bluuebunny/crossref_metadata_2025_split huggingface dataset:
Expanding the functions of dental assistants in Bulgaria and perceptions about their role in the Bulgarian healhcare workforce
Authors: Ivanoff Chris S. , Andonov Bogomil , Hottel Timothy L. 
Published: May 2023

Aim: The study queries a sample of dentists and dental assistants in Bulgaria about their understanding and perceptions of Expanded Function Dental Auxiliaries (EFDA). The study considers whether expanding the skillset of dental assistants to function in specific scenarios without personal supervision by the dentist may be a viable strategy to address various oral health inequities in the country.
Materials and methods: An anonymous survey was conducted among 103 practicing dentists and 100 dental assistants throughout the country. The questionnaire consisted of 20 questions that probed respondents&rsquo; understanding about the duties performed by EFDAs and their potential to increase productivity and efficiency of the dental workforce. Sociological (poll) and statistical (alternative analysis) methods were used in the survey.
Results: The majority of respondents were female. Most worked in the larger cities. One worked in a village. Most were ethnic Bulgarians and none were Roma, reflecting the racial imbalance in the national workforce. Two-thirds (67%) believed that dental assistants with appropriate training are capable of doing expanded dental procedures without personal supervision by a dentist. The majority (83.7%) believed that EFDAs could improve efficiency of a dental practice, while 58.1% indicated that with appropriate training, they could perform expanded duties as well as the dentist. However, only one third believed that EFDAs could increase practice output (38.9%); enhance the quality of the dentist&rsquo;s work (37.4%); or decrease patient anxiety (31.5%). Though most respondents (78.3%) believed that a patient would not be receptive to an EFDA placing a restoration without personal supervision by the dentist, two thirds of respondents (66.5%) would like to see dental assistants trained to perform expanded duties otherwise reserved for dentists. Most respondents felt that EFDAs could help to build a well-functioning dental team.
Conclusions: Most respondents believed that EFDAs can benefit the efficiency of a practice, suggesting that Bulgarian dental professionals would respond favorably to enhancing the skillset of assistants with expanded functions. The study suggests they are skeptical about &ldquo;general&rdquo; versus &ldquo;personal&rdquo; supervision. EFDAs may potentially provide improved access by underserved communities, while building a more inclusive oral healthcare workforce reflective of the population.
Modified tension band wiring technique by safely inserting K-wires in olecranon fracture osteosynthesis
Authors: Fortis Athanasios P. , Dedes Vasileios , Vergados Nikolaos , Panoutsopoulos Georgios I. 
Published: May 2023

Aim: The present study presents the results of a modified tension band technique by surgically inserting K-wires to treat olecranon fractures.
Materials and methods: The modification includes inserting the K-wires from the olecranon&rsquo;s upper tip and directing them to the ulna&rsquo;s dorsal surface. Twelve patients (three males and nine females) from 35 to 87 years of age were operated for olecranon fracture. After the standard approach, the olecranon was reduced and fixed with two K-wires from the tip to the dorsal ulnar cortex. Then the standard tension band technique was carried out.
Results: The average operating time was 17.25&plusmn;3.08&nbsp;min. No image intensifier was used since the wires&rsquo; discharge was either visible, penetrating the dorsal cortex, or palpable through this area&rsquo;s skin. The time needed for the bone union was six weeks. In one female patient, the wires were cut out. This patient showed a satisfactory painless range of motion (ROM) of the elbow but did not achieve full ROM. However, this particular patient had a previous removal of the radial head, and she spent some time in the ICU intubated. The modified technique used here is as stable as the classic operation, and it is safe since there is no risk of injuring the nerves and vessels of the olecranon fossa. There is less or no need for an image intensifier.
Conclusion: The outcomes of the present study are entirely satisfactory. However, many patients and randomized studies are needed to establish this modified tension band wiring technique.
Des actions d’appui aux groupements de femmes dans la région de Poro (Côte d’Ivoire)
Authors: Touré Adama , Ballé Ségbé G.-R. , Traore Kassoum 
Published: May 2023

