bluuebunny/crossref_metadata_2025_split huggingface dataset:
Determining Risk Factors for Delirium Among Elderly Patients in The Emergency Care Settings
Authors: KABADAYI SAHIN Esra , ŞAHİN Serkan 
Published: July 2023

Objective: Delirium is reported as a common clinical state among elderly patients seeking care in the emergency departments (ED). However, it is commonly underdiagnosed in the ED. This study aimed to evaluate delirium prevalence and determine the risk factors for developing delirium in elderly patients in ED.
Material and Methods: 238 patients over the age of 65 who applied to the ED were included. The patient group was screened for delirium by the emergency specialist using the 'Confusion assessment method (CAM)'. The patients were then evaluated for delirium by a psychiatrist according to DSM-5 criteria. Demographic data, vital signs, and laboratory findings of the patients were recorded.
Results: Delirium is detected in 10.9% of the patients by using CAM and in 11.8% of the patients according to DSM-5 criteria. There was not any statistically significant difference between the groups with and without delirium in terms of age, gender, comorbid diseases, presence of dementia, and presence of polypharmacy. A positive correlation between mean arterial blood pressure (MABP) (r=0.373, p
Evaluation of Hemogram, Biochemistry, Inflammatory Markers and Electrolyte Levels in Patients with Acute Myocardial Infarction
Authors: GEDİK Muhammed Semih , GÖÇER Kemal 
Published: July 2023

Aim: Hemogram, biochemistry, serum electrolyte, and inflammatory marker levels are altered in patients with acute myocardial infarction. When diagnosing and monitoring patients with acute myocardial infarction using cardiac-specific biomarkers, the levels of these markers should also be under control. We looked into the diagnostic and therapeutic value of hemogram, biochemistry, inflammatory markers, and electrolyte levels in acute myocardial infarction patients.
Material Method: It is a descriptive epidemiological study. Within the scope of the study, all patients aged 18 years and over and diagnosed with acute myocardial infarction in the Emergency Department and Cardiology Department of Kahramanmaraş Sütçü İmam University Faculty of Medicine Hospital between 01.01.2020 - 31.07.2022 were included retrospectively. Hemogram, biochemistry, serum electrolyte and inflammatory marker levels were investigated in acute myocardial infarction patients.
Results: Leukocyte, neutrophil, procalcitonin and C-reactive protein values were significantly higher in patients with acute myocardial infarction. Although platelet/lymphocyte ratios were high, no significance was found. In patients with acute myocardial infarction, glucose values measured at the time of stress were found to be high (hyperglycaemia). When we analysed the serum lactate levels of patients with acute myocardial infarction, it was found to be significantly higher.
Conclusion: In patients with acute myocardial infarction, hemogram, biochemistry, serum electrolyte and inflammatory marker levels are altered. The levels of these markers should also be controlled during the diagnosis and follow-up of acute myocardial infarction patients with cardiac specific biomarkers. We believe that hemogram, biochemistry, inflammatory markers and electrolyte levels may contribute to the prediction of early serious complications in patients with acute myocardial infarction.
Understanding Polycystic Ovary Syndrome (PCOS):
Authors: Chakravorty Triya Anushka 
Published: July 2023

Polycystic ovary syndrome (PCOS) is the commonest metabolic and endocrine disorder that affects women of reproductive age. It is characterised by irregular menstruation, hyperandrogenism and polycystic ovarian morphology.

While significant progress has been made in understanding PCOS, several research questions remain. For instance, there is a need for further investigation into the aetiology of PCOS, including the role of genetic and environmental factors, to aid in earlier diagnosis and treatment. Additionally, while some therapies have been effective in managing the symptoms of PCOS, their long-term efficacy and safety remain uncertain. There is a need to better understand the long-term health consequences of PCOS, particularly regarding cardiovascular disease and cancer risk.

