bluuebunny/crossref_metadata_2025_split huggingface dataset:
Electronic health records in nursing from 2000 to 2020: A bibliometric analysis
Authors: Luan Ze , Zhang Zhiru , Gao Yanan , Du Shiyuan , Wu Nan , Chen Yulu , Peng Xin 
Published: February 2023

BackgroundElectronic health records (EHR) is the longitudinal data generated by patients in medical institutions and recorded by electronic medical information systems in the form of digital, which is also the most widespread application of big data in medicine. The purpose of this study was to explore the application of electronic health records in the field of nursing and determine the current research status and hotspots.MethodsA bibliometric analysis of electronic health records in nursing was undertaken from 2000 to 2020. The literature comes from Web of Science Core Collection database. We used CiteSpace (version 5.7 R5; Drexel University), which is a Java-based software that especially visualized collaborative networks and research topics.ResultsA total of 2616 publications were included in the study. We found that publications increased year by year. The Journal of American Medical Informatics Association (n = 921) is the most cited. The United States (n = 1,738) has the most publications in this field. University Penn (n = 63) is the institution with the most publications. There is no influential cooperation network among the authors, of which Bates, David W (n = 12) have the largest number of publications. The relevant publications also focus on the fields of health care science and services, and medical informatics. In keywords, EHR, long-term care, mobile application, inpatient falls, and advance care planning has been researching hotspots in recent years.ConclusionWith the popularization of information systems, the publications of EHR in the nursing field have increased year by year. This study provides the basic structure, potential cooperation, and research trends of EHR in the field of nursing from 2000 to 2020, and provides a reference for nurses to effectively use EHR to help clinical work or scientific researchers explore the potential significances of EHR.
Decisional support needed when facing tough decisions: Survey of parents with children having differences of sex development
Authors: Gardner Melissa , Brinkman William B. , Carley Meg , Liang Noi , Lightfoot Sophie , Pinkelman Kendra , Speiser Phyllis W. , Schafer-Kalkhoff Tara , Suorsa-Johnson Kristina I. , VanderBrink Brian , Weidler Erica M. , Wisniewski Jessica , Stacey Dawn , Sandberg David E. 
Published: February 2023

IntroductionParents of infants and young children newly diagnosed with differences of sex development (DSD) commonly face medical and psychosocial management decisions at a time when they are first learning about the condition and cannot consult their child for input. The aim of this study was to identify areas of greatest need for parental decisional support.Methods34 parents of children receiving care for DSD at one of three US children’s hospitals participated in a survey to learn what clinical and psychosocial decisions needed to be made on behalf of their child. Parents were then asked to identify and focus on a “tough” decision and respond to questions assessing factors affecting decision-making, decision-making preferences, decisional conflict, and decision regret. Descriptive analyses were conducted.ResultsDecisions about surgery and aspects of sharing information about their child’s condition with others were the two most frequently reported decisions overall, experienced by 97% and 88% of parents, as well as most frequently nominated as tough decisions. Many parents reported mild to moderate levels of decisional conflict (59%) and decision regret (74%). Almost all parents (94%) reported experiencing at least one factor as interfering with decision-making (e.g., “worried too much about choosing the ‘wrong’ option”). Parents universally reported a desire to be involved in decision-making – preferably making the final decision primarily on their own (79%), or together with their child’s healthcare providers (21%). The majority of parents judged healthcare providers (82%) and patient/family organizations (58%) as trustworthy sources of information.DiscussionParents of children with DSD encounter medical, surgical, and psychosocial management decisions. Despite difficulties including emotional distress and informational concerns (including gaps and overload), parents express strong desires to play key roles in decision-making on behalf of their children. Healthcare providers can help identify family-specific needs through observation and inquiry in the clinical context. Together with families, providers should focus on specific clinical management decisions and support parental involvement in making decisions on behalf of young children with DSD.
Influences on water source selection and use among women in rural Odisha, India
Authors: Patrick Madeleine , Hennink Monique , Dasmohapatra Munmun , Rout Manaswini , Clasen Thomas , Caruso Bethany A. 
Published: February 2023

