bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Increasing the Health Practitioner’s Workload on Patients and Their Safety
Authors: Alonazi Ahmad Sheihan , M Almutairi Mohammed Hazzaa , R Almutiri Hazaa Mohssen , Almutairi Hashim Hamed Safar , Almutari Mohammed Dakhel S , Almutairy Sulaiman Awadh Allah A , Almutairi Muteb Muways M. , Almutairi Faez Saud N
Published: December 2022

The clinical healthcare system has been burdened due to various disease outbreak such as COVID 19 outbreak. Clinical Workloads on healthcare workers and practitioners lead to fatigue and mental exhaustions, causing medical errors. About 98 000 patients globally expires due to preventable medical errors in hospitals due to workload of health practitioners. (Philibert, et al., 2002) The majority of mistakes are made by well-meaning people operating under poor systems, procedures, or circumstances. The healthcare workers and physicians have been facing intense workloads due small workforce, physician working hours and financial pressures on hospitals and healthcare centers. However, very limited research has been conducted on association of workload of healthcare workers and safety of patients. Therefore, we aimed to design the systematic review on evaluation of effect of increasing the health practitioner’s workload on patients and their safety. To fulfill aims of study, we conducted a systematic review & meta-analysis by following “Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)” (Selçuk, 2019) guidelines related to title which was “effect of increasing the health practitioner’s workload on patients and their safety”. About 5 databases were used for data search, collection and extraction include PubMed, MEDLINE, EMBSE, Cochrane library, and PsycInfo, on 2 November, 2022. To search data, we used MeSH keywords of “effect of workload on health practitioners”, “Healthcare workers workload” “its effects on patients’ safety, effect of workload on medical errors” “Mental stress among workers” and “patient safety” among all databases. Only those research articles were extracted that have been published during March 2020 to October 2022, keeping the COVID 19 pandemic in context. There were five qualitative studies that evaluated the value of psychological treatment for mental illness. Stress resulting from worries about infecting close relatives and anxiety and fear of getting infection worries about the health professionals were two interwoven elements in all five investigations. Our findings could be explained by an increase in resident physician workload that followed programmers’ elimination of 24-hour shifts. There is evidence to suggest that patient safety may suffer when healthcare workers and doctors care for more than more patients each day.
Prevalence and Determinants of Smoking among School Students at Rural Community, Lahore
Authors: Ahmad Amna , Jafar Kinza , Saddiqa Ayesha , Firdos Uzma , Qadeer Ayesha
Published: December 2022

Background: Smoking is the non-communicable and chronic disease of lungs. This study determines the rate of prevalence and determinants of smoking among school students in rural community of Lahore. Significance: This study was conducted to determine the factors that effects on their health status include both physiological and psychological status and how it influences on their personality development. Methodology: Descriptive cross sectional quantitative study was conducted at Malikpur community Lahore. Researchers collected the sample by using simple random sampling technique. Total out of 90 students the 73 students voluntarily participated in this study. Result: The findings of the study showed that prevalence of smoking among school students was 30.1% in which the female students was excluded.15.1% students smoke for pleasure seeking while 5.5% smoke due to stress and 4.1% smoke because of peers pressure and 2.7% smoke due to curiosity. Conclusion: There is a need to conduct preventive programs to focus on various social and behavioral aspects to help in smoking cessation and reduce prevalence and determinants of smoking.
Overview of Violence against Nursing Staff in Saudi Arabia: Simple Review Article
Authors: Musri Dhaifallah Ali Al , Ablan Hussain Abdullah , Almutyif Qublan Hamad , Alzamanan Mahdi Mana Mohd , Alabbas Ali Hussain , Alsari Salem Matar
Published: December 2022

Nurses are the primary care givers in hospitals and are more likely to encounter violence because of the amount of time spent in direct patient care. This study aimed to explore recent workplace violence literature against nurses in Saudi Arabia in terms of prevalence, precipitating factors and recommendations for prevention. PubMed, Web of Science, Science Direct, EBSCO, SCOPUS, Wiley, and Cochrane Library were searched. Study articles were screened by title and abstract then a full-text assessment was implemented. Violence against nurses could be in various forms of aggression and bullying that often manifests as verbal abuse, physical abuse, and emotional torture, which is cruel, rude, vindictive, humiliating and/or offensive. It is a public health and legal problem. Nurses are most of the healthcare workforce in Saudi Arabia, and more likely to encounter violence. Violence against nurses impairs job performance after the incident. It also reduces job satisfaction and may compel nurses to leave their job. Perpetrators are found to be patients, relatives, and co-workers. Improving health security system and increasing staffing and their training on proper dealing with violence are highly recommended. Also, enforcing rules and regulations is an important demand to control and prevent violence against health care workers.
Dental Infection Control in Hafar AL-Batin Dental Center
Authors: Alanezi Sami Farhan Mkmi , Alshammari Bader Ateeq Shamlan , Alshammari Meshal Khalaf , Almuteri Khalid Mohammed
Published: December 2022

