bluuebunny/crossref_metadata_2025_split huggingface dataset:
Anesthetic Management of Children with Moyamoya Disease Undergoing Encephalomyoarteriosynangiosis
Authors: Itishri Itishri , Gupta Aastha , Hariharan Uma 
Published: April 2021

Abstract
Moyamoya disease (MMD) is chronic cerebrovascular disease with progressive stenosis in various vessels of cerebral circulation leading to the development of collateral vessels. Patients may exhibit ischemic or hemorrhagic complications. Surgical management is usually complicated by impairment in cerebral blood flow and metabolism. The goal of anesthetic management of such patients is to maintain adequate oxygen demand supply balance. We present a case of MMD in a 6-year-old male child and discuss anesthetic management of such patients undergoing indirect vascularization procedures.
Prolonged of Non-Invasive Ventilation in COVID-19 Patient
Authors: Abbas Kun Arifi , Semedi Bambang Pujo , Sumartono Christijogo , Hamzah Hamzah 
Published: April 2021

Abstract
Noninvasive ventilation (NIV) is one of the alternative therapies for patients with respiratory failure or acute respiratory distress syndrome to avoid endotracheal intubation and its adverse effects. COVID-19 is a disease attacking respiratory system, inducing hypoxic-type respiratory failure. This case report describes that NIV application is somewhat useful in a number of patients with COVID-19 pneumonia suffering from respiratory failure. Nevertheless, in some cases, endotracheal intubation was done. Meticulous observation on deteriorating clinical and laboratory signs is required to make an immediate decision to switch into invasive ventilator to avoid further worsening.
Airway Management of Giant Occipital Meningoencephalocele Removal
Authors: Senapathi Tjokorda Gede Agung , Suandrianno Yohanes , Sidemen I Gusti Putu Sukrana , Ryalino Christopher , Pradhana Adinda Putra 
Published: April 2021

Abstract
Cephalocele refers to defects in the skull and dura with extensions from intracranial to extracranial structures. Cephalocele is divided into four types which are meningoencephalocele, meningocele, atretic encephalocele, and gliocele. Encephalocele is a head's contents herniation through a defect in the skull. Meningocele is a herniation sac that contains cerebrospinal fluid and nerve elements. Meningoencephalocele is a prominent herniation of the meningeal part, nerve elements, and brain tissue in a sac that protrudes through a defect in the skull. In Southeast Asia, the incidence of meningoencephalocele is estimated to occur in 1 in 5000 live births. The occipital bone is the most common location of cephalocele. The neurological outcome of malformations that occur depends on the size of the sac formed, the nerve tissue involved, hydrocephalus, related infections, and other pathological conditions involved. Perioperative preparation must be well made by an anesthesiologist based on airway management, fluid balance, and hypothermia prevention. The main challenge of anesthesia in the management of the occipital meningoencephalocele is securing the airway. Pediatric patients have low functional reserve volume, and failure of tracheal intubation can cause hypoxemia, bradycardia, and even heart attacks. Improper positioning and limited neck extension can complicate endotracheal intubation.
Taurine as an Adjunct Therapy for Early Left Ventricular Recovery in Peripartum Cardiomyopathy
Authors: Zaki Hany V. , Sweed Mohamed S. , Ali Rania M. , Abdelhafeez Mohamed A. 
Published: April 2021

Background and Aims:
The pathophysiology of peripartum cardiomyopathy is not fully understood. Despite standard medical therapy, both morbidity and mortality remain high. Restoration of inflammatory cytokine balance may hold promise for therapy. Taurine has a powerful immune-modulatory and anti-inflammatory in addition to positive inotropic effect. This study evaluates the effect of taurine infusion on clinical status, left ventricular function, circulating plasma levels of N-terminal brain natriuretic peptide and C-reactive protein in women with peripartum cardiomyopathy.

Methods:
Forty women with peripartum cardiomyopathy admitted postpartum to the ICU were randomly assigned to one of two groups (20 in each group): Group T received taurine infusion and Group C received normal saline infusion over 24 hours for 5 days. Both groups received standard heart failure therapy according the institutional treatment protocol.

