bluuebunny/crossref_metadata_2025_split huggingface dataset:
Selection of patients for CMA
Authors: López-Cantarero García-Cervantes M , Oehling de los Reyes H , Romera López AL , Mirón Pozo B 
Published: December 2022

Resumen

Cada Unidad de CMA debe valorar que tipo de pacientes y procedimientos realiza, en función de sus características estructurales, organizativas y su experiencia. En general, en la Unidad de CMA se operan pacientes tipo I, II de la clasificación de Davis, y tipo III seleccionados. Los criterios de selección deben contemplar la posible patología preexistente del paciente, -que puede ser excluyente- en especial el riesgo ASA, la obesidad, SAOS, hipertensión arterial, cardiopatía, diabetes, insuficiencia renal y enfermedad neurológica. Se deben contemplar de modo determinante el entorno social del paciente y las características de la cirugía a practicar así como los recursos de la propia Unidad.
Preoperative studies and anesthetic procedures in CMA
Authors: Cordero Lorenzo JM , Cordero Pearson GJ 
Published: December 2022

Resumen

La información al paciente es un objetivo clave de la consulta de anestesia. La pandemia ha determinado el aumento importante de las consultas telefónicas en procesos de baja complejidad.

Las pruebas complementarias preoperatorias, que tradicionalmente han sido incuestionables, hoy día no se contemplan de modo rutinario y deben ajustarse al proceso a realizar, dependiendo de la agresión quirúrgico-anestésica y la historia clínica del paciente.

En CMA puede utilizarse cualquier tipo de anestesia, aunque no son todos igual de adecuados en los distintos procesos. El mejor tipo de anestesia en CMA es la local más sedación. En la anestesia ambulatoria hay que ser muy restrictivos con los mórficos en, por su capacidad para inducir las náuseas y vómitos postoperatorios.
La educación prosocial en Bachillerato
Authors: García Rincón César 
Published: December 2022

La Solidaridad pertenece al ámbito de las actitudes prosociales (APS), es decir, aquellas estructuras psíquicas que orientan positivamente la conducta hacia las personas en estado de necesidad.
Una actitud se define como un compuesto p´síquico unitario relativo a lo que el individuao piensa, siente y hace respecto de un determinado objetivo sociocultural.
Todas las actitudes tienen un objeto característico del que se piensa, siente y hace algo. El objeto característico de la solidaridad considerada como actitud es el "otro en situación de necesidad" (OSN). Por tanto, podemos definir la solidaridad como una estructura psíquica coherente y positiva relativa a lo que el individuo piensa, siente y hace con el OSN.
Bausela, E. (2017). Psicología del desarrollo
Authors: Bausela Herreras Esperanza 
Published: December 2022

La autora es doctora cum laude en Psicología y Ciencias de la Educación por la Universidad de León, desarrolla su actividad profesional como docente e investigadora en el área de Psicología Evolutiva y de la Educación de la Universidad Pública de Navarra.
Este texto pretende ser una guía que permita al alumnado de grado (Maestro de Educación Infantil y Primaria) y posgrado (Máster de Formación de Profesorado de Educación Secundaria) que cursa materias relacionadas con Psicología del Desarrollo - eminentemente - y también con áreas afines (Psicología de la Educación y Trastornos del Neurodesarrollo) poner en práctica parte de los conocimientosteóricos adquiridos en esta disciplina que es básica para la formación de cualquier docente: conocer qué cambios se producen a lo largo del ciclo vital en las diferentes esferas del desarrollo.
El usuario como receptor emisor de la comunicación corporativa:
Authors: Arteaga González Óscar 
Published: December 2022

El desarrollo de la narrativa transmedia se ha constituido como un fenómeno expansivo de aplicación a una gran diversidad de campos. Entre ellos, podemos situar al mundo del marketing y, concretamente, la comunicación corporativa, en la que se está generalizando un fenómeno transmediático.
De esta manera, ya no se trata de que los usuarios no se limiten a recibir pasivamente los mensajes de las marcas, ni siquiera que opinen, valoren o compartan su experiencia como consumidores, sino que actualmente los propios usuarios participan del proceso de creación, expansión y consolidación de las marcas.
Así, desde los departamentos de Marketing de las empresas, se ha pasado de un control férreo de la imagen corporativa a favorecer la involucración de los usuarios en la política de comunicación de la misma. Actualmente, los consumidores tienen la capacidad de expandir e incluso transformar el discurso de las marcas, con ejemplos internacionales como Old Spice o Airbnb o de estrategias a nivel nacional con ejemplos como Ikea o Amstel, experimentando con iconografía y narrativas.
Es, precisamente, en los márgenes de actuación de los consumidores permitidos por las marcas donde hoy se contempla la mayor complejidad en este tema.
¿Existe una verdadera conciencia transmediática en las corporaciones o están impostando ésta en pro de una tendencia imperante? ¿Este tipo de desarrollos están trayendo ventajas a nivel resultados? ¿De verdad se está produciendo una cocreación entre marca y usuarios? ¿Hasta dónde están permitiendo las marcas que se experimente con ellas?
Antimicrobial Resistance in Libya
Authors: Atia Ahmed , Hosien Bushra , Belhaj Howida 
Published: December 2022