A small percentage of germs can lead to an infection. In a dental setting, the patient's saliva mixed with blood, pus, plaque, and reticular fluid is frequently aerosolized and spattered, potentially infecting the dental practitioner. descriptive analytical method utilized 127 employees working in Hafar Al Batin dental center participant most of them 87% were female, 13% were male, and 20% The results showed the attitude toward infection control was high; the most negative attitude item was (Is the doctor obligated to wash hands and wear gloves in the dental clinic?" the most attitude item was (Is the doctor obligated to wash hands and wear gloves in the dental clinic) with high attitude and mean 2.88, followed by (Do you think that sterilizing the dental chair reduces infection) with high attitude and mean 2.74, followed by (Can wearing gloves be a substitute for hand washing) with low attitude and mean 1.47 the results showed there is no significant difference in attitude toward infection control due to gender, age, educational level, or infection as a result of the dental visit. Research and study in the case of transmission and how to reduce it through disinfection and some other methods will reach to reduce the potential risks of infection. The cross-infection control strategy every patient must undergo screening. Dental team members must maintain good health.Think about immunization Prophylaxis before and after exposure. Hepatitis B, influenza, mumps, measles, tetanus, rubella, tuberculosis, and whooping cough vaccinations are required for all members. Hand care and washing: provide personal protection barriers use cautionary aseptic techniques.
Incidence of Oral Squamous Cell Carcinoma in Patients Aged 30 Years and Under: A Single Institution Retrospective Analysis
Authors: Alramadhan Saja A. , Fitzpatrick Sarah G. , Cohen Donald M. , Bhattacharyya Indraneel , Islam Mohammed N.
Published: December 2022

Background: Oral squamous cell carcinoma (OSCC) is a disease typically seen in the elderly, with an established relationship with tobacco and/or alcohol abuse. However, the incidence of OSCC among young adults (defined in this study as ≤ 30 years old) is on the rise. Materials and Methods: With IRB approval, a retrospective search was performed at the University of Florida College of Dentistry Oral Pathology Biopsy Service database from 1994-to 2019 for all cases of OSCC affecting patients aged ≤ 30 years. Demographic data were recorded, and the slides were reviewed for diagnostic consensus. Results: Thirty-one of 3971 OSCC cases (0.76%) were identified. The data show a prominent increase over time. Male patients (54.83%) were more commonly affected. Their ages ranged from 8 to 30 years, with a mean age of 25 years. The lateral border of the tongue is the most frequent site of involvement. A wide spectrum of differential diagnoses were obtained, mostly consisting of reactive lesions. Symptoms were reported in 65.6% of the cases. The histological grades ranged from well to poorly differentiated. Conclusion: This study underscores the rarity of OSCC in children and young adults. This may potentially lead to a low clinical suspicion, misdiagnosis, and delay in treatment. Further longitudinal multicenter studies with detailed medical history, treatment, genotyping, and prognostic data may help to better understand the etiology of OSCC in young patients, aid in prevention, and improve outcomes.
Local Interventions for the Management of Pain Associated with Orthodontic Treatment in Saudi Arabia
Authors: Alzoubi Dr. Hassan , Gazal Giath , Alharbi Dr. Doaa Makki , Almugren Dr. Waad Mosaad
Published: December 2022

Objectives: The systematic review objective was designed to assess the effects of local interventions used for the prevention and treatment of pain associated with orthodontic treatments. Methods: A digital literature search was carried out between 2000 and 2022 in the following databases, Scopus, Google Scholar, PubMed, and the Cochrane Library of Systematic Reviews. Results: Orthodontic patients' quality of life was significantly impacted negatively by the discomfort associated with fixed orthodontic equipment. There were poor dental hygiene, slurred speech, difficulty chewing, movable teeth, decreased taste, halitosis, and gingival bleeding which were frequently the main indicators of pain. Conclusion: Patients might, to some extent, prevent pain and suffering with the support of effective orthodontist- patient dialogue and targeted dietary guidance. However, analgesics continue to be a trusted and widely used method for subsiding painful sensations.
Uterine Smooth Muscle Tumor of Uncertain Malignant Potential – An Unusual Case Report
Authors: Deepti M. , Krishna L. , Srikanth S. , Swathi C.
Published: December 2022

The term smooth uterine muscle of uncertain malignant potential (STUMP) indicates a group of uterine smooth muscle tumors (SMTs) that cannot be diagnosed unequivocally as benign or malignant. Diagnosis, surgical management, and follow-up of this neoplasm remain controversial, especially in pre-menopausal women with fertility desire, due to the non aggressive behaviour and prolonged survival rate when compared to leiomyosarcomas. Studies of STUMP are limited in population and rarity results in few analysis of its fertility outcomes and oncologic prognosis. STUMP has a lower tumor growth rate and recurrence is often delayed by years after initial event compared to high grade leiomyosarcomas which have an aggressive clinical course and behavior thus making it very important to differentiate stump from leiomyosarcomas .Recurrencerate ranges from 8.7% to 11%.
Comparison between Bagolini Striated Glasses and Worth Four Dot Test in Assessment of Fusion and Suppression in Patients with Strabismus
Authors: Shahid Sharmeen
Published: December 2022

This cross sectional study was conducted at the Mayo Hospital Lahore from January 2019 to April 2019 to find out difference and agreement between Bagolini Striated Glasses and Worth Four Dot Test in assessment of fusion and suppression in patients with strabismus. Fifty patients with strabismus, with visual acuity of ≥ 0.6 Log Mar and at least 4 years of age were included. Fusion and suppression were assessed with Bagolini Striated Glasses (BAG) and Worth Four Dot Test (W4DT) at 1/3 meter. Forty-one patients were able to perform W4DT and forty-five patients performed BAG. There were 9 patients who were unable to demonstrate results with W4DT. There were 5 patients who could not demonstrate BAG. Fisher exact test showed 0.570 Exact sig. (2 sided) that exhibited an insignificant difference in the results of the two techniques. Cohen's kappa test showed -0.180 which indicated poor agreement between the two tests.
Beden Eğitimi Öğretmenlerinin Web 2.0 İçerik Geliştirme Yeterlilikleri ile Uzaktan Eğitim Yeterlilikleri Arasındaki İlişkide Mesleki İnancın Aracı ve Düzenleyici Rolü
Authors: UĞRAŞ Sinan , ASLAN Murat
Published: December 2022

