bluuebunny/crossref_metadata_2025_split huggingface dataset:
Epidemiology of herpes zoster in National Guard Hospitals in Saudi Arabia: a 6-year retrospective chart review study
Authors: Farahat Fayssal , AlZunitan Mohammed , Alsaedi Asim , Al Nassir Wafa , Elgammal Ayman , Nazeer Syed , Althaqafy Majid , El-Saed Aiman , Al Enizi Nouf , Hakami Sulafah , Alsharef Zainab , Guzman-Holst Adriana , Alshamrani Majid 
Published: February 2025

IntroductionIncidence of herpes zoster (HZ) is increasing worldwide, imposing significant burden on healthcare resources. In Saudi Arabia, local epidemiological studies are limited, and HZ burden is unknown.MethodsThis multi-center, hospital-based, retrospective medical chart review was conducted at five National Guard hospitals and affiliated primary care centers. Patients included military personnel, healthcare workers, and family dependents, in addition to non-eligible individuals via referral from other healthcare systems. Data were retrospectively collected from electronic medical records of documented cases of HZ or related complications from January 2017–December 2022.Results1,019 HZ cases were identified, with the number of cases increasing annually (2017: 89; 2022: 279). Estimated HZ prevalence over the study period was 0.12%. Mean age of patients was 52.8 years and &gt;50% were females. Most (73.9%) patients had ≥1 comorbidity, most commonly hypertension (38.9%) and diabetes (37.7%). HZ-related complications were detected in 31.3% of cases; post-herpetic neuralgia was diagnosed in 17.6% and disseminated HZ in 5.6% of patients. In total, 12.5% of patients were hospitalized; 1.2% required intensive care unit admission. Mean hospital stay was 10.1 days. Use of antiviral medications was reported in most cases (87.5%). Significant predictors of complicated HZ, identified via multivariable logistic regression analyses, were age ≥60 years (odds ratio=1.42; p=0.03), autoimmune disease (2.45; p&lt;0.01), depression (2.68; p=0.02), and chronic lung disease (1.95; p=0.04).ConclusionThis study provides updated insights into HZ epidemiology in Saudi Arabia. A high proportion of patients identified in a hospital setting with HZ had comorbidities and a substantial proportion experienced complications.
Proximity care pathways and digitalization: opportunities and concerns for medication safety management—Insights from the ProSafe study on community perspectives
Authors: Moretti Francesca , Mazzi Maria Angela , Montresor Sara , Colpo Silvia , Tussardi Ilaria Tocco , Facchinello Daniela , Robello Raffaella , Ambroso Luigi , Destro Cristina , Leone Salvatore , Petruzzelli Davide , Rimondini Michela , Moretti Ugo 
Published: February 2025

BackgroundEstablishing proximity care pathways, including the digitalization of healthcare, is valuable for sustainable management of Non-Communicable Diseases (NCDs) and Patient-Centered Care (PCC) promotion. However, new safety concerns, particularly in therapy management, may arise. The Community-Based Participatory Research (CBPR) “ProSafe” aims at (i) explore stakeholders’ perspectives on medication safety management in proximity care and (ii) analyze which determinants affect the community’s perspective.MethodsA survey was co-developed with a Patient Safety Council (PSC) and the support of a pharmaceutical company. A purposeful sampling strategy was implemented to recruit individuals aged 18 and older. Data were collected using a dedicated online platform; differences between patients’ and healthy people’s perspectives were explored. Preliminary multiple regression analyses were performed to examine how sociodemographic factors, clinical data and level of digitalization affect outcomes using linear and probit models, accounting for the nature of each outcome variable. The models were combined into multiple equations using a Conditional Mixed Process (CMP) approach.Results417 individuals completed the survey (81.0% affected by a disease). A positive attitude towards shifting therapy administration from hospital to home setting was observed even if a significantly higher proportion of patients compared to healthy individuals raised concerns regarding a potential negative impact on the doctor-patient relationship (47.0% vs. 32.9%, p &lt; 0.01). Additionally, 63.7% of patients reported they would feel less supported in the care process. The usefulness of telehealth, including tele-pharmacy for drug therapy management, was rated higher by healthy individuals compared to patients (mean value 1.3 vs. 1.5 p &lt; 0.01); 43.9% of patients raised concerns regarding the excessive responsibility placed on them in digital care compared to traditional healthcare. Health status and level of education were the variables most frequently associated with significant impacts across multiple outcomes.ConclusionThe community’s perspective on the development of proximity care pathways provided valuable insights into concerns, fears, and limitations that could impact the effectiveness of this important shift in healthcare delivery. Effectively addressing these issues is essential to truly bring disease and medication management closer to patients and their living environments while ensuring that the community becomes co-creators in the implementation of proximity care, fostering health equity and patient autonomy.
Stakeholders’ perspectives on barriers and facilitators to implementing extra physical activity in secondary schools to improve adolescents' health and academic performance
Authors: Andermo Susanne , Farias Lisette , Helgadóttir Björg , Ekblom Örjan , Nyberg Gisela 
Published: February 2025