Early diagnosis, lifestyle modifications, and appropriate medical interventions can help to reduce the risk of complications and improve the overall health outcomes of women with PCOS. Looking forward, there is a need for a multidisciplinary approach to studying PCOS, including collaborations between researchers, healthcare providers, and patient advocacy groups. This may involve developing new tools and technologies for diagnosis and treatment and exploring novel interventions and therapies.
There is a growing recognition of the importance of PCOS as a significant health issue affecting millions of women worldwide, and continued research efforts will be critical for improving diagnosis, treatment, and long-term outcomes for those affected by the condition.
Mutually Beneficial Immigration is Key to Global Healthcare Sustainability
Authors: Mehta Ramesh , Chakravorty Indranil 
Published: July 2023

It is estimated that this unequal world we live in, will need 80 million health workers to meet the demands of the global population by the end of the decade, double the number in 2013.1,2 The population distribution across the globe is skewed (Fig 1) with high densities in Africa, South Asia and South America which characteristically remains mismatched to their gross domestic product and net wealth, which is enjoyed by nations with the least population densities (Fig 2). Healthcare provision within geo-politically separated nation-states continues to be driven by local social, political and economic factors. Therefore, the adage of ‘no size fits all’ is applicable. No two countries have the same healthcare system, anywhere in the world, we know today. Yet the desire to achieve ‘Health for All’ should be universal.3 Implementation of the fundamental principle that health promotion and prevention must be prioritised before the resource intense diagnosis and management of maladies, is believed to be the only way to achieve any form of sustainability in healthcare provision.
Un portrait de la santé psychologique des enseignants du collégial durant la pandémie de COVID-19
Authors: Barroso da Costa Carla , Loye Nathalie , Lapointe Karina , Doyon Élisabeth 
Published: July 2023

Dans le contexte particulier de la pandémie de COVID-19 pour les enseignants, il est essentiel de s’intéresser à la santé psychologique de ces derniers, compte tenu de tous les bouleversements qu’ils ont vécus. La recherche dont traite cet article vise à comprendre les états affectifs et émotionnels témoignant de la santé psychologique des enseignants du collégial à travers leurs tâches durant la pandémie. Menée à l’automne 2020, la recherche a poursuivi deux objectifs spécifiques : 1) tracer un portrait de la santé psychologique des enseignants, en tenant compte des manifestations positives de bien-être et négatives de détresse psychologique liées au contexte de travail et 2) décrire les sentiments qu’éprouvent les enseignants, selon leur genre et leurs habiletés avec la technologie. De type exploratoire, la recherche a utilisé des analyses quantitatives et qualitatives pour dresser un portrait détaillé du sujet étudié. Au total, 148 enseignants québécois francophones provenant du milieu collégial ont répondu, sur une base volontaire, à un questionnaire en ligne autoadministré. Les résultats quantitatifs mettent en évidence la prédominance des sentiments positifs par rapport aux sentiments négatifs vécus par les enseignants, ainsi que les différences liées à leur état de santé psychologique selon leur genre et leur habileté avec la technologie. Les résultats qualitatifs, quant à eux, permettent d’approfondir les réflexions des enseignants sur certains aspects de leur santé psychologique. Finalement, l’étude fournit des pistes d’action adaptées à certains éléments vécus par les enseignants afin de favoriser leur santé psychologique.
Pratiques pédagogiques inclusives en enseignement postsecondaire, en contexte pandémique
Authors: Heilporn Géraldine , Larose Simon , Beaulieu Catherine , Janosz Michel , Cellard Caroline , Bureau Julien S. , Côté Sylvana 
Published: July 2023

