, and surrender of the patient and family members in the face of the COVID-19 bad news.CONCLUSION:The results of the research showed that due to probability of occurrence of pandemic in the futureand also the nature of the nursing profession, so nurses should be familiar with the correct ways of BBN and existing protocols on crisis conditions and cultural and religious context of the society to provide a high quality of care for patients and their families.
Academic knowledge brokers in Iran’s health sector: Characteristics, skills, and qualifications
Authors: Shabankareh Khadijeh , Hamidi Ali , Soleymani Mohammad Reza , Alavi Mousa , Sajadi Haniye Sadat 
Published: July 2024

BACKGROUND:
Knowledge brokers, as a bridge between producers and users of knowledge, need a set of skills and abilities to fulfill their role. The current study was carried out with the aim of identifying the characteristics, skills, and qualifications needed by knowledge brokers in Iran’s health sector.

MATERIALS AND METHODS:
This qualitative study was conducted through semi-structured interviews with 18 participants selected using social network analysis and snowball method from June to December 2022. All interviews were analyzed through the conventional content analysis method using the MAXQDA, version 20.

RESULTS:
Two main categories (personality traits and professional competencies) and six subcategories (extroversion, acceptability, problem-solving skills, interactive skills, specialized skills, and specialized knowledge) were identified for knowledge brokers in Iran’s health sector. Interpersonal communication skills, negotiation and persuasion skills, knowledge in both policymaking and research fields, and marketing and commercialization skills were defined as the most important factors in knowledge brokering.

CONCLUSION:
Identifying and training qualified and interested individuals to undertake the task of knowledge brokering, by taking into account the characteristics identified in this research and strengthening the required skills and qualifications, can increase the effectiveness of knowledge brokering and help to bridge the gap between research and policymaking.
Knowledge and acceptance of artificial intelligence and its applications among the physicians working in military medical centers affiliated with Aja University: A cross-sectional study
Authors: Esfandiari Esfandiar , Kalroozi Fatemeh , Mehrabi Nahid , Hosseini Yasaman 
Published: July 2024

BACKGROUND:
The use of artificial intelligence (AI) in medical sciences promises many benefits. Applying the benefits of this science in developing countries is still in the development stage. This important point depends considerably on the knowledge and acceptance levels of physicians.

MATERIALS AND METHODS:
This study was a cross-sectional descriptive–analytical study that was conducted on 169 medical doctors using a purposive sampling method. To collect data, questionnaires were used to obtain demographic characteristics, a questionnaire to investigate the knowledge of AI and its applications, and an acceptability questionnaire to investigate AI. For data analysis, SPSS (Statistical Package for the Social Sciences) version 22 and appropriate descriptive and inferential statistical tests were used, and a significance level of < 0.05 was considered.

RESULTS:
Most of the participants (102) were male (60.4%), married (144) (85.20%), had specialized doctorate education (97) (57.4%), and had average work experience of 10.78 ± 6.67 years. The mean and standard deviation of knowledge about AI were 9.54 ± 3.04, and acceptability was 81.64 ± 13.83. Multiple linear regressions showed that work history (P = 0.017) and history of participation in AI training courses (P = 0.007) are effective in knowledge and acceptability of AI.

CONCLUSION:
The knowledge and acceptability of the use of AI among the studied physicians were at an average level. However, due to the importance of using AI in medical sciences and the inevitable use of this technology in the near future, especially in medical sciences in crisis, war, and military conditions, it is necessary for the policymakers of the health system to improve the knowledge and methods of working with this technology in the medical staff in addition to providing the infrastructure.
The effect of Internet-based nutrition education according to Pender’s health promotion model on gestational weight gain: Study protocol for a randomized controlled clinical trial
Authors: Goodarzi-Khoigani Masoomeh , Ardakani Tayebeh Shojaaddini , Aram Fatemeh Akbari , Khoshhali Mehri , Mardanian Farahnaz , Ardian Nahid 
Published: July 2024

BACKGROUND:
Gestational weight gain (GWG) should be managed appropriately because both inadequate and excessive weight gain have negative health consequences for mother and child. Therefore, we report the study design for investigating the effect of nutrition education based on Pender’s health promotion model (HPM) through the smartphone app on GWG.

