bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementing Brief Mindfulness-Based Interventions to Reduce Compassion Fatigue
Authors: Tripathi Sharada K. , Mulkey David C. 
Published: October 2023

Background
Nurses in surgical-trauma units are susceptible to compassion fatigue due to work-related stressors. Mitigating and preventing compassion fatigue are critical to supporting the health and well-being of surgical-trauma nurses.

Local Problem
During the COVID-19 pandemic, a surgical-trauma unit was converted to a designated COVID-19 unit. Nurses verbalized feelings of burnout and stress during the pandemic and did not have a mechanism to cope with work-related stress. This project evaluated the impact of brief mindfulness-based interventions on compassion fatigue.

Methods
From February 2021 to March 2022, mindfulness champions led 5 minutes of mindfulness-based interventions, including meditation, deep breathing, and self-compassion exercises, during shift huddles. The Professional Quality of Life, version 5, questionnaire was used to evaluate preintervention and postintervention burnout, secondary traumatic stress, and compassion satisfaction. Paired-sample t tests were used to evaluate the results.

Results
Twenty-nine of 34 nurses responded (85% response rate) with matched preintervention and postintervention questionnaires. All subscale scores showed significant improvement after intervention. The mean burnout subscale score decreased by 9.35% (P = .003), mean secondary traumatic stress subscale score decreased by 11.89% (P = .005), and mean compassion satisfaction subscale score increased by 6.44% (P = .03) after intervention.

Discussion
After implementing brief mindfulness-based interventions in shift huddles, nurses reported reductions in elements of compassion fatigue (burnout and secondary traumatic stress). Nurses reported that adding brief mindfulness-based interventions to shift huddles helped them cope with work-related stress.

Conclusions
Brief mindfulness-based interventions can improve nurses’ compassion satisfaction while reducing compassion fatigue measurements.
Critical Care Nurses’ Attitudes About Family Presence During Resuscitation: An Integrative Review
Authors: Bader Khaled W. , Smith Carolyn R. , Gillespie Gordon L. 
Published: October 2023

Background
Family presence during resuscitation was introduced into clinical practice 30 years ago. Despite adoption of family-centered care by several health organizations and support for family presence during resuscitation by professional organizations such as the American Heart Association, critical care nurses’ attitudes about family presence during resuscitation vary widely.

Objective
To examine current evidence on critical care nurses’ attitudes about, perceptions of, and behaviors related to practicing family presence during resuscitation.

Methods
The method of Whittemore and Knafl guided the integrative review. Databases searched were CINAHL, PubMed, and Scopus. Articles included were English-language studies published from 2008 to 2022 that examined the perceptions of critical and emergency care nurses from adult units regarding family presence during resuscitation.

Results
Twenty-two articles were included. Levels and strength of evidence were assessed with the Johns Hopkins nursing evidence-based model. The articles in this integrative review included a total sample size of 4780 health care professionals; 3808 were critical and acute care nurses.

Discussion
Themes synthesized from current evidence included attitudes, benefits, barriers, demographic influence, cultural influence, and facilitators. Barriers and facilitators were associated with nursing practice in rural versus urban settings, age-related factors, years of experience, and unit-based differences in practice. Developing interventions to address identified factors can increase the practice of family presence during resuscitation in critical care settings.

Conclusions
Several factors influence the practice of family presence during resuscitation in critical care settings. Nurse leaders should consider these factors to enhance the practice of family presence during resuscitation.
Comparative evaluation of accuracy of different generations of electronic apex locator in determining the correct working length: A systematic review and meta-analysis
Authors: Bhagat Pooja Sunil , Hegde Vibha R. , Kawle Sahil , Jain Pritisha Bharat 
Published: October 2023

ABSTRACT

Aim:
Different approaches are used to determine the working length of the root canal. The current and most widely researched are the electronic apex locators (EALs). Since the early apex locators were developed in 1942, several generations had their qualities and shortcomings developed. Thus, a comparative evaluation of the accuracy of different generations of EALs in determining the correct working length: Systemic review and meta-analysis to analyze individual studies quantitively and draw conclusions on the best generation of apex locator currently used.

