bluuebunny/crossref_metadata_2025_split huggingface dataset:
A qualitative exploration of preventive dental advice for parents of children with congenital heart disease
Authors: Owen Jenny , Csikar Julia , Vinall-Collier Karen , Douglas Gail VA 
Published: February 2022

Background/Aims Children with congenital heart disease are at an increased risk of developing oral disease, which can negatively impact their general health and increase the risk of infective endocarditis. This study explored the preventive oral health advice given to parents of children with congenital heart disease and any barriers that exist to the implementation of this advice. Methods Four semi-structured interviews were conducted with parents of children with congenital heart disease, which followed a topic guide that explored personal experiences of oral healthcare provision and the advice received. Interviews were audio recorded and transcribed verbatim. Thematic analysis was undertaken by one researcher, with themes reviewed by a second. Results Improving awareness of oral health was highlighted as being important to participants. The prioritisation of the child's heart condition was also discussed, and participants felt that there were opportunities to develop the multidisciplinary collaboration between dental and cardiac teams. The consistency of messages could also be enhanced, as health advice sometimes contradicted oral health guidance, which could unintentionally increase the child's risk of tooth decay. Conclusions Enhancing collaboration between the various disciplines involved in the care of children with congenital heart disease is needed to ensure that appropriate advice and support is given to parents regarding oral health.
Transanal irrigation in the treatment of functional bowel disorders: a district general hospital perspective
Authors: Henderson Alice , Kamil Ifra , Meskin Fatima , Nisar Pasha , Thomas Gregory , Bearn Philip , Trivedi Prateesh 
Published: February 2022

Background: Transanal irrigation (TAI) is a long-term treatment for obstructive defaecation syndrome, slow transit constipation and faecal incontinence. Aim: This study aimed to assess the efficacy of TAI on treating these conditions. Method: Data were collected using two standard follow-up questionnaires. Pre- and post-treatment symptom perception scores were compared. A Wilcoxon matched-pairs signed rank test was performed. A p value of <0.05 was considered significant. Findings: Of 54 patients who were referred for TAI to a regional pelvic floor centre, 29 agreed to participate. All used one of the four Qufora IrriSedo TAI systems (MacGregor Healthcare). Symptom perception scores were reduced by 48.3% in patients with faecal incontinence (p<0.05) and 33.8% in those with constipation (p<0.0001). Symptom severity decreased, with reductions of 34.8% in St Mark's Faecal Incontinence score (p=0.0249) and 28.6% in Cleveland Clinic Constipation score (p=0.03). Conclusion: TAI was shown to be an effective treatment for functional bowel problems.
Preventing pressure ulcers from paediatric femoral traction: use of an audit cycle to assess a new concise manual and a daily care chart
Authors: Mourkus H , Hussain S , Khalefa MA , Vadivelu R , Prem H 
Published: February 2022

Introduction Femoral shaft fractures are common in children up to 14 years of age and traction is frequently used during their treatment. A lack of training and unfamiliarity of junior doctors and nursing staff with this treatment modality may lead to unfavourable skin complications, especially in the absence of regular monitoring. We introduced and audited a simple and reproducible way of monitoring these patients. Methods An initial audit was conducted of all children with femoral shaft fracture treated in skin traction. A new traction manual and daily care chart were introduced, and a re-audit was performed. A parallel survey regarding skin traction in children was conducted involving 33 hospitals in the United Kingdom. Results The initial audit showed three patients (23%) developed grade 2 pressure sores with a mean duration of traction of 8.5 days. A pressure sites check was documented in only 7.7%. A re-audit, after introduction of the traction manual and daily care chart showed a mean duration of traction of 8.4 days and only one patient (12.5%) developed a grade 1 sore. Pressure site monitoring improved significantly with 75% documentation. No daily care chart was used among the 33 centres in the survey and only 27% of centres had access to a manual in the ward. Conclusions Introduction of a single-page traction manual and a daily care chart into patient care notes to effectively monitor for pressure areas in children on skin traction helps reduce the incidence of serious skin complications.
Head–neck dissection course during COVID-19 pandemic: challenges, adaptations and how we did it
Authors: Zubair A , Zhang H , Scholfield DW , Ahmad R , Ahmed J , Ali S , Ghufoor K 
Published: February 2022

