bluuebunny/crossref_metadata_2025_split huggingface dataset:
Acceptabilité de la vaccination contre la COVID-19 chez les professionnels de santé en Côte d’Ivoire, 2021
Authors: Paquin Kouassi Damus , Irika Opri , Soumahoro Sory Ibrahim , Coulibaly M’Begnan , Yao Gnissan Henri Auguste , Deby Kouame Arsène , Yeo Salifou , Ouaga Jean Marie 
Published: December 2022

Objectif : Face aux incertitudes sur l’acceptabilité de la vaccination contre la COVID-19, nous avons mené la présente étude afin de mieux orienter les stratégies de communication pour l’adhésion à la vaccination des agents de santé. Méthodes : Nous avons conduit une étude transversale à visée analytique, du 15 au 26 février 2021 auprès des agents de santé des structures sanitaires de la région sanitaire de Gbêkê. Résultats : Les agents de santé étaient surtout de sexe féminin (53,5 %) et la tranche d’âge de 30 à 39 ans était la plus représentée (52 %). La télévision constituait la principale source d’information (74,4 %). Les enquêtés savaient qu’ils étaient à risque de contracter la COVID-19 (82,5 %) et que les personnes avec des comorbidités étaient le plus fréquemment victimes des formes graves (70,4 %). La majorité des enquêtés portaient systématiquement un masque à l’hôpital (91 %). Ils affirmaient qu’ils se feraient vacciner pour 51,1 % d’entre eux et recommanderaient le vaccin à leur proche (62 %). L’analyse multivariée montre que l’acceptabilité de la vaccination était statistiquement associée à la peur de mourir de la maladie ( p = 0,046) et à la prise en charge de cas ( p = 0,026). Conclusion : L’obtention d’une meilleure adhésion à la vaccination contre la COVID-19 passerait nécessairement par un renforcement des capacités de ces agents.
Propositions des professionnels pour réduire le risque cardiovasculaire des patients psychiatriques
Authors: Denis Frédéric , Meunier-Beillard Nicolas , Costa Marie , Guillermet Élise , Rat Corinne , Roelandt Jean-Luc 
Published: December 2022

Introduction : Les maladies cardio-vasculaires représentent une des causes majeures de mortalité en France. Elles sont la cause principale de surmortalité des personnes souffrant de troubles psychiques au long cours (TPLC) en dehors des causes liées au suicide. But de l’étude : Cet article vise à identifier, selon le point de vue de professionnels de soins primaires et de la psychiatrie, leurs attentes et leurs besoins pour apporter aux usagers de la psychiatrie une meilleur prise en charge médicale et paramédicale du risque cardiovasculaire (RCV). Méthode : Il s’agit d’une étude qualitative prospective et multicentrique réalisée en deux temps : une phase exploratoire, par entretiens individuels en début d’étude afin de permettre la création des grilles d’entretiens collectifs ad hoc, suivie d’une étude qualitative proprement dite, qui s’inscrit dans la lignée de l’anthropologie médicale et de la sociologie des systèmes de santé. Résultats : Les 30 professionnels de la psychiatrie interrogés s’accordent sur la nécessité d’une meilleure coordination avec les soignants en extra hospitalier. Même si une ouverture est prônée, on observe un rappel des spécificités de la psychiatrie et l’importance d’une prise en compte générale de ces spécificités. Les 26 professionnels de soins primaires témoignent d’une volonté de mieux connaître les troubles, pathologies et traitements psychiatriques pour faciliter la prise en charge de ces patients à besoins spécifiques. Conclusion : Le croisement de ces résultats permettra de proposer une intervention appropriée en vue d’induire des effets probants sur la réduction du RCV chez les personnes souffrant de TPLC.
La médecine de liaison en psychiatrie, pour une synergie des compétences au bénéfice des patients
Authors: Bornes Cédric 
Published: December 2022