Materials and Methods:
A comprehensive search was conducted on different electronic databases and by manual search. Studies comparing third and fifth generations with fourth-generation apex locators were subject to strict inclusion criteria followed by data extraction and meta-analysis.

Results:
Following the meta-analysis, the accuracy is fifth>fourth>third generation of apex locators.

Conclusion:
Analysis of individual studies quantitatively will give a better understanding of which devices to use to accurately determine the working length.
Guided endodontics in managing severely calcified teeth: A review
Authors: Georges Ishak , Rita Ghaleb , Zogheib Carla 
Published: October 2023

ABSTRACT
In our daily practice, we are confronted with calcified teeth which require special attention and care during endodontic treatment. Several etiologies have been incriminated in the presence of pulp calcifications, especially dental trauma and aging. Those calcifications can cause partial or complete pulp canal obliteration. Therefore, endodontic treatment of these teeth can be very risky and should be done by a specialist using ultrasonic tips and a microscope. This treatment requires more time and has a lower success rate compared to other cases. Lately, a technique combining the digital imaging and the cone-beam computed tomography (CBCT) is proposed to form an endodontic guide which allows any practitioner to access the canal more easily. The use of CBCT is important in the planning of the treatment of severely calcified teeth. The guided treatment has many advantages compared to the conventional approach. It is proved to be more precise, more conservative, and less time-consuming. It has a high success rate and reproducible results regardless of the experience of the practitioner. The purpose of this review is to gain a better understanding of the pulpal calcification process and its impact on the endodontic treatment and to give insight into the advantages of using the guided endodontic technique in comparison with the conventional treatment in treating severely calcified teeth.
Knowledge, attitude, practice and perception survey on post and core restorations
Authors: Veronica Aruna Kumari , Sai Shamini , Susila Anand V 
Published: October 2023

ABSTRACT

Aim:
The purpose of this survey is to gain insight into the choice of endodontic posts and failure mode of different types of posts and their management by the dentist.

Material and Methods:
Dentists have a wide range of options for the use of endodontic posts, so they should know the preferred post, the failure mode for a different type of post, and its management in case of failure, so questionnaire was prepared based on this.
Survey was done among general dentists, endodontists and prosthodontists, through Google Sheets, SurveyMonkey, and manually. 230 dentists (156-general; 45-endodontists; 29-Prosthodontists) participated in this survey.

Results:
FRC post is preferred post in anteriors among general dentists, endodontists and prosthodontists. The most preferred post in posteriors among endodontists is FRC(49%), prosthodontists is cast post, among general dentists it is cast post and metal posts(36% each). Selection criteria among all the groups are requirement for esthetic crown. Managing endodontic failure among 54% of general dentists, 56% of endodontists and 66% of prosthodontists is post retrieval using ultrasonics followed by retreatment. Fracture of teeth is the predominant reason among all the groups for failure of post retained crown. The management of FRC post failure among endodontists and prosthodontists were ultrasonic retrieval. Commonest failure for FRC post among general dentists and endodontists is post dislodgement wheras among prosthodontists is tooth fracture.

Conclusion:
Prosthetic rehabilitation of root canal-treated teeth is the ultimate goal of endodontics. Correct knowledge ensures the right attitude in selecting the best post for core retention in endodontically treated teeth.
Analysis of apical third root canal morphology of the palatal root of maxillary first molar and its proximity to maxillary sinus: A cone-beam computed tomographic study
Authors: Gulati Shreya , Mulay Sanjyot A , Raut Vaibhavi , Bhosale Swapnil , Srinivasan Aishwarya , Chavan Mahesh 
Published: October 2023

ABSTRACT

Aims:
The aim of this study was to assess the angulation of the apical exit from radiographic apex of palatal root of maxillary first molar, to measure the distance between radiographic apex and apical exit of palatal root of maxillary first molar and to measure the distance of apical exit of palatal root of maxillary first molar from maxillary sinus floor.

Materials and Methods:
A total of 118 untreated, well-developed maxillary first molars were selected on cone-beam computed tomography scans. Data were collected and viewed by invivo5 software. Descriptive statistical analysis was given as mean value.

