bluuebunny/crossref_metadata_2025_split huggingface dataset:
Iraq's alternatives in light of the challenges surrounding the security of the Arabian Gulf: the challenges of security of navigation in the Strait of Hormuz
Authors: Thabit Amer Hassan 
Published: July 2020

The Arab Gulf region in particular, and with it the entire Arab region in general, is witnessing multiple challenges and conflicts, escalating, in a way that reflects the presence of overlapping in the dimensions: internal, regional and international, which imposes important effects on Iraq.
Iraq is part of the Arab Gulf region, and it interferes with it: historically, geographically, ethnically, and politically. It cannot be overlooked that Iraq was in historical stages that was considered the dominant force in this region, especially in the stage of the civilization’s dominance before the role of Iraq and its place in civilization declines.
Today, the region is witnessing multiple challenges, which began with the escalation of regional sectarian political events associated with the event of the occupation of Iraq, with a tendency to disturb the regional balance due to the dismantling of the capabilities of Iraq, and the matter came to the loosening of regional conflicts due to what the region is going through, and the perspective of the active forces in it, which has overcome the perspective The struggle for cooperation.
The entry or presence of the international worker in the regional conflicts in the Arab Gulf region caused the intensity of the conflicts to multiply instead of settling them, and Iran has presented on more than one occasion that it has the capabilities to implement the option of closing the Strait of Hormuz or impeding the freedom and safety of maritime navigation in international waters in the Arabian Gulf, And the matter was not related to the US sanctions regime on Iran in the year 2018 and beyond, but it is before it.

The Iranian threat to close the Strait of Hormuz at the very least, or any development in the regional conflict in the region, can damage the interests of Iraq and its security, for two reasons: First, most of Iraq’s trade passes through the waters of the Persian Gulf, and the second is that there is an overlap between Iraq and peoples and countries The region, and just as sectarianism moved from Iraq to the region after 2003, the Gulf conflict and tension can move into Iraq or affect Iraq’s policy.
Iraq should search for political alternatives that help it in dealing with the developments of the conflict in the Arab Gulf region. Perhaps this research presents some of the options and alternatives that can help the Iraqi decision-maker, if there is an important development in the Gulf-Western conflict with Iran
The Impact of Psoriasis on the Quality of Life of Patients in San Antonio, TX
Authors: Guda Anisha , Kowalewski Catherine , Osswald Sandra , Usatine Richard 
Published: July 2020

Background: Psoriasis impacts 2% of the world’s population. The disease affects the quality of life of patients by causing pain and depression. Little information is available regarding the impact of psoriasis on San Antonio patients.Objective: This project obtained information from patients about how they are coping with psoriasis, impact on their quality of life, barriers to care, and support systems they have.Methods: An IRB approved six question survey was administered to 50 patients who attended the VA, a psoriasis support group, and Haven for Hope homeless clinic.Results: 40% of patients who completed the survey had been living with psoriasis for less than 5 years. 75% of patients in this group claimed they were severely depressed. The disease impacted them most psychologically and their greatest barrier to care was access to medications that “cured” their psoriasis. 60% of the patients were living with psoriasis for more than 5 years, and 81% claimed they were not depressed at all. Psoriasis impacted them most financially and their greatest barrier was the cost of care.Conclusion: Acutely, psoriasis patients are impacted psychologically and are frustrated with their disease. Over time, they learn to live with their condition and are impacted by the economic aspects of care.
Virtual Continuity Clinics: A Hybrid Approach to Longitudinal Patient-Dermatologist Relationships in the Wake of COVID-19
Authors: Jafari Alexander , Murina Andrea 
Published: July 2020

The COVID-19 crisis has altered the delivery of healthcare due to the rapid utilization of telemedicine. Dermatology residency programs may benefit from the use of teledermatology for the purposes of establishing and maintaining continuity over a three-year training program. We examine the current evidence on the effect of continuity on patient and resident satisfaction and elaborate on how teledermatology can help to overcome some of the barriers to longitudinal care. Integrating teledermatology into a continuity clinic allows resident physicians to check-in more frequently with patients and provide medication monitoring. We offer suggestions on how programs can integrate teledermatology into a virtual continuity clinic for residents.
Silvicultural growth models of the formation of Quercus Robur in the black earth zone conditions of the steppe of the South of Russia
Authors: КРУЖИЛИН С.Н. 
Published: July 2020