Cette étude a pour objectif d’analyser la contribution de l’assistance du Programme alimentaire mondial (PAM) qui a soutenu dix groupements agricoles de femmes dans la région du Poro, en vue de leur autonomisation progressive. Elle a mobilisé des données d’un échantillon de 371 femmes et sur la base d’entretiens avec les structures partenaires. Les résultats révèlent que l’assistance du PAM a favorisé la formalisation légale des dix groupements bénéficiaires. En outre, leur capacité agricole a été augmentée avec une meilleure dotation en matériels agricoles et une augmentation des superficies moyennes des cultures maraîchères. Tous les groupements ont désormais un compte bancaire. L’assistance du PAM a permis aux membres d’améliorer leur revenu en provenance des parcelles individuelles et d’acquérir la culture de l’épargne. Cela permet aux femmes de participer davantage aux dépenses des ménages, surtout sur les plans alimentaires et sanitaires. L’assistance aux groupements de femmes est une option alternative efficace pour la quête de leur autonomie et la sécurité alimentaire en milieu rural.
La politique de frontière(s) de l’Allemagne à la lumière de la crise de la COVID-19 : un partage de compétences complexe
Authors: Berrod Frédérique , Berrod Frédérique , Wassenberg Birte , Wassenberg Birte 
Published: May 2023

Il est intéressant d’examiner la répartition des compétences internes et externes de l’Allemagne fédérale en matière de politique de frontière(s) à travers la pandémie COVID-19. D’une part, il faut tenir compte des politiques sanitaires – principalement une compétence des Länder – et de leurs impacts sur les frontières internes. De l’autre, les politiques de frontières externes relèvent de la compétence du Bund et impactent ses relations avec les États voisins lorsqu’un processus de « frontiérisation » est à l’œuvre. Enfin, il s’agit de savoir comment ses politiques de frontière(s) s’insèrent dans le cadre de l’Union européenne et de ses compétences communautaires en matière de gestion des frontières. Cette contribution montre d’abord comment le fédéralisme coopératif allemand commence pas être un obstacle pour une gestion coordonnée de la crise et aboutit à une « frontiérisation » interne entre Länder , puis comment il évolue vers un rééquilibrage des compétences entre le Bund et les Länder en matière de politique sanitaire ; puis comment, face à la « frontiérisation » externe, le fédéralisme coopératif allemand devient un atout pour une meilleure coopération transfrontalière pendant la pandémie et que l’UE devient un acteur de plus en plus important pour favoriser une coordination européenne en matière sanitaire et de politique des frontières.
Faculty as Learners: Neuroscience in Action
Authors: Patterson Barbara J. , Forneris Susan 
Published: May 2023

Background:Today's nursing education environment requires a contemporary approach to teaching and learning that consistently challenges nurse educators to develop their expertise and embrace advanced teaching techniques. The application of neuroscience principles is one such approach.Method:For this descriptive study, nurse faculty (N= 16) attending a 10-week faculty development course were recruited to participate in focus groups. Discussion topics included the influences of a program using neuroscience principles to enrich an educator's teaching practice.Results:Qualitative content analysis resulted in a model depicting a safe learning container contributing to a cognitive shift from teaching to learning in mind. Safe learning included communication of shared vulnerability, intentionality, and transparency. The shift required energy, risk taking, and time.Conclusion:The findings contribute to an increased understanding of how neuroscience principles are perceived through direct application by faculty using a novel approach to teaching and learning, thus advancing the science of nursing education.[J Nurs Educ. 2023;62(5):291–297.]
Phases and Transitions of Serious Illness: A Structure for Teaching Palliative Care
Authors: Harden Karen L. , Price Deborah M. , Bigelow April D. , Mason Heidi 
Published: May 2023

Background:
Palliative care (PC) focuses on listening to patient preferences, goals, and values to help health care providers educate, support, and collaborate during challenging disease processes, demanding treatments, and difficult decision-making.

Method:
A recently developed Phases and Transitions Model for Serious Illness helps guide nursing students in initiating therapeutic conversations about PC. Each phase and transition shows unique characteristics of illness and treatment to clarify the importance of introducing PC for that phase. Interventions in education, support, and treatment help students guide patients and families through the trajectory of serious illness.

Results:
The Phases and Transitions Model for Serious Illness and PC interventions provide a clear and practical structure to educate and empower nursing students to engage in PC conversations.

Conclusion:

Nursing educators can integrate this new model to broaden the perspective of PC as an everyday nursing practice for patients who have a serious illness.

