bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sémiologie des toilettes
Authors: Jullier Laurent 
Published: May 2023

Cet article traite de la signalétique indiquant aux usagers de toilettes publiques laquelle des deux portes ils doivent pousser, « Hommes » ou « Femmes ». Les pictogrammes, à cet endroit, s’efforcent de mobiliser des universaux, en l’occurrence des signes visuels de distinction sexuelle saisissables sans compétences particulières par le plus grand nombre possible de personnes. Mais les vrais universaux sont rares. L’article passe en revue les dénotations et connotations des pictogrammes les plus courants, en utilisant quelques outils heuristiques venus de la sémiologie, des études de genre, de la psychologie et de la sociologie interactionniste.
Métiers et numérique : étude d’une évolution dynamique
Authors: Djambian Caroline 
Published: May 2023

Les notions intrinsèquement liées de métier, qualification et compétence ont connu des révolutions successives au cours de notre histoire. Toujours remises au-devant de la scène lors des périodes de grands changements qui engendrent des replis identitaires des organisations, elles connaissent un nouvel avènement avec la vague numérique. Nous tentons ici de retracer leur évolution dynamique alliée plus que jamais à celle des innovations technologiques, sous l’angle des Sciences de l’Information-Communication. Nous verrons que la médiation des métiers et modes de travail par les Technologies de l’Information Communication (TIC) va croissante et touche tous les secteurs d’activité, de sorte que certains y voient une nouvelle économie. Mais les TIC ont-elles l’impact qu’on leur prête ? N’accompagnent-elles pas les évolutions dans leur continuité, plus qu’elles ne les provoquent ? N’engendrent-elles pas des glissements des métiers et compétences, plus qu’elles ne créent ou tuent des professions ?
Strategie per lâ€™attuazione delle Cure Fondamentali: una revisione della letteratura
Authors: Durante Lisa , Mazzariol Elisa , Buffon Marialuisa 
Published: May 2023

Introduzione: Recentemente si Ã¨ assistito ad una fervente spinta alla riflessione nella letteratura infermieristica riguardo le cure fondamentali, motivata dal riconsiderare valori importanti per la professione infermieristica quali compassione e dedizione, e da questioni organizzative come la carenza di personale o la collaborazione con altre figure professionali. Lo scopo di questa revisione Ã¨ individuare quali sono le possibili strategie al fine di garantire alla persona assistita lâ€™erogazione di cure fondamentali. Materiali e metodi: La letteratura Ã¨ stata ricercata nelle banche dati PubMed e CINAHL. Sono stati reperiti 251 articoli e selezionati, sulla base dei quesiti di ricerca, 32 articoli full-text sottoposti ad analisi. Di questi, 9 articoli sono stati esclusi perchÃ© non pertinenti. Risultati: La letteratura fa emerge che gli ostacoli allâ€™applicazione delle cure fondamentali riguardano prevalentemente fattori organizzativi (tempo, carico di lavoro, influenza dei leader) caratteristiche individuali degli infermieri (atteggiamenti, comportamenti, e fattori interpersonali (capacitÃ di relazionarsi). In letteratura vengono proposte strategie per applicare le cure fondamentali, ad esempio lâ€™Intentional Rounding, che prevede di effettuare dei giri di controllo degli assistiti programmati ad orario o il metodo AMG (Amalgamation of Marginal Gains) attraverso il quale sarebbe possibile ottenere un miglioramento dellâ€™assistenza erogata a partire dallâ€™attenzione per i dettagli. Discussione: CiÃ² che rende possibile unâ€™assistenza di qualitÃ non Ã¨ tanto un cambiamento radicale nellâ€™organizzazione generale, quanto il fatto che ogni singolo professionista adotti un approccio che dia la stessa importanza ad ogni gesto che va a compiere. Un approccio in cui le percezioni, le necessitÃ e le esperienze della persona vengono sistematicamente considerate permette di identificare la modalitÃ piÃ¹ corretta per rispondere pienamente ai bisogni dellâ€™assistito Conclusioni: Adottare un approccio centrato sulla persona permette di accogliere e soddisfare pienamente i bisogni dellâ€™assistito, il che comporta unâ€™attuazione completa delle cure infermieristiche fondamentali. Tuttavia, gli spunti pratici per lâ€™implementazione di questo approccio risultano limitati. Parole chiave: cure fondamentali, infermieristica, cura, bisogni dellâ€™assistito.
Il carico di lavoro infermieristico in una terapia intensiva COVID-free: uno studio retrospettivo descrittivo
Authors: Zoppini Laura , Scala Cristina , Gulizia Domenico , Cipolla Cristiana Alessandra , Alberti Beatrice Maria Benedetta , Stellabotte Michele , Pagani Silvano , Ravanelli Manuel Giuseppe , Costa Davide , Baciu Camelia Adriana , Barlo Gaia , Porro Barbara , Di Paola Antonio , Anzaldi Erika , Gubertini Alessandro , Zanoni Claudia 
Published: May 2023

