bluuebunny/crossref_metadata_2025_split huggingface dataset:
La réflexivité infirmière en formation, entre injonction et allant-de-soi
Authors: Aubouin Catherine , Monceau Gilles 
Published: September 2022

En France, une réingénierie des études infirmières a eu lieu en 2009. Cette réforme accompagne une évolution d’ensemble de la profession et a profondément transformé le dispositif de formation. Désormais, l’analyse de l’activité infirmière en situation est considérée comme principale source d’apprentissage. L’étudiant apprend de, par et pour les situations professionnelles. Deux catégories de formateurs, ceux exerçant en institut de formation en soins infirmiers d’une part et les infirmiers en poste chargés du tutorat des stages d’autre part contribuent ensemble au suivi de l’étudiant durant son parcours de formation. Ils sont en charge de l’accompagnement du processus réflexif par lequel l’étudiant doit construire son auto-formation en alternance entre institut de formation et terrain de stage.L’article interroge la manière dont ces formateurs ont vécu cette évolution durant laquelle le nouveau paradigme de la réflexivité et la redéfinition de la notion de compétence ont bousculé leur conception du métier et leur posture professionnelle.Les résultats font apparaitre que l’entrainement réflexif et l’injonction de professionnalisation, désormais attendus en formation infirmière fait évoluer la posture de ses formateurs, d'une position « traditionnelle et transmissive » de formation à une posture d’accompagnement pédagogique. Les praticiens devenus tuteurs de stage sont appelés à endosser une compétence pédagogique jusqu'alors considérée comme propre aux formateurs exerçant en institut de formation, tandis que ces derniers doivent remanier leur conception pédagogique pour désormais mener un travail d'accompagnement à l'apprentissage les éloignant des formes d’« enseignement » qu'ils avaient coutume de pratiquer. L’article interroge finalement l’absence d’un accompagnement adapté des formateurs dans leur appropriation de la réingénierie pédagogique de 2009.
Le développement professionnel en évaluation des apprentissages d’enseignants du supérieur
Authors: Nizet Isabelle , Côté Josée-Anne , Lison Christelle 
Published: September 2022

L’objectif général de notre recherche est d’outiller le repérage de traces de développement professionnel chez des enseignants-chercheurs de différentes disciplines, se formant en évaluation par le biais du cours Évaluer en situations authentiques offert en ligne. Ce cours fait partie d’un microprogramme conçu selon la démarche du Scholarship of Teaching and Learning (Bélisle et al., 2016). Les artefacts provenant de trois tâches complexes, réalisées dans le cadre de ce cours, sont analysés en référant aux différents paramètres du modèle dynamique de développement professionnel de Clarke et Hollingsworth (2002) et aux dimensions identitaires et culturelles propres aux compétences évaluatives des enseignants universitaires (Nizet, 2015). Nous proposons une exploration de ce modèle à la lumière de l’intelligibilité des pratiques évaluatives, puisque la réalisation de tâches complexes dans le cours amène des prises de conscience et des déplacements identitaires et culturels, signes d’un développement professionnel authentique dans le cadre de contraintes institutionnelles et de cultures évaluatives dominantes.
Analyse de l’expérience d’enseignants-chercheurs stagiaires dans un dispositif de vidéo-formation à la pédagogie universitaire
Authors: Gaudin Cyrille 
Published: September 2022

En France, l’obligation d’une formation à la pédagogie universitaire des nouveaux enseignants-chercheurs pendant leur année de stage est récente. Parmi les dispositifs de formation mis en place dans les universités, ceux ayant recours au visionnage de vidéos se sont progressivement développés. Néanmoins, peu de travaux ont étudié la vidéo-formation des enseignants du supérieur. Inscrite dans un programme de recherche sur la formation professionnelle, l’étude examine un dispositif innovant de vidéo-formation à la pédagogie universitaire destiné aux enseignants-chercheurs stagiaires. Le caractère innovant de ce dispositif réside dans le fait d’exploiter, dans des situations d’allo- et d’auto-confrontation, des vidéos dévoilant le point de vue des étudiants. A partir d’entretiens d’auto-confrontation menés auprès de sept enseignants-chercheurs stagiaires volontaires de disciplines variées, l’étude cherche à déterminer les effets de ce dispositif. Les résultats montrent que les divers types de vidéos (situation d’enseignement, commentaires de l’enseignant-chercheur, commentaires des étudiants et réactions de l’enseignant-chercheur confronté aux commentaires de ses étudiants) et de contenus (pratiques d’enseignement « réussies » et « perfectibles ») constituent des ressources « capacitantes » pour les enseignants-chercheurs stagiaires en termes d’immersion-projection, de satisfaction et d’apprentissage-développement professionnel. Ils confirment également l’importance de les scénariser et de respecter des principes de conception de vidéo-formation tels que l’accompagnement, l’individualisation et la progressivité. Les enjeux liés à la conception et la mise en œuvre de ce type de dispositif sont finalement discutés.
Implication et développement professionnel des enseignants dans de nouveaux dispositifs pédagogiques favorisant l’apprentissage du métier d’étudiant
Authors: Baudier Aurélie , Wilmet Emilie , Bachy Sylviane 
Published: September 2022

