bluuebunny/crossref_metadata_2025_split huggingface dataset:
Un nouveau centenaire pour le Brésil et pour son Musée National
Authors: Duarte Luiz Fernando Dias 
Published: December 2022

Le Musée National [Museu Nacional] brésilien a
fêté son second centenaire en 2018, l’année où la plus grande partie
de son siège et de ses collections a été détruite par un incendie. La
date précédait de quatre années la commémoration du second centenaire
de l’indépendance du pays. Le musée aurait dû accompagner – en
première ligne – la réflexion et les fêtes suscitées pour l’occasion.
Dans le contexte de la restauration du palais de São Cristóvão et de
la reconstitution générale de l’institution, un intense travail de
révision de la signification de son traditionnel caractère
« national » et de sa responsabilité en tant que plus ancien musée du
pays s’est imposé. Il a permis une prise de conscience des changements
du contexte social et culturel national, notamment pour un musée
d’histoire naturelle et d’anthropologie. Les débats en cours sur les
nouvelles installations, les collections et les futures expositions
constituent un moment stratégique de cette révision apportant des
contributions durables pour le service de l’institution à la
nation.
Musée Paulista : du théâtre de la mémoire au musée-laboratoire. Autour de l’indépendance du Brésil
Authors: Schiavinatto Iara Lis , Lima Junior Carlos 
Published: December 2022

Le projet muséologique d’Afonso Taunay pour le
Musée Paulista, rattaché à l’Université de São Paulo depuis 1963, a
consacré ce musée historique à l’indépendance du Brésil (1922). Notre
objectif dans cet article est de montrer les formes d’élaboration d’un
contrat civique entre l’institution et cette date nationale. L’arrivée
d’Ulpiano Bezerra de Meneses à sa direction, en 1989, imprima un
tournant avec, notamment, la mise en place de nouvelles orientations
sur le plan muséal à partir d’une révision critique de son fonds
(matériel et visuel) et du bâtiment-monument qui en est le siège.
Après avoir donné quelques repères dans l’évolution du musée, à partir
de la caractérisation des phases institutionnelles antérieures à
Bezerra de Meneses, nous montrons que les postulats de ce dernier
– dans son effort pour passer d’un Musée « théâtre de la mémoire » à
un « laboratoire de l’histoire » – inspirent le plan de restauration
puis l’inauguration du musée de l’Ipiranga (nouvelle dénomination) en
2022, ainsi que les reformulations des manières d’appréhender le
concept dans le chef-d’œuvre de Pedro Américo, « L’Indépendance ou la
mort ! ».
« Objets Etc. » : pratiques autres dans l’art brésilien des années 1960
Authors: Caspary Gabriela 
Published: December 2022

Le but de cette étude est d’analyser le réseau
formé entre les artistes, les marchands, les institutions et la
critique d’art au Brésil entre les années 1965 et 1969. La production
d’objets en dehors des normes traditionnelles – notamment de
« boîtes » (caixas) – et
les processus de légitimation découlant de cette nouvelle pratique
sont observés dans le but d’étudier le fonctionnement du système de
l’art. Les productions d’artistes aux vocations et aux désirs variés,
notamment d’artistes ne faisant pas partie des grands noms de
l’avant-garde de l’époque, sont analysées.
Feasibility of the novel ‘Tobacco-Free Hospital’ model and its compliance assessment at a tertiary care hospital of New Delhi, India
Authors: Kapoor Surbhi , Mohanty Vikrant R. , Balappanavar Aswini Y. , Kapoor Shivam , Rijhwani Kavita , Chahar Puneet , Malhotra Sneha 
Published: December 2022

BACKGROUND:
Tobacco is one of the biggest threats to the public health. Tobacco harms not only human health but also the environment. The Cigarette and Other Tobacco Products Act (COTPA) was implemented in India in 2003. Compliance of these laws in public places is mandatory. This study presents an innovative model to make hospitals tobacco-free. The aim is to assess the effectiveness of implementation of tobacco-free hospitals among security guards, tobacco users, and key observers visiting a tertiary care dental hospital through a comprehensive strategy.

