bluuebunny/crossref_metadata_2025 huggingface dataset:
An Analysis of Knowledge, Attitudes and Support Effects on the Implementation of Infection Control Prevention at the Public Health Center in Bengkulu Province
Authors:   Widyaiswara Ahi Madya UPTD Pelatihan Kesehatan Provinsi Bengkulu, Apriani Risma , Oktavera Popi ,   Widyaiswara Ahi Muda UPTD Pelatihan Kesehatan Provinsi Bengkulu
Published: April 2023

Background: The Infection Prevention and Control is an effort to ensure the protection for everyone toward the possibility of being infected by infection from sources to the community while receiving health services at various health facilities. It is hoped that the implementation of infection prevention and control at the health centers can be carried out efficiently and effectively by following the established policies and standard procedures. How is the implementation of Infection Prevention and Control in public health center. Materials/Methods: This study is a quantitative study with a cross-sectional approach which was carried out to determine the effect of knowledge and support on the implementation of infection prevention and control in in public health center in Bengkulu Province. The population in this study is the health center staffs who carry out the service. The samples taken were 131 respondents. Data analysis was carried out through linear and multiple regression using SPSS 22 which aims to analyze the effect of knowledge and support on the implementation of infection prevention and control in public health center. Result: From the results of the Chi-square test analysis, it can be seen that the effect of knowledge on the infection prevention and control application obtains a p-value of 1.0>0.5. From these results, it can be concluded that there is no effect of knowledge on the application of infection prevention and control. The attitude variable affects the infection prevention and control application which obtains 100% good results. The support variable has an effect on the infection prevention and control application which obtains a p-value of 0.021 <0.5. From these results it can be concluded that there is an effect of support variable on the implementation of infection prevention and control. The officers’ knowledge has not had an effect on the implementation of infection prevention and control at the health centers. Several factors that can affect the compliance and non-compliance of health workers with infection prevention and control steps are: knowledge, education and training, experience, and lack of equipment and materials supplies. Conclusion: Officers need to increase their knowledge of IPC and be trained in firmness of attitude, maintaining support from the environment in order to maintain and improve their ability to apply IPC.
Application of Restorative Justice In The Settlement of Customary Criminal Cases
Authors: Salamor Anna Maria , Titahelu Juanrico Alfaromona Sumarezs , Ubwarin Erwin , Taufik Iqbal
Published: April 2023

Introduction: Indonesia is a country with a variety of ethnic and cultural patterns, including race, language, and others. With diversity in each customary area, it has different rules and legal regulation because it has its own customs.Purposes of the Research: The purpose of this research is to find out the application of restoration justice in the settlement of customary criminal casesMethods of the Research: Normative legal research is carried out by examining laws and regulations, jurisprudence and values that lives in societyResults of the Research:  The application of restorative justice as long as it does not conflict with positive law or customary law can be used in resolving customary criminal cases that occur as in Nua Nea Country and Akoon Country while upholding the customary values of their respective regions. the application of customary criminal punishment can provide a deterrent effect for perpetrators who make mistakes and do not repeat their actions again.
Implications of Waqf Land Management from the Perspectives of Positive Law and Islamic Law: A Case Study of Waqf Land in North Sumatra
Authors: Harahap Abd. Rahman , Nasution M. Yasir , Pagar Pagar
Published: April 2023

Introduction: Waqf is a sign of giving whose implementation is carried out by retaining (ownership) of origin (tahbisul ashli), then making the benefits generally accepted. Purposes of the Research: To find out about the management of waqf property in North Sumatra, especially the waqf land of Tengku Darwisyah in Serdang Bedagai according to positive law and Islamic law.Methods of the Research: This research is a qualitative study with a social history approach to Islamic law.Results of the Research: The management of the waqf land of Tengku Darwisyah is still far from expectations because it has not been managed perfectly and only has a traditional and consumptive nature, and there has been no good management. In addition, the trustee of the waqf of Tengku Darwisyah is passive and even fatalistic by allowing tenants to build permanent structures such as places of worship, sports halls (GOR), farms, and trading companies, which should be productive, and this policy is not based on any contract or agreement.
Aplicação de bioestimulante hormonal na produção e qualidade de raízes de cenoura em diferentes épocas de plantio
Authors:   , Gomes Jéssica Lino
Published: April 2023

Devido às influências, muitas vezes prejudiciais, que estresses abióticos exercem sobre a cultura da cenoura, faz-se necessário o uso de tecnologias ou produtos que minimizem tais efeitos. Entre as tecnologias disponíveis, o uso de bioestimulantes, produtos capazes de atuar na tolerância à estresses bióticos e abióticos, e influenciar na produtividade e qualidade na colheita, torna-se uma possibilidade. Com isso, o objetivo deste estudo foi avaliar o efeito de bioestimulante à base de hormônios, sobre a produtividade e qualidade de duas cultivares de cenoura, em duas épocas de plantio. Os experimentos foram conduzidos em delineamento de blocos ao acaso, com quatro repetições, em esquema de parcelas subdivididas. Nas parcelas foram dispostas as cultivares (Nantes – recomendada para cultivo de inverno e Brasília – recomendada para cultivo de verão) e, nas subparcelas as doses de bioestimulante (0, 5, 10, 15 e 20 mL.L -1 de água destilada). As variáveis avaliadas foram: comprimento e diâmetro de raiz, massa de matéria fresca de raiz, massa de matéria seca de raiz, volume radicular, carotenoides totais com base em ꞵ-caroteno, teor de açúcar solúvel, pH, acidez titulável total de raízes e produção total. A análise conjunta dos experimentos foi realizada para elucidar o efeito da época de plantio combinada ao uso de bioestimulantes. Os resultados sugerem efeito das doses de bioestimulante no comprimento de raiz. A dose que resultou em maior comprimento de raiz foi de 12,91 mL.L -1 para o plantio de verão. Para as demais variáveis não foi observado influência, exceto para sólidos solúveis que, reduziu linearmente com o aumento das doses do produto. A cultivar Brasília foi superior à cultivar Nantes para todas as características avaliadas, exceto para acidez titulável. O plantio de meia estação foi mais favorável para as variáveis massa de matéria fresca de raiz, produtividade, volume radicular e diâmetro de raiz, principalmente para a cultivar Brasília. Palavras-chave: Daucus carota. Bioestimulante. Regulador de crescimento.
The genetic basis of drought resistance in tomato
Authors:   , Rosa Bruno Luan
Published: April 2023

