bluuebunny/crossref_metadata_2025_split huggingface dataset:
Survey of Patients’ Perspectives on the Use of Acupuncture as a Complementary Treatment for Chronic Pain
Authors: Chow Yuen Mei , Tong Clara Kai Yi , Chutatape Thor Timothy Anuntapon , Seah Cheng Ngee , Cui Shu Li , Tan Kian Hian , Chan Diana Xin Hui 
Published: February 2022

Abstract

Background:
Acupuncture has been increasingly used as a complementary therapy in pain management. At Singapore General Hospital pain management center, approximately 40% of patients are referred for adjunctive onsite acupuncture. This number is increasing as acupuncture becomes a more readily accepted adjunct to conventional pain therapies.

Materials and Methods:
We conducted a two-part survey to look at patients’ perspectives before their acupuncture treatment regimen and the efficacy and effects of acupuncture after 5–10 sessions in the multidisciplinary management for their pain conditions.

Results:
A total of 80 people participated in the survey over 4 months. Sixty-one participants completed the two-part survey. 57.6% of participants had pain related to spine degeneration, of which 68.9% and 77% reported being affected in their sleep and mood, respectively. Follow-up survey after acupuncture sessions showed statistically significant improvement in pain scores. 79.5% reported improvements in mood and 90.9% in mobility. 93.2% said they would recommend acupuncture in the follow-up survey.

Conclusion:
Acupuncture was shown to have statistically significant effects on pain scores based on our pilot survey results. Majority of patients also reported improved mood and mobility which are part of the multidimensional effects of chronic pain that affect quality of life.
Acromioaxillo Suprasternal Notch Index as New Screening Test to Predict Difficult Laryngoscopy in Pediatric Population
Authors: Senapathi Tjokorda Gde Agung , Jobul Ivan Christianto , Widnyana I Made Gede , Sucandra I Made Agus Kresna , Ryalino Christopher , Raju Anu 
Published: February 2022

Abstract
Prediction of pediatric difficult endotracheal intubation is a challenge for anesthesiologists. Pediatric patient possess unique characteristics in relation with difficult intubation, especially their uncooperative nature which makes conventional anatomical criteria is not applicable. Acromioaxillo suprasternal notch index (AASI) is a new test that is more objective and does not require full cooperation from the patient. Twenty patients aged 1–6 years old underwent surgery under general anesthesia with endotracheal intubation were included in this case series. AASI seems positively correlated with Cormack–Lehane grade. It is a novel but useful examination to predict the difficulty of laryngoscopic visualization during tracheal intubation in children aged 1–6 years old. More samples and further study are needed to prove the correlation in this study.
Cancer patients’ satisfaction toward health services provided by non-governmental organizations
Authors: Ibrahim Samah M. , Shenouda Mona S. , Elsawy Manal M. 
Published: February 2022

Background
Nongovernmental organizations (NGOs) play a significant role for cancer patients in Egypt and helping to build capacity for cancer prevention, treatment, and improve access to care. Patient satisfaction has long been considered as an important indicator when measuring health outcomes of care.

Aim
The aim of the study was to assess cancer patients’ satisfaction toward health services provided by non-governmental organizations.

Design
A descriptive exploratory research design was utilized in this study.

Setting
Three NGOs were selected randomly from all cancer organizations at Cairo governorate.

Sample
A purposive sample of 100 cancer patients chosen by specific inclusion criteria.

Tool for data collection
A structured interviewing questionnaire that consisted of three parts was used to collect data pertinent to the study. First part: personal data of patients. Second part: data about the level of social relationships (communication) regarding cancer patients. Third part: data about patient’s satisfaction toward service offers by NGOs.

Results
More than two-thirds of patients were satisfied with the overall services provided by NGO. Also, the majority of patients were satisfied with services in Bahia Foundation, then satisfied with Breast Cancer Foundation of Egypt, and the last one was Association of Friends of the National Cancer-free initiative. A highly statistical difference in patients’ satisfaction toward health services was provided by NGOs according to their sex.

Conclusion
The study concluded that more than two-thirds of patients were satisfied with the overall services provided by NGO services, the majority of cancer patients in Bahia Foundation have satisfaction about the services provided.