IntroductionThere is an association between physical activity and both health and academic performance. However, there is still a lack of consensus on how to engage adolescents in physical activity interventions in secondary schools. One approach to better understand the activities and strategies supporting effective implementation is to involve school staff and adolescents in the early stages of planning and preparing for interventions. Therefore, the aim of this study is to explore how multiple stakeholders, including school staff, students, and experts, perceive the barriers and facilitators for implementing a school-based intervention that extends the school day with additional physical activity in Sweden.Material and methodsThis inductive explorative qualitative study involved 16 participants. Three focus groups with school staff, including principals (n = 3), teachers (n = 6), and students (n = 4), and three interviews with experts were conducted. The planned intervention and its components were presented to the participants in the focus group and interviews to discuss them based on their previous experiences and thoughts of implementing physical activities or health promotion programmes in their schools or with adolescents. Data were analysed using qualitative content analysis.ResultsThree categories emerged: (1) “types of activities offered”, highlighting the importance of designing activities that are fun, inclusive and unusual; (2) “integration of the activities into school curriculum” to promote sustainability of the intervention and incorporate physical activity throughout the school day and across school subjects, and (3) “Management support and funding” referring to the funded time and facilities that teachers leading the activities need to facilitate implementation.ConclusionsBefore implementing extra physical activity in a school setting, it is important to understand what activities enhance students' motivation and the type of support teachers need from the school principal and administration. This includes funding for teachers' time, appropriate scheduling of the activities, and access to facilities.
Parental Education and Unmet Therapeutic Needs Among School-Aged Children With Developmental Delays: A Pooled Cross-Sectional Survey in Aachen, Germany
Authors: Pförtner Timo-Kolja , Deisz Sabine , Köster Simone , Gube Monika 
Published: February 2025

ObjectivesEarly intervention in the context of developmental delays is crucial for mitigating the adverse effects of developmental delays. The purpose of this study was to determine inequalities in the unmet therapy needs of school-aged children with developmental delays by parental education.MethodsData from the 2015–2019 school-entry survey of Aachen, Germany, were used (N = 7,211). We assessed unmet therapy needs by parental education for global developmental delays and for delays in physical coordination, selective attention, visual-motor skills, visual perception and reasoning, knowledge of numbers and quantities, and speech and language.ResultsInequalities in unmet therapy needs were identified across all domains to the disadvantage of children with low parental education. Significant disparities in unmet therapy needs were found for global developmental delay and for delays in physical coordination, selective attention, visual‒motor skills, and speech and language.ConclusionUnmet therapy needs affect children with lower parental education more frequently across all areas of developmental delay, highlighting the need for further studies and interventions to explain and reduce disparities in the unmet therapy needs of children with developmental delays.
Are “European” Scrotal Hernias Repairable With the Minimal Open Pre-Peritoneal Technique?
Authors: Soler Marc , Gillion Jean Francois 
Published: February 2025

