bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pacientes Post COVID-19 y la Bioenergética de las Fibras Musculares con Relación al Ejercicio Aeróbico.
Authors: Sánchez Videa Alexandro Marcelo , Aquino Hinojosa José Waldo , Cabrera Ponce Mauricio 
Published: September 2022

La pandemia de COVID-19, sin duda, ha provocado que muchos profesionales en salud creen estrategias de intervención dentro del ámbito preventivo, terapéutico y educativo, para poder mejorar la condición del estado de salud de los pacientes que cursan con esta enfermedad. Toda la información que esté relacionada con COVID-19 es nueva, pero podemos encontrar cierta similitud en los síntomas respiratorios y las consecuencias procedentes del SARS-CoV-2.
Cuando un paciente adquiere esta enfermedad, puede llegar a presentar síntomas moderados o graves (sintomático), leves (presintomático) y hasta no presentar ningún tipo de síntomas (asintomático); demostrando variaciones en el pronóstico de cada paciente. La afección principal se muestra en el sistema respiratorio, causando alteraciones en los volúmenes pulmonares, músculos respiratorios y capacidades funcionales ventilatorias principalmente. Sin embargo, en pacientes que realizaban ejercicio físico de manera continua, regular o eventual, se podría mejorar de manera significativa, en especial si se trababa de ejercicio aeróbico, ya que la finalidad de este tipo de ejercicio es capaz de optimizar el estado de salud, así como también es muy útil al momento de uso energético hacia el tejido muscular para mantener la actividad motora de fibras musculares tipo I (fosforilación oxidativa).
En caso de no se obtener el oxígeno necesario para el organismo, esto podría llevar a un déficit en la actividad muscular, y así recurrir a otro tipo de rutas energéticas (anaeróbicas), que no hacen uso del oxígeno, alterando completamente las etapas del modelo trifásico de la intensidad de Skinner.
Síndrome de Burnout: Quemado por el Estrés Laboral. En Estudiantes de Cuarto Año de Clínica Odontológica de la Universidad Privada del Valle Subsede La Paz, Periodo II/2018.
Authors: Rios Antezana María Liliana , Yujra Jallasi Ana Valeria 
Published: September 2022

Introducción: El Síndrome de Burnout es un problema creciente que comprende alteraciones físicas somáticas y psicológicas; así como ausentismo laboral y estrés emocional en estudiantes de la Carrera de Odontología.
Objetivo: Determinar la prevalencia del Síndrome de Burnout en estudiantes de 4to año de la Carrera de Odontología de la Clínica Odontológica Univalle La Paz, periodo II/2018 en las tres dimensiones del síndrome y según sexo, aplicando la encuesta MBI formulada por la Dra. Maslach.
Metodología: Se realizó un estudio descriptivo, transversal, prospectivo con una muestra de 31 alumnos entre 22-24 años, de ambos sexos, de la Clínica Odontológica de la Universidad Privada del Valle del departamento de La Paz. Además, se aplicó el Tratamiento Estadístico de U de MannWhitney como prueba de confiabilidad del 95%´, y con un valor de significancia de 0,05(P< 0,05) por medio del paquete IBM SPSS Statistics V 25.0 (2018).
Resultados: Se evidencia un 61% de agotamiento emocional y mayor en el sexo femenino; un 42% de despersonalización, igualmente mayor en el sexo femenino, y un 29% de realización personal con mayor prevalencia en el sexo masculino.
Discusión: Se concluye que existe un Alto Nivel en la dimensión de ‘Cansancio Emocional’ y ‘Despersonalización’; y un Bajo Nivel en ‘Realización Personal’.
Pharmacologic Enhancement of Rotator Cuff Repair: A Narrative Review
Authors: Vaysman Maksim , Alben Matthew , Todd Matthew , Ruotolo Charles 
Published: September 2022