The development of crop varieties capable of maintaining satisfactory yields under stressful conditions such as drought is an important step towards ensuring adequate food production in the future. In this context, natural genetic variation in tomato can be allied with modern techniques such as the production of introgression lines, as well as mutant and transgenic organisms in the search for varieties more resistant to water deficit. Here, we show that S. pennellii introgression lines IL2-5, IL4-3, and IL2-5/4-3 exhibit increased leaf succulence, as well as significant changes in leaf thickness and stomatal density. Together, these leaf traits contributed to the maintenance of leaf water status, which improved photosynthetic performance and plant resilience when subjected to drought conditions. In this work, we also demonstrated the physiological and hydraulic changes caused by an allelic variant of the OBSCURAVENOSA (OBV) gene. In addition to controlling the development of vascular bundle sheath extensions (BSE), this gene also resulted in significant changes in leaf insertion angle, leaf margin serration, venation density, and fruit shape. We found that BSE development is strongly linked functionally to the auxin signaling network involving AUXIN RESPONSE FACTOR 4 (ARF4). Lastly, we show that loss of function of ARF4 alters leaf structure, resulting in a phenotype with severe leaf curling and low stomatal conductance. Loss of ARF4 function increased water and abscisic acid content in leaves, resulting in significant improvements in tomato plant resistance to salt and osmotic stress. Our data provide evidence that anatomical and morphological changes in leaves, whether from natural genetic variation or genetically modified organisms, can help to better understand the process of resistance to abiotic stress, such as drought and salinity. Thus, we suggest that mapping and identifying the genes responsible for the leaf traits demonstrated here may help in the creation of future varieties that are more resistant to water deficit. Keywords: Solanum pennellii. Introgression lines. Auxin. CRISPR-Cas9. Bundle sheath extensions. Drought stress.
Comparison of the effects of perioperative and adjuvant chemotherapy on outcomes of operable gastric cancer: a retrospective cohort experience from a tertiary cancer center
Authors: Jamshed Ali  , Nuzhat Humayun  , Shameen Ikram  , Muhammad Abu Bakar  , Umm-e-Kulsoom  , Rizwan Masood Sheikh  , Admin
Published: April 2023

Objective: To compare the overall survival and disease-free survival rates with perioperative or adjuvant chemotherapy regimens in operable gastric cancer cases.
Method: The retrospective, observational study was conducted at the Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan, and comprised date from January 2015 to December 2020 of operable gastric cancer patients who had perioperative or adjuvant chemotherapy. Overall survival and disease-free survival were evaluated. Data was analysed using SPSS 23.
Results: Of the 108 patients in the aga range 27-80 years, 71(65.74%) were males. The overall median age was 49.50 years (interquartile range: 28 years). There were 69(63.88%) patients on perioperative and 39(36.12%) on adjuvant chemotherapy. The probability of 2- and 3-year overall survival was 68.20% and 57.32% in the perioperative group, and 51.09% and 45.43%, respectively, in the adjuvant group. The probability of 2- and 3-year disease-free survival was 55.45% and 49.30% in the perioperative group, while 2-year disease-free survival was 38.39% in the adjuvant group which had no patient reaching the 3-year mark. The median overall survival for the perioperative group was 49.29 months (interquartile range: 44.50 months) and for the adjuvant group it was 28.23 months (interquartile range: 25.00months) (p=0.07). The median disease-free survival was 35.46 months (interquartile range: 38.50 months) for the perioperative group and 10.19 months (interquartile range: 14.00months) for adjuvant group (p=0.16). The difference between the groups was not significant (p>0.05), but there was a trend suggestive of the superiority of perioperative chemotherapy over adjuvant chemotherapy.
Conclusion: In operable gastric cancer cases, the difference between the groups was not significant, but there was a trend suggestive of the superiority of perioperative chemotherapy over adjuvant chemotherapy with respect to overall survival and disease-free survival.
Key Words: Gastric cancer, Outcomes, Pakistan, Adjuvant chemotherapy, Perioperative chemotherapy, Survival.
The influence of the nutrients consumed by health workers during the period of COVID-19 pandemic on hedonic hunger
Authors: Arslan Muge , Edanur Aydin
Published: April 2023

Objective: To examine the effects of macro- and micro-nutrient intake of health workers on hedonic hunger.
Method: The descriptive, cross-sectional study was conducted at Kahramanmaras Necip Fazl City Hospital, Turkey, from May to December 2021, and comprised all types of healthcare professionals of either gender aged >18 years. Data was collected using a 22-question survey form to record three-day food consumption, and the Power of Food Scale. Data was analysed using SPSS 22.
Results: Of the 516 participants, 255(49.4%) were males and 261(50.6%) were females. The overall mean age was 41.28±7.598 years. Body mass indiex was the only factor significantly associated with hedonic hunger (p<0.05), while gender, age, meal-skipping status, the most skipped meal, and the occupational status had no such association (p>0.05). Nurses consumed high-energy macronutrients (p<0.05).
Conclusion: Overweight health professionals were found to have the highest rate of hedonic hunger, while nurses’ consumption of high-energy macronutrients was signficantly higher.
Key Words: Nutrients, Body mass index, Health personnel, Hunger, Eating.
Diagnostic accuracy of plain computed tomography in detecting acute cerebral venous sinus thrombosis keeping magnetic resonance venography as gold standard
Authors: Ayesha Tanveer  , Koukab Javed  , Muhammad Zain Arshad  , Yumna Rubab  , Sabahat Tanveer  , Hafiz Zulqarnain  , Admin
Published: April 2023