BackgroundMinimally invasive open preperitoneal techniques are an alternative in groin hernia repair. Scrotal hernias (SH) are frequently difficult to repair laparoscopically, resulting in a significant conversion rate.MethodsThe aim of this exploratory monocentric retrospective study, based on data prospectively collected in the “Club-Hernie” registry, was to assess the feasibility, effectiveness and safety of the MOPP technique in SH repair compared with non-SH repair.ResultsAll consecutive MOPP repairs performed from 11 September 2011 to 31 December 2022 were identified in which 2005 MOPP (126 SH and 1879 non-SH) met the inclusion criteria. The results were analysed “as treated” in 125 SH vs. 1879 non-SH. No statistically significant difference was observed between these two groups in terms of age, BMI, and ASA classification. Symptomatic hernias (84% vs. 73%; p &lt; 0.001), and lateral hernias (87.80% vs. 62.81%; p &lt; 0.0001) were more frequent in the SH group. The mean operating time was longer (58 min vs. 39 min; p &lt; 0.0001) in the SH group. The SH procedures were performed under general anaesthesia with a laryngeal mask in 92% of cases. All postoperative complications, except one reoperation in the non-SH group, were classified as Clavien-Dindo Grade I/II. Superficial surgical site occurrences were more frequent in the SH group (14% vs. 3%; p &lt; 0.0001). No peri-prosthetic infections were observed. The outpatient rate was 83% vs. 94% in the SH and non-SH groups, respectively. There were four rehospitalisations in the non-SH group and none in the SH group. The postoperative pain was low and similar in the two groups, except at M1, where the mean pain was lower in the SH group (p &lt; 0.001). A total of 113 (90%) patients in the SH group vs. 1,553 (82%) in the non-SH group were followed for 1 year or more. The number of identified recurrences and reoperations was low and did not differ between the two groups studied. In total, 98% of patients in both groups assessed their surgery as excellent or good.ConclusionThis exploratory study shows that the MOPP technique is feasible and safe in scrotal hernia repair, with similar results to those observed in non-scrotal hernias. Our next step will be to compare MOPP with laparoscopic and Lichtenstein techniques in scrotal hernia repair.
Examination of Non-Specific Low Back Pain, Pain Perceptions and Disability Between Brazilian Jiu Jitsu, Muay Thai and Boxing Athletes
Authors: Christakou Anna , Karvouni Elena , Benetos Ioannis S. , Evangelopoulos Dimitrios S. , Pneumaticos Spyridon G. 
Published: February 2025

Background: Non-specific low back pain is the leading cause of years lived with disability worldwide. The present study investigates non-specific low back pain, pain perceptions and disability due to pain among Brazilian Jiu Jitsu, Muay Thai and Boxing athletes. Methods: The study included 90 amateur athletes (aged 18–45 years; M = 28.97, SD = 5.88). The athletes completed the valid and reliable Pain Beliefs Perceptions Inventory (PBPI), the Quebec Pain Disability Scale (QPDS) and the Short-Form McGill Pain Questionnaire (SF-MPQ) which includes the Visual Analogue Scale (10 cm VAS 0–10 rating system) and the Present Pain Intensity index (PPI). Results: The results revealed that the majority of athletes rated their pain as low (SF-MPQ: M = 12.34, SD = 8.91; VAS: M = 1.65, SD = 1.82; PPI: M = 2.10, SD = 1.08) with low disability due to pain (QPDS: M = 18.98, SD = 22.71). Also, the majority of athletes disagreed that their pain was mysterious or persistent with high duration (PBPI: M = 1.43, SD = 2.23). Between the three martial arts, Brazilian Jiu Jitsu athletes showed statistically significantly (a) higher emotional and sensational pain intensity (x2(2) = 15.73; p < 0.001; x2(2) = 19.34; p < 0.001), (b) higher disability due to pain (x2(2)= 25.30; p < 0.001) and (c) more mysterious, more persistent pain with more duration (x2(2)= 9.32; p < 0.05) than Muay Thai and Boxing athletes. Also, a few correlations were found between age and pain perception only in Brazilian Jiu Jitsu and Boxing martial arts athletes. Conclusions: Further research is required to elucidate the biomechanical and psychological factors contributing to these differences between martial arts athletes.
Harmonização orofacial associada a múltiplas técnicas: relato de caso
Authors: Martins Lídia Batista Conrado , Mattos Thiago Borges , Filho Francisco Cerdeira , Fonseca Paula Karoline , Rocha Nathalia Duarte Barros , Costa Matheus Silva , Freitas Larissa Costa , Souza Érica Leonel Sobral de 
Published: February 2025