En enseignement postsecondaire, la mise en œuvre de pratiques pédagogiques inclusives dépend à ce jour d’initiatives individuelles des enseignants. La pandémie de COVID-19 a toutefois forcé la mise en ligne des cours, amenant les enseignants à revoir leurs pratiques. L’objectif de cette étude consiste à analyser l’évolution des usages de pratiques pédagogiques inclusives au postsecondaire, plus précisément en enseignement collégial, à la suite de la transition des cours en présentiel vers des cours hybrides et en ligne pendant la pandémie. Suivant une méthodologie mixte de recherche, des données quantitatives et qualitatives ont été recueillies auprès d’étudiants de 10 établissements à travers le Québec, par le biais de questionnaires avant et pendant la pandémie (n = 1242) complétés par des entrevues auprès d’étudiants en situation de handicap (n = 25). Les résultats montrent une augmentation de l’accessibilité du matériel pédagogique, une progression sur l’utilisation d’outils technologiques pour diversifier les formats de présentation des contenus et pour faciliter la communication et la participation, ainsi qu’une certaine diversification des activités d’évaluation et une plus grande flexibilité dans les dates de remise. Toutefois, une régression des pratiques est constatée quant à la variété des méthodes pédagogiques et aux occasions d’engagement des étudiants dans les cours hybrides et en ligne. L’enseignement a aussi été perçu comme moins inclusif et moins structuré par les étudiants, sauf dans les cours où les enseignants réservaient un temps spécifique pour les questions et pour résumer les points importants. Les résultats sont discutés à la lumière des principes et des pratiques visant à soutenir les apprentissages et l’engagement de tous les étudiants, en reconnaissance de la variabilité de leurs besoins et préférences.
Usage pédagogique des analogies dans l’enseignement supérieur
Authors: Naud Stéphanie , Sander Emmanuel , Benetos Kalliopi 
Published: July 2023

Nécessaires à l’apprentissage, les conceptions intuitives agissent comme un filtre et contraignent la construction de conceptions nouvelles. Le dispositif pédagogique « Argumentation par Analogie » a été élaboré dans le but de soutenir le changement conceptuel des étudiants. Les activités soutenues par les technologies numériques visent à rendre explicites les conceptions intuitives mobilisées par les étudiants par le biais d’analogies et à pointer leurs limites à travers des analogies alternatives. L’objectif de cet article est de faire état des effets de l’usage pédagogique des analogies sur l’enseignement dans un contexte universitaire. Nos hypothèses sont testées par trois études traitant les données recueillies auprès des étudiants de master et de première année de bachelor en sciences de l’éducation. Les résultats obtenus à la suite des analyses qualitatives (propriétés de la notion mobilisées; nature des similitudes) et quantitatives (proportion des analogies, des types de similitudes) permettent d’affirmer que l’aptitude à produire une analogie et le contenu de celles-ci informent sur la maîtrise de la notion en question par les étudiants. Ainsi, recueillir les conceptions des étudiants sur les notions abordées par le biais de la production d’analogies donne à l’enseignant une vision plus claire de l’acquisition des notions travaillées. Le dispositif « Argumentation par Analogie » permet de rendre conscientes et explicites les analogies jusqu’alors utilisées de façon informelle pour qu’elles deviennent une base systématique de la construction de nouvelles connaissances.
Rôle de l’expérience professionnelle dans le milieu des soins sur les performances et la motivation des étudiants en soins infirmiers dans un dispositif hybride
Authors: Sacré Margault , Toczek Marie-Christine , Policard Florence , Serres Guillaume , Paulet Catherine , Petit Sabine , Neuville Emmanuelle , Lafontaine Dominique 
Published: July 2023

Les dispositifs d’enseignement hybride dans la formation en soins infirmiers sont peu représentés dans la littérature scientifique (Li et al., 2019). Pourtant le public de cette formation est particulier puisque nombre d’étudiants ont une expérience professionnelle dans le milieu des soins avant même de débuter leur cursus. Cette étude se propose d’identifier les variables qui prédisent les performances des étudiants, notamment en prenant en compte leur expérience professionnelle. Dans un dispositif hybride alternant un enseignement sous la forme de capsules vidéo, accompagnées d’évaluations formatives en ligne et des travaux dirigés en présentiel, des variables liées à la motivation et à la participation sont mesurées auprès de 143 étudiants. Les résultats montrent que les comportements observables et la motivation des étudiants influencent différemment leurs performances selon qu’ils ont ou non une expérience professionnelle préalable. Ces résultats sont décrits et discutés et pourraient constituer un point d’ancrage à une littérature scientifique combinant l’enseignement hybride et la formation en soins infirmiers.
Posterior longitudinal ligament suturation after lumbar discectomy provides postoperative a large intradural area: First report
Authors: Batcik Osman Ersegun , Kanat Ayhan , Durmaz Serdar , Ozdemir Bulent , Beyazal Mehmet 
Published: July 2023

Background:
Stability and flexibility of the spine are provided by the posterior longitudinal ligament (PLL). It plays a key role in the pathogenesis of lumbar disc herniation (LDH) by preventing disc protrusion. The effect of the suturing of the PLL on the intradural area was investigated.

