bluuebunny/crossref_metadata_2025_split huggingface dataset:
General Nutrition Knowledge, and Dietary Intake among Sportsmen and Coaches: A Review Study
Authors: Dinesh Dagar  , Mohd Hafizur Rehman Ansari  , Payal Mahajan  
Published: April 2024

Nutrition knowledge is an important factor that influences the nutritional status and health of the individual, group or community. Research studies have been trying to develop a reliable tool which can measure nutrition-related knowledge, nutrition-related awareness and its effect on dietary behaviour. Sports nutritionists usually base their dietary interventions on a nutrition education program with dietary guidelines. There are no. of cross-sectional studies for both coaches and athletes, reporting on nutrition knowledge. Achieving optimal physical condition and maximising athletic performance both depend heavily on nutrition. Our diet provides our bodies with the energy and nutrients they need to sustain physical activity, improve muscular function, and aid in recuperation. Any physical fitness program is incomplete without nutrition as it is an integral part of physical fitness. For any sportsman, the dietary goal is to obtain adequate nutrition to improve their health and fitness or performance in sports. A carefully organized nutrition program greatly improves athletic performance. Nutritional status is a crucial factor in determining the physical fitness and training of a sports individual. For sportsmen energy requirement or nutrient requirements are high due to their game. As it is known, appropriate nutrition improves the physical performance of the sportsmen. On the other hand, inadequate intake of nutrients leads to nutrient deficiencies therefore leading to poor performance and health problems. Many studies have provided strong evidence that optimal nutrition supports physical activity, recovery and athlete performance. However Apart from less nutritional knowledge, there are several factors such as restrictive dietary intake or excessive exercise which influence healthy eating. In addition, lack of knowledge, zeal to follow a nutritious diet, lack of money and lack of time, can be a potential reason not to follow a healthy diet. Athletes generally rely on their coaches for nutrition-related guidance. So, when coaches have less knowledge about nutrition it can be a potential problem for athletes to follow a healthy diet. In some Cross-sectional studies, it is found that Coaches Play a key role in providing nutritional-related information. However, they were not aware of the importance of nutrition on performance therefore not giving the necessary importance to their diets. Coaches have inadequate knowledge about sports nutrition and their role is critical as they are prime contact for the athletes to know about their diet to enhance their performance
Comparison of Thoracic Analgesia with Epidural Fentanyl and Transdermal Fentanyl Patch: A Comparitive Prospective Randomized Study
Authors: Ayushi Vashisht  , Kumar Parag  , Robina Makker  , Nishith Govil  , Arvind Makker  
Published: April 2024

Background: Thoracic epidural analgesia (TEA) is used for analgesia following lower abdomen or orthopaedic surgeries. The aim of study was To compare the effects of 0.125% Bupivacaine with 2mcg/ml of Fentanyl infusion (group A) and 0.125% Bupivacaine with fentanyl patch (group B). Methods: Patients undergoing elective surgery were randomized in a non-blinded fashion to receive postoperative analgesia at a single teaching hospital. A nested qualitative study (reported elsewhere) explored the dual primary outcome of patient experience and acceptability. Secondary outcome measures included rest and movement pain scores over 72 h, functional analgesia, analgesia satisfaction, opiate consumption, functional recovery, morbidity, safety, and cost-effectiveness. Results: A total of 40 patients were randomized. The median (interquartile range; i.q.r.) dynamic pain score at 24 h was significantly lower after TEA than RSCA (33 (11–60) versus 50.5 (24.50–77.25); P = 0.018). Resting pain score at 72 h was significantly lower (4.5 (0.25–13.75) versus 12.5 (2–13); P = 0.019). Opiate consumption on postoperative day 3 (median (i.q.r.) morphine equivalent 17 (10–30) mg versus 40 (13.25–88.50) mg; P = 0.038), hypotension, or vasopressor dependency (29.7 versus 49.2 per cent; P = 0.023) and weight gain to day 3 (median (i.q.r.) 0 (−1–2) kg versus 1 (0–3) kg; P = 0.046) were all significantly greater after TEA. Conclusions: TEA provided superior initial postoperative analgesia but only for the first 24 h. By 72 hours and provides superior analgesia, is associated with a lower incidence of unwanted effects, and may be more costeffective.
La pensée de Jean-Louis Le Moigne : entre anecdotes et paraboles
Authors: Dherment-Férère Isabelle 
Published: April 2024