Objective: To determine the diagnostic accuracy of plain computed tomography using the ratio between hounsfield unit and hematocrit of cerebral venous sinuses in cases of acute cerebral venous sinus thrombosis taking magnetic resonance venography as the gold standard.
Method: The cross-sectional validation study was conducted at the Department of Diagnostic Radiology, Combined Military Hospital, Rawalpindi, Pakistan, from March 9 to September 8, 2021, and comprised patients regardless of age and gender presenting with acute neurological and visual signs and symptoms of cerebral venous sinus thrombosis for <5 days. The patients were brain-imaged on 128-slice computed tomography scanner, and the image was assessed and the attenuation values in terms of Hounsfield unit of dural venous sinuses were calculated by taking appropriate region of interest. Haemoglobin and hematocrit values were noted from blood reports, and then the ratio between Hounsfield unit and hematocrit ratio was calculated. Magnetic resonance venography of the patients were performed and the patients were assessed for dural venous thrombosis. Data was analysed using SPSS 23.
Results: Of the 201 patients, 98(48.8%) were males and 103(51.2%) were female. The overall mean age was 35.32±19.707 years (range: 1 month-70 years). According to the Hounsfield unit-hematocrit ratio, acute cerebral venous sinus thrombosis was detected in 173(86.01%) patients, while magnetic resonance venography detected 178(88.6%). The Hounsfield unit-hematocrit ratio had sensitivity 91.01%, specificity 52.17% and diagnostic accuracy 86.57%.
Conclusion: Computed tomography attenuation value and Hounsfield unit-hematocrit ratioon unenhanced computed tomography could be used as a reliable method to detect acute cerebral venous sinus thrombosis in emergency settings.
Key Words: Computed tomography, Acute cerebral venous sinus thrombosis, Magnetic resonance venography.
Role of drug information center in detecting medication errors in a tertiary care hospital, central region, Saudi Arabia
Authors: Omar Yahya Ahmed Alshargi  , Nader Ayedh Albalagi  , Admin
Published: April 2023

Objective: To identify the incidence of medication error in a tertiary care hospital and to document the role of drug information centre to prevent such errors.
Methods: The retrospective cross-sectional study was conducted at the Security Forces Hospital, Riyadh, Saudi Arabia, and comprised review of secondary data collected from the Drug Information Centre from March 2013 to February 2016. The errors were categorised as under-prescribing, dispensing, administrating and transcription, while the received inquiries were classified according to the inquirer; physicians, pharmacists and nurses. The score was given according to the Grade of Severity scale. Data was analysed using IBM SPSS Statistics for Windows, version 20. Armonk, NY: IBM Corp. Categorical variables were presented as frequency and percentage.
Results: Among the 2800 drug-related inquiries received, 238(8.5%) medication errors were detected. The inquirers of these queries included 108(45.4%) nurses.  Administration errors were the highest 113(47.5%), while the least were transcription errors 31(13%). Majority of errors were committed by nurses 113(47.5%). Grade 2 errors were the most common 86(36.10%), while grade 4 life-threatening errors were minimal 2(0.8%). There were significant differences in the number of received questions based on the specialty (p 0.05), staff having committed the error (p 0.01) and the type of errors detected (p 0.01).
Conclusion: The prevalence of medication errors committed by healthcare providers was high.
Key Words: Medication error, Drug information centre, Administration, Physician, Pharmacist.
The Portrayal of Women in the Works of Sugiarti Siswadi as the Manifestation of Lekra and Gerwani Ideology
Authors: Setiadi David , Priyatna Aquarini , Rahayu Lina Meilinawati
Published: April 2023

Sugiarti Siswadi was regarded as one of the most influential writers in Indonesia during the 1950s and 1960s. She was also known as an activist in the Lembaga Kebudayaan Rakyat (People’s Cultural Institute-Lekra) and Gerakan Wanita Indonesia (Indonesian Women’s Movement-Gerwani), both of which were closely associated with the now-defunct Indonesian Communist Party (PKI). This study analyzes three of Sugiarti’s short stories: “Jang Kesepian” (The Lonely One; 1960), “Anak2 Muda” (Young People; 1961), and “Si Udin Ketua Klas” (Udin, Class Captain; 1961). The three stories, published in Api Kartini magazine, address issues about the family as a social institution. Through the plot and characterization of these stories, Sugiarti dismantles and reverses gender roles to express her views as an activist and a woman. This study shows that these stories do not put male and female characters into binary opposition. We argue that the three stories reflect Sugiarti’s agency in extending her feminist ideas seen through the perspective of a Lekra/Gerwani activist. As such, she enriched gender discourse in Indonesia during the 1950s and 1960s, a recurring theme in her works.
Early results of laparoscopic lobectomy in the treatment of non-small cell lung cancer at Hanoi Medical University Hospital
Authors: Vu Ngoc Tu , Nguyen Duy Gia , Nguyen Duy Thang
Published: April 2023

Background: Lung cancer is the leading cause of cancer death in Vietnam. Total endoscopic lobectomy is indicated for the treatment of suitable stage non-small cell lung cancer. We conducted a study on patients undergoing laparoscopic lobectomy at Hanoi Medical University Hospital to evaluate the feasibility and safety of the surgery.

Methods: We conducted a study from January 2022 to December 2022 on 30 patients undergoing endoscopic lobectomy for non-small cell lung cancer at the Cardiovascular and Thoracic Surgery Unit, Hanoi Medical University Hospital.

Results: Most of the patients were in early stage, there were 4 patients with stage IIIA, the average operating time was 96 minutes, the average hospital stay was 5.7 days. . There was 01 death due to pulmonary embolism and 1 case of air leak > 7 days after surgery.

