bluuebunny/crossref_metadata_2025_split huggingface dataset:
Trans Palpebral Intraocular Pressure Measurement by Diaton Tonometer and Central Corneal Thickness in Eyes before and after Transepithelial Photorefractive Keratectomy of Saudi Patients
Authors: Alzuhairy Sultan 
Published: May 2023

Abstract

PURPOSE:
The influence of central corneal thickness (CCT) on intraocular pressure (IOP) measurement by Diaton is debatable. We present a correlation of CCT to transpalpebral IOP (tpIOP) and its determinants in patients undergoing transepithelial photorefractive keratectomy (TPRK) in Saudi Arabia.

METHODS:
In this cross-sectional study held in 2022, the IOP of patients undergoing TPRK was measured by Diaton tonometer. The CCT was measured before and 1 week after refractive surgery. The correlation coefficient of CCT and IOP and its Pearson P value were estimated. The effects of gender, type of refractive error (RE), and corneal epithelial thickness (CET) on the correlation of IOP to CCT were reviewed.

RESULTS:
We studied 202 eyes in 101 patients (Male: Female, 47:53; age 25.7 ± 5.8 years). The tpIOP was 15.1 ± 2.8 mmHg before, 15.9 ± 2.8 mmHg 1 week after, and 15.7 ± 4.1 mmHg 1 month after TPRK. The CCT was significantly correlated with tpIOP before surgery (Pearson correlation 0.168, P = 0.017) and after tPRK (Pearson correlation 0.246, P < 0.001). Gender (P = 0.96), CET (P = 0.43), and type of RE (P = 0.99) were not significant determinants of correlation between CCT and tpIOP before TPRK. The correlation of tpIOP and CCT was not affected by gender (P = 0.07), CET (P = 0.39), and type of RE (P = 0.13).

CONCLUSION:
CCT should be considered before interpreting tpIOP measured by with Diaton. Diaton could be a useful tool to monitor IOP changes in young patients undergoing refractive surgery.
Large Conjunctival Inclusion Cyst after Anterior Approach Ptosis Surgery
Authors: Galindo-Ferreiro Alicia , Marqués-Fernández Victoria E. , Gonzalez Jorge Cuevas , Schellini Silvana A. 
Published: May 2023

Abstract
An 8-year-old male child who underwent an anterior approach left upper lid levator resection to correct congenital ptosis. After 6 months, he developed mechanical ptosis secondary to a painless cystic mass on his upper lid. Magnetic resonance proved a postseptal circumscribed cystic mass. The lesion was excised and a histopathology examination confirmed a conjunctival inclusion cyst (CIC). CIC is common benign lesions of conjunctiva but rarely detected as a complication of levator muscle surgery.
Complementary and alternative medicine use and its association with medication adherence in inflammatory bowel disease and other gastrointestinal diseases
Authors: Almakadma Abdul Hakim , De Vol Abdelkarim , Alabdaljabar Mohamad S. , Aldosari Sarah , Muhsen Ibrahim , AlFreihi Omar , Kurdi Amr , Almadi Majid , Alsohaibani Fahad 
Published: May 2023

Background:
The use of complementary and alternative medicines (CAMs) has been embedded in populations for decades. In this study, we aimed to determine the rate of their usage among inflammatory bowel disease (IBD) patients and their association with adherence to conventional therapies.

Methods:
In this cross sectional, survey-based study, IBD patients’ (n=226) adherence and compliance were evaluated using the Morisky Medication Adherence Scale-8. A control sample of 227 patients with other gastrointestinal diseases was included to compare trends of CAM use.

Results:
Crohn’s disease represented 66.4% of those with IBD, with a mean age of 35 ± 13.0 years (54% males). The control group had either chronic viral hepatitis B, gastroesophageal reflux disease, Celiac disease, or other non-IBD diseases, with a mean age of 43.5 ± 16.8 years (55% males). Overall, 49% of patients reported using CAMs (54% in IBD group and 43% in the non-IBD group, P =0.024). Across both groups, the most used CAMs were honey (28%) and Zamzam water (19%). There was no significant association between the severity of the illness and use of CAMs. Patients who used CAMs had a lower adherence to conventional therapies vs. those who did not use CAMs (39% vs. 23%, P =0.038). Using the Morisky Medication Adherence Scale-8, low adherence to medications was reported in 35% of the IBD group vs. 11% of non-IBD group (P = 0.01).

