bluuebunny/crossref_metadata_2025_split huggingface dataset:
Two new species of Nemoura Latreille and a new combination of Amphinemura Ris (Plecoptera, Nemouridae) from the Nanling Mountains Region of China
Authors: Zhu Ya-Fei , Rehman Abdur , Du Yu-Zhou 
Published: May 2024

The family Nemouridae, belonging to Plecoptera, comprises 21 genera and over 700 species found globally, with the greatest diversity observed in temperate regions. Nemoura Latreille, 1796 and Amphinemura Ris, 1902 are two largest genera of the family with the highest diversity in China.
Two new species of Nemoura Latreille, 1796 of the family Nemouridae, Nemoura exterclava Zhu, Rehman & Du sp. nov. and Nemoura cerciserrata Zhu, Du & Rehman sp. nov., are described and illustrated from the Nanling Mountains Region in Guangdong Province, southern China. The morphological characteristics of the new species are compared with related taxa. Additionally, the status of Indonemoura voluta Li & Yang, 2008, originally from Maoershan National Natural Reserve in Guangxi Zhuang Autonomous Region, was addressed and moved to the genus Amphinemura Ris, 1902 on the basis of newly-caught topotypes.
Les sources pour l’histoire de la Grande Guerre des Alsaciens-Lorrains et leur usage (1) :
Authors: Georges Raphaël 
Published: May 2024

Cet article livre d’abord une réflexion sur les témoignages de guerre, un type de sources fréquemment employé dans l’historiographie de la Première Guerre mondiale, y compris pour le cas alsacien-lorrain. Il en ressort que leur usage, légitime, doit respecter une méthode permettant de déjouer les biais liés notamment au contexte de production et à la sociologie de leurs auteurs. Fort de ce constat préalable, l’article interroge ensuite la pertinence de cette source pour étudier la question sans cesse actualisée du sentiment national de la population alsacienne avant et après 1918. Pour ce faire, une analyse a été menée à partir d’un corpus de soixante-et-un témoignages de soldats ou d’anciens combattants alsaciens-lorrains. Elle permet de nourrir l’hypothèse d’un caractère évolutif du positionnement national, alors que ce dernier est encore souvent décrit sous l’angle d’une identité fixe et définitive.
Quality of Life Evaluation after Partial Penile Amputation for Penile Cancer
Authors: Chaubey Ashish , Tiwari Supriya , Suryavanshi Parijat , Jain Vinod 
Published: May 2024

Abstract

Background:
Penile cancer is most prevalent in developing countries. Both the physiological and psychological consequences for the patient are critical. These consequences result from both the cancer diagnosis and the treatment’s effects.

Objective:
The objective of this study was to evaluate the quality of life (QoL) of patients who have undergone partial penile amputation in terms of general well-being, sexual function, and urinary function.

Materials and Methods:
This retrospective observational study included 32 patients who underwent partial penile amputation. The european organisation for research and treatment of cancer core quality of life questionnaire (EORTC QLQ C-30) questionnaire was completed postoperatively. Erectile function and satisfaction were assessed retrospectively after partial penile amputation using the International Index of Erectile Function-15.

Results:
The mean age of the patients was 54.03 ± 16.02 years. The mean scores for erectile function, orgasm, sexual desire, satisfaction, and overall satisfaction were 16.28 ± 10.83, 7.50 ± 3.30, 5.72 ± 3.35, 8.84 ± 4.77, and 9.12 ± 0.83 preoperatively, and 14.03 ± 8.61, 6.88 ± 2.97, 5.72 ± 3.35, 7.94 ± 4.09, and 7.81 ± 1.00 postoperatively. Mean erectile function, orgasm, satisfaction, and overall satisfaction were significantly decreased postoperatively compared with preoperatively. Erectile function and overall satisfaction improved more in younger years from the preoperative to the postoperative period, whereas they improved less in older years.

Conclusion:
Although partial penile amputation for penile cancer provides adequate local disease management, appropriate counseling is crucial, especially when the QoL concerns general well-being, sexual function, and urinary function.
Assessment of Adverse Drug Reactions Identified in the Outpatient Department of Psychiatry
Authors: Dsouza Joyceline , Joel Juno Jerold , Bhat Shrinivasa Undaru , Deepak C. G. 
Published: May 2024

Context:
Adverse drug reactions (ADRs) are “any response to a drug which is noxious and unintended, and which occurs at doses normally used in man for prophylaxis, diagnosis, or disease therapy.” Antipsychotics used for treating mental illnesses are highly vulnerable to ADRs due to the need for lifelong therapy. Early detection and regular monitoring of ADRs can minimize complications and improve patient’s quality of life.

