bluuebunny/crossref_metadata_2025_split huggingface dataset:
Acute Otitis Media-Associated Diarrhea in Children Less than 2 Years Old
Authors: Alabedi Rihab F. , Aljebouri Ali H. , Al-Maaroof Zainab W. 
Published: July 2022

Background: the reported incidence of diarrhea in non-enteric infections can be questioned because many cases of diarrhea are adverse events associated with antibiotics. Although it is well known that one of the none-enteric infections that has diarrhea as one of its manifestations is acute otitis media, its sometimes missed as a possible cause. Objectives: to estimate the prevalence of acute otitis media in children presented with diarrhea and to describe the characteristics of acute otitis media-associated diarrhea after exclusion of antibiotics use. Method: sixty patients (age < 2 years) complaining from diarrhea as their chief complaint were included in this cross sectional study. Their ears had been examined using pneumatic otoscopy, looking for evidence of acute otitis media. Mother-directed specific questions related to the characters of diarrhea, constitutional symptoms, and associated symptoms had been used, in addition to laboratory stool exam. Results: patients involved in this study were 60, 22 (36.7%) females and 38 (63.3%) males. Their ages range from 1-19 months (8.31± 4.30). Acute otitis media was present in 27 cases (45%). There was significant association between acute otitis media-associated diarrhea and age under 1 year (p 0.017), underweight (p 0.012), and ear pain (p <0.001). Conclusions: acute otitis media is a very possible diagnosis for any young baby presented with diarrhea, especially in underweight infant with ear pain, so pneumatic otoscopic ear examination is recommended to be a routine for them.
Effets d’un master en alternance sur la professionnalisation des formateurs
Authors: Leclercq Gilles , Amblard Denis , Martin Galley Ghislaine , Oudart Anne-Catherine 
Published: July 2022

Les auteurs rendent compte des effets d’un master de formation en alternance sur la professionnalisation des formateurs. L’article permet de documenter l’émergence et le développement d’une activité conduite par des étudiants qui se forment à l’ingénierie de l’intervention pédagogique et didactique. Il montre que le dispositif se faufile dans les arcanes du processus de « mastérisation », que les dynamiques d’apprentissage mobilisées s’ancrent dans des préoccupations qui se transforment en activités d’ingénierie, qu’elles se couplent à des activités de conceptualisation qui conduisent parfois à des modélisations. Il montre également que les expériences de formation ont été exploitées par les destinataires, après qu’ils soient sortis du dispositif.
La professionnalité instrumentéepar la démarche de restitution de l’expérience
Authors: Pagnani Brigitte , Durrive Louis 
Published: July 2022

Le contexte de déploiement de l’éducation et de la formation tout au long de la vie oriente les politiques publiques vers la professionnalisation des acteurs et l’instrumentation de leurs pratiques. Ce texte explore la problématique de la professionnalité approchée par le « récit d’activité » dans la démarche du (e)portfolio de compétences déployée dans une licence professionnelle préparant aux métiers de la formation. Il débouche sur une perspective méthodologique orientée vers la construction d’une « professionnalité émergente » dans une visée de reconnaissance professionnelle instituée.
Qualification de « pacte successoral » et champ d’application du règlement européen n° 650/2012 sur les successions internationales
Authors: Perreau-Saussine Louis 
Published: July 2022

L’article 3, paragraphe 1, sous b), du règlement (UE) n° 650/2012 du Parlement européen et du Conseil, du 4 juillet 2012, relatif à la compétence, la loi applicable, la reconnaissance et l’exécution des décisions, et l’acceptation et l’exécution des actes authentiques en matière de successions et à la création d’un certificat successoral européen, doit être interprété en ce sens qu’un contrat en vertu duquel une personne prévoit le transfert futur, lors de son décès, de la propriété d’un bien immobilier lui appartenant à d’autres parties contractantes constitue un pacte successoral, au sens de cette disposition. L’article 83, paragraphe 2, du règlement n° 650/2012 doit être interprété en ce sens qu’il n’est pas applicable à l’examen de la validité du choix de la loi applicable, effectué avant le 17 août 2015, pour régir uniquement un pacte successoral, au sens de l’article 3, paragraphe 1, sous b), de ce règlement, portant sur un bien particulier du de cujus, et non la succession de ce dernier dans son ensemble.
Nursing Students' Knowledge, Personality Traits, and Self-Efficacy Related to Medication Administration Error
Authors: Roman Jones Joanne , Boltz Marie , Allen Rachel , Van Haitsma Kimberly , Leslie Douglas 
Published: July 2022

Background:
Nursing education influences medication administration practices, which involve clinical decision making and risk perceptions.

