bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ontological Representation of Business Processes in an Educational Institution
Authors: Bushchyk E. A. 
Published: October 2023

Management business processes of educational work in an institution of secondary special education, such as the planning of ideological, educational and information work, organization of curator’s work, organization and formation of culture of safe life activity, everyday life, leisure, physical culture and healthy lifestyle are considered. The business process model “Curator’s work management” in BPMN notation is presented. With the help of set theory, the output data of business process models of educational work are presented. The ontological model of educational work in an institution of secondary specialized education is developed. This model displays classes, instances, and relations between them, which allows structuring and unifying the knowledge base of the subject area under consideration.
OS RISCOS DO REMANEJAMENTO DA EQUIPE DE ENFERMAGEM PARA SANAR AUSENCIA DIÁRIA NA ESCALA DA UNIDADE DE TERAPIA INTENSIVA (UTI)
Authors: Araújo Ana Paula Alfaia dos Santos , Vieira Célia Bento Tênis , Ramos Eldya Flávia 
Published: October 2023

As Unidades de Terapia Intensiva (UTI) surgiram da necessidade de atender, de maneira diferenciada e intensiva, o paciente crítico. Essa especificidade do cuidado exige de seus trabalhadores altos padrões de conhecimento técnico e científico, além de diversas outras competências para o trabalho em equipe. Nesse cenário, para atingir a excelência na qualidade do cuidado, otimizar os recursos existentes em Unidade de Terapia Intensiva (UTI) e alocar uma equipe qualificada para assistência são quesitos fundamentais pois demandam elevados gastos institucionais com recursos físicos, tecnológicos e humanos para oferecerem assistência adequada e segura.
Para se alcançar a qualidade na assistência prestada na UTI é de suma importância considerar que o número de trabalhadores de enfermagem e sua qualificação por categoria profissional devem ser previstos pelo enfermeiro coordenador, por meio da metodologia do dimensionamento de pessoal de enfermagem, respeitando-se minimamente o preconizado pelo Ministério da Saúde através da Agência Nacional de Vigilância Sanitária (ANVISA), assim como o Conselho Federal de Enfermagem (COFEN), e tal definição consiste em um instrumento gerencial para o planejamento de uma assistência de qualidade, em razão de auxiliar na adequação do quadro de pessoal às necessidades da clientela e às características do Serviço de Enfermagem da instituição.
A American Nurses Association (ANA) conceitua Qualidade no Cuidado de Enfermagem como “os procedimentos de Enfermagem possíveis, sem erros, que atendam o paciente da forma mais apropriada possível, seguindo princípios éticos, visando o equilíbrio e garantindo a satisfação do cliente e da família”. (VIEIRA, 2010)
A qualidade do cuidado não está garantida somente pela qualificação de seus profissionais, mas também pela quantificação desses para o desenvolvimento das atividades legalmente previstas. Portanto, um quantitativo adequado de profissionais que tenha como diretriz as demandas de cuidados dos pacientes é premissa indispensável ao cuidado de qualidade, uma vez que favorece um ambiente saudável, devido à redução da sobrecarga de trabalho e, consequentemente, oferece menor risco à clientela (ANDOLHE; PADILHA, 2012).
Nas instituições hospitalares, o serviço de enfermagem representa papel fundamental no processo assistencial. Logo o dimensionamento de pessoal de enfermagem é definido como um processo sistemático, que fundamenta o planejamento e a avaliação do quantitativo e qualitativo de profissionais, necessário para prover a assistência, de acordo com a singularidade dos serviços de saúde, que garantam a segurança dos usuários e dos trabalhadores (FUGULIN, 2010).
IN VIVO STUDY THE ACTION OF HYPOXIC CONDITIONS ON THE PROLIFERATIVE POTENTIAL OF LIVER CANCER CELLS
Authors: Кечерюкова Тахмина Мажитовна , Шульга Анна Александровна , Гончарова Анна Сергеевна 
Published: October 2023