MATERIALS AND METHODS:
An exploratory study was conducted in three phases. Structured training was organized for all security guards (n = 25) along with pre- and post-assessment using a validated questionnaire. All the patients and attendants entering the hospital were screened for tobacco products by security guards. Those patients who were carrying tobacco products to the hospital (n = 107) were interviewed using a validated questionnaire. Opinions of key observers (n = 223) who witnessed the event were also recorded. Descriptive statistics (means, frequency distribution) and inferential statistics (Chi-square test) were calculated.

RESULTS:
At the baseline, only 20% security guards were aware about tobacco legislations, whereas after 1 month, more than 80% security guards were aware about the laws. Around two-third of study participants of both the groups were aware of COTPA Section 4. Approximately 33.6% of tobacco users and 58.4% of key observers were aware of COTPA Section 6b. Forty tobacco users in the study availed tobacco cessation services of the hospital.

CONCLUSION:
Every staff should be a torch bearer of tobacco control. The study highlights a comprehensive approach of integrating hospital staff and linking vital cessation services by implementing Sections of COTPA.
Comparison of the level of critical thinking skills of faculties and medical students of Ahvaz Jundishapur University of Medical Sciences, 2021
Authors: Shakurnia Abdolhussein , Khajeali Nasrin , Sharifinia Reza 
Published: December 2022

BACKGROUND:
One of the main tasks of educational institutions, in addition to developing students' professional competencies, is to develop decision-making and problem-solving skills, which are themselves influenced by critical thinking that should be developed by instructors at the university. The aim of this study was to compare the level of critical thinking skills in students and faculties of Ahwaz Jundishapur University of Medical Sciences.

MATERIALS AND METHODS:
In this cross-sectional descriptive study, the sample consisted of 81 medical students and 52 faculty members of the medical school who were teaching and studying in 2021. The research method was descriptiveanalytical and the data collection tool was the California Critical Thinking Questionnaire Form B. SPSS-18 software and t-test were used to analyze the data.

RESULTS:
The mean score of students' critical thinking skills was 12.49 ± 4.43 and that of faculties was 12.44 ± 3.76 and no significant difference was observed between the scores of the two groups (P = 0.94).

CONCLUSION:
The findings of the study show that the level of critical thinking skills in both faculties and students is below the standard and poor. The results of the study indicate the weakness of critical thinking in students and faculties in all dimensions, which indicates the need to teach critical thinking skills at the university level. Therefore, educational planners and faculty officials should pay more attention to developing critical thinking skills in their educational programs.
Knowledge, Anxiety, and practice during the COVID-19 crisis among HCWs in Saudi Arabia
Authors: Alshagrawi Salah , Alhowti Sultan 
Published: December 2022

BACKGROUND:
The rapid and widespread of COVID-19 has caused distress and havoc among people in all walks of life. Such impact has been more pronounced among HCWs. We sought to examine how health care workers (HCWs) knowledge about COVID-19 and perceived anxiety can influence preventive practices.

MATERIALS AND METHODS:
In this cross-sectional study a multiple regression analysis was applied to examine the relationship between knowledge, anxiety, and preventive practices among 267 participants work in different settings in a variety of health care organizations in different regions in Saudi Arabia. To estimate potential associations, a multiple regression analysis was applied. Standardized beta-coefficients and their 95% confidence intervals were estimated to examine the outcome variable and the predictors' associations.

RESULTS:
Our findings shows that HCWs had high levels of knowledge about COVID-19, perceived anxiety, and preventive practices. In examining the relation between HCWs characteristics and their knowledge about COVID-19, older HCWs have been shown to have higher knowledge compared to younger HCWs. Finally, the model to estimate the impact of knowledge about COVID-19 and perceived anxiety on preventive practice showed that both have a significant impact.