Method:

This mixed-methods concurrent nested study explored the relationship among knowledge, personality traits, and self-efficacy related to medication administration error in fourth-year, prelicen-sure nursing students (
n
= 60) who were recruited from three campuses of a large university.

Results:

Results indicated low mean knowledge (70.75) and neuroticism (2.44) scores, and high mean self-efficacy and confidence (5.78) and conscientiousness (4.51) scores. Conscientiousness was correlated with both knowledge (
r
= .271,
p
= .036) and neuroticism (r = −.313,
p
= .015). Thematic analysis yielded four themes: nature of risk perceptions, more opportunities to learn, experiences with medication administration error, and intrinsic characteristics influence errors. Convergence was evident in both knowledge and personality data; self-efficacy/confidence and risk perceptions data diverged.

Conclusion:

Knowledge, personality traits, and self-efficacy appear to influence nursing students' risk perceptions of medication administration error, indicating an area for future research.

[
J Nurs Educ
. 2022;61(7):367–374.]
Sustainability in Clinical Practice: A Cross-National Comparative Study of Nursing Students in England and Sweden
Authors: Aronsson Jennie , Anåker Anna , Elf Marie , Richardson Janet 
Published: July 2022

Background:
Delivering health care negatively influences the environment and contributes to climate change. This study examined how nursing students in England and Sweden can make changes in clinical practice to enhance environmental sustainability.

Method:
Third-year undergraduate nursing students at English and Swedish universities responded to open-ended questions on the Sustainability Attitudes in Nursing Survey. Data were analyzed using inductive content analysis.

Results:
Students in both countries identified lack of confidence as the main barrier to challenging unsustainable practice, followed by a resistance to change in practice. English students predominantly changed their own behavior or influenced the practice of others. Swedish students either changed their own behavior or their own attitudes to sustainability.

Conclusion:

There is a need to ensure students have confidence to act as change agents to enhance sustainable practice in the clinical environment.

[
J Nurs Educ
. 2022;61(7):390–393.]
L’Arche de Kircher. Le dernier voyage de l’Arche de Noé dans le monde moderne
Authors: Fabre Pierre Antoine 
Published: July 2022

Athanasius Kircher publie son Arca Noë en 1675 et s’inscrit dans une longue tradition d’exégèse chrétienne figurant l’Arche comme Église. L’Arche reste aussi le cadre d’une forme de zoologie, dont il tente de dégager des héritages mythiques en soustrayant en particulier le serpent ou la colombe à leur passif ou à leur actif symboliques. Kircher s’efforce de construire une équivalence Arche-Église-Empire et mobilise cette figure comme invocation d’une Espagne à l’échelle du monde qui appartient déjà au passé. Le traité est dédié au jeune Charles II dont le portrait figure dans un frontispice riche de multiples lectures, dans le sillage des grands ouvrages imprimés et illustrés produits par la Compagnie de Jésus durant tout le xviie siècle.
Le Coefficient de Biotope par Surface adapté sous l’angle des mutations spatiales des friches bruxelloises (Belgique)
Authors: Quadu Fiorella 
Published: July 2022

Cet article suggère des pistes d’amélioration des outils de Coefficients de biotope par surface bruxellois (CBS) afin de prendre en compte lors de l’urbanisation des friches urbaines leurs principales caractéristiques influençant le développement de la biodiversité et son évolution dans l’espace et le temps. Le contexte particulier de la friche urbaine, source de convoitises voire de conflits parfois difficilement réconciliables et pouvant abriter simultanément des habitats semi-naturels différents, fournit un terrain d’expérimentation du CBS intéressant pour évaluer son applicabilité dans les projets d’urbanisation. Les travaux se basent à la fois sur une revue de littérature et sur des cas appliqués. L’article permet de dégager des facteurs potentiels de pondération complémentaires à ceux attribués dans les outils CBS bruxellois. Ils sont distingués en facteurs dits « majeurs » indispensables au développement de la biodiversité d’une friche urbaine (le sol et l’eau) et en facteurs dits « mineurs » nécessaires pour décrire l’état et la dynamique élémentaire de la biodiversité d’une friche urbaine (la superficie, l’âge, l’environnement, la gestion, la couverture du sol). Il met en évidence l’importance relative des combinaisons de facteurs capables de simplifier le calcul du CBS ainsi que la nécessité de disposer de valeurs et d’unités spatiales de référence.
Vulvar malignant melanoma: a case report and review of management
Authors: Hashim Maizatulernawani , Yayanto Nor Hidayah , Muda Abdullah Badrul Zaman , Ramly Fathi , Abd Rashid Rahimah , Duski Daniel Roza 
Published: July 2022

