bluuebunny/crossref_metadata_2025_split huggingface dataset:
Expérience de transition vécue par les patients avec une maladie oncologique lors de la pose d’un dispositif d’accès veineux implantable : une recherche exploratoire
Authors: Dalex Eliane , Munteanu Nicou Dominique , Roch Barrena Florence , Salvi Catherine , Roulin Marie-José 
Published: September 2023

Introduction : à l’annonce d’un diagnostic de cancer ou d’une récidive, les patients vivent une transition de type maladie. Contexte : la pose d’un dispositif d’accès veineux implantable (DAVI) survient souvent juste après l’annonce ; il est un facteur de perturbation supplémentaire à leur équilibre. Objectif : explorer les besoins non comblés et les attentes des patients en interrogeant leur expérience vécue de la pose du DAVI pour proposer des interventions de soins adaptées. Méthode : une méthode d’analyse de contenu déductive a été réalisée, ainsi qu’une analyse à la lumière de la théorie de la transition de Meleis. Douze entretiens ont été réalisés. Résultats : les résultats montrent la vulnérabilité des patients lors de la pose du DAVI. Des conditions entravantes et facilitantes de la transition, de nature personnelle, interpersonnelle et organisationnelle, influencent la qualité de l’expérience vécue. Différentes stratégies de coping sont utilisées par les patients pour diminuer leur détresse émotionnelle. Discussion : la préparation anticipée, le soutien au développement des capacités d’autosoins, la gestion de la douleur contribuent à diminuer l’anxiété et l’insécurité. Conclusion : les infirmières se doivent d’offrir des soins transitionnels pour favoriser une expérience positive de la pose du DAVI.
Structuration des situations didactiques et continuités dans la dynamique de construction des savoirs en sciences
Authors: Marty Laurence , Ligozat Florence , Venturini Patrice 
Published: September 2023

De nombreuses études mettent en lumière une faible prise en compte par les enseignants des propositions des élèves, et donc une faible participation de ceux-ci à la construction des savoirs en classe de sciences, y compris au sein de pratiques d’enseignement qui s’appuient sur des « démarches d’investigation ». Pour renouveler l’interprétation de ce phénomène, nous choisissons de porter notre attention sur les situations didactiques qui médiatisent la relation entre l’enseignant et les élèves et sur les opportunités que ces situations offrent en termes de dynamique de construction des savoirs. Nous exposons deux études de cas, une au primaire (France) et l’autre au secondaire (Suisse romande), analysées à l’aide d’un cadre théorique qui articule une modélisation de l’action didactique considérée comme une action conjointe, d’une part et une approche pragmatiste de la construction des significations dans les discours en classe, d’autre part. Nos résultats tendent à montrer que l’introduction précoce d’éléments de modélisation scientifique, qui acquièrent progressivement une signification au fur et à mesure de leur confrontation avec une succession organisée de phénomènes physiques est susceptible de favoriser une dynamique de construction des savoirs dans laquelle l’enseignant prend en compte et s’appuie sur les significations construites par les élèves pour faire avancer les savoirs.
CT Guided Evaluation of Dedicated Aimer versus Free Hand Drilling Technique in the Placement of Femoral and Tibial Tunnels in Double Bundle ACL Reconstruction
Authors: Tank Shekhar , Padhiyar Mahipal Ajitsinh , Saurabh Dutt , Rawal Nitin , Sidhu Mahipal Singh , Kumar Vinod 
Published: September 2023

Aim:
The use of a dedicated aimer versus freehand, in double-bundle anterior cruciate ligament reconstruction by co-ordinate axis method on three-dimensional computed tomography (3D-CT) reconstructions models were performed to compare the locations of the femoral and tibial tunnels.

Patients and Methods:
Use of aimer vs free hand technique through the trans portal approach. A 3-Dimensional CT on 40 operated knees and evaluated the position of femoral and tibial tunnels on 3D-CT scan was prepared.

Results:
For femoral tunnel locations, the average posterior-anterior distance for anteromedial (AM) and posterolateral (PL) tunnel positions in the aimer group and freehand group were 46.8% ± 7.4% (B/C) and 34.5% ± 5.0% (A/C) and 56.4% ± 3.1% (B/C) and 40.5% ± 9.0% (A/C), respectively. For, tibial tunnel locations, mean anterior-to-posterior distances for the AM and PL tunnel in the aimer group and freehand group were 29.7% ± 2.5% (A/C) and 46.9% ± 3.8% (B/C) and 28.8% ± 4.3% (A/C) and 47.2% ± 3.6% (B/C), respectively. B/C AND A/C are the measurements posterior to the anterior tunnels for the AM and the PL tunnels, respectively. a/c and b/c are the proximal-distal measurements.

