bluuebunny/crossref_metadata_2025_split huggingface dataset:
Atypical Mycobacterial Infections of the Spine: Evaluation and Management
Authors: Wessell Nolan M. , Krieg Brandi , Damioli Laura , Kleck Christopher J. 
Published: January 2024

Background:
Atypical mycobacterial infections of the spine can be difficult to treat and represent a subset of the vertebral osteomyelitis and diskitis spectrum often requiring early and aggressive surgical intervention. The purpose of this review is to improve the understanding of and approach to disease management from the perspective of the spine surgeon.

Materials and Methods:
Debridement or excision of the affected levels may be necessary to decrease mycobacterial loads and restore biomechanics. A close relationship with the patient's internal medicine and infectious disease specialists should be maintained to ensure disease eradication or remission. Long-term suppressive antibiotic therapy may be required for infection control.

Results and Conclusion:

Atypical mycobacterial spine infections are rare, complex, and difficult to eradicate. Our institution proposes a collaborative effort among the spine surgeon, infectious disease specialists, and internal medicine specialists to best approach the work-up, diagnosis, and treatment of these infections. [
Orthopedics
. 2024;47(2):e61–e66.]
Quality of Life Among Older Adults With Frailty: A Structural Equation Modeling
Authors: Lan Xiuyan , Yi Bilan , Wang Zijuan 
Published: January 2024

Purpose:
Frailty is a complex age-related clinical condition among older adults. Quality of life (QOL) among older adults with frailty is an important topic of interest. The current cross-sectional study aimed to develop a structural equation model to identify factors affecting QOL.

Method:
A total of 180 older adults with frailty were recruited from general units in two hospitals in Fuzhou, China. Data were collected using the World Health Organization Quality of Life Brief Version, Pittsburgh Sleep Quality Index, Geriatric Depression Scale-15, and Simplified Coping Style Questionnaire. Structural equation modeling was used to analyze data.

Results:
The final model exhibited a good fit. Poor sleep quality was associated with depression, passive coping style, and poor QOL. Depression was also associated with poor QOL. Passive coping style was associated with better QOL.

Conclusion:

This study demonstrated that sleep quality has direct and indirect effects on QOL of older adults with frailty through depression and passive coping style. Recommendations are that care providers pay attention to biological and physiological variables, symptom status, and functional status of older adults with frailty. This study also provides a theoretical basis for developing interventions that may lead to improvements in QOL among older adults with frailty. [
Journal of Psychosocial Nursing and Mental Health Services, 62
(5), 49–55.]
Reliability and Validity of the Minimum Data Set 3.0 Standardized Self-Care and Mobility Data Elements Among Long-Stay Nursing Home Residents
Authors: Marino Molly , Deutsch Anne , Kline Tracy , Smith Alice , Li Qinghua , Beizer Jenny , McMullen Tara 
Published: January 2024

Purpose:
To assess the reliability and validity of a subset of the Minimum Data Set (MDS) 3.0 Section GG data elements (i.e., standardized self-care, mobility) among 147 long-stay nursing home residents in seven nursing homes in five states.

Method:
Trained clinicians assessed residents' functional abilities using select Section GG items and Section G activities of daily living items. We examined the reliability and construct validity of the data using Cronbach's alpha, correlations between Section G and Section GG items, confirmatory factor analysis (CFA), and Rasch measurement analysis.

Results:
We observed acceptable internal consistency values for all (0.98), self-care (0.93), and mobility (0.98) standardized items. Correlations between conceptually related Section G and Section GG items ranged from −0.53 to −0.84. CFA findings found acceptable values for all fit indices. Rasch analysis showed most items had acceptable fit statistics, except for the easiest and most difficult activities.

Conclusion:

These findings establish the feasibility of data collection, internal consistency reliability, and construct validity of the selected Section GG items among long-stay nursing home residents. Use of the same standardized data elements in post-acute and long-term care populations can support improved coding of function and enhance our understanding of resident functioning. [
Research in Gerontological Nursing, 17
(2), 57–64.]
Effects of Multicomponent Exercise on Community-Dwelling Older Adults With Mild Cognitive Impairment
Authors: Zhang Jun , Yang Chao , Pan Yujie , Wang Li 
Published: January 2024

Purpose:
To explore the effects of a group-based multicomponent exercise program on general cognitive functioning, depression, and social functioning in community-dwelling older adults with mild cognitive impairment (MCI) and whether the effects can be maintained.

