bluuebunny/crossref_metadata_2025_split huggingface dataset:
HUBUNGAN TINGKAT PENGETAHUAN PASIEN TENTANG PENYAKIT HERNIA DENGAN KEJADIAN HERNIA DI POLI BEDAH RSUD WONOSARI
Authors: Kariasa I Dewa Gede , Anida Anida , Suswatiningsih Suswatiningsih 
Published: August 2021

Background: There has been hernia occurrence on November 15 th, 2016 in RSUD Wonosari. The number of Hernia inguinalis patients from January until October 2016 was 145 people. This ﬁgure consisted of 143 (98.60) male patients and 2 (1.30%) female patients. Objective: The study aimed at identifying the Relationship between the Patients’ Knowledge Level Regarding Hernia and the Hernia Occurrence in the Surgery Polyclinic of RSUD Wonosari. Method: The study was an analytic descriptive research by cross-sectional approach. For the sampling technique, the researchers selected the quota sampling technique. The population in this study was 300 people, while the sample that had been selected for this study was 75 respondents. The data were gathered through questionnaire distribution. The researchers also performed bivariate analysis by means of Chi Square test. Results: The results of this study showed that 24.00% of the respondents had good knowledge level regarding hernia, 32.00% of the respondents had moderate knowledge level regarding hernia, and 44.00% of the respondents had poor knowledge regarding hernia. The number of hernia patients from March 6 th March 25 th, 2016, was 9 people. From the results of signiﬁ cance test, the researchers found the sig. value = 0.001.Conclusion: There has been signiﬁ cant relationship between the knowledge level regarding hernia and the hernia occurrence in the Surgery Polyclinic of RSUD Wonosari.
A survey to evaluate mental well being and coping strategies of adolescents during COVID-19 pandemic in Bangalore, India
Authors: Bhattacharya Arna , Pattnaik DR Jigyansa Ipsita , Chandran DR Suhas 
Published: August 2021

Background: The COVID-19 pandemic has brought about significant changes in the lifestyle of adolescents. Adolescence is a development stage of high vulnerability that can impact well-being later in life. Mental health plays an important role in one’s quality of life. Understanding coping mechanisms helps make a person safe and resilient from psychological distress. The present study aims to evaluate the mental well-being and coping strategies used by adolescents in India during the COVID-19 pandemic.
Methods: A cross sectional study was conducted in a school in Bangalore, India via an online survey, circulated via the class teacher. Participants included 222 adolescents with ages ranging from 13 to 19. The DASS-21 and Brief COPE scales were used to assess mental well-being and coping mechanisms respectively. The questionnaire concluded with validated general lifestyle related questions. This included inquiring relationships between students and their families, friends, academic performance, social media consumption etc. The data was collected over a period of one month.
Results: In the DASS-21 scoring, 31.9% (n=69), 24.8% (n=55) and 5.4% (n=12) received scores indicating extremely severe depression, anxiety and stress respectively. Females were statistically found to be more depressed and anxious than males. Behavioural disengagement and self blame were commonly used coping mechanisms by those who were found to be psychologically distressed.
Conclusions: Psychological distress has been observed in adolescents in varying degrees during the COVID-19 pandemic. This should be addressed in order to prevent further distress.
Keywords: adolescents, covid-19, mental well being, DASS-21, Brief COPE, depression, anxiety, stress
The effect of cardiac geometry variation according to sex and race on outcomes in patients with acute coronary syndrome undergoing percutaneous coronary intervention
Authors: T. Ha Edward , Cohen Marc , J. Gaeta Theodore , A. Parikh Manish , J. Peterson Stephen , S. Aronow Wilbert 
Published: August 2021

