bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sleep and its Association With Pain and Depression in Nursing Home Patients With Advanced Dementia – a Cross-Sectional Study
Authors: Blytt Kjersti Marie , Flo-Groeneboom Elisabeth , Erdal Ane , Bjorvatn Bjørn , Husebo Bettina S. 
Published: April 2021

Objective: Previous research suggests a positive association between pain, depression and sleep. In this study, we investigate how sleep correlates with varying levels of pain and depression in nursing home (NH) patients with dementia.Materials and methods: Cross-sectional study (n = 141) with sleep-related data, derived from two multicenter studies conducted in Norway. We included NH patients with dementia according to the Mini-Mental State Examination (MMSE ≤ 20) from the COSMOS trial (n = 46) and the DEP.PAIN.DEM trial (n = 95) whose sleep was objectively measured with actigraphy. In the COSMOS trial, NH patients were included if they were ≥65 years of age and with life expectancy &gt;6 months. In the DEP.PAIN.DEM trial, patients were included if they were ≥60 years and if they had depression according to the Cornell Scale for Depression in Dementia (CSDD ≥ 8). In both studies, pain was assessed with the Mobilization-Observation-Behavior-Intensity-Dementia-2 Pain Scale (MOBID-2), and depression with CSDD. Sleep parameters were total sleep time (TST), sleep efficiency (SE), sleep onset latency (SOL), wake after sleep onset (WASO), early morning awakening (EMA), daytime total sleep time (DTS) and time in bed (TiB). We registered use of sedatives, analgesics, opioids and antidepressants from patient health records and adjusted for these medications in the analyses.Results: Mean age was 86.2 years and 76.3% were female. Hierarchical regressions showed that pain was associated with higher TST and SE (p &lt; 0.05), less WASO (p &lt; 0.01) and more DTS (p &lt; 0.01). More severe dementia was associated with more WASO (p &lt; 0.05) and TiB (p &lt; 0.01). More severe depression was associated with less TST (p &lt; 0.05), less DTS (p &lt; 0.01) and less TiB (p &lt; 0.01). Use of sedative medications was associated with less TiB (p &lt; 0.05).Conclusion: When sleep was measured with actigraphy, NH patients with dementia and pain slept more than patients without pain, in terms of higher total sleep time. Furthermore, their sleep efficiency was higher, indicating that the patients had more sleep within the time they spent in bed. Patients with more severe dementia spent more time awake during the time spent in bed. Furthermore, people with more severe depression slept less at daytime and had less total sleep time Controlling for concomitant medication use did not affect the obtained results.
Clinical and Cognitive Functioning Changes After Partial Hospitalization in Patients With Anorexia Nervosa
Authors: Tenconi Elena , Collantoni Enrico , Meregalli Valentina , Bonello Elisa , Zanetti Tatiana , Veronese Angela , Meneguzzo Paolo , Favaro Angela 
Published: April 2021

Introduction: Anorexia nervosa is usually associated with emotional and cognitive difficulties. Little knowledge is available about the changes in cognitive functioning in patients undergoing treatments. The aim of the present study was to longitudinally assess the impact of partial hospitalization on clinical and cognitive functioning in anorexia nervosa.Materials and Methods: 56 women with anorexia nervosa according to DSM-5 criteria and 58 healthy women were enrolled in the study. At baseline, all participants underwent clinical, diagnostic and neuropsychological assessment (T0). Patients were also assessed at the end of the treatment program (T1; n = 56).Results: BMI improved significantly throughout treatment. At baseline, patients showed significantly poorer executive abilities and less specific autobiographical memory. After the day-hospital program, decision-making abilities improved significantly. Response to treatment was predicted by BMI at admission and duration of illness, but neuropsychological performance did not contribute to the prediction model.Discussion: Cognitive difficulties, mostly regarding executive functions, resulted differently affected by clinical improvement. In particular, while cognitive monitoring and cognitive inhibition appear to be mostly stable trait-like characteristics, decision-making is both more state-dependent and sensitive to clinical status. None of the cognitive variables added information about the response to day hospital treatment; patients with short duration of illness and a rapidly decreasing BMI would benefit more from intensive interventions than less “acute” patients. These observations, if confirmed by future studies, have important clinical implications in order to understand the impact of malnutrition on cognitive functioning and to provide individualized effective treatment for patients with anorexia nervosa.
The effectiveness of surgical and non-surgical techniques in orthodontic practice in closing post-extraction spaces: a systematic review
Authors: Khabadze Z. S. , Balashova M. E. 
Published: April 2021