Conclusion:
In the present study, on comparison position of the AM and PL tunnels of the femur and tibia were fairly similar in both techniques.
A Systematic Review of Noncircular (Rectangle, Oval) Femoral Tunnel Anterior Cruciate Ligament Reconstruction: Does it Improve Outcomes?
Authors: Ghasemi S. Ali , McCahon Joseph A. S. , Herr Sanjeev J. , Raphael James S. , Shaffer Gene W. , Bartolozzi Arthur R. 
Published: September 2023

Purpose:
The purpose of this study is to systematically review the clinical and biomechanical studies regarding noncircular (rectangular and oval) femoral tunnel anterior cruciate ligament reconstruction (ACLR). We hypothesized that noncircular femoral tunnel ACLR has its advantages in unique situations while maintaining comparable clinical and radiographic outcomes when compared to conventional techniques.

Methods:
A systematic review of the literature was performed in PubMed and Scopus databases to identify published articles on the clinical outcomes of noncircular (rectangle and oval) ACLR. The results of the eligible studies were analyzed in terms of instrumented laxity measurements, Lachman test, pivot-shift test, Lysholm and Tegner scores, objective and subjective International Knee Documentation Committee (IKDC) scores, and surgical complications/failures. A meta-analysis was performed on Lysholm scores and KT side-to-side data comparing noncircular ACLR with the conventional round technique.

Results:
A total of 22 papers for the rectangle group (n = 1314) met the inclusion criteria. With an average follow-up of 15.8 months (±10.4 months), the mean reported Lysholm score was 97.8 (±0.80) and the mean reported KT-1000 arthrometer measurement was 1.2 (±1.9). When comparing the rectangle technique to the conventional round, no significant differences were seen regarding the Lysholm score (P = 0.95) or KT-1000 arthrometer measurements (P = 0.14) at the final follow-up. In the oval group, a total of 5 studies (n = 322) met the eligibility criteria. With an average follow-up of 20.2 months (±13.7 months), the mean reported Lysholm score was 94.4 (±2.0), the mean IKDC subjective was 90.4 (±1.2), and the mean KT-1000 arthrometer measurement was 1.6 (±0.4). The scarcity of randomized controlled trials available for this analysis limited the amount of data available for meta-analysis.

Conclusions:
Noncircular femoral tunnel ACLR has shown reasonable and comparable clinical outcomes to the conventional technique, demonstrating no difference between the two techniques and making it a valuable option for primary or revision ACLR.
Intramedullary Tuberculoma of the Conus Medularis in an Immunocompetent Young Adult with no Pulmonary Tuberculosis, the Challenges of Diagnosis and Management
Authors: Alfin Jeneral Dumura , Akpa Philip Ojile , Shilong Danaan Joseph , Bot Gyang Markus , Nwibo Onyemaechi Ereke , Kyesmen Nanapan Isa , Olalere Shina Abidemi , Bakwa Nenkimum Dirting , Emmanuel Innocent 
Published: September 2023

Background and Objective:
Intramedullary tuberculoma (IMT) of the conus medullaris is an extremely rare tumour that constitutes a diagnostic and management challenge in a resource-limited setting. We report a case of conus medullaris, IMT in a young immunocompetent, patient with no prior clinical features of pulmonary or extra-pulmonary tuberculosis.

Case Summary:
The patient presented with six months history of progressive and persistent mid back pain and slight weakness of both lower limbs of 3 months duration. Physical examination revealed a well-nourished man with power of 3/5 and hyperreflexia on both lower limbs. Chest radiograph and other investigations for tuberculosis were negative. Magnetic resonance imaging (MRI) of the lumbosacral spine showed fusiform expansion of the conus medullaris, with a well circumscribed, ring enhancing, intramedullary mass straddle between T12 and L1. Patient had gross total resection with no intraoperative monitoring assistance and no post-operative worsening of neurological function. Histology showed granulomatous lesion with central caseation in keeping with a tuberculoma. Patient was commenced on post-operative anti-tuberculous therapy with physiotherapy, with full motor recovery at six months post-surgical intervention and anti-tuberculous therapy.