Introduction : Les problèmes somatiques des personnes vivant avec une maladie mentale ont longtemps été négligés. Cela s’explique par des facteurs liés à la maladie elle-même, à des déterminants socio-environnementaux, mais aussi à l’organisation du système de santé. Des dispositifs ont ainsi vu le jour, en France, pour améliorer l’articulation entre médecine générale et psychiatrie, dans un souci de prise en soins globale. Cette volonté d’optimiser la coordination autour du patient a conduit à l’émergence du concept de médecine de liaison en psychiatrie. Méthodes : Une revue narrative de la littérature a été réalisée en interrogeant les ressources numériques de l’Université Paris Cité, notamment les bases de données Medline, Cairn et Persée. Résultats : Différents dispositifs de soins ont été élaborés pour essayer d’améliorer la santé physique des personnes hospitalisées en psychiatrie, mais il s’agit d’initiatives locales et sans coordination nationale véritable. La formation des internes de médecine générale est un puissant levier de changement. La protection de la santé physique des personnes souffrant de maladie mentale est un enjeu de santé mondial, au cœur des préoccupations de nombreux pays. Conclusion : La médecine de liaison en psychiatrie apporte, pour les patients, un bénéfice qui n’est plus à démontrer, et il faudrait maintenant l’étendre à l’ensemble du territoire français. Cependant, l’effort doit porter aussi sur le renforcement du lien ville-hôpital, dans la mesure où l’ambulatoire représente plus de 80 % de la file active de la psychiatrie. Les communautés professionnelles territoriales de santé (CPTS) y auront un rôle déterminant à jouer.
Vécu des internes en médecine générale lors de la crise sanitaire du COVID-19 : répercussions sur l’anxiété et la motivation pour la médecine générale
Authors: Lepièce Brice , Lenoir Anne-Laure , de Rouffignac Ségolène 
Published: December 2022

Introduction : La crise sanitaire du COVID-19 a ébranlé l’ensemble du système de soins de santé et des acteurs qui le constitue. Pour les internes en médecine générale (IMG), celle-ci a modifié l’exercice de la pratique médicale quotidienne, perturbé leur formation et mis en exergue leur responsabilité sociale, l’un des facteurs prédisposant à exercer la médecine générale. Objectif : Évaluer l’impact de la crise sanitaire sur l’anxiété et la motivation pour la médecine générale des IMG. Méthode : Étude transversale réalisée par le biais d’un questionnaire en ligne (Qualtrics © ) distribué par courrier électronique aux IMG de deux universités belges francophones, entre le 1 er et le 31 juillet 2020, à la suite de la première vague de la pandémie du COVID-19. Résultats : Dans un échantillon de 188 IMG, les variables suivantes ont été analysées : la détresse psychologique préalable au confinement (OR=2,894), réaliser plus de 15 consultations téléphoniques journalières durant le confinement (OR=2,724), l’inquiétude d’être affecté par la COVID-19 (OR=2,892) ou la dégradation de la qualité de vie (OR=3,335), agissent comme des facteurs de risque significatifs de l’anxiété. A contrario, le sentiment de pratiquer dans un environnement soutenant (OR=0,311) est un facteur protecteur de l’anxiété. Enfin, le sentiment d’utilité sociale renforce la motivation des IMG pour leur métier de médecin généraliste (OR=4,737). Conclusion : Cette étude a permis de mieux identifier certains facteurs contributifs d’anxiété parmi les IMG et d’évaluer leur motivation pour la spécialisation en médecine générale après la première vague du COVID-19. Une sensibilisation aux facteurs de risque de la détresse professionnelle et aux ressources à déployer pour y faire face devrait être intégrée au programme des facultés.
Effects of the face mask on the skin during the COVID-19 pandemic in Saudi Arabia
Authors: Algaadi Salim Ali , A Almulhim Yazeed Abdulaziz , Y Alobaysi Yousef Mansour , Alosaimi Abdulrahman Mubarak , S Alshehri Marwan Shukri 
Published: December 2022

Introduction:
The use of face mask in these COVID-19 times has increased manifolds. This has led to various skin problems due to the adverse reaction caused by the mask. This study aimed to observe the skin effects of the face mask during the COVID-19 pandemic among individuals in Saudi Arabia.

Materials and Methods:
Cross-sectional study in different regions of Saudi Arabia with data collection was done using a self-administered online questionnaire in the adults above 18 years of age of both sexes.