Reducing the orthodontic treatment duration is an important issue, especially for adult patients who want to complete treatment faster due to social or aesthetic reasons. In addition, an increase in the duration of orthodontic treatment has a number of side effects, therefore, orthodontists and patients are interested in the use of techniques that can accelerate the movement of teeth. Shorter treatment times can be achieved through a combination of orthodontic and surgical or non-surgical techniques.Aim. To systematically evaluate scientific data on the effectiveness and side effects of surgical and non-surgical methods in accelerating orthodontic treatment in situations with the removal of premolars and subsequent closure of the post-extraction spaces.Materials and methods. Electronic search of articles was carried out using search engines and databases: Cyberleninka, eLIBRARY, Google Scholar, Pub Med, SCOPUS. The publication date criterion was selected from January 2010 to January 2021. Articles included in the systematic review had to meet the following inclusion criteria: controlled clinical trials and randomized controlled clinical trials conducted in humans and published in the last 11 years in English language. The systematic review included and analyzed 15 full-text articles.Result. According to the systematic review, the speed of movement of teeth increases 2 times with corticotomy, and 1.5 times with piezocorticotomy, which is consistent with the data of other studies. At the same time, the effectiveness of the movement remains for no more than 2 months after the intervention.Conclusions. The corticotomy procedure reduces the treatment time in comparison with traditional methods by 30-50% (6-8 months). The investigated techniques did not have a significant effect on the depth of probing, the level of attachment, on the density of bone tissue, rotation and inclination of the moved teeth. Since no complications were identified for 2-4 months of observation, further studies are required to assess long-term results in the long term.
Hubungan Kompetensi Pegawai dan Motivasi Kerja Dengan Kinerja Pegawai Di Kantor Daerah Telkom Plered Cirebon
Authors: Herdiyanto Feri 
Published: April 2021

Kantor Daerah TELKOM Plered Cirebon bertujuan memenuhi permintaan masyarakat dibidang telekomunikasi dengan mengikuti perkembangan zaman diera globalisasi, sehingga Di Kantor Daerah TELKOM Plered Cirebon mampu bersaing dengan lembaga telekomunikasi yang lain. Oleh karena itu Kantor Daerah TELKOM Plered sebagai penghasil produk jasa sangat mengutamakan kualitas dan berorientasi kepada kepuasan konsumen dengan mengedepankan pelayanan yang prima. Pelayanan prima mengacu pada standar kualitas untuk memenuhi kebutuhan dan keinginan konsumen (costumer based). Metode penelitian kualitatif sering disebut metode penelitian naturalistic karena penelitiannya dilakukan pada kondisi yang alamiah, metode ini lebih banyak digunakan untuk penelitian bidang antropologi budaya, disebut metode kualitatif karena data yang terkumpul dan analisisnya lebih bersifat kualitatif. Motivasi kerja dengan kinerja pegawai pada di Kantor Daerah TELKOM Plered Cirebon mempunyai korelasi Rank Spearman sebesar 0,65. Hal ini menunjukkan bahwa kompetensi pegawai dengan kinerja pegawai mempunyai hubungan yang positif dan kuat. Dari hasil pengujian hipotesis kedua maka Ha diterima
STUDENTS’ PERCEPTIONS OF INSTAGRAM CAPTION AS MEDIA IN ENGLISH LANGUAGE TEACHING
Authors: Bestari Ade Christanty Yudha 
Published: April 2021