Method:
Fifty older adults with MCI were conveniently recruited from two communities in the study area and randomly assigned to the intervention group or control group. The intervention group received three sessions of 60-minute, multicomponent exercise per week for 3 months, plus MCI-related health education. The control group only received MCI-related health education. Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment Beijing Version (MoCA-BJ) were used to assess general cognitive function. The Functional Activities Questionnaire (FAQ) and Geriatric Depression Scale (GDS-30) were used to evaluate participants' social function and depression, respectively. Participants' exercise intensity was assessed using the Category Ratio Scale.

Results:

After the 3-month intervention, there were significant improvements in general cognitive function (
p
= 0.046), attention (
p
= 0.009), delayed recall (
p
= 0.015), and social function (
p
= 0.011) in the intervention group compared with the control group. However, after 3-month postintervention follow up, no significant differences in MMSE, MoCA-BJ, GDS-30, and FAQ scores were noted between groups.

Conclusion:

The 3-month multicomponent exercise program improved general cognitive function and social functioning in community-dwelling older adults with MCI. However, there was no evidence that these benefits lasted for another 3 months after stopping the exercise program. [
Research in Gerontological Nursing, 17
(2), 65–79.]
La Vie de Napoléon ou le projet éditorial d’un livre-monstre
Authors: Spengler Hélène 
Published: January 2024

L’enjeu de cette contribution est de situer Stendhal dans le moment 1815-1821, d’abord comme lecteur critique des imprimés (essais, libelles et périodiques) contemporains puis comme un auteur en quête d’éditeur pour un projet « monstr[ueux] », osant prendre le contrepied de la légende noire de Buonaparte. De fait, une mise au net reliée de cette impubliable Vie de Napoléon a circulé dans les cercles libéraux de Milan à partir de 1818, portant les avis et annotations de différents relecteurs, jusqu’à l’expulsion brutale d’H. Beyle, alias Stendhal, hors d’Italie en 1821. L’étude précise les étapes et les impasses de ce projet éditorial mort-né, certes, mais à plusieurs égards exemplaire.
Armance, chronique de 1825
Authors: Uchida Yoshitaka 
Published: January 2024

Armance est un roman qui a été écrit « au jour le jour ». On part du présupposé que les événements auxquels la diégèse fait référence fournissent des informations concrètes sur la chronologie de rédaction du roman. On examine ainsi le projet de loi relatif à l’indemnité aux émigrés discuté à la Chambre des députés en février et mars 1825 et ses échos dans le roman, pour en tirer l’hypothèse que les chapitres 1 et 2 ont été ébauchés en 1825, soit plus tôt qu’on ne le dit habituellement.
La Milano di Stendhal
Authors: Levati Stefano 
Published: January 2024

Entre 1797 et 1814 Milan devint la capitale d’un État « supra-régional », avec des frontières toujours plus larges qui, au moment où elles étaient les plus amples, allaient de Novara à Udine et de Trento à Ancona. Ce nouveau statut de ville capitale attira un grand nombre d’intellectuels et d’artistes et donna lieu à un extraordinaire processus de modernisation culturelle et urbanistique dont Stendhal fut le témoin curieux et attentif.
L’« enfant impressionnable » et l’homme de lettres à succès
Authors: Colombo Angelo 
Published: January 2024

L’article vise à mettre en valeur le regard porté par Stendhal sur l’œuvre de Vincenzo Monti et le renom de ce dernier au sein de la société littéraire de Milan, depuis le Royaume d’Italie installé par Bonaparte jusqu’à la restauration du pouvoir politique de l’empire d’Autriche dans le royaume lombard-vénitien. En effet, l’analyse de quelques textes témoignant des réactions de Stendhal vis-à-vis de Monti montre clairement que les appréciations du romancier grenoblois donnent naissance à une sorte de portrait romantique du vieux chantre d’Homère : cela montre que Monti, le poète néoclassique majeur de la Péninsule, n’hésite pas à quitter la tradition pour se rapprocher de la nouvelle littérature européenne dans les dernières années de sa carrière.
À la recherche d’une identité
Authors: Didier Béatrice 
Published: January 2024