MATERIALS AND METHODS:
This randomized controlled trial (RCT) will be performed on the Internet for intervention by uploading text messages, audio, images, and portable document format (PDF) files via a group in one of the virtual messenger networks with the title “Nutrition education research plan.” After random allocation, both control and intervention groups will receive the routine prenatal care including dietary recommendations. The data will be collected using a multipart researcher-made questionnaire containing 33 questions including demographic information and Pender’s construct parts. The evaluation is performed with pretest, posttest, and measurement of the obtained weight. Paired and independent samples t-tests and analysis of variance (ANOVA) with repeated measurements will be applied to compare mean scores of constructs of Pender’s HPM and gained weights.

RESULTS:
The results of this study will clarify whether the present intervention will be effective on the total gestational weight gain and the weight gained in different weeks of pregnancy compared to the control group.

CONCLUSION:
The obtained findings of this study might be useful for managing GWG and consequently maternal and neonatal outcomes.
Depression, anxiety, quality of life, and its relationship with some demographic characteristics of patients with lung neoplasm candidate for surgery
Authors: Masaeli Nasrin , Kheirabadi Gholamreza , Sindarreh Setayesh , Talebzadeh Hamid , Ebrahimzadeh Atefeh , Maraci Mohammad Reza 
Published: July 2024

Background:
In this study, we decided to investigate the state of depression, anxiety, and quality of life and its relationship with some demographic characteristics of lung neoplasm patients who were candidates for surgery.

Materials and Methods:
In a cross-sectional study, all patients with lung neoplasm who were referred to medical centers affiliated to Isfahan University of Medical Sciences and were candidate for lung surgery in 2020–2021. Based on the inclusion and exclusion criteria, 52 people were assigned to the study consecutively. Then, the patients completed the demographic information questionnaire, the Hospital Anxiety and Depression Scale, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30) (EORTC QLQ-C30).

Results:
The score of depression and anxiety was normal (range 7-0) and the score of quality of life was in the relatively good range (50–175). As the patient’s age increases (P = 0.014) and the duration of the disease increases (P = 0.041), the level of depression increases significantly. People with higher education had lower depression (P = 0.001) and anxiety (P = 0.003). People living in the city had a significantly better quality of life (P = 0.039). The higher the depression (P < 0.0001) and anxiety (P = 0.037) of the people, the lower the quality of life of the patients.

Conclusion:
As anxiety and depression increase, the quality of life of lung neoplasm patients decreases. Some demographic characteristics such as old age, insufficient education, rurality, and increased duration of the disease can be the risk factors for depression, anxiety, and reduced quality of life of patients with lung neoplasm.
Mucormicose de seios paranasais e órbitas em paciente imunocompetente: relato de caso e revisão de literatura
Authors: Queiroz Pedro Felipe dos Santos , Teles Flávia Pascoal , Panini Victoria de Oliveira , Neves Nicole Gomes , Pinto Brunna Lopes 
Published: July 2024

