bluuebunny/crossref_metadata_2025_split huggingface dataset:
Healthcare adjustments and concerns: a qualitative study exploring the perspectives of healthcare providers and administrative staff during the COVID-19 pandemic in Saudi Arabia
Authors: Alkathlan Mohammed S. , Alsuyufi Yasir A. , Alresheedi Abdulhamid F. , Khalil Rehana , Sheiq Parveen Anjum , Alotaieq Suliman S. , Almithn Abdullah A. , Alissa Ibrahim I. , Alayyaf Hamad F. , Alharbi Raed M. , Alkhamis Ibrahim A. , Al-Wutayd Osama 
Published: May 2023

BackgroundHealthcare systems have modified their strategies to manage their staff, supplies, and space to deal systematically with the COVID-19 pandemic. This research aimed to explore the nature of hospital adjustments and the concerns of healthcare providers and administrative staff working in Governmental and private hospitals throughout the Qassim Region of the Kingdom of Saudi Arabia (KSA) during the pandemic.MethodsA qualitative phenomenological study using semi-structured in-depth interviews were conducted with 75 purposively selected healthcare providers and administrative staff working at three main hospitals in the Qassim Region, KSA. The maximum variation sampling technique was utilized. Recruitment of participants was continued until data saturation was reached. All interviews were audiotaped, transcribed verbatim, and analyzed thematically.ResultsFour core themes were identified in this paper: (1) changes in hospital policy and procedures, (2) workforce management, (3) the well-being of the workforce, and (4) apprehensions and expectations of the workforce. The participants showed satisfaction with timely administrative decisions and new policies during the COVID-19 pandemic. Furthermore, the psychological health of healthcare professionals was affected more than their physical state. Finally, the providers perceived the emergence of multiple concerns in the coming months.ConclusionAlthough healthcare providers were initially overwhelmed, they gradually accepted new administrative policies. Numerous innovative interventions effectively reduced their physical workload and increased their productivity, but they remained significantly affected by a wide range of psychological disorders, with a high prevalence of obsessive-compulsive disorder. There were some concerns about the new SARS-CoV-2 variant, but the majority were optimistic.
The effects of exercise training for eight weeks on immune cell characteristics among breast cancer survivors
Authors: Arana Echarri Ainhoa , Struszczak Lauren , Beresford Mark , Campbell John P. , Thompson Dylan , Turner James E. 
Published: May 2023

MethodsThis study examined the effects of exercise training for 8 weeks on blood immune cell characteristics among 20 breast cancer survivors (age 56 ± 6 years, Body Mass Index 25.4 ± 3.0 kg m2) within two years of treatment. Participants were randomly allocated to a partly-supervised or a remotely-supported exercise group (n = 10 each). The partly supervised group undertook 2 supervised (laboratory-based treadmill walking and cycling) and 1 unsupervised session per week (outdoor walking) progressing from 35 to 50 min and 55% to 70% V˙O2max. The remotely-supported group received weekly exercise/outdoor walking targets (progressing from 105 to 150 min per week 55% to 70% V˙O2max) via weekly telephone calls discussing data from a fitness tracker. Immune cell counts were assessed using flow cytometry: CD4+ and CD8+ T cells (Naïve, NA; Central memory, CM; and Effector cells, EM and EMRA; using CD27/CD45RA), Stem cell-like memory T cells (TSCMs; using CD95/CD127), B cells (plasmablasts, memory, immature and naïve cells using CD19/CD27/CD38/CD10) and Natural Killer cells (effector and regulatory cells, using CD56/CD16). T cell function was assessed by unstimulated HLA-DR expression or interferon gamma (IFN-γ) production with Enzyme-linked ImmunoSpot assays following stimulation with virus or tumour-associated antigens.ResultsTotal leukocyte counts, lymphocytes, monocytes and neutrophils did not change with training (p &gt; 0.425). Most CD4+ and CD8+ T cell subtypes, including TSCMs, and B cell and NK cell subtypes did not change (p &gt; 0.127). However, across groups combined, the CD4+ EMRA T cell count was lower after training (cells/µl: 18 ± 33 vs. 12 ± 22, p = 0.028) and these cells were less activated on a per cell basis (HLA-DR median fluorescence intensity: 463 ± 138 vs. 420 ± 77, p = 0.018). Furthermore, the partly-supervised group showed a significant decrease in the CD4+/CD8+ ratio (3.90 ± 2.98 vs. 2.54 ± 1.29, p = 0.006) and a significant increase of regulatory NK cells (cells/µl: 16 ± 8 vs. 21 ± 10, p = 0.011). T cell IFN-γ production did not change with exercise training (p &gt; 0.515).DiscussionIn summary, most immune cell characteristics are relatively stable with 8 weeks of exercise training among breast cancer survivors. The lower counts and activation of CD4+ EMRA T cells, might reflect an anti-immunosenescence effect of exercise.
Is assessing trunk muscle endurance in military with sub-acute and chronic low back pain clinically meaningful?
Authors: Pairot de Fontenay Benoit , Perron Marc , Gendron Chantale , Langevin Pierre , Roy Jean-Sébastien 
Published: May 2023