Background:
In low- and middle-income countries, antimicrobial resistance (AMR) imposes a significant burden on patients and health-care systems. Due to a lack of data, the overall impact of AMR in Libya is not well known or documented. As a result, this study presents the results of a review of available data on AMR in Libya over the past 20 years (from 2002 to 2021) to aid understanding of the current AMR situation in this portion of the continent.

Methods:
Articles related to the topic were researched using databases and search engines such as PubMed, Google Scholar, and ResearchGate websites. These articles were selected based on predetermined inclusion and exclusion criteria. The total number of tested isolates for each of the reported Bacterial spp. was used to calculate antibiotic resistance to a specific bacterium.

Results:
Studies published in the past 20 years, representing reports of 18,160 AMR tests, showed that Urinary Tract Infection (UTI) was the most reported clinical diagnosis in Libya (61.3%). Out of 43 articles, Staphylococcus aureus was the most common Gram-positive bacteria documented in (31, 61.3%) studies, and was most common in 59.78% of skin infections. Whereas, Pseudomonas spps., were the most common Gram-negative bacteria presented in (23, 53.48%) studies, and were commonly isolated in respiratory infection (9.39%). Among Gram-negative bacteria, Pseudomonas spp. reported a high resistance percentage for penicillin beta-lactam antibiotic, i.e., piperacillin (10.4%) and to the first-generation cephalosporins antibiotics, i.e., cefazolin (7.7%). However, they are susceptible to metronidazole, vancomycin, and colistin. Gram-positive bacteria, S. aureus shows high resistance to oxacillin, followed by gentamycin and cefoxitin (8.5%, 8.3%, and 8.3%, respectively). Effective antibiotics against S. aureus were azithromycin, clarithromycin, and metronidazole, whose susceptibility was 99.9% each, while 1% of S. aureus were vancomycin-resistant S. aureus.

Conclusion:
This study gives a comprehensive analysis of the state of AMR in Libya with respect to the most regularly prescribed antibiotics. The findings of the research show the alarmingly persistent occurrences of AMR in Libya, as well as the critical need to establish national action, plans to combat AMR and improve surveillance programs.
A Novel Approach for Identification of Mirror Repeats Within the Engrailed Homeobox-1 Gene of Xenopus tropicalis
Authors: Yadav Deepti , Dhankhar Mamta , Saini Kavita , Bhardwaj Vikash 
Published: December 2022

Background:
Repetitive sequences constitute the major portion of genomic DNA in most of the organisms and are responsible for variation in DNA structure, function, etc., These sequences also have the potential to adopt various noncanonical DNA structures.

Methods:
By using a swift, manual approach mirror repeats has been identified within the complete engrailed homeobox-1 gene (en-1) of X. tropicalis. Another tool Non- B DNA motif search was also deployed for comparative analysis.

Results:
A total of 166 mirror repeats were identified within the complete en-1 gene of X.
tropicalis. The similar sequences were also searched among the genome of different organisms such as Xenopus
laevis,
Caenorhabditis
elegans,
Drosophila
melanogaster, etc.,

Conclusion:
To the best of our knowledge, it was novel identification of mirror repeats in the engrailed-1 gene of X.
tropicalis. Few of these sequences may adopt various noncanonical B-DNA forms and are potent sites for mutation and recombination events.
Antibacterial efficiency of natural products against multiple-drug-resistant clinical isolates
Authors: El-Ghwas Dina E. , Yehia Heba 
Published: December 2022

Background
Antibiotic resistance is a global problem that has aggravated recently to threaten humans, cattle, and crops. This has inspired scientists to examine various natural products, herbs, and plants that have been used since antiquity for their valuable medicinal potential. They have not only proven less likelihood to produce resistant strains but also exert a positive effect on beneficial probiotics boosting the general health status of the host.

