bluuebunny/crossref_metadata_2025_split huggingface dataset:
Entering aesthetic concept into the field of patient education: A protocol for an interdisciplinary study to develop a conceptual model
Authors: Khooshab Elham , Rakhshan Mahnaz , Khorasani Parvaneh 
Published: October 2023

BACKGROUND:
According to the significance of patient education, new conceptual models are constantly required to promote pedagogical competences of health educators. In the field of educational sciences, aesthetic-based education is known as one of the effective types of curriculum planning which has shown many positive pedagogical outcomes. Thus, the researcher's assumption is that, the concept of “aesthetic education” could be transposed from educational sciences to health sciences in order to develop a new formula in the patient education process. The purpose of this study is to explain methods in detail, to develop an aesthetic-based patient education conceptual model through the concept derivation strategy.

MATERIALS AND METHODS:
1. Scoping review and inductive data analysis using Walker and Avant's approach to achieve conceptual categories of the concept “aesthetic education.” 2. Semi-structured qualitative interviews and directed content analysis to extract the main categories of the concept “aesthetics in the patient education process.” 3. Drawing an aesthetic-based patient education conceptual model by allocating new conceptual components to each general step of the patient education process, including needs assessment, goal setting, implementation, and evaluation. 4. Modified Delphi technique to validate the final conceptual model.

RESULTS:
The first phase will represent the main categories and subcategories of attributes, antecedents, and consequences of “aesthetic education.” The second phase will show the main categories and subcategories of attributes, antecedents, and consequences of the new concept named “aesthetic-based patient education.” In the third phase, it is expected to achieve a new conceptual model representing the components of aesthetics in the general steps of the patient education process. The fourth phase will propose the final validated conceptual model.

CONCLUSIONS:
The provided study protocol can be a road map to developing derivative models through concept derivation strategy in health sciences.
The relationship between anxiety caused by coronavirus disease and marital satisfaction mediated by empathy and conflict resolution styles in married women
Authors: Sokhanvar Sajedeh , Shirinzadeh-Feizabadi Atefeh , Raeiyat-Doost Farzad , Seyyedmoharrami Iman , Ghodrati-Torbati Abbas 
Published: October 2023

BACKGROUND:
Crises such as the coronavirus outbreak is associated with a lot of fear and anxiety. This study aimed to investigate the relationship between anxiety caused by coronavirus disease (COVID) and marital satisfaction mediated by empathy and conflict resolution styles in married women.

MATERIALS AND METHODS:
This descriptive-analytical study was carried out on 326 married women referring to a marriage counseling center in Tehran. Data were collected using the questionnaires of marital satisfaction, marital empathy, conflict resolution styles, and the coronavirus disease anxiety scale (CDAS). Data analysis was performed by Pearson correlation coefficient and structural equation modeling (SEM).

RESULTS:
The psychological symptoms of coronavirus disease anxiety (CDA) had a positive and significant effect on empathy and conflict resolution styles (P < 0.05) while the physical symptoms of CDA had a negative and significant effect on empathy, conflict resolution styles, and marital satisfaction (P < 0.05). The indirect effect of psychological symptoms of CDA on marital satisfaction due to empathy and conflict resolution styles was positive and significant (P < 0.05). The explained variance of marital satisfaction in terms of psychological and physical symptoms of CDA, empathy, and conflict resolution styles was equal to R2 = 0.42.

CONCLUSION:
Psychological symptoms of CDA increased marital satisfaction by affecting problem-solving styles and marital empathy. Therefore, empathy skills and conflict resolution styles can be used to reduce coronary anxiety and increase satisfaction levels.
The relationship between moral courage and providing safe care in nurses: A cross-sectional study
Authors: Kashani Maryam , Bozorgzad Parisa , Masror Roudsary Daryadokht , Janani Leila , Asghari Hosein , Asgari Mohammad Reza , Babamohamadi Hassan 
Published: October 2023

BACKGROUND:
Moral courage is one of the moral virtues, which can have a great impact on the provision of safe care for patients. Providing safe care is one of the most significant and fundamental principles of healthcare. This study aimed to determine the relationship between moral courage and safe care among nurses and explain the factors predicting safe care.