IntroductionTrunk muscle endurance (TME) tests are commonly used by clinicians to assess muscle performance changes in response to rehabilitation in patients with low back pain (LBP). The aim of this study was to assess the responsiveness of three TME-tests in patients with LBP and to evaluate the relationships between changes in TME and improvement in self-reported function.Materials and MethodsEighty-four LBP patients were evaluated at baseline and after completion of a 6-week training program. Function was assessed with the modified Oswestry Disability Index (ODI) while TME was estimated using three tests: (1) the Biering-Sørensen, (2) the side bridge endurance tests (both sides), and (3) the trunk flexor endurance test. The standardized response mean (SRM) and the minimal clinical important difference (MCID) for each TME-test, and the relationships between changes in TME and improvement in ODI were calculated.ResultsSRMs were small to large for TME-tests (range: 0.43–0.82), and large for the ODI (2.85) and no clinically useful MCID was identified for the TME-tests (area under the curve below 0.70). No significant correlations were found between changes in the TME and change in ODI scores (r &lt; 0.15; all P &gt; 0.05).ConclusionOur results show a weak responsiveness of TME-tests in patients with LBP. There was no association between endurance performance change and self-reported functional change. TME-tests may not be a key component of rehabilitation monitoring in patients with LBP.
PENINGKATAN PENGETAHUAN IBU HAMIL DENGAN MEDIA POSTER DAN DETEKSI DINI FAKTOR RISIKO STUNTING PUSKESMAS SIPAHUTAR
Authors: Simamora Janner Pelanjani , Hutabarat Naomi Isabella , Sianturi Elly 
Published: May 2023

Pendahuluan : Masalah malnutrisi yang mendapat banyak perhatian akhir-akhir ini adalah masalah kurang gizi kronis dalam bentuk anak pendek atau stunting. Stunting adalah masalah kurang gizi kronis yang disebabkan oleh asupan gizi yang kurang dalam waktu cukup lama akibat pemberian makanan yang tidak sesuai dengan kebutuhan gizi.
Tujuan : Melakukan pemeriksaan deteksi dini faktor resiko stunting pada ibu hamil melalui pemeriksaan Hb pada ibu hamil, penimbangan Berat Badan ibu hamil, pengukuran Lingkar Lengan Atas (LILA), serta pemberian suplemen zat besi.
Metode : Melaksanakan pre test tentang stunting pada ibu hamil sebelum diberikan penyuluhan, Memberikan penyuluhan dengan metode ceramah dan media poster tentang stunting, Melaksanakan post test untuk mengukur pengetahuan tentang stunting sebelum penyuluhan.
Hasil : Berdasarkan hasil pre test dan post test dapat dilihat ada peningkatan jumlah ibu hamil yang berpengetahuan baik dari 50 orang (65,8%) pada saat pre test menjadi 69 orang (90,80%). Ibu yang berpengetahuan cukup pada saat pre test ada 15 orang (19,7%) menjadi 7 orang (9,20%) pada saat post test dan tidak di temukan lagi ibu yang berpengetahuan kurang.
Kesimpulan : Kegiatan penyuluhan tentang stunting berlngsung sangat antusias dimana banyak peserta bertanya dan semangat mengikuti setiap kegiatan pada pengabdian kepada masyarakat.
Saran : Diharapkan kepada para ibu hamil agar dapat memahami dan mengerti tentang stunting yang telah diberikan dan diajarkan oleh pelaksana pengabdi kepada masyarakat untuk mempersiapkan ibu hamil dalam menjaga kehamilan dan proses persalinannya.
Pemanfaatan Teknologi Informasi dan Pengaruhnya Terhadap Kinerja Pelaku Usaha Kecil Menengah di Kota Padang
Authors: Samaloisa Arkilaus , Yustiana Dian , Detman Detman 
Published: May 2023