L’objectif de cet article n’est pas de synthétiser les travaux de Jean-Louis Le Moigne, au combien riches et nombreux, mais plutôt d’illustrer sa pensée au travers des anecdotes, paraboles, mais aussi des exemples, histoires (voire galéjades) qu’il a racontées à l’oral ou dans ses écrits. Certaines sont de lui, d’autres proviennent des auteurs ayant fortement influencé sa pensée : Morin, Simon, mais aussi Piaget, Prigogine, en passant par Socrate, Platon et enfin Descartes dont il prend le contrepied. Il s’agit donc de faire ressortir l’homme avant les travaux : son esprit vif et indépendant, voire rebelle, mais aussi son grand sens de l’humour. L’article se base sur un long entretien de Jean-Louis Le Moigne découpé en cinq vidéos mises en ligne par le MOOC ORA 1 en février 2019. La structure de l’article reprend un à un les thèmes abordés dans chaque vidéo. Les numéros des extraits mentionnés entre parenthèses renvoient à un lien permettant au lecteur d’écouter l’extrait original ou de lire lorsqu’il n’est pas dans le corps du texte. En conclusion, nous rapporterons quelques réflexions de Pierre Batteau 2 qui a bien connu Jean-Louis Le Moigne car ils ont partagé le même bureau à l’IAE d’Aix-en-Provence dans les années soixante-dix.
Jean-Louis Le Moigneet le Paradigme d’Auto-éco-ré-organisation ou d’auto-organisation éco-systémique : Naviguer dans la Complexité Managériale
Authors: Gerbaix Sylvie , Michel Sylvie 
Published: April 2024

Pour J-L Le Moigne, le concept d’auto-éco-réorganisation et la conception de l’organisation qui le sous-tend introduisent un renouveau, une nouvelle perspective voire un changement de paradigme pour penser les systèmes complexes que sont les systèmes ou organismes sociaux tels que les entreprises, municipalités, hôpitaux etc.. Pour J-L Le Moigne, ce concept d’auto-éco-ré-organisation prolonge la réémergence du concept d’organisation à l’initiative notamment de H.A. Simon et surtout E. Morin. Cet article vise tout d’abord à dépeindre ce paradigme de l’organisation auto-eco-ré-organisatrice, selon J-L Le Moigne avec ses dimensions d’autonomie, de relation synchronique à l’environnement (éco-organisation), dans un processus diachronique récursif. Puis l’apport de ce concept est exploré au travers des auteurs qui l’ont mobilisé dans le domaine du management en termes d’adaptabilité, de changement et en termes d’innovation.
Jean-Louis Le Moigne : le bonheur d’explorer
Authors: Lorino Philippe 
Published: April 2024

Enthousiasme et exigence intellectuelle et morale permettaient à Jean-Louis Le Moigne de toujours refuser les idées reçues et le confort du conformisme, pour leur préférer la recherche d’instruments de débat et d’une compréhension qui restait toujours inachevée : inachevée, heureusement, car cela lui permettait de toujours reprendre le travail d’exploration dans lequel il s’épanouissait.
La richesse didactique de la critique des quatre préceptes de la méthode de Descartes par Jean-Louis Le Moigne
Authors: Rodhain Florence 
Published: April 2024

Dans son œuvre majeure « La théorie du système général », Jean-Louis Le Moigne (JLLM) présente et critique les 4 préceptes de la méthode de Descartes, auxquels il oppose 4 nouveaux préceptes. À la méthode de la science classique occidentale héritée de Descartes, il souhaite opposer une nouvelle méthode fondée sur ses nouveaux préceptes : il formalise ainsi, comme il l’énonce lui-même, le « contraire complémentaire » à la proposition de Descartes. Cette critique de JLLM apparaît particulièrement didactique et féconde lorsqu’on l’utilise auprès d’un public étudiant et qu’on leur propose d’utiliser les préceptes de JLLM pour les appliquer à la modélisation des problèmes contemporains. Dans cet article, sont présentés les 4 préceptes de Descartes, la critique qu’en fait JLLM, les 4 nouveaux préceptes qu’il lui oppose, puis l’application à un cas, celui de l’analyse des besoins en informations. Enfin, en guise de conclusion et d’ouverture, est présentée la « critique de la critique » de Descartes par JLLM, avec l’idée de réhabiliter l’esprit de relativisme et d’humilité dont a fait preuve Descartes dans sa quête.
Examining Student Preparation for Advancing Care in a Diverse Society
Authors: Ndiwane Abraham , Truong Kimberly , Young Indigo , Kariuki Ashley , Shah Selam 
Published: April 2024

Background:
Although many nursing programs include health equity in their curriculum, research investigating the efficacy of such curricula often is lacking.

