bluuebunny/crossref_metadata_2025_split huggingface dataset:
An Analysis of EFL Students’ Difficulties in Writing At The Second Grade of SMAN 1 Wundulako
Authors: Reskiawan Bimas , Riyani Nasmah , Satriyani Satriyani 
Published: January 2021

This research was conducted to investigate the most difficult aspect faced by students in writing. The research question addressed in this research was: “what is the most difficult aspect faced by the students in writing?”.The design of this research was a case study. In conducting this research, the researcher took class XI IPA 1 of SMAN 1 Wundulako as a subject of the research with considerable that the class have the low est score in writing. The researcher used two kinds of data collection. They were questionnaire and interview. The sample of the research was class IX IPA 1 which consisted of 28 students. While in analyzing the data, the researcher analyzed the data of questionnaire by using the formula which proposed by Nazir and for the data of interview the researcher used technique of data analysis proposed Ngabut such as data reduction, data display and verifying and conclusion.
In representing the analysis, it was found out that the students of SMAN 1 Wundulako especially in the second grade class XI IPA 1 got four difficulties in writing. They were content organization vocabulary and grammar. From four aspects of three components, the vocabulary mastery aspect was considered as the difficult aspects that faced by the students in writing. The third statement of vocabulary aspect in the questionnaire was a difficulties that often faced by the students. It was shown by the result of questionnaire and interview with the percentage 3,53 mean and writng test also to support its students lack vocabulary, its concluded students of SMAN 1 Wundulako difficulties in writing.
Na zaproszenie...
Authors: Firkowicz Marek 
Published: January 2021

Na zaproszenie Instytutu Kresowego przyjechał z Wilna do Warszawy pan Michał Zajączkowski, by w ramach wystawy „KRESY – ZIEMIA WIELU WYZNAŃ” wygłosić w dniach 22 i 23 stycznia 2008 odczyty pt. „KIENESA KARAIMSKA”. Podczas spotkania w Instytucie „oprowadzał” jego uczestników po świątyni karaimskiej w Trokach, opowiadał o religii, pochodzeniu i języku Karaimów.
Na Kukizowskim cmentarzu
Authors: Mardkowicz Aleksander , Sulimowicz Anna 
Published: January 2021

24 dnia miesiąca Cirik minionego roku (25 września 1932 r.) po raz pierwszy od wojny udali się haliccy Karaimi do Kukizowa, aby zgodnie z dawnym zwyczajem zanosić modły do Boga na tamtejszym starym, opuszczonym cmentarzu – jedynej pamiątce po nieistniejącej już gminie karaimskiej.
Pomysł wyprawy do Kukizowa zrodził się w gminnych organizacjach: Kole Pań Karaimskich i Towarzystwie Młodzieży Karaimskiej. W drogę wyruszyło 18 osób z hazzanem I. Abrahamowiczem.
Igit’ kiuńlarniń sahynmachłarym - Воспоминания молодых лет
Authors: Юхневич Шимон 
Published: January 2021

В мае 2009 года Россия и другие государства отметили 64 годовщину окончания Второй мировой войны, которая началась 1.09.1939 г. Я вспомнил 9 мая 1945 года.
Как мы пекли тымбыл...
Authors: Шпаковска Анна , Шпаковски Ромуальд 
Published: January 2021

С приближением Великого праздника “Тымбыл хыджи” хочется поделиться с читателями журнала “Наш голос”о том, как пекли тымбыл в Вильнюсеи Тракай.
Karaj jołłary – karaimskie drogi
Authors: Suchecka Paulina 
Published: January 2021

Na wystawie w Muzeum Etnograficznym we Wrocławiu można było zobaczyć, jak wyglądało życie Karaimów w ich dawnych siedzibach i którędy trafili na Śląsk, do Warszawy, Trójmiasta, a czasem jeszcze dalej.
Kraszewski, Łuck i zagadka Karaimów
Authors: Pawelec Mariusz 
Published: January 2021