MATERIALS AND METHODS:
This is a cross-sectional study conducted on 172 nurses who worked in selected hospitals affiliated with the Iran University of Medical Sciences in 2019. For this purpose, self-report questionnaires on moral courage and safe nursing care were used. The collected data were analyzed in the Statistical Package for Social Sciences (SPSS) version 23.0 using descriptive (mean, standard deviation, percentage, and frequency) and inferential (Pearson's correlation coefficient and multiple linear regression) statistics. P values less than 0.05 were considered statistically significant.

RESULTS:
Mean scores of nurses' moral courage and safe care were desirable (407.57 ± 53.97) and satisfactory (311.31 ± 39.48), respectively. There was a significant correlation between the scores of nursing safe care and moral courage (r = 0.69, P < 0.001). Moral courage, gender, and work experience explained 54% of the variance of nursing safe care.

CONCLUSION:
The results showed that there is a positive and significant relationship between safety care and moral courage. It seems that increasing nurses' awareness of ethical principles leads to their courageous ethical behaviors, and safety and high-quality care should be one of the goals of all healthcare professionals. Also, the results of this study support the need to improve the knowledge and awareness of nurses and nurse managers regarding the importance of moral courage in providing safe nursing care and improving patient safety.
Barriers in Notification of Tuberculosis Cases by Private Practitioners of an Administrative Block of District Una, Himachal Pradesh: A Mixed Method Study
Authors: Bhardwaj Ashok , Bansal Avi Kumar , Goel Chirag , Attri Ajay , Singh Mitasha , Kumar Sanjay 
Published: October 2023

Background:
Notification of tuberculosis (TB) cases is an important step in its elimination from India by 2025. However, there has not been much rise in the notification from the private sector; COVID-19 is one of the reasons.

Objective:
The objective is to determine the notification of TB cases by private practitioners (PPs), their current practices in treatment, enablers, and barriers to TB notification from Una district, Himachal Pradesh.

Methodology:
The PPs of two TB units were enrolled in the study. A mixed method study design was used. The quantitative component comprised of interviewer-introduced questionnaire-based cross-sectional study. The qualitative component was conducted using a grounded theory design to provide an explanation behind the current notification practice.

Results:
Out of 71 practitioners, 20 were treating presumptive TB patients. Eighty percent of these were aware of the NIKSHAY portal and 75% were aware of mandatory reporting of TB patients through the portal. The focused group discussions with the study population yielded a major theme, “Barriers to notification,” which had the following themes, namely affective attitude, logistic problems, provider misconceptions regarding non-directly observed treatment shortcourse (DOTS) regimens, patient confidentiality, stigma and discrimination and lack of cohesion and coordination between the public and private sectors.

Conclusion:
The ignorance and lack of education regarding ever-changing management policy of TB were one of the important barriers in notifying TB cases.
Short-Term Outcomes of Reduced versus Conventional Ports in Sleeve Gastrectomy: A Controlled Clinical Trial
Authors: Abdelsamee KS , Matar M , Khalil MM 
Published: October 2023

ABSTRACT

Aim:
The study aims to compare the short-term outcomes of reduced ports sleeve gastrectomy versus conventional five ports sleeve gastrectomy in postoperative weight loss, morbidity rate, pain, and resolution of obesity-related diseases.

Materials and Methods:
One hundred forty patients were equally allocated to reduced ports (n = 70) and conventional ports (5 ports) Laparoscopic Gastrectomy groups. The primary outcomes are postoperative pain by numeric rating score, cosmetic visual analog score, satisfaction visual analog score, operative time, and hospital stay. The secondary outcomes are postoperative complications and comorbidity resolution.

Results:
The numeric rating score for pain assessment was statistically significantly lower in the reduced ports group compared with the conventional ports group at 2, 6, 12, and 24 hours, postoperatively (P < .001). Cosmetic visual analog score was statistically significantly higher in the reduced ports group compared with conventional ports group at 2 and 3 months follow-up (P < .001 and P = .008, respectively). Patient satisfaction visual analog score was statistically significantly higher in the reduced ports group than the conventional ports group at 2 and 3 months follow-up (P < .001 and P = .032, respectively).