Conclusion:
In our population, patients with IBD are more likely to use CAMs and are less adherent to medications. Furthermore, the use of CAMs was associated with a lower adherence rate to conventional therapies. Consequently, further studies assessing the causes associated with the use of CAMs and nonadherence to conventional therapies should be explored and interventions designed to mitigate nonadherence.
For a New Reading of Sorana Gurian’s Literary Work According to Her Unpublished Manuscripts
Authors: Krupa Tomasz 
Published: May 2023

Pour une mise en ligne sur Épisciences.
In considering how to propose a new reading of the writing of Sorana Gurian (1913-1956), a French- and Romanian-language Jewish writer, I will refer to some of her forty-one unpublished texts, including thirty-seven poems and four prose texts, preserved in manuscript or typescript form. These documents have never been discussed or even mentioned in the research on this writer until December 2020. The analysis of this material in the context of Gurian’s writing as a whole allows, in my opinion, to enrich the interpretation of her main texts: her literary drafts, for which I will use the term “pre-text”, give direct access to her creative process, as they contain elements that she will later include in her published texts. Thus, I will present her literary work in a retrograde manner, i.e. through manuscripts and typescripts, so that I can show the importance of some of these unpublished texts, despite their secondary or unofficial character due to their draft status.
Pour réfléchir aux moyens de proposer une nouvelle lecture de l’œuvre de Sorana Gurian (1913-1956), une écrivaine juive d’expression française et roumaine, seront mentionnés dans cet article certains de ses quarante-et-un textes inédits, dont trente-sept poèmes et quatre textes en prose, conservés sous forme de manuscrits ou de tapuscrits. Ces documents n’ont jamais été commentés, ni même mentionnés, dans les recherches sur cette écrivaine jusqu’en décembre 2020. L’exploitation de ce matériau replacé dans le contexte de l’ensemble des écrits de Gurian permet, selon moi, d’enrichir l’interprétation de ses textes principaux : ses esquisses et essais littéraires, pour lesquels je vais utiliser le terme d’« avant-texte », donnent un accès direct au processus créatif, car on y retrouve des éléments qu’elle inclura par la suite dans ses textes publiés. Ainsi, je vais présenter son œuvre littéraire de manière rétrograde, c’est-à-dire par l’intermédiaire des manuscrits et tapuscrits, pour établir l’importance considérable de quelques-uns de ces textes inédits malgré leur caractère secondaire ou officieux, lié à leur statut de brouillon.
Postpartum acute anal sphincter tear with immediate repair
Authors: Garcia Calcaterra Emilio Martín 
Published: May 2023

Las lesiones obstetricas del esfinter anal (LOEA) puede ocurrir tanto espontaneamente durante un parto vaginal o secundario a episiotomia. Son la causa mas frecuente de incontinencia anal en mujeres jovenes. Un meta análisis estimo un riesgo del 26% de defectos del esfinter anal postparto. El diagnóstico preciso y el manejo adecuado de las lesiones del esfínter son cruciales para prevenir la incontinencia anal y hoy en día es parte esencial de la formación obstétrica.
Las lesiones grado 4 de Sultan involucran la ruptura completa del esfinter anal, tambien denominadas “cloaca traumatica”. La reparación es siempre quirúrgica. Se han descrito diferentes técnicas, pero ninguna demostró ser superior a la otra.
Presentamos el caso de una paciente de 23 años, primípara, IMC 25, con una cloaca traumática posparto.
La reparación quirúrgica se realizó inmediatamente. Se utilizó la técnica de Overlapping, con buena evolución postoperatoria. Se otorgó el alta hospitalaria a los 4 días, con controles posteriores. Al año de control la paciente presentó continencia completa, sin complicaciones.
Riesgo cardiovascular en el adulto mayor con hipertensión y diabetes en una UMF
Authors: Rios Katia Aislinn Jacobo , Flores Laura Miriam Pérez , Guillen Iván Téllez 
Published: May 2023