Objetivo: relatar um caso clínico demonstrando a correlação entre o uso de diversas técnicas da harmonização orofacial na tentativa de homogeinizar traços faciais perdidos pelo dinamismo corporal, delineando de forma suave movimentos expressivos de alta tonicidade, baseado em parâmetros clínicos individualizados Detalhamentos de Caso: Paciente sexo feminino, 31 anos de idade, sem desvio de normalidade de cunho sistêmico, foi submetido a análise facial prevendo balanceamento das estruturas anatômicas crânio faciais através do uso de produtos com reologias diferentes, correlacionando as regiões a serem aplicadas com sua devida indicação. A conduta clínica deu se pela associação de métodos como lipoplastia cirùrgica, preenchimento facial e uso de substânica bioestimuladora, realizadas em um intervalo pertinente ao tempo de ação de cada material. Conclusão: utilizando de pontos anatômicos estratégicos foi possível o alcance de suporte mecânico muscular e aumento de densidade dérmica.
أثر تغير التكييف الفقهي لعقود التوريد في المؤسسات المالية الإسلامية على حكمها وأعمالها فيها
Authors: الحيص إبراهيم غنيم 
Published: February 2025

يطلق التكييف الفقهي للنوازل عند المعاصرين ويقصد به: التصور المحكم لحقيقة الواقعة لإلحاقها بأصل فقهي معتبر بعد التحقق من المماثلة بينهما. فيكون بذلك جزءًا من الاجتهاد التنزيلي.
وقد سلكت في هذا البحث المنهج الوصفي والتحليلي، فتناولت في مباحثه الثلاثة الأُوَل: مشروعيته ومقوماته وضوابطه وما يتصل بذلك. ثم بينت أسباب تغير التكييف الفقهي، والعوامل المؤثرة فيه، مع بيان دور المجامع والندوات الفقهية في تصحيح المنتجات المالية الإسلامية وتطويرها. وأما المبحث الرابع: فقد تناولت فيه حقيقة عقد التوريد، وأنه عقد يلتزم فيه أحد المتعاقدين للآخر، بتسليمه سلعًا موصوفة أو خدمات معينة، مؤجلة، دفعة واحدة أو دفعات، بثمن معلوم. وذكرت صوره، ثم حصرت أقوال المعاصرين في تكييفه، وبينت أثر كل تكييف على حكمه وصيغته عند العمل به في المؤسسات المالية الإسلامية.
وأما مشكلة البحث؛ فتكمن في معرفة التكييف الفقهي المناسب لعقد التوريد؛ لأن الاختلاف فيه يؤثر على تطبيقاته.
وقد خُتم البحث بنتائج أهمها:
الأولى: أنه لا يمكن إطلاق حكم واحد على عقد التوريد؛ بسبب تعدد صوره المؤثرة في التكييف والحكم.
الثانية: أن صورة عقد التوريد التي وقع فيها الخلاف بين المعاصرين في تكييفها وحكمها على عدة أقوال، هي: إذا كان الاتفاق على سبيل العقد أو المواعدة الملزمة على سلعة لا تتطلب صناعة، وأُجِّل فيه الثمن كله أو بعضه. فتكييفها:

إذا كانت السلعة فيه موصوفة ومعينة لكنها غائبة فتحمل على بيع الغائب على الصفة.
إذا كانت السلعة فيه موصوفة في الذمة غير معينة فهي على حالتين:

أن يتعاقد فيها بلفظ السلم: فهو عقد سلم لفظًا ومعنًى، فيجب فيه تعجيل الثمن، وإلا بَطَل العقد.
أن يتم التعاقد بلفظ البيع: فالقول بأنها سَلَم هو الأقوى من حيث التقعيد، لكن القول بجوازها للحاجة والمصلحة الراجحة متجه.
أثر تغير التكييف الفقهي لخطاب الضمان في المصارف الإسلامية في حكمه وأعماله فيه -دراسة فقهية
Authors: الرشيدي عبد الله عويد 
Published: February 2025

