bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE INFLUENCE OF EARLY CLINICAL EXPOSURE MODULE IN UNDERGRADUATE MEDICAL EDUCATION
Authors: Bidikar Mukta P , Londhey Vikram 
Published: April 2021

Introduction: In traditional medical curriculum basic science subjects were taught in isolation from clinical subjects. Students would thereby find it difficult to retain concepts in basic sciences, recall and co-relate it when clinical setting was encountered. Early clinical exposure is early authentic patient contact in clinical or social setting which helps to enhance the understanding of health or illness/disease and the role of medical professional. The objective of this study was to study the influence of early clinical exposure for a module on jaundice on undergraduate students and faculty perception.
Materials and Methods: ECE module on jaundice was introduced for study in first MBBS students. Pre-validated questionnaire was used for data collection and student and faculty perception about the module was evaluated.
Results: Participating students got better score in post-test (6. 03 + 1.701) as compared with pre-test (5.82+1.701) although the results were not statistically significant. 92% students and faculty positively rated and appraised ECE as a teaching learning tool.
Conclusion: ECE module on jaundice generated interest in students and could help students co-relate basic science concepts with cases. This could lead to improvement in academic performance and better patient care.
Keywords: Early clinical exposure; student, faculty perception
Analysis of the stillborn piglet’s distribution in the Large White sows
Authors: Kramarenko A. S. , Kramarenko S. S. , Lugovoy S. I. 
Published: April 2021

The main aim of this paper was to estimate the piglet stillbirth incidence distribution in the Large White (LW) sows. The population used for the present study is from a pig farm managed by the Limited Liability Company (LLC) “Tavriys’ki svyni” located in Skadovsky district (Kherson region, Ukraine). The experimental materials used for this study consisted of 100 inds. of productive parent sows of the Large White breed. The estimation of reproductive performance was conducted for each animal included in this study. The total number of piglets born (TNB), number of stillborn piglets (NSB) and frequency of stillborn piglets (FSB) per litter were monitored in the first eight parities in the period of eleven years (2007–2017). The 800 farrowings averaged 11.3 piglets per litter. Of the 9037 piglets born, 7895 were live born and 1142 were stillborn. Stillborn pigs were observed in 63.3 ± 1.7 % of the litters and the pig stillbirth incidence was 12.6 ± 0.4 %. The percentage of pigs born dead in total pigs born, obtained in this study is within the range of rates (5 to 15 %) reported for commercial pig farms in other countries. The frequencies of litters with 1, 2, 3, 4 and 5 or more stillborn piglets were 27.1, 14.8, 10.6, 5.8 and 5.0 %, respectively. The frequency of litters with at least one stillborn piglet varied from 44 % (2nd parity) to 76 % (6th parity). Significant factor in the analysis for frequency of litters with at least one stillborn piglet was parity number in sow (Chi-squared test: χ2 = 51.35; df = 7; P < 0.001). This frequency increased as parity number in sow increased (Pearson correlation coefficient: r = 0.929; P < 0.01). We noted that the piglet stillbirth incidence in the LW sow’s litter took place already during the first farrowing for almost half of the sows (46%). In general, this distribution is well approximated by the exponential model equation (y = 73.567*exp(-0.551x); R2 = 97.09 %). The LW sows with stillborn piglets in four out of eight farrowings were the most reported. The value of the entropy of the traits NSB and FSB varied significantly among sows of different parities (Chi-squared test: in both cases P < 0.001). At the same time, a significant increase in the entropy estimates for both traits from the 1st parity to the 8th parity was noted (Spearman's rank correlation: P < 0.001…0.002).
Microelement (Mn, Zn, Cu, Fe, Co, І) levels in quails and their eggs according to their forms and dosage in poultry diet
Authors: Hunchak A. V. , Medvid S. M. , Stefanyshyn O. M. , Sirko Ya. M. , Koretchuk S. I. 
Published: April 2021