Conclusion:
Reduced ports laparoscopic sleeve gastrectomy is safe and feasible in patients with body mass index (BMI) up to 50 kg/m². It is cosmetically well appreciated with noticeable patient satisfaction. It should be practiced with regularity. Further trials should be considered in patients with high BMI (>50 kg/m²).
Quality of Life in Parents of Turkish and Syrian Pediatric Bone Marrow Transplant and Oncology Patients
Authors: Sezgin G , Yaylacı A , Ünal İ 
Published: October 2023

ABSTRACT

Background:
The success of the treatment depends on the well-being of the parents in pediatric cancer patients. In addition, migrants need to deal with the consequences of war.

Aim:
Our purpose was to compare the HRQoL of parents of Syrian and Turkish children followed in our bone marrow transplant and oncology units.

Materials and Methods:
One hundred SF 36 questionnaires, fifty from each group were collected between October 2019 and March 2020 in this cross-sectional study. Demographic characteristics of the patients (sex, age, cancer type, presence of relapse, duration of follow-up) and education level of parents were recorded. Analyses were performed using IBM SPSS Statistics version 20.0.

Results:
Turkish parents reported better results in physical functioning, emotional well-being, physical pain, general health, and physical health composite score (P < 0.05). There were more fathers in the Syrian group and education status was significant between the two groups (P = 0.01, P = 0.001, respectively). There was no correlation between QoL and education levels in the Turkish group. In Syrian parents, pain score was high in middle school graduates (P = 0.043). In the presence of relapse, although the physical function score decreased, the physical role function score increased in Turkish parents (P = 0.0035, P = 0.005, respectively). Syrian parents’ emotional role function and energy/fatigue score were both increased when children had relapses (P = 0.027for both).

Conclusion:
Migration is a complex issue. Turkish parents were better in physical functioning, emotional well-being, physical pain, general health, and physical health composite score. Screening for parental burden, assisting them to find appropriate support services is essential in improving the health and QoL of both our patients and their parents.
Evaluating Interleukin-16 Expression in Patients with Grade-3 and Grade-4 Glial Cell Tumors and Healthy Individuals
Authors: Karaca F , Keskin S , Menteş S , Boğa Z , Çavuş G , Köksal F 
Published: October 2023

ABSTRACT

Background:
This study evaluated the change in IL-16 levels in patients with high-grade glial tumors undergoing radiotherapy (RT) and healthy individuals (control group).

Materials and Methods:
Serum IL-16 levels of 35 high-grade glioma patients receiving radiotherapy (RT) and 30 healthy individuals were compared. We compared the IL-16 levels before (RT0) and after the (RT1) and IL-16 levels were measured and the relationship of this change with other characteristics such as age, gender, weight, height, and blood test results.

Results:
The RT0-IL-16 level was approximately 15 pg/ml higher than the RT1 measurement in the patient group. The mean RT0-IL-16 levels in the patient group were approximately 10 pg/ml higher than the mean IL-16 levels in the control group. Likewise, at the RT1 time-point, the mean IL-16 levels for the patient group were approximately 5 pg/ml lower than the mean IL-16 for the control group. The mean RT0-RT1-IL-16 value tended to be higher in female patients than in male patients.

Conclusion:
The application of RT reduces the overall IL-16 levels, suggesting the efficacy of RT, as well as the role of IL-16 in tumorigenesis.
Folic acid: The key to a healthy pregnancy – A prospective study on fetomaternal outcome
Authors: Dey Madhusudan , Dhume Pranjali , Sharma Sanjay K , Goel Suyash , Chawla Sunil , Shah Ankur , Madhumidha G , Rawal Reshu 
Published: October 2023

ABSTRACT

Objective:
The objective of the study is to study the fetomaternal outcome associated with folic acid deficiency in pregnancy.

Materials and Methods:
This hospital-based observational study was conducted in the Department of Obstetrics and Gynaecology at Base Hospital, Delhi Cantt, and a total of 351 participants were enrolled who were fulfilling the inclusion criteria. The plasma folic acid level of the selected patients was measured in the booking visit by automated chemiluminescence assay. The cutoff levels of folic acid were taken at 8.6 ng/mL. Based on these values, the study population was divided into two groups, one with folic acid values <8.6 ng/mL and the other with values ≥8.6 ng/mL. Plasma Vitamin B12 levels were measured to check for any concurrent deficiencies. Obstetric outcomes included first- and second-trimester miscarriages, development of anemia, gestational hypertension/preeclampsia, gestational diabetes mellitus, hypothyroidism, placental abruption, and intrauterine fetal growth restriction (FGR). Furthermore, the period of gestation at delivery, fetal weights, APGAR scores at 5 min were documented. The study also considered fetal neural tube defects, intrauterine fetal demise for data collection. Collected data were analyzed statistically to find the association of the above-mentioned outcomes with levels of folic acid.