Recommendation
Based on the study results, it is recommended to develop a health-education program for cancer patients and their community to raise the awareness about nongovernmental services for cancer patients about how to involve them in organization’s services.
Risk factors for adolescents’ substance abuse
Authors: Basyoni Ahmed M. , Mohamed Afaf I. Abd El-Rehim , Ghazy Heba K. El-Said , Abdel-Daiem Nabila Abdel-Kader 
Published: February 2022

Background
Substance abuse is a rising community health problem especially among adolescents throughout the world. Studies for substance abuse including risk factors need to be frequently updated, to refurbish the prevention and management treatments on a scientific basis.

Aim
To assess the risk factors for adolescents’ substance abuse.

Patients and methods
A descriptive research design was used.

Setting
The study was conducted at the outpatient clinic of Helwan Mental Health Hospital (Adolescent Addiction Clinic).

Sample
A convenience sample of adolescents (N=83) who attended the previously mentioned setting was included.

Tools
A questionnaire for adolescents about risk factors for substance abuse was used. It consists of 85 questions and includes two parts: part A − demographic characteristics and adolescents’ experiences with substances and part B − risk factors for substance abuse among adolescents.

Results
The current study revealed that 92.8% of the adolescents were males whereas 7.2% were females. Overall, 79.5% of adolescents were aged from 16 to 18 years, with a mean age±SD of 16.33±1.24 years. Regarding the age of starting substance abuse, 43.4 % of the adolescents started at 14 to less than 16 years, with a mean age±SD of 13.63±1.76. In addition, 71.1% of the adolescents had a smoker among their families, whereas 33.7% had a substance abuser among their families. Moreover, 100% of the adolescents had smoker friends, and 97.6% of their friends were substance abusers.

Conclusion
The study concluded that many factors can lead to substance abuse among adolescents. The most important factors were having substance abusers among family members and friends.

Recommendation
Educational programs about risk factors for substance abuse should be given to both parents and adolescents at schools, family health centers, and any family reunion places.
Assessment of Pain at Different Steps of Diagnostic Hysteroscopy Using Room Temperature Normal Saline versus Warmed Normal Saline Solution as Distension Medium
Authors: Sharma Shikha , Roy Kallol Kumar , Rai Rakhi , Zangmo Rinchen , Malhotra Neena , Das Anamika 
Published: February 2022

Objectives:
Compare pain intensity at entry into the cervical os, during uterine distension and 15 min after the procedure, in patients undergoing diagnostic hysteroscopy with room temperature normal saline versus that with saline warmed to 38–40°C, using visual analog scale (VAS) score. Furthermore, compare the time taken and failed procedures between them.

Materials and Methods:
This was a randomized controlled, prospective study conducted at a Tertiary Care Center on 100 patients planned for diagnostic hysteroscopy with a 4 mm 30° hysteroscope using vaginoscopy technique. They were divided into two groups of 50 each, with control undergoing the procedure using normal saline at room temperature and the test with saline warmed to 38–40°C as distension medium. Primary outcomes were VAS at the point of entry into the internal os (T0), 1 min later (T1), and 15 min after the procedure (T15). Secondary outcomes were procedural acceptance, time taken, and failed procedures.

Results:
The mean VAS in the control group at T0, T1, T15 was 3.31 (1.461;[FIGURE DASH]0.870–0.245), 2.46 (1.398;[FIGURE DASH]0.539–0.498), 0.75 (0.911;[FIGURE DASH]0.379–0.338), respectively, as compared to the test group of 3.62 (1.282;[FIGURE DASH]0.870–0.245), 2.48 (1.148;[FIGURE DASH]0.540–0.498), 0.77 (0.911;[FIGURE DASH]0.379–0.379), respectively. About 73.5% of controls and 68.8% in the test group were willing to undergo the procedure again. About 93.9% of controls would recommend it further as against 93.8% among the test controls. The time taken and number of failed procedures showed no statistical difference.

