bluuebunny/crossref_metadata_2025_split huggingface dataset:
L’individuation ouvre la voie d’un humanisme autre
Authors: Duplaix Henri 
Published: December 2022

Il s’agit d’une réflexion sur l’approfondissement du concept d’humanisme en processus d’humanisation ; mieux encore, d’individuation. De la philosophie grecque jusqu’à un analysant, en passant par Pic de la Mirandole, Erasme, Rabelais, Montaigne, Sartre et Jung, une navette de tisserand jungien tente de se faufiler.
Effect of Manikin and Virtual Simulation on Clinical Judgment
Authors: Martin Jeanne E. , Tyndall Deborah 
Published: December 2022

Background:
Evidence suggests competency in clinical judgment may be lacking in new graduate nurses. Graduates from accelerated baccalaureate nursing (ABSN) programs have even less time to develop clinical judgment competency. Various simulation modalities, including high-fidelity manikin and virtual reality, have been used to develop clinical judgment in prelicensure students. However, the outcomes of these simulation modalities on clinical judgment in ABSN students is not well understood.

Method:
An integrative literature review was conducted using five databases with primary research that examined the effect of manikin or virtual simulation on clinical judgment in BSN students.

Results:
Fourteen studies were included in this review. The findings were organized using Tanner's Clinical Judgment Model.

Conclusion:

Findings from this review were mixed, with a lack of evidence comparing the two modalities. Future research should include comparison studies aimed at examining the effects of these modalities with ABSN students.

[
J Nurs Educ
. 2022;61(12):693–699.]
Achieved Lenticule Diameter and Functional Optical Zone in Hyperopic Eyes After Lenticule Intrastromal Keratoplasty
Authors: Liu Shengtao , Zhao Yu , Zhao Jing , Zhang Xiaoxue , Li Meiyan , Zhou Xingtao 
Published: December 2022

Purpose:
To investigate achieved lenticule diameter (ALD) and functional optical zone (FOZ) following femtosecond laser–assisted lenticule intrastromal keratoplasty (FS-LIKE) or small incision lenticule intrastromal keratoplasty (SMI-LIKE).

Methods:
Small incision lenticule extraction (SMILE)–derived human lenticules were placed on the surface of a contact glass (CG) and model eye (ME). Ex vivo ALDs were assessed at different hydration times. The ALD and FOZ were obtained using optical coherence tomography and Scheimpflug tomography at 6 months after lenticule implantation.

Results:

At 1 hour after hydration, lenticules achieved a slightly larger CG-loading ALD (6.63 ± 0.07 mm) and similar ME-loading ALD (6.53 ± 0.07 mm) as compared to a programmed optical zone (POZ) of 6.5 mm (
P
< .001). At 6 months after surgery, FS-LIKE with a POZ of 6.5 mm obtained an ALD of 6.20 ± 0.21 mm, which was larger than SMI-LIKE with a POZ of 6.64 mm (5.90 ± 0.14 mm,
P
= .001). The mean FOZ diameters were 5.33 ± 0.28 and 5.11 ± 0.14 mm for the FS-LIKE and SMI-LIKE groups, respectively (
P
= .022). The absence of significant differences in the ALD and FOZ among the different meridians indicated that the achieved lenticule and optical zone shapes were circular.

Conclusions:
An accurate lenticular size could be obtained from SMILE, and FS-LIKE could achieve a larger FOZ than SMI-LIKE, attributed to attaining a larger ALD.

[
J Refract Surg
. 2022;38(12):791–796.]
Sagittal alignment differences on the operating room table compared to preoperative and postoperative imaging in anterior cervical discectomy and fusion
Authors: Lambrechts Mark J. , Toci Gregory R. , Karamian Brian A. , Kozick Zachary , Prodoehl John , Reiter David , Muchintala Rahul , Tecce Eric , Vaccaro Alexander , O'Connor Patrick , Syal Amit , Lambo Dominic , Canseco Jose A. , Kaye I. David , Woods Barrett I. , Hilibrand Alan S. , Kepler Christopher K. , Vaccaro Alexander R. , Schroeder Gregory D. 
Published: December 2022

Study Design:
The study design used was a retrospective cohort.