Dans cette recherche d’un « moi » que nulle tentative d’approche ne parvient à cerner complètement, Stendhal attribue à la Scala un rôle fondamental. Qu’il y ait une part de fiction dans cette présence de la Scala ne prouve que davantage l’importance capitale qu’il donne à la ville-moi, et dans cette ville à un lieu consacré à la musique, point défini fixant l’errance de qui se cherche une identité. C’est de cette élection de la Scala identitaire que l’on voudrait montrer les étapes successives : premières lettres à Pauline, retour à Milan en 1811, écrits sur la musique, enfin autobiographie et roman. Le nom de la Scala est le fanal lumineux qui guide l’écrivain s’aventurant dans les zones les plus secrètes de son être.
Le rouge et le blanc : la réception de Stendhal en Chine
Authors: Wang Siyang 
Published: January 2024

La réception de Stendhal en Chine est étroitement liée au contexte social et politique de la société chinoise, c’est pourquoi Le Rouge et le Noir, roman le plus « rouge » de l’écrivain, attire constamment le plus d’attention, tandis que les autres œuvres sont relativement négligées. Cet article tente d’étudier les liens que les mouvements politiques et littéraires chinois successifs ont entretenus avec l’œuvre de Stendhal pour comprendre le rôle des facteurs idéologiques dans la construction de sa réception dans ce nouvel espace culturel.
Les traductions chinoises du Rouge et le Noir : un débat animé
Authors: Cheng Xiaomu 
Published: January 2024

Le Rouge et le Noir est le roman français le plus souvent traduit en chinois. Ces nombreuses traductions sont étroitement liées aux circonstances politiques et idéologiques propres à la société chinoise tout au long du xxe siècle. Dans les années 1990, la sortie de plusieurs nouvelles traductions du roman fit éclater un grand débat sans précédent sur les critères à retenir pour juger de la qualité d’une traduction littéraire. Transformation ou dépaysement ? Nouvelle création ou équivalence ? Nous essayons de restituer ce débat animé en comparant deux traductions célèbres, celles de Xu Yuanchong et de Hao Yun.
Légende de la ville des esclaves : une adaptation théâtrale du Coffre et le Revenant dans la Chine de 1944
Authors: Kong Qian 
Published: January 2024

La réception de Stendhal en Chine dans les années 1940 se comprend dans le contexte de la lutte patriotique contre les envahisseurs japonais. La Légende de la ville des esclaves [Nucheng chuanqi], adaptation théâtrale de la nouvelle de Stendhal Le Coffre et le Revenant, est ainsi conçue et mise en scène afin d’encourager le peuple chinois dans sa lutte. C’est, en fait, bien que le schéma narratif d’ensemble soit conservé, une véritable réécriture.
L’opéra rock français Le Rouge et le Noir en tournée en Chine
Authors: Wang Siyang 
Published: January 2024

À l’automne 2019, la comédie musicale Le Rouge et le Noir a réuni près de 70 000 spectateurs sur un total de 46 représentations dans cinq grandes villes chinoises. Le succès de la tournée fait la preuve de la popularité du spectacle dans un pays passionné par l’auteur du Rouge et le Noir et les comédies musicales à la française.
Occurrence of K1 and K2 serotypes and genotypic characteristics of extended spectrum β-lactamases-producing Klebsiella pneumoniae isolated from selected hospitals in Malaysia
Authors: Anuar Nurul Syazrah , Hazman Hazmin , Jeyakumar Sharven Raj , Desa Mohd Nasir Mohd , Saidi Hasni Idayu , Masri Siti Norbaya , Aziz Nur Afiza , Sulaiman Nurshahira 
Published: January 2024

Objective:
To determine the distribution, phenotypic and genetic background of extended spectrum β-lactamases (ESBL)-producing Klebsiella (K.) pneumoniae clinical isolates associated with K1 and K2 serotypes in two selected hospitals in Malaysia.

Methods:
A total of 192 K. pneumoniae isolates were collected and subjected to antibiotic susceptibility, hypermucoviscosity test and multiplex PCR to detect the presence of K1- and K2- serotype associated genes. Multilocus sequence typing (MLST) was performed on ESBL-producing K. pneumoniae isolates presented with K1 and K2 serotypes, followed by phylogenetic analysis.

Results:
A total of 87 out of 192 (45.3%) of the K. pneumoniae isolates collected were ESBL producers. However, only 8.3% (16/192) and 10.9% (21/192) of the total isolates were detected to carry K1- and K2-serotype associated genes, respectively. Statistical analysis showed that K1 and K2 capsular serotypes were not significantly associated with ESBL phenotype (P=0.196). However, they were significantly associated with hypervirulent, as demonstrated by the positive string test (P<0.001). MLST analysis revealed that ST23 as the predominant sequence type (ST) in the K1 serotype, while the ST in the K2 serotype is more diverse.

