bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mental Health among Preschool Children Social Anxiety Disorder among Preschool Children in Baghdad / Iraq
Authors: Talah Khudhair Abbas  , Muthana Ibrahim Abdul Kareem  
Published: April 2024

Background: Social anxiety (SA) is an intense fear of performing in front of people or other social situations in which the child may feel embarrassed, humiliated or the focus of more attention than he or she wants(1). Children who suffer from social anxiety usually fear from looking foolish or stupid in front of other children or adults(2). Children with social anxiety (SA) avoid social situations or may enter these situations with extreme anxiety, nervousness and stress(3).Social anxiety (SA) is different from shyness. Shy children may be uneasy and quiet around others, but they do not necessarily avoid social or public situations (4). Also, after a short period, shy children usually feel more comfortable while social anxiety disrupts a child’s life by making it difficult to deal with school, social relationships and public situation (5). Few publishing on preschool SA in Iraq. This was the impetus to carry out this work.
Objective: Enhancement the attendance care of mental health of preschool children.
Comparative Analysis of Focused Assessment with Sonography for Trauma (Fast) and Computed Tomography (Ct) for Renal Injury Detection in Trauma Patients
Authors: Rabbani Nida , Anjum Humaira , Iftikhar Samia 
Published: April 2024

OBJECTIVES
This study aimed to evaluate the diagnostic accuracy of Focused Assessment with Sonography for Trauma (FAST) in detecting renal injuries compared to computed tomography (CT) as the gold standard.
METHODOLOGY
This cross-sectional study was conducted from 2022 to 2023 at the Department of Radiology, Khyber Teaching Hospital, Peshawar. The sample size was 139. The sonographic examination and computed tomography were performed.
RESULTSThe mean age was 38 years ± 13.81. 100(72%) patients were male while 39(28%) were female. FAST had a sensitivity of 85%, specificity of 57.14%, positive predictive value of 97.42%, negative predictive value of 16.66%, and diagnostic accuracy of 83.61%.
CONCLUSION
FAST has reasonable sensitivity, specificity, and accuracy for detecting free fluid in traumatic renal injury patients.
Role of Case-Based Discussion as Workplace-Based Assessment Tool in Urology and General Surgery
Authors: Shahzadi Shimee , Shah Muhammad , Ali Liaqat , Adeeb Humera , Jamil Brekhna 
Published: April 2024

OBJECTIVES
To determine the effectiveness of case-based discussion in terms of medical record-keeping, clinical reasoning, clinical judgment, and self-reflection in the management of patients.
METHODOLOGY
A multidisciplinary descriptive study was conducted in the Department of Urology Institute of Kidney Diseases, Hayatabad Medical Complex Peshawar, and Department of General Surgery, Hayatabad Medical Complex Peshawar, Pakistan, from January to December 2023. A total number of 20 postgraduate residents, ten from Urology and General Surgery, participated in the study with equal male and female participants. Case-based discussion (CBD) assessments focused on medical record-keeping, clinical Decision-making, clinical judgment, management, follow-up, and reflective writing. The data was collected on structured proforma and was analyzed on SPSS-25.
RESULTSThe total number of study participants was 20, and 410 Case-Based Discussion sessions were conducted. This constitutes an average of 4.8 assessments per week. Most encounters were related to medical clinical decisions and management. The case-based discussion showed significant improvement on the Likert scale of the supervisor’s rating, which extended over four quarters on all major parameters of formative assessment (p 0.001). The multimodal regression test showed significant enhancement in learning parameters on case-based discussions. R2=0.172 F ration=25.141 n=410 (p=0.001). There was no significant difference in the gender of residents as well as training specialty of residents of urology and general surgery (p >0.05).
CONCLUSION
A case-based discussion is an effective tool for formative assessment of Urology and General Surgery postgraduate residents.
A INCIDÊNCIA E PREVALÊNCIA DA FISIOTERAPIA NAS ENFERMARIAS DO HOSPITAL DAS CLÍNICAS DE TERESÓPOLIS COSTANTINO OTTAVIANO (HCTCO)
Authors: Neves Gabriel Campos , Klem Miriana Carvalho , Vianna Mariana da Conceição , Moura Igor Jones Antunes de , Pereira Thiago Klem , Oti Karla da Costa Braz 
Published: April 2024