IntroductionThe prevalence and long-term consequences of differences in baseline cardiac geometry (as a result of hypertension) in patients undergoing percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS) are ill-defined. The primary purpose of this study was to clarify whether there were differences among sexual and racial groups in echocardiographic findings reflecting cardiac geometry and adaptation in patients undergoing PCI for ACS and whether this could explain the differences in outcomes seen between these groups.Material and methodsWe analyzed 1-year follow-up data from a single institution, a retrospective, observational study that enrolled 1,153 patients who presented with ACS and were treated with PCI, for whom echocardiographic data were available.ResultsNormal, concentric hypertrophy, and eccentric hypertrophy in males vs. females were observed as follows: 29% vs. 19% (p = 0.001), 25% vs. 31% (p = 0.02), and 8% vs. 14% (p = 0.004), respectively. The primary endpoint of all-cause death (n = 89, 7.7%) occurred in 48 (10.5%) females and in 41 (8.2%) males, p = 0.03. Major adverse cardiac events and bleeding (MACE-B – all-cause death, non-fatal myocardial infarction, stroke or hospitalization for bleeding) was higher among women than men (21.6% vs. 13.5%, p = 0.0002). Males with eccentric hypertrophy (EH) had similar MACE-B outcomes as females with EH 1-year post-PCI (29% vs. 32%, respectively, p = 0.77).ConclusionsFemales undergoing PCI for ACS are at higher risk for worse outcomes because they are more likely to express the eccentric hypertrophy phenotype; however, it did not account for the difference in adverse outcomes observed between sexes.
ĐẶC ĐIỂM TĂNG HUYẾT ÁP THAI KỲ VÀ MỐI LIÊN QUAN ĐẾN KẾT CỤC THAI KỲ CỦA BÀ MẸ NGƯỜI DÂN TỘC KHMER TỈNH TRÀ VINH
Authors: Văn Nhỏ Phạm , Minh Dũng Lê , Minh Tuấn Võ 
Published: August 2021

Đặt vấn đề: Tăng huyết áp thai kỳ là một biến chứng nội khoa thường gặp, là một trong ba nguyên nhân gây tử vong hàng đầu cho bà mẹ trên toàn thế giới. Mục tiêu nghiên cứu: Khảo sát đặc điểm tăng huyết áp thai kỳ và mối liên quan đến kết cục thai kỳ của bà mẹ dân tộc Khmer. Phương pháp nghiên cứu: Mô tả dọc hồi cứu 428 hồ sơ bệnh án bà mẹ dân tộc Khmer được chẩn đoán tăng huyết áp thai kỳ trong 3 năm 2018 – 2020. Kết quả nghiên cứu: Tăng huyết áp đơn thuần trong thai kỳ: 8,4%. Nhóm tiền sản giật chiếm 87,2% (TSG có dấu hiệu nặng 47,2%). Tiền sản giật trên người THA mạn tính: 2,1%. Tăng huyết áp mạn tính: 2,3%. Kết cục thai kỳ xấu chung (KCX): 27,3%. Các yếu tố liên quan: Sản phụ sinh con thiếu tháng từ 34 - <37 tuần tăng nguy cơ gặp KCX cho cả mẹ và bé gấp 4,1 lần (KTC 95%: 2,1-8,7). Sản phụ sinh con thiếu tháng từ <34 tuần tăng nguy cơ gặp KCX cho cả mẹ và bé gấp 18,6 lần (KTC 95%: 2,1-169,3). Sản phụ có thiếu máu độ 2 tăng nguy cơ có KCX gấp 3,1 lần (KTC 95%: 1,3-7,4). Kết Luận: Trong số THA thai kỳ, sản phụ dân tộc Khmer có tỷ lệ 89,3% tiền sản giật cao hơn hẳn so với dân số chung khác.
KẾT QUẢ PHẪU THUẬT XÂM LẤN TỐI THIỂU HÀN XƯƠNG LIÊN THÂN ĐỐT QUA LỖ LIÊN HỢP ĐIỀU TRỊ TRƯỢT ĐỐT SỐNG THẮT LƯNG
Authors: Tùng Anh Dương , Hoàng Long Nguyễn 
Published: August 2021