Method:
Using criterion sampling, school of nursing alumni who could speak about their graduate preparation and current experiences working with diverse patient populations were recruited for this study. Semistructured interviews were conducted with 22 alumni regarding their curricular, clinical, and co-curricular experiences as graduate students to better understand the strengths and gaps in their preparation as health professionals.

Results:

Four major themes emerged from the analysis of interview transcripts (
n
= 22). These themes included: (1) diversity and representation; (2) implicit bias and microaggressions; (3) skills and knowledge areas; and (4) supplemental learning through co-curricular experiences.

Conclusion:

Implications for policy, curriculum innovation, and clinical practice can better prepare students to advance care for a diverse society.

[
J Nurs Educ
. 2024;63(4):228–232.]
Creating Structures to Support Quality Matters Certification Within a School of Nursing
Authors: Noone Joanne , McKenzie Glenise , Hatfield Lisa , Bean Karen , Speidel Zoe , Vidal Graciela 
Published: April 2024

Background:
Best practices for online course design aim to improve teaching and learning by emphasizing the relationship between a course's learning outcomes and all other parts of the course, from assessments to technology to student interaction with peers and instructors. The transition and expanded opportunities to online or hybrid learning in nursing education demonstrate the need for quality online learning experiences.

Method:
A university initiative to ensure high quality remote courses focused on expanding Quality Matters (QM) certification of hybrid and online courses, which ensures that a course has been developed according to standards for online learning.

Results:
Currently, 20 courses within a school of nursing are QM certified with 4 more actively preparing for formal review this academic year.

Conclusion:

This experience can aid schools to develop faculty competencies in evidence-based, online navigation and course design, and systematically improve the online learning experiences for all students.

[
J Nurs Educ
. 2024;63(4):205–211.]
Evolving Licensure Examination: Assessing Student Confidence and Accuracy With Next Generation NCLEX
Authors: Coombe Ashley Helvig , Wands LisaMarie , Stevenson Shannon , Elliott Rowena W. 
Published: April 2024

Background:
The Next Generation NCLEX (NGN) includes new item types. Little is known about nursing students' confidence and accuracy in answering these questions.

Method:
A descriptive comparative study examined prelicensure nursing students' confidence and accuracy in answering NGN-style items versus multiple-choice questions (MCQs) of the same content via a 12-item quiz.

Results:

Less than one third of students (
n
= 194; 32.1%) reported feeling confident in answering NGN questions. Students' confidence levels had no relationship on scores with NGN items. When comparing NGN-style items to MCQs, students' (
n
= 221) scores on NGN-style items were lower with bowtie or a select-all-that-apply questions but higher with highlight table or matrix multiple-choice questions.

Conclusion:

Students' lack of confidence with certain item types suggests faculty should incorporate these item types into classroom activities or course assignments. NGN test-taking strategies also should be incorporated and frequently reinforced throughout the curriculum.

[
J Nurs Educ
. 2024;63(4):252–255.]
Safety and Efficacy of Bone Marrow Mesenchymal Stem Cells in the Treatment of Ischemic Stroke: A Meta-Analysis
Authors: Zhang Feng , Wang Yanyan 
Published: April 2024

Objective:
We aimed to systematically evaluate the efficacy and safety of bone marrow mesenchymal stem cells (BMMSCs) in the treatment of ischemic stroke.

Methods:
Six Chinese and English databases were searched for related randomized controlled trials from the establishment of the databases to 28 February 2023. Two investigators performed screening and a comprehensive analysis and evaluated the quality of the studies. They extracted information from the included studies, and managed and analzsed the data using RevMan 5.4.1 software (The First College of Clinical Medical Science, China Three Gorges University). Finally, they performed meta and heterogeneity analyses and created a risk-of-bias map.