Objective
To identify the major multiple-drug-resistant bacteria underlying diabetic foot ulcer infections and screen and select herbs and natural extracts, commonly available in local herbal stores, for their activity against the isolated bacteria.

Material and methods
Bacteria isolated from diabetic foot ulcers of hospitalized patients were identified according to their morphological and biochemical properties. The isolated strains were tested against extracts of bitter melon, honey, pomegranate peel, myrrh gum, and turmeric powder using the in vitro agar well-diffusion assay technique.

Results and conclusion
The bacterial isolates were resistant to all of the tested standard antibiotics and identified to belong to five different genera: Gram positive bacteria Staphylococcus aureus and Streptococcus pyogenes and Gram negative bacteria Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa. All of the natural preparations exerted different levels of antibacterial activity except for bitter melon. These findings shed tremendous light on the up-till-now promising effect of the natural antibiotics arsenal and necessitate the importance of systemically studying their individual and synergistic mechanisms, interactions, and kinetics.
A study on prescribing patterns in hemodialysis and renal transplantation patients
Authors: Nafih Abdul , Mateti Uday Venkat , Shenoy Pradeep , Shivaprasad Sirimalla , Moorthy Jagadeesan 
Published: December 2022

Background
Patients treated with hemodialysis and renal transplant require complex therapy regimens that manage comorbid conditions such as diabetes, hypertension, and so on; as a result, they may develop drug-related issues. Inappropriate medication usage raises the risk of drug related problems, which can manifest as excessively extended hospital stays, higher expenses, and overuse of medical services. Prescribing pattern among the patients treated with hemodialysis and renal transplantation are not well characterized previously.

Objectives
The objective of the study is to investigate drug prescription trends in hemodialysis patients and to study the prescribing patterns of medications in kidney transplantation patients.

Materials and methods
The prospective observational study was conducted over a period of 8 months, i.e. from October 2021 to June 2022 in end stage CKD patients treating with maintenance hemodialysis and renal transplant. Different classes of drugs prescribed and percentage of drugs per prescription was estimated in this study. Data were analyzed descriptively.

Results
105 patients recruited have been analyzed of which 76 (72.38%) were male and 29 (27.6%) were female. Polypharmacy (use of ≥5 medications) was observed in 91.5% in hemodialysis patients and 100% in renal transplant patients. The most prescribed drugs in hemodialysis patients were Cardiovascular Drugs 72 (100%), and in renal transplant patients, immunosuppressant were highly prescribed 33 (100%).

Conclusion
This study concludes that the cardiovascular agents and immunosuppressant were the most common drugs prescribed among the hemodialysis and renal transplant patients respectively. polypharmacy among overall patients were observed and it may initiate drug related problems.
Perception douloureuse et moyens de lutte en hystéroscopie au cabinet
Authors: Nzau-Ngoma Emmanuel , Odimba Jules Mpoy , Kusuman Amos , Mboloko Justin Esimo 
Published: December 2022

Contexte & objectif. L’hystéroscopie a connu des avancées majeures ces dernières à différents points de vue. Elle est passée d’une procédure nécessitant une hospitalisation à une procédure ambulatoire, de même elle a quitté la salle d’opération pour rejoindre le cabinet de consultation. Mais, un des problèmes à ces progrès, c’est la gestion de la douleur au cours et après la procédure. La présente revue passe en revue les différents moyens, tant pharmacologiques que non pharmacologiques utilisés pour la réduction de la perception de la douleur au cours d’une hystéroscopie au cabinet. Méthodes. Il s’agissait d’une revue exhaustive de la littérature (Pubmed, Medline, cochrane library) concernant les méta-analyses, revues de la littérature et essais randomisés publiés sur le sujet et en anglais de 2003 à 2021. Conclusion. Plusieurs moyens avec une efficacité très variable sont proposés pour réduire la douleur au cours de l’hystéroscopie au cabinet. Les auteurs s’accordent sur le fait que la bonne maitrise de l’anatomie de la filière génitale féminine vue en hystéroscopie, l’approche vaginoscopique et la psychothérapie permettent de diminuer significativement la douleur au cours de l’hystéroscopie et donc d’en améliorer la tolérance sans nécessité une quelconque anesthésie ou analgésie.
English title: Pain perception and management during office hysteroscopy
Context and objective. Hysteroscopy has undergone major advances in recent years in several aspects. It has moved from an inpatient to an outpatient procedure and from the operating room to the office setting. But one of the problems with these advances is pain management during and after the procedure. To review the different means, both pharmacological and nonpharmacological, used for reducing pain perception during hysteroscopy in the office setting. Methods. This is an exhaustive review of the literature (Pubmed, Medline, Cochrane library) concerning meta-analyses, literature reviews and randomized trials published on the subject and in English from 2003 to 2021. Conclusion. Several means with very variable effectiveness are proposed to reduce pain during hysteroscopy in the office setting. The authors agree on the fact that a good mastery of the anatomy of the female genital tract seen during hysteroscopy, the vaginoscopic approach and psychotherapy allow a significant reduction of pain during hysteroscopy and therefore an improvement of its tolerance without the need for any anaesthesia or analgesia.
Keywords: hysteroscopy in the office, vaginoscopy, pain during hysteroscopy
Syndrome d’Ogilvie après une chimiothérapie de Débulking contenant la Vincristine pour un lymphome agressif : à propos d’un cas
Authors: Siboub Mohamed 
Published: December 2022