Wśród licznych sekretów historii odnaleźć można i ten, dotyczący zjazdu monarchów w Łucku w roku 1429. Czy w powitalnych uroczystościach uczestniczyli również przedstawiciele łuckiej gminy? Józef Ignacy Kraszewski był zdania, że tak. Skąd mógł to wiedzieć?
Pattern of Carbapenem Resistance in Enterobacteriaceae in Rajshahi Medical College Hospital
Authors: Siddica Ayesha , Hasan Md Bulbul , Alam Md Shah , Nahar Sabera Gul , Begum Nurjahan , Aftab Sharmina 
Published: January 2021

The global emergence and spread of Carbapenem Resistant Enterobacteriaceae have been threatening the ability to treat an infection. Hence the present study was carried out with the aim to isolate important members of Enterobacteriaceae family with identification of carbapenem resistant isolates among them. The study was done in the Department of Microbiology, Rajshahi Medical College with collaboration of different disciplines of RMCH from January 2019 to December 2019. Samples were collected purposively. Causative organisms were isolated by culture and identified by colonial morphology, gram staining and relevant biochemical tests. Identified Enterobacteriaceae those showed resistance to carbapenem (imipenem, meropenem) were tested phenotypically by Modified Hodge Test (MHT) to see carbapenemase production. A total of 97 Enterobacteriaceae were isolated from 275 samples. E. coli (54.64%) was the most frequent isolate. By Modified Hodge Test, 19(19.59%) bacteria were phenotypically confirmed as Carbapenem Resistant Enterobacteriaceae (CRE). This study signifies that carbapenem resistance is increasing at an alarming rate.
TAJ 2020; 33(2): 63-68
Liderança do Enfermeiro na Atenção Primária à Saúde: Uma revisão integrativa
Authors: Barros Daniela França de , Freitas Francisco Ricardo Nascimento , Souza Antônio Tiago da Silva , Araújo Telma Maria Evangelista de , Freitas Débora Joyce Nascimento , Alves Marisa Carla Silveira , Fortes Júnior Edmar José , Santos Naira Denise de Sousa , Pedrosa José Ivo dos Santos 
Published: January 2021

A liderança do enfermeiro na Atenção Primária à Saúde tem se constituído como tema primordial para esse profissional, reconhecido como líder e gerente do processo de trabalho nas Unidades Básicas de Saúde. O presente estudo teve como objetivo apreender o estado da arte dos estudos sobre liderança do enfermeiro na Atenção Primária à Saúde. Trata-se de estudo qualitativo, realizado com base na revisão integrativa em periódicos indexados nas bases de dados SciELO, LILACS e BDENF, no período compreendido entre 2010 e 2020. Foram encontrados 16 artigos; desses, apenas sete publicações foram selecionadas. Predominaram as teorias comportamentais de liderança, no estilo democrático, embora alguns considerem o autocrático ou autoritário e o estilo liberal como destaque. Destarte, as pesquisas sobre liderança do enfermeiro na Atenção Primária à Saúde são limitadas e restritas aos aspectos gerenciais, sendo importante desenvolver tanto a produção científica como o estímulo a educação permanente na área.
Desempenho dos municípios da região metropolitana do Rio de Janeiro nas hospitalizações por Covid-19. Estudo baseado no SIVEP-Gripe
Authors: Kawa Helia , Correia Dayse Mary da Silva , Kazniakowski Arthur Willkomm , Andrade Beatriz Nayra Dias de , Arêas Cínthia Melo , Silva Jessyca Martins Lima da , Freitas Juliana Vianna de , Dall’Orto Lara Toretta Campo , Marinho Larissa dos Santos Sebould , Silva Marina Soares de Almeida e , Gardengui Melissa Corrêa Leal , Lessa Micael Paes , Costa Sarah Melo da , Costa Sarah Pientznauer Ozório , Rosa Maria Luiza Garcia 
Published: January 2021