Mục tiêu nghiên cứu: Mô tả đặc điểm lâm sàng và hình ảnh học trượt đốt sống thắt lưng của bệnh nhân được phẫu thuật xâm lấn tối thiểu hàn xương liên thân đốt qua lỗ liên hợp và đánh giá kết quả phẫu thuật xâm lấn tối thiểu hàn xương liên thân đốt qua lỗ liên hợp điều trị trượt đốt sống thắt lưng. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang, hồi cứu, tiến cứu 41 bệnh nhân được chẩn đoán xác định trượt đốt sống thắt lưng có chỉ định can thiệp phẫu thuật xâm lấn tối thiểu hàn xương liên thân đốt qua lỗ liên hợp tại khoa Phẫu thuật cột sống- Bệnh viện Hưu nghị Việt Đức.Kết quả: Tuổi trung bình 47,6±12,4; tỷ lệ nữ/nam 1,4; nguyên nhân thường gặp do gãy eo 29,3% và thoái hóa 63,4%; tầng trượt hay gặp nhất L4 53,7%, L5 34,1%; các triệu chứng bao gồm đau lưng 100%, đau rễ thần kinh 78%, rối loạn cảm giác 51,2%, đau cách hồi thần kinh 65,9%; VAS lưng, chân trước phẫu thuật 6,4±0,9, 5,4±2,3; ODI trước phẫu thuật 24±8,1%; tăng % trượt X-quang động so với X-quang thường 3,9±2,5% (p<0,01); thời gian phẫu thuật trung bình 140±35 phút; lượng máu mất trung bình 270±110ml; không biến chứng; thời gian nằm viện trung bình 6±2,1 ngày; thời gian đi lại sau mổ trung bình 2,4±0,7 ngày; có sự khác biệt giữa VAS lưng, chân trước phẫu thuật so với khi ra viện (p<0,001); giảm độ trượt trước phẫu thuật so với ra viện (p<0,001); 100% vít và miếng ghép đúng vị trí; chiều cao LTĐ trước phẫu thuật 2,9±0,15mm, sau phẫu thuật 5±1mm (p<0,001), kết quả sau 18 tháng theo Macnab: Rất tốt 12,2%; tốt 74,4%; khá 7,4%. Kết luận: Trượt đốt sống thắt lưng là một bệnh thường gặp ở độ tuổi trung niên do hai nguyên nhân chính là gãy eo và thoái hóa, các triệu chứng chính là đau lưng, đau rễ thần kinh, rối loạn cảm giác, việc phẫu thuật xâm lấn tối thiểu giúp giảm lượng máu mất, rút ngắn thời gian nằm viện, giảm biến chứng, phục hồi sớm cho người bệnh.
Ayurvedic Management of Oligodendroglioma: A Case Report
Authors: Othaloor Krishnan Dr Hrishikesh.O.K , Divya K  
Published: August 2021

Oligodendroglioma is a type of glioma arising out of oligodendrocytes of brain and spinal cord with a poor prognosis. The treatments include surgery, followed by radiation therapy and chemotherapy. Because of the long course of treatment including surgery followed by chemo and radiotherapy and the adverse effects of the same, many patients seek Ayurvedic management. A case of Oligodendroglioma in a 54-year-old female was managed as Vata kaphaja arbuda (~tumor) complicating to Asthi-majjagatavastha (~involvement of bone and marrow) with Shamana (~pacifying) procedures and medicines. 14 days of Shirolepa (~application of medicated paste over head) with Dhaturadikalka (~fruit paste of Datura metel linn) do at 4pm for a period of 45 minutes. This was followed by Shiropichu (~Application of oil-soaked wick on the vertex) with Rasathailam for 14 days in the evening 4pm-6pm. Guggulutiktaka kashaya 15 ml+ 60 ml hot water twice daily, Rasasinduram Capsule 125 mg twice daily with hot water, Nimbamrutadierandataila 10 ml with 50 ml warm milk for 1 week and Guggulutiktaka ghruta10 ml with luke warm water were given. Patient reported significant reduction of symptoms like headache, seizure, general weakness etc and improved Quality of life with a positive mind within two weeks. MRI change was remarkable after the treatment as the MRI taken on 29/1/20 has shown that Cortical based right frontal lesion measures 1.7*1.8cm, which was reduced in size compared to the previous MRI 2.3*2.3 cm taken after 22nd cycle of Inj. Avastin on 29/11/19. Rational application of Ayurvedic medicines can contribute much to the management of Oligodendroglioma.
Mathematical Model and Software for Avalanche Forecasting
Authors: Зимин М. И. , Кумукова О. А. , Зимин М. М. 
Published: August 2021

Описано математическое и программное обеспечение для прогнозирования возможности схода снежных лавин. Учитываются данные о возникновении этих склоновых процессов с конкретных склонов. Описана база данных.The study presents mathematical models and software for avalanche forecasting. They take into account the avalanche occurrence rate for specific slopes. The database is also presented.
Estimation of the Ki-67 Proliferation Marker Expression Level with Computer Vision Technology
Authors: Котов С. А. , Мозеров С. А. , Старков С. О. 
Published: August 2021