Everybody has Instagram account in this digital era. The lecturer uses Instagram as the media in English Language Teaching. The lecturer asks the students to write their idea in English as Instagram caption. This study presents the students’ perceptions of using social media, Instagram. All the participants in this study are students of Mathematic Study Program who enroll in English class at Nahdlatul Ulama University Purwokerto. The data were analyzed by using both quantitative and qualitative method. The data taken from survey through questionnaire were analyzed quantitatively. Then, the researcher used qualitative analysis to present the data from interview. The finding showed that the students’ perceived the advantages and disadvantages of using Instagram caption. The advantages showed that the participants have a positive perception of Instagram caption as a media in English Language Teaching. First, it stimulated the students to develop positive attitude in creative writing. Second, it improved students’ grammatical competences. The last, it enhanced the students’ motivation in English writing. Three disadvantages of using instagram as a media in teaching English included internet connection problem, low engagement rate of students’ in Instagram, and language barrier. Some of the students still used Google Translate (GT) to ensure that their sentences were correct. Keywords: Students’ Perceptions, Instagram, English Language Teaching
STUDY OF THE INFLUENCE OF THE TILT ANGLE OF VERTICAL STABILIZERS OF AN AIRCRAFT ON THE EFFECTIVE SCATTERING SURFACE
Authors: Володько А.В. , Фёдоров С.М. , Ищенко Е.А. , Сиваш М.А. 
Published: April 2021

Рассматривается зависимость значения эффективной площади рассеяния (ЭПР) самолета от угла наклона вертикальных стабилизаторов. Моделирование производится с использованием метода геометрической теории дифракции и физической оптики, так как размеры объекта во много раз превосходят размеры длины волны. Для облучения использовалась плоская волна X-диапазона - частота 10 ГГц. По полученным результатам отражения электромагнитной волны от объекта были построены диаграммы обратного рассеяния, на основе которых была сформирована таблица, содержащая максимальные значения эффективной площади рассеяния. Было замечено, что максимальное значение эффективной площади рассеяния возникает в ситуации, когда отсутствует какой-либо наклон вертикальных стабилизаторов, и при изменении угла наклона вертикальных стабилизаторов на 5 градусов наблюдается значительное понижение максимального уровня ЭПР. При этом возможно возникновение повторных отражений от горизонтальных хвостовых стабилизаторов, что, в свою очередь, приведет к повышению уровня эффективной площади рассеяния. Грамотная оптимизация угла наклона вертикальных стабилизаторов самолета позволяет добиться значительного снижения уровня ЭПР при сохранении аэродинамических характеристик самолета, а внедрение специальных композитных стелс материалов позволяет еще сильнее понизить уровень ЭПР
The article considers the dependence of the value of the effective scattering area (ESA) of the aircraft on the tilt angle of the vertical stabilizers. Modeling is performed using the method of the geometric theory of diffraction and physical optics since the dimensions of the object are many times larger than the dimensions of the wavelength. For irradiation, an X-band plane wave was used - a frequency of 10 GHz. Based on the results of the reflection of the electromagnetic wave from the object, backscatter diagrams were built, on the basis of which a table was formed containing the maximum values of the effective scattering area. It was noted that the maximum value of the effective scattering surface occurs in a situation where there is no inclination of the vertical stabilizers, while when the angle of inclination of the vertical stabilizers is changed by 5 degrees, a significant decrease in the maximum ESA level is observed. In this case, repeated reflections from horizontal tail stabilizers may occur, which, in turn, will lead to an increase in the level of the effective scattering surface. Competent optimization of the angle of inclination of the vertical stabilizers of the aircraft allows one to achieve a significant decrease in the ESA level while maintaining the aerodynamic characteristics of the aircraft, and the introduction of special composite stealth materials allows one to further reduce the ESA level
CURRENT STATE OF THE PROBLEM OF DRAINAGE FOR NEUROGENIC BLADDER
Authors: Артюхов Игорь Александрович , Кузьменко Владимир Васильевич , Кузьменко Андрей Владимирович , Гяургиев Тимур Асланбекович 
Published: April 2021