[
J Nurs Educ
. 2023;62(5):279–284.]
Retour à Combe-Grèze (La Cresse, Aveyron) : nouvelles données sur la néolithisation des Grands Causses
Authors: Defranould Elsa , Bertin Ingrid , Bouby Laurent , Bréhard Stéphanie , Caro Joséphine , Carozza Jean-Michel , Cauliez Jessie , Convertini Fabien , Durand Frédérique , Henry Auréade , Lejay Mathieu , Roguet Guillaume , Vigne Jean-Denis , Zazzo Antoine , Manen Claire 
Published: May 2023

Situé dans une doline sur le Causse Noir, à une dizaine de kilomètres au nord-est de Millau, le petit abri de Combe-Grèze a d’abord été fouillé dans la seconde moitié du xxe siècle, puis a fait l’objet d’un récent retour sur le terrain par les auteurs du présent article. Ce site, occupé à différents moments de l’Holocène, a été largement mobilisé dans les scénarios de néolithisation des arrière-pays. Cependant, les travaux de terrain conduits depuis quelques années à l’extérieur de l’abri et un retour sur les collections anciennes permettent de nuancer nettement les interprétations anciennes, mettant notamment en évidence l’existence de nombreux problèmes de mélanges d’occupations. Ainsi, nous proposons ici une réactualisation des données disponibles concernant ce gisement, notamment pour ce qui concerne la nature des occupations, la chronologie, les productions matérielles issues des différentes occupations, les ressources exploitées et la précision du cadre paléo-environnemental.
Variations microclimatiques et effet de la végétation dans la ville aride de Ghardaïa, Algérie
Authors: Amieur Rachid , Saffidine Djamila Rouag , Weber Christiane 
Published: May 2023

La caractérisation du climat urbain dans les villes chaudes et arides est essentielle pour comprendre les interactions des variables climatiques avec le bâti et la végétation. Les chaleurs estivales caniculaires constituent une contrainte extrême pour les citadins, en particulier la population à risque comme les jeunes enfants et les personnes âgées ou malades. La végétation contribue à améliorer le microclimat urbain de ces régions et est considérée comme un moyen de lutte contre les ICU (Ilots de Chaleur Urbains). Cette étude a pour objectif l’analyse des variations microclimatiques intra-urbaines et l’impact de la végétation dans la ville de Ghardaïa à travers une campagne de mesure in situ. Le comportement thermique des sites de mesures oscille entre ICU et IFU (Ilot de Fraicheur Urbain). L’étude a montré l’existence d’un « archipel » de chaleur à travers la ville. L’intensité maximale de l’ICU de chaleur est de 2.98°C. La température minimale nocturne est supérieure à 30°C, bien au-delà de la limite du confort thermique. Quant aux différences intra-urbaines, on note que la végétation produit un IFU maximal de 5.61°C. L’effet modérateur de la végétation durant le jour est dû principalement à l’ombre fournie par la canopée des arbres. Les sites végétalisés ne manifestent pas de différence significative d’humidité par rapport aux autres sites urbains. Il s’avère qu’un couvert végétal urbain plus dense et irrigué améliorerait davantage les conditions de confort en ville.
Vers un outil de restauration du sensible, le motif ambiant en trois temps caractérisation, expérimentation, mise en projet.
Authors: Toumadher Ammar 
Published: May 2023

Cet article s’inscrit dans la volonté d’interroger le devenir urbain du point de vue d’une écologie dite du sensible. Nous tentons, en effet, de développer un spécimen opératoire en matière de caractérisation et de mise en projet prenant en compte l’ensemble des choses de l’environnement, qu’il soit construit ou non. Nous tentons également d’évaluer la portée opératoire de l’ambiance en matière de qualité et de durabilité des environnements urbains ou comment sauvegarder l’authenticité des ambiances d’un lieu tout en le projetant dans le futur à travers le développement de cet outil. Nous nous sommes proposés, par l’entremise des « motifs ambiants », d’avancer une modalité de travail qui traverse aussi bien les logiques de caractérisation que de projetation des ambiances tout en mettant en jeu les données environnementales. Nous l’avons mise en application dans trois situations différentes. La première en in situ, la seconde en in vitro et la troisième en utéro. La première étape se base principalement sur un objectif qui est celui de la caractérisation du vécu sensible. La deuxième est à l’entre deux de la caractérisation et de la projectuelle des ambiances et la dernière est de l’ordre de la conceptualisation et de la mise en projet configurée sous la forme d’une expérience pédagogique intersectorielle. Nous avons eu comme cas d’étude les quartiers de Capaci Piccolo et Capaci Grandi à Sousse. Ces quartiers sont nés vers les débuts du protectorat français et ont proliféré jusqu’aux années 60 en raison des différentes vagues d’immigration principalement sicilienne. À partir de l’indépendance (1956), le tissu social commença à se transformer. Aujourd’hui les quartiers sont exclusivement habités par des Tunisiens, alors qu’au début plusieurs cultures et nationalités y vivaient.
Study of Delayed Treatment Perspective of Snake Bites and Their Long-Term Effects in a Tertiary Care Hospital in Balgalkot District of Karnataka
Authors: Mahendra M. , Mujtaba Mohammed , Mohan C. N. , Ramaiah Madhumathi 
Published: May 2023