CONCLUSIONS:
HCWs tendency to adhere to preventive practices is related to their levels of knowledge and perceived anxiety. Such a relationship can inform administrators and policymakers in the health care field to design health promotion campaigns to ensure all HCWs are aware of the nature of communicable diseases and the risk they might entail.
Social networks
Authors: García-Méndez Carmen , García-Padilla Francisca María , Romero-Martín Macarena , Sosa-Cordobés Elena , Domínguez-Pérez María del Mar , Robles-Romero José Miguel 
Published: December 2022

BACKGROUND:
Social networks are integrated in our lives and, amongst other functions, they are a means of dissemination. There are numerous social network accounts dedicated to health that could be used as an educational resource. The aim of this study was to evaluate the quality of accounts dedicated to health in different social networks, assessing their content and didactic and technological effectiveness and accessibility.

MATERIALS AND METHODS:
Observational cross-sectional descriptive study in which an analysis of social networks related to health was carried out from April to June 2021 in Spain. Twenty-eight accounts were analysed using a mixed qualitative-quantitative methodology. Content analysis of the speeches disseminated through the selected accounts was performed. In addition, the quality of the accounts was assessed with the Instrumento de Evaluación de Recursos Educativos Digitales (#IE_RED) (Digital Educational Resources Evaluation Instrument [#IE_RED]).

RESULTS:
Four categories were identified according to the content: student-focused profiles, specific professionals' profiles, current health issues and profiles promoting a healthy lifestyle. In addition, the quality of the accounts obtained a score that indicates they meet the requirements to be validated as a good educational digital resource but could be improved. Instagram social network accounts and those managed by nurses scored significantly higher.

CONCLUSIONS:
The analysed accounts were revealed as a quality tool for health dissemination, with varied content and applicable to teaching. Their use could be applied both to the training of health professionals and to the promotion of the population's health.
Prevalence of depression, anxiety and stress among private medical college students in South India
Authors: Raja Sangeetha , Balasubramanian Gayathri , Jamuna Rani R 
Published: December 2022

BACKGROUND:
Medical education is competitive across the globe. The long duration of the medical and paramedical courses and exposure to clinical settings potentially causes mental health issues. The aim of this study was to estimate the prevalence of depression, anxiety and stress among undergraduate students in a private medical college in South India.

MATERIALS AND METHODS:
This cross-sectional study was conducted among paramedical and medical students at a private medical college hospital and research center in South India in the year 2021. The required sample size was calculated as 783 with an expected prevalence of 53%, 95% confidence interval (CI), design effect 2.0, and non-response of 10%. The study participants were selected based on simple random sampling. After obtaining informed consent, the data was collected using an email questionnaire. Standard data collection tools such as the Perceived Stress Scale (PSS); and the Depression, Anxiety and Stress Scale - 21 (DASS-21) questionnaire were used. The investigator computed the odds ratio (OR) and adjusted odds ratio (aOR) with a 95% CI.

RESULTS:
Out of 1200 students, 1015 (85%) responded to the email questionnaire. Among them, 639 were females (63%), and 925 were paramedics (91%). Prevalence of depression, anxiety and stress were 59%, 43% and 11%, respectively. Almost 95% of students experienced moderate-to-severe stress in the last one month. Prevalence was higher among females and students of medical courses. Students of final year of college (aOR = 2.0; 95% CI = 1.2–3.5) and students of medical course (aOR = 1.5; 95% CI = 1.1–2.4) were independently associated with stress among the study participants.