Гипоксия играет важную роль во многих биологических процессах, включая пролиферацию клеток. В этом исследовании были определены уровни экспрессии маркера пролиферации Ki-67 в тканях опухоли печени с гипоксическими условиями и без гипоксии.
Hypoxia play critical roles in various biological processes, icluding cell proliferation. This study expression of the proliferation marker Ki-67 was measured in liver tumor tissues with hypoxic conditions and without hypoxia.
« La file d’attente, ça fait un peu déprimer »
Authors: Mizzi Alban 
Published: October 2023

S’appuyant sur le suivi qualitatif de 34 lycéens en cours d’affectation sur Parcoursup, cet article propose une lecture de ce dispositif en tant qu’épreuve, défi standardisé. En France, les difficultés relatives à l’orientation des bacheliers vers l’enseignement supérieur aboutirent en 2018 à la réforme sur l’orientation et la réussite des étudiants dans laquelle s’inscrit Parcoursup. Si le dispositif antérieur « admission post-bac » apparaissait injuste du fait du tirage au sort pratiqué dans certaines universités, Parcoursup peine à répondre à ces enjeux de justice à cause de son opacité. Plus encore, du fait de l’absence de hiérarchisation des vœux par le candidat, la procédure les plonge dans des horizons temporels moins bornés et plus diffus via des listes d’attente, dont les difficultés sont différemment appréhendées d’un individu à un autre.
Socialisations des apprenti·e·s à l’entrée sur le marché du travail
Authors: Saccomanno Benjamin 
Published: October 2023

Comment l’entrée dans le monde du travail modifie-t-elle les perceptions de jeunes à propos d’eux-mêmes et de leur jeunesse ? Gérer un salaire et la fatigue, négocier l’équilibre des temps privés et professionnels, appréhender l’ordre hiérarchique sont quelques-uns des apprentissages au cœur des socialisations professionnelles étudiées. La population d’étude est composée d’apprenti·e·s d’origines populaires, en CAP et baccalauréat professionnel (mécanique, commerce et soins du corps). L’article s’arrête notamment sur les apprentissages tirés du nouveau quotidien induit par l’occupation régulière et continue d’un emploi, de la gestion de la paie aux façons de composer avec les rapports sociaux au travail. Les positions subalternes occupées offrent un point de vue privilégié sur l’expérience de la conformité au travail chez des jeunes dont les récits restituent les effets de leur mise au travail sur leur parcours.
Diagnostic Competence of Creatine Kinase BB, in Mild Traumatic Brain Injury and Its Prognostic Value
Authors: Forouzan Arash , Fahimi Mohammad Ali , Iran Bastan Amir Sadegh , Delirrooyfard Ali 
Published: October 2023

Background:
Due to the very high and increasing prevalence, essential complications, and risk factors for psychiatric disorders, it is necessary to introduce screening tests for diagnosing and predicting mild traumatic brain injury (mTBI) prognosis.

Materials and Methods:
After completing the consent form and recording information and examination findings of patients with mild trauma, venous blood samples were taken from these patients. The samples were measured by observing the cold chain. After 3 months from mTBI, the post concussion symptoms questionnaire (PCSQ) and the short form 36 (SF-36) questionnaire for physical and mental evaluations were performed. Statistical tests analyzed the relationship between different variables and serum Creatine kinase BB (CKBB) levels.

Results:
Statistic analyses showed no relation between CKBB level of serum and age, gender, level of consciousness, PCSQ, and SF 36 scale, and the interval between trauma and arrival to the hospital. Further, there is a significant correlation between CK-BB levels and intracranial damage based on Fisher's exact test.

Conclusion:
This study and following more significant considerations can introduce a serum-based biomarker panel that can accurately differentiate patients with complicated mTBI from those with uncomplicated.
Bone Densitometry and Fat Index after Sleeve and Subsleeve Gastrectomy in Animal Model
Authors: Khazraei Hajar , Hosseini Seyed Vahid , Amini Masood , Amirzadeh Saeed , Dehghanian Amirreza , Sobhani Zahra , Kasraei Hengameh 
Published: October 2023

Background:
Previous studies have reported that gastrectomy and fundectomy can induce osteopenia. Body fat index is a new index of obesity that shows central obesity and other risks of obesity. Sleeve gastrectomy (SG) is a bariatric surgery and a new technique introduced as subsleeve, which only resected fundus of the stomach. In this study, it has been shown the effect of subsleeve and SG on fat index and bone densitometry in an animal model.