IntroductionWater is a crucial resource for many household functions, including drinking, cooking, bathing, and washing clothes. Globally, women bear the burden of water collection in households without piped water, as well as responsibility for household chores that require water. Carrying water has a number of health and safety risks, and women often rely on multiple water sources. The goal of this study is to understand how women in rural Odisha, India, an area with high coverage of improved water sources, make decisions on where to collect water.MethodsThis is a grounded-theory, secondary analysis of qualitative data collected from 69 women across life stages in eight villages in rural Odisha. Women were asked about their concerns and difficulties related to water and probed for details in a variety of contexts, including at night, during monsoon season, and during pregnancy.ResultsWomen's standards for water quality vary depending on the planned use of the water. They report a willingness to travel long distances to collect better tasting water for cooking and drinking. When washing clothes, they often prefer a larger body of water. Bathing or washing menstrual cloths requires privacy. Their ability to access water varies based on individual characteristics such as: life stage, as recently married women have less freedom of movement than older women; health status, as older women report difficulties carrying water long distances; cyclical patterns such as seasonality, as certain sources are inaccessible during monsoon season; and characteristics of the water and the source itself, which encompasses distance, perceived quality, and privacy, among others.DiscussionThese findings indicate that public health interventions and surveys that monitor household water should not only consider the presence of a water source on the premises, but should also include multiple source use and consideration of individual members of households and the time of data collection, as water sources may not be equally available or acceptable to all household members at all times. In climate-sensitive areas, multiple water source use may become increasingly necessary as a response to changes in the environment, and should be considered in climate resilience interventions.
Friend or Foe: Symbiotic Bacteria in Bactrocera dorsalis–Parasitoid Associations
Authors: Gwokyalya Rehemah , Weldon Christopher W. , Herren Jeremy Keith , Gichuhi Joseph , Makhulu Edward Edmond , Ndlela Shepard , Mohamed Samira Abuelgasim 
Published: February 2023

Parasitoids are promising biocontrol agents of the devastating fruit fly, Bactrocera dorsalis. However, parasitoid performance is a function of several factors, including host-associated symbiotic bacteria. Providencia alcalifaciens, Citrobacter freundii, and Lactococcus lactis are among the symbiotic bacteria commonly associated with B. dorsalis, and they influence the eco-physiological functioning of this pest. However, whether these bacteria influence the interaction between this pest and its parasitoids is unknown. This study sought to elucidate the nature of the interaction of the parasitoids, Fopius arisanus, Diachasmimorpha longicaudata, and Psyttlia cosyrae with B. dorsalis as mediated by symbiotic bacteria. Three types of fly lines were used: axenic, symbiotic, and bacteria-mono-associated (Lactococcus lactis, Providencia alcalifaciens, and Citrobacter freundii). The suitable stages of each fly line were exposed to the respective parasitoid species and reared until the emergence of adult flies/parasitoids. Thereafter, data on the emergence and parasitoid fitness traits were recorded. No wasps emerged from the fly lines exposed to P. cosyrae. The highest emergence of F. arisanus and D. longicaudata was recorded in the L. lactis fly lines. The parasitoid progeny from the L. lactis and P. alcalifaciens fly lines had the longest developmental time and the largest body size. Conversely, parasitoid fecundity was significantly lower in the L. lactis lines, whereas the P. alcalifaciens lines significantly improved fecundity. These results elucidate some effects of bacterial symbionts on host–parasitoid interactions and their potential in enhancing parasitoid-oriented management strategies against B. dorsalis.
Avaliação da atividade antimicrobiana de pastas de Hidróxido de Cálcio associado a substâncias auxiliares frente a <em>Enterococcus faecalis</em>: uma revisão integrativa
Authors: Barreto Isabele Lima , Lima Raquel de Fátima Rodrigues , De Araújo Yana Cavalcante , Gomes Fábio de Almeida , Viana Luiz Carlos Trevia Morais Correia , Vitoriano Marcelo de Morais , Albuquerque Nadine Luísa Guimarães , Aguiar Bernardo Almeida 
Published: February 2023