Uygulamaları sanılandan çok daha eskiye dayanan, fakat özellikle geride bıraktığımız son iki yılda dünyanın gündemine giren ve her seviyede çok yoğun olarak kullanılan uzaktan eğitimde öğretmenler çok kritik bir rol üstlenmektedir. Bu noktada, özellikle beden eğitimi gibi uygulamalı derslerin uzaktan eğitim yoluyla verilmesinde öğretmenlerin yetkinlikleri çok daha önemli hale gelmiştir. Beden eğitimi öğretmenlerinin de hızla ve sürekli değişen bilişim teknolojilerindeki gelişmelere ayak uydurmaları, yenilikçi çözümler üretmeleri ve uzaktan eğitimin olumsuz yönlerinin üstesinden gelerek öğrenciler için dersi daha cazip hale getirmeleri beklenmektedir. Bu araştırmada beden eğitimi öğretmenlerinin web 2.0 araçları kullanma yeterliliği ile uzaktan eğitim yeterlilikleri arasındaki ilişkide mesleki inancın aracı ve düzenleyici rolünün belirlenmesi amaçlanmıştır. Araştırmaya % 80.1‘ni (n=214) erkek öğretmen, % 19.9’unu (n=53) kadın öğretmen olmak üzere toplamda 267 beden eğitimi öğretmeni katılmıştır. Araştırmada ilişkisel tarama yöntemi kullanılmıştır. Web 2.0 içerik geliştirme yeterliliği ve uzaktan eğitim yeterliliği arasında mesleki inancın aracı ve düzenleyici rolü Jamovi medmod ile test edilmiştir. Araştırma bulgularına göre web 2.0 içerik geliştirme yeterliliği ve uzaktan eğitim yeterliliği arasında mesleki inancın aracı ve düzenleyici rolünün pozitif ve anlamlı olduğu tespit edilmiştir. Araştırma sonuçlarına göre öğretmenlerin mesleki inanç düzeyinin hem web 2.0 yeterliliği hem de uzaktan eğitim yeterliliği üzerine olumlu etkileri olduğu sonucuna ulaşılmıştır.
OPTIMASI PRODUKSI USAHATANI TERINTEGRASI SEBAGAI UPAYA PENINGKATAN PENDAPATAN PETANI DI KABUPATEN LOMBOK TIMUR
Authors: Septiadi Dudi , FR Aeko Fria Utama , Ardana Yudhistira
Published: January 2023

Pola usahatani terintegrasi tanaman dan ternak merupakan pola usahatani yang menggabungkan sektor pertanian dan peternakan dalam satu kawasan usahatani. Petani belum mengetahui pola usahatani mana yang merupakan pola usahatani terintegrasi tanaman dan ternak yang dapat menghasilkan output produksi optimal. Tujuan penelitian ini adalah untuk menganalisis tingkat produksi optimal usahatani terintegrasi tanaman dan ternak di Kabupaten Lombok Timur. Metode penelitian yang digunakan adalah metode kuantitatif dengan persamaan liniear programming untuk mencari optimasi produksi usahatani. Data yang digunakan adalah data primer. Responden yang digunakan dalam penelitian ini adalah petani yang melakukan usahatani tanaman dan ternak sebanyak 68 petani sampel. Data dianalisis menggunakan aplikasi LINDO. Hasil penelitian menunjukkan bahwa melalui integrasi tanaman dan ternak pada berbagai pola tanam di wilayah lahan kering di Kabupaten Lombok Timur diperoleh informasi bahwa dari 6 aktivitas pola tanam, terdapat 3 aktivitas pola tanam yang menghasilkan total pendapatan maksimum. Pola tersebut diantaranya pola tanam jagung â€“ jagung - jagung+ternak (X1), bawang â€“ bawang -bawang+ternak (X2) serta jagung â€“ kedelai - bero+ternak (X5). Hal ini mengindikasikan bahwa ke-3 aktivitas pola tanam tersebut merupakan pola tanam yang dianjurkan karena dapat memaksimumkan pendapatan petani di wilayah lahan kering di Kabupaten Lombok Timur, yaitu sebesar Rp 27.136.137,44.
ANALISIS RASIO KEUANGAN UNTUK MENILAI KINERJA KEUANGAN KOPERASI
Authors: Falah Asep Saeful , Dewi Lati Sari
Published: January 2023