La pseudo-obstruction colique aiguë est une cause rare d'occlusion intestinale, il est souvent considéré comme un diagnostic d’exclusion. Plusieurs facteurs de risque ou de situations cliniques peuvent être à l’origine de ce syndrome. La chimiothérapie peut être une cause directe ou favorisante la survenue sa survenue. Nous rapportons un cas rare de pseudo-obstruction colique aigue survenu directement après une chimiothérapie comprenant la vincristine et pris en charge avec succès par colo-exsufflation endoscopique.
English Title: Ogilvie syndrome after debulking chemotherapy containing Vincristine for aggressive lymphoma: a case report
Acute colonic pseudo-obstruction is a rare cause of intestinal obstruction and is considered as a diagnosis of exclusion. Several risk factors or clinical situations may be responsible for causing this syndrome. Chemotherapy can cause or facilitate the occurrence of this motility disorder. We report a case of acute colonic pseudoobstruction that occurred directly after vincristine administration and was successfully managed by endoscopic colo-exsufflation.
Keywords: Ogilvie syndrome, Vincristine, Aggressive lymphoma
Performance de l’oxymétrie nocturne dans le diagnostic du Syndrome d’apnées Hypopnées Obstructives du sommeil à Kinshasa
Authors: Tete Boniface Okaka , Boono Bejamin Yaba , Muhala Blaise Luhepa , Akilimali Pierre Zalagile , Bisuta Serge Fueza , Makulo Jean Robert Rissassy , Kayembe Jean-Marie Ntumba 
Published: December 2022

Contexte et objectif. La prise en charge d’un patient avec un syndrome d’apnées hypopnées obstructives du sommeil (SAHOS) nécessite l’enregistrement du sommeil qui reste très peu accessibilité en Afrique subsaharienne. La présente étude a évalué la performance de l’oxymétrie nocturne dans le diagnostic du SAHOS à Kinshasa. Méthodes. Dans une étude transversale et analytique, tous les patients à risque de SAHOS ont bénéficié d’une oxymétrie nocturne et d’une polygraphie ventilatoire entre juillet 2021 et mars 2022. La sensibilité (Se), la spécificité (Sp) et les valeurs prédictives positive (VPP) et négatives (VPN) de l’oxymétrie nocturne ont été déterminées. La courbe ROC a été rapportée, aire sous la courbe (ASC) calculée, p < 0,05. Résultats. 323 patients ont été inclus (âge moyen de 57,9 ± 13,1 ans avec un sex ratio H/F de 1,5). L’obésité centrale était présente chez 88 %. Le STOP-BANG moyen était de 4,8 ±0,9. Les comorbidités les plus rencontrées étaient l’HTA (58,5%), le diabète sucré (22,6%), la BPCO (9,3%) et l’AVC 2,2%. La Se et Sp étaient respectivement, de 94,4 et 88,9% et ASC à 0, 92. Conclusion. L’oxymétrie nocturne est un examen non invasif d’accès facile ayant une sensibilité et une spécificité élevée dans le diagnostic du SAHOS dans notre milieu.
English title: Performance of nocturnal oximetry in the diagnosis of Obstructive Sleep Apnea Hypopnea Syndrome in Kinshasa
Context and objective. Management of a patient with obstructive sleep apnea syndrome (OSAS) needs a sleep recording which is unavailable in sub-Saharan Africa. The present study aimed to evaluate the performance of nocturnal oximetry in the diagnosis of OSAHS in Kinshasa. Methods. In an analytical cross-sectional study, patients at risk of OSAHS underwent nocturnal oximetry and ventilatory polygraphy between July 2021 and March 2022. The sensitivity (Se), specificity (Sp) and positive (PPV) and negative (VPN) predictive values of nocturnal oximetry were determined. ROC curve was reported, area under the curve (AUC) calculated, p<0.05. Results. 323 patients were involved (average age of 57.9±13.1 years with a sex ratio M/F of 1.5). Abdominal Obesity was present in 88% of patients. The mean STOPBANG was 4.8 ±0.9. The most common comorbidities were hypertension (58.5%), diabetes mellitus (22.6%), Chronic Obstructive Pulmonary Disease (COPD) (9.3%) and stroke 2.2%. The Se and Sp were 94.4 and 88.9% respectively and AUC was 0.92. Conclusion. Nocturnal oximetry is a non-invasive examination of easy access with high sensitivity and specificity in the diagnosis of OSAHS in our environment.
Keywords: Obstructive sleep apnea syndrome, nocturnal oximetry, ventilatory polygraphy, performance, Kinshasa
A rare variant branch from the lateral cord and a communicating branch between the musculocutaneous and median nerve
Authors: Njoroge Felix , Nurani Khulud , Odero Noel , Njoroge Jimmy 
Published: December 2022