В пределах территории европейской части России зона степей занимает более 60 млн. гектаров. Степи представлены на Южном Урале, на Волге, на Дону, в Предкавказье, в Заволжье. Выращивая степные насаждения, специалисты всегда сталкиваются с большими проблемами, в первую очередь связанными с природными условиями. Именно природные условия обуславливают особые подходы в проектировании, создании и выращивании лесных культур. Одной из основных древесных пород в условиях черноземной зоны Юга России является дуб черешчатый. При выращивании культуры дуба возникает много второстепенных вопросов, касающихся выбора сопутствующих пород, схем смешения и размещения, густоты в разные возрастные периоды. Другими словами, важным моментом при формировании искусственных насаждений дуба черешчатого является информация о лесоводственных моделях. Ведь, именно знание модели поведения насаждений в разные возрастные периоды позволит вырастить продуктивные и устойчивые насаждения, которые в полной мере будут выполнять отведенную функцию в нашей степной зоне защитную Целью представленной работы является анализ хода роста дуба черешчатого в смешении с разными древесными и кустарниковыми породами и разработка их лесоводственных моделей применительно к условиям черноземной зоны Юга России.
Within the territory of the European part of Russia, the steppe zone covers more than 60 million hectares. The steppes are represented in the Southern Urals, on the Volga, on the Don, in Ciscaucasia, in the TransVolga region. Growing up steppe plantings, specialists always face big problems, primarily related to natural conditions. It is natural conditions that cause special approaches in the design, creation and cultivation of forest crops. One of the main tree species in the black earth zone of the South of Russia is pedunculate oak. During the cultivation of oak culture, many minor issues arise concerning the selection of accompanying breeds, schemes of mixing and placement, density in different age periods. In other words, an important point in the formation of artificial stands of pedunculate oak is information about silvicultural models. After all, it is the knowledge of the model of behavior of plantations in different age periods that will allow to grow productive and sustainable plantations that will fully perform the assigned function in our steppe zone protective The aim of the present work is to analyze the course of growth of pedunculate oak mixed with different tree and shrub species and to develop their silvicultural models for the conditions of the black earth zone of southern Russia.
Hubungan Antara Jenis Kelamin dan Riwayat Asma dengan Rinitis Alergi pada Pelajar SMP Muhammadiyah 3 Palembang
Authors: Wardhani Meilina , Juwita Ressy Irma , Purwoko Mitayani 
Published: July 2020

Latar Belakang: Rinitis alergi adalah suatu penyakit pada hidung yang ditimbulkan oleh reaksi inflamasi mpada mukosa hidung dengan perantara immunoglobulin E. Prevalensi rinitis alergi di dunia telah meningkat termasuk di Indonesia yang kini telah mencapai 1,5-12.4% dan cenderung mengalami peningkatan setiap tahunnya. Penelitian ini bertujuan untuk mencari prevalensi rinitis alergi dan hubungan antara jenis kelamin dan riwayat asma dengan kejadian rinitis alergi pada siswa sekolah di Palembang. Metode: Penelitian ini adalah penelitian analitik observasional dengan desain cross sectional. Penelitian dilakukan di SMP Muhammadiyah 3 Palembang pada tahun 2018. Data primer diperoleh dengan cara meminta subjek penelitian untuk mengisi kuesioner ISAAC. Kriteria inklusi penelitian ini adalah siswa-siswi berusia 13-14 tahun. Besar sampel yang digunakan sebanyak 80 responden, diambil teknik total sampling.Hasil: Pada penelitian ini didapatkan prevalensi rinitis alergi sebesar 51,2% dan jenis kelamin (p=0,014) dan riwayat asma (p=0,019) sebagai faktor risiko terjadinya rinitis alergi. Perempuan lebih banyak menderita rinitis alergi dibanding laki-laki kemungkinan disebabkan perempuan lebih sering terpapar allergen berupa debu akibat sering melakukan pekerjaan rumah tangga seperti menyapu. Adanya paparan alergen terhadap mukosa hidung akan meningkatkan konsentrasi berbagai faktor yang terkait asma seperti eosinophil, interleukin-5 dan sel CD34 di darah perifer. Kesimpulan: Jenis kelamin dan riwayat asma merupakan faktor risiko terjadinya rinitis alergi pada anak.
PENGARUH LATIHAN AGILITY LADDER EXERCISE TERHADAP KETERAMPILAN DRIBLING BOLA DALAM PERMAINAN SEPAKBOLA
Authors: Irfan Irfan , Umansyah Nurul 
Published: July 2020