Conclusion:
No significant difference was noted in terms of outcomes measured by warming the distension medium.
The “Executive Cardiac Health Checkup”
Authors: Zulfikar Sajan Ahmad 
Published: February 2022

PROLOGUE:
The “Executive Master Cardiac Health Checkup” (wonder who made that up the first time!) patient makes his entrance into the cardiologist’s outpatient (OP) chamber. It doesn’t require the deductive skills of our friend in Baker street to identify that he has recently returned from either the USA or its neighbor across the Niagara. He looks healthy as a fresh cucumber. And smells even better (Calvin Klein probably). I offer him a smile, a seat, and my hand. He mistakes the intention of my third gesture and hurriedly thrusts a package on to my unsuspecting hand—the colourful and fancy looking Investigation File (gloss finish for the extra effect). “Doctor, all the test reports are here. Blood tests, ECG, Echo are all done. They wouldn’t let me do the TMT without seeing you,” he complained. I thank the technician silently in my mind for having followed my standing instruction faithfully (I have had my share of trouble with unsolicited treadmill tests). I tell him calmly that I wish to talk to him first about his health, then proceed with a clinical examination, and would then give my full attention to the reports in the file. He is clearly not happy. He gives a few not-so-furtive glances at his oversized watch to indicate that he didn’t have much time to waste.

POST SCRIPT:
After the evaluation, I happily gave the gentleman a “clean chit” and congratulated him on the excellent condition of his heart. He didn’t look as happy as I wanted him to feel though. “Doctor, can I do the TMT now?,” he asked impatiently. One should know when a battle is lost. I smiled, and wrote “Routine check up, No risk factors” against the indication column on the TMT form. The patient proudly came back with the “Negative TMT.” This time, he was smiling from ear to ear, “Thank you Doc, I will be back next year around Christmas for the same check-up.” So much for evidence-based medicine!
Correlation between serum total bile acid and nonalcoholic fatty liver disease
Authors: Chen Yingying , Su Huang , Xue Haibo , Wang Tingting , Qian Ting , Liao Chengwei , Wu Jinming 
Published: February 2022

Background:
Nonalcoholic fatty liver disease (NAFLD) is a common component of chronic liver disease. Total bile acid (TBA) may influence the NAFLD progression through its signaling pathways. We attempted to find out if there is a correlation between TBA and NAFLD.

Methods:
427,507 subjects were enrolled in health examinations conducted by The First Affiliated Hospital of Wenzhou Medical University. Among them, only 67616 met the inclusion criteria. Demographic, clinical, and laboratory data were gathered from all subjects. We used multivariate logistic regression model to find the correlation between serum TBA and NAFLD after adjusting for acknowledged risk factors for NAFLD.

Results:
A negative correlation was found between the TBA and NAFLD after adjusting for confounders in the multivariate logistic regression model (OR: 0.80; 95% CI: 0.72, 0.88, P < 0.001). After subgroup analysis, we found the interaction between NAFLD and diabetes was significant (P = 0.043). In patients with NAFLD without diabetes, TBA showed a protective effect in NAFLD (OR: 0.75; 95% CI: 0.67, 0.85).

Conclusion:
TBA is protective for NAFLD, but not in patients with NAFLD and diabetes. Further studies are urgently required to completely explore the underlying mechanisms of TBA in the pathogenesis of NAFLD.
“Thank you, Marojejy:” affective learning outcomes of student participants in place-based field trips to Marojejy National Park
Authors: Sorenson Kylie M. , Jaofeno Louis J. , Patel Erik R. , Nekaris K. Anne-Isola 
Published: February 2022