Aims:
The study aims to identify ADRs in patients with psychiatric disorders and determine the cause of ADRs.

Settings and Design:
A prospective cross-sectional study conducted in the outpatient department of psychiatry at a tertiary care teaching hospital.

Materials and Methods:
Patients were approached to identify ADRs at the psychiatry outpatient department. Informed consent was obtained from the participants before enrollment. Data collected from patients were documented in the patient data collection forms and suspected ADR reporting forms have been used to record ADRs.

Statistical Analysis Used:
Chi-square test was used for statistical analysis.

Results:
Among 190 recruited, 60 ADRs were reported from 39 outpatients. A significant multiple psychotropic drug usage was found in the patients (P ≤ 0.005). Both the genders showed an equal propensity toward ADRs. The antipsychotic drug sodium valproate held responsible for most of the ADRs. Tremor an extrapyramidal side effect was the most common adverse effect identified. Most of the patients required dose alteration to manage their symptoms.

Conclusions:
Regular observation is necessary for psychiatry patients to ensure safety and compliance with the therapy. Spontaneous reporting and regular monitoring are necessary to avoid ADR occurrence and its severity.
Attitudes and Perception of Nursing Students towards Suicide: An Exploratory Survey
Authors: Lodha Pragya , De Sousa Avinash , Appasani Raghu , Karia Sagar , Shah Nilesh 
Published: May 2024

Background:
Patients with suicide attempts usually present to the emergency department of hospitals, and the attitude of nursing staff and medical personnel plays a major role in their recovery. There is a negative perception and stigma associated with suicide among the public and hospital staff. This study aimed to assess the attitudes and perceptions toward suicide and suicide attempters among 2nd and 3rd year nursing students at a government hospital in Mumbai, India.

Methodology:
One hundred and eighty-eight nursing students studying in the 2nd and 3rd year of their courses were administered the suicide stigma scale, attitudes to suicide prevention scale and the exposure to suicidal behavior scale. The data were analyzed using descriptive statistics.

Results:
Sixty-eight (36%) of respondents agreed that those who attempt/commit suicide/take their life (lose their life to suicide) are pathetic while 35% believed that these persons were shallow and 44% of nursing students reported them to be immoral. Seventy six (40%) agreed that if someone is serious about committing suicide, they do not tell anyone about it. Eighty-nine (47%) of the respondents knew someone who made a suicide attempt and 108 (57%) of the students knew someone who had attempted suicide. Majority of the sample found seeking help from mental health professionals to be useful, important, and empowering.

Conclusion:
Further studies are needed to generalize the findings of this survey and to determine the methods of incorporating suicide assessment and management as an integral part of the nursing curriculum.
A neonate with a spongy failing heart – What could it be?
Authors: Archana Arumugom , Natarajan Chandra Kumar , Kumar Vaanathi Hementha , Subramaniyam Gnanasambandam , Ramachandran Bala , Balakrishnan Komarakshi , Suresh Rao KG , Berwal Abhishek , Nandyala Vishwanath , Iyer Swati 
Published: May 2024

ABSTRACT
A neonate born of third-degree consanguineous marriage presented on day 12 of life with congestive cardiac failure. A male sibling died at 3 months of age, cause of which was not known. He was treated with decongestive measures and multiple inotropes. 2D Echocardiogram revealed severe Left ventricular dysfunction with prominent trabeculations and deep recesses in the left ventricle suggestive of Left ventricular non-compaction. He was also found to have horse-shoe kidney. Considering the presence of cardiac left ventricular non compaction, horse-shoe kidney and family history of neonatal death and pregnancy loss clinical exome sequencing was done. It detected a homozygous missense variant in exon 6 of the AGK gene suggestive of Senger’s syndrome. Baby was on regular follow-up and was thriving well on diuretics, sacubitril-valsartan and weekly levosimendan infusions. At 8 months of age, cardiac transplantation was successfully done and baby has been doing well post-transplantation. LVNC in children is rare with an estimated incidence of 0.11 per 100,000, the highest incidence being during infancy. Senger’s syndrome is autosomal recessive in inheritance. Senger’s syndrome associated with Left ventricular non compaction has been reported only once in literature so far. Renal manifestations in the form of horse shoe kidney like in our index baby has not been reported previously with Senger’s syndrome.
Comparison of efficacy of 17% ethylenediaminetetraacetic acid, 0.2% chitosan nanoparticles, and QMIX2in1 in smear layer removal at apical third of root canal, using endovac system irrigation system – An in vitro scanning electron microscope study
Authors: Karuppiah Gokulapriyan , Ahamed A Shafie , Sreekrishnapillai Bhavani , Rajaraman G , Ravishankar Pavithra , Chittrarasu M , Sherwood Anand 
Published: May 2024