CONCLUSION:
There is high prevalence of depression, anxiety and stress among medical college students in south India. The final year of study and medical course were independently associated with higher stress than others. We recommend periodic assessment of mental health status and additional mental health care for final year students and medical students.
Effectiveness of reinforcement program on adherence toward short peripheral catheter (SPC) care guidelines among registered nurses working in pediatric wards of a tertiary care hospital
Authors: Shivani S , Joseph Hepsi Bai 
Published: December 2022

BACKGROUND:
Short peripheral catheterization is the common procedure performed in every hospital with patients' admittance. It becomes challenging when it comes to children and requires more knowledge and skills. The aim of the current study was to assess the effectiveness of the reinforcement program on adherence to short peripheral catheter (SPC) care guidelines among registered nurses.

MATERIALS AND METHODS:
A quasi-experimental study was conducted among 44 registered nurses by observing 96 SPC care events before and after the reinforcement program in pediatric wards of a tertiary care hospital in Eastern India. The study was conducted in a tertiary care public hospital in Eastern India in 2019, and the data collection tool included children's and nurses' socio-demographic data and an observation checklist on intravenous catheterization care. Descriptive statistics were used to explain the participant characteristics, and McNemar's test was used to identify the adherence to SPC care guidelines.

RESULTS:
There was a statistically significant improvement in most steps, such as hand washing, gloving, tray preparation, documentation initiation, maintenance, and removal (P = 0.001). A statistically significant reduction in the early stage of phlebitis was found from 66.7% in pre-intervention to 37.5% in post-intervention (P = 0.027).

CONCLUSIONS:
The majority of nurses adhered to SPC care guidelines after the reinforcement program. From the study findings, it is recommended that regular reinforcement related to peripheral catheter care acts as a stimulant to adhere to SPC care guidelines. The nursing administration should take initiative by conducting in-service training for the nurses, which motivates them toward practicing quality nursing care.
Application of Berlin questionnaire in obstructive sleep apnea syndrome through soft palate morphology types
Authors: Saluja Imit P. , Bhargava Ananya , Bhargava Apoorva , Hiremutt Darshan R. Prasad , Saxena Shobhit , Agrawal Anagha 
Published: December 2022

BACKGROUND:
Obstructive sleep apnea (OSA) is a sleep disorder characterized by intermittent complete and partial airway collapse, resulting in frequent episodes of apnea and hypopnea. The Berlin questionnaire (BQ) is a simple, inexpensive instrument used to screen for OSA, which is about risk factors for sleep apnea, namely, snoring behavior, daytime sleepiness or fatigue, and the presence of obesity or hypertension. This 10-question test has since then become well known for its accuracy in predicting the presence of sleep apnea in patients. Cephalometry is a relatively inexpensive method and it permits a good assessment of the soft tissue elements that define the soft palate and its surrounding structures. Therefore, the present study aims to study the morphology of the soft palate using lateral cephalometry and classify it into various types. And to identify the individuals with OSA syndrome through a particular type of soft palate and correlate it with the BQ.

MATERIAL AND METHODS:
This prospective study was conducted in the Department of Oral Medicine and Radiology of D.Y.Patil Dental College, Pune. About 150 subjects for the study were selected by random sampling from the outpatient department of Oral Medicine and Radiology and the patients were referred from the orthodontics department. Lateral cephalograms were assessed for soft palate morphology types, and all participants filled the BQ. A Chi-square test was applied. The level of significance was set at P < 0.05.

RESULTS:
Among six types of the soft palate, the maximum number of participants had type 2 (rat-tail type) of the soft palate (26.0%). A highly significant association was found between the BQ (positive and negative response) and soft palate morphology types (i.e., P < 0.01). A maximum number of participants who responded to the BQ had type 5 (S type) of the soft palate (76.47%).

CONCLUSION:
The type 2 (rat-tail) soft palate was the most frequent type, while the type 4 (straight-line) shape was the least common among all the six types. The persons with type 5 (S-shape) soft palate responded more positively to the BQ as compared to other types of soft palate. This shows that a particular type of soft palate could be responsible for causing OSA syndrome.