O fisioterapeuta atua de forma eficiente nas enfermarias hospitalares e sua atuação no pré e pós-operatório de cirurgias cardíacas, ortopédicas, bariátricas, entre outras, é notória como de grande importância, demonstrando de forma segura e efetiva a melhora dos resultados funcionais do enfermo, principalmente a nível de consciência, independência funcional, aumento de força e resistência muscular. Objetivo: Avaliar a incidência e a prevalência da fisioterapia nas enfermarias do HCTCO,no período de agosto 2022 a outubro de 2022, bem como sua importância frente à reabilitação de diversas patologias existentes neste cenário. Metodologia: Estudo clínico, observacional, quantitativo e retrospectivo, realizado por meio da análise dos prontuários de pacientes internados na enfermaria Hospital das Clínicas de Teresópolis Costantino Ottaviano (HCTCO). Por meio de uma ficha de avaliação serão verificados: setores de internação; prevalência de idade quanto a internação; prescrição de fisioterapia; frequências dos atendimentos da fisioterapia; tipo de fisioterapia ofertada ao paciente. Resultados: Os atendimentos fisioterapêuticos, através da ficha de avaliação foram quantificados 9,7% de atendimentos de fisioterapia motora, 29,2% da respiratória, de 61,1% de ambos os tipos; obtendo-se maior prevalência de atendimentos de ambos os tipos com um total de 61,1% dos atendimentos fisioterapêuticos e 31,2% destes atendimentos são realizados com maior prevalência no setor da clínica médica feminina.
DIAmante TESS AutoRegressive Planet Search (DTARPS). II. Hundreds of New TESS Candidate Exoplanets
Authors: Melton Elizabeth J. , Feigelson Eric D. , Montalto Marco , Caceres Gabriel A. , Rosenswie Andrew W. , Abelson Cullen S. 
Published: April 2024

Abstract
The DIAmante TESS AutoRegressive Planet Search for the southern ecliptic hemisphere (DTARPS-S) project seeks to identify photometric transiting planets from 976,814 southern hemisphere stars observed in Year 1 of the TESS mission. This paper follows the methodology developed by Melton et al. (Paper I) using light curves extracted and preprocessed by the DIAmante project. Paper I emerged with a list of 7377 light curves with statistical properties characteristic of transiting planets but dominated by false alarms and false positives. Here a multistage vetting procedure is applied including: centroid motion and crowding metrics, false alarm and false positive reduction, photometric binary elimination, and ephemeris match removal. The vetting produces a catalog of 462 DTARPS-S candidates across the southern ecliptic hemisphere and 310 objects in a spatially incomplete Galactic plane list. 58% were not previously identified as transiting systems. Candidates are flagged for possible blending from nearby stars based on Zwicky Transient Facility data and for possible radial velocity variations based on Gaia satellite data. Orbital periods and planetary radii are refined using astrophysical modeling; the resulting parameters closely match published values for confirmed planets. The DTARPS-S population and astrophysical properties are discussed in Paper III.
A Secular Solar System Resonance that Disrupts the Dominant Cycle in Earth’s Orbital Eccentricity (g
2 − g
5): Implications for Astrochronology
Authors: Zeebe Richard E. , Lantink Margriet L. 
Published: April 2024