Evaluations of conservation education programmes are most often concerned within the cognitive domain, where logical learning takes place. In place-based education, emphasis is instead placed on learning in multiple domains, including the cognitive and affective domains. Here, we quantitatively and qualitatively evaluate student learning in the affective domain following a series of short educational trips to Marojejy National Park, Northeast Madagascar. Student responses to the prompt “write about your trip to Marojejy” were evaluated for content, including emotional responses using cultural consensus, saliency scoring, and qualitative evaluation. The most salient term used in responses were “a good trip”. when tested 1.5 to 2 weeks after their trip. Students wrote about the emotional impact of the trip in four out of five levels of the affective domain. Our findings highlight the value of place-based education for learning in the affective domain. We demonstrated that even over a brief period of three days, placebased conservation education can have a marked impact on the values and emotions of participants.
Les évaluations de programmes d’éducation en matière de préservation sont le plus souvent axées sur le domaine cognitif, là où s’effectue l’apprentissage logique. Dans l’éducation effectuée sur place, l’accent est au contraire mis sur un apprentissage multidisciplinaire, qui inclut à la fois les domaines cognitifs et affectifs. Ici, nous évaluons de façon quantitative et qualitative l’apprentissage des étudiants dans le domaine affectif en suivant une série de brèves excursions à but éducatif au Parc national de Marojejy, dans le Nord-Est de Madagascar. Les réponses des étudiants à l’instruction « Parlez-nous de votre excursion à Marojejy » ont fait l’objet d’une évaluation tenant également compte des aspects émotionnels, sur la base du consensus culturel, du score de saillance et du point de vue qualitatif. L’expression la plus saillante utilisée dans les réponses a été « bonne excursion » dans les tests effectués 1,5 à 2 semaines après leur retour. Les étudiants ont relaté l’impact émotionnel de l’excursion dans quatre des cinq niveaux du domaine affectif. Nos résultats mettent en évidence la valeur d’une éducation sur place pour un apprentissage au niveau affectif. Nous avons démontré que même après une brève période de trois jours, l’éducation en matière de préservation peut avoir, lorsqu’elle est effectuée sur place, un impact significatif sur les valeurs et les émotions des participants.
Assessing the challenges and initiatives to increase women’s integration into science in Madagascar
Authors: Martin Voahangy Tinah , Rakotonirina Hanitra , Ramananjato Veronarindra , Ravaoarinorotsihoarana Lalao A. , Razafindratsima Onja H. , Razanajatovo Mialy , Voarintsoa Ny Riavo G. 
Published: February 2022

We present here a commentary essay on the challenges and perspectives on the recruitment and retention of Malagasy women in STEM (Science, Technology, Engineering, and Mathematics). We base the essay on our personal experience as Malagasy women scientists and support the arguments with the responses of 60 Malagasy women scientists to an online survey that was shared among Malagasy scientists. We identified that the main causes for a limited number of Malagasy women in STEM relied upon traditional expectations and heavily ingrained cultural values. The situation becomes more complicated when accounting for familial constraints, financial constraints, and communication gaps between students and professors. This is obviously an unfortunate situation; however, there have been bridging-gap initiatives— financial, awareness to family pressure, and knowledge difference between senior and junior scientists—that should be continued to provide support to promising students and enhance STEM education as a tool for development in Madagascar.
Cet essai discute les défis et les perspectives dans le recrutement et le maintien des femmes citoyennes de Madagascar dans les sciences, la technologie, l’ingénierie et les mathématiques (STIM). Les arguments présentés sont basés sur nos expériences personnelles en tant que femmes scientifiques nées et ayant grandies à Madagascar. Ces arguments sont soutenus par des informations issues d’un sondage effectué en ligne auprès de 60 femmes scientifiques, s’identifiant elles-mêmes originaires de Madagascar. Les raisons pour lesquelles ces femmes sont peu nombreuses à participer activement dans les domaines des STIM à Madagascar sont liées à des contraintes traditionnelles et à des valeurs culturelles fortement ancrées depuis leur enfance. La situation se complique lorsqu’on tient compte des contraintes financières et des écarts de communication entre étudiants et professeurs. Si cette situation est évidemment regrettable, il existe cependant des initiatives visant à combler le fossé qui sont financières, ou qui s’inscrivent dans la sensibilisation à la pression familiale et à la différence de connaissances entre les scientifiques seniors et juniors. Ces encouragements devraient être poursuivis afin d'apporter un soutien aux étudiantes prometteuses et d'améliorer l'enseignement des femmes en STIM qui sont importantes pour le développement de Madagascar.
Management of Personal Information among Library Staff at the University of Dar es Salaam, Tanzania
Authors: Mkhai Emmanuel , Rashid Nakivona Hashim 
Published: February 2022