Analisis rasio keuangan merupakan dasar untuk menilai kinerja koperasi dalam mengelola sumber dananya pada periode tertentu. Analisis kinerja keuangan KUD Pesat Tani dilakukan berkaitan dengan terjadinya penurunan kinerja keuangan beberapa tahun terakhir, padahal KUD Pesat Tani adalah satu dari dua KUD yang masih aktif di kecamatan Pagerageung dan dengan jumlah anggota yang paling banyak. Metode yang digunakan adalah metode kuantitatif dengan format deskriptif. Hasil dari perhitungan rasio kemudian dibandingkan dengan standar Peraturan Menteri Koperasi dan UKM RI No.06/Per/M.KUKM/IV/2016 tentang Pedoman Penilaian kesehatan koperasi. Tujuan penelitian ini yaitu untuk mengetahui kinerja keuangan pada KUD Pesat Tani desa Puteran kecamatan Pagerageung kabupaten Tasikmalaya periode 2015-2019 ditinjau dari tingkat Rentabilitas, Likuiditas dan Solvabilitas. Hasil penelitian menunjukkan bahwa kinerja keuangan KUD Pesat Tani desa Puteran kecamatan Pagerageung kabupaten Tasikmalaya periode 2015-2019 yang dilihat dari aspek rentabilitas, likuiditas dan solvabilitas secara umum masih dibawah standar Peraturan Menteri Koperasi dan UKM RI No.06/Per/M.KUKM/IV/2016. KUD Pesat Tani sebaiknya melakukan pembenahan terhadap aktiva agar dapat memberikan kontribusi lebih besar dalam menghasilkan SHU, dan diharapkan untuk meningkatkan modal dengan cara melakukan pembenahan dalam penarikan piutang di nasabah yang jumlahnya cukup banyak agar perputaran keuangan menghasilkan kinerja  yang baik.
EFISIENSI PENGGUNAAN PUPUK ANORGANIK TERHADAP PENINGKATAN PADI SAWAH DI KABUPATEN KUPANG (Studi Kasus Balai Benih Induk Padi Noelbaki)
Authors: Saekoko Angelia , Joka Umbu
Published: January 2023

Balai Benih Induk Padi Noelbaki sebagai salah satu Balai Benih Induk yang bertugas menyediakan benih padi untuk masyarakat di Provinsi Nusa Tenggara Timur, dengan adanya kegiatan PKP yang bertujuan untuk mengetahui efisiensi penggunaan pupuk anorganik terhadap peningkatan padi sawahdi Kabupaten Kupang, dengan analisis data yang digunakan yaitu analisis deskriptif kualitatif, dengan hasil pengukuran penggunaan pupuk anorganik (4T) di Balai Benih Induk Padi Noelbaki menunjukan bahwa tepat jenis dan tepat dosis berada pada kategori sesuai dan mempunyai skor 3 dengan persentase 21% dan tepat waktu dan tepat cara berada pada kategori sangat sesuai dan mempunyai skor 4 dengan persentase 29%.
Kata Kunci: Pengabdian; Efisiensi; Pupuk Anorganik
The Toxicity of Synthetic Pesticides in the Niger Delta Region: A Review
Authors: Angaye Tariwari , Lelei Kariye
Published: December 2022

The Niger Delta region of Nigeria with a vast and resourceful ecosystem which has welcomed diverse agricultural practices and crude oil exploration. On the other hand, being a wetland it has also become a breeding ground for major pests of agricultural and public health interest. One major problem is the proliferation of mosquitoes which have obliged the intense usage of pesticides. Typically, pesticides are agents meant to control targeted organisms (pests) that have caused adverse effects to man and his environment. Due to the excessive and inappropriate usage of pesticide they drift and get linked to contaminable environmental media such as water, air and soil. Human exposure can occur from inhaled spray drift, accidental ingestion, runoffs and in a broad sense through food chains. Pesticides find their way into different ecosystems causing adverse effects to non-target organisms, most of these non-target organism lacks metabolites to degrade these toxic pesticides residue in their cells and tissues; hence accumulate them and transfer them to other organisms via food chain which could cause acute and chronic effect. In addition, industrial and municipal effluents have a more toxic synergistic effect with pesticides. Toxic effects of pesticides can be controlled by; adhering to safety instructions from manufacturers of pesticides, thorough washing of agricultural produce, use of gloves and mask by the applicant and other safety measures. In addition, toxicological research and advocacy should be more active in the Niger Delta Region as well as proper and active regulation of pesticides usage to comply with minimal residual limits of pesticides and anthropogenic agents.
Identifikasi indikator kinerja pengelolaan desa wisata rintisan, study kasus desa wisata Karang, Trimulyo, Sleman
Authors: Wijayanti Ani , Purwoko Yitno
Published: January 2023

Karang tourism village is a pioneer tourism village that was just inaugurated in 2022. The management of the Karang tourism village involves various stakeholders consisting of academics, entrepreneurs, communities, association, and government. The performance of the management and development of the Karang tourism village is measured using several indicators that have an influence on the achievement of the tourism village management target. This study uses a quantitative descriptive approach. Primary data was obtained through an instrument consisting of eight performances measured by their respective indicators. The data analysis technique used is scoring and data reduction. The results showed that the measurement results of the eight management performances of Karang tourism village showed the highest value of 2.17, namely institutional performance, while the lowest value was 0.33 namely marketing performance. The performance rating of the management of the Karang tourism village has not reached very good, but it has only reached good and sufficient, this is in accordance with the category as a pioneer tourism village. Management performance that has a good rating, namely institutions, tourist attractions, and amenities. Meanwhile, management that received sufficient ratings, namely partnership, accessibility, community participation, tourism marketing, and conservation
Revitalisasi tongkonan sebagai daya tarik wisata dalam upaya peningkatan ekonomi masyarakat desa wisata Kole Sawangan
Authors: Biringkanae Astriwati , Tammu Rahma Gusmawati
Published: January 2023

The purpose of this study is to analyze and identify strategies through the Tongkonan revitalization program in increasing tourist attractiveness in the Kole Sawangan Tourism Village in a sustainable manner. Sources of data in this study were obtained through interviews, observations, and documentation. The results of the research show that the determination of strategies based on the results of the SWOT analysis in the Kole Sawangan Tourism Village. Determining strategies as much as possible to be able to optimally increase and empower the tourism potential in the Kole Sawangan Tourism Village so that it will encourage an increase in the economic level of the community.
Repercusiones del SARS-CoV-2, en la atención odontológica privada
Authors: Bernal Bohorquez Claudia Noelia , Véliz Vaca Violeta
Published: December 2022