Clinical Significance:
Lateral cephalogram and BQ, which are relatively inexpensive and widely available, can be used in resource-limited and thickly populated countries like India to correctly identify patients with OSA syndrome.
Competency-based medical education (CBME) curriculum and its effect on prevalence of anxiety, depression and stress amongst medical undergraduates
Authors: Goel Ashish , Sethi Yashendra , Moinuddin Arsalan , Deepak Desh , Gupta Priyanka 
Published: December 2022

BACKGROUND:
A growing body of literature now identifies higher levels of anxiety, depression, and stress among medical students as a distinct mental health domain. The competency-based medical education (CBME) curriculum was introduced to revamp the existing curriculum with an aim to garner constructive impact on the mental health of undergraduate medical students. As such, we sought to draw comparisons between the mental health of medical students, studying the old (2018 batch) and the new (2019 batch) medical education systems in India.

MATERIALS AND METHODS:
We designed a survey that contained structured questions pertained to anxiety (HAM-A, GAD-7), depression (HAM-D, BDI), and stress (PSS) amongst medical undergraduate students of 2018 and 2019 batches at the Government Doon Medical College (GDMC), Dehradun, India.

RESULTS:
Contrasting the 2018 and 2019 batches, the introduction of CBME resulted in a significant two-fold decrease in moderate anxiety, as exhibited by both HAM-A (6.0 vs 3.0, P = 0.016) and GAD-7 (3.5 vs 1.0, P = 0.037) scales, although no significant change in mild and severe anxiety, and overall depression (BDI: P = 0.05, HAM-D: P = 0.05) or stress (PSS: P = 0.86) was found.

CONCLUSION:
The CBME system has made a significant impact on the mental health of undergraduate medical students for anxiety, albeit its effect on depression and stress remains equivocal. Future studies are warranted to compare the effect of CBME in other undergraduate and postgraduate courses across the country to help predict the psychological impact of the newfangled CBME education system.
Do different positions during a non-stress test affect the maternofetal physiological parameters and comfort in pregnant women?
Authors: Patel Rukmani , Smitha M. V. , Jena Saubhagya K. , Jacob Jaison , John Joseph 
Published: December 2022

BACKGROUND:
A non-stress test (NST) is an essential diagnostic test performed during pregnancy to assess fetal well-being. It is a recording of fetal movements besides fetal heart rate, indicating fetal biophysiological well-being. As maternal physiology is altered in various positions, apt positioning during the NST is essential for accurate results while ensuring maternal comfort. This study aims to evaluate the effect of different maternal positions, left lateral and semi-fowler's, on NST reactivity, maternal blood pressure, heart rate, and comfort in pregnant women while performing the NST.

MATERIALS AND METHODS:
This crossover study evaluated 50 healthy pregnant women between 32 and 40 weeks of gestation with no obstetric complications for the effect of maternal positions on maternofetal physiological parameters and comfort. The NST was performed for 20 min in each position with a washout period of 10 min. The maternofetal physiological parameters were recorded by a calibrated sphygmomanometer and the electrocardiograph interpretations. The maternal comfort was assessed using a maternal comfort rating scale (MCRS) for each position after the NST. Relevant descriptive and inferential statistics are applied to compute the results.

RESULTS:
Statistically, there was a significant difference in the mean maternal blood pressure and heart rate between the left lateral and semi-fowler's positions at 0 and 20 min (P = 0.001), whereas within the groups, in the same position at 0 and 20 min, no significant difference was found. There was no significant difference in NST reactivity (P = 0.79) in different positions. There was no significant difference between the MCR scores of women in either of the positions (Z = −1.64, df = 49, P = 0.100).

CONCLUSION:
Semi-fowler's position demonstrated favorable maternal blood pressure and heart rate during the NST in the third trimester of pregnancy, though it was clinically not significant. There was no significant difference in the comfort of women in both positions. Hence, either of the positions can be implemented in practice as an alternative position while performing the NST, based on the women's preference.