Background: Vulvar malignant melanoma (VMM) is uncommon and pose a significant management challenge. Here, we presented a case of VMM managed by surgery, chemoradiation and planned for targeted therapy. Case Report: A 70 years old woman with underlying diabetes mellitus and hypertension presented with black-coloured growth around her left vulva for two months. Initial biopsy confirmed malignant melanoma with positive staining for S100, HMB 45, and Melan A. Imaging study showed localized disease to the vulva. Result: She underwent bilateral radical vulvectomy and bilateral inguinofemoral lymph nodes dissection followed by radiotherapy. She had locoregional disease recurrence, which was subsequently managed by palliative perineal radiotherapy, chemotherapy and planned for immunotherapy. Conclusion: Vulvar malignant melanoma is a rare and aggressive tumour, with a poor overall prognosis and high recurrence rate. Adjuvant chemotherapy, radiotherapy and immunotherapy may benefit for local recurrence and distant metastasis cases. Molecular Analysis has a potential role in targeted therapy to improve the survival and outcome of the patient.
Quality of Life Post Total Knee Arthroplasty
Authors: Alomran Abdallah S. 
Published: July 2022

Background and Objective:
Osteoarthritis of knee is quite common in Saudi Arabian population. Total knee arthroplasty (TKA) was reluctantly accepted in Saudi Arabia about 2 decades ago but there are few small number reports on quality of life (QOL) postsurgery. The objective of this study was to investigate the QOL and overall satisfaction postTKA.

Methods:
We retrospectively studied 200 patients’ consecutive patients who underwent primary TKA at King Fahd Hospital of the University, AlKhobar, Saudi Arabia. Patient's age, sex, weight, height, body mass index, and range of movements at the time of surgery were extracted from the QuadraMED patients Database. The minimum follow-up was 24 months. At the last visit of 24 months, patients were evaluated using modified Western Ontario and McMaster Universities Osteoarthritis Index (MWOMAC), QOL using Short Form-36 Health Survey (SF-36), and patient satisfaction was assessed.

Results:
Among the 212 TKAs performed, 52 were male and 148 were female. One hundred and twenty two were right side and 90 were left side and 22 were bilateral. The mean age was 62.7 ± 5.1 years. There were no intraoperative complications. Nearly 95% resulted in patient satisfaction. SF-36 and all the parameters assessed significantly improved (P < 0.001). MWOMAC scores of the patients, which show all functions, had statistically significantly improved to (P < 0.001) except prayers before and after surgery did not change which was expected. The overall level of satisfaction was observed 95% of patients.

Conclusions:
Our study shows that TKA has a positive effect on pain, mobility, QOL, and ultimate satisfaction.
Anesthesia for Inguinal Hernia Repair
Authors: Nnadozie Ugochukwu Uzodimma , Sunday-Nweke Nneka Alice , Maduba Charles Chidiebele , Madu Chinedu Ignatius , Nnamonu Michael Ikechukwu , Akunekwe Mishack Ikechukwu , Igboanugo Arinze Aetelbert , Okeke Valentine Uche 
Published: July 2022

Background:
The dearth of adequate facilities and anesthetists limits the number and extent of surgical cases that can be attended to in surgical outreach programs. Inguinal hernia remains a common health burden in the developing world. Tertiary hospitals provide good anesthetic complements to safe surgeries and will be a veritable tool in surgical outreaches.

Objectives:
The objective of the study is to assess the types/techniques of anesthesia used in uncomplicated open inguinal hernia repair in a tertiary hospital-based surgical outreach program.

Materials and Methods:
This study was a prospective analysis of anesthetic techniques used in all uncomplicated inguinal hernia repairs performed in outreach program over 1 week in May 2018. Data were collected with a pro forma, analyzed with SPSS, and presented in tables and figures.