Results:
In the taurine group on day 5, there was a significant reduction in LVEDD and LVESD and significant increase in LVEF. All patients had an improvement in LVEF of at least 10% and 5 patients had recovery of LVEF to ≥50% on day 5 while the other 15 patients had LVEF 45- 50%. In the control group on day 5, there was non-significant change in LVEDD, LVESD and LVEF and no patient had recovery of LVEF to ≥50% or showed improvement in LVEF more than 10%. NYHA functional class showed significant increase on day 5 in the taurine group compared to the control group. Seventeen patients (85%) in the taurine group showed improvement of the NYHA functional class at day 5. In contrast, only 2 patients (10%) in the control group showed improvement of NYHA functional class at day 5.

Conclusion:
Early addition of taurine infusion to standard heart failure therapy improves both; echocardiographic parameters and laboratory parameters but without clinically significant changes in women with peripartum cardiomyopathy.
A study of effect of hemodialysis on macular thickness in patients with end-stage renal disease
Authors: Suryakanth Shwetha , Shankar H. N. Ravi , Heralgi Mallikarjun M. , Sagar Pradeep , Kavitha V. , Mahesha S. , Babu N. Suresh , Tekade Pradeep 
Published: April 2021

PURPOSE:
The purpose was to study the effect of hemodialysis (HD) on macular thickness in patients with diabetic retinopathy (DR) and end-stage renal disease.

MATERIALS AND METHODS:
In this prospective observational study, patients undergoing HD for diabetic nephropathy were recruited. None of the patients received treatment for DR per se during the study duration. Patients underwent ocular examination and optical coherence tomography before HD and were followed up on day 3 and day 30. At each visit, central subfield macular thickness (CSMT) and total macular volume (TMV) were measured and compared with baseline values using analysis of variance and post hoc test (Wilcoxon's matched-pairs signed-rank test).

RESULTS:
Thirty-one eyes of 19 patients were recruited in the study. The mean CSMT decreased from baseline value of 278.93 ± 45.01 μ to 239.81 ± 40.54 μ at the end of 30 days (P < 0.005). The mean TMV decreased from baseline value of 8.14 ± 0.68 mm3 to 7.80 ± 0.63 mm3 on day 30 (P < 0.005).

CONCLUSION:
There was a statistically significant reduction in CSMT and TMV after HD at 30 days as compared to baseline values. HD alone results in reduction of macular thickness over short term.
Changes in retinal sensitivity following inverted internal limiting membrane flap technique for large macular holes
Authors: Huang Wei-Yu , Chen Yung-Jen 
Published: April 2021

PURPOSE:
The aim of this study was to evaluate the effect of inverted internal limiting membrane (ILM) flap technique and measure the retinal sensitivity using microperimetry-1 (MP-1) test in patients with large macular hole (MH).

MATERIALS AND METHODS:
We enrolled patients undergoing surgery for idiopathic MHs from January 2016 to October 2019. Only patients having a minimum diameter of idiopathic MH exceeding 500 μm were included in this study. All patients underwent complete preoperative ophthalmologic examinations, optical coherence tomography (OCT), and best-corrected visual acuity (BCVA) measurements. Postoperative OCT and BCVA were evaluated at least 3 months postoperatively. In addition, these patients also received MP-1 pre- and postoperatively for retinal sensitivity measurement.

RESULTS:
Totally ten patients (ten eyes) were included for analysis. The mean retinal sensitivity within central 12° and 40° was statistically improved after surgery (P < 0.05). The number of absolute or relative scotoma (stimulus values ≤4 dB) within central 4° showed a significant reduction postoperatively. There was also a significant increase in visual acuity postoperatively.

CONCLUSION:
Patients with large MH have a great successful rate by receiving inverted ILM flap technique. In our study, all MHs of ten eyes were closed postoperatively. The results also demonstrated that ILM flap technique improves both the functional and anatomic outcomes.
Tác động của trách nhiệm xã hội của doanh nghiệp lên chất lượng mối quan hệ thương hiệu - khách hàng và ý định chuyển đổi thương hiệu tại Việt Nam
Authors: Hải Trần Nguyễn Khánh , Thu Nguyễn Quang 
Published: April 2021

Nghiên cứu này nhằm kiểm định và đánh giá tác động của trách nhiệm xã hội của doanh nghiệp (CSR) lên chất lượng mối quan hệ thương hiệu – khách hàng và ý định chuyển đổi thương hiệu. Mối quan hệ này được kiểm chứng
thông qua phân tích 507 mẫu khách hàng thường xuyên mua sắm tại các siêu thị bán lẻ. Kết quả cho thấy, CSR có tác động mạnh mẽ, cùng chiều lên chất lượng mối quan hệ thương hiệu – khách hàng; đồng thời CSR làm giảm ý
định chuyển đổi thương hiệu của khách hàng. Nghiên cứu này cũng đề cập vai trò trung gian của chất lượng mối quan hệ thương hiệu – khách hàng trong mối quan hệ giữa CSR và ý định chuyển đổi thương hiệu. Cuối cùng, nghiên cứu đưa ra kết luận và hàm ý chính sách cho các doanh nghiệp và hướng nghiên cứu tiếp theo.
An investigation into English language use in the Vietnamese hospitality industry: The language of money exchange
Authors: Van Vu Thi Hong 
Published: April 2021