Conclusion:
Intramedullary tuberculoma can be considered as one of the differential diagnoses of intradural, intramedullary tumour of the conus, even in immunocompetent individual with no clinical features of tuberculosis.
A Modified Rectal Mucosal Biopsy for the Diagnosis of Hirschsprung’s Disease
Authors: Sholadoye Tunde Talib , Aliyu Halima Oziohu , Mshelbwala Philip Mari 
Published: September 2023

Background:
Full-thickness rectal biopsy is often used for the diagnosis of Hirschsprung’s disease (where a suction biopsy kit is not available). This is associated with some challenges such as limited theatre space and the need for general anaesthesia. We aim to highlight the usefulness and sensitivity of a modification of the rectal mucosal biopsy without general anaesthesia in the diagnosis of Hirschsprung’s disease.

Materials and Methods:
This is a retrospective analysis of children with Hirschsprung’s disease who had rectal mucosal biopsy over a 16-year period (January 2004–December 2019). Research was approved with institutional number ABUTHZ/HREC/H22/2022. The patients had the biopsy with small, curved artery forceps, surgical blade, and dissecting scissors. Histological analyses of tissue were done. Clinical data and results were recorded on a structured pro forma, and the data were analysed.

Results:
There were 263 boys and 97 girls with a median age of 10.5 months. Only 37 (10.3%) of the rectal biopsies were done by consultants. Hirschsprung’s disease was confirmed in 279 (75.5%) of the partial-thickness biopsies, whereas 52 (14.4%) biopsies were inadequate specimens. Resident doctors were responsible for 92.2% (47) of inadequate biopsies (P = 0.63), although they did 89.7% of all biopsies. In one (0.3%) patient, the procedure ended as a full-thickness biopsy leading to a significant haemorrhage that required blood transfusion.

Conclusions:
The modified rectal mucosal biopsy is a simple, safe, and effective method for making the diagnosis of Hirschsprung’s disease. This is performed without general anaesthesia and is useful where a suction biopsy kit is unavailable.
Evaluation of piezoelectric surgery in combination with platelet-rich fibrin for treatment of medication-related osteonecrosis of the Jaw
Authors: Alsawaf Mohamed Helmi , Shoushan Mohamed M. , Saad Khaled Abd-El Hamid , Nowair Ibrahim M. 
Published: September 2023

Purpose
To evaluate the effect of piezo debridement with application of platelet-rich fibrin (PRF) on bone and soft tissue healing in patient with medication-related osteonecrosis of the jaw (MRONJ), both clinically and radiographically.

Patients and methods
At the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Tanta University, a prospective noncontrolled clinical study was carried out on eight patients above 30 years old who are proved to have MRONJ clinically and radiographically. Preoperatively, (ampicillin/sulbactam) with a dosage of 1.5 gm vial IV or IM and (doxycycline) 100 mg/capsule once daily were prescribed for all patients one week before surgery. Intraoperative, after surgical exposure of the affected bone, Surgery divided into resecting all the infected and necrotic bone with the piezoelectric vibrating tips connected to the piezoelectric bone surgery device until bleeding spots appear. Autologous PRF was applied, followed by double layer closure of the flap. All patients had postoperative, clinical evaluation of pain, wound healing and recurrence. Lab investigation, including CBC, ESR, C reactive protein was carried out for all patients. Radiographic evaluation was done using Cone Beam Computed Tomography (CBCT) after one-week and after 3 months postoperatively.

Results
In the first 2 weeks, most patients had complete relief of pain and swelling. Complete healing of the soft tissue was observed in five patients showing normal range of ESR and CRP, and three patients showed partial soft tissue healing and signs of recurrence clinically and radiographically. These findings shown that using piezo debridement combined with PRF has a positive effect on bone and soft tissue healing in patient with MRONJ.

Conclusion
Piezoelectric bone surgery in combination with PRF is an alternative treatment method in treatment of MRONJ as it provides minimally invasive surgical technique, effective in complete debridement of affected bone tissue and soft tissue.
Assessment of fracture resistance, marginal and internal adaptation of endocrown using two different heat – press ceramic materials: an in-vitro study
Authors: ElHamid Ahmed R. A. , Masoud Gaber I. , Younes Abeer A. 
Published: September 2023

Background
The aim of the study was evaluating of fracture resistance, marginal and internal adaptation of endocrowns using two different heat-press ceramic materials using the universal testing machine for fracture assessment and a scanning electron microscope (SEM) for marginal and internal adaptation assessment.