Sin dall'inizio della pandemia da SARS-COV2 le terapie intensive italiane sono state messe a dura prova ed hanno dovuto ripensare alle proprie dotazioni di personale e mezzi. Il carico di lavoro infermieristico nelle Terapie Intensive dedicate a pazienti COVID-19 positivi ha subito grosse modifiche rispetto alla situazione precedente all'emergenza. Nessuno studio è stato fin ora condotto riguardo il carico di lavoro infermieristico nelle Terapie Intensive COVID-free durante il periodo di esordio della pandemia da SARS COV-2. L'obiettivo di questo lavoro è stato quindi quello di descrivere la variazione del carico di lavoro infermieristico in una Terapia Intensiva COVID-free di un ospedale pubblico milanese.
Strategie per la corretta previsione dei tempi operatori allo scopo di aumentare l'efficienza in sala operatoria: uno studio osservazionale retrospettivo
Authors: Laus Gennaro 
Published: May 2023

Introduzione: La conoscenza delle tempistiche di sala operatoria può portare a una pianificazione accurata consentendo di individuare i punti deboli e le criticità, potendo poi concentrare le forze in questi punti allo scopo di correggerli. La pianificazione aggiunge valore a un'organizzazione ma deve essere garantita da indicatori di performance dei tempi operatori. Tali indicatori permettono di analizzare il processo operatorio valutando le performance. L'obiettivo che si prefigge lo studio è di conoscere le tempistiche di sala operatoria ottenendo una pianificazione giornaliera migliore.Materiali e Metodi: E' stato condotto uno studio osservazionale retrospettivo dal 1 Novembre 2020 al 30 Aprile 2021 che coinvolge le cinque branche chirurgiche dell'IRCCS CROB al fine di analizzare e monitorare i tempi operatori degli interventi chirurgici, proponendo uno strumento di supporto. Lo studio utilizza tre indicatori: Tempo pre operatorio (T1), Tempo chirurgico (T2) e Tempo post operatorio (T3).Risultati: Dall'analisi dei dati rilevati emerge che gli interventi validi sono stati 209. Il tempo pre-operatorio si attesta sui 58,55 min, il tempo post-operatorio sui 36,84 min e il tempo chirurgico sui 99,76 min. I tempi pre e post operatori risultano essere i principali tempi su cui ottenere un margine di miglioramento e quindi i primi su cui agire.Discussione: L'adozione di uno strumento di consultazione con i tempi medi degli interventi può aiutare il personale nella stima di durata e occupazione delle sale. Lo studio presentato è volto a migliorare le prestazioni della sala operatoria in termini di qualità delle cure, efficacia ed efficienza, ottenendo una pianificazione giornaliera migliore.Conclusioni: E' auspicabile un monitoraggio continuo dei tempi operatori con revisioni periodiche.
The Role of Dyslipidemia in Atherogenesis in Peritoneal Dialysis Patients
Authors: Rebić Damir , Begić Edin , Aziri Buena , Džubur Alen , Gogić Ena , Durak-Nalbantić Azra , Hamzić-Mehmedbašić Aida , Hasanspahić Senad , Granov Nermir 
Published: May 2023

Background:
To evaluate atherosclerotic changes in carotid arteries (CCA) in uremic patients before and after 18 months of continuous ambulatory peritoneal dialysis (CAPD) treatment, and to evaluate the impact of dyslipidemia and CAPD treatment on vascular remodeling.

Materials and Methods:
We conducted a longitudinal, prospective study during 2020 and 2021 at the Clinic for Nephrology, Clinical Center University of Sarajevo. Patients with end-stage renal disease were included and were followed during 18 months of CAPD treatment. All patients were treated using commercially prepared biocompatible balanced dialysis solutions. Carotid intima-media thickness (IMT) and atherosclerotic plaques on the common carotid artery (CCA) were measured by echotomography.