The paper presents a fragment of a systemic study on the efficiency of replacing inorganic salts of microelements in guaranteed mineral premixes used in quail feed with a complex supplement of said elements in nanocitrate form produced by Nanomaterials and Nanotechnologies LLC (Kyiv). The study is, in particular, focused on the levels of microelements (Mn, Zn, Cu, Fe, Co, І) in quails and their egg yolks depending on the form and concentration of those microelements in the poultry diet. The tests have been conducted on 14-day old Pharaoh quails divided into three groups. Raising conditions – cages. Test duration – 2 months. Quails of all groups were fed complete feed with a balanced content of nutrients and biologically active compounds. Control group birds were given mineral premix containing inorganic salts of (g/t of feed): Mn – 50, Zn ‒ 50, Cu ‒ 2.5, Fe ‒10, Co ‒1 and І ‒ 0.7. Test group quails were fed a mineral complex of aqua citrates of the same elements with a concentration of (calculated for each element) 1/10 (D1) and 1/20 (D2) or 10 and 5 % of their content in a standard mineral premix (SP). It is established that the form and dosage of microelements introduced into the diet affect their levels in quails and their egg yolks. Nanocitrates of bioelements have a relatively high cumulative potential in poultry compared with the control group (an inorganic form of microelements). The best results are achieved with citrate elements being fed in a concentration of 10% of their regular content in a standard mineral premix. It is proven that the use of optimal concentration of aqua citrates of microelements in poultry diet promotes increased levels of manganese, iron, zinc, copper and cobalt (Р < 0.05‒0.001) in the liver and hip muscles as well as iron and copper levels (Р < 0.01‒0.001) in breast muscles of quails; increased body weight by 15.7 % during the testing period; an enhanced biological value of the eggs (increased calcium (Р < 0.05), iodine (Р < 0.05), zinc (Р < 0.01) levels) compared to analogs in the control group.
Circuito gastronómico de San Bernardo: entre sabores y oficios populares
Authors: Zuñiga Oetiker Ruddy 
Published: April 2021

Las presiones de las nuevas corrientes turísticas mundiales y nacionales, gestadas en las dos últimas décadas, se han traducido en un creciente número de proyectos de turismo en comunidades indígenas, rurales y urbanas, mediante el impulso de agentes externos como ONGs, empresas privadas, instituciones públicas y de cooperación internacional. Este artículo tiene como objetivo principal, difundir el creciente turismo gastronómico, como una actividad dinámica que está integrándose en la comuna de San Bernardo (Región Metropolitana, Chile). Además, este trabajo es pionero y exploratorio, aportando a la actividad turística local a través del estudio de circuitos turísticos por medio de un trabajo colaborativo entre actores públicos y privados. La presente investigación es de tipo exploratoria–descriptiva, mediante análisis de fuentes secuendarias de documentos de organismos públicos (INE, Sernatur), y conjuntamente, se realiza un “focus group”, así como cartografías participativas, junto con los diversos actores claves, públicos, privados y la comunidad. En este sentido, la comuna de San Bernardo posee una gran diversidad de hitos culturales y gastronómicos, que llevan consigo la historia e identidad en cada una de sus características intrínsecas. Actualmente, la comunidad se está interesando aún más por conocer, preservar y cuidar su patrimonio gastronómico y oficios locales, por lo que se ha implementado y desarrollado, un circuito turístico utilizando la bicicleta como medio de transporte sustentable interactuando con diversos hitos gastronómicos y atractivos de la comuna. Se concluye que la implementación de las ciclo-rutas turísticas ha permitide difundir a toda la comunidad la existencia sectores con una gran riqueza cultural y patrimonial en las comunas dodne se aplica, en donde la población local, especialmente la más joven, aprende a conocer sus raíces históricas, costumbres, tradiciones y gastronomía.
Influence of preferences in intervention research: A scoping review
Authors: Sidani Souraya 
Published: April 2021

Introduction: Accounting for treatment preferences is beneficial in practice, it increases adherence to treatment and improves health outcomes. The randomized controlled trial (RCT) is considered the most robust in generating valid evidence on effectiveness, yet it ignores participants’ preferences for treatment. This scoping review addressed three questions: 1) How are treatment preferences conceptualized in intervention research? 2) To what extent do treatment preferences affect participants’ enrollment in trials, withdrawal from the study, adherence to treatment, and outcomes? And 3) What designs are used to account for treatment preferences in intervention evaluation research?
Methods: The first five steps of the scoping review methodology framework were applied: 1) identifying the research questions; 2) searching the literature; 3) selecting articles; 4) charting data; and 5) summarizing findings.
Results: Treatment preferences refer to choice treatment; they are shaped by participants’ beliefs and appraisal of the interventions. Evidence from reviews and primary studies indicated that offering participants the opportunity to choose and receive the preferred treatment enhances enrollment and reduces withdrawal in trials; however, the evidence regarding the influence of treatment preferences on adherence to treatment and improvement in outcomes is inconclusive. Designs that account for treatment preferences include: RCT, RCT with a comprehensive cohort, partially randomized preference trial, and two-stage partially randomized trial.
Conclusion: The pattern of results may be attributed to the methods for assessing treatment preferences. A systematic method for assessing preferences is recommended.
THE CHALLENGES OF FAMILY BUSINESS SUCCESSION PROCESS: A CASE STUDY OF TWO MAJOR BATIK PERANAKAN ENTREPRENEURS IN PEKALONGAN AND SOLO
Authors: Kristanti Lili , Nuradhi Maureen 
Published: April 2021