Tujuan penelitian ini untuk mengetahui ada pengaruh latihan agility ladder exercise terhadap keterampilan dribbling bola dalam permainan sepakbola. Jenis penelitian adalah eksperimen yaitu suatu metode yang dilakukan dengan cara memberikan perlakuan terhadap subyek penelitian. Penelitian ini dilakukan pada siswa putra kelas VIII yang berjumlah 26 orang, teknik pengambilan sampel yang digunakan dalam pelitian ini adalah teknik proposional random sampling dengan cara undian. Instrumen dalam penelitian ini menggunakan tes dan pengukuran. Hasil penelitian diperoleh data berdasarkan analisis latihan agility ladder exercise terhadap keterampilan dribbling bola. Dengan besaran nilai t-hitung 8.061 lebih besar dari nilai t-tabel 2.064, sehingga dari hasil penelitian ini dapat di simpulkan bahwa, Ada pengaruh yang signifikan setelah diberikan latihan agility ladder ecercise terhadap keterampilan dribbling bola pada siswa putra kelas VIII Sekolah Menengah Pertama Negeri 1 Wawo Kabupaten Bima
Why do we Discontinue Biologic Agents? A Retrospective Study of 11 Years
Authors: Gil Francisco , Rato Margarida , Monteiro Ana , Parente Joana , Martins César , Aranha João , Silva Maria João 
Published: July 2020

Introduction: Biologic agents acquired a growing relevance in dermatology, however, adverse events (AE) and reasons to discontinue therapy are not completely known. The objective of this study is to analyse the reasons behind the discontinuation of biologics and characterize the AE in this population of patients.
Material and Methods: Descriptive observational study, including patients over 18-years-old under treatment with biologic agents in the Dermatology Department of Hospital de Santarém, Portugal, between January/2007 and December/2017. We analysed reasons for therapeutic discontinuation, defined as the omission of at least 2 consecutive administrations, whatever the reason implicated and whether or not proposed by the dermatologist.
Results: A total of 262 cycles of treatment were performed, in 138 patients (59.4% male, 40.6% female). Psoriasis was the most prevalent diagnosis (93.5% of the patients). Cycles of treatment with 8 biologic agents were analysed: etanercept (46.6%), adalimumab (31.3%) and ustekinumab (12.6%) were the most represented. During the study period, 167 suspensions were registered, for which 170 justifications were indicated. The most prevalent causes were: primary or secondary therapeutic failure (35,3%), AE (31.2%), factors related to the patient/noncompliance (17.1%), surgical intervention (7.1%) and excellent clinical response/absence of lesions (6.5%). Among therapeutic discontinuations motivated by AE (n=53), infections were the most frequent cause (35.8%, n=19), followed by malignancies (15.1%, n=8), hematological abnormalities (13.2%, n=7), neurological symptoms (9.4%, n=5) and local reactions at the injection site (5.7%, n=3).
Discussion: The main cause for discontinuation of biologics was therapeutic failure, immediately followed by AE. Two different patterns of discontinuation were apparent: definitive suspension, commonly decided by the physician due to primary or secondary therapeutic failure, and temporary discontinuation, frequently without formal medical indication, due to AE, later resuming the same drug. We found a higher percentage of therapeutic cycles discontinued due to AE than reported in the literature. Temporary suspensions of the biologics due to AE, often not sufficiently valued by the dermatologist, are probably under-recognized and contribute to a suboptimal pattern of use of biologics and worse clinical outcomes.
Eel Cookies Supplement and Incidence of Diarrhea in Children Aged 12–24 Months
Authors: Aristina Nur Eva , Rachmadi Dedi , Herawati Dewi Marhaeni Diah , Susiarno Hadi , Gurnida Dida Akhmad , Sunjaya Deni Kurniadi 
Published: July 2020