Objective:
The objective of this study is to determine if intraoperative improvements in sagittal alignment on the operating table persisted on postoperative standing radiographs.

Summary of Background Data:
Cervical sagittal alignment may be correlated to postoperative outcomes. Since anterior cervical discectomy and fusions (ACDFs) can restore some cervical lordosis through intervertebral grafts/cages, it is important to understand if intraoperative radiographic measurements correlate with persistent postoperative radiographic changes.

Materials and Methods:
Patients undergoing elective primary ACDF were screened for the presence of lateral cervical radiographs preoperatively, intraoperatively, and postoperatively. Patients were excluded if their first postoperative radiograph was more than 3 months following the procedure or if cervical lordosis was not able to be measured at each time point. Paired t-tests were utilized to compare differences in measurements between time points. Statistical significance was set at P < 0.05.

Results:
Of 46 included patients, 26 (56.5%) were female, and the mean age was 55.2 ± 11.6 years. C0-C2 lordosis significantly increased from the preoperative to intraoperative time point (delta [Δ] = 4.49, P = 0.029) and significantly decreased from the intraoperative to postoperative time period (Δ = −6.57, P < 0.001), but this resulted in no significant preoperative to postoperative change (Δ = −2.08, P = 0.096). C2 slope decreased from the preoperative to the intraoperative time point (Δ = −3.84, P = 0.043) and significantly increased from the intraoperative to the postoperative time point (Δ = 3.68, P = 0.047), which also resulted in no net change in alignment between the preoperative and postoperative periods (Δ = −0.16, P = 0.848). There was no significant difference in the C2-C7 SVA from the preoperative to intraoperative (Δ = 0.85, P = 0.724) or intraoperative to postoperative periods (Δ = 2.04, P = 0.401); however, the C2-C7 SVA significantly increased from the preoperative to postoperative period (Δ = 2.88, P = 0.006).

Conclusions:
Intraoperative positioning predominantly affects the mobile upper cervical spine, particularly C0-C2 lordosis and C2 slope, but these changes do not persist postoperatively.
COVID-19 Relapse and Reinfection Frequency, Clinical Features of Cases
Authors: ASLANER Hümeyra , ASLANER Hacı Ahmet , SAVRANLAR Yasemin , BENLİ Ali Ramazan 
Published: December 2022

Purpose: How the immune response of people infected with SARS-CoV-2 develops against the virus and how long it is effective is one of the most important questions during the pandemic period. We aimed to examine the frequency of relapse and re-infection, examine the influencing factors, evaluate the cases' clinical conditions and symptoms, and examine the severity of subsequent infection.
Materials and Methods: This is a descriptive and cross-sectional type study using the Public Health Management System (PHMS) records of the Turkish Ministry of Health. Clinical improvement and negative RT-PCR test results, and positive RT-PCR test results at least 45 days after the first infection were included in this study. The cases were divided into two groups: the relapse group, those positive for 45-89 days after the first infection, and the reinfection group after 90 days recommended by the CDC. Demographic characteristics, whether or not to be a health worker, accompanying chronic illness, and re-positivity periods were evaluated.
Results: The total number of cases was 103,096. The number of cases with repeat positivity detected after 45 days was 78. In the study, the number of cases in the relapse group (45-89 days) was 49, while the number of cases in the reinfection group (over 90 days) was 29.
Conclusions: The very low rate of reinfection and milder symptoms in the second infection are promising for vaccination studies. Understanding the COVID-19 reinfection could be the key to guiding government and public health decisions in the coming months.
Pengaruh Pemberian Susu Kedelai Terhadap Kadar Glukosa Darah Pada Penderita Diabetes Melitus Type 2 di Puskesmas Pagar Jati Kecamatan Lubuk Pakam
Authors: Diana Cut , Erna Elfrida Naiborhu  , Nurmasyitah  , Betty Nurmala Samosir  , Karmila Br Kaban  
Published: December 2022