Introdução: a preocupação quanto à capacidade de atendimento em saúde, principalmente hospitalar, aumenta com o recrudescimento da epidemia do Covid-19. Objetivo: analisar dados do SIVEP-Gripe de 18 municípios da região metropolitana do Rio de Janeiro, de pacientes internados por SRAG em hospitais públicos e privados. Métodos: é um estudo epidemiológico ecológico e de coorte histórica com o município e o paciente como unidades de análise, no período de março a novembro de 2020. Foram estimadas as razões de chances para sinais e sintomas, fatores de risco, se hospital público ou privado, internação em UTI e óbitos. Empregou-se o teste do qui-quadrado de Pearson (p<0,05). Resultados: somente Niterói internou >90% dos seus residentes. Pelo menos 25% dos hospitais, públicos e privados, internaram somente um paciente levando à dificuldade de aprendizado. Os hospitais públicos apresentaram maior chance de terem internado pacientes mais velhos, de cor de pele preta ou parda, com dispneia, desconforto respiratório e baixa saturação de oxigênio, doença hepática e imunossupressão, condições de maior risco para resultados negativos. A chance de um paciente ter passado por uma UTI em um hospital público foi cerca da metade do hospital privado e a de morte foi cerca do triplo. Conclusão: os municípios estudados, exceto Niterói, não estão preparados para dar suporte a seus residentes na pandemia de Covid-19. Verificou-se discrepância no atendimento dos hospitais públicos e privados, assim como falhas na atenção básica levando a um maior risco de resultados desfavoráveis e um elevado número de óbitos nas unidades hospitalares públicas.
The Safety and Efficacy of Inspiratory Muscle Training for Patients With Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention: Study Protocol for a Randomized Controlled Trial
Authors: Liu YuanHui , Dai YiNing , Liu Zhi , Zhan HuiMin , Zhu Manyu , Chen XianYuan , Zhang ShengQing , Zhang GuoLin , Xue Ling , Duan ChongYang , Chen JiYan , Guo Lan , He PengCheng , Tan Ning 
Published: January 2021

Background: Uncommonly high rates of pneumonia in patients with acute myocardial infarction (AMI) undergoing primary percutaneous coronary intervention (PCI) have been observed during recent years. Inspiratory muscle training (IMT) could reduce pneumonia in patients undergoing coronary artery bypass grafting and other cardiac surgeries. The relationship between IMT and AMI is unknown. Here, we describe the feasibility and potential benefit of IMT in patients at high risk for pneumonia with AMI who have undergone primary PCI.Methods: Our study is a prospective, randomized, controlled, single-center clinical trial. A total of 60 participants will be randomized into an IMT group and control group with 30 participants in each group. Participants in the IMT group will undergo training for 15 min per session, twice a day, from 12 to 24 h after primary PCI, until 30 days post-randomization; usual care will be provided for the control group. The primary endpoint is the change in inspiratory muscle strength, the secondary endpoint included feasibility, pneumonia, major adverse cardiovascular events, length of stay, pulmonary function tests measure, and quality of life.Discussion: Our study is designed to evaluate the feasibility of IMT and its effectiveness in improving inspiratory muscle strength in participants with AMI who have undergone primary PCI.Clinical Trial Registration:www.ClinicalTrials.gov, identifier: NCT04491760.
A Middle to Late Miocene Trans-Andean Portal: Geologic Record in the Tatacoa Desert
Authors: Montes C. , Silva C. A. , Bayona G. A. , Villamil R. , Stiles E. , Rodriguez-Corcho A. F. , Beltran-Triviño A. , Lamus F. , Muñoz-Granados M. D. , Pérez-Angel L. C. , Hoyos N. , Gomez S. , Galeano J. J. , Romero E. , Baquero M. , Cardenas-Rozo A. L. , von Quadt A. 
Published: January 2021