Diarrhea is one of the main causes of death in infants and toddlers in Indonesia. The Indonesian eel is a source of animal protein that contains high nutrients, including vitamin A and zinc, so it can be used to boost immunity. The objective of this study was to analyze the effect of eel cookies on the incidence of diarrhea in children. This was a double-blind randomized control trial (RCT) post-test study on 44 children aged 12–24 months at Garuda Public Health Center, Bandung city, who were selected using the simple random sampling method. The study was conducted for 2 months from January to February 2017. Data were analyzed using the Wilcoxon test. Results showed that there was an effect of eel cookies in reducing diarrhea incidence in toddlers (p<0.001), with no diarrhea condition seen among the toddlers among 18 children who had a history of diarrhea in the past and among 20 other children with no history of past diarrhea. In conclusion, eel cookies can reduce the incidence of diarrhea in children aged 12–24 months. Hence, it can be used as a functional food to improve child immunity as one of the efforts to prevent infectious diseases, especially diarrhea. SUPLEMENTASI COOKIES IKAN SIDAT TERHADAP KEJADIAN DIARE PADA BALITA USIA 12–24 BULANPenyakit diare merupakan salah satu penyebab kematian utama pada bayi dan balita di Indonesia. Ikan sidat merupakan salah satu sumber protein hewani yang banyak mengandung vitamin A dan seng sehingga dapat meningkatkan kekebalan tubuh. Tujuan penelitian ini adalah menganalisis pengaruh pemberian cookies ikan sidat terhadap kejadian diare pada balita. Desain penelitian dengan randomized controll trial (RCT) posttest group design dengan double blind. Subjek penelitian adalah balita usia 12–24 bulan di Puskesmas Garuda Kota Bandung sebanyak 44 responden. Penelitian dilakukan selama 2 bulan mulai Januari–Februari 2017. Pengambilan sampel dilakukan secara acak sederhana. Analisis data menggunakan Uji Wilcoxon. Hasil penelitian menunjukkan pengaruh pemberian cookies ikan sidat terhadap penurunan kejadian diare pada balita (p<0,001), yaitu tidak ada perubahan kondisi balita dari tidak diare menjadi diare, dan terdapat 18 balita yang pernah memiliki riwayat penyakit diare mengalami perubahan setelah diberikan perlakuan sehingga tidak mengalami diare, sedangkan 20 orang di antara yang tidak memiliki riwayat penyakit diare setelah mendapatkan perlakuan tetap tidak mengalami diare. Simpulan, terdapat pengaruh pemberian cookies ikan sidat terhadap penurunan kejadian diare pada balita usia 12–24 bulan. Oleh karena itu, cookies ikan sidat dapat digunakan sebagai makanan fungsional untuk meningkatkan imunitas anak sebagai upaya pencegahan terhadap penyakit infeksi terutama diare.
Relationship of Soil-transmitted Helminth and <i>Enterobius vermicularis</i> Infection with Anemic in Students in Aceh Besar
Authors: Heri Faisal , Depari A. A. , Panggabean Merina 
Published: July 2020

Helminthiasis is a disease caused by parasites in the form of worms, one of which is the type of soil-transmitted helminth (STH), A. lumbricoides, T. trichiura, N. americanus, and A. duodenale which infect humans through soil transmission. Enterobius vermicularis is the most common intestinal parasite in the whole world. Worms that live in the human intestine can cause malnutrition and anemic. This study aims to determine the relationship STH and Enterobius vermicularis infection with anemic of students in several elementary schools in Aceh Besar regency, Aceh province. This study was an analytical study using a cross-sectional study design conducted from May to November 2015. The sample consisted of the total sampling of 736 elementary school students, as well as using the inquiry method of Kato with stool specimens, cellophane tape anal swab, and hemoglobin. The correspondents who suffered from anemia and STH type helminthiasis, namely ancylostomiasis 7/7 students (100%, p=0.000); trichuriasis 30/58 students (51.7%, p=0.000) and 28 students not anemic (48.3%); and ascariasis 13/22 students (59.9%, p=0.002) and 9 students not anemic (41.1%). In enterobiasis infection, anemic students were 46/146 students (31.5%) and nonanemic students were 100 students (68.5%, p=0.634). In conclusion, all STH types related to the anemic status of the correspondent, and no correlation between anemic and infection of enterobiasis. HUBUNGAN INFEKSI SOIL-TRANSMITTED HELMINTH DAN ENTEROBIUS VERMICULARIS DENGAN ANEMIA PADA SISWA DI KABUPATEN ACEH BESAR PROVINSI ACEHKecacingan adalah penyakit yang disebabkan oleh parasit berupa cacing, salah satunya jenis soil-transmitted helminth (STH), yaitu A. lumbricoides, T. trichiura, N. americanus, dan A. duodenale yang menginfeksi manusia melalui transmisi tanah. Enterobius vermicularis adalah parasit usus yang paling umum di seluruh dunia. Cacing yang hidup di usus manusia ini dapat menyebabkan kurang gizi dan anemia. Penelitian ini bertujuan mengetahui hubungan infeksi STH dan Enterobius vermicularis dengan anemia pada siswa sekolah dasar di Kabupaten Aceh Besar, Provinsi Aceh. Penelitian ini merupakan penelitian analitik menggunakan rancangan cross-sectional study yang dilaksanakan dari bulan Mei sampai November 2015. Sampel berupa total sampling 736 siswa sekolah dasar, serta menggunakan metode pemeriksaan Kato dengan spesimen feses, cellophane tape anal swab, dan hemoglobin. Koresponden yang menderita anemia dan kecacingan jenis STH, yaitu ancylostomiasis 7/7 siswa (100%, p=0,000); trichuriasis 30/58 siswa (51,7%; p=0,000) dan 28 siswa tidak anemia (48,3%); serta askariasis 13/22 siswa (59,9%; p=0,002) dan 9 siswa tidak anemia (41,1%). Pada infeksi enterobiasis, siswa yang anemia adalah 46/146 siswa (31,5%) dan tidak anemia 100 siswa (68,5%; p=0,634). Simpulan, semua kecacingan jenis STH berhubungan erat dengan status anemia pada koresponden, serta tidak terdapat hubungan antara anemia dan infeksi enterobiasis.
Implementation of Importance-Performance Analysis (IPA) for Improving Medical Students’ Quality of Service in Teaching Hospital
Authors: Irasanti Siska Nia , Akbar Ieva Baniasih , Suryani Yani Dewi 
Published: July 2020