  Conclusion: Total endoscopic lobectomy at Hanoi Medical University hospital shows feasibility and safety although there are still many problems to improve to improve the quality of treatment
Sentinel-1 time series applications over agricultural fields: proposal, evaluation and comparison of different methodologies
Authors:   , Arias Cuenca María
Published: April 2023

Crop monitoring is essential for different applications such as food security assurance, crop management, and the design and implementation of agricultural policies. Remote sensing provides information about biophysical properties of plants and soils and their spatial variability on large areas of the territory on a periodic basis. The launch of Sentinel-1 synthetic aperture radar (SAR) satellites in 2014 and 2016 made possible the acquisition of dense time series of images with good spatial resolution and temporal resolution even in cloud-covered areas. The main objective of this thesis is the evaluation of different methodologies for agricultural applications at the field scale using Sentinel-1 time series. First, a supervised crop classification methodology based on time signatures from Sentinel-1 images was proposed and implemented in a case study with 14 crop classes and a large dataset of agricultural fields. Secondly, the influence of acquisition geometry of Sentinel-1 images over wheat fields was assessed. The influence of the incidence angle on backscatter coefficients and terrain-flattened coefficients was evaluated, and an incidence angle normalization followed by an azimuthal anisotropy correction were applied to VV polarized time series. Thirdly, the backscatter attenuation produced by wheat canopy in VV polarization was evaluated, and a new wheat attenuation correction methodology named WATCOR was proposed. Finally, four different soil moisture (SM) estimation techniques based on Sentinel-1 time series were evaluated over wheat fields, proposing different methodological alternatives for their application at the field scale. Despite the complexity of estimating SM at the field scale solely with SAR data, acceptable estimations were obtained. The results of this thesis showed that the analysis and extraction of the information contained in SAR time series is useful for various agricultural applications, foreshadowing exciting future developments in this field.
Graphical Password Authentication
Authors: Dr. G. V. Satyanarayana  , Akshitha Chikka  , Prasanth Chintapalli  , Suguna Chandaka  , Suguna Chandaka  , Ravi Teja Chintala
Published: April 2023

A pattern password is an authentication system that works when a user selects images in a specific sequence displayed on a graphical user interface (GUI). For this reason, the graphical password method is called Graphical User Authentication (GUA). The most common way to authenticate a computer is by using an alphanumeric username and password. This method has been shown to have significant drawbacks. For example, users tend to choose passwords that are easy to guess. On the other hand, if a password is difficult to guess, it is often difficult to remember. To overcome these security issues, researchers have developed an authentication method that uses colours and images as passwords. In this research paper, we present a comprehensive overview of existing pattern password methods and introduce our own theory. Graphic cryptosystems have been proposed as a possible alternative to text-based schemes because people can remember colours and images better than text. Colours and Images are usually easier to remember or recognize than text. In this composition, this paper provides a comprehensive overview of existing graphical password ways. These ways fell into two orders: recognition-based and memory-based approaches. Thereafter the strengths and limitations of each approach and coming research directions in this field will be talked over in detail.
Sentiment Analysis using Machine Learning Techniques
Authors: Jami Ruthvik  , Challa Akhil  , Ampolu Vasudeva Rao  , Jonnakutti Rakesh  , B Avinash Kumar
Published: April 2023

Analytics research includes the field of sentiment analysis. To make sense of this, computational methods can be used to read raw data. Analysis is what this is. Written expression that is either positive, negative, or neutral can be assessed using sentiment analysis. People use a variety of social media platforms, including Facebook, Twitter, etc. Machine learning algorithms can be effectively used to ascertain people's sentiments. Sentiment analysis is a field that has developed to automate the study of such data. Sentiment analysis aims to identify and extract human emotions from text. It seeks to find opinionated information on the Web and categorise it based on its polarity, or whether it has a positive or bad meaning. In contrast to conventional text-based analysis, it is a text-based analysis that helps to swiftly determine the customer's reaction.
Fake Product Identification using Blockchain
Authors: Gagan Wanjari  , Adish Raipure  , Bhavesh Mittal  , Atharva Kolhe  , Ritesh Manusmare
Published: April 2023

Blockchain technology is the distributed, decentralized, and digital ledger that stores transactional information in the form of blocks in many databases which is connected with the chains. Blockchain technology is secure technology therefore any block cannot be changed or hacked. By using Blockchain technology, customers or users do not need to rely on third-party users for confirmation of product safety. In this project, with emerging trends in mobile and wireless technology, Quick Response (QR) codes provide a robust technique to fight the practice of counterfeiting the products. counterfeit products are detected using a QR code scanner, where a QR code of the product is linked to a Blockchain. It collects the unique code from the user and compares the code against entries in the Blockchain database. If the code matches, it will give a notification to the customer, otherwise it will give the notification to the customer that the product is fake.
A Study on the Assignment of Government Schemes for the Rural people in Arisipalayam Village
Authors: Hemashree K  , Hasinic  , Rigzin K G
Published: April 2023

Rural development has global attention majorly based on the developing nations and it has a great importance for a country like India. It focuses on the development of the farmers and in various section in rural economics. Rural economics experience serious poverty issues aim at developing the productivity of all the humans. It also admires the various issues of rural village economics that has a higher growth and improve in various fields. The Government of India has launched many of the schemes for the development of the rural sides. The rural people facing the major problems in not aware of what government has offering. They have lack of awareness in housing loans, absence of infrastructure in villages and also in towns connectivity by all-weather and also the absence of employment opportunities in villages.ATAL PENSION YOJANA (APY), GABIR KALYAN ROJGAR YOJANA, SVAMITVAYOJANA, PRADHAN MANTRI KISAN SAMMAN NIDHI, PRADHAN MANTRI GRAMIN AWAS YOJANA, DIGITAL INDIA, WORKING WOMENS HOSTEL. These schemes are playing major role in rural development of India. This study reveals the awareness level of all the rural village people and how they are utilizing the schemes offered by the Government
Multilingual Support for Medicine Management Android Application
Authors: Geetanjali Churi  , Pratham Shewale  , Kanhaiya Pawar  , Payal Gajbe  , S. A. Awate
Published: April 2023

The demand for multilingual support in mobile applications has increased significantly in recent years. The ability to use an application in a preferred language enhances the user experience and increases the accessibility of the application to a wider audience. In this paper, we propose a multilingual sup- port feature for an Android application that provides medicine reminders to users. The feature includes a language selection option that allows users to choose their preferred language, and the application will display content in that language. Our approach ensures that the application is accessible and usable to a wider audience, regardless of their language proficiency
Read and Listen Library
Authors: N. Anil Chakravarthy  , B.Priyanka  , B. L. Lahari Yadav  , D. Praneeth Surya  , G. T. S. S. Kiran Reddy
Published: April 2023