Repercusiones del SARS-CoV-2, en la atención odontológica privada
FINE-NEEDLE ANGIOGRAPHY IN CHRONIC LIMB-THREATENING ISCHEMIA DIABETIC PATIENTS
Authors: Didenko Sergii N. , Ratushniuk Andrii V. , Liksunov Oleksandr V. , Orlych Oleksandr M. , Hupalo Yurii M. , Makivchuk Dmytro A.
Published: December 2022

The aim: The features and efficiency of performing fine-needle angiography for Chronic Limb-Threatening Ischemia (CLTI) in Diabetic Patients diagnosis.
Materials and methods: From 2015-2020, a total of 180 angiography procedures were performed in below-the-knee (BTK) arterial disease diabetic patients with CLTI (Rutherford category 4 to 6). Relative contraindications such as severe heart failure, myocardial infarction (MI), arterial hypertension, impaired renal function, allergy to contrast media and intolerance to antiplatelet therapy we carefully evaluated and compared with the major amputation risks. Patients were selected with adequate inflow to the common and popliteal arterys, as defined by presence of normal ipsilateral femoral and popliteal pulse, biphasic or triphasic Doppler waveform. Ultrasound controlled fine-needle angiography, by retrograde puncture of the superficial femoral artery (SFA) was performed with an 18G-70mm angiographic needle in 96 patients (1st group). Antegrade angiography using femoral sheath in 84 patients (2nd group).
Results: We have obtained adequate visualization BTK vessels by administering “Omnipak 300” 70% solution 9 mL with a power injector at a 3 mL/sec rate through the needle. Through the sidearm of the femoral sheath a total of contrast 15 mL, administered at 5 mL/sec rate. Fine-needle angiography 2.16 times reduces the injected contrast amount in patients. The hemorrhagic events frequency in the 1st group was significantly lower.
Conclusions: Fine-needle angiography is recommended for CLTI Diabetic Patients diagnosis.
RESULTS OF RESEARCH OF PERSONAL HYGIENE PRODUCTS FOR SUITABILITY FOR SPECIAL PROCESSING IN ZONES OF CHEMICAL, RADIOACTIVE CONTAMINATION AND IN COMBAT CONDITIONS
Authors: Kurdil Natalia V. , Khudaikulova Olga O. , Palamar Borys I. , Yushchenko Oleksandr V. , Ustinova Lyudmila A. , Zulfigarov Artur O. , Gavrylko Yevhen V.
Published: December 2022

The aim: Research of personal hygiene products with detoxification properties by evaluating their formulation composition, emulsifying and complexing ability to heavy metal ions and radionuclides.
Materials and methods: The complex-forming ability of raw materials with heavy metal ions was determined in vitro, the content of heavy metals was determined by the method of atomic emission spectrometry with inductively coupled plasma (BS EN 13805:2014); determined the content of 137Cs, 232Th, 40K, 226Ra, 90Sr in washings from the surface of the skin of hands treated with personal hygiene products. The means were tested for compliance with the standard on scintillation spectrometers of gamma radiation energy «SEG-001» «AKP-S» and beta radiation (SEB-01-70); methods used: MI 12-04-099 and MI 12-05-099.
Results: A high complexing ability of the pectin-containing «Liana» shampoo was found in relation to heavy metal ions (Co2+, Cu2+, Zn2+, Cd2+, Pb2+), as well as in their combined presence. It was established that the effectiveness of removing fatty impurities from the surface of the skin of the «Liana» product was 10.1 times higher than that of liquid soap (р<0.001). A high level of deactivating, degassing and antibacterialproperties of the personal care products «Bastion» and «Bastion-M» was revealed.
Conclusions: Today, there is significant potential in the creation of formulations for special (sanitary) skin and hair surface treatment, containing natural complexing agents as detoxicants, and can be used in special professional activities associated with the risk of exposure to CBRN factors.
STUDY OF NEUROTICISM AND EXTRAVERSION AS PREDICTORS OF THE SYNDROME OF EMOTIONAL BURNOUT (EBS) IN STUDENTS
Authors: Palamar Svitlana P. , Gruzieva Tetiana S. , Nezhyva Liudmyla L. , Yelenskyi Viktor Y. , Rudenko Nina M. , Khomik Mykola M. , Savchenko Yuriy Y.
Published: December 2022

The aim: To investigate internal factors – neuroticism and extroversion, which can be predictors of emotional burnout syndrome and their prevalence among student youth.
Materials and methods: Used a complex of methods: theoretical – theoretical analysis, synthesis, systematization; sociological method of questioning; empirical: observation, testing-Eysenck’s methods for assessing the impact of neuroticism and externality; statistical. The object of the research is the process of influence of personal characteristics (individual factors) on the development and spread of EBS among students. Subject – personal characteristics (individual factors) of students – extraversion and neuroticism. The number of respondents was 610 students.
Results: A study of the personal characteristics of neuroticism and extraversion, which can be predictors in the genesis of EBS, was conducted. It has been established that several negative internal factors influence students. The significant prevalence of internal risk factors of EBS indicates the need for a comprehensive approach to its prevention and the need for the development and application of modern adequate methods, forms, and methods of prevention.
Conclusions: The presence and influence of internal factors on the development of EBS have been theoretically proven. It has been established that there is a significant propagation of personal characteristics that may have signs of negative internal factors. The need for preventive measures for the development of EBS among students has been revealed.
SAFETY OF PROPOFOL ANESTHESIA DURING NEUROSURGICAL OPERATIONS
Authors: Pasichnyk Hennadiy P. , Bilawicz Jan , Pidhirnyj Yaroslav M. , Merza Romana O.
Published: December 2022