Latar Belakang: Penyakit yang angka penderitanya cukup signifikan antara lain penyakit
kardiovaskuler, serta kanker, hipertensi dan diabetes mellitus atau biasa disebut penyakit degenerative
(Potter & Perry, 2018). Kelompok penyakit metabolisme yang mengalami kelainan sekresi insulin,
kerja insulin yang mempunyai karakteristik KGD nya yang melebihi batas normal (Hiperglikemia)
dapat disebut diabetes Mellitus. Penyakit ini bisa saja dialami pada anak ataupun unsia dewasa. Bahkan
bisa ada tanpa memiliki tanda tanda penyakit serta dapat diketahui jika dilakukan pemeriksaan
kesehatan rutin (Soegondo, 2017 dalam Sartika et al, 2019).
Tujuan: Untuk mendapatkan hasil terhadap pengaruh pemberian susu kedelai terhadap KGD pada
penderita diabetes melitus type 2 di wilayah kerja puskesmas Pagar Jati Kecamatan Lubuk Pakam.
Desain penelitian: Pra eksperimen dan teknik purposive sampling dengan sampel sebanyak 50
responden
Kesimpulan: KGD penderita diabetes melitus type 2 sebelum diberikan susu kedelai mayoritas pada
rentang 160 mg/dl – 200 mg/dl, KGD penderita diabetes melitus type 2 sesudah diberikan susu kedelai
mayoritas <160 mg/dl, serta didapatkan pengaruh pemberian susu kedelai terhadap KGD pada penderita
diabetes melitus type 2.
Kata kunci: Diabetes melitus susu kedelai, kadar glukosa darah, KGD
“Trigger effect” of the passenger
Authors: Ulyanitskaya V. I. , Pokrovskaya O. D. 
Published: December 2022

The purpose of the study is to study the reaction of passengers and customers to the further use of the services provided at the infrastructure facilities of the passenger complex through the main “trigger effects” and behavioral reactions, as well as the possible consequences of their occurrence and the influence of emotional coloring on the assessment of the quality of services. The need for local studies of the “behavioral factors” of the passenger through the element of the “trigger effect” is substantiated, when part of the research will be aimed at result-oriented and proactive introduction of a new service or its automation.Cause-and-effect relationships, simulation modeling, algorithmization, data analysis, block diagramming, etc. are applied. The main parameters (“trigger factors”) of passengers’ refusal to use the services of the station complex are identified.The presented developments will allow to substantiate the relationship between the introduced digital services and the transition to individual automated devices (systems) through an assessment of the perception and reaction of passengers to the services provided and offered, the degree of interaction between passengers and Russian Railways. It is proposed to adjust the life cycle of any service, taking into account possible errors and the influence of “triggers” for a more controlled and reasonable opinion of passengers. Based on the results of the study and the data obtained, it is possible to revise the methodology for assessing the level of passenger satisfaction with the quality of railway transport services and loyalty, which will take into account additional factors (behavioral and trigger) of individualization of services.
Comparison of computed tomography in relation to ventilation perfusion scan in the diagnosis of pulmonary embolism
Authors: Paraganlija Nedžad , Bajrović Jasmina , Julardžija Fuad , Šehić Adnan 
Published: December 2022