Introduction As rotator cuff repairs (RCRs) are among the most common procedures in upper extremity orthopedics, healing augmentation using pharmacologic enhancement of the repaired rotator cuff muscle is of particular interest. Objective The purpose of this study is to review the current understanding of Matrix Metalloproteinases (MMPs), Doxycycline, Testosterone, Estrogen, Growth hormone/ IGF-1, Vitamin D, and Vitamin C as a means to mitigate deleterious effects and propagate factors that support healing following RCR. Methods A review of English language articles in PubMed and Medline was conducted in December of 2020. All articles describing the current understanding of the aforementioned therapies were reviewed. Studies were excluded if they were non-English or reported incomplete results. Results Matrix metalloproteinases (MMP’s) are fundamental to the healing process after rotator cuff tears through a delicate balance of various proteases that can be modulated by doxycycline through inhibition. While testosterone has shown to induce replication and differentiation of the tendon stem-cells, estrogen agonists have been shown to decrease inflammation and muscle atrophy. Though growth hormone being associated with elevated collagen synthesis and decreased anoxic damage when present, clinical studies have shown inconclusive and adverse effects on rotator cuff healing. Patients with Vitamin D deficiency have shown to have increased fatty infiltration in rotator cuff muscle while Vitamin C functions as an antioxidant that increases collagen and fibroblast proliferation. Conclusion As manipulation of pharmacologic factors shows potential for enhancing healing following RCRs, future studies are needed to establish a viable augmentation strategy to improve patient outcomes
The Accord of Discord: Reflections on Private Lives in Peter Shaffer’s Five Finger Exercise
Authors: Dr. Vineet Maxwell David  
Published: September 2022

Peter Shaffer holds a place of pivotal importance in Modern British Drama. The variety and complexities of life that Shaffer presents through his works, give us a good idea that he is a playwright who intends to further the representative nature of theatre as an agency of influence. The acute fidelity with which he perceives and deliberates upon life narratives remains a preserve in which the playwright influences his proficient talent to good use. He works upon aspects of human situations with a deep sense of purpose and understanding which bespeak of his merit as a playwright. Five Finger Exercise is a play by Peter Shaffer that stands as an important work in the formative years of his career as a playwright and contributes a notable standing to his oeuvre as a writer in the making. Paralleled in the reputation of the drama of the fifties with Look Back in Anger as a profound dramatic work, it is Peter Shaffer’s Five Finger Exercise that holds its ground as a work of incredible consequence about complexities of human ordeals. The ‘family’ and its private frontier remains a compelling subject for drama and it also seeks our renewed enquiry, one that is exemplified in the action of the play, Five Finger Exercise. The paper instils a vital seeking through an academic deliberation, accentuating a vigorous argument as to why it needs to recognised as an important work in English theatre history. It is the domain of the Harringtons’ family and their trials and turmoils that puts into question a consequential deliberation on beneath the surface reality of the family/domestic space. The paper also serves to explore the psychological and emotional dimensions of human behaviour and its treatment as part of the narrative which seeks to highlight Peter Shaffer’s perspicuity and his acumen as a writer.
Narrating History in Julian Barnes’s A History of the World in 10 ½ Chapters
Authors: Dr. Pradip Kumar Yadav  
Published: September 2022

History, though it can be revived, rewritten and altered, always functions as a source of inspiriation and encouragement for the upcoming generations. Although it is prone to be distorted, contrived and re-interpreted by the following generations yet it constantly serves as a guiding light for future generations leading them in right direction without committing the mistakes which the human forefathers had mistakenly committed. History, an umbrella term, incorporates all the facets of traditions, myths and the past of a particular nation or many nations. Intermingling all these elements Julian Barnes’s chapter ‘Parenthesis’ in A History of the World in 10 ½ Chapters is embellished with various literary techniques as narrating English history, tradition, myth and the past through postmodern narrative strategies. The novel shares many concepts and trends with postmodern skills of writing fiction. Incorporating all the above elements A History of the World in 10 ½ Chapters rigidly confirms to the trend of postmodern fiction. This paper critically evaluates the half chapter entitled ‘Parenthesis’ from Barnes’s novel, A History of the World in 10 ½ Chapters.
THE EFFECT OF BREASTFEEDING EDUCATION GIVEN TO FATHERS ON THE KNOWLEDGE LEVEL OF THE FATHERS, ON BREAST-FEEDING QUALIFICATION OF THE MOTHERS AND BREASTFEEDING ATTITUDE
Authors: ÖZKAN Eda 
Published: September 2022