Within the tourism and hospitality industry in Vietnam, English is now a dominant means of communication between staff and guests who come from different countries. The ability to communicate effectively in English is therefore an important attribute for those employed within the industry. Courses in English for Specific Purposes (ESP), such as English for Tourism and Hotel (English for Tourism Management/English for Hotel Management), are now part of English language programmes in Vietnamese educational institutions. These courses emphasise the importance of developing high-level English language communication skills for students. However, the teaching of these courses has mainly been conducted in the classroom environment, using textbooks which are written and published outside Vietnam. Given that recent research has focused on the need to teach language as it is used in authentic contexts, it is important for the teaching of ESP to understand how English is used in a real-life setting in the Vietnamese tourism and hospitality sector.
This paper reports on the findings from a study which obtained and analysed hundreds of examples of authentic English language used by guests and staff in four different hotels in Vietnam. For illustrative purposes, the paper focuses on the language of interactions related to currency exchange, and examines the implications of the study findings for the teaching of ESP in Vietnam.
Nurses' Awareness and Perception of Drug-Drug and Drug Food Interactions
Authors: Elshenawi Hend A. E. , Abed Elazeem Yasmin F. M. 
Published: April 2021

Context: The issue of drug interactions is a global concern. Studies reported a high prevalence of drug interactions worldwide. The drug-drug interaction (DDIs) and drug-food interactions (DFIs) are often predictable and preventable. Nurses play essential roles in inpatient drug safety.
Aim: This study aimed to assess nurses' awareness and perception of drug-drug and drug-food interactions.
Methods: A cross-sectional descriptive design was used to achieve the aim of this study on a convenient sample of 150 nurses working at emergency departments(medical, surgical), cardiac care unit, renal department, general surgery department, and the chest and heart surgical department at the Main University Hospital of Alexandria, Egypt. Four study tools used. They were a structured interview questionnaire designed to assess the nurses’ sociodemographic characteristic, nurses’ working experiences to drug-drug and drug-food interactions, and nurses’ history in encountering drug-drug and drug-food interactions; nurses’ awareness of drug/drug interaction assessment questionnaire, nurses’ awareness of drug/food interaction assessment questionnaire, and drug safety nurses’ perception assessment questionnaire.
Results: The findings of the current study reveal that 64% of the studied nurses did not receive training on DDIs or DFIs other than that in their basic education. 56% of the nurses came across patients who experienced either DDIs or DFIs. Regarding awareness, around half of them did not make aware of the drug-drug interactions of the studied drug pairs that are frequently used in the clinical practice. Concerning DFIs, 74% of the studied nurses had a low level of total awareness. Regarding nurses’ perception to drug safety, 49.3% of the studied nurses agreed that the risk of drug-drug interaction is high, 55.3% agreed with the importance for prescribers to learn about DDIs and DFIs, and 53.3% of them agreed with the information regarding the DDIs and DFIs useful to the nurse in plan management. The current study revealed a statistically significant association between training received and nurses’ awareness regarding DDIs and DFIs.
Conclusion: The study concluded a low level of awareness among the studied nurses regarding DDIs and DFIs with an average perception of the risk of DDIs/DFIs, and the importance of related information in plan management. The study recommended different strategies to be applied to assist prescribers and nurses in identifying potential DDIs, providing educational interventions, facilitating access to DDI information sources, applying computerized alerting systems, and delivering performance feedback among the most commonly recommended strategies.
Acculturative Stress, Assertiveness, and Self Efficacy among Undergraduate International Nursing Students
Authors: Mostafa Mona H. , Mohamed Sayeda M. 
Published: April 2021