Results:
The study involved 516 participants who were mostly young population with male predominance. In general, 37% of face skin reactions related to mask use, whereas 63% of participants did not notice any skin reaction from face mask wearing. Most of them wear surgical masks (85.5%), of which 36.7% of them reported adverse skin reactions (ASRs) related to surgical masks. Furthermore, using the mask for >4 h is approximately double the risk of skin changes, and a significant association has been found between the duration of mask use and ASRs. Finally, no significant association was observed between prolonged face mask use and aggravation of pre-existing skin diseases by face masks.

Conclusion:
The overall prevalence of skin reactions associated with face masks was 37%. The most frequent skin reaction was acne and itching symptoms, followed by acne alone. Regarding mask type, both surgical and cloth masks were associated with a significantly high incidence of ASRs, which was statistically significant.
Social Media as a Learning Tool for the Budding Periodontist
Authors: Awasthi Riddhi , Manohar Balaji , Vinay S , Kumar Santosh 
Published: December 2022

Introduction:
Social media is a web-based platform which has gained popularity amongst students for learning and enhancing their skills. Students are adapting to e-learning methods to enhance their clinical skills. The aim of this study was to evaluate the use of social media as an educational/learning tool amongst post graduates in periodontology.

Materials and Methods:
A cross-sectional study was conducted amongst post graduates pursuing periodontology in India. A validated questionnaire was used to explore the benefit of social media for enhancing the theoretical knowledge as well as the clinical skill of post graduates. Descriptive statistics, Kruskal–Wallis and paired and unpaired t-tests were performed for statistical analysis.

Results:
The survey included 485 students from the 1st to 3rd year of postgraduates. YouTube was the most used social media platform (87.6%), followed by Instagram (55.0%), Facebook (43.0%) and others. Social media was used for gaining theoretical knowledge (97.3%), pre-clinical guidance (77.4%) and for periodontal surgical skills (52.5%). Similar opinions and recommendations were also analysed.

Conclusion:
The present findings suggest that students report social media can be a valuable learning tool in postgraduate education if used as an adjunct. A proper understanding of social media resources can benefit both the theoretical and clinical knowledge of the postgraduates.
Perception and Practices of COVID Appropriate Behavior
Authors: Bhattacharya Archita , Das Manisha , Ghosh Santanu , Samanta Amrita 
Published: December 2022

Introduction:
Recent COVID-19 pandemic is an unprecedented public health problem worldwide. Knowledge about the disease and adoption of COVID Appropriate Behavior (CAB) are of utmost importance in combating the pandemic. The study was conducted to assess and compare the knowledge, attitude, and practice and to determine different misconceptions and wrong practices related to the disease among urban and rural populations.

Materials and Methods:
A community-based analytical study with cross-sectional design was conducted from January 2021 to March 2021 among 144 adult residents from urban and rural West Bengal. Multistage sampling was adopted and a predesigned, pretested, semistructured schedule was used for interviewing study subjects.

Results:
Urban people were significantly more knowledgeable and more appropriate in attitude and practice than rural people (P < 0.05). The mean knowledge and attitude scores of urban population were significantly higher than the rural population across age groups, gender, occupation, and education (P < 0.05), whereas mean practice score was significantly higher across gender and occupation in the urban population compared to the rural population (P < 0.05). Many cultural and indigenous practices such as drinking warm water, using mouth wash, using home remedies were more common in urban areas and consumption of homeopathy medicines, lighting candles, making sound with utensils, blowing conch shells, and worshipping corona were observed more in rural areas.

Conclusions:
Wide gap exists in knowledge, attitude, and practice between urban and rural population and there were many wrong perceptions and practices surrounding COVID-19 among both urban and rural population. Appropriate policy for improving knowledge, attitude, and CAB is the need of the hour.
Prognostic Factors in Lung Adenocarcinoma with Brain Metastasis
Authors: Karaman Elanur , Rakici Sema Yilmaz 
Published: December 2022

Introduction:
Brain metastasis (BM) is significantly seen in lung adenocarcinoma and adversely affects survival. We aimed to evaluate the factors affecting the prognosis in patients with BM diagnosed with lung adenocarcinoma.