Abstract
The planets’ gravitational interaction causes rhythmic changes in Earth’s orbital parameters (also called Milanković cycles), which have powerful applications in geology and astrochronology. For instance, the primary astronomical eccentricity cycle due to the secular frequency term (g
2−g
5) (∼405 kyr in the recent past) utilized in deep-time analyses is dominated by the orbits of Venus and Jupiter, i.e., long eccentricity cycle. The widely accepted and long-held view is that (g
2−g
5) was practically stable in the past and may hence be used as a “metronome” to reconstruct accurate geologic ages and chronologies. However, using state-of-the-art integrations of the solar system, we show here that (g
2−g
5) can become unstable over long timescales, without major changes in, or destabilization of, planetary orbits. The (g
2−g
5) disruption is due to the secular resonance σ
12 = (g
1 − g
2) + (s
1 − s
2), a major contributor to solar system chaos. We demonstrate that entering/exiting the σ
12 resonance is a common phenomenon on long timescales, occurring in ∼40% of our solutions. During σ
12-resonance episodes, (g
2−g
5) is very weak or absent and Earth’s orbital eccentricity and climate-forcing spectrum are unrecognizable compared to the recent past. Our results have fundamental implications for geology and astrochronology, as well as climate forcing, because the paradigm that the long eccentricity cycle is stable, dominates Earth's orbital eccentricity spectrum, and has a period of ∼405 kyr requires revision.
Focus sur trois axes d’une œuvre à la fois profonde et large
Authors: Avenier Marie-José 
Published: April 2024

Cet article met en lumière trois volets de l’œuvre de Jean-Louis Le Moigne qui ont joué un rôle central dans mes recherches et continuent à se diffuser largement dans diverses communautés scientifiques. D’abord, le constructivisme parce que cet ancrage épistémologique constitue le socle dans lequel toute son œuvre s’enracine. Ensuite, la modélisation systémique, un outil conceptuel que Jean-Louis Le Moigne a créé pour appréhender les phénomènes que l’on perçoit complexes, et pour soutenir la conception d’artefacts destinés à assurer certaines fonctions dans des contextes que l’on perçoit complexes et évolutifs. Présenter la modélisation systémique conduit à évoquer les Sciences de l’artificiel que Jean-Louis Le Moigne s’est attaché à faire connaître dans les communautés scientifiques francophones en traduisant les éditions successives de l’ouvrage qui les présentait. Enfin, le volet méthodologique : Jean-Louis Le Moigne n’a eu de cesse de stimuler des collaborations entre chercheurs et praticiens pour coconstruire des connaissances.
La systémique et le sens :
Authors: Cucchi Alain , Fuhrer Chantal , Gerbaix Sylvie 
Published: April 2024

Nous avons souhaité nous faire l’écho du sens des enseignements de Jean-Louis Le Moigne, pour nous anciens étudiants ou enseignants-chercheurs. C’est en premier lieu, le sens de la systémique et de ces différentes significations ou acceptions. En second lieu, c’est la mise en évidence de la construction du sens à partir d’une transformation du signe en information, puis du processus de décision dans une perspective systémique. Enfin, la question du sens est posée dans sa relation entre l’éthique (la conscience), la pragmatique (l’action) et l’épistémique (la science). « C’est un enjeu qui n’est pas seulement scientifique, qui est plus profondément politique et humain, humain en ce qu’il concerne peut-être l’avenir de l’humanité. » (Morin E, Le Moigne J-L, 1999).
Jean-Louis Le Moigne : genèse et exégèse d’une œuvre
Authors: Meissonier Régis 
Published: April 2024

Jean-Louis Le Moigne, pilier de la systémique et du constructivisme en France, s’est éteint le 16 novembre 2022. Ceux qui ont eu la chance de le connaître et de travailler avec lui gardent les souvenirs de sa générosité et de sa bienveillance. Aux autres, il laisse une œuvre gigantesque dont on mesure difficilement quelle est la portée et l’enjeu. Or, la crise multidimensionnelle que nous subissons doit être l’occasion de reconsidérer profondément nos schémas de pensée et nos modalités d’action. Cet article vise à expliciter les éléments centraux de la pensée lemoignienne à la lumière de sa biographie.
Jean-Louis Le Moigne et la logistique :Une « reliance » encore peu (re)connue
Authors: Paché Gilles 
Published: April 2024