<p>Family business has many challenges to sustain for generations. Two legendary Peranakan batik entrepreneurial families halted their businesses at the third generation and this research looks for the causes of this failure. Through qualitative research method, the conclusion drawn is that there is no mature succession planning from the predecessor to the successor. Meanwhile, the difference in motivation and commitment of the next generation of these two family businesses do not seem to cause a difference in the final journey of Batik Oey Soe Tjoen and Batik Tiga Negeri. Factors beyond succession planning and commitment of future generations can be subject to further research studies.</p><p> </p>
Pemberian Jus Timun Untuk Menurunkan Rasa Nyaman Nyeri Pada Pasien Hipertensi Di Belitang Oku Timur Sumatra Selatan
Authors: Triyoso Triyoso , Kaduana Mayka , Chrisanto Eka Yudha 
Published: April 2021

ABSTRAK Dari 10 besar penyakit terbanyak di Provinsi Lampung, pada tahun 2013 hipertensi menduduki urutan ketujuh dengan jumlah 17,29% dan meningkat menjadi urutan kelima pada tahun 2014 dengan jumlah 30,01% dan pada tahun 2015 hipertensi meningkat lagi menjadi urutan ketiga dengan jumlah 33,05%. Berdasarkan penelitian diketahui bahwa diet yang menitik beratkan pada makanan rendah lemak, tinggi sayur dan buah-buahan mampu menurunkan tekanan darah pada penderita hipertensi contohnya mentimun. Tujuan setelah penyuluhan dan demonstrasi, diharapkan pemberian jus timun dapat untuk menurunkan nyeri dan tekanan darah pada klien hipertensi. Adapun kegiatan yang dilakukan berupa penyuluhan menggunakan leaflet dan demonstrasi pembuatan jus timun. Terdapat penurunan nyeri dan tekanan darah pada klien hipertensi setelah pemberian jus timun selama 7 hari di Belitang Oku Timur, Sumatra Selatan. Dengan demikian, pemberian jus timun pada klien hipertensi sangat efektif dalam menurunkan nyeri dan tekanan darah. Kata Kunci: Jus Timun, Nyeri, Hipertensi ABSTRACT The 10 biggest diseases in Lampung Province, in 2013 hypertension was seventh (17.29%) and increased to fifth in 2014 (30.01%) and in 2015 hypertension increased again to third (33, 05%). Based on research it is known that a diet that focuses on low-fat foods, high in vegetables and fruits can reduce blood pressure in patients with hypertension such as cucumbers. The purpose after counseling and demonstration, is expected to give cucumber juice to reduce pain and blood pressure to hypertension's client. The activities carried out in the form of counseling using leaflets and demonstrations of making cucumber juice. There was a decrease to blood pressure and pain in hypertensive clients after giving cucumber juice for 7 days at Belitang East Oku, South Sumatra. Thus, giving cucumber juice to hypertension's client is very effective in reducing pain and blood pressure. Keywords: Cucumber juice, Pain, Hypertension
Pemberian Massage Punggung Terhadap Klien Hipertensi Di Kota Bandar Lampung
Authors: Gunawan Muhammad Ricko , Marta Evi , Elliya Rahma 
Published: April 2021

ABSTRAKBadan Kesehatan Dunia (WHO) menyebutkan jumlah penderita hipertensi akan terus meningkat seiring dengan jumlah penduduk yang bertambah pada 2025 mendatang diperkirakan sekitar 29% warga dunia terkena hipertensi. Untuk membuat tubuh menjadi rileks dapat dilakukan dengan beberapa cara seperti terapi musik klasik, yoga, tehnik nafas dalam, dan terapi massage untuk menurunan hipertensi. Tujuan setelah penyuluhan dan demonstrasi, diharapkan pemberian massage punggung dapat untuk tekanan darah pada klien hipertensi. Adapun kegiatan yang dilakukan berupa penyuluhan menggunakan leaflet dan demonstrasi massage punggung. Terdapat penurunan tekanan darah pada klien hipertensi setelah pemberian massage punggung selama 7 hari di bandar lampung. Dengan demikian, pemberian massage punggung pada klien hipertensi sangat efektif dalam menurunkan tekanan darah. Kata Kunci: massage punggung, hipertensi ABSTRACTThe World Health Organization (WHO) said the number of people with hypertension will continue to increase along with the population increasing in the next 2025 estimated that around 29% of world citizens affected by hypertension. To make the body relaxed can be done in several ways such as classical music therapy, yoga, deep breathing techniques, and massage therapy to reduce hypertension. The purpose after counseling and demonstration, it is hoped that a back massage can be used for blood pressure in hypertensive clients. The activities carried out in the form of counseling using leaflets and demonstrations of back massage. There was a decrease in blood pressure in hypertensive clients after giving back a massage for 7 days at Bandar Lampung. Thus, giving back massage to hypertensive clients is very effective in lowering blood pressure. Keywords: back massage, hypertension
Pengabdian Kepada Masyarakat Bantuan Hidup Dasar Pada Santri
Authors: Zuhroidah Ida , Toha Mukhammad , Sujarwadi Mokh , Huda Nurul 
Published: April 2021