Results:
Radiographic apex and apical exit did not coincide in the large number of samples. The palatal root of maxillary first molar was found to be in direct contact with the floor of maxillary sinus in maximum samples.

Conclusion:
Apical exit does not coincide with the radiographic apex in all the cases. The distance between radiographic apex and apical foramina or apical exit ranges from 0 to 1.43 mm. The apical exit or apical foramina are in direct contact with maxillary sinus floor in 75% cases.
A comparative evaluation of the effect of various chelating agents on the microhardness of root canal dentin: An in vitro study
Authors: Kaul Mineet , Nanda Zinnie , Reddy Kranthikumar , Deore Rahul , Mandlecha Divya , Jaiswal Esha 
Published: October 2023

ABSTRACT

Aim:
The aim of this study was to evaluate and compare the effect of 17% liquid ethylenediaminetetraacetate (EDTA), 10% citric acid, and 9% 1-hydroxy ethylidene-1,1-bisphosphonate (HEBP) on the microhardness of root canal dentin.

Materials and Methods:
Eighteen mandibular premolars which were freshly extracted were selected and randomly assigned to one of the three groups (n = 6). After decoronating, the teeth at the cementoenamel junction, specimens were prepared up to F3 (ProTaper Universal). After each instrument, irrigation was done with 3% sodium hypochlorite. Specimens were sectioned longitudinally to expose dentin surface and mounted on acrylic resin blocks. One half served as the test group and the other served as its control. The dentin was covered with test solutions throughout its length for 5 min. Group 1: 17% liquid EDTA, Group 2: 10% citric acid, and Group 3: 9% HEBP. Measurement of microhardness was done using Vickers indenter at 1000 μm, 1200 μm, 1400 μm from orifice of root canal and 100 μm from pulp-dentin junction, a load of 50 g for 15 s dwell time was applied. A mean of the three readings was used to calculate microhardness. Statistical analysis was performed using one-way ANOVA and post-hoc Tukey test at P ≤ 0.05.

Results:
The mean microhardness of EDTA reduced from 52.28 VHN to 39.00 VHN, and that of citric acid reduced from 52.50 VHN to 47.30 VHN, whereas, HEBP showed least reduction, from 52.46 VHN to 50.52 VHN.

Conclusion:
A reduction in microhardness was evident on using all three chelating agents. However, HEBP caused the least reduction in microhardness and can be a potential chelating agent for use in endodontics.
Comparative evaluation of novel chelating agents for retrievability of intracanal calcium hydroxide using different irrigation protocols: An in vitro study
Authors: Behl Mansi , Taneja Sonali , Bhalla Vidhi Kiran 
Published: October 2023

ABSTRACT

Aim:
The aim of the study is to evaluate and compare the efficacy of glycolic acid (GA), phytic acid, chitosan nanoparticles, and ethylenediaminetetraacetic acid (EDTA) for the removal of intracanal calcium hydroxide (Ca [OH] 2) dressing using needle irrigation and passive ultrasonic irrigation (PUI).

Materials and Methods:
Seventy-two mandibular premolars were decoronated and roots were prepared to apical size 30. Ca(OH)2 paste was filled in the canals and samples were stored for 1 week after which they were irrigated using different irrigants and irrigation techniques. The residual Ca(OH)2 was analyzed on split surface of samples under stereomicroscope and scanning electron microscope. Scoring was done for each sample and results were tabulated. The data were subjected to analysis using Mann–Whitney U-test with the level of significance set to 5%.

Results:
Removal of Ca(OH)2 was maximum in chitosan group aided by PUI and was minimum when GA or EDTA was used for needle irrigation, as observed under stereomicroscope. Removal of Ca(OH)2 from the coronal third was maximum followed by middle and then apical third. Phytic acid and chitosan were proven to be of maximum efficacy for removal of intracanal Ca(OH)2 removal in the middle third among all the groups, especially when used with PUI. Needle irrigation using EDTA and GA was least efficacious.