Aims:
To compare the smear layer removal efficacy of 17% ethylenediaminetetraacetic acid (EDTA), 0.2% Chitosan nanoparticles, and QMIX 2 in 1 at apical third of root canal system, using Endovac system (Kerr, Switzerland) irrigation system and analyzed with the scanning electron microscope (SEM).

Materials and Methods:
Forty-five extracted mandibular single-rooted premolar noncarious human teeth were selected. The samples were randomly divided into three groups: Group 1: Irrigated with 1 ml of 17% EDTA, Group 2: With 0.2% Chitosan nanoparticles, and Group 3: With QMix2in1 (Dentsply Sirona, USA); 15 teeth in each group as final irrigant. The root canals were sequentially cleaned and shaped till 0.30 mm/0.09 taper and were irrigated with 1 ml of 5% sodium hypochlorite and 1 ml of 0.9% saline, after introducing each file into the canal. Endovac system (Kerr, Switzerland) system was used as delivering unit for all irrigation solutions with separate syringes. The tooth samples were sectioned and analyzed under SEM. The data obtained were analyzed using the Chi–square test.

Results:
All three irrigation solution in Group 1, Group 2, and Group 3 removed smear layer. Group 3 showed a significant difference in smear layer removal from the root canal system than Group 1 and Group 2.

Conclusions:
The final irrigation with QMix2in1 (Dentsply Sirona, USA) solution aids in better smear layer removal at the apical third of the root canal system, using Endovac system (Kerr, Switzerland) irrigation system.
Evaluation of irrigant flow in the root canal isthmus region using a computational fluid dynamics model
Authors: Thomas Anchu Rachel , Sihivahanan Dhanasekaran , Sivarajan Ranjith Kumar 
Published: May 2024

Aim:
The aim of this study was to evaluate the irrigation dynamics of irrigant delivery systems and irrigating solutions in the root canal isthmus region of a mandibular premolar using computational fluid dynamics (CFD).

Methods:
A CFD model of the mandibular premolar with the root canal isthmus was created using scanned microcomputed tomography images. Using this CFD model, the irrigant flow in the root canal isthmus region was visualized. The irrigation dynamics of three irrigant delivery systems – Group 1: syringe irrigation (open-ended), Group 2: EndoVac irrigation system, and Group 3: modified EndoVac system were studied and compared to assess the efficiency. Following which, the wall shear stress, streamline of irrigant in the isthmus region, and irrigant velocity were evaluated.

Results:
Group 1 (open-ended needle) presented with the highest wall shear stress as compared to other groups, restricted to the apical third. All groups exhibited maximum velocity at the region of irrigant exit followed by a gradual decline in the isthmus and coronal region. It was observed that only Group III (Modified EndoVac) displayed a flow of irrigant in the isthmus region.

Conclusions:
The modified EndoVac system was efficient in delivering the irrigating solutions to the isthmus region.
Comparative evaluation of efficacy of XP Endo Finisher, sonic, and ultrasonic irrigation in removal of calcium hydroxide and subsequent adaptation of gutta percha in simulated internal resorption cavity - An in vitro study
Authors: Taneja Sonali , Kumar Pragya , Dheer Akriti 
Published: May 2024

Aim:
The study aims to comparatively evaluate various irrigating techniques in removing calcium hydroxide (CH, aqueous/silicon oil based) from simulated internal resorptive cavity and subsequent adaptability of thermoplasticized gutta percha (GP) to root canal walls.