Results:
A total of 13 high-quality articles were included. The National Institute of Health Stroke Scale (NIHSS) scores of the experimental group differed significantly from those of the control group at 3 months (I
2 <50%, mean difference [MD] = −2.88, P < 0.001) after treatment. The Fugl–Meyer assessment (FMA) scores of the experimental group varied significantly from that of the control group at 1 month (I
2 >50%, MD = 15.94, P < 0.001), 3 months (I
2 >50%, MD = 12.71, P < 0.001), and 6 months (I
2 >50%, MD = 13.76, P < 0.001) after treatment, and the overall difference (I
2 >50%, MD = 14.38, P ≤ 0.001) was significant. The functional independence measure (FIM) scores were significantly different from that of the control group at 1 month (I
2 >50%, MD = 20.04, P = 0.02), 3 months (I
2 >50%, MD = 15.51, P < 0.001), and 6 months (I
2 >50%, MD = 13.46, P = 0.03). There was no significant increase in adverse events compared with the traditional treatment regimen.

Conclusion:
To some extent, BMMSC transplantation can improve the neurological deficit, motor function, and daily living ability of patients with ischemic stroke.
Post-pandemic boom: A surprise for ophthalmologists
Authors: Sarkar Avik Dey , Sarkar Sanchari , Sarkar Ajoy Dey , Thakur Sanjay K. Daulat 
Published: April 2024

Aim:To compare the statistical supremacy of patients undergoing cataract surgeries at a tertiary eye care center in the pre-COVID versus post-COVID period.Methods:A complete audit of patients attending our ophthalmology department and undergoing cataract surgery in a tertiary eye care center was compared between August 2019 to March 2020 (Group A) and August 2020 to March 2021 (Group B). All pertinent ophthalmological parameters were recorded in detail for comparison.Results:Average daily OPD attendance in Groups A and B were 146.7 and 111.2 (P= 0.004) respectively. However, the average monthly cataract surgery done in these two groups was 88.4 and 121.6 (P< 0.001), respectively. The cataract counseling to OT conversion rate was 47% in Group A, whereas that in Group B was 72%. Other eye cataract surgeries have increased from 21% to 39% in the post-COVID era. The emergency cataract surgery rate has also increased by 78%. There was a 66% increase in lens-induced glaucoma cases attending our institution. On comparing the outcome, there has been an increase in the percentage (13%) of aphakia due to an increased number of advanced and challenging cataracts.Conclusion:World economy has predicted that there will be a massive revolution in revenue generation in all fields of human resources in the post-pandemic era, coining the term “post-pandemic boom.” Similarly, in view of the prevailing uncertainties due to the COVID-19 situation, there has been a steep inclination to seek prompt medical and surgical care for cataracts among patients in ophthalmology.
Correlation of diurnal fluctuations in intraocular pressure and progression of chronic simple glaucoma
Authors: Sajid Noorjahan , Sen Priyangee , Mohd Shoeb , Ahuja Shrishti 
Published: April 2024

Purpose:
To study the correlation between diurnal fluctuations of intraocular pressure and progression of chronic simple glaucoma.

Introduction:
Out of all the risk factors for glaucoma, only modifiable risk factor is intraocular pressure. A lot of studies have been done to determine the relationship between the behavior of diurnal intraocular pressure (IOP) and progression of glaucoma. The results varied and are inconclusive because the visual field damage could have occurred at a time when the IOP was high, although it was low at the time of measurement.

Materials and Methods:
A prospective study was conducted on all patients diagnosed or suspected CSG with office IOP <25 mmHg. Measurement of diurnal fluctuation in IOP was done by taking 2 hourly IOP readings after admitting patients in hospital for 1 day.

Results:
The mean baseline diurnal fluctuation of our patients was 8.5 mmHg with values reaching as high as 13.6 mmHg in some patients. 28.8% of the patients of our study group showed progression at the end of 2-year follow-up. As the baseline diurnal fluctuation increased, the number of patients showing progression increased.
A comparative study of spectral domain optical coherence tomography (SD-OCT) showing presence and characteristics of intraretinal hyperreflective foci in patients of normolipemic xanthelasma palpebrarum as compared to healthy subjects
Authors: Pandey Ashish K. , Rout Aradhana , Gampa Pawan 
Published: April 2024

Background and Objectives:
Hyperreflective foci (HRF) are a morphological sign of accumulation of lipid extravasation, proteinaceous material, and inflammatory cells in the layers of retina. The purpose of this study is to determine the presence, location, and characteristics of hyperreflective foci in the retina of normolipemic patients with xanthelasma palpebrarum.