تنبع أهمية البحث فيما للتكييف الفقهي من أثر في بيان الأحكام الفقهية المتعلقة بخطاب الضمان، ويهدف البحث إلى إبراز أسباب تغير التكييف الفقهي والعوامل المؤثرة في ذلك التغير وواقعه من خلال قرارات المجامع الفقهية والهيئات الشرعية للبنوك الإسلامية.
ولتحقيق هذه الأهداف اعتمد البحث المنهج الوصفي التحليلي الاستقرائي، وتمثلت مشكلة البحث في أن تكييف خطاب الضمان مر بتغيرات فقهية، فما أسباب ذلك التغيير؟ وما الآثار الفقهية المترتبة عليه؟
وقد سلط البحث الضوء على تعريف تغير التكييف الفقهي، وأسبابه، والعوامل المؤثرة، والآثار الفقهية المترتبة على تغير التكييف الفقهي لخطاب الضمان، وواقع تغير التكييف الفقهي لخطاب الضمان من خلال قرارات المجامع الفقهية والهيئات الشرعية للبنوك الإسلامية.
وقد توصل البحث إلى عدد من النتائج منها: أن لتغير تكييف خطاب الضمان أثرًا على حكم الرسوم التي يأخذها البنك من العميل مقابل خطاب الضمان، فمن قال أنه وكالة أجازها، ومن قال أنه ضمان لم يجزها، وجواز استثمار البنك لغطاء خطاب الضمان، ويوصي البحث بتكثيف الدراسات المتعلقة بتغير التكييف الفقهي.
Les « petits jeux » : vers la définition d’un genre hobbyiste, indépendant, amateur et son application à l’histoire des jeux vidéo pornographiques
Authors: Courtois Charlotte 
Published: February 2025

La classification des jeux dans des catégories de genre absolu (aventure, action, etc.) est un phénomène toujours voué à l’échec, tant les appellations varient dans le temps et selon les interlocuteur·rice·s. Les genres sont destinés à rester contextuels, et leur pertinence à être questionnée. Dans le cas de l’étude de l’histoire des jeux pornographiques sur micro-ordinateur des années 1980 (Commodore 64 et ZX Spectrum), il est utile de réunir sous l’appellation de « petits jeux », tous les titres de (très) courte durée et dont la jouabilité et le thème évoquent soit plusieurs genres, soit aucun genre de jeu préétabli. Les petits jeux sont un commentaire sur les modes de création de jeux vidéo et permettent d’exprimer des messages qui seraient perdus dans des jeux de toute autre échelle. Cette forme persistante à travers l’histoire permet de mettre en avant des expériences de jeu moins chronophages, moins techniques et moins énergivores que les jeux grand public, et des jeux créés souvent par une seule personne, plutôt que par l’équipe d’un studio de développement.
Early Childhood Caries : Tinjauan Pustaka
Authors: Natasha Vanny Putri 
Published: February 2025

ABSTRAK

Early Childhood Caries (ECC) merupakan suatu penyakit multifaktorial yang menyebabkan masalah kesehatan rongga mulut pada anak. ECC paling sering terjadi pada anak-anak usia dibawah 6 tahun. Prevalensi ECC di Indonesia meningkat dari tahun ketahun. Morfologi gigi sulung, makanan kariogenik dan bakteri Streptococcus mutans menjadi faktor etiologi terjadinya karies. Penggunaan botol susu yang lama saat tidur dimalam hari juga menjadi faktor risiko terjadinya ECC. ECC dapat menyebabkan berbagai keluhan seperti kesulitan makan, mengunyah dan berbicara, selanjutnya akan mempengaruhi tumbuh kembang anak sehingga perlu dilakukan pencegahan dan perawatan ECC pada anak sedini mungkin.