В последнее время в качестве средств компьютерной диагностики широкую популярность приобретают элементы из области компьютерного зрения. Целью данной работы является разработка программных средств, позволяющих автоматически анализировать онкомаркированные клетки в образцах медицинских изображений. В процессе работы была решена такая задача, как выявление количества онкомаркированных клеток в образце медицинского изображения. Это стало возможно благодаря тесному взаимодействию с морфологами, обозначавшими интересующие их фрагменты снимка, где необходимо было произвести подсчет онкомаркированных клеток, и опыту программиста в решениях подобных задач других областей жизнедеятельности с помощью технологии компьютерного зрения. Медицинские изображения были размечены морфологами и представляли собой срез стекла, на котором были окрашены в определенный цвет онкомаркированные клетки специальным препаратом. Исследуемым органом стал язык. В результате был совершен подсчет иммунопозитивных клеток, что дает морфологам возможность наблюдать более объективную картину в изображении среза стекла образца, позволяющую скорректировать решение в отношении постановки диагноза и назначения необходимого лечения.
Lately, computer vision technologies have become common computer diagnostics tools. The study objective is the development of software tools to automatically detect cells with proliferation markers on medical images. We managed to qualitatively assess the number of cells with proliferation markers on a medical image sample. We closely cooperated with morphologists who identified the areas of interest on the image where the cells with proliferation markers were to be counted. Another enabler was an extensive experience with developing computer vision systems for other applications. The medical images were tokenized by the morphologists. The images were slices where the proliferation marker cells were dyed. The organ under investigation was the tongue. We counted the immune-positive cells. It helped the morphologists to have some objective slice image metrics used to adjust the diagnosis and therapy plans.
Non-Stationary States in Physics and Biophysics
Authors: Заславский Б. Г. , Филатов М. А. , Еськов В. В. , Манина Е. А. 
Published: August 2021

Необходимость изучения неустойчивых систем подчеркивал I. R. Prigogine, но за последние 40 лет эта проблема не рассматривается в науке. Однако за последние 25 лет была доказана статистическая неустойчивость параметров движения в биомеханике в виде эффекта Еськова–Зинченко. Подобные неустойчивые системы имеются и в неживой природе на Земле в виде систем регуляции климата и метеопараметров среды обитания человека. Эти системы в 1948 г. W. Weaver обозначил как системы третьего типа, они обладают особой статистической неустойчивостью, характерной для самоорганизующихся систем. В работе представлены основные свойства таких систем третьего типа и некоторые инварианты для их описания. Существенно, что их моделирование основано на ряде принципов квантовой механики. В частности, принципе неопределенности Гейзенберга и квантовой запутанности.I. R. Prigogine emphasized the need to research unstable systems. However, for the last 40 years, this problem has not been studied well. Still, in the last 25 years, the statistical instability of biomechanical motion properties was proved as the Eskov–Zinchenko effect. Such unstable systems exist in the Earth’s inorganic nature, too, as the human habitat climate/weather regulation systems. In 1948 W. Weather called such systems “3rd kind systems”. They feature a special statistical instability peculiar to self-organizing systems. The study presents the key properties of such 3rd kind systems and some invariants that define these non-stationary systems. Significantly, the simulation is based on some quantum mechanics postulates. Particularly, these are the Heisenberg uncertainty principle, and the quantum entanglement principle.
Girls growing up Gordie: the post-apocalyptic heroine and the Australian girl reader of Isobelle Carmody’s Obernewtyn Chronicles
Authors: McAlister Jodi 
Published: August 2021

Australian young adult (YA) fiction has a post-apocalyptic tradition that considerably pre-dates dystopia’s current global popularity. Long before characters like Katniss Everdeen and Tris Prior emerged into mainstream popular consciousness, Australian YA fiction gave us several strong heroines struggling for a better life in a postapocalyptic setting. One such was Elspeth Gordie of Isobelle Carmody’s _Obernewtyn Chronicles_. The Obernewtyn Chronicles are unusual in that they have been published across a considerable span of time. The first book was published in 1987, while the final instalment is not due to be published until the end of 2015. Numerous readers of the series have, in many ways, grown up with it: discovering it as pre-teens or teenagers, and continuing to follow it into adulthood. The first Obernewtyn fan site – obernewtyn.net – was established in 1999, and continues to be active to this day. However, despite the current popularity of texts like The Hunger Games and Divergent, the Obernewtyn Chronicles are not especially well known outside Australia. This article will explore the ways in which fans interact with and respond to the Obernewtyn books, and the ways in which this has evolved and changed. It will investigate two key questions. Why have the Obernewtyn Chronicles appealed so strongly to an Australian audience? And why have they appealed so strongly to a girl audience? I will draw on several different critical theories to unpack this appeal, including postcolonial theory, feminist theory, girlhood studies, and autoethnography. I will also integrate this with reader-response theory, looking closely at the responses of readers who began reading these books as children and who are continuing to engage with them decades later.
Écriture matière: a text that matters
Authors: Quinn Karina 
Published: August 2021