É amplamente descrito na literatura a resistência do Enterococcus faecalis ao Hidróxido de Cálcio (HC), um dos medicamentos intracanais mais utilizados na Endodontia. Esse patógeno é a espécie dominante nas infecções endodônticas persistentes, apresenta patogenicidade devido a formação de biofilme e consequentemente, resistência aos agentes antibacterianos. Com isso, o objetivo geral desse trabalho é analisar, através de uma revisão integrativa, a atividade antimicrobiana e antibiofilme, das pastas utilizadas como medicação intracanal, em diferentes associações e veículos, frente ao Enterococcus faecalis. Foi realizada uma busca nas bases de dados PubMed, Scielo e Bireme, com artigos limitados aos últimos cinco anos, no idioma inglês, utilizando-se as palavras chaves “endodontic”, “biofilm”, “calcium hydroxide”, sendo obtidos 73 artigos, dos quais 12 foram selecionados após análise crítica de título e resumo, sendo excluídos revisões de literatura, relatos de casos e meta-análises. De acordo com os trabalhos lidos e analisados, dos doze artigos selecionados, oito apresentaram que o HC possui melhores resultados para atividade antibacteriana e potencial antimicrobiano quando associado a outro agentes antimicrobianos. O hidróxido de cálcio isolado apresentou efeito limitado contra o E. faecalis, demonstrando não ser eficaz para eliminar o biofilme. Conclui-se que, a partir desta revisão integrativa, a melhor forma de realizar os tratamentos endodônticos que utilizam o HC como medicação intracanal para erradicação do E.faecalis, é quando esta é usada de forma associada aos veículos com atividade antimicrobiana, mostrando melhores resultados frente à atividade antimicrobiana para eliminação do biofilme.
Propuesta de Modelo de tendencias didácticas en resolución de problemas basado en el enfoque de educación por competências
Authors: Tarín Jesús Eduardo León , Santos María del Carmen Nivón , Girón José Alvarado 
Published: February 2023

Se ensaya y postula la idea de que la educación con enfoque de formación por competencias subyacente en el modelo educativo del siglo XXI (SNEST, 2004; 2009), además de ser un enfoque, pueda constituirse en un modelo de tendencias didácticas para fines operativos en PBL (Problem based Learning) que lo podamos usar como potente instrumento de análisis e intervención en la realidad educativa, que relacione la reflexión teórica que soporta el modelo y la intervención práctica que ocurra en el aula, para estimar el grado de implante de la reforma y que nos permita reformular, re-lanzar y re-dirigir el desarrollo profesional del profesorado del sistema. Se describe también en este ensayo como podría ocurrir tal proceso en la práctica cotidiana de los maestros de nuestro Instituto Tecnológico. Se postula que es el germen de una fructífera línea de investigación educativa en el Tecnológico Nacional de México (TNM).
Otimização da produção de enzimas lipases a partir de <em>Aspergillus niger</em> por fermentação submersa usando Óleo de Fritura Residual (OFR)
Authors: Dos Santos Claudio Junior , Cerqueira Keilla Santos , Rodrigues Jacqueline Rêgo da Silva , De Souza Roberto Rodrigues 
Published: February 2023

As lipases são enzimas que têm um papel importante na indústria pela sua ampla utilização, dando origem a um grande interesse em bioprocessos industriais devido à sua versatilidade. Com o avanço das pesquisas, mais espécies de lipases com propriedades específicas estão sendo investigadas. Estas enzimas podem ser produzidas a partir de uma diversidade de espécies microbiológicas. Dentre os microrganismos produtores de lipase, está o Aspergillus niger que tem atraído grande interesse na área da biotecnologia devido à sua facilidade de produção, produção essa que pode ser feita através do uso de óleos de residuais como fonte de carbono. Pensando nisso, a obtenção de enzimas lipases utilizando este resíduo é uma forma de agregar valor a um subproduto que muitas vezes é eliminado nas redes de esgotos sanitários prejudicando e encarecendo o sistema de tratamento. Este trabalho consiste em avaliar a produção de lipases utilizando várias concentrações de óleo de fritura residual (OFR) e diferentes pHs, através das análises ANOVA. A produção das enzimas lipásicas foi favorecida a pH 2, com uma concentração de óleo de 1.5% (v/v) durante um período de 24 horas resultando em uma atividade enzimática de 141.90 U/mL. Os teste de estabilidade constataram que extrato enzimático produzido permaneceu estável após 28 dias em temperaturas de 15ºC a 37ºC, apontando melhor resultado de atividade em 15ºC.
A Quality Assessment Instrument for Systematic Literature Reviews in Software Engineering
Authors: Usman Muhammad , Bin Ali Nauman , Wohlin Claes 
Published: February 2023