There is a great saying that a good book is a good friend. Reading books can help human to improve one’s intelligence and is also a good exercise to the brain. So reading book habits have many advantages. The traditional method of reading books has its own advantages, but it consumes not only a lot of time and money but also a lot of space. They require more time to complete a book. Unlike the traditional methods, there are also audio podcasts available in the market which take only a few hours to complete a book but are also very distracting. The users of audio podcasts can be easily distracted by anything and hence they may lose track of the actual message in the book. Thus, our idea is to provide users with a new era of digital library where multiple options are available to them. They can choose to read a book, listen to its audio, or select the read and listen option where our system reads the book for them with highlighted text, so they pay full attention to the book and the audio playing. The users can read a book as a pdf or listen to the audio of the books or can even select an option such as read and listen where our system reads the book for the user with highlighted text so that the user pay full attention on the book and the audio playing. This requires users to pay full attention to the book, and keeps them concentrated. The chances of distraction in this type of reading are very few, and hence users can get the full benefit from the book. This method can also help users complete more books in less time. Our goal is to provide every book lover with a new learning experience and give them a satisfactory experience in reading a book.
Factors affecting loneliness among left-behind children
Authors: Nguyen Luot , Nguyen Thu , Trinh Linh , Nguyen Hanh
Published: April 2023

Background

In Vietnam, research on the impact of parental migration on left-behind children (LBC) has discussed various dimensions of the subject such as subjective well-being, emotional states, social skills, self-esteem and nutrition of LBC. However, there are still gaps in studies on loneliness among LBC in Vietnam. The study aims to explore the status of loneliness in LBC, including associated protective and risk factors, to make suggestions on preventive measures against LBC’s loneliness.

Participants and procedure

The conveniently selected sample includes 439 LBC in 4 Vietnamese provinces: Thai Nguyen, Bac Ninh, Thai Binh and Nghe An. The mean age is 12.73 (SD = 1.68). Female children account for 47.80%. The Children’s Loneliness Scale was employed in the study.

Results

The total loneliness score of LBC is 28.62 (SD = 9.40), 95% CI: 27.75-29.48. Perceived social support from friends, caregivers and resilience factors of affect control (RAC), family support (RFS) and help-seeking (RHS) are protective factors for loneli-ness of LBC, with regression coefficient of –.27, –.18, –.11, –.11 and –.09 respectively.

Conclusions

Perceived social support from friends, care-giving attachment and resilience factors of RAC, RFS, and RHS are protective factors for LBC against loneliness. Parents, teachers and guardians are encouraged to have a close connection with LBC, provide adequate care giving; and create a supportive environment for LBC in pursuing healthy peer relationships and train/improve children’s skills to strengthen their resilience.
The relationship between object play, language, and visual and motor skills in children at risk of developmental disorders between 12 and 37 months
Authors: Kawa Rafał
Published: April 2023

Background

Exploratory object play is a primary strategy in amassing knowledge about one’s environment and determines the develop-ment of language skills at a later age. However, still much remains unknown about how object play is related to visual and language development in children at risk of developmental disorders.

Participants and procedure

Forty-four children at risk of developmental disorders aged 13 to 37 months took part in the study. The measurement of object play relied on observation of children manipulating novel objects. Language skills were assessed by the Mullen Scales.

Results

The results indicate that there is a correlation between specific object play behaviours, language and visual skills.

Conclusions

The findings from this study support the hypothesis that the relationship between visual and language skills and object play in children at risk of developmental disorders is different in younger and older children.
“We are in this together” – Polish midwives’ reflections on perinatal care for Ukrainian women after the outbreak of war
Authors: Chrzan-Dętkoś Magdalena , Murawska Natalia
Published: April 2023

Background

February 24, 2022, the beginning of Russia’s invasion of Ukraine, was also the beginning of an exceptional situation and a challenge for the Polish health care system, the health care workers and Polish citizens. This study aims to conduct a qualitative analysis of midwives’ experiences of maternity care for Ukrainian women after the outbreak of war.

Participants and procedure

Eight midwives with experience working with both Ukrainian patients and Ukrainian war refugees (who came to Poland after February 24, 2022) participated in a semi-structured interview. The interview data were transcribed and thematically analysed to identify the observations, challenges and medical personnel needs.

Results

The most frequently observed reactions in Ukrainian patients included crying, increased anxiety and irritability, fear, with-drawal, and constant information seeking about the current situation. Breastfeeding problems understood as a consequence of chronic stress were also observed and assisted by the midwives. All respondents pointed out the language barrier and their involvement, showing empathy and attentiveness to the patients’ situation. No hospital introduced additional support for midwives. A high level of emotional burden on midwives was observed.

Conclusions

The midwives were eager to help Ukrainian patients – they emphasized the more frequent need to make themselves availa-ble for them. However, the emotional involvement of the midwives is accompanied by the risk of traumatization and burn-out, which are associated with exposure to the difficult experiences of patients. Implementation of training in trauma-informed care and supervision could support midwives in their work and prevent the consequences of long-term stress. Sys-temic solutions concerning translators’ presence and hospital documents’ translation are also essential.
Händler verzeichnen gutes Ostergeschäft
Authors: Schulz Hans-Jürgen
Published: April 2023

Nach Jahren mit hervorragenden Osterumsätzen ist in diesem Jahr wieder Normalität im Handel eingekehrt. Viele Händler sprechen dennoch von einem ordentlichen Geschäft. Erst recht, wenn man die Zeit vor der Corona-Pandemie zum Maßstab nimmt.
Kabinett beschließt GWB-Novelle
Authors: Falker Gerrit-Milena
Published: April 2023

Fünf Monate später als geplant, hat die Bundesregierung den Entwurf zum „Wettbewerbsdurchsetzungsgesetz“ gebilligt. Die Kritik an Minister Habecks Kartellrechts-Reform hält an, vor allem zum Machtzuwachs des Kartellamts.
„Dann bleiben die Regale leer“
Authors: Shinde Sonia
Published: April 2023

Gert Kautetzky vom Logistikverband Transfrigoroute warnt vor den Folgen des Fahrermangels, verfehlten Einkaufsstrategien im Handel und politischen Fehlern bei E-Lkw.
Allianz für grüne Schiffsfracht
Authors: Chernobylskaya Mayya
Published: April 2023