Results:
A total of 50 patients were included and were followed during 18 months of CAPD treatment. Lipid values in the serum of patients with CAPD were significantly lower after 18 months of CAPD treatment compared to the values before treatment, while the value of high-density lipoprotein (HDL) was significantly increased after 18 months of CAPD treatment. The values of IMT and the diameter of the CCA compared to the basal values were significantly lower (P < 0.001).

Conclusion:
We demonstrated significantly lower lipid values and higher HDL levels following CAPD treatment. Correct selection of the targeted pharmacological intervention can substantially impact the regression of vascular changes in patients on peritoneal dialysis.
The Evaluation of HERV-K np9, rec, gag Expression in Isolated Human Peripheral Blood Mononuclear Cell (PBMC) of Gastric and Colon Cancer
Authors: Tavakolian Shaian , Iranshahi Majid , Faghihloo Ebrahim 
Published: May 2023

Background:
In the current age of diagnostic approaches in cancer, countless efforts have been allocated to identify novel and efficient biomarkers to detect cancer in its early stages. We focused on evaluating the correlation between the progression of gastrointestinal cancer, a leading cause of cancer death worldwide, and human endogenous retrovirus (HERV).

Materials and Methods:
In this study, we conducted a study on the peripheral blood mononuclear cells (PBMC) gathered from gastric and colon cancer patients. We focused on HERV-K rec, np9, gag expression analysis by quantitative real-time PCR, after extraction of RNA and synthesizing cDNA.

Results:
Unlike np9 whose expression increased significantly in the colon and gastric cancers, the mRNA level of the rec gene declined in both cancers. Moreover, our data illustrated that the over-expression of the gag gene was only observed in colon cancerous cells rather than gastric malignancy.

Conclusions:
Overall, given the correlation between the expression level of HERV-associated genes and gastrointestinal cancer, our study suggests that these genes could be considered beneficial markers for cancer diagnosis. However, researchers should conduct studies in future articles on whether these genes can be employed as biomarkers in gastrointestinal cancer.
Screening of Endometrial Cancer Related to Lynch Syndrome in China by Suction Curettage-Based Cytology and Histology: A Retrospective Study
Authors: Yang Bo , Guo Huiqin , Shen Guqun 
Published: May 2023

Objective:
To explore the feasibility of sampling Chinese patients by suction curettage for cytological and histological screening of endometrial cancer related to Lynch syndrome.

Methods:
This retrospective study enrolled patients who underwent endometrial biopsy at our hospital between May 2018 and January 2019. Endometrial sampling (cytological and micro-histological specimens) was conducted by suction curettage. The gold standard for diagnosis was traditional sharp dilation and curettage (D&C). The sensitivity, specificity, and diagnostic accuracy of cytology, micro-histology, and the combination of cytology and micro-histology were calculated. Additionally, receiver operating characteristic (ROC) analysis was used to evaluate the diagnostic efficiency of three screening methods. Mismatch repair proteins were further detected using immunohistochemistry (IHC) in endometrial cancer.

Results:
This retrospective finally enrolled 100 patients, which satisfactory samples were obtained from 96 patients for liquid-based cytology and 93 patients for microtissue histology. The concordance rates with D&C, sensitivity, and specificity were 94.8%, 76.9%, and 97.5% for liquid-based cytology, 96.8%, 84.6%, and 98.8% for microtissue histology, and 99.0%, 92.3%, and 100.0% for liquid-based cytology and microtissue histology combined, respectively. The AUC of ROC curves in liquid-based cytology, microtissue histology, and the combined methods for diagnostic ability were 0.873, 0.917, and 0.962, respectively. Absence rates of MLHl, MSH2, MSH6, and PMS2 proteins were 15.3% (2/13), 0% (0/13), 7.7% (1/13), and 15.3% (2/13) in the 13 endometrial cancer samples.

Conclusion:
Liquid-based cytology and microtissue histology samples from suction curettage combined IHC are useful for endometrial cancer screening.
Diagnostic Value of Preparing Additional Liquid-Based Cytology Slides and Cell Blocks from Residue Material in Thyroid fine Needle Aspiration
Authors: Erdogan-Durmus Senay , Erdem Zeynep B. , Yulek Ozden 
Published: May 2023

Background and Aims:
After liquid-based cytology (LBC) technique developed for cervical cytology, it has been used for nongynecological samples and has been very successful. It offers having extra slides of the samples for further examination and ancillary tests. Moreover, cell blocks can be formed from the residue material. The study aimed to evaluate the importance of preparing a second LBC slide or a cell block from the residue material of thyroid fine needle aspiration (FNA) samples to reach a definitive diagnosis in cases diagnosed as nondiagnostic (ND) after the first slide.