Background: Systematic literature reviews (SLRs) have become a standard practice as part of software engineering (SE) research, although their quality varies. To build on the reviews, both for future research and industry practice, they need to be of high quality.
Aim: To assess the quality of SLRs in SE, we put forward an appraisal instrument for SLRs.
Method: A well-established appraisal instrument from research in healthcare was used as a starting point to develop the instrument. It is adapted to SE using guidelines, checklists, and experiences from SE. The first version was reviewed by four external experts on SLRs in SE and updated based on their feedback. To demonstrate its use, the updated version was also used by the authors to assess a sample of six selected systematic literature studies.
Results: The outcome of the research is an appraisal instrument for quality assessment of SLRs in SE. The instrument includes 15 items with different options to capture the quality. The instrument also supports consolidating the items into groups, which are then used to assess the overall quality of an SLR.
Conclusion: The presented instrument may be helpful support for an appraiser in assessing the quality of SLRs in SE.
UJI EVALUASI DAN UJI AKTIVITAS EKSTRAK DAUN ASAM JAWA (Tamarindus indica L.)
Authors: Ningrum Yuyun Darma Ayu , Putri Chintiana Nindya 
Published: February 2023

Kebutuhan masyarakat dalam penggunaan skincare semakin tinggi, namun sediaan tabir surya yang ada dipasaran kebanyakan berasal dari kimia. Daun asam jawa diketahui memiliki flavonoid. Penelitian menyebutkkan flavonoid merupakan antioksidan dapat digunakan sebagai zat aktif pada sediaan tabir surya. Sediaan yang dapat digunakan masyarakat harus aman ketika digunakan. Penelitian ini bertujuan menentukan formulasi gel yang aman dengan menggunakan ekstrak daun asam jawa. Formula gel ekstrak daun asam jawa menggunakan basis Carbopol dengan konsentrasi ekstrak 100 ppm , 200 ppm dan 300 ppm. Carbopol diketahui memiliki stabilitas yang baik dalam penyimpanan. Formula dilakukan uji fisik meliputi organoleptis, pH, daya sebar dan stabilitas. Hasil pengujian didapatkan formula 1,2,3 memiliki stabilitas yang baik dengan parameter daya lekat, daya sebar dan uji stabilitas. Formula 3 memiliki grade very good protection dengan nilai SPF sebesar 28,8 sehingga direkomendasikan sebagai penggunaan tabir surya.
ANTI-HIPERGLIKEMIK TEH CELUP HERBAL KOMBINASI Fragaria x ananassa, Camellia sinensis, Stevia rebaudiana MELALUI MEKANISME ANTIOKSIDAN PADA MENCIT GANGGUAN METABOLIK YANG DIINDUKSI ALOXAN
Authors: Sandhiutami Ni Made Dwi , Yuslia Noviani  , Milla Fitri Amalia  , Rafif Fadhlurrahman Ahmad  
Published: February 2023

Daun stroberi (Fragaria x ananassa), teh (Camellia sinensis), dan stevia (Stevia rebaudiana) mengandung flavonoid, epigallocatechin gallate, steviosida, dan rebaudiosida yang memiliki aktivitas tinggi sebagai antioksidan dan secara empiris digunakan sebagai pengobatan alternatif Diabetes Millitus (DM). Penelitian ini bertujuan untuk menentukan aktivitas antioksidan dan anti-hiperglikemik dari teh herbal celup kombinasi daun stroberi, teh dan stevia melalui mekanisme antioksidan. Uji aktivitas anti-hiperglikemik dilakukan dengan metode induksi aloksan (300 mg/kgBB) pada hewan coba mencit yang dibagi menjadi 6 kelompok, yaitu kelompok normal, kelompok negatif, kelompok positif (glibenklamid), dan 3 kelompok dosis teh celup herbal kombinasi daun stroberi, teh dan stevia (15,6; 31,2; 62,4 mg/20 gBB). Pengukuran kadar malondialdehid dilakukan dengan metode TBARs (Wills) dan SOD dengan metode Adrenochrome Assay Kadar glukosa darah mencit diamati pada hari ke-0, 4, 11 dan 18 dengan metode enzimatik glucose oxidase strip glucometer. Histopatologi pankreas dilakukan menggunakan pewarnaan Hematoksilin-Eosin. Hasil pengujian menunjukkan bahwa persentasi penurunan kadar glukosa darah teh celup herbal kombinasi daun stroberi, teh, stevia kelompok dosis uji 15,6 mg/20gBB; 31,2 mg/20gBB; 62,4 mg/20gBB secara berturut-turut yaitu 9,74%; 13,79%; 20,76%. Dosis 62,4 mg/20gBB memiliki aktivitas sebagai antioksidan dan anti-hiperglikemik yang lebih baik daripada dosis lain dan pada gambaran histopatologi menunjukkan bahwa teh celup herbal kombinasi tiga daun tersebut dapat memperbaiki Pulau Langerhans mencit. Berdasarkan hasil penelitian dapat disimpulkan bahwa teh celup herbal kombinasi daun stroberi, teh, dan stevia dapat menurunkan kadar glukosa darah dan memperbaiki gambaran histopatologi Pulau Langerhans pada pankreas mencit.
Les chargés d’accueil et d’accompagnement et l’identification des besoins des étudiants en situation de handicap : quelles praxéologies professionnelles ?
Authors: Ait Hammou Taleb Saïd 
Published: February 2023