Methods:
One hundred and sixty extracted human mandibular second premolars with single root were chemomechanically prepared to a size F3 (size 30, 6% taper). Standardized internal root resorption cavities were prepared, and samples were randomly divided into two main groups (n = 80) according to type of CH medicament used: Group I - silicon oil based (Metapex) and Group II - aqueous based (RC Cal) and four subgroups (n = 20) according to the technique used for removal of CH: Subgroup A - passive ultrasonic irrigation, Subgroup B - XP Endo Finisher (XP), Subgroup C - sonic irrigation, Subgroup D - conventional syringe irrigation. Half of the samples were evaluated for the quantity of remaining CH and the remaining half were evaluated for the adaptability of thermoplasticized GP under a stereomicroscope. The statistical analysis of the obtained scores was done using a nonparametric test, Kruskal–Wallis test, followed by Mann–Whitney U-test.

Results:
XP showed maximum removal of CH and adaptation of GP in both the groups. Adaptability of GP to the dentinal wall was better in Group II than in Group I.

Conclusions:
Complete removal of CH (both formulations) was not possible with either of the experimental irrigation techniques from simulated internal root resorptive defects.
Assessment of risk factors for domestic accidents among rural children, Alqalioubiya Governorate, Egypt
Authors: Abdelsalam Taysser N. , Habib Nagat S. , Shenouda Mona S. 
Published: May 2024

Background
Domestic accidents among children are increasingly being seen as a community health problem; much of this increase is occurring in developing countries and could be prevented through increased awareness, safe practices, and improvements in the home environment. Preschool children are extremely vulnerable to domestic accidents. Domestic accidents remain the leading cause of morbidity and mortality among children worldwide.

Aim
This study aimed to assess the risk factors for domestic accidents among rural children at Alqalioubiya Governorate, Egypt.

Participants and methods
A descriptive research design was utilized. Sample: a purposive sample of 225 homes having children younger than 5 years old was included in the study. Setting: the study was carried out in homes of Bakira Village. It is a rural area in the middle north of Alqalioubiya Governorate, with an estimated population of 6190 individuals. Tools: two tools were used. The first tool was a questionnaire on background characteristics; it included the following parts: part A − the demographic characteristics of parents and children and part B − domestic accidents involving children. The second tool was :home observation using a checklist of environmental risk factors.

Results
The current study reveals that the age of the mothers was mean±SD=31.95±6.4; 44.4% of the mothers had completed secondary education. Furthermore,42.2% of children were between 25 and 48 months of age. The occurrence of domestic accidents among children was 69.3%. There was a highly statistically significant difference between occurrences of domestic accidents among children, working status of mothers, children’s age in months, and the total mean score of home observation.

Conclusion
The study concluded that 54.2% of moderate-risk factors were present in general indoor areas, while 68.4% of high-risk factors were present in bathrooms. 69.3% of children were involved in domestic accidents and only 2.2% of the mothers called an ambulance when accidents occurred.

Recommendation
Educational programs about the risk factors of domestic accidents and to provide information for mothers about safety measures in the home may help reduce home accidents. Future research should be focused on assessment of the prevalence of domestic accidents among children in different areas, among different age groups and with larger samples.
Assessment of Adverse Health effect of Levonorgestrel-releasing Intrauterine System (Mirena) among Women Attending Private Clinic
Authors: Al Qawi Oun Fatma F.A. , Idris Omaima , Aboushady Reda M.-N. , Abdel-Rahman Walaa M. 
Published: May 2024

Background
Despite their known efficacy, recent studies have found that there is adverse health problem accompanied with Mirena as the following. Therefore, the current study aims to assess adverse health problems among levonorgestrel-releasing intrauterine system (Mirena) users.

Design
A descriptive design was utilized for the study.

Setting
This study was conducted at the gynecological clinic in Rofayda Obstetrics and Gynecology Private Hospital, at El Shikh Zaied, El Giza Sector, Egypt. Purposive sample of 50 women using levonorgestrel-releasing intrauterine (Mirena) system for at least 6 months. Two tools were used for the study (a) structured interviewing questionnaire schedule tool and (b) adverse health effect of Mirena assessment tool.

Results
The mean age among the study sample was 35.56±6.42 years. The common health problems among the study sample were physical problems 24% in the form of headache, 40% had weight gain, dermatological problem, including 34% acne, and 22% of the study sample had menstrual disturbance. Regarding psychological disturbance, 32% had depression and 42% had mood swings. Regarding gynecological problems, 22% had a vaginal infection as well as 8% had a decrease in libido.