Le long et riche parcours académique de Jean-Louis Le Moigne l’a conduit à explorer un nombre important de thématiques en management des organisations. Si la plupart sont largement connues et discutées, son intérêt pour les questions logistiques est encore souvent mésestimé, voire ignoré. Ceci est d’autant plus surprenant que la carrière professionnelle de Jean-Louis Le Moigne est caractérisée par une forte implication en logistique lors de son passage à Shell France, avec des publications qui témoigneront, par la suite, d’un intérêt ne s’étant jamais démenti. L’article propose d’éclairer la « reliance » entre Jean-Louis Le Moigne et la logistique pour mieux comprendre en quoi les chaînes logistiques doivent être considérées comme des systèmes complexes, d’une part, et l’importance d’analyser la dynamique des chaînes logistiques à travers les liens construits entre leurs membres, d’autre part.
À la rencontre de Jean-Louis Le Moigne :
Authors: Schmitt Christophe 
Published: April 2024

Cet article présente une rencontre avec les travaux de Jean-Louis Le Moigne, qui ont influencé la réflexion sur l’entrepreneuriat de l’auteur. Les travaux de Jean-Louis Le Moigne, en lien avec la systémique, ont permis de développer une approche originale basée sur le modèle des 3M (Moi, Mon projet, Mon écosystème). L’article explore trois dimensions clés des travaux de Le Moigne : la modélisation, la conception et les épistémologies constructivistes. Ces dimensions contribuent à l’agir entrepreneurial, c’est-à-dire à la faculté d’entreprendre en anticipant un futur et en prenant des décisions. L’article met également en évidence l’importance de l’approche holistique dans la compréhension des phénomènes complexes.
Environmental Sustainability and Climate Change Content in Canadian Baccalaureate Nursing Programs
Authors: Stephens Jennifer , Leslie Kathleen 
Published: April 2024

Background:
This study analyzed publicly available resources related to environmental and climate change material available within the Canadian Bachelor of Nursing Program curricula.

Method:
This thematic review project contained two stages of data collection: (1) a comprehensive team-based review of Internet materials and (2) a digital survey of program faculties.

Results:

Most content reviewed included references to climate change. According to survey responses from program directors (
n
= 12), barriers to integrating climate change content included lack of institutional support, the perception that content was not important in undergraduate curriculum, a conviction that the material would be more appropriate for public health, and an overall lack of understanding of the topic by course authors.

Conclusion:

With increasing emphasis on the importance of geopolitical health and climate change to many facets of nursing practice, nurse educators require support from colleagues and postsecondary institutions to incorporate this material into undergraduate nursing curricula.

[
J Nurs Educ
. 2024;63(4):212–217.]
Numeracy Teaching for Undergraduate Nursing Students: A Scoping Review
Authors: Minty-Walker Christine , Wilson Nathan J. , Rylands Leanne , Hunt Leanne , Pettigrew Jim 
Published: April 2024

Background:
Education providers teach numeracy to undergraduate nursing students using a diverse range of approaches. Proficiency in numeracy skills is critical for patient safety; however, alarmingly, the accuracy rate of calculations by both undergraduate nurses and RNs is reported to be low.

Method:
The literature search yielded 1,180 articles published between 1994 and 2022. The assessment of the studies was reported using the PRIMSA extension for Scoping Reviews.

Results:
Thirty-nine articles were included in the review. A diverse range of approaches were used to teach numeracy including learning theory, methods of calculation, learning environment, and examination aids.

Conclusion:

This review highlights the plethora of approaches for teaching numeracy within undergraduate nursing education. Internationally, there were limited studies on the most effective teaching approaches; therefore, developing a robust evidence-based numeracy framework would be beneficial to guide non-nursing instructors in teaching undergraduate nurses.