Methods
40 extracted human mandibular first molars were collected for the study. The teeth were mounted in acrylic blocks using a dental surveyor. All teeth were endodontically treated and prepared for endocrown restorations. All samples were divided into two groups according to the material used (n = 20): group (a) for lithium disilicate glass-ceramic (IPS e.max press) and group (b) for zirconia-reinforced lithium silicate glass ceramic (VITA Ambria). Specimens of each group were subdivided into two subgroups (n = 10): subgroup (1) for assessment of fracture resistance and subgroup (2) for assessment of marginal and internal adaptation. Waxing up all teeth was done using CAD/CAM technology. Endocrowns were fabricated with the heat press method. Bonded endocrown specimens were stored at 37°C and 100% humidity for 24 h in an incubator before testing. The fracture resistance of samples was tested using a universal testing machine. Marginal adaptation and internal adaptation were assessed using a SEM. Quantities variables were expressed as mean and standard deviation using one-way analysis of variance (ANOVA) followed by Tukey’s post
hoc test at (a = 0.05).

Results
The Vita Ambria mean values (2174.99 N±537.65) had more compressive strength than IPS e.max press mean values (1974.33 N±566.35). Considering the marginal adaptation test using SEM, there was no significant difference between both materials (P = 0.656) and there was also no significant difference between either of the materials (P = 0.855) after the internal adaptation test using SEM.

Conclusion
Vita Ambria endocrowns had higher compressive strength than IPS e.max press ceramic endocrowns. During the evaluation of marginal and internal adaptation, there was no significant difference between both materials and their values were within the clinically acceptable values.
Therapeutic effect of ozone gel on the initial carious lesions
Authors: Alsharqawy Maha A. , Etman Wedad M , Salama Mirvat M , Saleh Reda G. 
Published: September 2023

Aim
To evaluate and compare initial enamel caries treated by ozone gel with or without nanohydroxyapatite paste or fluoride gel.

Materials and methods
30 intact, noncarious freshly extracted human premolars, were collected, cleaned from all soft debris and/or calculus and polished using prophy polishing paste. Each tooth was sectioned first at cement enamel junction (CEJ) to separate crown after removal of root. Each crown was mesiodistally sectioned to a thickness of 1–2 mm then stored in artificial saliva which was periodically changed. All the specimens were exposed to demineralizing solution at occlusal surface only (the surface of the study) for creation of enamel lesions. All the specimens were examined with, EDX and tested under PLM to evaluate enamel surface. After demineralization the specimens were divided randomly into three equal groups I, II and III consist of 10 specimens of each group. For group I Ozonized olive oil gel was used alone on occlusal surface for 1 min once daily, group II was treated as group I followed by application of 5% nanohydroxyapatite paste, while all specimens in group III were treated as group I followed by fluoride gel application. All the procedures at the three groups were repeated daily for 21 days.

Result
It was found that nonsignificant difference among the mean wt % values of mineral contents (Ca, P, and Ca/P ratio) between the three treatment groups at baseline and after demineralization (P ≥ 0.5), by using ANOVA test at remineralization stage it was found that (group II) recorded the highest mineral content with a mean value of 69.58 ± 1.54 followed by (group III) with a mean value of 69.36 ± 1.04 while the lowest mineral content mean value was 67.43 ± 0.92 which related to (group I). Also, highly statistically significant difference between the three groups was recorded (P = 0.001). Findings using PLM supported the previous results revealing decrease in optical reflectivity and the positive birefringent area which was about to appear broad positively birefringent body after demineralization and disappear after remineralization indicating a great mineral content recovery at all the three groups.
Correction of chin deformities using customized surgical guide and repositioning plates
Authors: Abouseada Mohamed A. , Khedr Mohamad S. , Nowair Ibrahim M. , Beder Rafic R. 
Published: September 2023

Aim
To assess the accuracy of using computer designed genioplasty osteotomy guide and customized repositioning plates in patients with chin deformities.