Results:
The rate of preterm deliveries was significantly higher in the folic acid group with levels <8.6 ng/mL (16.94%). The incidence of small for gestational age/FGR was higher in the folic acid group with levels <8.6 ng/mL (27.11%) compared to the high folic acid group with levels ≥8.6 ng/mL (13.38%). The differences in the incidence of anemia, gestational hypertension, gestational diabetes, and preeclampsia between the two groups were not statistically significant and no cases of intrauterine fetal demise or placental abruption were observed in either group. Moreover, there was no significant difference in the relative risk of low Apgar scores at 5 min between the two groups.

Conclusion:
The present study suggests that low folic acid levels during pregnancy are associated with a higher risk of adverse pregnancy outcomes such as anemia, miscarriages, preterm delivery, and FGR. Therefore, adherence to nutritional recommendation of folic acid supplementation during pregnancy is essential to prevent these adverse outcomes.
La "negación" del derecho de socialización en menores adolescentes institucionalizadas/os
Authors: Sarasa Camacho Hodei 
Published: October 2023

El hecho de que la adolescencia resulta una etapa en la que el apoyo del grupo de pares supone un potencial para el desarrollo psicosocial de las y los menores parece ya una afirmación suficientemente consolidada. La socialización adolescente ha sido un fenómeno “constantemente” estudiado y, de una u otra forma y con más o menos acierto, la legislación y la normativa han venido adaptándose a tal realidad, “asegurando” el derecho de socialización y asociación de las y los adolescentes. Así, la socialización supone un derecho de las y los menores recogido en una amplia variedad de recomendaciones teóricas, normativas institucionales y obligaciones legislativas. Pero ¿qué ocurre con los derechos de socialización de aquellas/os adolescentes que, por resultar “inmersas/os” en procesos de institucionalización, son “separados” de su núcleo familiar y de convivencia y, por lo tanto, de su contexto de socialización? Este articulo trata de acercar la realidad de socialización de las y los adolescentes de entre 12 y 18 años en acogimiento residencial, explorando, desde la realización de entrevistas en profundidad y cuestionarios, las necesidades, las posibilidades y las carencias socializadoras de estas/os menores institucionalizadas/os.
Principio de oportunidad dentro del sistema de responsabilidad penal para adolescentes como herramienta de justicia restaurativa en Cartagena-Colombia
Authors: Ortega Galindo Doris , Serpa Sua Edgardo Manuel , García Tarrá Carolina 
Published: October 2023

Se realizó una investigación sociojurídica dentro del circuito judicial de Cartagena-Colombia, en donde se indagó si en los últimos años el principio de oportunidad había sido una herramienta útil para el restablecimiento de las relaciones sociales afectadas por el delito dentro del circuito judicial referido. Para ello se analizó el modelo de justicia adoptado por el sistema de responsabilidad penal para adolescentes en Colombia, observándose, adicionalmente, las particularidades propias del principio de oportunidad dentro del sistema de justicia juvenil, finalizándose con una muestra de los datos obtenidos producto de las entrevistas efectuadas a los funcionarios adscritos al S.R.P.A de la ciudad de Cartagena-Colombia, de lo cual hace que el principio de oportunidad sea una herramienta útil para reparar los tejidos sociales afectados, por la comisión de delitos.
Rutas de acceso al léxico en un entorno lexicográfico
Authors: Mairal-Usón Ricardo , Faber Pamela 
Published: October 2023