Cet article présente et analyse la mise en œuvre de nouveaux dispositifs pédagogiques d’aide à la réussite qui ont contribué au développement professionnel des enseignants d’un établissement de l’enseignement supérieur en Belgique francophone. Plusieurs nouveaux ateliers co-construits en intelligence collective avec des enseignants, des conseillers pédagogiques (accompagnateurs des enseignants) et des accompagnateurs d’étudiants de première année ont visé essentiellement les composantes de bienveillance et le bon climat de classe. Un double impact se dégagerait de ce retour d’expérience : les apprenants s’engageraient davantage dans leurs études et les enseignants changeraient leur conception du métier d’étudiant, leur approche pédagogique et leur niveau d’interaction.
Environnement de travail en évolution : quel potentiel d’apprentissage et de développement pour les enseignants-chercheurs?
Authors: Loizon Anaïs , David Marie 
Published: September 2022

Dans la perspective de l’ouverture, au sein d’une école d’ingénieurs, d’une nouvelle modalité de formation des étudiants nommée en France « formation par apprentissage », les deux auteures de l’article ont proposé une recherche-intervention auprès d’enseignants-chercheurs de l’établissement. Il s’agissait (i) de les accompagner dans la mise en œuvre d’une pédagogie de l’alternance et (ii) de mettre collectivement sous observation cette période de changement et ses potentiels effets sur leur propre activité d’enseignement. Appréhendé comme un observatoire de l’activité d’enseignants-chercheurs et des conditions de son développement, le dispositif, déployé avec cinq enseignants-chercheurs volontaires, a été initié par cinq séances de formation et des entretiens semi-directifs réalisés auprès de chacun 6 mois après l’ouverture de la formation par apprentissage. L’article rend compte, dans une perspective de didactique professionnelle, de l’analyse de l’activité de ces enseignants-chercheurs à partir des situations de formation proposées et des entretiens réalisés. Si la formation suivie permet de premières re-conceptualisations de l’action, elle ne saurait lever d’une part, certains freins relatifs à des représentations tenues pour vraies, liées, pour exemple, au métier et rôle de l’enseignant-chercheur, à la nature des savoirs à transmettre et d’autre part, certaines limitations de l’action liées à l’environnement de travail (logique organisationnelle, institutionnelle, statutaires).
Diagnosis and Severity Evaluation of Ulnar Neuropathy at the Elbow by Ultrasonography
Authors: Reddy Y. Muralidhar , Murthy Jagarlapudi M. K. , Suresh L. , Jaiswal Shyam Krishnakumar , Pidaparthi Lalitha , Kiran E. S. S. 
Published: September 2022

Background:
Traditional diagnostic techniques such as clinical examination and electrodiagnosis are less sensitive in diagnosing ulnar neuropathy at the elbow (UNE). Ultrasonography (USG) is increasingly being used to diagnose UNE. However, clinical applicability is limited by the lack of uniformity in the previous studies. Therefore, we aimed to study in the Indian patients the diagnostic utility of the ulnar nerve cross-sectional area (CSA) and a novel parameter-entrapment index (EI) in UNE measured by USG and to find if both these parameters correlate with the electrodiagnostic severity.

Methods:
This retrospective casecontrol study included 28 patients (36 nerves) of UNE and 12 (24 nerves) age- and gender-matched healthy controls. Electrodiagnostic severity was graded using the Padua classification. USG was performed in both groups, and CSA was measured at the medial epicondyle (ME) and 5 cm proximally and distally. EI was calculated by multiplying the ratio of CSA above ME over CSA at ME by 100. Best cutoffs were derived by the receiver operating characteristic curve analysis.

Results:
UNE group had significantly higher CSA at all three locations and lower EI than the control group. CSA at ME ≥9.7 mm2 and EI ≤61.5 has sensitivity and specificity of 88.9%/87.5% and 72.2%/79.2%, respectively. There was no significant difference in CSA and EI between nonsevere and severe UNE groups.