The aim: The purpose of this study was to assess the safety of propofol use during neurosurgical operations of different durations.
Materials and methods: 72 patients were divided into three groups depending on the type of operations; it were group 1 (ventriculostomy), group 2 (hematoma removal), and group 3 (tumor removal), the anesthesia durations in these groups were 65±5 min, 145±7 min and 225±10 min, respectively. Total propofol doses in patients of groups 1, 2, and 3 were 452±22 mg, 710±42 mg, and 966±51 mg, respectively. Before intervention and 1 h post operation, blood gas composition, serum levels of transaminase, triglycerides, creatine phosphokinase, and potassium, rate of urine output, level of mean arterial pressure, and heart rhythm rate were determined.
Results: No significant deviations concerning hemodynamic indicators, blood gas composition, changes of creatine kinase activity were found for any group patients during the perioperative period. The rate of urine output in all patients reached above 0.5 ml/kg/h without saluretics use. The deviated transaminase values returned to their normal ones during 24 h post intervention. The triglycerides levels were in normal range proving the absence of propofol doses used on the lipid metabolism.
Conclusions: Anesthetic protection of neurosurgical interventions using propofol in doses 2.5-3 mg/kg and 3.60.3 mg/kg/h for induction anesthesia and for anesthesia support, respectively, is safe and does not lead to dangerous undesired consequences. However, the propofol use for prolonged patient sedation and his/her adaptation for prolonged lung ventilation needs further studies.
MODERN APPROACHES TO CHOOSING SHAVER BLADE FOR ENDOSCOPIC SURGERY OF THE NASOPHARYNX AND PARANASAL SINUSES USING 3D MODELING
Authors: Shkorbotun Yaroslav V. , Liakh Kateryna V.
Published: December 2022

The aim: To determine the effectiveness of the use of 3D printed templates of shaver blades for choosing the optimal blade shape for endoscopic surgery of the nasopharynx and paranasal sinuses.
Materials and methods: The shaver blade templates with bending angles of 40º, 60º, 90º and 120° for powered endoscopic sinus surgery were made according to the manufacturer catalog using the Asiga 3D printer and Dental TOOTH material. There were examined 100 patients who underwent endoscopic powered sinus interventions (50 – adenoidectomy, and 50 – removal of the maxillary sinus cysts). The patients with each type of intervention were divided into subgroups of 25 people. The subgroups differed by the approach to choosing shaver blades: using 3D templates – in the main subgroup, and traditional –in the control.
Results: The average number of shaver blades used for adenotomy in patients of the main group was 1.04±0.04, and in the control group – 1.36±0.09 (p<0.05). In patients of both subgroups, the 40º shaver blade, which is standard for adenotomy and recommended by most manufacturers, was most often used. In the control subgroup, it was used significantly more often. The frequency of the use of other shaver blades – 60º and 90º in both subgroups did not differ significantly and amounted to 40.0% (CI 95% 21.8; 61.1) and 36.0% (CI 95% 18.7; 57.4).
Conclusions: The use of 3D templates for choosing a shaver blade reduces the number of blades used in adenoidectomy by 23.5%, for maxillary sinus cysts operation – by 18.2%.
5-HT3 SEROTONIN RECEPTOR BLOCKERS FOR INTENSIVE THERAPY OF TRAUMATIC DISEASE IN PATIENTS WITH MULTIPLE TRAUMA
Authors: Volkova Yuliya V. , Mykhnevych Kostiantyn G. , Ponomaryov Volodymyr I. , Dmytriiev Dmytro V. , Dmytriiev Kostiantyn D. , Lyzohub Kseniia I. , Potapov Serhii M.
Published: December 2022

The aim: To find the most rational choice of drugs that have anti-emetic effect in patients with polytrauma in acute and early periods.
Materials and methods: We examined 82 patients with polytrauma, 62 men and 20 women. The age of patients ranged from 19 to 50 years. Patients were divided into the main and control group with 36 and 46 people respectively, who did not differ significantly by sex, age, anthropometric data, the nature and severity of injuries, and the time from injury to admission to hospital.
Results: Full antiemetic effect was achieved in 72.4% of patients, where metoclopramide was used. Сomplete antiemetic effect was achieved in 96.3% of patients, where sturgeon was used. Decrease of peristaltic activity does not increase postoperative intestinal paresis, and also prevents irritable bowel syndrome and diarrhea caused by dysbacteriosis on the background of antibiotic therapy. Anxiolytic effect without sedative effect and impairment of motor coordination, decrease of the somatic and psychopathological symptoms intensity in alcohol-toxic withdrawal syndrome contributes to the correct interpretation of the traumatic disease.
Conclusions: Use of drugs with antiemetic effect is an important part of the complex of traumatic disease treatment in patients with polytrauma. The use of osetron is rational in patients with polytrauma with cranio-abdominal injuries.
CORRELATION BETWEEN PRIMARY TUMOR SIZES WITH PROGNOSTIC MARKERS IN BREAST CARCINOMA IN IRAQI WOMEN: IMMUNOHISTOCHEMICAL STUDY
Authors: Dosh Zainab Nassir , Muslim Liqaa Mohammed , Hasan Mais Mohammed Salim M. , Janabi Asaad al
Published: January 2023