Este trabajo examina algunos proyectos que ofrecen rutas de acceso al léxico innovadoras y que constituyen un primer paso hacia un diccionario más inteligente. Estos incluyen los diccionarios de colocaciones; aquellos que especifican las restricciones semánticas y léxicas entre un predicado y sus argumentos; aquellos que describen las propiedades lingüísticas de una entrada léxica en virtud de un marco o marcos; incluso aquellos que proporcionan una organización conceptual del definiens, y no del definiendum. Sin duda alguna, la transformación digital, la Inteligencia Artificial, la minería de datos y textos y el aprendizaje automático de máquinas han abierto un nuevo abanico de posibilidades para el diseño de recursos lexicográficos que debería redundar en recursos más inteligentes y conectados. Se concluye el trabajo planteando algunas ideas, a modo de rasgos definitorios y con un carácter muy prospectivo, sobre lo que debería ser un diccionario digital inteligente o un diccionario 5.0.
The discourse markers indeed, in fact, really and actually and their Spanish equivalents in economy
Authors: Alonso Almeida Francisco , Álvarez-Gil Francisco J. 
Published: October 2023

This article explores the translation procedures followed in the rendering of the adverbials indeed, in fact, really and actually in a parallel corpus of English texts and their Spanish counterparts in the field of economy. While the adverbials mentioned are all categorized as boosters according to Hyland’s classification of metadiscourse markers (2005) in the source corpus, their Spanish correspondents may fall within other such metadiscourse categories as attitude and hedging markers, for example. The study of these variants contributes to our understanding of the processes involved in the translation of these markers, which seem to correspond to an intention of the translators to provide adequate translated versions so that these texts read as naturally in the target language as possible. Our methodology of inquiry involves corpus linguistics tools in order to interrogate a parallel corpus and retrieve cases of the adverbials indeed, in fact, really and actually. Our approach to discourse markers includes Schiffrin (1987), Fraser (1996), Jucker & Ziv (1998), Aijmer (2002), and especially Buysse (2012), Ghezzi (2014), Carrió-Pastor (2016a, 2016b), and Furkó (2020). Our notion of metadiscourse follows Hyland (2005) from where we have also taken the taxonomy of metadiscourse markers used in the analysis of data to classify findings. The identification and the classification of the translation procedures rely on Cruz-García (2014). Conclusions report on the most frequent translations procedures and the commonest Spanish forms used to translate the adverbial analysed, including their metadiscourse functions.
Old English verbs of increasing: the semantics and syntax of change in size
Authors: Lacalle Palacios Miguel 
Published: October 2023

This article aims at defining a class of Old English verbs of increasing based on both their common semantic components and grammatical behavior. On the theoretical side, the framework of verb classes and alternations is combined with Role and Reference Grammar. The data selected for this study have been extracted from both textual and lexicographical sources. After the analysis of the linking between syntax and semantics in this set of verbs, the conclusion is reached that āðindan, āweaxan, ēacan, (ge)ēacnian and (ge)weaxan are the best candidates for membership of the verbal class of increasing, considering the constructions and alternations that they present.
El sistema Wall Unit ideado por Konrad Wachsmann. La Movilidad de lo Secundario.
Authors: Peña Fernández-Serrano Martino 
Published: October 2023

Entre 1944 y 45 desarrolla Konrad Wachsmann el sistema denominado Mobilar Structure, que posteriormente contrata la empresa Atlas Aircraft Corporation, la cual se dedica al desarrollo de aeroplanos tras la Segunda Guerra Mundial. El proyecto de Wachsmann se ocupa de los hangares de grandes dimensiones que a su vez deben estar soportadas por el mínimo número de elementos verticales para maximizar el movimiento de los aviones en el hangar. Estos primeros desarrollos de Wachsmann inauguran en la década de los cincuenta los entramados estructurales tridimensionales de grandes luces que terminan en la tipología denominada Megaestructura, de gran acogida en los grupos utópicos de los años sesenta. En este primer proyecto aparecen dos elementos de gran eficiencia proyectual; el nudo estructural y el cerramiento vertical móvil llamado Unit Wall. El primero ejemplifica la búsqueda del nudo universal en los entramados de barras. El segundo investiga sobre la flexibilidad, montaje y desmontaje, la plegabilidad y movilidad de los artefactos. Se utilizan conceptos que durante la década de los sesenta serán recogidos por los grupos utópicos como Archigram y el GEAM o arquitectos como Cedric Price. A veces en lo secundario encontramos el germen de la recepción de las teorías y conceptos arquitectónicos.