The development of rapid technology has affected all facets of life, as well as in the business wold, including small and medium enterprises. However, not all small and medium enterprises are able to maximize the use of information technology. For that we need to see how the actual use of information technogy and its impact n small and medium enterprises in the city of Padang.
The object of research is chosen in this study is the small and medium enterpreneurs in the city of padang in accordance with the domicile researchers. Samples were 30 taken by using a convenience sampling technique with criteria small and medium enterprises enterpreneurs engaged in trade of food industri like restaurant business, snack businesses and others.
Based on the results of the study, obtained the following regression equation : Y = 15.851 + 0.437 X. Based on the analysis of the use of inpormation technology variable effect on the performance of small and medium enterprises in the city of Padang. Because the analysis of data wiht a simple linear analysis of knomn significance value of 0,000 and significance value is less than the alpha of 0,05. Thus it can be concluded that the use of information technology has a positive effect n the performance of small and medium businesses.
Aplikasi Virtual Tour 360° Sebagai Media Pengenalan Desa Wisata Edukasi Kopi Cupunagara, Subang
Authors: Rani Sherinatasha Firmansyah , Vanessa Vanessa , Rhapsodio Syifa Younna , Noor Any Ariani 
Published: May 2023

In the midst of the COVID-19 pandemic problem which indirectly limits people's physical activities, this has resulted in a drastic decrease in the volume of people and goods. The use of the Virtual Tour 360 ° application technology can be used to overcome promotional problems due to the impact of the COVID-19 pandemic, as well as be a positive value and alternative for the field of work. The Virtual Tour 360 ° application itself is a simulation of a real location consisting of several videos and photographic media, to provide the experience of visiting a location just by looking at the monitor screen. The design of this virtual tour application idea requires support from various parties, especially local governments, managers and application developers so that it can be implemented and released properly. With this idea, it is hoped that it can become an additional means of traveling for tourists and introduce desa wisata edukasi Kopi Cupunagara easily, quickly, and relevant.
Keywords: Virtual Tour 360°, Educational Tourism Village Kopi Cupunagara, Promotion
Measuring the Vortex−Nucleus Pinning Force from Pulsar Glitch Rates
Authors: Melatos A. , Millhouse M. 
Published: May 2023

Abstract
Superfluid vortex avalanches are one plausible cause of pulsar glitch activity. If they occur according to a state-dependent Poisson process, the measured long-term glitch rate is determined by the spin-down rate of the stellar crust,

Ω
̇

c

, and two phenomenological parameters quantifying the vortex−nucleus pinning force: a crust−superfluid angular velocity lag threshold, X
cr, and a reference unpinning rate, λ
0. A Bayesian analysis of 541 glitches in 177 pulsars, with N

g
≥ 1 events per pulsar, yields

X

cr

=

0.15

−
0.04

+
0.09

rad

s

−
1

,

λ

ref

=

7.6

−
2.6

+
3.7

×

10

−
8

s

−
1

, and

a
=
−

0.27

−
0.03

+
0.04

assuming the phenomenological rate law λ
0 = λ
ref[τ/(1 yr)]
a
, where τ denotes the characteristic spin-down age. The results are broadly similar, whether one includes or excludes quasiperiodic glitch activity, giant glitches, or pulsars with N

g
= 0, up to uncertainties about the completeness of the sample and the total observation time per pulsar. The X
cr and λ
0 estimates are consistent with first-principles calculations based on nuclear theory, e.g., in the semiclassical local density approximation.
Insect fauna including unrecorded species in Ulleungdo, South Korea
Authors: Won Min Hyeok , Choi Jae Won , Bang WooJun , Lee DongYeol , Moon Min Ki , Kim Young-Kun , Kim Donguk , Kim Dooyoung , Suh Sang Jae , Choi Kwang Shik 
Published: May 2023

Ulleungdo harbours a unique ecosystem owing to its isolation from the mainland alongside its maritime climate. The island, formed via volcanic activity, is the largest island in the East Sea of Korea and retains a primeval forest. The ecosystems are being destroyed owing to increasing human activity on the island. Therefore, through the investigation of the insect fauna of Ulleungdo, we tried to provide information that can be the basis for understanding the island ecology of Ulleungdo. This survey was conducted four times between April and October in 2020 at Seonginbong.
The findings of the survey regarding insect fauna at Seonginbong, Ulleungdo included 10 orders, 105 families, 216 genera and 212 species, of which 12 families, two subfamilies, 13 genera and 74 species were previously unrecorded. The data have been registered in the Global Biodiversity Information Facility (GBIF; www.GBIF.org).
Quand les bailleurs de fonds doivent se positionner face aux États-Unis : le cas de l’aide au planning familial
Authors: Ferrière Nathalie 
Published: May 2023