Effective management of personal information is pivotal for its sustainable use. This article presents a study that has assessed the personal information anagement (PIM) practices of library staff at the University of Dar es Salaam (UDSM). The study used a descriptive research design deploying both qualitative and quantitative approaches under which questionnaire and focus group discussion guide were used to collect data. While qualitative data were subjected to content analysis, statistical analysis was used to generate descriptive and inferential statistics from quantitative data using IBM SPSS version 23. The findings have revealed that librarians at are generally aware of various PIM practices and use them to manage their personal information. The librarians use both physical and electronic tools to manage their personal information. These tools include physical folders, files, and boxes, which are used to manage physical information, and Dropbox, Google Drive, and iCloud which are used to manage electronic information. Several factors influence the effectiveness of librarians’ PIM practices. These include librarians’ demographic characteristics (age and levels of education), knowledge of the information cycle, information management skills, and available information systems. Factors such as inadequate information management skills and shortage of time have been found to undermine the effectiveness of the studied population’s PIM practices. The study concludes that understanding factors that influence and undermine effective PIM practices is essential in setting a foundation for improving personal information management.
Inteligencia emocional en los psicólogos en formación
Authors: Castillo-Castañeda Georgina , Pérez-Sánchez Lucía , Becerra-Altamirano Nydia Kisaí 
Published: February 2022

La presente investigación tuvo por objetivo analizar el perfil emocional del estudiantado de la Licenciatura de Psicología de Universidad Autónoma de Nayarit (UAN) para el establecimiento de diferencias por grado y sexo. Se utilizó un muestreo aleatorio, no probabilístico y voluntario. Se mantuvo un enfoque cuantitativo, de corte transversal, descriptivo y comparativo. Se aplicó el Inventario de Manejo Emocional a 239 estudiantes pertenecientes a dos grupos (estudiantes de nuevo ingreso y estudiantes del último año de carrera) obteniendo altos niveles de confiabilidad (α=.92). Los hallazgos demuestran que son las emociones de empatía y equilibrio emocional aquellas que en mayor medida se ven influenciadas por el grado escolar que cursan los participantes, concluyendo que existe un claro decremento de las valoraciones de los factores Afrontamiento emocional y Emociones positivas en los profesionales de la Psicología en medida en que se avanza en los estudios.
Valoración de la clase virtual en Odontologia infantil y pautas para mejorarla.
Authors: Antonia María Caleya Zambrano , Nuria Esther Gallardo López , Maria Esperanza Sánchez Sánchez , Gonzalo Feijoo Garcia , Andrea Martín Vacas , Maria Rosa Mourelle Martínez , Joaquín Manuel De Nova Garcia 
Published: February 2022

En los últimos años, se ha incrementado el número de estudiantes a distancia. Todo ello, sumado a la actual pandemia sufrida por la COVID-19, ha hecho que la docencia virtual haya tomado un gran protagonismo en la docencia universitaria. En el grado de Odontología, donde tiene gran peso la enseñanza presencial, debido a la pandemia tuvimos que adaptar la docencia presencial a virtual. En el presente curso estamos usando ambos tipos. Al ser la primera vez que empleábamos docencia virtual en asignaturas relacionada con la Odontología infantil, tanto en Grado como en Posgrado, nos pareció interesante valorar la opinión de los alumnos sobre la docencia virtual así como saber qué plataformas les resulta más útil para impartirlas. Rellenaron un cuestionario con preguntas multirrespuesta y preguntas abiertas. Se evaluaron las plataformas Blackboard Collaborate, Google Meet, Zoom y Skype. Los resultados más destacados fueron que: Casi el 90 % de los alumnos prefieren conectarse a la clase virtual a través de un ordenador y el 94% lo hace desde su domicilio habitual. Sólo el 1,8% valoraron la asistencia a clases virtuales como una experiencia muy mala.El 45% prefiere alternar la clase presencial con la virtual cuando se imparte la carga teórica de la asignatura. Sin embargo, un 21,9% prefiere la clase presencial, exclusivamente. Cuanto se trata de impartir la parte práctica de las asignaturas, el 86% prefiere recibir solo docencia presencial. Las plataformas más usadas y mejores evaluadas fueron Blackboard Collaborate, seguida por Google Meet. En cuanto a las respuestas abiertas, nos han permitido elaborar un documento guía con consejos para que los docentes podamos mejorar la impartición de clases virtuales. En general, la asistencia a clases virtuales ha sido positiva, pero los alumnos prefieren que los créditos prácticos de las asignaturas sean impartidos de manera presencial.