ABSTRAK Angka kejadian henti jantung atau cardiac arrest ini berkisar 10 dari 100.000 orang normal yang berusia dibawah 35 tahun dan per tahunnya mencapai sekitar 300.000-350.000 kejadian. Pertolongan pertama yang tepat pada kasus henti jantung adalah bantuan hidup dasar (BHD). Tindakan yang bisa dilakukan adalah resusitasi jantung paru (RJP). Tujuan dari resusitasi jantung paru adalah mengembalikan sirkulasi spontan serta mempertahankan fungsi organ vital pada henti jantung dan henti nafas dengan melakukan kompresi dada dan bantuan nafas. Tujuan setelah dilakukan pelatihan ini diharapkan santri dapat berperan aktif dan dapat memberikan pertolongan pertama henti jantung dan henti nafas secara tepat serta mampu melakukan RJP. Kegiatan ini dilakukan dengan metode pemaparan teori tentang anatomi fisiologi sistem respirasi dan sistem sirkulasi, dampak dari henti nafas dan henti jantung, bantuan hidup dasar dan pada hari kedua dilanjutkan dengan praktik RJP melalui manekin. Hasil yang didapatkan sebagian besar santri (80%) memahami dan mengerti tentang bantuan hidup dasar dan mampu mempraktekkan RJP kepada manekin meskipun masih butuh pendampingan. Kata Kunci : bantuan hidup dasar, santri, pondok pesantren ABSTRACT The incidence of cardiac arrest or cardiac arrest ranges from 10 out of 100,000 ordinary people aged under 35 years and annually reaches around 300,000-350,000 events. Appropriate first aid in cases of cardiac arrest is basic life support (BLS). Action that can be done is cardiopulmonary resuscitation (CPR). Cardiopulmonary resuscitation aims to restore spontaneous circulation and maintain vital organ function in cardiac arrest and stop breathing by performing chest compressions and breath support. After this training, the goal is that students will be able to play an active role and be able to provide first aid for cardiac arrest and stopping breathing appropriately and be able to perform CPR. This activity was carried out using the method of presenting theories on the respiratory system's physiological anatomy and the circulatory system, the impact of respiratory and cardiac arrest, basic life support, and on the second day, continued with the practice of CPR through mannequins. The results obtained were most of the students (80%) understood and understood basic life support and were able to practice CPR to the mannequins even though they still needed assistance. Keyword: basic life support, student, Islamic boarding school
Concurrent Improvement Observed in Patient-Reported Burden and Sensor-Collected Medication Use Among Patients Enrolled in a COPD Digital Health Program
Authors: Kaye Leanne , Gondalia Rahul , Barrett Meredith A. , Williams Melissa , Stempel David A. 
Published: April 2021

Background: The COPD assessment test (CAT) is an 8-item questionnaire widely used in clinical practice to assess patient burden of disease. Digital health platforms that leverage electronic medication monitors (EMMs) are used to track the time and date of maintenance and short-acting beta-agonist (SABA) inhaler medication use and record patient-reported outcomes. The study examined changes in CAT and SABA inhaler use in COPD to determine whether passively collected SABA and CAT scores changed in a parallel manner.Methods: Patients with self-reported COPD enrolled in a digital health program, which provided EMMs to track SABA and maintenance inhaler use, and a companion smartphone application (“app”) to provide medication feedback and reminders. Patients completing the CAT questionnaire in the app at enrollment and at 6 months were included in the analysis. Changes in CAT burden category [by the minimally important difference (MID)] and changes in EMM-recorded mean SABA inhaler use per day were quantified at baseline and 6 months.Results: The analysis included 611 patients. At 6 months, mean CAT improved by −0.9 (95% CI: −1.4, −0.4; p &lt; 0.001) points, and mean SABA use decreased by −0.6 (−0.8, −0.4; p &lt; 0.001) puffs/day. Among patients with higher burden (CAT ≥ 21) at enrollment, CAT improved by −2.0 (−2.6, −1.4; p &lt; 0.001) points, and SABA use decreased by −0.8 (−1.1, −0.6; p &lt; 0.001) puffs/day.Conclusion: Significant and parallel improvement in CAT scores and SABA use at 6 months were noted among patients enrolled in a digital health program, with greater improvement for patients with higher disease burden.
Factors Affecting Infant Feeding Practices Among Women With Severe Mental Illness
Authors: Baker Natasha , Potts Laura , Jennings Stacey , Trevillion Kylee , Howard Louise M. 
Published: April 2021