The aim: The study aimed assessment of immunohistochemical expression of ER, PR, Ki-67 and HER2 in breast carcinoma, studied the relation between size of primary tumor and these markers and distribution of molecular subtypes between both study groups.
Materials and methods: The study was implemented immunohistochemistry laboratories of Al-Sadder Teaching Medical City in Al Najaf during the period from September 2020-september2021, forty four women with breast carcinoma who undergone modified radical mastectomy were involved in this study, aged between 29 -81 years, mean age being 47.3 yr. we divided study group into two categories; depending on tumor size, with cutoff point of 2 cm. Envision technique applied for evaluation of expression of ER, PR, Ki-67 and HER2.
Results: Among all patients, ER expressed in 70.45%, PR in 68.18%, HER2/neu in 18.18%, High ki-67 index in 52.27%.
Conclusions: Molecular subtype luminal A tend to occur in smaller tumor size compared to basal subtype which tend to occur in larger size of tumors. Breast carcinoma tumor size showed no significant correlation regarding histological grade, immunohistochemical expression of ER, PR, HER2, and Ki-67 labeling index.
EPOXID HYDROLASE SINGLE GENE POLYMORPHISM (RS1051740) AND SEVERITY OF CHRONIC OBSTRUCTIVE DISEASE
Authors: Antonova Inna , Gridnyev Oleksiy , Galchinskaya Valentina
Published: January 2023

The aim: The aim of the present study was to establish a link between polymorphic variants of the microsomal epoxide hydrolase gene and the severity of COPD in patients with COPD and coronary heart disease.
Materials and methods: The study included 128 patients with COPD and IHD, who were divided into two groups: group 1 included 72 patients with in¬frequent exacerbations of COPD (0-1 per year) and group 2 included 56 patients with frequent exacerbations of COPD (exacerbation of COPD ≥2 per year). The control groups consisted of 15 smokers without COPD and IHD, 11 practically healthy non-smokers and 11 patients with IHD who do not smoke. All patients underwent DNA isolation and purification, followed by determination of the Tyr113His polymorphism of the EPHX1 microsomal epoxide hydrolase gene (rs1051740).
Results: There was a significant association of the carriage of the CC genotype of the EPHX1 gene in patients with COPD and IHD (RO = 21.326 [95.0% CI 4.217–107.846], p <0.001) with a more severe course of COPD compared with the TT genotype of the EPHX1 gene.
Conclusions: Patients with COPD and coronary heart disease who were carriers of a homozygous variant СС of the EPHX1 gene have a reliable association with a more severe course of COPD with frequent exacerbations (higher class according to GOLD classification and more severe symptoms of COPD according to the СAT questionnaire).
CAUSES OF SUPERINFECTIONS: DEADLY BACTERIA OF TUBERCULOSIS
Authors: Koshak Yuriy F. , Benedykt Volodymyr V. , Prodan Andrii M. , Dzhyvak Volodymyr G. , Nikitina Iryna M.
Published: January 2023

The aim: To improve early diagnosis of drug-resistant superbacteria and interrupt the ways of its formation through molecular technological and surgical methods.
Materials and methods: The operated patients were divided into two groups: group 1 – 351 (51.25 %) patients, who were operated with the use of minimally invasive technologies, and this was the main group; group 2 – 334 (48.75 %) patients who were operated on open wide thoracotomy, which was the comparison group. Among 351 patients in the main group, in 301 – acute pleural tuberculous empyema was detected, and in 50 – chronic one. Among patients in the comparison group, acute pleural empyema was observed in 284 patients and chronic in 50 patients.
Results: According to our data, video thoracoscopy is a highly informative method of diagnosis of pleural effusions, detection of pleural tuberculous empyema in the first, second and third stages of its development.
Conclusions: The introduction of modern molecular-geneticand surgical technologies will allow to accurately establish the etiology process, to conduct the identification of pathogen microorganisms and to determine the phenotymetric and genotytypical sensitivity of bacteria to Antimycobacterial drugs. Such diagnostics will promote effective treatment of patients who are already infected with persistent strains of bacteria and viruses.
THE USE OF VIDEO AND E-BOOKLETS IN EDUCATING PARENTS ON SIBLING RIVALRY
Authors: Cantika Brilliana  , Endah Kamila Mas’udah  , Erni Dwi Widyana
Published: January 2023

Lack of awareness of parents in providing a good role for children can lead to sibling rivalry behavior. Sibling rivalry behavior can be overcome with a good parental role, one of which is by providing appropriate educational media, namely video educational media and e-booklet educational media. This study aims to determine the differences between video educational media and e-booklets on the role of parents regarding sibling rivalry in a early childhood learning center. The research method uses a quasi-experimental nonequivalent control group design. The sample in this study used the total sampling technique, namely 32 respondents who met the sample criteria. Data collection by dividing educational media groups, videos and e-booklets. Each group was given a pretest, then given educational media within seven consecutive days and the role of parents was measured using a questionnaire. Data analysis used the Wilcoxon test and the Mann-Whitney test. The Wilcoxon test results obtained an Asymp.Sig (2-tailed) value of 0.000 <0.05, which means that there is an influence of providing video educational media and e-booklet educational media on increasing the role of parents regarding sibling rivalry in early childhood. And the results of the Mann-Whitney test obtained a value of (2-tailed) 0.264 <0.05, which means that there is no difference between video educational media and e-booklets on the role of parents regarding sibling rivalry in early childhood. Based on the results of the research, video educational media and e-booklets should be considered as additional information and changes in the role of parents.
The perspectives and challenges of employing E-learning in high Education by the faculties of education professors at University of Tripoli - Libya
Authors: Al-Awjazi Mona Salem Ahmed , Dikna Fahima Tayeb
Published: December 2022