Conclusion:
CSA at ME and EI have good sensitivity and specificity in diagnosing UNE. However, they cannot differentiate nonsevere from severe UNE.
Deep Learning for Detecting Supraspinatus Calcific Tendinopathy on Ultrasound Images
Authors: Chiu Pei-Hsin , Boudier-Revéret Mathieu , Chang Shu-Wei , Wu Chueh-Hung , Chen Wen-Shiang , Özçakar Levent 
Published: September 2022

Background:
The aim of the study was to evaluate the feasibility of convolutional neural network (CNN)-based deep learning (DL) algorithms to dichotomize shoulder ultrasound (US) images with or without supraspinatus calcific tendinopathy (SSCT).

Methods:
This was a retrospective study pertaining to US examinations that had been performed by 18 physiatrists with 3–20 years of experience. 133,619 US images from 7836 consecutive patients who had undergone shoulder US examinations between January 2017 and June 2019 were collected. Only images with longitudinal or transverse views of supraspinatus tendons (SSTs) were included. During the labeling process, two physiatrists with 6-and 10-year experience in musculoskeletal US independently classified the images as with or without SSCT. DenseNet-121, a pre-trained model in CNN, was used to develop a computer-aided system to identify US images of SSTs with and without calcifications. Testing accuracy, sensitivity, and specificity calculated from the confusion matrix was used to evaluate the models.

Results:
A total of 2462 images were used for developing the DL algorithm. The longitudinal-transverse model developed with a CNN-based DL algorithm was better for the diagnosis of SSCT when compared with the longitudinal and transverse models (accuracy: 91.32%, sensitivity: 87.89%, and specificity: 94.74%).

Conclusion:
The developed DL model as a computer-aided system can assist physicians in diagnosing SSCT during the US examination.
Cysts of the Fetal Abdomen
Authors: Kahraman Neval Cayonu , Celik Ozge Yucel , Obut Mehmet , Arat Ozgur , Celikkan Cagla , Iskender Cantekin , Celen Sevki , Ustun Yaprak Engin 
Published: September 2022

Background:
To evaluate cases diagnosed with fetal abdominal cyst diagnosed in prenatal period.

Methods:
We retrieved the cases diagnosed with fetal abdominal cyst between the years 2018 and 2020 from hospital's database. The localization, origin, dimensions, properties (simple or complex), and characteristics (solid, cystic, vascularity) were noted both in prenatal and postnatal period. We also tested the diagnostic performance of ultrasonography according to endpoint diagnosis revealed postnatally.

Results:
During the study period, a total of 29 cases diagnosed as fetal abdominal cyst. Of them, there were 11 (37.9%) gastrointestinal, 9 (31%) ovarian, 6 (20.6%) genitourinary, 3 (10.3%) hepatobiliary system cysts. In our study, we were able to identify 5 (45%) of 11 fetuses with postnatally confirmed gastrointestinal system cysts, 1 (33%) of 3 fetuses with hepatobiliary system cysts, 3 (50%) of 6 fetuses with urinary system cysts and 6 (66%) of 9 fetuses with ovarian cysts.

Conclusion:
İn this study, the most common abdominal cyst was ovarian cysts. The most difficult to diagnose cysts are those that originated from gastrointestinal system and hepatobiliary system.
The Relationship between University Students' Depression, Anxiety, and Stress with Positivity Attitudes and the COVID-19 Pandemic
Authors: Ocal NU , Kilic M , Uslukilic G 
Published: September 2022

Background:
The physical activity of university students is restricted during the pandemic, changes in education and training, and uncertainties during the pandemic caused their social lives to change completely.

Aim:
This study aims to determine the relationship between the depression, anxiety, and stress, and positivity attitudes of university students during the Covid-19 (coronavirus disease-2019) outbreak and their attitudes and behaviors toward the pandemic.

Subjects and Methods:
This cross-sectional study was conducted online among university students, n = 2153 from April 30, 2020 to May 10, 2020. Data were collected with the Positivity Scale and the Depression Anxiety Stress Scale.

Results:
The proportion of those with moderate and above depression, anxiety, and stress symptoms in the study group, respectively, were 40.6%, 24.6%, and 22.5%. The risk ratio of these symptoms is higher among those with lower positive attitudes (OR [odds ratio] = 0.804, 0.897, 0.895, respectively), being women (OR = 1.446, 1.666, 1.471), who are concerned with the transmission of the Covid-19 (OR = 1.144, 1.374, 1.201), who believe their intra-family relations (OR = 1.886, 1.728, 2.083) and education (OR = 1.680, 1.682, 2.132) are negatively affected, and those who are more worried about life after the pandemic.