Introducción: Las Enfermedades cardiovasculares en el adulto mayor son la primera causa de muerte en el mundo, la probabilidad de padecerlas se incrementa con la presencia de Diabetes e Hipertensión arterial, es posible identificar factores de riesgo cardiovascular a partir del instrumento de Framingham, que estima el riesgo a 10 años de desarrollar una Enfermedad Cardiovascular. Objetivo: Determinar el riesgo cardiovascular en el adulto mayor de 65 años con Hipertensión arterial y Diabetes Mellitus en la Unidad de Medicina Familiar 80 de Morelia Michoacán. Material y Métodos: Con previa autorización del Comité Local de Ética e Investigación y de la directora de la Unidad de Medicina Familiar 80, se realizó un estudio observacional, descriptivo y transversal, en dicha sede, se solicitaron los registros de los adultos mayores de 65 años con Diabetes e Hipertensión, durante Enero 2022 a Agosto del 2022, se incluyeron a 125 pacientes, se calculó el Riesgo Cardiovascular de cada paciente y se estratificaron mediante la Escala Framingham, se utilizaron recursos materiales computadora, impresora, hojas, lapicero, con número de registro ante el Sirelcis R-2021-1602-009. Resultados: En los participantes predominó el sexo femenino en un 58.4%, el 19% tenía antecedente de Enfermedad cardiovascular, 28% obtuvieron un riesgo cardiovascular bajo, 56.8% moderado, 12.8% alto, y muy alto 2.4% en ambos sexos, el 41% de los pacientes tenían un colesterol HDL anormal. Conclusiones: El riesgo cardiovascular en pacientes adultos mayores con Diabetes Mellitus e Hipertensión arterial según la escala Framingham es moderado en un 56.8% en la Unidad de Medicina Familiar 80.
Psychosocial Factors Associated With Alcohol Use among Persons Aged 18-35 Years in Kangundo North Ward, Machakos County, Kenya
Authors: Makau Joseph , Magu Dennis , Mambo Susan , Kirimi Mwiti 
Published: May 2023

Purpose: The objective of this study was to explore the psychosocial factors associated with alcohol use among persons aged 18-35 years in Kangundo North Ward, Machakos County.
Methodology: A cross sectional study design where data was collected using a structured questionnaire. Data entry was done and analyzed using SPSS version 23, descriptive statistics was used. Logistic regressions were used to explore the psychosocial factors associated with alcohol use where Odds ratios were used. Multivariate and bivariate analysis were done to establish association between psychosocial factors and alcohol use.
Findings: 310 respondents were interviewed, the response rate was 100%, 86% were males while 14% were females, 86% of alcohol consumers were males, while 14% who consumed alcohol were females. 89% were aged between 18-24 years, 8% were aged between 25-29 years while 3% were 30-35 years. The study revealed that youths aged 18-35 years suffer a wide variety of challenges.49% of the respondents had experienced financial difficulties, 11% were victims of robbery, these stressful life events can lead to one using alcohol. Majority of respondents had ever experienced stressful event with 50% using alcohol as a solution to relieve the stress. 50.32% indicated that they started taking alcohol after the stressful experiences, 48% had experienced physical violence,5% sexual violence,45% emotional violence while 24% had undergone harsh childhood experiences. The study findings revealed that (28%) had consumed tobacco, (17%) miraa, (8%) marijuana, (1%) inhalants while (46%) had never consumed any psychoactive substance. There was significant association between experiences of emotional, sexual abuse, harsh childhood experiences and use of other psychoactive substances with alcohol use (p<0.05).
Unique Contribution to Theory, Practice and Policy: Targeted interventions aimed at addressing psychosocial factors associated with alcohol use is vital. The study adds to the pool of knowledge that psychosocial issues such as stressful life events, gender based violence, harsh childhood experiences and use of other psychoactive substances contribute to alcohol use. Awareness on Gender based violence and other psychoactive substances such as cigarette and marijuana use needs to be enhanced. The findings of the study may inform the local county government of Machakos and Kangundo Sub-county administrators in formulating policies to help address alcohol use among persons aged 18-35 years.
APLICACION DE LA PROSPECTIVA EN LA FORMULACION DE POLITICAS PUBLICAS EN COLOMBIA
Authors: SERRANO HUEDA RAQUEL , ZUGASTI GOROSTIDI IBON 
Published: May 2023