Die von Tchibo, Amazon und Patagonia gegründete Initiative Zemba will Investitionen in klimafreundliche Schiffsfracht anstoßen. Durch langfristige Abnehmerverträge soll die Branchenallianz Reedereien und Kraftstofflieferanten dafür die nötige Sicherheit geben.
„Saatgut und Dünger sind vorhanden. Was fehlt, ist das Geld.“
Authors: Schirmacher Henrike , Münch Rainer
Published: April 2023

Die Ukraine ist vom Krieg gebeutelt – auch die Landwirtschaft. In einem gemeinsamen Interview von agrarzeitung und Agra-Europe spricht Dr. Alex Lissitsa, Chef der Agrar-Unternehmensgruppe IMC, über die schrecklichen Folgen der russischen Angriffe. Dennoch blickt er optimistisch in die Zukunft.
Zuchtfortschritte beim Wintergetreide
Authors: Schaal René
Published: April 2023

Frankfurt a.M. Mit der neuesten Zulassungsrunde des Bundessortenamts ist die Auswahl an Getreidesorten größer geworden. Den stärksten Zuwachs verzeichnet der Winterweichweizen mit insgesamt 13 Neuzulassungen.
Gestresste Tomaten werden laut
Authors: Schultz Olaf
Published: April 2023

Frankfurt A.M. Pflanzen sind nicht so still, wie viele vielleicht denken: Haben sie zu wenig Wasser oder sind anderen Belastungen ausgesetzt, geben sie Laute ab, so eine Studie.
Printed electronics and smart packaging – not a success story, so far?
Authors: Mildner Wolfgang
Published: April 2023

The realisation of intelligent packaging (or so-called smart packaging) has been one of the targeted key markets since the beginning of the development of printed electronics. Many of the key markets for printed electronics have developed very well – in some cases with exponential growth – including smart surfaces or other hybrid systems. However, smart packaging can still rarely be found on the market.
KẾT QUẢ ĐIỀU TRỊ UNG THƯ PHỔI KHÔNG TẾ BÀO NHỎ DI CĂN NÃO CÓ ĐỘT BIẾN EGFR BẰNG THUỐC ỨC CHẾ TYROSINE KINASE THẾ HỆ 2 - AFATINIB
Authors: Nguyễn Thị Bích Phượng , Trương Thị Thảo Hiền , Mai Thị Hồng Quỳnh , Nguyễn Hoàng Gia
Published: April 2023

Mục tiêu: Đánh giá kết quả điều trị afatinib (Giotrif) ung thư phổi không tế bào nhỏ di căn não có đột biến EGFR. Bệnh nhân và phương pháp nghiên cứu: Nghiên cứu quan sát, hồi cứu kết hợp tiến cứu. Từ 01/2019 đến tháng 12/2022 có 80 người bệnh ung thư phổi không tế bào nhỏ di căn não có đột biến gen EGFR nhạy cảm thuốc, được điều trị bằng afatinib tại Bệnh viện K; bệnh nhân được đánh giá mức độ đáp ứng theo “Tiêu chuẩn Đánh giá đáp ứng cho U đặc“ (RECIST 1.1 năm 2009), thời gian sống thêm theo phương pháp Kaplan-Meier. Kết quả: Một số đặc điểm lâm sàng, cận lâm sàng: Tỷ lệ bệnh nhân nữ giới 47,5%; không hút thuốc 56,3%; cao hơn so với các nghiên cứu về ung thư phổi nói chung. 37,5% bệnh nhân có triệu chứng thần kinh; bệnh nhân có chỉ số toàn trạng kém ECOG ≥ 2 chiếm 11,3%. Di căn não ≤ 3 ổ chiếm 73,7%; xạ trị toàn não chiếm 23,8%. 36,3% bệnh nhân được sử dụng liều 40mg khởi trị. Đột biến exon 19 chiếm 45%; đột biến hiếm chiếm 26,3%. Kết quả điều trị: Tỷ lệ đáp ứng tổn thương não 63,8%; tỷ lệ kiểm soát bệnh với tổn thương não là 88,8%. Thời gian STKTT trung bình là: 18,5±4,7 tháng (min: 2,3; max: 42,4). STKTT 24 tháng là: 46,8%. STKTT tại não trung bình là 16,1± 5,3 tháng (min: 3,5; max: 42,4). STKTT tại não tại thời điểm 24 tháng là 38,9%. Kết luận: Điều trị thuốc afatinib (Giotrif) là một lựa chọn trong ung thư phổi tế bào nhỏ di căn não có đột biến EGFR, với tỷ lệ kiểm soát bệnh cao và thời gian sống thêm bệnh không tiến triển được cải thiện.
ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT LICHTENSTEIN ĐIỀU TRỊ THOÁT VỊ BẸN Ở NGƯỜI CAO TUỔI TẠI BỆNH VIỆN VIỆT TIỆP HẢI PHÒNG
Authors: Phạm Văn Thương , Phạm Văn Duyệt , Vũ Ngọc Sơn
Published: April 2023

Mục tiêu: Đánh giá kết quả phẫu thuật điều trị thoát vị bẹn ở người cao tuổi theo phương pháp Lichtenstein tại Bệnh viện Hữu Nghị Việt Tiệp. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả tiến cứu. Gồm 40 bệnh nhân trên 60 tuổi được phẫu thuật điều trị thoát vị bẹn bằng phương pháp Lichtenstein tại bệnh viện Hữu nghị Việt Tiệp từ tháng 06/2020 đến hết tháng 06/2022. Kết quả: 100% bệnh nhân nam giới, tuổi trung bình 73,35, cao nhất là 91 tuổi. Chẩn đoán trước mổ 95% thoát vị bẹn nguyên phát, 5% thoát vị bẹn tái phát; tỷ lệ thoát vị bẹn phải cao hơn thoát vị bẹn trái (60% với 40%). Thời gian phẫu thuật trung bình 72,63 phút. Phần lớn bệnh nhân phục hồi sinh hoạt cá nhân trong vòng 24 giờ sau mổ. Tỷ lệ biến chứng sớm là 15%, bao gồm bí tiểu, tụ máu vùng bẹn và tụ dịch vùng bìu. 38/40 bệnh nhân được theo dõi đến 6 tháng sau mổ, có 1 bệnh nhân đau mạn tính vùng bẹn, không trường hợp nào tái phát.
ĐÁNH GIÁ KẾT QUẢ PHƯƠNG PHÁP ĐÓNG HỌNG KIỂU T BẰNG MŨI KHÂU GAMBEE TRONG PHẪU THUẬT CẮT THANH QUẢN TOÀN PHẦN
Authors: Phạm Hoàng Nam , Trần Anh Bích
Published: April 2023