Integration of several geologic lines of evidence reveals the prevalence of a lowland trans-Andean portal communicating western Amazonia and the westernmost Andes from at least middle Miocene until Pliocene times. Volcanism and crustal shortening built up relief in the southernmost Central and Eastern Cordilleras of Colombia, closing this lowland gap. Independent lines of evidence consist first, of field mapping in the Tatacoa Desert with a coverage area of ∼381 km2, 1,165 km of geological contact traces, 164 structural data points, and 3D aerial digital mapping models. This map documents the beginning of southward propagation of the southernmost tip of the Eastern Cordillera’s west-verging, fold-and-thrust belt between ∼12.2 and 13.7 Ma. Second, a compilation of new and published detrital zircon geochronology in middle Miocene strata of the Tatacoa Desert shows three distinctive age populations: middle Miocene, middle Eocene, and Jurassic; the first two sourced west of the Central Cordillera, the latter in the Magdalena Valley. Similar populations with the three distinctive peaks have now been recovered in western Amazonian middle Miocene strata. These observations, along with published molecular and fossil fish data, suggest that by Serravallian times (∼13 Ma), the Northern Andes were separated from the Central Andes at ∼3°N by a fluvial system that flowed into the Amazon Basin through the Tatacoa Desert. This paleogeographic configuration would be similar to a Western Andean, or Marañon Portal. Late Miocene flattening of the subducting Nazca slab caused the eastward migration of the Miocene volcanic arc, so that starting at ∼4 Ma, large composite volcanoes were built up along the axis of today's Central Cordillera, closing this lowland Andean portal and altering the drainage patterns to resemble a modern configuration.
Face Mask Use in the Community for Reducing the Spread of COVID-19: A Systematic Review
Authors: Coclite Daniela , Napoletano Antonello , Gianola Silvia , del Monaco Andrea , D'Angelo Daniela , Fauci Alice , Iacorossi Laura , Latina Roberto , Torre Giuseppe La , Mastroianni Claudio M. , Renzi Cristina , Castellini Greta , Iannone Primiano 
Published: January 2021

Background: Evidence is needed on the effectiveness of wearing face masks in the community to prevent SARS-CoV-2 transmission.Methods: Systematic review and meta-analysis to investigate the efficacy and effectiveness of face mask use in a community setting and to predict the effectiveness of wearing a mask. We searched MEDLINE, EMBASE, SCISEARCH, The Cochrane Library, and pre-prints from inception to 22 April 2020 without restriction by language. We rated the certainty of evidence according to Cochrane and GRADE approach.Findings: Our search identified 35 studies, including three randomized controlled trials (RCTs) (4,017 patients), 10 comparative studies (18,984 patients), 13 predictive models, nine laboratory experimental studies. For reducing infection rates, the estimates of cluster-RCTs were in favor of wearing face masks vs. no mask, but not at statistically significant levels (adjusted OR 0.90, 95% CI 0.78–1.05). Similar findings were reported in observational studies. Mathematical models indicated an important decrease in mortality when the population mask coverage is near-universal, regardless of mask efficacy. In the best-case scenario, when the mask efficacy is at 95%, the R0 can fall to 0.99 from an initial value of 16.90. Levels of mask filtration efficiency were heterogeneous, depending on the materials used (surgical mask: 45–97%). One laboratory study suggested a viral load reduction of 0.25 (95% CI 0.09–0.67) in favor of mask vs. no mask.Interpretation: The findings of this systematic review and meta-analysis support the use of face masks in a community setting. Robust randomized trials on face mask effectiveness are needed to inform evidence-based policies.PROSPERO registration: CRD42020184963.
Normalized Protein Catabolic Rate Is a Superior Nutritional Marker Associated With Dialysis Adequacy in Continuous Ambulatory Peritoneal Dialysis Patients
Authors: Qin Aiya , Liu Xiang , Yin Xiaomeng , Zhou Huan , Tang Yi , Qin Wei 
Published: January 2021