Abstract
Introduction: Pulmonary embolism is still a challenge in diagnosis due to its variable and nonspecific symptoms. Computed tomography and ventilation/perfusion scanning are the modalities most commonly used in the diagnosis of pulmonary embolism, and both modalities have their advantages and disadvantages. One of the most important factors in the assessment and localization of pulmonary embolism is the diagnostic accuracy of these modalities, which serves to model different diagnostic strategies in the diagnosis of pulmonary embolism.
Material and methods: The research was conducted as a review of professional literature available in scientific research databases. A selection of 20 professional papers was made, based on which an analysis was conducted and a database was formed. Criteria for inclusion in the research were scientific research papers that report on the sensitivity and specificity of diagnostic modalities of CT and V/P scanning as well as the results of diagnostic tests based on which the comparison of data from two modalities determined a diagnostically more accurate modality.
Results: Sensitivity of 91.89% and specificity of 98.86% and diagnostic accuracy of 94.83% were determined in the case of computed tomography. Sensitivity of 90.58% and specificity of 98.33% and diagnostic accuracy of 96.43% were determined for the ventilation perfusion scanning method. We can conclude that the application of ventilation/perfusion scanning in the diagnosis of pulmonary embolism is a little more accurate compared to computed tomography.
Conclusion: Ventilation/perfusion lung scanning will more accurately identify healthy individuals while on the other hand we can conclude that computed tomography is more accurate in diagnosing embolism in sick individuals. . Given that this difference between the two modalities is very small, the question is whether it is statistically significant at all. We can conclude that both diagnostic procedures have a high level of accuracy.
Infant and preschool childhood Screen time and psychopathology or parental concerns in a Portuguese Sample
Authors: Pires Sofia , Pessoa Mariana , Costa Ana Vera , Susana Santos  , Vânia Martins  , Joana  Calejo Jorge  
Published: December 2022

Objectives: This study intends to characterize the habits of screen time exposure in a sample of infants, toddlers, and preschoolers and to assess if there’s a relationship between the proportion of early childhood excessive exposure to screen time and the presence of psychopathology and parental concerns.
Methods: A cross-sectional cohort study of patients in a Child and Adolescent Psychiatric outpatient unit and children followed exclusively in Primary Health Care in the same geographic area was carried out. The information was collected from a self-report filled questionnaire by the caregiver, between October 1, 2018 and June 30, 2019. The exposure time was defined according to the American Academy of Pediatrics recommendations regarding the average daily exposure time.
Results: The need for a Child and Adolescent Psychiatry follow-up consultation and behavior concerns during early childhood are significantly associated with screen time, with a greater proportion within the group with an average daily exposure time higher than recommended (p=0,006 and p=0,032 respectively).
Conclusion: The study found an association between screen time exposure, parent behavior concerns and the need for follow-up in Child and Adolescence Psychiatry outpatient. Further studies are needed in order to better understand this subject.
Prepectoral Versus Subpectoral Direct-to-Implant-Based Breast Reconstruction: A Meta-Analysis of 3851 patients
Authors: Aljabali Ahmed , Altal Mohammad , Alabdallat Yasmeen , Khaity Abdulrhman , Albakri Khaled , Samhouri Jehad Feras 
Published: December 2022

Introduction: The subpectoral direct-to-implant (SP-DTI) surgical technique is the standard and most common for breast reconstruction which could reduce implant visibility and palpability, and it manipulates the pectoralis major muscle with some post-operative complications such as muscle spasm, animation deformities, and pain while the prepectoral direct-to-implant (PP-DTI) approach leaves the muscle intact. Therefore, we conducted this meta-analysis to assess the efficacy and safety of the PP-DTI procedure after mastectomies compared to the standard breast reconstruction.

Methods: We performed a comprehensive search for the following databases: PubMed, Cochrane (Medline), Web of Science, and Scopus. All studies published in English till February 2022 were included. These include randomized and non-randomized clinical trials comparing Operation Time, Duration of Hospitalization (DOH), Breast Animation Deformity (BAD), Implant loss, Wound infection and dehiscence, seroma as well as post-operative pain. The study’s quality will be assessed according to the Cochrane risk-of-bias tool for randomized trials (RoB2) and the ROBINS-I risk of bias tool to assess non-randomized studies of interventions.