Context: Acculturative stress is an essential challenge of international students in a new culture. This challenge may impact their academic success, psychological wellbeing, and the educational institution's effectiveness in retaining these students.
Aim: To examine the relationship between acculturative stress, self-efficacy, and assertiveness among international undergraduate nursing students.
Methods: The study was conducted at the Faculty of Nursing, Cairo University. The correlational research design was used on a simple random sample consists of 135 undergraduate international nursing students. Four tools were used for data collection. They were personal data sheet, acculturative stress assessment scale, Rathus assertiveness schedule, and general self-efficacy assessment scale.
Results: 47.00% of undergraduate international nursing students had a mild level of acculturative stress, 34.8% of undergraduate international nursing students were somewhat non-assertive, about half of undergraduate international nursing students had a moderate level of self-efficacy. There was a statistically significant positive correlation between self-efficacy and assertiveness. Also, there was a statistically significant negative correlation between acculturative stress and assertiveness. There was no statistically significant correlation between self-efficacy and acculturative stress.
Conclusions: Undergraduate international nursing students were inclined towards experiencing acculturative stress, and near half of them exhibit a mild level. More than one-third of them were somewhat assertive, with near half of them had a high level of self-efficacy. The development of educational programs is needed to maximize assertiveness skills, self-efficacy, and reducing acculturative stress among undergraduate international nursing students.
PENCEGAHAN PELECEHAN SEKSUAL PADA REMAJA PUTRI DI SEKOLAH MENENGAH PERTAMA
Authors: Mjw Endrian , Adawiyah Dewi , Supriadi Dedi 
Published: April 2021

Latar Belakang : Upaya pencegahan merupakan sebuah usaha yang dilakukan individu dalam mencegah terjadinya sesuatu yang tidak diinginkan. Pelecehan seksual adalah segala bentuk perilaku yang berkonotasi seksual yang dilakukan secara sepihak dan tidak diharapkan oleh orang yang menjadi sasaran sehingga menimbulkan reaksi negatif: rasa malu, marah, tersinggung dan sebagainya. Menurut data Perlindungan Perempuan dan Anak adanya 29 kasus pelecehan seksual terhadap remaja di Ciamis pada tahun 2017. Alasan peneliti memilih di SMP Negeri 4 Ciamis karena dekat dengan pusat kota dan tempat bermain dan SMP Negeri 4 Ciamis mewakili untuk dijadikan tempat penelitian.
Tujuan : Untuk mengetahui upaya pencegahan pelecehan seksual pada remaja puteri kelas VIII di SMP Negeri 4 Ciamis.
Metode Penelitian : kuantitatif dengan menggunakan desain deskriptif dan rancangan penelitian cross sectional pada 67 responden remaja putri. Jumlah populasi 133 orang, dan pengambilan sampel menggunakan metode kebetulan (accidental sampling) yang diambil dari remaja puteri kelas VIII di SMP Negeri 4 Ciamis tahun ajar 2017/2018.
Hasil Penelitian: kategori upaya pencegahan pelecehan seksual pada remaja puteri kelas VIII di SMP Negeri 4 Ciamis didapatkan upaya baik sebanyak 42 responden (62,7%) dan upaya cukup sebanyak 25 responden (37,3%).
Pembahasan: pemahaman hak-hak pada remaja dengan penyuluhan kesehatan di sekolah menengah pertama akan lebih efektif untuk mencegah pelecehan seksual. Mencegah lebih baik daripada harus melakukan perawatan pada korban pelecehan yang memerlukan tindakan komprehensif dan melibatkan psikososial kultural dimana meskipun korban sembuh tapi akan memberikan trauma yang mendalam.
Kesimpulan : penelitian ini menyatakan bahwa pada 67 remaja puteri yang dijadikan responden memiliki kategori baik dalam pencegahan pelecehan seksual.
Penyuluhan Perilaku Hidup Bersih Dan Sehat Di Masa Pandemi Covid-19 Pada Pemulung Tempat Pembuangan Akhir Sampah Di Kabupaten Sumbawa
Authors: Maliga Iga , Rafi'ah Rafi'ah , Hasifah Herni 
Published: April 2021