Kata kunci : ECC, anak-anak, pencegahan

ABSTRACT
Early Childhood Caries (ECC) is a multifactorial disease that causes oral health problems in children. ECC most often occurs in children under 6 years of age. The prevalence of ECC in Indonesia increases from year to year. The morphology of primary teeth, cariogenic foods and Streptococcus mutans bacteria are etiological factors in the occurrence of caries. Prolonged use of milk bottles while sleeping at night is also a risk factor for ECC. ECC can cause various complaints such as difficulty eating, chewing and speaking, which will then affect the child's growth and development, so it is necessary to prevent and treat ECC in children as early as possible.

Key words: ECC, children, prevention
PEMELIHARAAN KEBERSIHAN GIGI DAN MULUT SISWA KELAS 5 SETELAH MENGGUNAKAN MEDIA PAPAN GAME
Authors: Ghufron Moh. Rojil , Mahirawatie Ida Chairanna , Astuti N.P I.G.A. Kusuma 
Published: February 2025

Latar Belakang: Pemeliharaan kebersihan gigi dan mulut anak Sekolah Dasar sangat penting pada pencegahan pertumbuhan debris indeks. Debris indeks yang buruk terjadi dikarenakan anak kurang memelihara kebersihan gigi dan mulut, debris akan mengumpul bersama dengan saliva membentuk plak yang mengandung bakteri. Tujuan Penelitian ini adalah Mengetahui gambaran tingkat pengetahuan mengenai pemeliharaan kebersihan gigi dan mulut siswa kelas 5 terkait tingginya debris indeks setelah menggunakan media papan game.
Metode: Penelitian ini bersifat deskriptif yang dilaksanakan di SDN Pesanggrahan 1 Bangkalan. Sampel yang digunakan adalah teknik total sampling yaitu seluruh siswa kelas 5 yang berjumlah 40 orang.
Hasil: Hasil penelitian menunjukkan pengetahuan pemeliharaan kebersihan gigi dan mulut siswa kelas 5 setelah meggunakan media papan game dalam kategori baik (90%) tentang waktu menyikat gigi yang benar, (88%) tentang cara memilih dan merawat sikat gigi, (93%) tentang pola makan yang baik, (87%) tentang periksa gigi secara rutin, (80%) tentang cara menyikat gigi yang benar.
Kesimpulan: Kesimpulan dari penelitian ini bahwa penyuluhan dengan menggunakan media papan game efektif untuk meningkatkan pengetahuan siswa tentang pemeliharaan kebersihan gigi dan mulut dengan rata-rata (87,6%) termasuk dalam kategori baik.
“Contributions to a Kantology”. Schleiermacher’s Critical Assessment of Anthropology from a Pragmatic Point of View
Authors: Martinelli Riccardo 
Published: February 2025

The paper examines Friedrich Schleiermacher’s 1799 review of Immanuel Kant’s Anthropology from a Pragmatic Point of View. Schleiermacher’s critique, published anonymously in the Athenaeum, adopts a harsh and ironic tone, deeming Kant’s work as trivial and flawed. Schleiermacher argues that Kant’s attempt to reconcile systematic and popular elements within his anthropology led to its failure, coining the term “Kantology” to refer to a superficial study of Kant’s personality rather than a substantive contribution to anthropology. Schleiermacher contends that Kant’s anthropology is internally inconsistent and overly reliant on a rigid distinction between physiological and pragmatic anthropology. According to Schleiermacher, this distinction oversimplifies human nature by neglecting the necessary unity between bodily and mental aspects. The paper highlights how Schleiermacher’s review is an important critique of Kant’s Anthropology, providing insights into both Kant’s and Schleiermacher’s philosophical views. Schleiermacher criticizes Kant’s approach as falling into “lower realism,” missing the transcendental and “higher realism” that he associates with religion and human freedom. Despite its acerbic tone, the review is seen as a valuable contribution to the study of Kant’s anthropology and Schleiermacher’s philosophical development. Schleiermacher’s review raises fundamental questions about the compatibility of Kant’s anthropology with his broader critical philosophy and offers a re-evaluation of how Kant’s ideas on human nature, freedom, and history are integrated into his system of thought.