Material and Methods:
Seventy five cases diagnosed as ND after the first slide were included in study. For 50 cases, the second LBC slides were prepared (LBC group); for 25 cases, cell block was performed from residue material (CB group). Two groups were compared in terms of reaching a definitive diagnosis.

Results:
At the end of secondary procedures, a definitive diagnosis was reached in a total of 24 cases (32%). Twenty of 50 cases (40%) in LBC group reached a definitive diagnosis while four cases (16%) in the CB group reached a definitive diagnosis. Achieving a definitive diagnosis was found statistically higher in the LBC group in which the second slide was formed compared to the CB group (P =0.036).

Conclusion:
Preparing a second slide with LBC method is more purposive than preparing a cell block from the residue material of thyroid FNA samples. Reducing the percentage of ND cases will protect patients from complications and morbidity that may arise from repeated FNA.
Quality and Performance of Papanicolaou Test using the Clinical and Laboratory Standards Institute (CLSI) EP12-A2 Guidelines: A Single-Center Study in Peru
Authors: Moya-Salazar Jeel , Huarcaya Jennifer , Vazquéz Diana , Rojas-Zumaran Víctor , Contreras-Pulache Hans 
Published: May 2023

Context:
Quality assurance in cervical cytology is based on the cyto-histological correlation that is performed in several countries even without standardized protocols.

Aims:
To evaluate the quality of the Pap smear with the Clinical and Laboratory Standards Institute (CLSI) EP12-A2 guideline in a Peruvian hospital.

Settings and Design:
This prospective study was carried out at tertiary care national hospital.

Methods and Material:
The 156 cyto-histological results were collected and coded according to the Bethesda 2014 and FIGO system. The evaluation with the CLSI EP12-A2 guide allowed estimating the performance and quality of the test.

Statistical Analysis Used:
We performed a descriptive analysis of the cytological and histological data and correlation with the weight Kappa test. From the calculation of the likelihood ratios, the post-test probability was estimated using Bayes’ theorem.

Results:
In cytology, 57 (36.5%) were undetermined abnormalities, 34 (21.8%) low-grade squamous intraepithelial lesion (SIL), and 42 (26.9%) high-grade SIL. Of the total biopsies, 56 (36.9%) were cervical intraepithelial neoplasia (CIN) grade 1, 23 (14.7%) were both CIN grade 2 and 3. We determined sensitivity, specificity, a positive and negative predictive value of 94%, 74.6%, 58%, and 97.1%, respectively. We determined a moderate cyto-histological agreement (κ = 0.57). Atypical squamous cells of undetermined significance (40%), and cannot exclude high-grade squamous intraepithelial lesions (42.1%) that showed higher overdiagnosis results.

Conclusions:
The quality and performance of the Papanicolaou test show high sensitivity and moderate specificity. The concordance found was moderate and the proportion of underdiagnosis was higher in abnormalities of undetermined significance.
ética del rendimiento en el deporte contemporáneo:
Authors: Moldes Farelo Rocio , Briones Bermejo Almudena 
Published: May 2023

Enmarcado en algunos de los principales postulados de la Teoría Crítica del Deporte, el presente trabajo tiene dos objetivos. El primero, mostrar cronológicamente el proceso expansivo de la ética del rendimiento extremo, catapultada por el carácter mediático del deporte de competición. El segundo, explorar la relación entre las expectativas económicas generadas por los grandes acontecimientos deportivos y el aumento de enfermedades psicológicas entre los deportistas de alto nivel.
El artículo está organizado en tres apartados. Los dos primeros describen el papel del deporte como transmisor privilegiado de valores guiados por la lógica del rendimiento y la individualización, en todas las esferas de influencia social. La última sección ofrece un breve análisis económico del deporte en España para ilustrar el impacto del deporte espectáculo y la influencia de la publicidad en la salud física y emocional de los deportistas.
Implementasi Wakalah Pada Surat Kredit Berdokumen Dalam Negeri Di Perbankan Syariah
Authors: Mawadah Sokhikhatul , Pibriani Tria 
Published: May 2023