Methods
This was prospective randomized noncontrolled clinical study that was carried out on eight adult patients suffering from chin deformities as a result of unilateral temporomandibular joint ankylosis. Patients were selected from the outpatient clinic, Department of Oral and Maxillofacial surgery, Faculty of Dentistry, Tanta University. All cases were operated for genioplasty under general anesthesia. The incision was performed on the alveolar mucosa apical to the attached gingiva by 0.5 cm in two planes (mucosal and muscular), The cutting guide was seated to the mandibular dentition, the eight screw holes were then drilled, the cutting guide was temporarily fixed on the mandible by mini screws, once the osteotomy plane was marked by a surgical saw, the cutting guide was removed, osteotomy completed routinely and the customized reposition plates were installed to reposition the chin segment as planned. Finally, after the screws were placed and tightened, the chin segment was automatically moved to its final planned position and secured. Closure was done in two layers (the muscle layer followed by the mucosa).

Results
Genioplasty procedure using customized surgical guide and repositioning plates was performed in every case. Postoperative recovery was satisfactory for all patients. There were no intraoperative or postoperative complications, except self-limiting edema and some small hematomas with no clinical significance. Postoperative pain intensity measured by the Visual Analog Scale was acceptable for all patients. All cases reported full recovery from neurosensory disturbance after three months follow-up periods. Regarding patients’ satisfaction, all the cases were very satisfied (grade I) with a percentage of 100% on the third month postoperatively.

Conclusion
The results obtained from this study show that using customized surgical guide and repositioning plates in performing genioplasty had advantages over conventional technique as they provided greater accuracy, safety, less complication during the surgery with decrease in surgery time, and made the results of genioplasty procedure more predictable. So, using customized surgical guide and repositioning plates simplified the genioplasty procedure.
Comparison of bracket transfer accuracy between two indirect bonding techniques
Authors: Abu-Zaid Rana M. , Gaballah Safaa M. , Fakhry Neveen M. 
Published: September 2023

Objectives
Compare the bracket transfer accuracy between two IDB techniques; glue gun material and the conventional vacuum trays depending on the technology of IOSs (Trios 3).

Patients and methods
Thirty-two patients were randomly divided into two groups of 19 each (group I: glue gun tray, group II: vacuum tray). The brackets were placed in their predetermined positions by reference, the working model with attached brackets was scanned with intraoral scanner images (image 1). After bonding, scanning for the patient teeth with bonded brackets was performed (image 2). Image 1 and image 2 were superimposed to compare the transfer accuracy of both methods. A 5% significance level and χ
2 test were used.

Results
No statistically significant difference was found between the two groups in the transverse and horizontal planes. In the vertical plane, group I was statistically significant higher (P ≤ 0.05) than group II.

Conclusion
The indirect bonding transfer process with glue gun trays resulted in bracket placement with high positional accuracy and a mild distal and gingival bias for all teeth groups.
Pelatihan Penerapan Model Transformasi Teks Cerita ke Bentuk Cerita Bergambar Bagi Guru SMK
Authors: Setiartin Titin , Lisnawati Iis , Ginanjar Agi Ahmad , Astriani Aveny Septi , Madani Ega , Pangestu Jembar , Yuliandari Ades 
Published: September 2023

Membaca apresiasi sastra merupakan salah satu kegiatan dalam pembelajaran bahasa Indonesia di Sekolah Menengah Kejuruan. Pembelajaran membaca apresiatif di SMK dinilai berbagai kalangan, masih kurang optimal, terutama dalam memilih dan menerapkan model pembelajaran yang cocok untuk peserta didik SMK. Oleh karena itu, melalui kegiatan ini dilakukan pelatihan “Penerapan Model Pembelajaran Transformasi Teks Cerita Rakyat melalui Penguatan Bentuk Cerita Bergambar (Komik). Model pembelajaran ini sangat membantu peserta didik dalam memunculkan potensi membaca kritis dan menulis kreatif mengubah cerita menjadi komik secara menyenangkan. Selanjutnya kreasi peserta didik berupa komik akan diujicobakan menjadi cerita animasi dengan menggunakan teknik sparkol. Pelatihan penerapan model pembelajaran transformasi teks cerita rakyat diberikan kepada Guru-Guru Mata Pelajaran Bahasa Indonesia di SMK Kota Tasikmalaya. Hasil pelatihan menunjukkan peningkatan wawasan dan keterampilan menyusun scenario pembelajaran dengan menggunakan model pembelajaran Transformasi Teks Cerita Rakyat ke dalam Bentuk Cerita Bergambar (TTCRBCB).