Materials and Methods:
Patients with BM between 2012 and 2022 were reviewed retrospectively. Demographic characteristics of the patients, primary tumor characteristics, presence of mutation, BM number, localization, size, development time, and treatment characteristics were evaluated. Inflammatory indices at the time of BM were examined. The overall survival time was calculated.

Results:
About 92.9% of 113 patients were male, the median age was 62 years (54.5–68.5), and follow-up was 8 months (3–18). BM was detected at the time of diagnosis in 62 (54.9%) of the patients, whereas BM developed later in 51 (45.1%) patients. Systemic treatment was applied to 72.5% of the patients. Survival was lower in patients with BM at diagnosis (4 vs. 14 months, P < 0.001). Primary tumor maximum standardized uptake value level was higher on fluorodeoxyglucose-positron emission tomography-computed tomography at diagnosis in patients with late BM (P = 0.004). The development time of BM was 9 months (4–16), and the median survival was 8 months (6.2–9.8). There was no difference between tumor localization or inflammatory indices and the development of BM and prognosis. The presence of BM at diagnosis and lack of systemic treatment were found to be factors that independently reduced survival (P < 0.001, P = 0.007).

Conclusion:
The presence of BM at diagnosis significantly reduces survival. It has been observed that systemic treatments applied in addition to local treatments have a positive effect on the prognosis.
Morphometric Analysis of Laminae of C3–C6 Vertebrae of Cervical Spine in the Population of North West India
Authors: Malik Vivek Singh , Sidhu Amanpreet Singh , Ghalawat Neeru , Garsa Vipin 
Published: December 2022

Introduction:
The knowledge of morphometric parameters of laminae of cervical vertebrae is indispensable in surgical procedures and developing instrumentation for surgical processes. Literature reports ethnic and geographical variations reported in these dimensions.

Materials and Methods:
This cross-sectional study included analysis of laminae of 212 cervical vertebrae (C3–C6). The length of superior border of lamina and inferior border of lamina was measured on the right and left sides using vernier caliper. Descriptive and inferential statistical analysis was done with the help of Microsoft Excel version 2021.

Results:
The length of the superior border of lamina on both sides increases from C3 to C5. The length of the inferior border of the lamina on both sides decreases from C3 to C4, then on the right side, it increases from C4 to C5 and then decreases from C5 to C6, and on the left side, it increases from C4 to C6. At C4, the length of superior border of lamina on the right side differed statistically from the length of superior border of lamina on the left side (P = 0.042). A significant difference between lengths of the inferior border of laminae on the right and left sides was also found at the C5 vertebra (P = 0.001) and C6 vertebra (P = 0.012). No significant difference in thickness and height of lamina was observed between right and left sides.

Conclusion:
The present study indicates morphometric parameters of laminae of typical cervical vertebrae in the North West Indian population differ from the same parameters in Brazilian as well as South Indian populations. The length of superior border as well as inferior border of lamina has significant differences between right and left sides. However, there is no significant difference in height and thickness of laminae between right and left sides.
A Comparative Study on Comprehension of Informed Consent Before Emergency and Elective Surgical Operative Procedures
Authors: Mondal Soumitra , Bhattacharya Saikat , Jana Pulak Kumar , Mitra Kaushik 
Published: December 2022

introduction:
A health-care beneficiary should comprehend different aspects of medical and surgical interventions before giving consent to perform those. There is no defined way to find out adequate patient comprehension as part of the decision-making procedure to give consent. This study was conducted to find out the disparity of comprehensiveness between emergency and elective surgical operative procedures both in terms of knowledge dissemination and knowledge comprehension.

Materials and Methods:
A cross-sectional comparative study was conducted at the General Surgery Department of Medical College, Kolkata, during September and October 2021. An interviewer-administered questionnaire was used on patients undergoing emergency and elective surgical procedures. The comprehension level of informed consent (IC) form was scored as 1, 2, and 3 and compared between two groups using an unpaired t-test and Mann–Whitney U-test.