Introduction:Current knowledge of the relationship between normalized protein catabolic rate (nPCR) and dialysis adequacy is limited. Our study aimed to explore the potential relationship between nPCR and dialysis adequacy.Methods:In this cross-sectional study, we analyzed the association of nPCR with peritoneal dialysis adequacy in 266 continuous ambulatory peritoneal dialysis (CAPD) patients (mean age 48.6 ± 13.1 years; 50.8% male). The patients were divided into two groups: a dialysis inadequacy group (total weekly Kt/V urea &lt; 1.70) and a dialysis adequacy group (total weekly Kt/V urea≥1.70). We then analyzed the correlation between dialysis adequacy and the patients' primary cause of end-stage renal disease, nutritional and inflammatory markers, and biochemical parameters. Multivariable logistic regression analysis was also used to identify risk factors for inadequate dialysis.Results:We observed a significantly higher level of nPCR (0.98 ± 0.22 vs. 0.79 ± 0.18 g/kg/day,p&lt; 0.001) in the dialysis adequacy group, whereas we observed no significant differences among other nutritional markers such as albumin, prealbumin, and transferrin. Correlation analyses revealed that dialysis adequacy was positively associated with residual glomerular filtration rate (rGFR), hemoglobin, serum calcium, and body mass index (BMI), while dialysis adequacy was negatively associated with leak-protein, uric acid, high-sensitivity C-reactive protein, interleukin-6, and serum phosphorus. Furthermore, a logistic regression analysis revealed that gender (male), nPCR &lt;0.815 g/kg/day, higher weight, and rGFR &lt;2.43 mL/min/1.73 m2were independent risk factors for inadequate dialysis.Conclusion:Nutritional status is closely associated with dialysis adequacy. Among common nutritional markers, nPCR may be superior for predicting CAPD dialysis adequacy. Gender (male), nPCR &lt;0.815 g/kg/day, higher weight, and rGFR &lt;2.43 mL/min/1.73 m2are independent risk factors for dialysis inadequacy in CAPD patients.
Association Between Use of Anti-gout Preparations and Dementia: Nested Case–Control Nationwide Population-Based Cohort Study
Authors: Chuang Tsung-Ju , Wang Yu-Hsun , Wei James Cheng-Chung , Yeh Chih-Jung 
Published: January 2021

Objectives:Gout is the most common form of inflammatory arthritis and was found to be independently associated with incident dementia in the elderly. However, the associations between anti-gout preparations and dementia were not well-studied.Methods:Data were collected from Taiwan's National Health Insurance Research Database (NHIRD). A 2005–2013 retrospective cohort study was conducted, and all investigated subjects were identified by International Statistical Classification of Diseases and Related Health Problems, 9th Revision, Clinical Modification. Conditional logistic regression was used to evaluate the odds ratio of dementia in relation to different gout preparations (benzbromarone, allopurinol, sulfinpyrazone, probenecid) and number of days of anti-gout preparation use, after adjustment for potential confounding variables.Results:A total of 3,242 gout patients with and without dementia were selected from the NHIRD and included in the final analysis after 1:1 matching for age, gender, and diagnosis year of gout. In the anti-gout preparations, only use of Benzbromarone decreased the risk of dementia (adjusted OR, 0.81; 95% CI, 0.68–0.97). The result of the subgroup analysis revealed a trend toward a lower risk of dementia with longer use of benzbromarone. Use of benzbromarone for ≥180 days showed a significantly lower risk of dementia (adjusted OR, 0.72; 95% CI, 0.58–0.89). Moreover, the protective effect was more pronounced in males compared with females.Conclusion:This cohort study reveals that gout patients taking benzbromarone are at a decreased risk of developing incident dementia, especially with longer use and in male. Further prospective trials are warranted to confirm our findings.
Effect of Collagen Tripeptide and Adjusting for Climate Change on Skin Hydration in Middle-Aged Women: A Randomized, Double-Blind, Placebo-Controlled Trial
Authors: Tak Young Jin , Shin Dae Keun , Kim Ae Hyang , Kim Jun Il , Lee Ye Li , Ko Hyun-Chang , Kim Yong-Woo , Lee Sang Yeoup 
Published: January 2021