Results: There were 28 comparative studies including 3851 patients carried out breast reconstruction surgeries. Post-operative complications were comparable between the two groups as follows: implant loss (OR 1.17, 95% CI [0.71-1.94]), wound dehiscence (OR 0.76, 95% CI [0.43-1.32]), wound infection (OR 1.09, 95% CI [0.78-1.53]), and seroma (OR 0.78, 95% CI [0.56-1.09]). The PP-DTI group was significantly less likely to develop BAD compared to SP-DTI group (OR 0.02, 95% CI [0.00-0.12]). Patients undergoing PP-DTI reconstruction had significantly reduced postoperative pain (SMD -0.55, 95% CI [-0.78 - -0.32]). Operation time and DOH were significantly lower among PP-DTI group ((SMD -0.35, 95% CI [-0.61 - -0.08]), (SMD -0.89, 95% CI [-1.48 - -0.30], respectively)).

Conclusion Following mastectomy, PP-DTI breast reconstruction significantly reduced post-operative pain, BAD, DOH, intra-operative time compared with SP-DTI reconstruction, although there was no significant difference in complication rate. A PP-DTI is a simple and safe alternative to the subpectoral technique allowing early discharge and improving patient's quality of life. Future well-designed multicenter randomized controlled trials that compare two approaches and discuss the cost-effectiveness are needed.

Keywords: PP-DTI, SP-DTI, Meta-analysis, cosmetics.
Syrian Health Providers' Knowledge of Palliative Care: An Online Cross‑Sectional Study in Syria
Authors: Jawish Nagham , Bohsas Haidara , Swed Sarya , Alibrahim Hidar , Sawaf Bisher , Khair Eldien Jabban Yazan , Hafez Wael 
Published: December 2022

Background: Palliative care is a method to alleviate pain and enhance the quality of life for patients suffering from the consequences of a life-threatening illness. The knowledge of palliative care among healthcare professionals is poor; therefore, training programs are needed to offer patients appropriate treatment and improve their health. In Syria, as palliative care programs are rarely applied, we aim to evaluate the knowledge regarding palliative care among healthcare workers.

Methods: This is an online cross-sectional study conducted between July 24 and August 28, 2022 to measure palliative care knowledge and its applications among Syrian healthcare workers. The questionnaire for the study was designed in light of a previous study, and the inclusion criteria were Syrian healthcare workers, including physicians and nurses, as well as medical and nursing students. The four sections of the questionnaire included sociodemographic information in the first part, while the second, third, and fourth parts assessed experience, knowledge, and attitude toward palliative care among healthcare workers, respectively. Data were analyzed in IBM SPSS V. 28.0 using descriptive and multivariate logistic regression analysis.

Results: Among 602 participants, 66.2% of participants were females. Most respondents were medical students (72.9%), while residents and nurses or nursing students represented 18.8% and 8.3%, respectively. The majority of participants (84%) answered the question about pain treatment goals correctly, while a small percentage (5.3%) answered the question about whether or not long-term opioid use is addictive correctly. No significant difference in the overall knowledge score was shown among geographical areas, genders, and different specialties. Regarding the knowledge questions related to palliative care, only 14 participants were considered knowledgeable. The three most responses that received agreement regarding the attitudes towards palliative care were “Pain relievers should be given as needed to terminally ill patients” (89.7%), “Spiritual care must include counseling for the terminally ill patient” (84.3%), “Patients have the right to determine their own degree of psychosocial intervention” (81%). A significant difference existed between urban and rural residents in terms of the attitude score. When comparing first-year students to those in their fifth year, students in their fifth year were 8.06 times more likely to have a positive attitude.