Данный литературный обзор посвящен одной из актуальных проблем современной урологии - нейрогенной дисфункции мочевыводящих путей. Нейрогенная дисфункция нижних мочевыводящих путей является одной из важнейших проблем современной урологии, что обусловлено ее высокой распространенностью, частотой вторичных осложнений со стороны мочевыделительной системы и социально-экономической значимостью. Распространенность нейрогенного мочевого пузыря среди пациентов, перенесших острое нарушение мозгового кровообращения, варьирует от 15 % до 94 % и зависит от времени, прошедшего с момента сосудистого события. В статье представлены патофизиологические механизмы, лежащие в основе данной патологии, подробно рассмотрены современные методы дренирования нижних мочевыводящих путей, их преимущества и недостатки. К современным способам дренирования при нейрогенных расстройствах нижних мочевыводящих путей относят периодическую (интермиттирующую) катетеризацию, постоянную катетеризацию и надлобковую цистостомию. Анализ доступной литературы указывает на то, что частота осложнений, ассоциированных как с нейрогенной дисфункцией мочевого пузыря, так и с используемыми способами дренирования, продолжает оставаться достаточно высокой. Таким образом, проблема профилактики катетер-ассоциированных осложнений и улучшения качества жизни данной категории больных на сегодняшний день продолжает оставаться актуальной и требует проведения дальнейших исследований в данной области
This literature review is devoted to one of the most pressing problems of modern urology - neurogenic urinary tract dysfunction. Neurogenic dysfunction of the lower urinary tract is one of the most important problems of modern urology, due to its high prevalence, frequency of secondary complications from the urinary system, and socio-economic significance. The prevalence of neurogenic bladder among patients who have experienced acute cerebrovascular accident varies from 15 % to 94 % and depends on the time elapsed since the vascular event. The article presents the pathophysiological mechanisms underlying this pathology, discusses in detail modern methods of drainage of the lower urinary tract, their advantages and disadvantages. Modern methods of drainage for neurogenic disorders of the lower urinary tract include periodic (intermittent) catheterization, permanent catheterization, and suprapubic cystostomy. Analysis of the available literature indicates that the frequency of complications associated with both neurogenic bladder dysfunction and the drainage methods used continues to be quite high. Thus, the problem of preventing catheter-associated complications and improving the quality of life of this category of patients continues to be relevant today and requires further research in this area
METHOD OF QUANTITATIVE EVALUATION OF EMOTIONAL HUMAN BURNING
Authors: Кубынина Алеся Александровна , Григоренко Виолетта Вячеславовна , Назина Нина Борисовна , Архипкина Маргарита Вячеславовна 
Published: April 2021

Настоящей проблемой в современном информационном обществе является синдром эмоционального выгорания. Для того чтобы быть актуальными на рынке труда, совместить работу, учебу, выполнение домашних обязанностей, заботу о детях, уход за собой и саморазвитие, нам приходится быть многозадачными. В статье рассматривается разработка методики количественной оценки эмоционального выгорания человека с учетом индивидуальных, медицинских и территориальных аспектов, характеризирующих личностную и профессиональную деятельность. В основе методики лежит тест, позволяющий выявить состояние эмоционального выгорания человека с учетом индивидуальных, медицинских и территориальных аспектов. Была выдвинута гипотеза, что на зарождение синдрома эмоционального выгорания, как и на зарождение депрессивного состояния, способны влиять территориальная принадлежность конкретного человека, а, следовательно, и недостаток витаминов и минералов, недостаток количества солнечных дней, наличие продолжительной зимы, кроме того, неправильное и нерациональное питание, отсутствие физических нагрузок, индивидуальные характеристики человека. Для оценки качества предлагаемой методики были привлечены эксперты-психологи, которые в соответствии с критериями, предъявляемым к тестам (валидность, надежность, научность и объективность) выставили свои собственные оценки по 10-ти бальной шкале. Определить согласованность мнений экспертов коэффициент конкордации. Для оценки значимости коэффициента конкордации использовался критерий согласия Пирсона
Burnout syndrome is a real problem in today's information society. In order to be relevant in the labor market, to combine work, study, household chores, childcare, self-care and self-development, we have to multitask. The article discusses the development of a methodology for the quantitative assessment of a person's emotional burnout, taking into account individual, medical and territorial aspects that characterize personal and professional activities. The methodology is based on a test that allows to identify the state of emotional burnout of a person, taking into account individual, medical and territorial aspects. It was hypothesized that the onset of burnout syndrome, as well as on the onset of a depressive state, can be influenced by the territorial affiliation of a particular person, and, consequently, the lack of vitamins and minerals, the lack of sunny days, the presence of a long winter, in addition, improper and irrational nutrition, lack of physical activity, individual characteristics of a person. To assess the quality of the proposed methodology, expert psychologists were involved, who, in accordance with the criteria for the tests (validity, reliability, scientific character and objectivity), put their own marks on a 10-point scale. Determine the consistency of expert opinions by the coefficient of concordance. To assess the significance of the coefficient of concordance, the Pearson's test of fit was used
ANALYSIS OF THE REPRODUCTIVE HEALTH OF THE POPULATION OF THE VORONEZH REGION FOR 2014-2019
Authors: Деряева Алёна Геннадьевна , Косолапов Владимир Петрович , Сыч Галина Владимировна , Деряева Ольга Геннадьевна 
Published: April 2021