Materials and Methods:
Rabbits were underlined SG, fundectomy (surgical removal of fundus), or sham-operated (controls without any resection), and after 12 weeks, fat index and bone densitometry were obtained.

Results:
Our study showed that there was no significant difference between SG and fundectomy groups in bone mass density and fat mass after surgery in comparison with presurgery condition. SG group were associated with lower fat index and bone density, and it showed significantly decrease in weight after 1.5 months.

Conclusion:
Sub-SG did not show any significant effect on fat index and bone densitometry in comparison with SG. However, we found lower fat index in sleeve group of rabbits, but it was not statistically significant.
Comparative Study of Demographic and Toxico-Clinical Factors of Patients with Acute Poisoning Admitted to General Intensive Care Unit Versus Specific Intensive Care Unit for Poisoning Cases
Authors: Nemati Koroush , Mirzaee Nahid , Babak Anahita , Eizadi-Mood Nastaran 
Published: October 2023

Background:
There is no dedicated specific intensive care unit (ICU) for poisoning cases due to the small number of poisoned patients in some poisoning centers and patients may hospitalized in the general ICU. In this study, we compared the outcome of hospitalization in poisoning and general ICU, in matched patients to demographical and toxico-clinical factors.

Materials and Methods:
This historical cohort study was conducted from September 2020 to January 2022 in the general and poisoning ICUs of Khorshid Hospital affiliated to the University of Medical Sciences, Isfahan, Iran. Patient characteristics, clinical, and toxicological information as well as the therapeutic measures and outcome were collected from hospital medical records and analyzed.

Results:
Totally, 178 (60.1% male and 39.9% female) patients met inclusion criteria. Medicines (56.2%) and opioids (25.3%) followed by pesticides (14%) were the most common substances. Suicide was the type of exposure in 78.7% of the cases. Most patients suffered from lung (19.1%) and kidney (15.2%) injuries. The mortality rate was 23.6%. The median length of hospital stay (P-value < 0.001) and duration of ventilator usage was higher (P-value < 0.001) in general ICU compared to specific ICU for poisoning cases. No significant difference with respect to demographic, toxico-clinical variables and mortality rate was found between the two groups.

Conclusion:
Among poisoned patients admitted to ICU, reported mortality rate was relatively high. Patients who hospitalized in the specific ICU for poisoning cases have lower length of hospital stay and duration of mechanical ventilation compared to general ICU.
Evaluation of the Incidence of the Esophagogastric Pre-Cancerous Mucosal Lesions after Bariatric Surgery
Authors: Keleidari Behrooz , Melali Hamid , Mahmoudieh Dehkordi Mohsen , Sayadi Masoud , Allahbakhshian Farsani Fatemeh , Fakhrolmobasheri Mohammad , Mostafavi Mahmood 
Published: October 2023

Background:
Bariatric surgery is associated with significant risk reduction for obesity-related and hormone-mediated cancers; however, few studies report gastric or esophageal cancer development after bariatric surgery. This study evaluates the incidence of pre-cancerous mucosal lesions one year after bariatric surgery.

Materials and Methods:
Eligible patients for omega-loop gastric bypass and classic Roux-en-Y gastric bypass (RYGB) underwent upper endoscopy before bariatric surgery and one year after the procedure. Several biopsies were obtained from esophagogastric mucosa, all of which were evaluated by pathologists regarding the development of any pre-cancerous lesion.

Results:
A total of 108 patients were included in the study. Seventy-one underwent omega bypass and 37 classic RYGB. Follow-up endoscopy indicated no dysplastic changes in esophagogastric mucosa one year after the surgery. The number of patients with gastric intestinal metaplasia was 22 and 25 before and after the surgery, respectively, which was not a statistically significant increase.