Patients and Methods:
The patients were included in whom lumbar microdiscectomy was performed between January 2021 and July 1, 2022. The patients were randomly divided into two groups as PLLs were sutured and unsutured.

Results:
Forty-six (23 males and 23 females) patients were included. The PLLs were sutured in 22 patients (Group 1) and not sutured in 24 patients (Group 2). The levels, sides of LDHs, and ages and gender of patients were also analyzed in both groups, which were not statistically significant. Preoperative mean spinal intradural areas were 77.29 mm2 for the PLL unsutured group and 85.40 mm2 for the PLL sutured group (Groups 1 and 2). For patients in Groups 1 and 2, the postoperative mean spinal intradural areas grew to 134.73 mm2 and 96.12 mm2, respectively. The difference in preoperative mean spinal intradural regions between the two groups was not statistically significant; however, Group 1 showed a substantial difference (sutured PLL patients).

Conclusions:
This study first time indicates that suturing PLL has a protective and supportive role in patients who were operated on for LDH.
Anterior selective scalenectomy for periforaminal exposure in the ventral supraclavicular approach
Authors: Gagliardi Filippo , Medone Marzia , Giordano Leone , Snider Silvia , Piloni Martina , Pompeo Edoardo , Roncelli Francesca , Ruffino Luca , Mortini Pietro 
Published: July 2023

Aims and Objectives:
Route of choice to access cervical paravertebral lesions with foraminal involvement is the anterolateral corridor with its variants. Main limitation of these techniques is represented by the limited surgical access to periforaminal area due to the bulk generated by the anterior scalene muscle (ASM). Over the years, alternative techniques for ASM surgical management have been developed, which are still today a matter of debate. Most popular include ASM scalene complete section (SCS) and ASM medial detachment (SMD). Authors describe an innovative, minimally invasive muscle section technique, the anterior selective scalenectomy (ASS), which reduces the risk of iatrogenic morbidity and optimizes exposure of periforaminal area in anterolateral cervical routes.

Materials and Methods:
A laboratory investigation was conducted. Technique was applied in a surgical setting, and an illustrative case was reported.

Results:
ASS is a quick and easy technique to perform. It allows optimization of surgical visibility and control on the periforaminal area in the cervical anterolateral corridor. It respects muscle anatomy and vascularization, favoring functional recovery and management of peri-operative pain; it reduces the risk of morbidity on phrenic nerve and pleura. Considering the minimally invasive nature of the technique, it allows for a slightly more limited exposure compared to traditional techniques while ensuring optimal surgical maneuverability on the target area.

Conclusions:
ASS represents an effective and safe alternative to traditional ASM section techniques for the exposure of periforaminal area in anterolateral cervical routes. It is indicated in case of lesions with paravertebral development and minimal intraforaminal component in the C3-C6 segment.
Reasons for transfer and subsequent outcomes among patients undergoing elective spine surgery at an orthopedic specialty hospital
Authors: Fried Tristan Blase , Lee Yunsoo , Heard Jeremy C. , Siegel Nicholas S. , Issa Tariq Z. , Lambrechts Mark J. , Zaworski Caroline , Wang Jasmine , D'Amore Taylor , Syal Amit , Lawall Charles , Mangan John J. , Canseco Jose A. , Woods Barrett I. , Kaye Ian David , Hilibrand Alan S. , Vaccaro Alexander R. , Kepler Christopher K. , Schroeder Gregory D. 
Published: July 2023

Objective:
To evaluate the reasons for transfer as well as the 90-day outcomes of patients who were transferred from a high-volume orthopedic specialty hospital (OSH) following elective spine surgery.

Materials and Methods:
All patients admitted to a single OSH for elective spine surgery from 2014 to 2021 were retrospectively identified. Ninety-day complications, readmissions, revisions, and mortality events were collected and a 3:1 propensity match was conducted.