Result:
Data collection was done from 39 patients for emergency operative procedures and 52 for elective surgical procedures. A composite comprehension score was calculated after adjusting for questions not asked while taking IC. The mean comprehension score for emergency procedures was 18.86 and for planned surgery, it was 20.14. Unpaired t-test showed significantly high mean comprehension for planned procedures than the emergency procedures (P = 0.007). Comprehension is significantly poorer in emergency conditions even after controlling for age and literacy denoting difficulty in decision-making in emergency scenarios.

Conclusion:
It is suggested that the procedure of consent taking should be more structured and interactive so that even in stressful conditions participant understand better about the procedures and take their own decision instead of relying blindly on doctors.
Evaluation of Sagittal Inclination of Occlusal Plane and Horizontal Condylar Guidance Using Various Anterior Reference Points on Arcon and Nonarcon Articulators
Authors: Palaskar Jayant N. , Joshi Nikhil P. , Hindocha Amit D. , Gunjal Anuja P. , Balsaraf Ketaki D. 
Published: December 2022

Aim:
The aim of the study was to determine the effect of different anterior reference points during facebow transfer, on sagittal inclination of occlusal plane (SIOP) and horizontal condylar guidance (HCG) values obtained on arcon and nonarcon articulators.

Materials and Methods:
Facebow records of 25 participants were made and transferred to Hanau Wide-Vue (WV) and Hanau H2 (H2) articulators using conventional indirect transfer (CIT), superior annular groove (SAG), and inferior annular groove (IAG) as anterior reference points. Maxillary casts were mounted on each articulator followed by mandibular mountings. Protrusive interocclusal record was used to determine HCG, and SIOP was measured as an angle between the occlusal plane of mounted maxillary cast and upper member of the articulator. Both, HCG and SIOP were measured on a digital lateral cephalogram and the values obtained were compared with previously determined values from both the articulators. Intergroup comparison was done by analysis of variance and pair-wise comparison by Tukey post hoc test.

Results:
Values of SIOP significantly (P = 0.00) changed on both the articulators when CIT, SAG, and IAG were the anterior reference points. The ratio of SIOP and HCG on both articulators was comparable to that of the cephalogram for CIT, IAG, but it was substantially low for SAG.

Conclusions:
The variation of anterior reference point changes the value of SIOP recorded on Hanau WV and H2 articulators; however, it had no effect on HCG values recorded on both the articulators. The angle between SIOP and HCG changed with variations in superior-inferior position of the mountings on both articulators.
Treatment of Fissure Caries of Children with Severe Rheumatic Diseases with Difficulty in Opening the Mouth
Authors: Skakodub Alla Anatolyevna , Mamedov Adil Askerovich , Admakin Oleg Ivanovich , Dudnik Olesya Viktorovna , Chertikhina Arina Sergeevna , Beznosik Aleksandra Romanovna 
Published: December 2022

Background:
Pediatric dentists face difficulties in treating tooth decay of children with difficulty in opening the mouth. This is especially true, as the main disease is accompanied by such symptoms as arthritis, osteoarthritis, myositis, myalgia, sclerosis, and oral atrophy.

Aim:
The aim was to increase the level of treatment of fissure tooth decay for children with rheumatic diseases, using the silicone key method (SKM).

Materials and Methods:
A dental examination of 82 children was carried out, with diagnoses: systemic lupus erythematosus, juvenile systemic scleroderma, juvenile dermatomyositis, and juvenile rheumatoid arthritis. Evaluation of the intensity of caries using indices: decayed, missing, and filled teeth (DMFT)(average). Assessment and measurement of the degree of mouth opening (MMO) by Sh. M. Batashvili. The SKM was used to treat fissure tooth decay.

Results:
During the dental examination of the oral cavity of all children with RD, multiple caries lesions were found. In the first age group of index indicators (DMFT) (on average) - 4.88, in the second age group DMFT (on average) - 7.58 - these values corresponded to high scores for the degree of dental caries, which requires frequent appointment to the dentist. Oral hygiene of children with difficult opening of the mouth is unsatisfactory, which leads to a rapid increase of caries. Restriction of moth opening <4 mm was found in 57 children with RD (69, 51%) that made it difficult to treat caries.

Conclusion:
Using SKM will improve the quality of caries treatment and provide a stable result of treatment in patients with difficulty opening the mouth in severe somatic pathologies.