Conclusion:
Bariatric surgeries might not increase the risk of developing pre-cancerous lesions in the esophagogastric mucosa. Further epidemiological studies may help to establish this finding.
A Comparative Study of the Effect of Anesthesia Induction with the Use of Four Drug Combinations Including “Propofol,” “Etomidate-Propofol,” “Thiopental,” and “Midazolam-Thiopental” on Hemodynamic Changes during the Insertion of Laryngeal Mask in Eye Surgery
Authors: Shetabi Hamidreza , Montazeri Kamran , Ghoodjani Yalda 
Published: October 2023

Background:
This study aimed to compare the efficacies of four anesthetic induction drugs (thiopental, propofol, midazolam-thiopental, and etomidate-propofol) on cardiovascular response during laryngeal mask airway (LMA) placement in eye surgery.

Materials and Methods:
The present clinical trial study included 128 patients who were candidates for ophthalmic surgery in four groups. Patients in the first group were given a combination of midazolam (0.04 mg/kg) with thiopental (2.5 mg/kg) (Group T + M). We administered propofol alone (2.5 mg/kg) to patients in the second group (Group P). The third group received a combination of etomidate (0.1 mg/kg) with propofol (1 mg/kg) (ET + P group) and patients in the fourth group received thiopental drug (5 mg/kg) alone (Group T). Then, the stability of patients' hemodynamic parameters before anesthesia was evaluated and compared immediately after anesthesia, 1, 3, and 5 min after LMA placement.

Results:
There was no significant difference between the four groups in changes in oxygen saturation level (P > 0.05). Furthermore, the difference between decreased systolic blood pressure and diastolic blood pressure over time was not significant in 5 min in both Groups T + M and T (P > 0.05). In addition, the stability of these two groups was higher than the other two groups (P < 0.05) and the most unstable group was Group P. The changes pulse ratein the P group were significant (P < 0.05).

Conclusion:
According to the results of the current study, thiopental and Midazolam can be used as an effective induction compound to facilitate LMA insertion with higher hemodynamic stability compared to propofol alone, propofol and etomidate, and thiopental alone.
The Effect of Shock Wave Therapy on Improving the Symptoms and Function of Patients with Dupuytren's Contracture
Authors: Taheri Parisa , Salek Najmeh , Mousavi Maryam , Maghroori Razieh 
Published: October 2023

Introduction:
We aimed to evaluate the effect of shock wave therapy on the improvement of symptoms and function of patients with Dupuytren's contracture.

Materials and Methods:
This research is a pre-post intervention study, conducted among patients referred to the physical medicine clinics of Isfahan during 2019–2020. In this study, subjects experienced shock wave therapy for 6 sessions, each in a week, and improvement of symptoms and function were assessed and compared after the period of study and follow-up (before treatment, 6 weeks after treatment, and 14 weeks after treatment). The pain visual analog scale and disabilities of the arm shoulder and hand questionnaire were completed for all patients at the mentioned time, and the finger contraction angle was also measured by a goniometer over these intervals.

Results:
Twenty patients, 11 (55%) men and 9 (45%) women participated in the study. The mean and standard deviation of their age was 66.6 ± 7.11 years. The trend of pain severity of patients was continuously and significantly decreasing up to 14 weeks, which implies the effectiveness of the intervention (P < 0.05). Moreover, the patients’ functional status improved due to the continuation of the intervention, and its trend was decreasing up to 14 weeks (P < 0.05). As for the contraction angle, there was a continuous and significant decreasing trend until week 14, and the intervention was also effective on the contraction angle (P < 0.05).

Conclusion:
It can be concluded that shock wave therapy can be effective in improving the symptoms and function of patients with Dupuytren's Contracture.
Comparison of Ultrasound and Tumor Marker CA125 in Diagnosis of Adnexal Mass Malignancies
Authors: Behnamfar Fariba , Esmaeilian Fatemeh , Adibi Atoosa , Rouholamin Safoura 
Published: October 2023

Background:
CA125 is the most used tumor marker for ovarian cancer monitoring and diagnosis. This study aimed to evaluate the capacity to predict malignancy in women with adnexal tumors using CA125 measurement and ultrasound criteria before the pathological examination.

Materials and Methods:
This observational diagnostic study was conducted on 300 patients with obvious diagnosis of adnexal mass consists of ovarian masses, fallopian tubes, and masses within the broad ligament referring to Alzahra and Beheshti Hospitals from 2018 to 2019. Ultrasound examinations were done before surgery and malignancy risk was investigated by the ADNEX criterion. Sensitivity, specificity, positive and negative likelihood ratio (likelihood ratio [LR]+ and LR−), and area under the curve (AUC) were calculated.