Conclusion
Mirena is a promising and effective option for contraceptive and noncontraceptive methods. It is associated with health problems, as reported by Mirena users.

Recommendations
Organized educational guidelines facilities and methods about uses, complaints, and health problems toward Mirena such as lectures, handout, and videos should be developed and become accessible to all women in the outpatient clinic.
Supportive cryotherapy nursing intervention toward diminishing oral mucositis and associated pain among patients with cancer
Authors: Saad Amany M. , Ramadan Sedika S. , Mohamed Sabah N.H. 
Published: May 2024

Background
Oral mucositis is a common problem with chemotherapy treatment. Cryotherapy is supportive in oncology, by preventing chemotherapy-induced complications such as oral mucositis and its related pain, through placing ice chips in the mouth.

Aim
To evaluate the effect of supportive cryotherapy nursing intervention toward diminishing oral mucositis and associated pain among patients with cancer.

Design
A quasi-experimental design was used.

Setting
The study was carried out at the chemotherapy outpatient clinic affiliated to El-Nasr Health Insurance Hospital, Helwan.

Sample
A purposive sample of 60 patients was equally divided into two groups: cryotherapy and control.

Tools
Four tools were used: (a) structured interview questionnaire, which included patient demographic characteristic and medical history; (b) the WHO oral mucositis assessment scale; (c) the oral assessment guide; and (d) the visual analog pain scale.

Results
There was a statistically significant difference in incidence and severity of oral mucositis and pain between cryotherapy and control groups at 7, 14, and 21 days of chemotherapy. Moreover, there were highly statistically significant differences in mean scores of oral assessments between both groups throughout the study phases.

Conclusion
Supportive cryotherapy nursing intervention for patients with cancer receiving chemotherapy had a positive effect on diminishing oral mucositis and associated pain in the cryotherapy group compared with the control group.

Recommendations
Training courses should be conducted for oncology patients receiving chemotherapy drugs about applying oral cryotherapy. Moreover, further research studies are recommended on a wider scale to counsel patients with cancer about the effect of oral cryotherapy on oral mucositis with recent chemotherapy treatment.
Quality of life among elderly women with breast cancer who received chemotherapy at Sohag Cancer Institute, Sohag Governorate
Authors: Saied Atta Fatma , Mohamed Rizk Saneya , Abd El-Kareem Hegazy Mona 
Published: May 2024

Background
Breast cancer is the most frequent cancer among women all over the world. Breast cancer risk increases with age and about a third of female breast cancers are diagnosed in patients aged older than 70 years. Elderly breast cancer patients are affected by poorer quality of life (QoL) compared with younger patients.

Aim
The current study aimed to assess QoL of elderly women with breast cancer who received chemotherapy at Cancer Institute, Sohag Governorate.

Research questions
What is the QoL of breast cancer elderly women who received chemotherapy at Sohag Cancer Institute?

Design
Cross-sectional descriptive design was utilized.

Sample
Purposive sample of 100 elderly women with breast cancer, who completed all cycles of chemotherapy 1–3 months at least from the last dose of chemotherapy.

Setting
This study was conducted at the oncology building at outpatient clinics for cancer patients follow-up at Sohag Cancer Institute.

Tools
(1) Structured interviewing questionnaire for demographic and medical data. (2) QoL scale to assess QoL issues relevant to breast cancer patients (Algamdi and Hanneman, 2016).

Results
The results revealed that selected breast cancer elderly women aged from 60 to 80 years with mean 63.47±4.87 years. Seventy-two percent of them could not read and write, and 62% of them lived in rural areas. Seventy-eight percent suffered from chronic diseases. The mean of social well-being domain was 2.98±0.56, the mean of emotional well-being domain was 2.32±1.34, the mean of physical well-being domain was 1.79±1.15, and the mean of total Functional Assessment of Cancer Therapy – Breast was 2.24±0.31. More than half of the women had poor QoL, more than one-third of them had fair QoL, and a minority had good QoL.

Conclusion
The current study concluded that 60% of the selected breast cancer elderly women had poor QoL, whereas 38% had fair QoL and only 2% had good QoL. Also, it revealed that more than half of women had poor physical, functional well-being, and additional concerns and about half of them had good social well-being.

Recommendations
The current study recommends use of QoL scale in elderly women with breast cancer in oncology outpatient clinics in different cancer institutes and conduction of health education programs and further research works for improving QoL in elderly women with breast cancer.