Aim: It is a design in a design similar to the quality of the gift given to the fathers, the self-efficacy of the mothers and the design of the fathers.
Materials and Methods: The research was carried out with women who gave birth in Yalova Women's Health and Diseases State Hospital between 2020 and April 2021 and with intervals. It was completed with a total of 320 people, 160 for the intervention group (80 couples) and 160 (80 couples) for the control group. Data Collection Form (DTF), Fathers' Breastfeeding Effect Scale (BEES), Breastfeeding Knowledge Test for Fathers, Breastfeeding Attitude Assessment Scale (ETDE), Postpartum Breastfeeding Self-Efficacy Scale-Short Form were applied. In development, sociodemographic characteristics of fathers and spouses, characteristics of children regarding their babies, positive aspects of paternal pregnancy and babies, and fathers' general knowledge scores are similar in our study and pre-evaluation scores post-test scores of the Breastfeeding Effect Scale Sub-Dimension applied to the fathers in the information applied to the fathers, and the Postpartum Breastfeeding Self-Efficacy Scale-Short Form Total post-test scores applied to the fathers' spouses were significantly higher than all the post-test scores applied to the control fathers and their parents. would be high.
Results: In our study, the sociodemographic characteristics of fathers and their spouses, the characteristics of the participants regarding their babies, the characteristics of fathers regarding breastfeeding and infant care, and the pretest scores of fathers' breastfeeding knowledge level were similar in the intervention and control groups. After the breastfeeding support initiative applied to the fathers, the Total Posttest Scores of the Breastfeeding Knowledge Test applied to the fathers in the experimental group, the posttest scores of the Sub-Dimension of the Fathers Effect on Breastfeeding Scale, the Postpartum Breastfeeding Self-Efficacy Scale-Short Form Total posttest scores applied to the fathers' spouses were given to the fathers and their spouses in the control group. It was found to be significantly higher than all post-test scores applied
Conclusion: In our study, the training given for intervention and control groups was significant for fathers and parents.
YouTube'da COVID-19 Sırasında Diş Hekimliğinde Aerosol Yönetimi
Authors: KESKİN Neslihan Büşra , KAYA Emine 
Published: September 2022

Aim: The novel coronavirus continues to spread around the world despite all efforts. Dental professionals and staff are exposed to high infection risks and have the potential to spread these infections. Web-based portals are widely used in dentistry for obtaining information. YouTube is one of the most popular web platforms provides a wide variety of information, however, concerns are raised regarding the quality of the videos. The purpose of this study is to analyze the content of YouTube videos on aerosol management in dentistry during the COVID-19 pandemic.
Materials and Methods: YouTube search was performed using the terms “dental aerosol management and COVID-19”, “dental aerosol control and COVID-19” and “dental aerosol reduction and COVID-19” with the default filter set to ‘‘sort by relevance’’. The first 100 videos for each term were viewed and analyzed by 2 independent research. The Global Quality Scale (GQS) and the video information and quality index (VIQI) INDEX were performed to evaluate video quality. Viewers’ interactions and Viewing Rate index were chosen to evaluate the video popularity and also other parameters (number of views, duration, time since upload, and likes and dislikes, country of origin, source of upload) were evaluated.
Results: After the exclusion criteria 57 videos were evaluated. 11 of the 57 videos had excellent quality and flow. It was observed that as the duration increased, the quality of the videos in both evaluation indexes (VIQI-GQS) were increased. There was no significant difference in terms of loading sources for VIQI and GQS index.
Discussion and Conclusions: Besides high-quality videos on aerosol management, there were some low-quality videos that may cause spread of misleading information. Healthcare professionals should play a more active role in the educational videos about infection prevention and aerosol management during pandemic on YouTube.
Women's Social Support Preferences and Experiences at Birth: A Qualitative Study
Authors: DEMİR Rukiye 
Published: September 2022