Domestic Letter of Credit is a written promise based on the written request of the applicant (Applicant). One of the written promises is that which binds the issuing bank to: Authorize another bank to make payments to the beneficiary and pay the draft drawn by the beneficiary. This research is a qualitative research. The data used are primary data derived from interviews while secondary data obtained from books, journals, and previous research. The results of the study stated that BSI Semarang City not only used wakalah bil ujrah contracts on SKBDN, but also used kafalah and murabahah contracts. BSI gets a fee (ujrah) based on risk. Implementation of Sharia Compliance BSI Semarang City on SKBDN according to maqashid sharia. Maqashid Sharia in question include: 1). Ad-dien: maintaining religion, BSI Semarang City is guided by the Koran, Hadith, and other Islamic laws in carrying out activities. 2). an-nafs: maintaining the soul, the SKBDN service involves several parties. 3). al-aql: maintaining reason, education through seminars and training. 4). an-nasl: maintaining offspring, BSI guarantees that customer funds come from halal funds that have a good impact on families and descendants 5). al-mal: maintain property, BSI takes profit through fees charged.
THE ROLE OF PROJECT METHODS IN REVEALING CREATIVITY OF ENGLISH TEACHER
Authors: Usmonova Dilnoza 
Published: May 2023

This research paper gives information about the basics of project methodology’s provisions, and various prospects of applying project methods in English language classes in universities, especially as one of the means of establishing cross-cultural competence. Nowadays, traditional methods and approaches are opposed to project activities, in the project method, the central figures are the students, only the teacher assists and he/she is a correspondent in the procedure. Project methods encourage learners to deal with real-life problems and improve the advancement of learner autonomy. The applicable establishment of project methods in the English classroom environment is available only via a complicated analysis of the curriculum of the training field, the material design of the educational content in consideration of the age, the foreign communicational skills, level of the learners, professional establishment of cognitive tasks of the learners while teaching and individual work, applying of ICT in the educational procedure.
A Review of the Epidemiology of CrossFit-Related Injuries
Authors: M. B Shaffick 
Published: May 2023

Purpose: This study aims to analyze the epidemiology of injury in CrossFit participants using a systematic review format.
Methodology: In total, 12 studies were selected for review. The Electronic Databases which were searched include; Google Scholar, Human Kinetics Journal, NCBI Journal of Sport Science, PUBMed and the SAGE Journals. The methodological quality of each study was assessed using the STROBE Criteria recommendations. Data was also collected by searching the NSCA Journal of Strength and Sport Conditioning Research databases. Reviewed items were selected using the PRISMA recommendations for systematic review. The inclusion and exclusion followed PICO recommendations.
Findings: CrossFit is an extremely varied sport with a large list of demands and due to its unpredictable nature it may seem to pose a high risk of injury to participants. However, CrossFit has been shown to be a relatively safe sport. Injuries were found to foremostly in the shoulders followed by the lower back and the knees. These injuries can be hypothesized to be a result of overtraining or excess workload. Considerations may be taken in the future to reduce the risk of injury in these areas. Factors which may influence the risk of injury in these areas were found during the review.
Unique Contribution to Theory, Practice and Policy: Recommendations include- emphasis on proper form and technique; gradually increasing training load; incorporating strength and mobility training; individualize programming and scaling; prioritizing rest days and recovery and educating participants on injury prevention.
ETIOLOGIA E FATORES DE RISCO ASSOCIADOS A GRAVIDEZ ECTÓPICA
Authors: Lima de Paula Lucia Thays , Maia Machado Thaís Gabriela , Silva Lima da Costa Ruth 
Published: May 2023

Objetivou-se evidenciar a etiologia e os fatores de risco da gestação ectópica. Trata-se de um estudo de revisão integrativa da literatura, cuja busca foi realizada nas seguintes bases de dados: Scientific Electronic Library Online (SciELO) Web of Science e National Library of Medicine (PubMed/Medline) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). Nesta revisão, foram selecionados 07 estudos que respondiam à questão norteadora da pesquisa. Os resultados dos estudos demostraram que a etiologia da gravidez ectópica é multifatorial e ainda não é completamente compreendida. No entanto, acredita-se que a causa mais comum seja uma obstrução ou danos nas trompas de Falópio, que impedem o óvulo fertilizado de chegar ao útero e se implantar corretamente. Dentre os fatores que podem contribuir para o aparecimento da gravidez ectópica destacam-se as infecções pélvicas, como a doença inflamatória pélvica, uso de dispositivos intrauterinos (DIU), histórico de cirurgias abdominais ou pélvicas anteriores, abortamentos, fertilização in vitro, idade materna avançada, tabagismo e anomalias congênitas das trompas de Falópio. No entanto, muitas mulheres com gravidez ectópica não apresentam nenhum fator de risco identificável. É importante ressaltar que a detecção precoce e o tratamento imediato são fundamentais para prevenir complicações graves.