Mở đầu: Ung thư thanh quản (UTTQ) chiếm 25% trong ung thư đầu mặt cổ, làm cho 100.000 tử vong trên thế giới. Đa số bệnh nhân (BN) đến khám vào giai đoạn muộn, phải cắt thanh quản toàn phần. Kỹ thuật đóng họng là một trong những phương pháp giúp làm giảm các biến chứng sau khi cắt thanh quản toàn phần. Phương pháp đóng họng kiểu T có ưu điểm là đơn giản, chắc chắn và ít biến chứng. Mục tiêu: Khảo sát đặc điểm chung, lâm sàng, cận lâm sàng của BN UTTQ được cắt thanh quản toàn phần. Đánh giá kết quả của kỹ thuật đóng họng kiểu T bằng mũi khâu Gambee trong phẫu thuật (PT) cắt thanh quản toàn phần. Phương pháp nghiên cứu: Nghiên cứu can thiệp lâm sàng không nhóm chứng với BN UTTQ, điều trị tại Khoa Tai Mũi Họng (TMH) - Bệnh viện Chợ Rẫy (BVCR) từ tháng 3/2019 đến tháng 10/2019. Kết quả: Nghiên cứu trên 35 BN với tuổi trung bình là 62,7 ± 7,8, tỷ lệ nam (97,1%) nhiều hơn nữ. 77,1% BN vừa hút thuốc vừa uống rượu. Thời gian xuất hiện triệu chứng đến khi vào viện trên 6 tháng chiếm 60%. BN đến khám vì khàn tiếng chiếm 85%. Mô bệnh học là ung thư tế bào gai biệt hóa trung bình (68,6%). 25,8% BN nhập viện khi ung thư đã tiến triển đến giai đoạn muộn (IVa). Kỹ thuật đóng họng kiểu T bằng mũi khâu GAMBEE trong PT cắt thanh quản toàn phần có biến chứng sau PT là dò họng (8,6%), tụ dịch hố mổ (8,6%), chảy máu hố mổ (5,7%), viêm phổi (2,9%) và nhiễm trùng vạt da cổ (2,9%). Thời gian bắt đầu ăn bằng miệng sau mổ trung bình là 9,2 ± 6,3 ngày. Thời gian nằm viện sau PT trung bình là 12,6 ± 2,6 ngày. Không có BN nào bị hẹp lỗ mở khí quản. Sau PT 1 tháng, không BN nào khó nuốt. Kết luận: Phương pháp đóng họng kiểu T bằng mũi khâu Gambee trong PT cắt thanh quản toàn phần có hiệu quả cao và ít biến chứng.
NGHIÊN CỨU ỨNG DỤNG TRÍ TUỆ NHÂN TẠO TRONG SÀNG LỌC TRƯỚC SINH MỘT SỐ LỆCH BỘI NHIỄM SẮC THỂ (DOWN, EDWARD VÀ PATAU)
Authors: Nguyễn Thị Trang , Trần Danh Cường , Đặng Anh Linh , Đinh Thúy Linh , Ngô Toàn Anh , Nguyễn Đoan Trang , Nguyễn Việt Anh , Tô Thị Thu Hà , Đoàn Việt Hà , Đào Thị Huyền Trang , Vũ Thu Hương , Đỗ Đức Huy , Nguyễn Ngọc Sơn , Nguyễn Xuân Đại , Nguyễn Hoàng Nam
Published: April 2023

Mục tiêu: Đánh giá kết quả thử nghiệm của hệ thống phần mềm trí tuệ nhân tạo hỗ trợ sàng lọc trước sinh đối với một số thể lệch bội nhiễm sắc thể (Down, Edward và Patau) tại Bệnh viện Phụ sản Trung ương và Bệnh viện Phụ Sản Hà Nội. Đối tượng và phương pháp: Các hồ sơ bệnh án gồm kết quả siêu âm thai, kết quả sàng lọc trước sinh dựa trên sinh hóa máu mẹ (Double test, Triple test) của tối thiểu 100 thai phụ đến khám tại Bệnh viện Phụ sản Trung ương và Bệnh viện Phụ Sản Hà Nội từ tháng 05/2022 đến tháng 11/2022, được phân tích bởi hệ thống phần mềm trí tuệ nhân tạo (phần mềm học máy và phần mềm hệ tri thức chuyên gia). Kết quả được so sánh với kết quả xét nghiệm nhiễm sắc thể (NST) đồ từ tế bào dịch ối. Kết quả: Hệ thống phần mềm trí tuệ nhân tạo sàng lọc trước sinh lệch bội nhiễm sắc thể cho kết quả chính xác cao, với độ nhạy 100% và độ đặc hiệu đạt từ 80% đến 100%. Kết luận: Do đó, hệ thống phần mềm này là công cụ hiệu quả để đánh giá khả năng sinh con mang lệch bội nhiễm sắc thể phổ biến và có thể hỗ trợ bác sĩ lâm sàng trong sàng lọc bất thường trước sinh trong tương lai.
NGHIÊN CỨU TÁC DỤNG CỦA VIÊN NANG BANIKHA TRÊN MÔ HÌNH GÂY PHÌ ĐẠI LÀNH TÍNH TUYẾN TIỀN LIỆT Ở ĐỘNG VẬT THỰC NGHIỆM
Authors: Phạm Thị Vân Anh , Nguyễn Thị Hồng , Nguyễn Thị Vân Trang , Đậu Thùy Dương
Published: April 2023