Conclusion:
Compared with the pre-pandemic period, the frequency of university students showing symptoms of depression increased, and there was no significant change in anxiety and stress levels.
Serum Immunoglobulins, C-Reactive Protein, and Trace Element Level in Preeclamptic Nigerian Subjects
Authors: Nwatah AJ , Ugwu GO , Ugwu CE , Meludu SC 
Published: September 2022

Background:
The mechanism involved in the pathogenesis of preeclampsia (PE) remains uncertain, and the research into a better understanding, its possible prediction, and subsequent prevention continues.

Aim:
This study evaluated changes in serum immunoglobulins (IgG, IgA, and IgM), C-reactive protein, and trace elements (Zn, Cu, and Mn) in preeclamptic, normotensive pregnant, and non-pregnant females.

Subjects and Methods:
The study was conducted among 150 subjects consisting of 50 preeclamptic subjects, 50 healthy normotensive pregnant women in their third trimester, and 50 non-pregnant women, all within the same age bracket. The serum concentration of the immunoglobulins and C-reactive protein were measured using standard immunoturbidimetric methods, whereas the trace elements were assayed using the atomic absorption spectrophotometric method.

Results:
Serum IgG and IgM levels were observed to be significantly lower (P < 0.05) in preeclamptic subjects (101.22 ± 4.44 and 769.43 ± 1.43 mg/dl), respectively, when compared to the normotensive pregnant women (123.87 ± 1.81 and 881.71 ± 2.80 mg/dl), respectively. There was a non-significant difference in immunoglobulin A levels between the groups (P > 0.05). The C-reactive protein was significantly higher, whereas the trace elements were significantly lower (P < 0.05) in preeclamptic subjects compared to the normotensives. There was a positive correlation between the immunoglobulin G and Zn levels (r = 0.334; P = 0.046) and also between immunoglobulin G and C-reactive protein levels (r = 0.340; P = 0.043) and a negative correlation between systolic blood pressure and manganese levels in preeclamptic subjects (r = −0.375; P = 0.024).

Conclusion:
This study therefore reveals significantly lower levels of immunoglobulins and trace elements among the preeclamptic subjects. These micronutrient deficiencies and low levels of immunoglobulins could be risk factors for the development of high blood pressure and PE.
Colonoscopy in Zaria
Authors: Manko M , Bello AK. , Mohammed MF , Jabir AM , Isah IA , Daniyan M , Mado SM , Mustapha SK , Dauda MM. 
Published: September 2022

Background:
Colonoscopy is an important procedure in the management of colorectal diseases. During a colonoscopy, one can visualize the mucosa of the large bowel and perform therapeutic procedures.

Aim:
The aim of this study is to review the indications and findings of colonoscopy in our center. Data on age, gender, indications, and findings at endoscopy were extracted from the endoscopy unit register.

Patients and Methods:
The study is a retrospective descriptive one and included all patients who underwent colonoscopy between June 2017 to December 2019 at the endoscopy unit of Ahmadu Bello University Teaching Hospital (ABUTH), Zaria. Data on age, gender, indications, and findings at endoscopy were extracted from the endoscopy unit register. The data obtained were analyzed using the Statistical Package for the Social Sciences (SPSS) statistical software version 20.

Results:
One hundred and twenty-five patients had a colonoscopy during the period under review with a male to female ratio of 1.9:1. The age range of the patients was 3 to 85 years and the mean age was 46.7 ± 16.7 The most common indications for colonoscopy in our center were lower gastrointestinal bleeding (40 (32%)), followed by suspected colonic tumors (37 (29.6%)), and hemorrhoids (18 (14.4%)). The commonest findings were hemorrhoids (50 (40%)), colonic tumors (25 (20%)), and colitis (21 (16.8%)).

Conclusion:
A colonoscopy is an effective tool in the management of colorectal diseases. Lower gastrointestinal bleeding was the commonest indication for colonoscopy in our center and hemorrhoids and colorectal tumors were the commonest findings.
A Novel Combined Index of D-Dimer, Fibrinogen, Albumin, and Platelet (FDAPR) as Mortality Predictor of COVID-19
Authors: Çelikkol A , Doğan M , Güzel EC , Erdal B , Yılmaz A 
Published: September 2022

Background:
In coronavirus disease 2019 (COVID-19) caused by SARSCoV2 viruses, coagulation abnormalities are strongly correlated between disease severity and mortality risk.