Results:
One hundred and ninety-five patients with uncomplicated inguinal hernias were recruited for the study. The patients’ age ranged from 0 to 89 years, with a mean age of 33.62 ± 22.75 years. Most cases occurred in children. The male-to-female ratio was 7:1, and the majority were primary hernia repairs. Eighty-seven (44.6%) patients had local anesthesia (LA), 65 (33.3%) had general anesthesia (GA), while 43 (22.1%) had spinal anesthesia (SA). One hundred and sixty-two (83.1%) patients needed intraoperative analgesic augmentation. One hundred and sixty-nine (86.7%) patients were operated as day-case surgeries, while 26 (13.3%) patients were discharged the day after surgery. The failure rate of LA and SA put together was 74.6%, but there was no conversion to GA. Anesthetic complication was observed in 3.4% of cases.

Conclusion:
Organizing inguinal hernia repair outreach in a tertiary hospital offers the benefit of a full complement of anesthesia, which ensures safe and smooth surgery with low anesthetic complications. Most cases were done as daycare surgeries despite the high failure rate of LA and SA.
Comparison of Hemodynamic Changes in Patients Undergoing Laparoscopic Cholecystectomy using rocuronium and vecuronium for Intubation and Maintenance under General Anesthesia
Authors: Juneja Nikhita , Alam Md Shahbaz , Varshney Vipin Kumar , Gogia Pratiksha , Prasad Mukesh Kumar , Jheetay Gurdeep Singh 
Published: July 2022

Context:
The context of the study is to compare and find better muscle relaxant between rocuronium and vecuronium for intubation and maintenance under general anesthesia in patients undergoing laparoscopic cholecystectomy.

Aims:
The aim of the study is to measure intubating condition, hemodynamic changes during intubation and also during maintenance of general anesthesia and to record complications, if any.

Settings and Design:
A prospective clinical study conducted in the Department of Anesthesiology in tertiary care center.

Materials and Methods:
A total of 100 patients of the American Society of Anesthesiologists Classes Grade I and II were planned for laparoscopic cholecystectomy were divided into two groups of 50 each. The subjects in the control and study group were put under anesthesia using injection propofol 2.0 mg.kg−1 along with injection vecuronium 0.10 mg.kg−1 and injection propofol 2.0 mg.kg−1 along with injection rocuronium 0.60 mg.kg−1, respectively. Hemodynamic monitoring and oxygen saturation (SPO2) were recorded at various intervals.

Statistical Analysis Used:
All the collected data were imported into Microsoft Excel, and the statistical analysis was done by using SPSS 25.0 version.

Results:
The mean heart rate before and after carboperitoneum at different time intervals and before and after extubation was significantly lower in vecuronium group. The mean systolic blood pressure and mean arterial pressure at 1 and 5 minutes after extubation were significantly more among vecuronium group.

Conclusions:
Rocuronium is reasonably cardiostable, produces excellent intubation conditions, has a shorter duration of action, and shows minimal cumulative effect.
Conjunctival congestion after laparoscopic operation in children: A retrospective case series in a single-centre children’s medical centre
Authors: Gong Hong-Lei , Yang Na , Zhao Qing-Kai , Zhao Ji-Cun , Wu He 
Published: July 2022

Objective:
In the present study, we report a retrospective analysis of 23 cases of conjunctival congestion after laparoscopic operation in children and try to explore the causes and intervention measures.

Methods and Results:
This is a retrospective, single-centre and observational study, and all patients with conjunctival congestion after laparoscopic operation admitted to our institution between August 2021 and December 2021 were included in this study. Records of 23 patients including 16 male patients and 7 female patients were retrospectively analysed. These patients were in the age group of 2–12 years. Their primary symptom was different degrees of conjunctival congestion, and the symptom onset was between 2 and 7 days after laparoscopic operation, including laparoscopic inguinal hernia repair, laparoscopic appendectomies, laparoscopic Meckel’s diverticulectomy, laparoscopic removal of foreign body ingestions and laparoscopic choledochal cystectomy, and the duration of operations varies from 20 min to 255 min. The symptom disappeared from 5 to 21 days after the operation, and the duration of the symptom ranged from 2 to 14 days. A total of 1718 operations were performed, of which 461 were laparoscopic and 1257 were general operations, the incidence of conjunctival congestion after laparoscopic surgery was 23/461, and compared with 0/1257 after ordinary surgery, there was a significant difference between them. Of these 23 patients, 5 patients received no treatment and the other 18 patients were intervened with steroid-containing eye drops. Although eye drops containing steroids can significantly relieve eye discomfort, the duration of conjunctival congestion between the two groups (i.e. steroid-containing eye drop treated vs. non-steroid-containing eye drop treated) did not differ significantly. All patients recovered well. In the follow-up till the end of February 2022, no serious complications had occurred.