One of the most relevant elements for improving the quality of an organization is the recognition of customer satisfaction and perceived quality of services. During their clerkship, medical students are required to work with different medical specializations in rotation and treat patients under the supervision of the attending physicians. The purpose of the study is to explore the medical students' quality of service using the importance-performance analysis (IPA) diagram that focused on the conformance level (CLi) between the actual service performance score and patient expectation score. This was a cross-sectional study involving 160 patients and patient caregivers at the Department of Pediatric of West Java Provincial Al-Ihsan Regional General Hospital Bandung, who was a purposive sampling method to participate in the study during January 2018. Results showed that the total CLi was less than 100%. The CLi scores for responsiveness, empathy, assurance, and reliability components were 84.57%, 84%, 83.56%, and 83.45%, respectively. It can be concluded that the services provided were good, but have not yet been able to meet the expectation of the patients. Overall, the IPA is useful to identify areas for strategic focus in improving the quality of services provided by medical students to help the hospital managers and faculty of medicine develop education management strategies. PENERAPAN IMPORTANCE-PERFORMANCE ANALYSIS (IPA) UNTUK MENINGKATKAN KUALITAS PELAYANAN MAHASISWA SELAMA KEPANITERAAN DI RUMAH SAKIT PENDIDIKANSalah satu elemen yang paling relevan untuk meningkatkan kualitas organisasi adalah mengetahui kepuasan dan kualitas layanan yang dirasakan oleh konsumen. Selama kepaniteraan, mahasiswa kedokteran diwajibkan untuk berotasi melalui berbagai spesialisasi medis dan merawat pasien di bawah pengawasan dokter. Tujuan penelitian ini mengetahui kualitas pelayanan mahasiwa kedokteran dengan menggunakan diagram importance-performance analysis (IPA) yang berfokus pada tingkat kesesuaian (Tki) antara skor kinerja layanan aktual dan skor harapan pasien. Penelitian ini merupakan penelitian cross-sectional yang melibatkan 160 pasien dan penunggu pasien di Departemen Ilmu Kesehatan Anak di RSUD Al-Ihsan Provinsi Jawa Barat Bandung dengan metode purposive sampling selama bulan Januari 2018. Hasil penelitian menunjukkan bahwa total Tki kurang dari 100%. Skor Tki untuk komponen respons, empati, assurance, dan reliabilitas masing-masing adalah 84,57%, 84%, 83,56%, dan 83,45%. Dapat disimpulkan bahwa faktor layanan yang diberikan baik, tetapi belum memenuhi harapan pasien. Meskipun demikian, IPA berguna untuk mengidentifikasi area untuk fokus strategis dalam meningkatkan kualitas layanan yang diberikan mahasiswa kedokteran untuk membantu manajer rumah sakit dan fakultas kedokteran mengembangkan strategi manajemen pendidikan.