In the mid 1970s, Hélène Cixous and Luce Irigiray (among others) famously placed a call for women to write their bodies as a way to break the bonds of patriarchal language structures and create a space for women’s writing by using the form now most commonly known as écriture féminine. For the last three years I have written a book called all the beginnings: a queer autobiography of the body, and what I have discovered is that écriture féminine is not enough. How can écriture féminine describe this particular body, that is genderqueer, and tattooed, and has lost its womb? What if, instead of écriture féminine, there was écriture matière? What if every body, when allowed to write, to tell stories, to speak, was able to enact a form of narrative and civil disobedience, an unerasing of the corporeal from text? This paper is the development of the concept of écriture matière, a call for all bodies to write themselves, as they find themselves, in this moment, now. It is a call to create a generative textual and material space that is anything but exclusionary: a text that matters.
Behind the green door: a story about suffering and hybrid identity in the 1950s and 1960s
Authors: Sulway Nike 
Published: August 2021

This paper explores the life and work of Elsie Ruth (Lyn) Palmer (1934-1969), an unpublished writer from Melbourne whose experiences as a lesbian writer during the 1950s form a framework for exploring a range of issues around failure, queer identity, and literary endeavour. By examining Palmer’s life and work in the broader context of her times, the paper argues for a re-examination of the current fashion for celebrating or embracing failure, connecting this rhetorical pressure to ‘embrace failure’ with an outdated Romantic notion of the suffering artist, and with suffering as a pre-condition for artistic excellence. The paper explores the ways in which this problematic fetishising of failure ignores the influence and impact of class, gender and sexual identity in the structure of suffering, and its resolution.
Assessing the Economic Impact of Tanneries’ Pollutants in Pakistan
Authors: Nawaz Abdul Rehman , Anwar Usama , Ahmad Shafique 
Published: August 2021

The leather industry, which is dubbed "Noxious" around the world, is an essential element of Kasur's industrial heritage. Hundreds of individuals in Kasur are directly or indirectly involved in the tanning of leather. The study's goal is to determine the effects of the environmental deterioration caused by tanneries on the economic lives of Kasur residents. Crop output declines due to the detrimental impacts of waste emissions on the surrounding soil, posing economic hazards. The three most polluted areas of Kasur have been identified, and data from the study area is collected through In-depth Interviews from 30 potential respondents in those areas. The convenience sampling technique has been applied, while the Mix-method approach (qualitative and quantitative) is used for the analysis. It is found that toxic pollutants of tanneries have profound adverse effects on the animals’ health such as cattle, poultry, fisheries, and adverse effects have been found on the production of meat and milk. The study suggests that the dangers of chemicals have a negative impact on those who live near chemical plants, both physically and economically. It proposes relocating industries away from residential areas.
ASSESSMENT OF THE ORGANIZATIONAL AND MANAGERIAL COMPETENCE OF FUTURE SPECIALISTS IN THE PHARMACEUTICAL INDUSTRY
Authors: АН В.С. , СЕРИКБАЕВА Э.А. , УМУРЗАХОВА Г.Ж. 
Published: August 2021

Компании в любом секторе стремятся нанимать высококвалифицированных сотрудников, обладающих способность вписываться в модель организационно-управленческих компетенций организаций под воздействием высокой конкурентоспособности. В статье представлен анализ обеспеченности фармацевтами населения Республики Казахстан. Также совершен опрос студентов колледжа для определения у них организационно управленческих компетенций, сформулированы выводы и рекомендации.
Companies in any sector strive to hire highly qualified employees who have the ability to fit into the model of organizational and managerial competencies of organizations under the influence of high competitiveness. The article presents an analysis of the availability of pharmacists in the population of the Republic of Kazakhstan. Also, a survey of college students was conducted to determine their organizational and managerial competencies, conclusions and recommendations were formulated.