Conclusions: Our results demonstrated that healthcare professionals have inadequate knowledge about palliative care. There is an urgent need to introduce palliative care to the health system in Syria in order to improve the quality of life of these patients in their terminal stages of illness and to provide care for patients who need it.
Đánh giá bước đầu kết quả phẫu thuật nội soi qua phúc mạc cắt toàn bộ tuyến tiền liệt điều trị bệnh lý ung thư tuyến tiền liệt
Authors: Hiền Đỗ Thị Thu , Long Hoàng , Lâm Chu Văn , Định Đỗ Ích 
Published: December 2022

Mục tiêu của nghiên cứu là đánh giá bước đầu kết quả nội soi qua phúc mạc cắt toàn bộ tuyến tiền liệt trong điều trị ung thư tuyến tiền liệt. Nghiên cứu can thiệp lâm sàng không đối chứng được áp dụng trên 17 bệnh nhân ung thư tuyến tiền liệt được điều trị tại Bệnh viện Đại học Y Hà Nội từ 31/5/2021 đến hết 31/5/2022. Kết quả nghiên cứu cho thấy, độ tuổi trung bình là 62,5 ± 5,13 tuổi. Thời gian phẫu thuật trung bình là 209 ± 42 phút, lượng máu mất trung bình 420 ± 168ml. 3/17 trường hợp có biến chứng sớm (tắc ruột cơ năng, rò nước tiểu). Kết quả giải phẫu bệnh sau phẫu thuật cho thấy có 2/17 trường hợp có di căn hạch. Sau phẫu thuật 1 tháng, 8/17 trường hợp có tái phát sinh hóa. Sau phẫu thuật 6 tháng, 8/10 trường hợp không có đái rỉ, 8/10 trường hợp có rối loạn cương dương, không có trường hợp nào bị hẹp niệu đạo. Bước đầu cho thấy, phẫu thuật nội soi cắt toàn bộ tuyến tiền liệt qua phúc mạc có độ an toàn cao, có hiệu quả tốt về mặt lâm sàng và chức năng cho bệnh nhân.
Pelaksanaan KKN Pasca Pandemi di Desa Kebak Kecamatan Kebakkramat Kabupaten Karanganyar
Authors: Nurhuda Abid , Azizah Alfina Nur 
Published: December 2022

KKN merupakan sebuah implementasi dari Tri Dharma Perguruan Tinggi dimana selama 3 tahun terakhir mengalami sedikit perubahan. Saat sebelum pandemi Covid-19 biasanya dilakukan secara tatap muka, tinggal di lapangan, berbaur serta mengabdi kepada masyarakat, namun sejak adanya pandemi KKN-pun dilaksanakan secara daring. Seiring berjalannya waktu, wabah pandemi di Indonesia mulai mereda sehingga pada tahun 2022 ini dimulai pembukaan kembali sejumlah sektor menuju fase adaptasi kebiasaan baru tak terkecuali kegiatan KKN dari UIN Surakarta. Maka tujuan dari penelitian adalah untuk mendeskripsikan terkait Pelaksanaan KKN Pasca Pandemi di Desa Kebak, Kecamatan Kebakkramat, Kabupaten Karanganyar. Metode yang digunakan adalah deskriptif kualitatif dengan pengumpulan datanya melalu observasi, dokumentasi disertai dengan tahap persiapan, sosialisasi, pelatihan dan praktek. Lalu direduksi datanya, dilanjutkan menganalisisnya dan terakhir menyimpulkan. Hasil penelitian menunjukkan bahwa Pelaksanaan KKN Pasca Pandemi di Desa Kebak, Kecamatan Kebakkramat, Kabupaten Karanganyar mencakup pelatihan dan pendampingan melalui kegiatan membuat nugget tempe, menanam cabai, Sunday and Friday clean up, festival anak sholeh dan kajian akbar. Ditambah pemberdayaan masyarakat melalui kegiatan arisan, posyandu, senam bersama, TPQ, ronda malam serta jimpitan, kultum materi keislaman dan juga perayaan qurban sehingga berdampak dalam meningkatkan ekonomi, kesehatan, pendidikan, sosial, politik dan juga agama mereka