Methods:
A total of 50 test subjects with xanthelasma were evaluated and compared with 50 control subjects. SD-OCT was performed in all patients passing through the center of fovea. On OCT, presence and absence of hyperreflective foci were noted. Following characteristics of the hyperreflective spots were evaluated and compared: location (inner retina or outer retina), shape, size, and back shadowing.

Results:
Hyperreflective foci were present in 87 out of 100 eyes of test subjects (87%) and none in control group (P-value < 0.001, significant). Shape of hyperreflective foci was predominantly round (54.2%), and location of hyperreflective foci was predominantly in outer nuclear and outer plexiform layer (30.1%). Back shadowing was present with frequency of 58 (80.6%).

Conclusion:
Hyperreflective foci are a great indicator for lipid extravasation and have been significantly associated with patients of xanthelasma having normal lipid levels. This signifies a defect in vascular integrity in patients of xanthelasma with normal lipid levels. Hence, these patients are at increased risk of atherosclerotic plaque formation and systemic complications.
Pengaruh pemberian isi rumen sapi terhadap kualitas fisik dan kimia UMB (Urea Molasses Block)
Authors: Hidayati Nurul , Riszqina Riszqina , Agustina Desi K. 
Published: April 2024

Abstract
Urea Molasses Block (UMB) is a supplement feed for ruminants, in solid form which is rich in nutrients. The contents of the rumen can potentially be used as an additional ingredient for the manufacture of supplements in ruminants. However, the quality of the rumen content supplements produced still needs to be studied. Therefore, the purpose of this study was to determine the nutritional content of urea molasses blocks fed with bovine rumen contents at several concentrations and without bovine rumen contents. This study used a completely randomized design (CRD) with 4 treatments, namely P0: UMB without rumen content, P1: UMB + 10% rumen content, P2: UMB + 20% rumen content, and P3: UMB + 30% rumen content, respectively treatment there were 3 replications. Based on the results of statistical analysis, it can be concluded that the addition of cow's rumen content to Urea Molasses Block (UMB) at various concentrations can affect the physical and chemical qualities of UMB. The more addition of rumen contents as a mixture of Urea Molasses Block (UMB), the higher the crude protein, crude fiber, crude fat and water content but the lower the dry matter. The treatment with the best results was P3 (UMB + 30% rumen content) with a crude protein value of 12.11%, 18.87% crude fiber, 8.92% crude fat, and 67.78% dry matter.
Keywords: Feed for ruminan; Nutrient content; Urea molasses block

Abstrak
Urea Molases Block (UMB) adalah pakan suplemen untuk ternak ruminansia, berbentuk padat yang kaya dengan zat-zat makanan. Isi rumen berpotensi dapat dijadikan bahan tambahan untuk pembuatan suplemen pada ternak ruminansia. Namun kualitas suplemen isi rumen yang dihasilkan masih perlu untuk dikaji. Oleh karena itu, tujuan dari penelitian ini untuk mengetahui kandungan nutrisi urea molases blok yang diberi isi rumen sapipada beberapa konsentrasi dan tanpa isi rumen sapi. Penelitian ini menggunakan Rancangan Acak Lengkap (RAL) dengan 4 perlakuan yaitu P0: UMB tanpaisi rumen, P1: UMB + 10% isi rumen, P2: UMB + 20% isi rumen, dan P3: UMB + 30% isi rumen, masing –masing perlakuan terdapat 3 ulangan. Berdasarkan hasil analisis statistik dapat disimpulkan bahwa penambahan isi rumen sapi terhadap Urea Molasses Block (UMB) pada berbagai konsentrasi dapat berpengaruh terhadap kualitas fisik dan kualitas kimia UMB. Semakin banyak penambahan isi rumen sebagai bahan campuran Urea Molasses Block (UMB) maka kandungan protein kasar, serat kasar, lemak kasar dan kadar air semakin tinggi tetapi bahan kering semakin rendah. Perlakuan yang memiliki hasil terbaik adalah P3 (UMB + 30% isi rumen) dengan nilai protein kasar 12,11%, serat kasar 18,87%, lemak kasar 8,92%, dan bahan kering 67,78%.
Kata kunci: Kandungan nutrisi; Pakan ruminansia; Urea molasses block