During routine educational gross anatomy dissections of the upper extremities, one right upper limb was observed to have an unusual branch from the lateral cord that pierced coracobrachialis towards its origin. This variant branch emerged from the lateral cord before it branched to give its contribution to the median nerve and musculocutaneous nerve in the axilla. The same limb also had a communicating branch between the musculocutaneous nerve to the median nerve at the mid arm level. These variations may be of interest to neurologists, anatomists and surgeons operating in the upper limb region.
Nurses Involvement in the Management of Family Violence Victims in Primary Care Settings in Ondo State, Nigeria: A Qualitative Study
Authors: Ogunlade OB , Komolafe AO , Olowokere AE , Agunbiade OM , Irinoye OO 
Published: December 2022

Background: Nurses in primary healthcare settings are strategic for appropriate responses to family violence victims in Nigeria. The study described nurses’ involvement in identifying and managing victims of family violence.
Methods: The interpretive descriptive qualitative approach was adopted for the study. Participants were purposively selected and in-depth interviews were conducted among 12 nurses working at primary health care settings with a developed interview guide. The interviews were analyzed via qualitative content analysis.
Results: Findings showed that nurses identified victims of physical violence via signs of physical injury. Nurses had difficulty identifying other forms of violence that may not have physical signs and not disclosed by victims. Nurses’ management strategies were wound care for physical injuries sustained, counselling and mediation. Risk assessment, safety planning measures were not instituted as well as effective management and specialized care services for victims.
Conclusion: This study showed there were gaps in identifying family violence cases and their management by nurses. Hence, the implication for further education and training of nurses, and advocacy for policy guidelines for effective management of family violence victims.
Perceived Workplace Stress Levels and Coping Strategies of Military Personnel in a Nigerian Barrack
Authors: Udeh OS , Aguwa EN , Onwasigwe CN 
Published: December 2022

Background: Stress is a recognized cause of impaired job functioning and unproductivity in workplaces. The military environment is reported to be highly stressful. This study determined the levels of stress among Nigerian military personnel in 82 division Abakpa Cantonment, Enugu and also evaluated some stressors, as well as the coping strategies of these personnel.
Methods: This was a cross-sectional analytical study carried out between July and August 2020 among 261 Nigerian military personnel selected using a multistage sampling method. Data collection was done using a self-administered questionnaire (Perceived Stress Scale). Descriptive statistics were used for demographic variables while multiple linear regression was done to determine the influence of the independent variables (age, gender, marital status, etc.) on the dependent variable (stress). Level of significance was p < 0.05.
Results: Majority were males (80.5%) and married (78%). Mean age was 38±10 years and most (63.3%) had worked for < 20 years. About 51.0% and 1.9% had moderate and severe stress levels, respectively. The commonest perceived causes of stress included underremuneration (32.6%), undervalued (26.1%), heavy workload (18%) and harassment (18%). The commonest positive coping strategies include talking to friends and family (36.0%) and thinking of solution (23.0%) while negative coping styles were eating (9.2%) and alcohol use (6.9%).
Conclusion: More than half of the respondents had moderate level of stress. Government should ensure regular review of personnel salary structure. Also, commissioned officers should be trained in proper handling of non-commissioned officers in order to further reduce the level of stress.