Conclusions:
Although the occurrence of ESBL-producing isolates among the hypervirulent strains was low, their coexistence warrants the need for continuous surveillance. MLST showed that these isolates were genetically heterogeneous.
Informing policy makers in developing countries: Practices and limitations of geriatric home medication review in Malaysia-A qualitative inquiry
Authors: Sundus Ahlam , Sellappans Renukha , Pin Tan Maw 
Published: January 2024

Objective:
To explore existing practices and challenges in the delivery of geriatric home medication review (HMR). The study was part of a larger study aimed to offer solution to expand the range of geriatric HMR.

Methods:
This study employed qualitative exploratory design through semi-structured individual in-depth interviews with the public pharmacists involved in the delivery of geriatric HMR at public hospitals. The purpose of the interviews was to explore challenges faced by them in the delivery of geriatric HMR.

Results:
Based on the emerging themes from the qualitative data, the study reveals that geriatric HMR in Malaysia is integrated as part of multidisciplinary home care visits, encompassing a diverse patient population with various healthcare needs. However, it faces challenges such as the lack of outcome monitoring, formal training, and workforce constraints. Despite these hurdles, there is a pressing need for the expansion of this service to better serve the community, and collaboration with community pharmacists holds potential to broaden its scope. Ultimately, the findings suggest that pharmacist- led HMR is both warranted and feasible within the Malaysian healthcare context. In order to optimize medicine-use among older people living in the community, approaches for expanding geriatric HMR services in Malaysia must be developed.

Conclusions:
This study holds profound implications as it attempts to illuminate policy makers in developing countries, enabling them to formulate effective HMR plans. By considering the challenges highlighted within this research, policy makers can design a comprehensive HMR service that caters adeptly to the healthcare needs of the mass population.
Magnitude and Predictors of Post-cesarean Surgical Site Infection in Enugu, Southeast Nigeria
Authors: Nnagbo Johnpaul E. , Ugwu George O. , Matthew Eze I. , Obi Samuel N. , Agu Polycarp U. , Nnagbo Chinonso L. , Ugwu Emmanuel O. , Nwagha Ifeanyi U. 
Published: January 2024

Abstract

Context:
Post-cesarean surgical site infection (SSI) is one of the leading causes of maternal morbidity and mortality. It is speculated that there is an increasing incidence of post-cesarean SSI above that reported value a decade ago, especially as the cesarean section (CS) rate and concern for antibiotics resistance increase in Nigeria.

Aim:
To determine the incidence and predictors of post-cesarean SSI at the University of Nigeria Teaching Hospital (UNTH) Ituku/Ozalla and Enugu State University of Science and Technology Teaching Hospital (ESUT-TH) Parklane, Enugu.

Settings and Design:
Prospective cohort study comprising 160 consenting pregnant women who consented to have a CS at the UNTH and ESUT-TH.

Material and Methods:
Eligible patients who consented to elective and emergency CS were included, but those with clinical chorioamnionitis were excluded. Surgery was performed by senior resident phsiciansandconsultantsin OBGYN using similar surgical and postoperative protocols. Participants were followed up until 30 days postdelivery to identify those who developed SSI.

Statistical Analysis:
Statistical analysis was performed using IBM SPSS software version 20.0 (Armonk, NY). The Chi-square test was used to test the association between qualitative variables, while logistic regression was used to determine the predictors of postoperative SSI. The significance level was established at P < 0.05.

Result:
The incidence of post-cesarean SSI in this study was 13.7%. Maternal booking body mass index ≥30 and postoperative hemoglobin <11.0 g/dl were predictors of post-cesarean SSI. Of the 22 cases of SSI, superficial, deep, and organ/space SSI contributed 63.6%, 31.8%, and 4.6%, respectively.

Conclusions:
Post-cesarean SSI is high in the study centers and is predictable by maternal obesity at booking and postoperative anemia.
THE WEST? WHICH WEST? Reflections About the West From the Perspective of Hispanidad
Authors: Fernández Calzada Miriam 
Published: January 2024