Aim: The aim of this research; to examine women's social support preferences and experiences at birth.
Materials and Methods: Qualitatively, the study was conducted with 13 puerperal women who had a vaginal delivery between June-July 2022 and determined by maximum diversity sampling technique. The data were collected by audio recording with in-depth interview form and face-to-face interview method, and analyzed through content analysis.
Results: All of the women (13 people) who participated in the study preferred to receive social support during their birth, this support was mostly in the form of physical and emotional support (10 people) and information support (13 people) throughout the birth process (9 people), from their mothers and health personnel (8 people) stated that they prefer to receive. It was determined that only 4 of the women received social support in their last birth, mostly from their mother (2 people), before the birth (3 people) and emotional support (3 people). Conclusion: In this study, it was concluded that although women needed social support throughout the birth process, they could not receive adequate social support.
The Effects of the Training Program Organized For Unit Charge Nurses on Their Proficiency Perception: A Semi-Experimental Study
Authors: ÖZEN BEKAR Ebru , ALAN Handan 
Published: September 2022

Aims: The main aim of this study is to evaluate the training program organized for unit charge nurses on their proficiency perception.
Methods: The research was conducted as a quasi-experimental model with a pre-test-post-test control group design. The experimental and control groups consisted of 54 unit charge nurses, who were similar from two university hospitals. The whole population was considered as the research sample. “Unit Charge Nurse Proficiency Evaluation Scale” was used for pre- and post-study evaluations.
Results: Although the majority of the manager nurses participating in the study had a bachelor's degree, it was seen that 7.4% of the experimental group (E) and 3.7% of the control group (C) received training on management. . In the experimental group, the pre-test unit charge nurse proficiency score was 4.03, while it was 4.40 in the posttest. On the other hand, in the control group, the pre-test unit charge nurse proficiency score was 3.99, while it was 4.03 in the post-test. Consequently, it can be said that the scores that had been homogeneous before the intervention increased in favour of the experimental group after the intervention.
Conclusion: The results of this study show that the proficiency of unit charge nurses can be improved with manager development training. In hospitals, it is important to provide the nurses with an appropriate training for the managerial position to which they will be appointed, and to maintain manager development training in line with their proficiency areas after the appointment.
Çocuklarda B12 Vitamini Eksikliği Ve İlişkili Bulguların Sıklığı
Authors: AYDIN Hilal , KORKUT Oğuzhan , ÖZDEN Ezgi , CAN Demet 
Published: September 2022

Objective: The purpose of this study was to determine clinical findings associated with vitamin B12 deficiency in patients presenting to the pediatric neurology department with various different symptoms and to discuss these in the light of the current literature.
Materials and Methods: Children aged between one month and 18 years presenting to the Balikesir University Medical Faculty pediatric neurology clinic, Turkey, between 01.08.2019-01.08.2021 and with vitamin B12 levels lower than 250 ng/mL were included in this retrospective, cross-sectional study.
Results: One hundred sixty-one cases were included in the study 63 (39.1%) female and 98 (60.9%) male. The patients’ mean age was 7.43±5.77 (0-17) years. The majority of patients of both genders were in the 0-6 age group. Neurological findings were present in 81.98% of patients with Vitamin B12 deficiency, and non-neurological findings in 18.01%. The most frequent neurological finding was neuromotor retardation (N=73, 45.34%), followed by seizures (N=33, 20.50%).The most frequent reason for presentation was neuromotor retardation in both boys and girls with vitamin B12 deficiency (N=55, 56.1% and N=18, 28.57%). The mean Vitamin B12 level among all the patients was 167.70±45.17 (58-250) pg/ml. No statistically significant difference was determined between boys and girls in terms of Vitamin B12 and ferritin levels or complete blood count parameters [Hb, Htc, and MCV] (respectively p = 0,428, p = 0,646, p = 0,110, p = 0,128, p = 0,864).
Conclusions: This study provides a general evaluation for health professionals regarding clinical presentations encountered by us in association with the disease
Rhino-orbital-cerebral mucormycosis in post COVID-19 patients
Authors: Lavanya S. , Jeyaprakash B. , Ezhilvendhan K. , Bhava B. Saravana , Rajeshkannan R. 
Published: September 2022