Viên nang Banikha là sự phối hợp các dược liệu Đông trùng hạ thảo, Nấm men, Linh chi, Hồng sâm. Mục tiêu: Đánh giá tác dụng của viên nang Banikha trên mô hình gây phì đại lành tính tuyến tiền liệt trên chuột nhắt trắng. Đối tượng và phương pháp: Chuột được chia thành 5 lô: lô 1 không thiến, tiêm dầu oliu, uống nước. Chuột ở các lô 2,3,4,5 thiến, sau đó được tiêm testoteron propionat 10mg/kg/ngày và dùng thuốc tương ứng là dutasterid 2 mg/kg/ngày, viên nang Banikha liều 1,44 viên/kg/ngày và 4,32 viên/kg/ngày trong 14 ngày. Sau đó chuột được đánh giá chỉ số tuyến tiền liệt và xét nghiệm giải phẫu bệnh tuyến tiền liệt. Kết quả: Viên nang Banikha liều 1,44 viên/kg/ngày và 4,32 viên/kg/ngày có xu hướng làm giảm chỉ số tuyến tiền liệt và có tác dụng cải thiện tình trạng phì đại tuyến tiền liệt trên hình ảnh mô bệnh học so với lô mô hình. Kết luận: Viên nang Banikha có tác dụng làm giảm phì đại lành tính tuyến tiền liệt trên chuột nhắt trắng.
ĐÁNH GIÁ KẾT QUẢ CAN THIỆP NỘI MẠCH ĐIỀU TRỊ HẸP ĐỘNG MẠCH CHẬU ĐÙI MẠN TÍNH CÓ THIẾU MÁU CHI TRẦM TRỌNG
Authors: Lâm Văn Nút , Nguyễn Hữu Tường
Published: April 2023

Đặt vấn đề: Bệnh động mạch chi dưới mạn tính có thiếu máu chi trầm trọng mang lại một gành nặng rất lớn đến y tế, bao gồm tỉ lệ tử vong và tỉ lệ tàn phế do cắt cụt chi cao. Đối với tổn thương phối hợp hai tầng động mạch chậu đùi thì phương pháp điều trị kinh điển là phẫu thuật làm cầu nối. Can thiệp nội mạch đang là xu hướng mới điều trị bệnh lý này. Mục tiêu: Đánh giá kết quả can thiệp nội mạch điều trị hẹp động mạch chậu đùi mạn tính có thiếu máu chi trầm trọng. Đối tượng và phương pháp nghiên cứu: Hồi cứu mô tả loạt ca các bệnh nhân hẹp động mạch chậu đùi mạn tính có thiếu máu chi trầm trọng, được điều trị can thiệp nội mạch tại khoa Phẫu thuật Mạch máu Bệnh viện Chợ Rẫy từ tháng 01/2016 – 02/2020. Kết quả: 43 bệnh nhân (45 chi can thiệp) có tuổi trung bình 71.4 ± 10.9, nam giới chiếm đa số, 100% có thiếu máu chi trầm trọng, tổn thương TASC C,D chiếm 77.8% ở tầng chậu và 82.2% ở tầng đùi. Tỉ lệ thành công về kỹ thuật là 93.3%, tỉ lệ biến chứng là 11.1%. Theo dõi sau 1 năm, tỉ lệ cải thiện về mặt lâm sàng 94.7%, thành cồn về mặt huyết động 89.5%, tỉ lệ sống còn 92.5%, tỉ lệ bảo tồn chi 97.6%. Kết luận: Can thiệp nội mạch điều trị hẹp động mạch chậu đùi mạn tính có thiếu máu chi trầm trọng có tỉ lệ thành công cao và an toàn.
BẤT THƯỜNG NHIỄM SẮC THỂ PHÔI THEO NHÓM TUỔI CỦA BỆNH NHÂN VÔ SINH ĐIỀU TRỊ THỤ TINH TRONG ỐNG NGHIỆM
Authors: Nguyễn Ngọc Diệp , Quản Hoàng Lâm , Trần Văn Khoa
Published: April 2023

Mục tiêu: Đánh giá bất thường nhiễm sắc thể (NST) phôi theo nhóm tuổi của bệnh nhân vô sinh có chỉ định điều trị thụ tinh trong ống nghiệm kết hợp sàng lọc di truyền trước chuyển phôi. Đối tượng và phương pháp nghiên cứu: Mô tả tiến cứu trên 661 phôi túi của 186 bệnh nhân hiếm muộn có chỉ định điều trị thụ tinh trong ống nghiệm (In vitro fertilization/IVF) kết hợp sàng lọc di truyền trước chuyển phôi ((Preimplantation genetic testing for aneuploidies/PGT-A). Kết quả: Tỉ lệ phôi mang NST bình thường tương đương nhau giữa nhóm I (dưới 30 tuổi) và nhóm II (30-35 tuổi) lần lượt là 51,1 và 54,1% (P(1-2)=0,613); thấp nhất ở nhóm III (>35 tuổi) với tỉ lệ 35,7%, P(1-3); P(2-3) <0,05. Tỉ lệ phôi bất thường NST khác biệt không có ý nghĩa giữa nhóm I và nhóm II (P(1-2)=0,310), tăng cao có ý nghĩa thống kê ở nhóm III với tỉ lệ là 47,2% (P(1-3); P(2-3)<0,001). Bất thường số lượng NST có xu hướng tăng theo sự gia tăng của tuổi mẹ (p<0,05), trong khi đó bất thường cấu trúc NST xu hướng ngược lại mặc dù chưa thấy sự khác biệt có ý nghĩa (p=0,148). Tỉ lệ phôi khảm ở ba nhóm lần lượt là 25%;16,5%; 17,1% (P(1-2)=0,069; P(1-3)=0,101; P(2-3)=0,843). Trong các phôi bất thường số lượng NST, tỉ lệ phôi monosomy và trisomy là tương đương ở ba nhóm (P(1-2);P(1-3); P(2-3)>0,05). Kết luận: Trên đối tượng bệnh nhân vô sinh có chỉ định điều trị IVF – PGT-A, tỉ lệ phôi bất thường NST tăng có ý nghĩa thống kê khi tuổi người mẹ trên 35. Trong các loại bất thường NST phôi, bất thường số lượng NST tăng có ý nghĩa thống kê theo sự gia tăng của tuổi mẹ. Chưa thấy sự khác biệt có ý nghĩa về tỉ lệ phôi bất thường cấu trúc NST, tỉ lệ phôi khảm cũng như tỉ lệ phôi monosomy, trisomy giữa các nhóm nghiên cứu.