If we look at the history of mankind as a whole, we can see how the different human groups or peoples have tended to group together under the roof of great civilizations or socio-cultural supersystems. These supersystems determine the movement in the socio-cultural ocean of all the other countries or peoples that make them up. One of the basic pillars on which each of these socio-cultural systems or civilizations rests, as Russian scientist Nikolay Danilevski established long ago, is determined by religion, which to a great extent conditions the worldview of that civilization and its energy. The supersystem that constitutes today’s West has an Anglo-Saxon-Protestant root base, a West that has, however, undergone a pathological overdevelopment that is blocking and preventing the development of other forms of civilization.However, the first version of the West was not the Anglo-Saxon-Protestant, but the Hispano-Catholic one. The article seeks to reflect on the possibility of returning to this first version of the West, perhaps more inclusive and open to the simultaneous presence of alternative supersystems as opposed to the imposing and annihilating character of the Anglo-Saxon West. The result of this first notion of the West is what we can call «Hispanidad». Given the diffuse nature of this concept, a review of some of the definitions given by Spanish-speaking thinkers at different times is proposed, with the aim of pointing out possible ways of developing an updated version of this idea.
Looking for the i in CLIL: A literature review on the implementation of dual focus in both subject and language classrooms
Authors: Martens Liesbeth , Mettewie Laurence , Elen Jan 
Published: January 2024

In the acronym CLIL, the “i” refers to the integration of both content and language objectives, also referred to as “dual focus”. In order to realise this dual focus at least three aspects need consideration: agreeing on the meaning of dual focus, making explicit how teachers can collaborate to achieve it in their classes, and examining what content and language can be covered to enact dual focus (Halbach, 2014). Contrary to the unquestioned role of language as the vehicle for content learning, the role of language teachers and their collaboration with the subject teacher remain vague. Therefore, a systematic literature study, based on 71 relevant studies, has been conducted to answer the research question: What does dual focus in a CLIL context entail? More specifically, the following aspects have been examined: (1) How has dual focus been defined in the literature?, (2) How can teacher collaboration, outside the classroom, strengthen the dual focus?, and (3) What does dual focus imply, inside the classroom, for curriculum and planning regarding language and content covered in CLIL subject and language courses?
The findings allow to better contextualise the concept of dual focus, by identifying two main clusters of parameters: (1) outside the classroom: collaboration between subject teachers and language teachers for planning, execution and evaluation of dual focus, (2) approaches to language and content to co-stimulate dual focus inside the classroom. We hope these results can provide CLIL researchers and practitioners with a clearer conceptual basis to frame dual approach in CLIL contexts.
ÍNDICE DE KATZ: UM ESTUDO BIBLIOMÉTRICO DA PRODUÇÃO EM ENFEMAGEM
Authors: BRITO KYONAYRA QUEZIA DUARTE , MORAIS GLEICYANNE FERREIRA DA CRUZ , FERRAZ SABRINA BARBOSA 
Published: January 2024

O índice de Katz (IK), é um dos instrumentos de avaliação de funcionalidade mais utilizado para avaliar o desempenho nas atividades da vida diária. Foi desenvolvido para realizar a avaliação em idosos e o prognóstico de doentes crônicos. Atualmente tem sido uma importante ferramenta para caracterizar a população idosa em estudos sobre os mais diversos temas. Esse estudo objetivou analisar a produção científica em enfermagem que adotou o IK como instrumento de avaliação de funcionalidade em idosos. Realizou-se como procedimento metodológico uma revisão bibliométrica da literatura no banco de dados BVS (Biblioteca Virtual em Saúde), entre os anos de 2018 a 2022. Para isso, utilizou-se o termo “índice de Katz” em língua portuguesa e os seguintes critérios de inclusão: texto completo, BDENF (biblioteca de enfermagem) e assunto principal, idoso. A princípio foram encontrados 18 artigos, mas após análise, cinco deles foram excluídos, totalizando uma amostra final de 13 artigos. Os artigos foram analisados conforme ano de publicação, tipo de estudo, palavras-chave e tema central. Os anos de maior produção foi 2018 (30,8%) e 2021 (30,8%). Estudo do tipo transversal representou 92,3% da amostra, seguido de um estudo de caso (7,7%). A abordagem quantitativa esteve presente em 92,3% dos artigos e a qualitativa em 7,7%. As palavras-chave mais frequentes foram: idoso, cuidadores, enfermagem e institucionalização. Os três temas principais que emergiram foi (1) Condição de saúde, (2) Funcionalidade e (3) Sobrecarga de cuidadores. Observamos uma preferência por estudos do tipo transversal e quantitativo, não houve uma frequência uniforme ao longo dos anos estudados. Os temas centrais apontam para uma diversidade de estudos que utilizaram o IK, tanto na avaliação do indivíduo como associando-o a sobrecarga dos cuidadores. Recomendamos estudos de corte longitudinal e qualitativo. Concluímos que o IK é um instrumento de avaliação importante na prática da enfermagem.