Conclusion:
Chitosan and phytic acid can be used for better removal of Ca(OH)2 dressing, especially in the coronal and middle thirds of the root canal. The efficacy of intracanal dressing retrieval can be enhanced by passive ultrasonic activation.
Bilaterálne hospodarské vzťahy medzi Slovenskom a Ukrajinou (1993-2016)
Authors: Radysh Oleksandr 
Published: October 2023

Cieľom članku bola analýza evolúcie základných smerov, druhov a foriem ukrajinsko-slovenskej medzištátnej spolupráci na základe konkrétnej historickej analýzy procesu stanovenia a vývoja dobrých susedských vzťahov a základov systému strategického partnerstva medzi Ukrajinou a Slovenskom. Popísaná história vzťahov krajín a ich zmluvno-právny základ hospodárskych vzťahov, úloha a miesto ukrajinsko-slovenských vzťahov v kontexte európskej integrácie. Dalej sa zaoberáme cieľmi práce, metodikou práce a metódami skúmania. Základnými sú informacie venované obchodnej a hospodárskej spolupráci medzi Ukrajinou a Slovenskom a vlastnostiam investičnej spolupráce medzi Ukrajinou a Slovenskom. Uskutočnila sa analýza prioritných oblasti politickej a hospodárskej spolupráce medzi krajinami a vyhliadky hospodárskej spolupráce na dvojstrannej i mnohostrannej úrovni. V závere sú stručne uvedené zhrnutia výskumu a sú uvedené najpodstatnejšie teoretické zásady pre riešenie problémov. Slovenská republika a Ukrajina sú susedmi prvého poriadku v geopolitickom kontexte, ktoré priamo susedia a máju spoločnú hranicu. Pre udržanie stability v regióne strednej a východnej Európy je nesmierne dôležitým pre rozvoj susedských vzťahov medzi nimi. Zúčtovacie vzťahov a rozvoj spolupráce so susednými krajinami je tiež v súlade s európskymi zásadami, jedným s hlavných podmienok pre zaradenie nových nezávislých štátov do integračných procesov na európskom kontinente. Vzhľadom na potrebnosť posilnenia cezhraničnej spolupráce medzi Ukrajinou a Slovenskom je potrebné vytvoriť vhodné podmienky pre efektívnu spoluprácu medzi médiami štátov počas prenosu informácií a vytváraní pozitívneho obrazu Ukrajiny. Hlavnou prioritou zahraničnej politiky Ukrajiny aj naďalej zostáva proces európskej integrácie, ktorý zahŕňa zavedenie systémových reforiem vo všetkých oblastiach života v súlade s normami a štandardmi Európskej únie.
The Fischer Concept Protocol - Its Impact on Embryo Quality
Authors: Fischer Robert 
Published: October 2023

Advancements in the field of Reproductive Medicine have paved the way for innovative approaches to enhance embryo quality and increase success rates in In Vitro Fertilization (IVF) treatments. Dr. Robert Fischer, in a comprehensive video, delves into the Fischer Concept Protocol and its transformative impact on embryo quality. The protocol ingeniously employs a tailored combination of Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH) dosages, intricately calibrated based on the patient’s age and Anti-Müllerian Hormone (AMH) levels, demonstrating a highly personalized approach to fertility treatment.
Development of Student Worksheet based on STEM to Improve the Critical Thinking Skills
Authors: Husna Hayatul , Suyanti Retno Dwi , Yus Anita 
Published: October 2023

Based on the results of observations, it shows that the development of student worksheets is not optimal, especially in science learning with water cycle material which should be adapted to developments in the 21st century, as science learning is fun learning if it is created well. The 21st century requires students to have various skills, one of which is critical thinking skills. because students are required to be more responsive in analyzing, solving problems and solving problems in the learning process. The aim of this research is to develop and determine the feasibility of STEM-based student worksheets with water cycle material for fifth grade elementary school students. This research method is Research and Development (R&D), which is a research method used to develop or validate products used in education and learning. The results of the research show that the process of developing student worksheets to train critical thinking skills consists of three stages, namely preliminary study, product development, and test the product. The student worksheets were validated by three expert validators, namely design expert validation, material expert and language expert with respective scores of 84.37%, 94% and 91.42% with very feasible criteria. So, it can be concluded that this STEM-based student worksheets with water cycle material is suitable for use as a learning companion for students to improve students' critical thinking skills
KEYWORDS
Crise e mercantilização da loucura sob a égide do conservadorismo brasileiro
Authors: Jesus Amanda Silva de , Santos Sandra Rodrigues dos 
Published: October 2023