L’aide internationale au planning familial est dominée par un bailleur de fonds, les États-Unis, dont l’allocation dépend de débats nationaux autour de l’avortement. Cet article examine comment les autres donateurs ajustent leur financement en réaction. Codes JEL : C26, F35, I15, I18, J13, O15.
Résistance et abolition de l’esclavage au Brésil
Authors: Seyler François , Silve Arthur 
Published: May 2023

Les intérêts de l’élite propriétaire et des populations en situation d’esclavage ont tous deux joué un rôle dans l’abolition de l’esclavage au Brésil en 1888. Une nouvelle base de données des votes au Parlement nous permet de quantifier ce phénomène. Codes JEL : J47, O54.
Guerres indirectes : pourquoi les États soutiennent-ils des rébellions à l’étranger ?
Authors: Mercier Marion , Silve Arthur , Tremblay-Auger Benjamin 
Published: May 2023

De nombreux conflits civils voient un ou plusieurs État(s) tiers soutenir un groupe rebelle belligérant. Nous montrons que ces soutiens peuvent s’expliquer par un mécanisme de construction de réputation de l’État interventionniste sur la scène internationale. Codes JEL : F51, D74.
Place des proches aidants dans les systèmes de protection sociale : le cas français au regard des autres pays européens
Authors: Le Bihan Blanche 
Published: May 2023

Longtemps considéré comme une affaire strictement familiale relevant de la sphère privée, l’investissement des proches auprès des personnes âgées ou en situation de handicap est aujourd’hui une priorité de l’agenda politique. Dans un contexte budgétaire contraint, on constate en effet, en France comme dans l’ensemble des pays européens, une (re)mobilisation des familles dans les politiques sociales et le développement de politiques dites « d’aide aux aidantes et aux aidants » qui s’adressent directement aux proches qui accompagnent leur(s) parent(s) ou enfant(s) vulnérable(s). Ces politiques s’organisent autour de trois types de mesures – mesures de compensation, de conciliation et d’accompagnement au rôle d’aidant – dont la combinaison spécifique et l’inscription dans un contexte politique préexistant nourrissent les formes du familialisme dans le pays concerné. Comment situer la France dans le contexte européen de ce point de vue ?
Torsion of a huge subserosal uterine leiomyoma: A challenging case of acute abdomen
Authors: Dhillon Mankirat S. , Garg Anju , Sehgal Apoorva , Bhasin Sangeeta 
Published: May 2023

Torsion of a uterine leiomyoma is an extremely rare, albeit life-threatening surgical emergency. A 28-year-old woman presented with acute abdominal pain. Imaging revealed a torsed subserosal uterine leiomyoma which was managed surgically and the diagnosis confirmed intraoperatively as well as on histopathology.Contribution: While intraoperative findings remain the primary means of diagnosis, radiologists should be familiar with the potential imaging findings of leiomyoma torsion as timely intervention can greatly improve patient outcome.
A Case Series: Artery of Percheron Syndrome Revisited
Authors: Hassan Muhammad Sohail , Omojowolo Olubunmi , Shrourou Ahmad Mohamed Walid , Ribeiro Nuno Pedro Lobato , Ghosh Kaushik 
Published: May 2023

Abstract
The artery of Percheron is an uncommon anatomical variant that was first described in 1973 by a French neurologist called Gerard Percheron. Stroke due to occlusion of this anatomical variant artery may present with diagnostic challenges. Here, we are sharing our experience in four cases with variable outcomes. This may add our knowledge to existing literature.
Uncommon Cause of Pain Abdomen in an End-Stage Renal Disease Patient on Hemodialysis
Authors: Akal Ramanjit Singh , Jha Vijoy Kumar , Yadav Deep , Sikarwar Ramendra Singh 
Published: May 2023