Introduction: Although collagen is widely used in various forms as a functional ingredient in skin care products, the effect of oral supplementation of collagen tripeptides (CTPs) on human skin is unclear. Moreover, the majority of the positive outcomes of CTP reported so far have not considered the effect of weather conditions. Therefore, we tested the effect of CTP and adjusting for climate change on skin properties in middle-aged women.Materials and Methods: A randomized controlled trial was conducted with 84 women between 40 and 60 years of age. Participants were randomized to receive placebo or 1,000 mg CTP daily for 12 weeks. CTP was prepared from the skin of Nile Tilapia by the digestion method using collagenase from non-pathogenic bacteria of the genus Bacillus. Skin hydration, wrinkling, and elasticity were assessed at baseline and after 6 and 12 weeks with adjustments for temperature, humidity, and ultraviolet A exposure during the evaluation time using weather data from the regional meteorological office.Results: Of the 82 participants, 74 completed the trial without adverse effects. Compared with the control group, trans-epidermal water loss was reduced more in the CTP group after 12 weeks (P &lt; 0.05). At 12 weeks, even after adjustment for humidity, temperature, and UVA in the region, the difference of the two groups in TEWL remained statistically significant (adjusted for humidity and temperature, P = 0.024; adjusted for UVA, P = 0.032; adjusted for temperature, high temperature, and ultraviolet A, P = 0.031). In terms of skin hydration, more improvement was evident in the CTP group than in the control group. In the subgroup analysis, subjects under 50 years of age showed a significant improvement in total score and moisture in the subjective skin improvement questionnaire after taking CTP for 12 weeks. Application of CTP was well-tolerated, and no notable adverse effect was reported from both groups.Discussion: Our findings suggest that oral ingestion of CTP from the Skin of Nile Tilapia (Oreochromis niloticus) is well-tolerated and helps reduce water loss in in middle-aged women.Clinical Trial Registration:www.clinicaltrials.gov/, Identifier: NCT03505684.
Comparison of Therapies in MS Patients After the First Demyelinating Event in Real Clinical Practice in the Czech Republic: Data From the National Registry ReMuS
Authors: Pavelek Zbyšek , Sobíšek Lukáš , Šarláková Jana , Potužník Pavel , Peterka Marek , Štětkárová Ivana , Štourač Pavel , Mareš Jan , Hradílek Pavel , Ampapa Radek , Grünermelová Markéta , Vachová Marta , Recmanová Eva , Angelucci Francesco , Halúsková Simona , Vališ Martin 
Published: January 2021

Background: Multiple sclerosis (MS) is a chronic inflammatory and neurodegenerative disease of the central nervous system. Well-established drugs used for MS patients after the first demyelinating event in the Czech Republic include glatiramer acetate (GA), interferon beta-1a (IFNβ-1a), IFN beta-1b (IFNβ-1b), peginterferon beta-1a (peg-IFNβ-1a), and teriflunomide.Objective: The objective of this observational study was to compare the effectiveness of the abovementioned drugs in patients with MS who initiated their therapy after the first demyelinating event. Patients were followed for up to 2 years in real clinical practice in the Czech Republic.Methods: A total of 1,654 MS patients treated after the first demyelinating event and followed up for 2 years were enrolled. Evaluation parameters (endpoints) included the annualized relapse rate (ARR), time to next relapse, change in the Expanded Disability Status Scale (EDSS) score, and time of confirmed disease progression (CDP). When patients ended the therapy before the observational period, the reason for ending the therapy among different treatments was compared.Results: No significant difference was found among the groups of patients treated with IFNβ-1a/1b, GA, or teriflunomide for the following parameters: time to the first relapse, change in the EDSS score, and the proportion of patients with CDP. Compared to IFNβ-1a (44 mcg), a significant increase in the percentage of relapse-free patients was found for GA, but this treatment effect was not confirmed by the validation analysis. Compared to the other drugs, there was a significant difference in the reasons for terminating GA therapy.Conclusion: Small differences were found among GA, IFNβ and teriflunomide therapies, with no significant impact on the final outcome after 2 years. Therefore, in clinical practice, we recommend choosing the drug based on individual potential risk from long-term therapy and on patient preferences and clinical characteristics.