Este estudo pretende refletir acerca das medidas consolidadas no campo da saúde mental no contexto de crise estrutural do capital e de aprofundamento do conservadorismo na conjuntura brasileira a partir dos governos de Michel Temer (2016-2018) e Jair Messias Bolsonaro (2019-2022). Busca apontar como as ações implementadas a partir do governo de Michel Temer impactaram a garantia dos direitos adquiridos, afetando diretamente a Política de Saúde Mental. Por fim, visa apreender, por meio de revisão bibliográfica de natureza qualitativa, como as contrarreformas consolidadas por ambos os governos afetaram a Política Nacional de Saúde Mental, Álcool e Outras Drogas, aprofundando as expressões da questão social já existentes e corroborando o reavivamento de propostas manicomiais que fizeram retroceder as conquistas sociais estruturadas a partir do Movimento de Reforma Psiquiátrica iniciado na década de 1980.
Palavras-chave: Crise. Direitos Sociais. Contrarreformas. Conservadorismo.
Eletroconvulsoterapia em perspectiva ou para a crítica do eletro-choque
Authors: Magalhães Vinicius Pinheiro de , Barros Larissa Daiane Vieira 
Published: October 2023

O objeto do presente ensaio teórico são os fundamentos balizadores da técnica da Eletroconvulsoterapia (ECT), procedimento médico psiquiátrico que consiste na indução de convulsões pela via da administração de cargas elétricas no cérebro com finalidade terapêutica. A proposta do texto é tecer uma crítica onto-epistemológica da ECT e de seus fundamentos teórico-conceituais à luz da Reforma Psiquiátrica e da Determinação Social da Saúde Mental. Trata-se de ensaio teórico sustentado em revisão ampliada da literatura. Compreendemos a ECT como uma técnica fundamentada em tendência teórica estreita que assujeita seus usuários em nome de intervenção invasiva orientada para ação de curto-médio prazo, cuja finalidade é o controle de corpos de segmentos historicamente vulnerabilizados.
Saúde mental em tempos de ultraneoliberalismo
Authors: Cavalcante Lidiany de Lima , Bellini Maria Isabel Barros 
Published: October 2023

O processo de agudização da barbárie permeado pelo conservadorismo, reacionarismo e as faces da discriminação trouxeram à tona não somente a amplificação do cenário de violência e fome, mas também as plataformas antes silentes no que se refere ao adoecimento psíquico. O artigo objetiva tecer discussões acerca da saúde mental em tempos de ultraneoliberalismo, o qual emergiu de forma mais efetiva com a ascensão da extrema direita na realidade brasileira. Por meio de uma reflexão teórica, com o uso de dados secundários, o estudo vislumbra o cenário de necropolítica potencializado cotidianamente na arena da saúde mental e seus rebatimentos na sociedade, frente ao capitalismo em sua face mais voraz.
“N/A: NÃO SE APLICA”: Políticas Penais e Custódia Psiquiátrica Feminina na Bahia
Authors: Costa Jessica Hind Ribeiro , Martins Helena Loureiro 
Published: October 2023

Este estudo objetivou compreender que definição de saúde se aplica aos tratamentos nos Hospitais de Custódia e Tratamento Psiquiátrico (HCTP), segundo dados do Plano Estadual De Atenção às Mulheres Privadas De Liberdade e Egressas do Sistema Prisional da Bahia (2018). Para tanto, utilizou-se de pesquisa qualitativa, estudo de caso com procedimento de revisão de literatura e revisão normativa. Como resultado, tem-se uma definição de saúde adstrita ao enfrentamento de enfermidades, conforme o biologicismo do final do século XIX e começo do século XX. Deste entendimento, decorre a desconsideração de dimensões do estado de integridade biopsicossocial da mulher. Considerando o HCTP e os presídios femininos como equivalentes enquanto instituições totais, conclui-se que as pacientes psiquiátricas possuem menos direitos sociais previstos na Constituição Federal do que aquelas que cumprem pena.