[
J Nurs Educ
. 2024;63(4):218–227.]
Trauma Informed Care for Nursing Action Bachelor of Science in Nursing Course
Authors: Schimmels JoEllen , Schneider Jennifer 
Published: April 2024

Background:
Nurses commonly experience psychological trauma with high risk for a host of mental health concerns such as suicide, depression, anxiety, and substance use disorders, as well as high rates of burnout and moral injury. Despite rigorous academic preparation, baccalaureate nursing education curricula lack content on the widespread effects of trauma.

Method:
Using a trauma informed care (TIC) model, an innovative course called Trauma Informed Care for Nursing Action (TIC4NA) was created.

Results:
This course allows students to safely explore the profession of nursing to transform their learning about trauma related to patient care, the nursing community, and society.

Conclusion:

TIC curriculum delivery offers supportive strategies to mitigate negative outcomes during nursing school. This content could have positive effects on nurse and nursing student retention as well as mitigating a barrage of negative outcomes for individual nurses and the nursing profession.

[
J Nurs Educ
. 2024;63(4):233–240.]
Using Simulation to Teach Gender-Affirming Care Concepts in Nursing Education
Authors: Rohde Amanda , Goode Colleen King 
Published: April 2024

Background:
LGBTQIA+ (lesbian, gay, bisexual, trans-gender, queer or questioning, intersex, asexual), and gender-nonconforming (GNC) individuals have limited access to quality care, leading to health disparities. Lack of training and implicit bias are significant contributors to discrimination. Nursing schools must provide opportunities for student interaction with vulnerable populations, and interacting with transgender and GNC individuals during clinical experiences may be challenging.

Method:
Simulated experiences offer opportunities for students to develop clinical competencies. Students participated in a simulation on caring for transgender and GNC populations. Students participated in a prebriefing session, viewed a simulation video, and engaged in a debriefing session. Participants completed a pre- and postsurvey to assess their knowledge and perceived confidence.

Results:
Students' confidence in providing gender affirming care was improved by the activity.

Conclusion:

Students prioritize providing competent care to vulnerable populations. In-class simulation is an effective method for improving students' clinical competencies in a safe, nonjudgmental setting.

[
J Nurs Educ
. 2024;63(4):241–246.]
The impact of bilateral subthalamic nucleus deep brain stimulation on dyskinesia and levodopa equivalent daily dose in advanced Parkinson’s disease
Authors: Phutane Aniket S , Alugolu Rajesh , Kandadai Rukmini , Mudumba Vijaya Saradhi , Borgohain Rupam , Fathima Syed Tazeem , Meka Sai Sri Lakshmi 
Published: April 2024

Abstract

OBJECTIVE:
To assess the effect of bilateral subthalamic nucleus deep brain stimulation (B/L STN DBS) on the progression of dyskinesia and the levodopa equivalent daily dose (LEDD) in advanced Parkinson’s disease (APD) patients 6 months postoperatively.

METHODS:
Seventeen APD patients aged 21–80 years with the minimum modified Hoen & Yahr score of 2 while off medication and poor motor function underwent B/L STN DBS from January 2021 to December 2021. They were assessed preoperatively and 6 months postoperatively using the Unified dyskinesia rating scale (UDysRS) and Unified Parkinson’s Disease Rating Scale Part IV (UPDRS IV) for dyskinesia and LEDD dosage.