Conclusion:
Conjunctival congestion after laparoscopic operation is extremely rare in children, and the underlying causes are still unclear. We speculate that the pressure of pneumoperitoneum may be the main cause of this phenomenon. Symptoms may be self-limiting, and steroid-containing eye drops can relieve effectively the discomfort.
Prevalence, severity, and risk factor of breakthrough infection after vaccination with either the Covaxin or the Covishield among healthcare workers: A nationwide cross-sectional study
Authors: Krishna Bhavya , Gupta Anju , Meena Kaushal , Gaba Astha , Krishna Shreya , Jyoti Ruchika , Aeron Neha , Prashanth Shruti , Samriti  , Ganapathy Usha 
Published: July 2022

Background and Aims:
The coronavirus disease-2019 (COVID-19) pandemic has grappled the entire globe since the beginning of 2020. In India, two vaccines were released in January 2021, the Covaxin® and the Covishield™. However, despite vaccination, many breakthrough infections were reported during the second wave in India. The present cross-sectional study aimed to find out prevalence, severity, and associated risk factors of breakthrough infection among healthcare workers (HCWs) vaccinated against COVID-19.

Material and Methods:
After ethical approval and CTRI registration, a validated questionnaire was circulated as Google form-based survey to HCWs across the nation through e-mail over 3 weeks. Biweekly reminders were sent to nonresponders till the desired sample size was attained, after which the survey was closed, and responses were charted. Data obtained from the responses were collated and analyzed.

Results:
A total of 1096 HCWs responded to the survey (54.8% response rate) and 23.36% had breakthrough infection. The severity of infection was more in the 30–50 years age group (P = 0.0170) and doctors belonging to clinical branches (P = 0.0005). The point estimate for effectiveness in preventing infection was significantly better with Covishield™ (78.5% vs. 72.4%) (P = 0.0260). Nearly all those who were infected after vaccination thought that vaccination decreased disease severity.

Conclusion:
Breakthrough COVID-19 infection still occurred after vaccination though the prevalence of severe infection was low. Covishield™ performed significantly better than Covaxin® in terms of preventing the disease. Clinical branches of medicine were found at a higher risk and younger HCWs or those with comorbidities had a higher severity of the disease.
Assessing the Prevalence and Socio-Demographic Determinants of the Unsolved Problem of Perceived Social Stigma
Authors: Bandyopadhyay Alapan , Samanta Sampriti , Mukherjee Abhijit , Bhattacherjee Sharmistha 
Published: July 2022

Background:
Leprosy has been affecting the human race since millennia, characterized by widespread, slow-healing lesions that lead to severe physical deformities. Along with its communicability, leprosy patients have therefore been subjected to widespread social stigma all over the world. Even though a largely effective national program has reduced the incidence of cases substantially in India, stigma has persisted. The present study aimed to assess the perceived stigma among leprosy patients living in rural areas and receiving care in a rural leprosy clinic of Northern West Bengal, India and to determine different factors associated with it.

Materials and Methods:
A cross-sectional study was conducted among 61 leprosy patients over the month of January 2021. The Explanatory Model Interview Catalog (EMIC) stigma scale was used to measure the perceived social stigma. Descriptive statistics and a multivariable linear regression analysis were used to present and explain the data.

Results:
Illiteracy and low socio-economic status were prevalent among the patients. The perceived stigma scores ranged from 4 to 35, with a mean of 23.36 ± 9.13. When adjusted for predictor variables such as age, sex, marriage, education, and socio-economic status, it was seen that perceived social stigma increased significantly (P-value=0.029) with increasing age. Female sex (P-value=0.022), illiteracy (P-value=0.017), and Grade 2 disability (P-value=0.009) were also significantly associated.

Conclusion:
The study observed that the overall perceived stigma levels among leprosy patients in this region were still high. This signals an enduring persistence of the problem. It is of urgent need to develop and implement stigma reduction strategies.