Background:
Snakebite is an acute life-threatening and time limiting medical emergency. Alternative and traditional methods of cure are barriers to early treatment which results in considerable delay in coming to the hospital. This study was done to assess the clinical profile and to identify long-term perspective of snake bites in patients who presented to the hospital beyond 6 h of snake bite.

Methodology:
This descriptive study was conducted over 18 months that included 45 patients with alleged history of snake bite of which 15 had delayed presentation, 6 h after snake bite. A detailed history, clinical examination and investigations were monitored for any complications during treatment and follow-up to look for delayed complications.

Results:
The clinical profile and outcome were different among patients presenting beyond 6 h and within 6 h, cellulitis (46.66% vs. 33.33%), bleeding manifestations (46.66% vs. 50%), neurological manifestations (33.33% vs. 33.33%), AKI (33.33% vs. 16.66%), respiratory failure requiring ventilatory support (33.33% vs. 10%), and mortality (20% vs. none). Delayed complications observed in patients with delayed presentation on long-term follow-up were ulceration including knee amputation, chronic kidney disease, psychiatric disturbances, and musculoskeletal symptoms.

Conclusion:
The acute complications were significantly higher with delayed presentation and delayed complications that are often overlooked which contributes to significant morbidity and suffering. The general population needs to be educated regarding the available treatment strategies and significance of seeking early medical attention for better treatment outcome and to reduce morbidity and mortality both short term and long term.
Prevalence of metallo beta-lactamase and Amp C beta-lactamase producing pathogens causing surgical site infection in a tertiary care teaching centre in Southern India
Authors: Madhavi R. Bindu , Hanumanthappa A. R. 
Published: May 2023

Abstract

Background:
Surgical site infection (SSI) is the most common type of hospital-acquired infection-causing public health problems. The study was undertaken to know the aerobic bacteriology of SSI with special reference to the detection of metallo-beta-lactamase (MBL) and AmpC beta-lactamases among Gram-negative bacilli.

Methods:
The present cross-sectional study was conducted in 140 patients clinically suspected to have SSIs. Samples were collected from patients after considering inclusion and exclusion criteria.

Results:
Out of 85 Gram-negative bacilli, 9 isolates (10.6%) were Amp C producers. Out of a total of 85 Gram-negative bacilli, 3 isolates (3.5%) were MBL producers. Two isolates of Pseudomonas aeruginosa and 1 isolate of Acinetobacter spp. were positive for MBL production. In the present study, MBL production was seen in 3.5%, of Gram-negative bacilli.

Conclusions:
Early identification of such resistant strains is important to plan the appropriate antibiotic therapy. Strict infection control practices and judicious use of available antibiotics are essential to prevent the emergence of multidrug-resistant strains.
Schwannoma at the sinonasal tract and pterygopalatine fossa: Experience at a tertiary care teaching hospital in Eastern India
Authors: Swain Santosh Kumar , Pani Somya Ranjan , Dubey Debasmita 
Published: May 2023

Abstract

Background:
Schwannomas are neoplasms that are rarely found in the sinonasal tract and pterygopalatine fossa (PPF). The objective of this study is to evaluate the schwannoma in the sinonasal tract and PPF including its effectiveness of endoscopic surgical excision of the lesion.

Methods:
This retrospective study was done between March 2018 and April 2022. There were nine cases of benign schwannomas found in the nasal cavity, the nasal ethmoid and the PPF. All patients had undergone endoscopic endonasal removal of the tumour.