Introduction Cadaveric dissection courses have come to a standstill since the onset of the COVID-19 pandemic. In addition to limited operative opportunities, cancellation of such courses has severely impacted surgical training, especially in a craft-based specialty such as head–neck surgery. The aim of this educational project was to: (1) study the feasibility of an in-person head–neck cadaveric dissection course during COVID-19 pandemic; and (2) validate the educational benefit of this teaching method to ear, nose and throat (ENT) trainees. Methods We developed a 2-day head–neck cadaveric dissection course for ENT trainees. The course programme covered essential head–neck open surgical procedures. Content validity (subjective feedback) was assessed using a 5-point Likert scale. Construct validity (objective usefulness) was evaluated via two pre- and post-course questionnaires, estimating knowledge of head–neck surgical anatomy and self-assessment of levels of confidence with head–neck procedures, respectively. Results A risk assessment was conducted and a protocol developed (risk was deemed to be low/tolerable). Content validity showed high satisfaction compared with a median Likert score of 3, ‘average’ (p=0.000002). For construct validity, the mean score per question improved significantly (p=0.001). Overall levels of confidence showed a trend towards improvement (p=0.08). There was significant improvement in laryngectomy (p=0.01) and level I dissection (p=0.01), with an indication of improvement in level II–V dissection (p=0.07). Conclusions We demonstrated that a cadaveric dissection course, using thorough risk assessment and protocol, could be safely conducted with high content and construct validation during these unprecedented times. This is an invaluable learning environment that needs to be encouraged despite infection control restrictions.
Results and evaluation of the expansion of a model of comprehensive care for Chagas disease within the National Health System: The Bolivian Chagas network
Authors: Pinazo Maria-Jesus , Rojas-Cortez Mirko , Saravia Ruth , Garcia-Ruiloba Wilson , Ramos Carlos , Pinto Rocha Jimy-Jose , Ortiz Lourdes , Castellon Mario , Mendoza-Claure Nilce , Lozano Daniel , Torrico Faustino , Gascon Joaquim ,   on behalf of Chagas Platform and Chagas Healthcare Network working group
Published: February 2022

Background
Most people with chronic Chagas disease do not receive specific care and therefore are undiagnosed and do not receive accurate treatment. This manuscript discusses and evaluates a collaborative strategy to improve access to healthcare for patients with Chagas in Bolivia, a country with the highest prevalence of Chagas in the world.

Methods
With the aim of reinforcing the Chagas National Programme, the Bolivian Chagas Platform was born in 2009. The first stage of the project was to implement a vertical pilot program in order to introduce and consolidate a consensual protocol-based healthcare, working in seven centers (Chagas Platform Centers). From 2015 on the model was extended to 52 primary healthcare centers, through decentralized, horizontal scaling-up. To evaluate the strategy, we have used the WHO ExpandNet program.

Results
The strategy has significantly increased the number of patients cared for, with 181,397 people at risk of having T. cruzi infection tested and 57,871 (31·9%) new diagnostics performed. In those with treatment criteria, 79·2% completed the treatment. The program has also trained a significant number of health personnel through the specific Chagas guidelines (67% of healthcare workers in the intervention area).

Conclusions
After being recognized by the Chagas National Programme as a healthcare model aligned with national laws and priorities, the Bolivian platform of Chagas as an innovation, includes attributes that they have made it possible to expand the strategy at the national level and could also be adapted in other countries.
The Adverse Event Unit (AEU): A novel metric to measure the burden of treatment adverse events
Authors: Hehir Michael K. , Conaway Mark , Clark Eric M. , Aronzon Denise B. , Kolb Noah , Kolb Amanda , Ruzhansky Katherine , Sadjadi Reza , De Sousa Eduardo A. , Burns Ted M. 
Published: February 2022

Objective
To design a physician and patient derived tool, the Adverse Event Unit (AEU), akin to currency (e.g. U.S. Dollar), to improve AE burden measurement independent of any particular disease or medication class.