Cet article s’intéresse aux Chargés d’accueil et d’accompagnement (CAA) des Missions Handicap ou Inclusion dont la fonction est d’assurer un accompagnement des étudiants handicapés en vue de faciliter leur autonomie. Or ces acteurs, qui s’inscrivent progressivement dans la mise en œuvre des politiques inclusives universitaires françaises, tout comme européennes 1 , peuvent être signes d’une ambiguïté certaine, tant leur mission et leur fonction semble peu définies. À travers des entretiens individuels, nous mettons en lumière les praxéologies professionnelles de ces praticiens, peu connues de la littérature scientifique, en nous appuyant sur la Théorie de l’Anthropologie du Didactique (Chevallard, 1998, 2010) développée pour l’analyse de l’activité hors enseignement par Ladage (2011, 2017) et le développement professionnel par Suau (2016, 2019). Plus particulièrement, nous mettons au jour des techniques employées par ces nouveaux acteurs relativement à un type de tâche S’entretenir avec l’ERIH pour identifier ses besoins tout au long de sa scolarité et nous questionnons leur rapport d’assujettissement et d’innovation à l’institution Université.
Liberté religieuse et bien-être animal : la Cour constitutionnelle de Belgique admet la constitutionnalité de l’interdiction de l’abattage rituel sans étourdissement préalable
Authors: Deting Adeline , Slautsky Emmanuel 
Published: February 2023

Le 30 septembre 2021, la Cour constitutionnelle belge a admis la validité d’une interdiction de l’abattage rituel sans étourdissement préalable de l’animal mis à mort. Dans cet arrêt, la Cour s’aligne largement sur l’appréciation de la portée de la liberté religieuse effectuée par la Cour de justice dans la même affaire, dans un arrêt rendu à titre préjudiciel. La Cour constitutionnelle donne ainsi une interprétation plutôt restrictive de la liberté de religion si on l’envisage dans le contexte particulier de la Belgique. Le raisonnement tenu par la Cour constitutionnelle dans cet arrêt cherche par ailleurs à respecter l’exigence de neutralité qui pèse sur les pouvoirs publics et leur impose de ne pas traiter de manière discriminatoire les différentes convictions religieuses. L’arrêt y parvient dans une large mesure, mais sans doute pas entièrement.
Relationship between postural stability and fall risk in young adult after lower limb muscle fatigue
Authors: Safee Mohd Khairuddin Mohd , Osman Noor Azuan Abu 
Published: February 2023

Introduction: Muscle fatigue can reduce body balance and activity of daily living tasks. Therefore, this study aims to identify the correlation between postural stability and fall risk due to muscle fatigue. The components in postural stability include Overall Stability Index (OSI), Anterior-Posterior Stability Index (APSI), and Mediolateral Stability Index (MLSI).

Design and Methods: A total of seven healthy adults aged 31.1±7.4 years were recruited in this study. The sit-to-stand (STS) protocol was used to induce lower limb muscle fatigue, while postural stability and fall risk were assessed using the Biodex Balance System (BBS) before and after muscle fatigue.

Result: The result showed a significant increase in postural stability index after fatigue only for OSI with p<0.05, while no significant difference was found on APSI and MLSI with p=0.157 and p=0.109 respectively. However, the mean score for the postural stability index showed an increase in percentage with 47.8% in OSI, 26.3% in APSI and 46.8% in MLSI. Furthermore,fall risk showed no significant differences with p=0.149, but the mean score data increased by 16.7% after fatigue. The correlation between fall risk and OSI was significant with p<0.05, while MLSI had a significant negative correlation with APSI (p<0.05).

Conclusions: Based on the results, the young adults had reduced overall postural stability but were less affected by fall risk after muscle fatigue. The positive correlation between OSI and fall risk indicated that their overall postural stability can induce the fall risk after muscle fatigue. Therefore, young adults need to be aware of their fatigue symptoms during prolonged exercise that can increase fall risk potential.