Background: The health benefits of breastfeeding are well-established but for mothers with severe mental illness (SMI), the decision to breastfeed can be complex. Very few prior studies have investigated the infant feeding choices of women with SMI, or the factors associated with this. Our aims were to examine antenatal infant feeding intentions and infant feeding outcomes in a cohort of women admitted for acute psychiatric care in the first postpartum year. We also aimed to examine whether demographic and clinical characteristics associated with breastfeeding were similar to those found in previous studies in the general population, including age, employment, education, BMI, mode of delivery, smoking status, and social support.Methods: This study was a mixed-methods secondary analysis of a national cohort study, ESMI-MBU (Examining the effectiveness and cost-effectiveness of perinatal mental health services). Participants had been admitted to acute care with SMI in the first postpartum year. Infant feeding outcomes were retrospectively self-reported by women during a 1-month post-discharge interview. Free-text responses to questions relating to infant feeding and experience of psychiatric services were also explored using thematic analysis.Results: 144 (66.1%) of 218 women reported breastfeeding (mix feeding and exclusive breastfeeding). Eighty five percentage of the cohort had intended to breastfeed and of these, 76.5% did so. Factors associated with breastfeeding included infant feeding intentions, employment and non-Caucasian ethnicity. Although very few women were taking psychotropic medication contraindicated for breastfeeding, over a quarter (n = 57, 26.15%) reported being advised against breastfeeding because of their medication. Women were given this advice by psychiatry practitioners (40% n = 22), maternity practitioners (32.73% n = 18) and postnatal primary care (27.27% n = 15). Most women stopped breastfeeding earlier than they had planned to as a result (81.1% n = 43). Twenty five women provided free text responses, most felt unsupported with infant feeding due to inconsistent information about medication when breastfeeding and that breastfeeding intentions were de-prioritized for mental health care.Conclusion: Women with SMI intend to breastfeed and for the majority, this intention is fulfilled. Contradictory and insufficient advice relating to breastfeeding and psychotropic medication indicates that further training is required for professionals caring for women at risk of perinatal SMI about how to manage infant feeding in this population. Further research is required to develop a more in-depth understanding of the unique infant feeding support needs of women with perinatal SMI.
Frequency and Risk Factors for Spontaneous Pneumomediastinum in COVID-19 Patients
Authors: Rodriguez-Arciniega Tania Guadalupe , Sierra-Diaz Erick , Flores-Martinez Jesus Armando , Alvizo-Perez Maria Elena , Lopez-Leal Irlanda Nataly , Corona-Nakamura Ana Luisa , Castellanos-Garcia Hermes Ernesto , Bravo-Cuellar Alejandro 
Published: April 2021

Background: Spontaneous pneumomediastinum (SPM) is an uncommon condition in COVID-19 patients. No information about outcome or risk factors is available at the time. The aim of this research is to report on the frequency and risk factors of spontaneous pneumomediastinum in COVID-19 patients.Materials and Methods: An unmatched case-control study was carried out in a tertiary health-care facility for patients with COVID-19. Electronic files were reviewed to identify patients with confirmed COVID-19 infection by RT-PCR. Univariate analysis was used to describe demographic data. Mean differences were calculated using the Mann-Whitney test. Frequency and odds ratios were calculated by standard operations.Results: A total of 271 patients were included in the study. Nine patients showed spontaneous pneumomediastinum and four of them presented associated spontaneous pneumothorax. The most common risk factors associated with poor outcomes in COVID-19 patients were not considered as risk factors for spontaneous pneumomediastinum development.Conclusion: Spontaneous pneumomediastinum is an uncommon clinical feature in COVID-19 patients. More research is necessary to formulate statements regarding prevalence, risk factors, and outcome.