A lo largo del presente artículo repasaremos los principales conceptos en el uso de la prospectiva, su naturaleza, importancia y uso, sintetizando las principales claves en cuanto a contextos de aplicación, alcance y funciones, gestión y métodos y efectos sobre la planificación pública de las experiencias internacionales más relevantes en la aplicación de la prospectiva al ejercicio de las políticas públicas. Partiendo de esta base, profundizaremos un ejercicio práctico desarrollado en Colombia, donde exploraremos los 4 escenarios de futuro que emergen para Colombia a 2050 explicando las claves de cómo llegaríamos a los mismos, así como el ejercicio metodológico llevado a cabo para el desarrollo de estas visiones estratégicas de inteligencia anticipativa que permitan responder mejor a los desafíos y retos que se presentan en el ámbito de la planificación de las políticas públicas.
Artikulu honetan, prospektibaren erabilerarekin lotutako kontzeptu nagusiak errepasatuko ditugu, bakoitzaren izaera, garrantzia eta erabilera aztertuz. Horretarako, politika publikoen gauzapenean izandako prospektibaren erabileraren nazioarteko esperientzia garrantzitsuenak aztertuko ditugu, aplikazio testuinguruekin, irismenarekin, funtzioekin, kudeaketarekin, metodoekin eta plangintza publikoaren gaineko ondorioekin lotutako gako nagusiak laburbilduz. Oinarri horretatik abiatuta, Kolonbian egindako ariketa praktiko batean sakonduko dugu. Zehazki, 2050. urtea erreferentziatzat hartuta, Kolonbiaren etorkizuneko lau egoera posible aztertutako ditugu, horietako bakoitzera iristeko gakoak azalduz. Era berean, politika publikoen plangintzaren esparruan sortzen diren erronkei hobeto erantzutea ahalbidetzen duten adimen aurreikusleko ikuspegi estrategiko horiek garatzeko egindako ariketa metodologikoa ere azalduko dugu.
Throughout this article we will look at the main concepts in the use of foresight, its nature, importance and use, summarising the main keys in terms of contexts of application, scope and functions, management and methods and effects on the public planning of the most relevant international experiences in the application of foresight to the exercising of public policies. Starting from this basis, we will take a deeper look at a practical exercise developed in Colombia, where we will explore the 4 future scenarios emerging for Colombia by 2050, explaining the keys to how we would arrive at these scenarios, as well as the methodological procedure conducted in order to develop these strategic visions of anticipatory intelligence enabling better response to the challenges and issues arising in the field of planning public policy.
Design Thinking aplicado al Diseño de Experiencia de Usuario
Authors: Vargas Márquez Bragean Luis , Inga Hanampa Luis Angel , Maldonado Portilla Mauricio Gonzalo 
Published: May 2023

Hoy en día estamos inmersos en la tecnología y la manera en la que nos comunicamos con esta es la interfaz de usuario, para viabilizar la interacción entre el usuario y un artefacto, sistema o máquina, por tanto, las grandes empresas utilizan técnicas de Design Thinking y Diseño de interfaces de usuario, para acercarse más a los clientes de manera empática, así poder conocer sus necesidades reales y estar realmente interesados en los detalles de sus vidas. Generar empatía con nuestros clientes implica poner sus problemas, más que nuestras soluciones, en primer lugar. El problema que se busca resolver en la parte de diseño de experiencia de usuario, es que el diseñador no sabe si el usuario encontrará amigable la interfaz propuesta para este, es por eso que Design Thinking es una de los métodos más usados con el fin de ponerse en la posición del usuario final. En este artículo pretendemos mostrar como Design Thinking se puede aplicar al diseño de UX experiencias de usuario. También se explica cada una de las fases que conlleva al diseño de experiencia de usuario: Investigación, Organización, Prototipado, Pruebas y Diseño.
Predicción de hipertensión arterial a través de un sistema de regresión logística
Authors: Tesillo Gomez Cynthia Mayumi , Escobar Arcaya Yuri Alexander , León Gutierrez Edwin Daniel 
Published: May 2023