Introdução: A mucormicose rino-órbito-cerebral é uma infecção fúngica invasiva que se espalha rapidamente pelos tecidos moles e estruturas adjacentes, podendo resultar em alta morbidade e mortalidade. Durante a pandemia, essa condição emergiu como uma complicação grave, especialmente em pacientes tratados com glicocorticoides. O diagnóstico eficaz depende do uso de técnicas de imagem avançadas e de investigações micológicas e histológicas. O tratamento adequado também está ligado à disponibilidade de equipamentos cirúrgicos apropriados e à utilização de medicamentos antifúngicos eficazes. Objetivo: Realizar uma revisão a respeito da etiopatogenia e a terapia da mucormicose. Materiais e métodos: Este artigo revisa a literatura atual sobre a etiopatogenia e a terapia da mucormicose, utilizando dados de artigos científicos publicados na Medline/PubMED, SciELO e Cochrane entre 2010 e maio de 2024. Resultados e discussão: a mucormicose é frequentemente diagnosticada em pacientes imunocomprometidos, como aqueles com diabetes mellitus descompensada, neutropenia, malignidades hematológicas e sob terapias imunossupressoras. O desbridamento cirúrgico precoce é crucial para remover tecidos necróticos e reduzir a carga fúngica invasiva, melhorando significativamente os resultados clínicos. Além disso, o tratamento antifúngico deve ser iniciado o mais cedo possível para combater a infecção sistêmica, com a anfotericina B lipossomal e o isavuconazol sendo opções terapêuticas eficazes. Fatores de risco adicionais, como o uso de glicocorticoides, estão associados à mucormicose. Diabetes mellitus e cetoacidose diabética são fatores predisponentes importantes, e a residência em áreas rurais pode aumentar a exposição a esporos fúngicos, elevando o risco de infecção. Considerações finais: O manejo eficaz da mucormicose rino-orbito-cerebral depende do desbridamento cirúrgico precoce e do tratamento antifúngico agressivo. A identificação precoce dos fatores de risco e a implementação de medidas preventivas são essenciais para reduzir a morbidade e mortalidade associadas a essa condição devastadora. Estudos futuros devem focar em novas estratégias terapêuticas e abordagens de manejo para melhorar os resultados clínicos dos pacientes afetados pela mucormicose.
Otosclerose infantil: relato de caso e revisão da literatura
Authors: Ribeiro Amanda Victorya de Oliveira , Oliveira Rafaela Silva , Nascimento Eduarda Faria do , Freitas Mariana de Albuquerque de 
Published: July 2024

Introdução: A otosclerose infantil é uma deficiência da neoformação óssea que restringe o movimento do estribo e gera osteodistrofia do osso temporal. Descrevemos um paciente que realizou a audiometria, a imitanciometria e a tomografia computadorizada, apresentando sinais dessa doença. Objetivo: O objetivo deste estudo é relatar um caso de otospongiose infantil, além de realizar uma revisão da literatura sobre o assunto. Materiais e métodos: Para a elaboração deste relato de caso e revisão de literatura foram consultados artigos científicos e de revisão publicados e referenciados na Medline/PubMED e SciELO. Resultados e discussão: Analisou-se que, nessa doença, o início dos sintomas ocorre entre 30 e 40 anos de idade sendo rara sua manifestação na infância. Clinicamente, a otospongiose caracteriza-se por disacusia condutiva e/ou mista progressiva e pela presença de zumbidos. Pode ocorrer perda auditiva neurossensorial, plenitude auricular e vertigem. Com a realização dos exames específicos de imagem e complementares, foram observados sinais de otosclerose no paciente. O tratamento pode ser clínico, com uso de antienzimáticos ou anti-remodeladores ósseos ou cirúrgico (estapedotomia ou estapedectomia). Considerações finais: Enfatiza-se a revisão dos aspectos clínicos, diagnósticos e da conduta terapêutica da otospongiose na infância. A partir do caso relatado, a tomografia computadorizada de ossos temporais foi de extrema importância na definição diagnóstica. Apesar de não existir uma cura completa para a otosclerose, há alguns tratamentos que podem ajudar a desacelerar ou superar a perda auditiva. Por isso, é importante obter um diagnóstico precoce para planejar um tratamento adequado.
Dorsal intercostal artery flap: a reliable option for coverage of myelomeningocele defects: a case series
Authors: Khan Majid , Sher Faisal , Taimoor Muhammad , Shamim Muhammad Shahzad , Shaikh Safdar Ali 
Published: July 2024

Meningomyelocele is a common congenital condition and its reconstruction poses a challenge for surgeons. The dorsal intercostal artery (DICA) flap offers a one-stage tension-free closure with adequate results. This study, spanning from January 2019 to September 2022, analyses the outcome of nine DICA flaps for meningomyelocele reconstruction, where the average size of the DICA flap was 6.8 x 4.6 cm for an average defect of 6.33 x 4 cm. Notably, no post-operative blood transfusion was required, nor any complications occurred except for one patient’s septic shock-related death. Two had post-operative cerebrospinal fluid (CSF) leak, repaired primarily with one requiring VP shunt. Based on our experience, the DICA flap, with its consistent anatomy, is a reliable option for the reconstruction of meningomyelocele defects.
Keywords: Dorsal intercostal artery flap (DICA), Meningomyelocele, Neural tube defects, Reconstructive surgery, Fasciocutaneous flap.
Impact of Artificial Intelligence on Supply Chain Efficiency in Turkey
Authors: Kaya Aylin 
Published: July 2024