Patients/Methods
A Research Electronic Data Capture (REDCap) online survey was administered to United States physicians with board certification or board eligibility in general neurology, subspecialty neurology, primary care internal medicine or family medicine, subspecialty internal medicine, general pediatrics, and subspecialty pediatrics. Physicians assigned value to 73 AE categories chosen from the Common Terminology Criteria of Adverse Events (CTCAE) relevant to neurologic disorder treatments. An online forced choice survey was administered to non-physician, potential patients, through Amazon Mechanical Turk (MTurK) to weight the severity of the same AE categories. Physician and non-physician data was combined to assign value to the AEU. Surveys completed between 1/2017 and 3/2019.

Results
363 physicians rated the 73 AE categories derived from CTCAE. 660 non-physicians completed forced choice experiments comparing AEs. The AEU provides 0–10, weighted values for the AE categories studied that differ from the ordinal 1–4 CTCAE scale. For example, CTCAE severe diabetes (category 4) is assigned an AEU score of 9. Although non-physician input changed physician assigned AEU values, there was general agreement among physicians and non-physicians about severity of AEs.

Conclusion
The AEU has promise to be a useful, practical tool to add precision to AE burden measurement in the clinic and in comparative efficacy research with neurology patients. AEU utility will be assessed in planned comparative efficacy clinical trials.
Nuevas técnicas de Medicina Nuclear en la cirugía del hiperparatiroidismo
Authors: García-Talavera Paloma , Díaz-González Luis Gonzaga , Gómez-Caminero Felipe , Martín Gómez Enrique , Cañadas-Salazar José Cristóbal , Tamayo-Alonso Pilar 
Published: February 2022

Introducción y objetivo:
La cirugía radioguiada del hiperparatiroidismo (HPT) ha evolucionado en los últimos años, gracias a la aparición de nuevas herramientas intraoperatorias y al perfeccionamiento de las técnicas pre-operatorias. El objetivo de este trabajo es realizar una revisión actualizada del papel del PET-CT con colina como técnica preoperatoria, así como de las herramientas intraoperatorias, en la radiolocalización de adenomas de paratiroides.
Síntesis:
El PET-CT con colina es una técnica preoperatoria, alternativa a la gammagrafía con 99mTc-MIBI, para la localización pre-quirúrgica del HPT, en casos en que las pruebas convencionales sean negativas o dudosas. Esta técnica ha demostrado buenos resultados en dos metaanálisis publicados recientemente. La localización radioguiada mediante sonda gamma continúa siendo la técnica intraoperatoria de elección en los casos con glándulas paratiroides que muestran captación significativa de 99mTc-MIBI. La gammacámara portátil es una herramienta adyuvante a la sonda, que permite realizar una imagen intraoperatoria y asegurar la completa resección de los especímenes. El “free hand SPECT” ya se está aplicando en la cirugía radioguiada de paratiroides, pero aún su uso no está extendido, probablemente debido a que no se ha demostrado la superioridad de esta técnica frente al uso de la sonda y la gammacámara portátil. La radiolocalización de lesiones ocultas (ROLL) mediante inyección de 99mTc-MAA y la inyección de semillas de 125I son dos alternativas para la localización radioguiada de paratiroides 99mTc-MIBI negativas, y ya están siendo empleadas con éxito. Los trazadores híbridos, empleados ya en la cirugía radioguiada del ganglio centinela, aún no se han aplicado en el hiperparatiroidismo.
Conclusiones:
El PET-CT con colina es una herramienta exitosa y cada vez más utilizada en la localización pre-operatoria del HPT. Aunque la sonda gammadetectora sigue siendo de elección en la cirugía del HPT, tanto por sus buenos resultados, como por la gran experiencia acumulada y bajo coste; la adición de la gammacámara portátil podría ser de ayuda en casos concretos y para asegurar la exéresis completa de los especímenes. La inyección de semillas con 125I y de 99mTc-MAA, guiada por ecografía, es de utilidad en casos 99mTc-MIBI negativos. La “free hand SPECT” y los trazadores híbridos aún requieren más experiencia en su aplicación a la cirugía del HPT para demostrar sus posibles ventajas frente al resto de herramientas utilizadas.
Cáncer de tiroides en pediatría
Authors: Prieto-Matos Pablo , Martín-Hernández Diana , Martín-Alonso Montserrat , Bajo-Delgado Ana Fe , Riesco-Riesco Susana , Prieto-Matos Carlos 
Published: February 2022