Aims:
The aim was to search for new indices to determine mortality risk. Fibrinogen times D-dimer to albumin times platelet ratio calculated with the formula (FDAPR index: ((Fibrinogen × D-dimer)/(Albumin × Platelet)) investigated as a mortality marker in COVID-19 patients. The hospitalization data of 1124 patients were analyzed from the electronic archive system. Hemogram, coagulation, and inflammatory markers were investigated in the study group.

Materials and Methods:
All statistical analyses like the student t-test, Mann–Whitney U, Kaplan–Meier, and Cox hazard ratio, were performed with the SPSS 22.0 program.

Results:
Prothrombin time was prolonged significantly in patients (P < 0.05) compared to healthy subjects (n = 30). D-dimer and fibrinogen were high, and albumin and platelet counts were low in COVID-19 patients (all, P < 0.001). When the data of 224 non-survivors and 900 survived patients were compared, D-dimer and fibrinogen were higher, and albumin and platelet lower (all, P < 0.001) compared to mild and severe patients. At the cut-off value of 0.49, the FDAPR index was performed with 89.1% sensitivity and 88.6% specificity. FDAPR index had the highest mortality predictive power (P < 0.01; HR = 5.366; 95% CI; 1.729–16.654).

Conclusions:
This study revealed that the FDAPR index could be used as a mortality marker of COVID-19 disease.
Ki-67, p-53, E-Cadherin, and β-Catenin Expression of Advanced Glotto-Subglottic and Supraglottic Larynx Carcinomas
Authors: Kara A , Turan G , Guven M , Guven EM , Elden H 
Published: September 2022

Background:
Identifying tumor markers that can be used to determine the biological behavior of tumors and predicting their prognosis may be helpful in choosing treatment strategies. Besides the differences in the embryological and histological anatomy of the larynx in this regard, the possibility of molecular causes that can explain the different clinical behaviors has always been a question for the scientific world.

Aim:
In this study, we aimed to investigate whether there were any immunohistochemically molecular differences among laryngeal carcinoma cases originating from two different anatomical regions of the larynx.

Patients and Methods:
The study group consisted of 43 patients. The rate of supraglottic cancers was 41.8%, while the rest had glotto-subglottic tumors. Ki67, β-catenin, E-cadherin, and p53 were examined in pathology preparations obtained by laryngectomy surgeries. The data obtained were analyzed by comparing factors that may affect the prognosis of the disease and between tumors originating from the two different anatomical regions.

Results:
We did not see any statistically significant difference between groups for stage and grade of tumor, tumor recurrence rate, or lymphovascular or perineural invasion rated in terms of the investigated markers. In addition, there was no statistically significant difference between the two distinct groups in survival analysis.

Conclusions:
With these results, our study differs from some studies in the literature, and we think that this difference could be because the cases in our study consisted of advanced stage tumors and the groups investigated had similar survival rates.
Effects of Lead Exposure on Biomarkers of Thyroid and Renal Function Tests among Panel Beaters in Enugu Metropolis, Nigeria
Authors: Kassy CW , Meka IA , Okwor CJ , Onodugo OD , Onodugo NP , Aguwa EN 
Published: September 2022

Background:
Occupational lead (Pb) exposure causes multisystem effects at high and sustained low doses. However, there are inconsistencies in the dose–response effects on the thyroid and kidneys.

Aim:
This study aimed to assess the effects of Pb exposure on the biomarkers of thyroid and renal functions among panel beaters in Enugu Metropolis, Nigeria.

Subjects and Methods:
This was a cross-sectional analytical study of 428-panel beaters selected using a multistage sampling technique. Blood lead (BPb), thyroid, and kidney biomarkers were analyzed using atomic absorption spectrometer at 238.3 nm wavelength, enzyme-linked immunosorbent assay, and automated chemistry analyzer, respectively. Analyses were performed using median, mean, Chi-square, correlation, and statistical significance.

Results:
The median BPb levels were 10.0 μg/dl among participants with about half, 211 (49.3%) having BPb within reference levels. Though the mean values of thyroid stimulating hormone (TSH), free thyroxine (FT4), free triiodothyronine (FT3), and creatinine (Cr) were within the reference values, the majority of 275 (64.25%) of the participants had non-euthyroid statuses. Significant differences were found in TSH (P = 0.001), thyroid status (P = 0.0129), and estimated glomerular filtration rate (P = 0.00384) between those with BPb within reference level and those with elevated levels.

Conclusion:
Though the mean levels of thyroid hormones and Cr were within their respective reference intervals, there was a preponderance of non-euthyroid status among participants in the present study with the majority of the participants falling within CKD grades 2 and 3.