The study aims to identify the extent of the availability of e-learning competencies and the obstacles to its use in university education among professors of the faculties of education, University of Tripoli, And the detection of statistical differences in the degree of availability of e-learning competencies among the professors, and this According to the following variables: academic qualification, specialization, the scientific degree, years of experience, the researchers used the descriptive analytical method and the questionnaire as a tool to collect data from the research community, which numbered (160) professors, by drawing a random sample of (60) strength, by (38%) and using the appropriate statistical methods for the Statistical Package for Social Sciences(SPSS).
The results showed that the level of "e-learning culture, the computer use, and the equipment" among the professors of the Faculty of Education at Janzour was at a medium degree, while the "adequacy of using the information network" was at a high degree.
And according to the obstacles which faced by professors in implementing e-learning programs in university education, were come with a moderate degree from the point of view of the research sample members, and The results showed, according to the degree of availability of e-learning competencies, there no statistically significant differences in the degree of availability of e-learning competencies due to the variable "Educational qualification" for all dimensions of the first axis "e-learning culture, And the use of the World Wide Web, the computer skills, and e-learning equipment in the college", It also showed that there are statistically significant differences in the degree of availability of e-learning competencies due to the variable "Scientific degree" (according to associate professor), at the level (0.05), and in the dimension of "E-learning culture", and there are differences (according to the academic degree professor) From the members of the research sample, for the dimension of "computer use, and the use of the World Wide Web". It also showed that there were no statistically significant differences in the degree of availability of e-learning competencies due to the variable "years of experience" for all dimensions of the research tool's axes.
The role of school principals in promoting human rights values among students with special needs in primary schools within the Green Line
Authors: Haddad Naila (Nuhaila) Grace Elias
Published: December 2022

This study came in line with the previous educational literature and previous studies that called for the need to conduct more studies on the concepts of human rights. Therefore, it aimed to identify and understand the reality of promoting human rights concepts among students with special needs. The current study attempted to answer the following two questions: (1) What is the role of school principals in promoting human rights values among students with special needs in primary schools within the Green Line?, and (2) Are there statistically significant differences between the average teachers’ estimates in the role of school principals in promoting human rights values among students with special needs in primary schools within the Green Line attributed to gender, educational qualification, years of experience?. The descriptive survey method was used, through the development of a questionnaire that was distributed to (254) male and female teachers. The results showed the promotion of human rights concepts among students. Those with special needs from the teachers' point of view came at a medium degree. The results also showed that there were no statistically significant differences for the role of school principals in promoting human rights values among students with special needs in primary schools within the Green Line due to the study variables, i.e., gender, educational qualification, and educational experience.
Keywords: human rights, people with special needs, primary schools.
Applying the Higher Order Thinking Skills in Modern Islamic Boarding Schools in Indonesia: An Introspective Study of Programmed Educational Activities.
Authors: Tata Mohamad Tawfiq
Published: December 2022

The Islamic Boarding School (Pesantren) was the oldest educational institution in Indonesia. From its ancient history, it is a community-based educational institution (community-based education which is established, organized and organized by society). After 1936, as a result of the development of Islamic boarding schools, it was divided into two parts: traditional, known as Salafism, and Modernism.
Although Islamic boarding schools, known as "pesantren", are a well-established social reality in Indonesian society, they have not received much attention and government intervention to develop or empower them in government laws and regulations from its original inception to 1998.
There are questions in this area: How does education in Islamic boarding schools look like? Has education applied contemporary educational methods and theories? Do the recently implemented Islamic boarding school teaching and learning processes apply higher thinking skills? How are higher thinking skills applied in Islamic boarding schools?
The method in this research is a descriptive introspective analysis that will be discussed through inductive analysis on how to implement higher thinking skills by following the various activities carried out in Islamic boarding schools, from teaching and learning activities to the daily activities of students, through this discussion, the model of applying higher thinking skills in modern Islamic boarding schools and its advantages will be shown.
Key words: Kiahi - Creative Thinking - Activities - Model - Acquisition - Salafism and Modernity
The relationship of Language Disorder with school child’s psychological and academic compatibility
Authors: Meguellati Samaher , Louiza Sultani
Published: December 2022

This study aimed at investigating the relationship between language disorders of school child and psychological and academic compatibility.; In order to achieve this aim, the researchers followed the descriptive method in addition to some educational methods including; Zeineb Cheir’s psychological compatibility scale, and the academic results of pupils who suffer from language disorders, depending on their term averages. Thus; the educational tools were applied to a population of 10 pupils selected intentionally. The study attained the following results:
 There existed an inverse correlation between language disorder and school child’s psychological compatibility.
 There existed an inverse correlation between language disorder and school child’s academic compatibility.
According to the previous results, the researchers formulated a set of recommendations and suggestions including:
 Providing the primary schools with specialists on language disorders and psychological care.
 Programming training courses for teachers on how to treat pupils who have language difficulties.
 Making specialized classes with particular educational methods and tools for this category of pupils.
Key Words:
Language Disorders, Psychological Compatibility, Academic Compatibility.