Introducción y objetivo: El cáncer de tiroides es una enfermedad rara en la edad pediátrica que está aumentando en los últimos años, principalmente en mujeres adolescentes. Aunque guarda similitudes con el cáncer tiroideo del adulto tiene una serie de peculiaridades que lo diferencian. Nuestro objetivo es mostrar estas diferencias, resaltando las particularidades de esta enfermedad en la edad pediátrica frente a la del adulto.
Los avances en las técnicas diagnósticas de genética molecular han permitido nuevos descubrimientos acerca de la génesis de tumores tiroideos en edades tempranas. También han supuesto un incremento de los diagnósticos de síndromes de predisposición genética, principalmente MEN2A, que ha producido un aumento significativo de tiroidectomías profilácticas. Los tipos histológicos más frecuentes son los cánceres diferenciados, principalmente el papilar. Al diagnóstico en edad pediátrica, suelen presentar un mayor tamaño, extensión, y probabilidades de multifocalidad y metástasis que en el adulto. A corto plazo el pronóstico es excelente; sin embargo, a largo plazo existe un número importante de recaídas y de aparición de segundos tumores. Para su tratamiento y seguimiento son necesarias unidades de alta especialización pediátrica que incluyan cirujanos expertos en tiroides. Se debe tender a la medicina personalizada estableciendo protocolos diagnósticos que caractericen correctamente el tumor y estratifiquen el pronóstico, adaptando la cirugía, la administración de yodo-131 y los nuevos tratamientos farmacológicos para buscar la máxima efectividad y supervivencia y minimicen los efectos secundarios.
PENERAPAN GMP DAN SSOP PADA PENGALENGAN IKAN LEMURU (Sardinella longiceps) DALAM MINYAK NABATI
Authors: Lapene Al Acthur IW , Sipahutar Yuliati Hotmauli , Ma’roef Ahadin FF 
Published: February 2022

GMP adalah pedoman persyaratan dan tata cara berproduksi yang baik bagi suatu unit pengolahan ikan, memastikan mutu produk dan menjamin tingkat dasar pengendalian keamanan pangan. SSOP merupakan pedoman persyaratan operasi sanitasi di unit pengolahan ikan, untuk menjamin bahwa prosedur dan proses sanitasi dilakukan secara efisien mengendalikan bahaya keamanan pangan yang umum dijumpai dilingkungan pengolahan dan operasi. Penelitian bertujuan untuk mengetahui penerapan Good Manufacturing Practices dan Sanitation Standard Operating Prosedure pada tahapan produksi pengalengan ikan Lemuru (Sardinella longiceps) dalam minyak nabati. Penelitian ini menggunakan metode survey, wawancara, observasi, dokumentasi, serta partisipasi langsung dalam kegiatan proses pengalengan ikan Lemuru. Penerapan GMP pada tahapan produksi meliputi: Penerimaan bahan baku; pengguntingan (potong kepala dan ekor); pencucian bahan baku ikan lemuru; pelepasan karton, thawing (pelelehan), penyiangan, pencucian, pencucian kaleng kosong, pengisian dalam kaleng, preccooking (pemasakan pendahuluan), penirisan, pengisian media, penutupan kaleng, pencucian kaleng, sterilisasi, pendinginan, pengkodean, inkubasi, pengepakan, penyimpanan, pengiriman. Penerapan SSOP meliputi : keamanan air dan es, peralatan dan pakaian kerja dan pencegahan kontaminasi silang, toilet dan tempat cuci tangan,bahan kimia dan saniter, syarat label dan penyimpanan, kesehatan karyawan dan pengendalian pest. Penerapan GMP dan SSOP telah dilaksanakan dengan baik untuk mengurangi kontaminasi produk akhir dan telah sesuai dengan standard prosedur yang telah ditetapkan oleh perusahaan.
Aktualisasi Hadis Risywah Dalam Masyarakat Di Desa Suka Cinta Kecamatan Muara Kuang Kabupaten Ogan Ilir
Authors: Artika Wina , Hasanah Uswatun , Nadhiran Hedhri 
Published: February 2022