Abstract
Pain abdomen is an unusual symptom in an end-stage renal disease (ESRD) patient, and the causes of the same have not been clearly defined. The causes may be related to advanced azotemia causing esophagitis, gastritis, and peptic ulcer disease or pressure-related pain due to polycystic kidney disease. The causes may be totally unrelated to chronic kidney disease (CKD) and may present due to surgical causes such as cholelithiasis, appendicitis, diverticulitis, acute mesenteric ischemia, and others. We report an unusual case of pain abdomen in an 11-year-old child of CKD on maintenance hemodialysis (MHD) who presented with recent onset left-sided hypochondriac pain and swelling. His contrast-enhanced computed tomography abdomen showed a large hydatid cyst in the spleen, and the patient underwent partial cystectomy for the same. Histopathological examination confirmed the diagnosis of splenic hydatid cyst. The postoperative course was uneventful. There are only a few case reports of isolated splenic hydatid cyst reported from India, but to the best of our knowledge, the same has never been reported in a child with CKD on MHD making it an unusual cause of pain abdomen in ESRD patients.
Exploring the Role of WhatsApp in Strengthening the Delivery of Medical Education and Clinical Teaching
Authors: Shrivastava Saurabh RamBihariLal , Shrivastava Prateek Saurabh 
Published: May 2023

Abstract
The training imparted to medical students during their undergraduation period has to be multifaceted to ensure that upon the completion of the training, we succeed in producing competent medical graduates. The purpose of the current review was to explore the utility of WhatsApp in the delivery of medical education and clinical teaching. An extensive search of all materials related to the topic was carried out on the PubMed search engine, and a total of 14 articles were selected based on their suitability with the current review objectives. Keywords used in the search include social media, WhatsApp, and medical education in the title alone only. WhatsApp is the instant messaging applications, and with time, it has been observed that it has become an integral part of the community of medical students worldwide. Utilizing the medium of WhatsApp can prove to be an effective approach to bridge the existing gap between teachers and students predominantly because of the flexibility, instant messaging, and sharing additional information with the students for additional reading. To conclude, the delivery of medical education has shown significant transformation over the years to meet the needs of learners. Acknowledging the potential of WhatsApp, its user-friendly nature, and its popularity among medical students, it is very much necessary to utilize the medium for the delivery of the curriculum beyond college hours and at their time of convenience.
Erythematous ulcero-proliferative exophytic lesion in an oral squamous cell carcinoma patient- An unusual case of Trichosporonosis
Authors: Kesavachandran Umamaheswari , Kumar C Arun 
Published: May 2023

ABSTRACT
The emergence of non-Candida yeast infections in humans has been increasingly recognized over the last decades. Trichosporon is the third most isolated non-candidal yeast in patients with an impaired immune system. We report a rare case of Trichosporon asahii causing erythematous oral lesion in a patient with squamous cell carcinoma. Our case highlights the occurrence of unusual yeast pathogens in patients with cancer with typical clinical presentations and warrants suspicion of fungal etiology to prevent misdiagnosis of trichosporonosis.
Evaluation of the effectiveness of green tea mouth rinse on oral halitosis, tongue coating, and plaque accumulation in comparison with 0.2% chlorhexidine mouth rinse – A double-blind randomized control trial
Authors: Sharma Pratibha , Chandrashekar Byalakere Rudraiah , Mruthunjaya Kenganura , Bhaskar Vivek 
Published: May 2023

Background:
Green tea (Camellia
sinensis) mouth rinse is found effective in reducing periodontitis. However, studies evaluating the effectiveness of green tea extracts in reducing oral halitosis and tongue coating on Indian population were scanty.

Objective:
The objective of this study was to evaluate the effectiveness of green tea-based mouth rinse in comparison with 0.2% chlorhexidine gluconate mouth rinse in reducing dental plaque, tongue coating, and halitosis among human volunteers.

Materials and Methods:
This was a parallel-arm double-blind randomized controlled trial conducted in two residential hostels in Mysuru city over 21 days. 90 adult participants were recruited and randomized into three groups: Group A: mouth rinse containing saline, Group B: 5% C. sinensis mouth rinse, and Group C: 0.2% chlorhexidine diluted to with equal quantity of water. Preintervention prophylaxis was done; tongue coating and oral halitosis scores were recorded and compared between the groups at baseline and after 21 days.

Results:
The mean plaque buildup at postintervention was highest in Group 1 (2.45 ± 0.38) followed by Group 3 (1.18 ± 0.12) and Group 2 (1.08 ± 0.11) in the descending order. The mean oral halitosis score was highest in Group 1 (3.00 ± 0.79) followed by Group 3 (1.53 ± 0.50) and Group 2 (1.50 ± 0.50) in the descending order. The mean tongue coating score was highest in Group 1 (1.17 ± 0.47) followed by Group 2 (0.75 ± 0.36) and Group 3 (0.69 ± 0.34) in the descending order.

Conclusion:
Five percent C. sinensis mouth rinse is as effective as commercially available 0.2% chlorhexidine mouthwash in reducing plaque deposition, tongue coating, and oral halitosis.