Results:
From 284 patients, 260 masses were categorized in benign, 18 were in borderline, and 18 masses were malignant. The mean age of patients with malignant tumors was significantly higher than the others (P = 0.01). Differences in the level of CA-125 were not statistically significant (P = 0.78). Furthermore, the proportion of ascites in the malignant group (16.3%) was significantly higher than the others (P = 0.003). The AUC in ADNEX model (cutoff ≥9%) for differentiation of benign and malignant tumors was 0.75 (95% confidence interval [CI]: 0.69–0.80) with a sensitivity of 0.63 (95% CI: 0.41–0.81) and a specificity of 0.80 (95% CI: 0.74–0.84). Receiver operating characteristic analysis for CA-125 revealed that this variable is not capable for discrimination between benign and malignant tumors as the AUCs of the aforementioned variable were 0.60, 0.60, and 0.52 for the whole patients, premenopause, and postmenopause categories.

Conclusion:
CA-125 marker, along with other ultrasound findings, can be more accurate in identifying the malignancy of the adnexa tumor.
Evaluation of Bowel Management Program on Quality of Life in Children with Fecal Incontinence
Authors: Shahba Zohreh , Ahmadi Bahareh , Haji Bandeh Saeedg , Hosseinpour Mehrdad 
Published: October 2023

Background:
Fecal incontinence (FI) is a common disorder that affects the psychological, social, and mental aspects in children. It was showed that the quality of life (QoL) in children with FI was in low level. Bowel management program (BMP) is one of the most effective and low-cost therapies in selected children with FI, but it has also significant effects on mental functions. This study was conducted to evaluate the impact of BMP on the QoL of children with FI.

Materials and Methods:
In a case series study, we prospectively included all school-age children suffering from FI who had visited in colorectal follow-up center of Isfahan University of Medical Sciences. Patient eligibility included children with FI between 8 and 12 years who were candidate of BMP. The QoL was assessed by Persian version of pediatric QoL (PedsQL) 4.0.

Results:
In this study, 24 children with FI were studied. Our results showed that total QoL score is significantly different after BMP. The mean score of physical performance before and after BMP was significantly different (P = 0.02). In terms of emotional performance, the mean score of this dimension before and after starting of BMP was significantly different (P = 0.06). In terms of social performance, the mean score of this dimension before and after starting of BMP was significantly different (P = 0.008).

Conclusion:
BMP is a low-cost and affordable treatment that can have a significant impact on improving the QoL of the child by improving intestinal function.
Pie-Crusting Technique of Medial Collateral Ligament for Total Knee Arthroplasty in Varus Deformity: A Systematic Review
Authors: Motififard Mehdi , Ravanbod Hadi , Rahmati Rashed , Saleki Mohammad 
Published: October 2023

Background:
We aimed to better understand the outcomes/complications of pie-crusting technique using blade knife during total knee arthroplasty (TKA) in patients with knee genu varum deformity.

Materials and Methods:
A systematic search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. English and Persian language articles were considered on the use of pie-crusting technique during TKA in patients with knee genu varum/varus deformity using related keywords and Medical Subject Headings terms with reported postoperative complications and outcomes.

Results:
Primary search resulted in 81 studies of them 9 included in our study (ages ranged: 19 years to 62 years). No perioperative complications and/or any significant differences between pie-crusting and control group were observed. Except for two studies that found no significant positive effect for the use of pie-crusting, other studies found pie-crusting a useful and promising technique. Four studies found significant improvement in pie-crusting group compared to control in terms of functional Knee Society Score (KSS), range of motion (ROM), medial gap, and the knee-specific KKS. Three records found no significant differences in terms of functional KSS, ROM; however, they reported fewer use of constrained inserts or a reasonable correction of femoral tibial angle. No serious complications were reported.

Conclusions:
Due to the inconsistency of the results on the efficiency and outcomes of pie-crusting, we cannot make a firm conclusion and more high-quality studies are needed in this regard. However, this method can be considered as a safe method which depends on the skill of surgeon.