Purpose: The aim of the study was to evaluate the impact of artificial intelligence on supply chain efficiency in Turkey.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: Artificial intelligence (AI) has significantly enhanced supply chain efficiency in Turkey. AI applications such as predictive analytics, demand forecasting, and optimization algorithms have streamlined operations, reduced costs, and improved decision-making. Automation of repetitive tasks through AI has increased productivity and accuracy in inventory management and logistics.
Unique Contribution to Theory, Practice and Policy: Resource-based view (RBV) theory, dynamic capabilities theory & technology acceptance model (TAM) may be used to anchor future studies on the impact of artificial intelligence on supply chain efficiency in Turkey. Invest in continuous training and development programs for supply chain professionals to effectively utilize AI tools. Develop industry standards and regulatory frameworks for the ethical use of AI in supply chains. These policies should address data privacy, security, and the responsible use of AI technologies to protect stakeholders.
Makna Maulid Nabi Dalam Al-Qur’an Tinjauan Intertekstualitas Julia Kristeva
Authors: Efendi Rasyid 
Published: July 2024

Kajian ini membahas tentang peringatan Maulid Nabi yang terkandung dalam al-Qur’an yang ditinjau dengan menggunakan teori intertekstualitas Julia Kristeva. Tujuan dari penelitian ini ialah mencari keterkaitan antara pembahasan Maulid Nabi dalam al-Qur’an dan kitab Husnul Maqoshidi fii 'Amalil Maulidi karya JalaluddinnAs-Syuyuthi. Metode yang digunakan dalam penulisan ini ialah deskriptif kualitatif. Penelitian ini termasuk kategori kajian pustaka (library research), yang mana pengumpulan datanya melalui beberapa buku, artikel jurnal, dan tulisan lainnya yang berhubungan dengan penelitian. Hasil dari penelitian ini menunjukkan bahwa pembahasan Maulid Nabi dalam kitab Husnul Maqoshidi fii 'Amalil Maulidi karya Jalaluddin As-Syuyuthi memiliki transposisi hubungan teks dengan pembahasan maulid Nabi dalam al-Qur’an dengan kategori transformasi, modifikasi, dan ekspansi. Dan dalam peringatan Maulid nabi mengandung ajaran-ajaran al-Qur’an yang telah diperluas hingga tambah menarik serta tidak bertentangan dengan al-Qur’an.
Islamic Etiquette for Slaughter viz a viz Mechanical Slaughtering
Authors: Kanani Dr Iman 
Published: July 2024

Meat consumption has become the basic need of a human societies. According to Islamic Shariah, Allah the Creator, has allowed humans to consume the meat of halal animals and has stated a complete procedure of slaughtering the legally permitted animals. Adopting this process ensures the meat lawful for human consumption. There are other methods and practices of slaughtering and killing animals followed by different people of different religions and thoughts. In the modern world various techniques are being used to kill animals on mass level in slaughterhouses. Gas chambers, electric current, rods and mechanical knives are used for this purpose. The users of these practices claim that these techniques make the slaughtering process easier and more convenient for the animal as compare to the shariah guided ways of slaughtering.
In this article I have discussed various procedures of slaughtering and killing an animal. I have analyzed these procedures in order to find out the most convenient way for the animal. I have also discussed the impact of slaughtering process on the end product; the meat and its effect on human health.
This article concluded that shariah guided way of slaughtering is the most convenient way of slaughtering and the animal bears less pain as compared to the rest of the methods and the meat produced as a result of shariah way of slaughtering is healthier and has better psychological impact on human's health.
Formulasi Sediaan Krim Ekstrak Etanol Lobak Tengger (Raphanus Raphanistrum L.) Dan Uji Aktivitas Antijamur Terhadap Candida Albicans ATCC 10231
Authors: Aziz Yaya Sulthon , Novitasari Hani , Wulandari Septiana Indah Ayu 
Published: July 2024