En el Perú y el mundo entero la hipertensión es una enfermedad que puede avanzar sin manifestar ningún síntoma o éstos ser muy leves. Se puede tener hipertensión arterial y no sentir ninguna manifestación, la hipertensión arterial es un serio problema de salud pública en países en desarrollo como el nuestro: según la Encuesta Demográfica y de Salud Familiar de 2017, aunque la prevalencia de hipertensión en personas de 15 años a más se habría reducido de 14,8 % en 2014, a 13,6 %, implica que más de 3 millones de peruanos viven con hipertensión arterial. Por ese motivo nuestro objetivo es el rápido diagnóstico de esta enfermedad silenciosa, en el presente trabajo se utilizó el sistema de regresión logística, para el cual se posee un dataset de 5615 registros analizados. Este artículo presenta la posibilidad de detectar una enfermedad como la hipertensión arterial basado en inteligencia artificial, ya que este mal ha ido aumentando en los últimos años. Por ese motivo el objetivo es predecir de manera rápida un posible diagnóstico de hipertensión arterial, para ello se analizó un dataset de 5615 registros en la aplicación web Jupyter Notebook, estableciendo 9 variables de entrada y 1 de salida, además se utilizó el sistema de regresión logística, tratamientos de datos missing y outlaiers, gráficas de variables, obteniendo como resultado una precisión media aceptable del 87%.
Revisión de modelos que integren Design Thinking en metodologías de Desarrollo Ágil
Authors: Chavez Ponce Dewitt Scott , Arce Apaza Robert Teodoro , Flores Choquehuanca Andrea , Prado Cussi Daniel Augusto , Huaypuna Cjuno Mario Alejandro 
Published: May 2023

El presente artículo tiene como finalidad de brindar un repaso de la integración de Design Thinking en el desarrollo de software, usando la metodología ágil de trabajo SCRUM. Se intenta añadir técnicas Scrum a una clase de Design Thinking basada en proyectos. El objetivo principal es brindar técnicas de administración de proyectos útiles y flexibles que encajen bien con el resto del kit de herramientas Design Thinking. Como resultados se observa que Scrum durante el inicio de los proyectos junto con mucha otra información nueva, no daba suficiente tiempo a los participantes para asimilarlo todo por completo, a pesar de ello los estudiantes parecieron gustar del uso de scrum y sus técnicas.
Effectiveness of Occupational Therapy Interventions to Improve Performance and Participation in Instrumental Activities of Daily Living (IADL) Among Adult Stroke Survivors (2009–2019)
Authors: Kotler Joshua M. , Mahoney Danielle , Nilsen Dawn M. , Gillen Glen 
Published: May 2023

Abstract
Systematic Review Briefs provide a summary of the findings from systematic reviews developed in conjunction with the American Occupational Therapy Association’s Evidence-Based Practice Program. Each Systematic Review Brief summarizes the evidence on a theme and/or subthemes, related to a specific topic. This Systematic Review Brief summarizes findings from the systematic review on interventions to improve performance and participation in instrumental activities of daily living among adult stroke survivors. This theme reports on the effectiveness of virtual reality, exercise, vision rehabilitation, and community-based stroke empowerment group interventions.
Ready or not: Emergency preparedness in residential care facilities for the elderly (RCFE) in California
Authors: Bahr Kaitlin O. , Bhavsar Grishma P. , Ung Vickent , Vargas Eric 
Published: May 2023

This study examined the results of an electronic survey of residential care facilities for the elderly (RCFE) in California in 2021 to provide insight on key elements of emergency plans and facility preparedness for the COVID-19 pandemic and future emergencies.
Surveys were distributed to RCFE administrators using publicly available emails found on the California Health and Human Services Open Data Portal. Responses from 150 facility administrators included data on their perception of current and future facility preparedness for COVID-19 and other emergency scenarios, items included in facility evacuation/shelter-in-place plans, and hazard vulnerability analyses and training practices of facility staff. Descriptive analyses were performed on collected data.
The majority of results were from small facilities serving less than seven residents (70.7 percent). Prior to COVID-19, more than 90 percent of respondents included disaster drills, evacuation plans, and emergency transportation in their emergency preparedness plan. The majority of facilities added pandemic planning, vaccine distribution, and quarantine guidelines elements into their plans during COVID-19. Approximately half of facilities reported conducting proactive hazard vulnerability analyses. Around 75 percent of RCFEs felt well prepared for fires and infectious disease outbreaks, had mixed preparedness levels for earthquakes and floods, and felt least prepared for landslides and active shooter emergencies. During the pandemic, perceptions of preparedness rose, with 92 percent stating they felt very prepared currently and almost 70 percent felt very prepared for future pandemics.
Preparedness of these essential facilities and their residents can continue to improve by conducting regular proactive hazard vulnerability analyses, improving communication lines and mutual aid agreements with local and state organizations, and preparing for critical emergencies such as landslides and active shooter scenarios. This can help to ensure adequate resources and investments are provided to care for older adults during emergencies.