Существует взаимосвязь между здоровьем населения страны и экономическим, политическим ростом, демографической ситуацией в стране, что признается и медицинской и экономической науками. На сегодня, улучшение демографической ситуации в Российской Федерации является одной из приоритетных задач государства. С каждым годом рождаемость снижается, женщин фертильного возраста становится меньше, число заболеваний репродуктивной системы растет, происходят изменения в нравственных и семейно-брачных отношениях. Все это оказывает негативное влияние на демографическую ситуацию в целом. Для решения этой проблемы правительство Российской Федерации реализует национальные проекты «Здравоохранение» и «Демография», направленные на устранение демографических проблем. По словам заместителя Председателя Правительства Российской Федерации, куратора национального проекта «Демография» Татьяны Голиковой, «Демография» - важнейший национальный проект. Весь комплекс его мероприятий направлен на достижение главной государственной задачи - «Сохранение населения, здоровье и благополучие людей». Данное направление позволит обеспечить эффективное социально-демографическое развитие, и положительно повлияет на социально-экономическую ситуацию в стране. Результаты исследования, представленные в статье, позволяют определить мероприятия по улучшению демографической ситуации в стране, оценить уровень рождаемости, смертности, естественного прироста, младенческую смертность
There is a relationship between the health of the country's population and the economic, political growth, demographic situation in the country, which is recognized by the medical and economic sciences. Today, improving the demographic situation in the Russian Federation is one of the priority tasks of the state. Every year the birth rate is decreasing, women of fertile age are decreasing, the number of diseases of the reproductive system is growing, and there are changes in moral and family-marriage relations. All this has a negative impact on the demographic situation as a whole. To solve this problem, the Government of the Russian Federation is implementing the national projects "Healthcare" and "Demography", aimed at eliminating demographic problems. According to the Deputy Prime Minister of the Russian Federation, the curator of the national project "Demography" Tatyana Golikova, "Demography" is the most important national project. The whole range of its activities is aimed at achieving the main state task - "Preservation of the population, health and well-being of people". This direction will ensure effective socio-demographic development, and will have a positive impact on the socio-economic situation in the country. The results of the study presented in the article allow us to determine measures to improve the demographic situation in the country, to assess the level of birth rate, mortality, natural growth, infant mortality
A Paixão como antecedente da escolha
Authors: Corrêa de Avila Álan , Santana dos Santos Gleberson , Ebersol de Carvalho Patrick 
Published: April 2021

O presente artigo visa analisar as estratégias de marketing de relacionamento empregadas pelo Grêmio Esportivo Brasil, com vista a avaliar os efeitos na conversão dos torcedores em sócios. O estudo também pretende analisar os efeitos que a aplicação do marketing de relacionamento pode gerar na retenção dos sócios e verificar a efetividade da estratégia utilizada na transformação dos torcedores atitudinais em torcedores comportamentais. Para alcançar os objetivos, como instrumentos de coleta de dados, foram realizadas entrevistas semiestruturadas com três dirigentes do clube e aplicados questionários a 181 associados, selecionados aleatoriamente. O estudo consiste em uma pesquisa cuja abordagem é mista. Trata-se de uma pesquisa que se classifica com relação aos objetivos em descritiva. Com relação aos procedimentos, consiste em um estudo de caso e levantamento. Foi possível constatar a baixa percepção dos dirigentes do clube acerca das ferramentas do marketing de relacionamento, o que dificulta na conversão de torcedores em sócios. Além disso, se percebeu que o clube carece de monitoramento das estratégias de marketing implementadas.