Masalah kesehatan seringkali muncul di masyarakat tanpa disadari dan diketahui penyebabnya. Terutama bagi masyarakt yang berprofesi sebagai pemulung, apalagi dalam kondisi pandemic covid 19 saat ini. Pemerintah sudah lama menjalankan Program Perilaku Hidup Bersih dan Sehat (PHBS) di lingkungan kerja akan tetapi lingkungan kerja di Tempat Pembuangan Akhir (TPA) Sampah seringkali diabaikan.. Tujuan kegiatan pengabdian kepada masyarakat adalah meningkatkan pengetahuan masyarakat yang berprofesi sebagai pemulung akan pentingnya berperilaku hidup bersih dan sehat di lingkungan kerja di masa pandemic saat ini. Metode kegiatan pengabdian kepada masyarakat yang dilaksanakan di TPA Raberas yaitu penyuluhan kesehatan kepada masyarakat tentang Perilaku Kesehatan Bersih dan Sehat (PHBS) di lingkungan kerja dengan cara ceramah dan diskusi. Pengabdian di lakukan di TPA Raberas Kabupaten Sumbawa, pada tanggal 20 Desember 2020 dengan melibatkan seluruh pemulung yang ada. Hasil evaluasi menunjukkan bahwa tingkat pengetahuan dan pemahaman pemulung masih rendah terkait dengan kepatuhan APD dan pengetahuan PHBS di lingkungan kerja sebesar 40.8% di kategori cukup dan 59,2% di kategori kurang. Selain meningkatkan pengetahuan dan pemahaman pemulung, dari kegiatan pengabdian ini mampu membangun kesadaran seluruh pemulung dan keluarganya untuk tetap menjaga kebersihan diri dan kebersihan lingkungan sekitar agar tetap bekerja dengan aman dan nyaman.
De ontwerp-Verordening Monti II, oude wijn (azijn) in nieuwe zakken?
Authors: Dorssemont F. 
Published: April 2021

De ontwerp-Verordening Monti II, oude wijn (azijn) in nieuwe zakken?
Op 21 maart 2012 diende de Europese Commissie een voorstel van verordening in dat de uitoefening van het recht op collectieve actie reguleert binnen de context van de vrijheid van vestiging en de vrijheid van dienstverrichting.Bij de analyse wordt een intertekstuele benadering gevolgd. De tekst wordt vergeleken met Verordening (EG) nr. 2679/98 en met het voorontwerp van de verordening. Het voorstel wordt geëvalueerd door het te toetsen aan de formele doelstellingen van dit instrument en door een onderzoek naar de interne contradicties die de tekst kenmerken. De conformiteit van het voorstel met internationale mensenrechteninstrumenten staat eveneens centraal. Voorafgaand wordt de juridische grondslag van het voorstel bestudeerd.
Overgang van onderneming in een triptiek: economische activiteiten, anciënniteit en cao’s
Authors: Beltzer R.M. , Koopman F. 
Published: April 2021

Overgang van onderneming in een triptiek: economische activiteiten, anciënniteit en cao’s
Het arrest Scattolon biedt minimaal drie interessante inzichten ten aanzien van overgang van onderneming. Ten eerste geeft het Hof van Justitie inzicht in de toepasselijkheid van Richtlijn 2001/23 op publieke ondernemingen. Ten tweede wordt de vraag beantwoord in hoeverre anciënniteit een voor overgang vatbaar recht is: de anciënniteit dient gekoppeld te zijn aan bij de vervreemder bestaande rechten. Opmerkelijk is dat het Hof tevens overwoog dat, indien anciënniteit op basis van deze regel niet zou overgaan, niettemin compensatie dient plaats te vinden indien de werknemer er anders substantieel op achteruit zou gaan. Ten slotte is hetgeen het Hof impliciet oordeelt over gebondenheid aan de overgekomen cao van groot belang voor de Nederlandse rechtspraktijk: het direct toepassen van de eigen cao na overgang van onderneming is mogelijk. Het Nederlandse recht is hier niet op berekend. Naar het oordeel van de auteurs ligt hier een taak voor de wetgever.
Het Europese grondrecht van jaarlijkse vakantie: voorwaarden bij ziekte en (horizontale) doorwerking
Authors: Veldman A.G. 
Published: April 2021

Het Europese grondrecht van jaarlijkse vakantie: voorwaarden bij ziekte en (horizontale) doorwerking
In deze bespreking van de recente arresten van het HvJ EU over het jaarlijkse vakantierecht met behoud van loon worden twee onderwerpen behandeld. Ten eerste het grondrechtelijk karakter van het vakantierecht, de effecten daarvan voor eventuele directe horizontale werking en de verhouding van dit EU-grondrecht met het vergelijkbare ILO-grondrecht. Ten tweede wordt op basis van de nieuwe Europese jurisprudentie, waarbij het verval van vakantierechten bij ziekte niet langer is uitgesloten, onderzocht of de nieuw ingevoerde Nederlandse vervaltermijn voor vakantierechten niet te kort is.