Introduction-Mucormycosis is an angio invasive infection that occurs due to fungi Mucorales. It occurs primarily in severe immunocompromised individuals and in poorly controlled diabetes mellitus patients. Objectives-To study the clinical features and assess the severity of orbital involvement among the rhino-orbital mucormycosis patients. To study the management & outcome in post covid rhino orbital mucormycosis patients. Methods- It was a Hospital based retrospective study conducted from a period June 2021 to August 2021(3 months) in Vinayaka Mission’s Kirupananda Variyar Medical College, Salem. Sample size of 50 taken from medical records section.Patient’s demographic data like age, gender were noted. Data such as presenting symptoms, signs, history of presenting illness, COVID history, and associated co morbidities were noted. Findings of anterior segment evaluation (done by slit lamp biomicroscopy in ambulatory patients, torch light examination for bed ridden patients) were noted. SPSS (Version 22.0) was used for analysis. Results-the most common age group was 40-60 years (58%), followed by >60 years (24%), this suggest that mostly mucormycosis is more common after 40 years as per present study. most common duration was between 2-4 weeks when the symptoms of mucormycosis starts to seen from COVID seen in 58% of patients (p>0.05).
comparative study of effects of Triphala and Tetracycline gel on root conditioning
Authors: Srivastava Manvi , Rathod Varsha , Dwivedi Palak , Parikh Antara 
Published: September 2022

Background: Remnants of dental calculus, contaminated cementum, and subgingival plaque act as a physical barrier between periodontal tissues and root surfaces, which inhibits the formation of new attachment. Treatment of denuded root surface using various chemicals and antimicrobial agents with scaling and root planing helps in active periodontal regeneration. Aim: The aim of this study was to evaluate and compare the demineralizing effects of Triphala and 1% Tetracycline HCl gel on root conditioning using a Scanning Electron Microscope. Settings and design: A total of 50 hemi-sectioned root samples were obtained from 25 extracted, and root planed samples. These were divided into two groups, Group 1: 1% Tetracycline HCl gel and Group 2: Triphala. Materials and method: The two root conditioning agents were applied with cotton pellets on the sectioned roots. The samples were then examined under the scanning electron microscope. Statistical analysis used: Data obtained was compiled on a MS Office Excel Sheet. Inter group comparison was done using Mann Whitney U test. Comparison of frequencies of categories of variables with groups was done using Chi Square Test. Results: The root conditioning agents used in this study were found to be equally effective in removing the smear layer.
Interleukin-32, interleukin-33 and acid phosphatase levels in patients with Helicobacter Pylori
Authors: Mohammed Khalil Ismail Abid , Alwany Ameen Abdul Hasan , Ali Saad Hasan Mohammed , Ali Wifaq M. , AL-Fakhar Suha A. , Mousa Jinan M. 
Published: September 2022

The study was carried out to detection of H. pylori in (218) patients who attended two teaching hospitals in Baghdad. The diagnosis was done by Immunochromatography methods. Stools and blood samples were taken from each patient as well as other (30) healthy control matching in age. The study included measurement the Levels of Interleukin-32, Interleukin-33, and Acid phosphatase in sera of patients and control .The result indicated presence of H pylori antigen in 115 cases 59 cases of males and 51 of females , Also, the result indicated increasing levels of IL-32 and IL-33 and Acid phosphatase in patients sera in comparison with healthy control.
Study of the clinical features of Downs’s syndrome and relation between dermatoglyphics and congenital heart disease if any
Authors: Joseph Keziah , Teja G. Rahul , Srinivas M. 
Published: September 2022

Introduction: Down syndrome is one of the most common cause of congenital malformation with mental retardation seen with an estimated prevalence of 1/600 – 1/800 births. A wide range of abnormalities are seen, some of which are characteristic of Downs syndrome. Objectives and Aim: The present study was aimed at studying the various clinical features including dermatologlyphic patterns in Down syndrome and to find any correlation with congenital heart disease. Materials and Methods: 34 children £18 years with features of down syndromes were assessed for various clinical presentation and dermatoglyphic patterns analyzed. Those with congenial heart disease were also noted to check for any correlation with dermatoglyphic patterns in Downs syndrome.3 ml blood was drawn and thyroid function were recorded. Results: The majority of clinical features observed include slanted palpebral fissure, icrocephaly, epicanthal fold, macroglossia, hypotonia, flat facies, brachycephaly, high arched palate. Dermatoglyphic patterns show increased prevalence of simian crease clinodactly ulnal loops on the finger tips and atd angle >45 in the children. Statistically significant correlation was found when clinodactly of the left hand, left third inter digital space pattern, open field defect and sandal gap of the toes was compared with down syndrome children with CHD.