Results:
All the patients successfully underwent endonasal endoscopic excision of the schwannoma from the sinonasal tract and PPF. Out of nine patients, one showed recurrence after 1 year during follow-up check-ups. None of the patients showed any major vascular complications during surgery. At follow-up, one patient presented with a persistent sensory deficit in the facial area.

Conclusions:
The endonasal endoscopic approach for schwannoma at the sinonasal tract and PPF is a safe and effective method for biopsy and treatment. This approach is highly effective for visualisation and has the potential to reduce complications. Pre-operative imaging is an important step before successful treatment by endoscopic endonasal removal of the schwannoma.
Assessment of 5% Amlexanox, 0.1% Triamcinolone Acetonide and 0.03% Tacrolimus in the Management of Oral Lichen Planus
Authors: AlMutairi Mohammed , Riyaz SS Mohamed Abdulcader , Awinashe Minal , Almutairi Faris Jaser 
Published: May 2023

ABSTRACT

Objectives:
Compare 5% amlexanox, 0.1% triamcinolone acetonide, and 0.03% tacrolimus in the management of oral lichen planus (OLP).

Materials and Methods:
A received 0.03% tacrolimus, group B received 0.1% triamcinolone acetonide and group C received topical 5% amlexanox. All patients were evaluated for pain on visual analog scale (VAS) and erosive area on day 1, 7, and 15.

Results:
There was decrease in visual analogue score (VAS) for pain in all tested group after 15 days. There was significant decrease in erosive area in left and right buccal mucosa in all groups after 15 days for inter and intra group comparison.

Conclusion:
All the drugs used were effective in management of patients with OLP and thus it can be advised to consider these agents as alternatives.
Assessment of Embrace-WetBond and Fissurit F Pit and Fissure Sealants’ Marginal Sealing Abilities
Authors: Joshi Keyur H , Avula Sudheer Kumar , Sahu Divya , Mishra Gaurav , Agrawal Roli , Alessa Noura , Babaji Prashant 
Published: May 2023

ABSTRACT

Objectives:
The goal of the current research was to assess marginal sealing abilities of 2 commercial pit and fissure sealants.

Materials and Methods:
A total of 30 premolar teeth were equally classified into 2 groups: Group A-application of Embrace-WetBond sealant and Group B-application of Fissurit F, Voco sealant. After sealant placement, samples were preserved in artificial saliva for 48 hours prior to thermocycling. Later, samples were submerged for 24 hours in a 2% methylene blue solution. The amount of microleakage based on the quantity of dye penetration at interface between the tooth substance and sealant was compared under an optical stereomicroscope. The obtained data were statistically analysed for the dye penetration scores in both groups.

Result:
It was observed that 8 samples from Group A (53%) had no dye penetration (Grade 0), whereas 4 samples from Group B (26%) showed Grade 0 penetration. In 5 out of 15 samples (33%) from Group B, the dye penetration was the greatest (Grade 3; P = 0.012).

Conclusion:
It was concluded that Embrace-WetBond had lesser microleakage compared to group 2-Fissurit F, Voco sealant.
Quality of Life of Oral Squamous Cell Carcinoma Patients before and after Primary Treatment
Authors: Yadav Renu , Patil Rahul B. , Umbare Dhiraj K. , Vajpayee Akhilesh , Thakur Pranay R. , Chauhan Isha 
Published: May 2023

ABSTRACT

Background:
HNSCC (head and neck squamous cell carcinoma) is a serious global health problem, with estimated more than 550,000 new cases and 300,000 deaths annually. More than 90% of these malignancies are oral squamous cell carcinoma (OSCC).

Materials and Methods:
Patients selected were asked to fill the detailed structured case history proforma and thorough clinical examination, structured, pre-designed, pre-evaluated (UW-QOL) UW Questionnaire version 4 on quality of life (QOL) of oral squamous cell carcinoma patients containing thirteen subjective questionnaires and three global questionnaires. All the patients of OSCC after one month (1 month) of radiation and chemotherapy were assessed for quality of life by questionnaire.

Result:
Post-treatment QOL assessment of OSCC patients reveals a number of problems such as chewing, swallowing, saliva, lack of activity, and mood disturbances. Preoperative clinical features including tumor site, tumor stage, and extent of mouth opening have a significant impact on post-treatment problems in different ways.

Conclusion:
The need to balance clinician’s need and use of health-related quality of life (HRQOL) data against patient’s burden should be considered in the selection process.