Tumbuhan lobak tenger (Rhapanus raphanistrum L) telah digunakan secara turun temurun sebagai obat tradisional karena banyak efek farmakologisnya. Tumbuhan Lobak Tengger diketahui memiliki manfaat untuk mengobati demam, tifoid, sipilis, dan diare karena kandungan pentingnya, termasuk saponin, flavonoid, dan polifenol.Tujuan dari penelitian ini adalah dilakukan standarisasi ekstrak dan membuat sediaan krim dengan tipe M/A ekstrak etanol umbi Lobak Tengger (Rhapanus raphanistrum L), yang dapat menghentikan perkembangan jamur Candida albicans. Eksperimen laboratorium adalah jenis penelitian ini. Sampel diambil secara simple random sampling untuk dilakukan uji daya hambat terhadap jamur Candida Albicans ATCC 10231. Hasil penelitian ini menunjukkan bahwa ekstrak etanol Lobak Tengger (Rhapanus raphanistrum L) diperoleh dari umbi lobak tengger yang sudah dikeringkan dengan menggunakan metode maserasi dengan etanol 96%. Ekstrak kental, berwarna coklat, bau khas, dan rasa pahit, dan memiliki kandungan kimia seperti flavonoid, saponin, dan tanin. Randemen yang dihasilkan adalah 13,57%. Hasil parameter non-spesifik susut pengeringan 2,03%, bobot jenis ekstrak 0,27%, kadar air 3,26%, abu total 14,28%, dan abu tidak larut asam 2,67% memenuhi standar mutu yang ditetapkan. Aktivitas antijamur menunjukkan bahwa sediaan krim ekstrak etanol Lobak Tengger (Raphanus raphanistrum L.) memiliki kemampuan untuk menghambat jamur Candida albicans. Diameter rata-rata formula I adalah 5 mm, formula II adalah 5 mm, formula III adalah 10 mm, dan formula IV memiliki zona hambat paling besar 11 mm. Hasil penelitian dan analisis data menunjukkan bahwa krim ekstrak etanol Lobak Tengger (Raphanus raphanistrum L.) menghambat jamur Candida albicans
Analisis Tingkat Pengetahuan Ibu terhadap Obat Diare Akut pada Pasien Anak di RS Umum Daerah Drs. Jocobus Luna,M.Si
Authors: Nadilla Nadilla , Purwanti Nera Umilia , Wahdaningsih Sri 
Published: July 2024

Diare adalah kumpulan gejala infeksi yang terjadi pada saluran pencernaan manusia yang disebabkan oleh beberapa organisme yaitu bakteri, virus dan parasit. Tujuan penelitian ini adalah untuk menganalisis tingkat pengetahuan ibu dan mengetahui pengaruh tingkat pengetahuan ibu terhadap obat diare akut pada pasien anak di RS Umum Daerah Drs. Jocobus Luna, M.Si. Metode penelitian adalah deskriptif prospektif dengan rancangan penelitian menggunakan cross sectional. Alat yang digunakan dalam penelitian adalah lembar kuesioner dan dilakukan pengolahan dengan SPSS. Pemilihan sampel menggunakan teknik Non-probability sampling dan diperoleh total responden sebanyak 100 responden yang memenuhi kriteria inklusi. Hasil penelitian yang didapat adalah sebanyak 49 kasus diare anak, dengan sebagian besar ibu berusia 26-35 tahun sebanyak 49%, memiliki riwayat pendidikan di tingkat SMA sebanyak 60% dan 50% ibu memiliki pekerjaan sebagai ibu rumah tangga,serta tingkat pengetahuan ibu terbanyak terdapat pada golongan cukup (40%). Kesimpulan penelitian yaitu didapat nilai P-Value 0,000 sehingga terdapat pengaruh antara tingkat pengetahuan ibu dengan angka kejadian diare pada anak.