Abstract

This article discusses the understanding of the people of Suka Cinta village, Muara Kuang District, Ogan Ilir Regency, about the hadith of Risywah and how the actualization of the understanding of the hadith Risywah. This research uses qualitative method with the study of living hadith and using sociological theory namely verstehen (understanding). The subject of this research was the community of Suka Cinta village, Muara Kuang District, Ogan Ilir Regency consisting of indigenous leaders, community leaders, village devices, and residents. Data collection techniques use observation, interview, and documentation methods. The results showed that some people already know about the hadith Risywah, and some do not know and understand it. But in the practical order, both people who know or do not know the hadith, generally they still allow to receive the gift given because some think it is commonplace and as a form of help to the party who asked for help / giver of bribes, as long as there is no element of coercion. It can be said from the community's response that some of these people tend to ignore the teaching values contained in the hadiths of bribery. It also shows that the living hadith in society has not been carried out, so this is an effort to live the hadith in society.

Keywords: Bribe, verstehen, living the hadith, actualization.

Abstrak
Artikel ini membahas tentang pemahaman masyarakat desa Suka Cinta Kecamatan Muara Kuang Kabupaten Ogan Ilir mengenai hadis Risywah serta bagaimana pengaktualisasian dari pemahaman hadis Risywah tersebut. Penelitian ini menggunakan metode kualitatif dengan studi living hadis dan menggunakan teori sosiologi yaitu verstehen (pemahaman). Subjek penelitian ini adalah masyarakat desa Suka Cinta Kecamatan Muara Kuang Kabupaten Ogan Ilir yang terdiri atas tokoh adat, tokoh masyarakat, perangkat desa, dan warga. Teknik pengumpulan data menggunakan metode observasi, wawancara, dan dokumentasi. Hasil penelitian menunjukkan bahwa sebagian masyarakat sudah mengetahui tentang hadis Risywah, dan sebagian ada yang belum mengetahui dan memahaminya. Namun dalam tatanan praktis, baik masyarakat yang mengetahui ataupun yang tidak mengetahui hadis tersebut, umumnya mereka tetap membolehkan menerima pemberian yang diberikan karena sebagian beranggapan hal tersebut sudah lumrah dan sebagai bentuk pertolongan kepada pihak yang meminta bantuan/ pemberi suap, selama tidak ada unsur pemaksaan. Bisa dikatakan dari respon masyarakat tersebut bahwa sebagian masyarakat ini cenderung mengabaikan nilai-nilai ajaran yang terkandung dalam hadis-hadis suap. Hal ini juga menunjukkan bahwa the living hadith dalam masyarakat belum terlaksana, maka hal ini adalah sebagai upaya living the hadith dalam masyarakat.

Kata kunci: Risywah, verstehen, living the hadith, aktualisasi.
Kajian dan Analisis Hadis Tentang Poligami
Authors: Muzaki Ahmad , Ali Sayful Islam , Toriquddin Moh. 
Published: February 2022

Abstrak
Praktik poligami banyak salah diartikan oleh para masyarakat dengan banyaknya hadis-hadis yang membahas tentang poligami. Hadis-hadis ini dijadikan pegangan dan dasar untuk boleh poligami, namun kebanyakan ulama memahami hadis ini sebagai penguat dan penjelas dari ayat ketiga surah an-Nisa, di lain sisi terdapat beberapa hadis yang menerangkan larangan terhadap pratik poligami, hadis tersebut secara jelas melalui riwayat Bukhari Nabi melarang dengan jelas praktik poligami. Dalam artikel ini mengkaji hadis-hadis yang berhubungan dengan kebolehan melakukan poligami, larangan melakukan poligami, aspek hukum dan impliksi hadis tentang poligami. Penelitian ini menemukan bahwa praktik poligami harus memenuhi dua syarat, pertama; keharusan berlaku adil. Kedua; ridha dari istri pertama atau walinya.
Kata Kunci: Poligami, Hadis, Implikasi
Marcas no corpo
Authors: Lucia Renata Andrea Santana de , Fischer Stela Regina 
Published: February 2022

O artigo tece reflexões sobre a experiência de uma artista feminista e mãe, que interssecciona o estudo da performance autobiográfica com a realização de práticas artísticas e coletivas com mulheridades. Apresenta discussões sobre a performance e os cenários liminares, suscitadas em sua trajetória de arte e política, que é construída ao lado do movimento feminista da cidade de Londrina – PR.