RESULTS:
Significant improvement was observed postoperatively in both UDysRS (pre-op 66.53±24.59, post-op 30.88±12.01; P = 0.000) and UPDRS IV (pre-op 9.24±1.75, post-op 5.76±1.39; P = 0.000) scores. The overall clinical improvement using UDysRS was 52.23±16.23%. Each subscale of UDysRS showed significant improvement postoperatively: ON dyskinesia (pre-op 21±7.7, post-op 13.76±5.79; P < 0.05); OFF dystonia (pre-op 8.53±3.26, post-op 4.94±2.70; P < 0.05); impairment (face, pre-op 2.47±2.52, post-op 0.29±0.98, P < 0.05; neck and trunk, pre-op 6.29±4.55, post-op 0.59±0.87, P < 0.05; arms, pre-op 13.06±5.86, post-op 5.76±3.7, P < 0.05; and legs, pre-op 7.18±5.12, post-op 1.29±1.57, P < 0.05); and disability (pre-op 8±3.46, post-op 4.24±2.25; P < 0.05), suggesting high clinical significance. LEDD (pre-op 673.41±212.69mg, post-op 386.82±133.01mg; P = 0.000) showed significant reduction in dosage 6 months postoperatively. LEDD reduction and dyskinesia improvement showed mild-to-moderate positive correlation (r = 0.404).

CONCLUSION:
B/L STN DBS helps in improving dyskinesia by reducing LEDD in APD patients.
Assessment of safety profile of phacoemulsification in hard cataract
Authors: Patil Soumya , Srinivasa K H , Anjenappa Rakesha , Menon Aswathi 
Published: April 2024

Purpose:
The aim of the study was to assess safety of phacoemulsification in hard cataract by evaluating the post-operative endothelial cell loss and visual acuity.

Materials and Methods:
This is a hospital-based, prospective study conducted on 70 eyes of 70 patients with hard cataract. At the time of admission, detailed evaluation of anterior segment using slit lamp bio microscopy was done and cataract graded using LOCS III. Posterior segment was evaluated using indirect ophthalmoscopy under 20D/B-Scan. All patients with hard cataract underwent phacoemulsification procedure. The visual acuity and endothelial cell density assessed using Snellens chart and specular microscopy pre-operatively and post-operatively on Day 1, Day 7, and Day 30, respectively. Descriptive statistics, namely, mean, standard deviation to express continuous variables wherever applicable. Correlation between endothelial cell loss and cataract grading and correlation between final endothelial cell loss and final best-corrected visual acuity (BCVA) is analyzed by using Pearson’s Chi-square test and Pearson’s correlation coefficient. P value <0.05 is considered as statistically significant.

Results:
Among 70 eyes, 40 (57.1%) had NO4-NC4, 18 (25.70%) had NO5-NC5, and 12 (17.1%) had NO6-NC6 cataract grading. The endothelial cell loss was 4.28%, 6.19%, and 7.15% on post-operative day 1, 7, and 30, respectively. There was a positive correlation showing that, as the cataract grading increased the endothelial cell loss increased too. The BCVA of 6/9 was achieved in 2 (2.8%), 6/6 in 68 (97.2%) at the end of four weeks.

Conclusion:
Although density of cataract has unfavorable influence on early post-operative corneal endothelial cell loss, it did not significantly influence final BCVA. The technique of phacoemulsification for hard nuclear cataract is worthy to be spread due to safety, effectiveness with good visual outcomes.
Topological models of abstract commensurators
Authors: Bering IV Edgar A. , Studenmund Daniel 
Published: April 2024

The full solenoid over a topological space

X

is the inverse limit of all finite covers. When

X

is a compact Hausdorff space admitting a locally path-connected universal cover, we relate the pointed homotopy equivalences of the full solenoid to the abstract commensurator of the fundamental group

\pi_{1}(X)

. The relationship is an isomorphism when

X

is an aspherical CW complex. If

X

is additionally a geodesic metric space and

\pi_{1}(X)

is residually finite, we show that this topological model is compatible with the realization of the abstract commensurator as a subgroup of the quasi-isometry group of

\pi_{1}(X)

. This is a general topological analog of work of Biswas, Nag, Odden, Sullivan, and others on the universal hyperbolic solenoid, the full solenoid over a closed surface of genus at least two.