Results:
Thirty-five (1.5%) of 2351 spine patients were transferred, most commonly for arrhythmia (n = 7; 20%). Thirty-three transferred patients were matched to 99 who were not transferred, and groups had similar rates of complications (18.2% vs. 10.1%; P = 0.228), readmissions (3.0% vs. 4.0%; P = 1.000), and mortality (6.1% vs. 0%; P = 0.061).

Conclusion:
Overall, this study demonstrates a low transfer rate following spine surgery. Risk factors should continue to be optimized in order to decrease patient risks in the postoperative period at an OSH.
Optimal anatomical angle and distance for drilling in cervical oblique corpectomy: A surgical anatomical study
Authors: Baran Oguz , Saygi Tahsin , Balak Naci 
Published: July 2023

Background:
One of the difficulties of oblique corpectomy, less discussed in the literature, is the problem of how to achieve an optimum corpectomy. Therefore, this anatomico-radiological study was conducted to shed light on the use of the microscope at an appropriate angle and optimum drill distances in clinical cases undergoing cervical oblique corpectomy surgery.

Materials and Methods:
We examined the average distance of the diagonal line extending from the medial aspect of the ipsilateral vertebral foramen to the contralateral pedicle in cervical computed tomography -angiography axial scans in four cervical vertebrae, C3, C4, C5, and C6. We also measured the average angle between this diagonal trajectory and the horizontal line, making a total of 712 measurements in 89 patients.

Results:
We found that horizontal drilling with an average length of 23–26 mm at an acute angle of about 22° °–23°° is optimal for adequate decompression of the spinal cord in the oblique corpectomy approach. Depending on the patient and the level of the vertebra, the distance and the angle of the horizontal drilling may range from 18 mm to 31 mm and from 15°° to 33°, respectively.

Conclusions:
For an optimum cervical oblique corpectomy that provides adequate spinal cord decompression and maintains spinal stability, it is necessary to operate under a surgical microscope positioned at an acute angle and to know the horizontal drilling distance.
The modified occipital condyle screw: A quantitative anatomic study investigating the feasibility of a novel instrumented fixation technique for craniocervical fusion
Authors: Dietz Nicholas , Gruter Basil Erwin , Haegler Joshua , Cho Samuel K. , Tubbs R. Shane , Spiessberger Alexander 
Published: July 2023

Study Design:
Prospective human anatomical study.

Objective:
Occipitocervical fusion with occipital plate or condyle screws has shown higher failure rates in those with skeletal dysplasia. The modified occipital condyle screw connects the occipital condyle to the pars basilaris of the occipital bone that may achieve fortified bony purchase and serve as a more rigid fixation point. We evaluate anatomical feasibility of a novel cranial fixation technique designed to decrease risk of pseudarthrosis.

Materials and Methods:
Occipital condyles were analyzed morphologically using multiplanar three-dimensional reconstructed, ultra-thin section computed tomography. The following parameters were obtained: occipital condyle length, maximal cross section, location of hypoglossal canal, axial and sagittal orientation of the long axis, occipital condyle pedicle (OCP) diameter, maximal length of OCP screw, and entry point.

Results:
Forty patients with total of 80 occipital condyles were analyzed and the following measurements were obtained: occipital condyle length 24.1 mm (20.5–27.7, standard deviation [SD]: 2.2); condyle maximum axial cross-section 12.6 mm (9–15.8, SD: 1.9); length of OCP screw 38.9 mm (29.3–44, SD: 5.7); diameter of OCP 3.4 mm (3.2–3.6, SD: 0.2); clearance below hypoglossal canal 4.5 mm (3.4–7, SD: 1.1); and distance of screw entry point from condylar foramen 2 mm (range 0-4, SD 1.6).

Conclusion:
The modified occipital condyle screw connects the condyle with the clivus through the pars basilaris and represents a safe and technically feasible approach to achieve craniocervical fusion in skeletally mature individuals. This cephalad anchor point serves as an alternate fixation point of the occipitocervical junction with increased strength of construct and decreased risk of hardware failure or pseudarthrosis given cortical bone purchase and longer screw instrumentation.