bluuebunny/crossref_metadata_2025_split huggingface dataset:
ASSOCIATION OF DIETARY AND LIFESTYLE FACTORS ON BLOOD PRESSURE CONTROL AMONG ADULT HYPERTENSIVE PATIENTS ATTENDING A UGANDAN TERTIARY HOSPITAL
Authors: Nakalega A. P. , Mugenyi L. , Nuwabaine L. , Amperiize M. , Tabusibwa K. B. 
Published: December 2021

Hypertension is an important worldwide public-health challenge due to its high prevalence and being a risk factor for cerebrovascular, cardiovascular, and chronic renal diseases. Despite these risk factors, blood pressure control among hypertensive patients is still poor. The main objective was to assess dietary and lifestyle factors associated with uncontrolled blood pressure control among Ugandan hypertensive patients at Kiruddu hospital. Materials and methods: A cross-sectional study involving 271 adult hypertensive patients attending the outpatient hypertensive clinic was enrolled. Data were obtained on dietary, lifestyle factors (alcohol intake, smoking status, and level of physical activity), social demographics, Body Mass Index (BMI), comorbidities, and adherence to hypertensive medication. An average of the current and previous two Blood pressure readings was recorded. Factors associated with uncontrolled blood pressure were assessed using a multivariate logistic regression model. Results: The mean age of study participants was 57 ± 0.76 years, with female dominance (77.9%). Among the study participants, 121 (44.7%) had uncontrolled BP. Dietary factors that were associated with uncontrolled blood pressure with adjusted OR (95%CI) included consumption of raw salt: 4.18 (1.32-13.24) and inadequate fruit consumption: 2.18 (1.26-3.75) while clinical factors included being overweight: 2.51 (1.27-4.95) and poor adherence to antihypertensive medications prescribed: 1.82 (1.03-3.21). Conclusion: The proportion of hypertensive patients with uncontrolled Blood Pressure was high (44.7%). Consumption of raw salt, inadequate fruit consumption, being overweight and poor adherence to antihypertensive medication were significantly associated with uncontrolled BP. From these findings, factors that were associated with the control of blood pressure are modifiable.
Anesthesiologic management of elective endovascular stenting of coronary artery
Authors: Tsarkov A. V. , Levit A. L. 
Published: December 2021

Introduction. Ischemic heart disease is the most common cause of death in the Russian Federation and in the world. One of the main methods of surgical treatment is endovascular stenting of the coronary arteries. Despite the minimally invasive method, there is a need to ensure sedation of the patient during the intervention. The main type of anesthetic aid for this procedure is monitored sedation.The aim of the study was to conduct a comparative analysis of the two most frequently used regimens of monitored sedation for elective endovascular interventions in world practice.Materials and methods. From January to July 2021, a prospective cohort study was conducted that included 70 patients. A comparison was made between the sedation group using phenazepam (n = 38) with the analgosedation group (n = 32) — a combination of sibazone and fentanyl. The comparison was made by the level of sedation (RASS scale), the severity of anginal pain at the stage of stenting of the coronary arteries according to the VAS; vital indicators of patients (sBP, dBP, avgBP, HR, SpO2).Results. The use of a monitored sedation regimen (sibazone + fentanyl) leads to deeper sedation according to the RASS and a more significant decrease in heart rate in patients at the stage of coronary artery stenting compared with the use of benzodiazepine (phenazepam) alone. Despite this, the incidence of anginal pain during the intervention did not differ statistically significantly between the comparison groups.Discussion. In this work, we compared two approaches to anesthetic protection when performing planned endovascular stenting of coronary arteries, which are most often used in foreign and domestic interventional practice.Conclusions. The use of analgosedation (sibazone + fentanyl) for elective endovascular stenting of coronary arteries has no significant advantages over sedation with benzodiazepines (phenozepam) for these types of interventions. It becomes obvious that it is necessary to continue the search for more effective and safer schemes of anesthetic management during planned endovascular stenting of coronary arteries.
Neurotoxic complications of chemotherapy in children: posterior reversible encephalopathy syndrome
Authors: Koryakina O. V. , Kovtun O. P. , Fechina L. G. , Tereshchenko I. S. , Volozhanin R. S. 
Published: December 2021

Introduction. The syndrome of posterior reversible encephalopathy syndrome (PRES) is a clinical-radiological condition caused by vasogenic brain edema due to elevated blood pressure. The development of this syndrome is associated with the toxic effect of drugs in the treatment of oncological diseases. In most cases, timely diagnosis and therapy of PRES determine the complete reversibility of symptoms. However, a poor prognosis is possible with the development of severe disabling consequences or death. In practice, there are difficulties in the diagnosis of PRES due to the lack of specificity of clinical manifestations and awareness of many doctors about the existence of this syndrome.The aim of the study was to present the clinical-radiological aspect of the syndrome of posterior reversible encephalopathy in children with oncological diseases.Materials and methods. The analysis of 8 medical histories of children with oncological pathology complicated by the syndrome of posterior reversible encephalopathy was carried out.Results. The study group was dominated by patients with hemato-oncological diseases. The development of PRES occurred during chemotherapy and in most cases was not associated with arterial hypertension. The clinical picture was dominated by such symptoms as impairment of consciousness, seizures and movement disorders in the form of paresis. When carrying out magnetic resonance imaging (MRI), the lesion of the white matter of the brain was determined, mainly in the projection of the parieto-occipital regions. During treatment, all patients showed reversibility of neurological symptoms with leveling of radiological signs.Discussion. When analyzing the clinical and radiological characteristics of PRES in children, a comparison of the data with clinical observations presented in the literature was noted. The role of chemotherapy as a triggering factor in the development of posterior reversible encephalopathy syndrome has been determined.Conclusion. The necessity of including the syndrome of posterior reversible encephalopathy in the list of differential diagnoses in patients receiving chemotherapy is shown.
Acute myocardial damage in new coronavirus infection (COVID-19)
Authors: Izmozherova N. V. , Popov A. A. , Tsvetkov A. I. , Shambatov M. A. , Antropova I. P. , Kadnikov L. I. , Ispavsky V. E. 
Published: December 2021

Introduction. Acute respiratory distress syndrome (ARDS) and cardiovascular events, acute myocardial injury being the most frequent of the latter, are among the leading causes of death in COVID-19 patients. The lack of consensus on acute myocardial injury pathogenesis mechanisms, the patients management, treatment an rehabilitation logistics, the anticoagulant treatment in identified SARS-CoV-2 or suspected COVID-19 patients setting indicates the need to assess, analyze and summarize the available data on the issue.Materials and methods. Scientific publications search was carried out in PubMed, Google Scholar databases for the period from December 2019 to September 2021.Results and Discussion. Cardiospecific troponin I increase beyond reference limits is reported to occur in at least every tenth patient with identified SARS-CoV-2, the elevated troponin detection rate increasing among persons with moderate to severe course of the infection. The mechanisms of acute myocardial injury in patients with COVID-19 are poorly understood. By September 2021, there are several pathogenesis theories. A high frequency viral myocarditis direct cardiomyocytes damage is explained by the high SARS-CoV-2 affinity to ACE2 expressed in the myocardium. The cytokine storm related myocardial damage is reported a multiple organ failure consequence. Coagulopathy may also trigger myocardial microvessels damage. Up to every third death of SARS-CoV-2 infected persons is related to the acute myocardial injury. At the same time, due to the high incidence of the acute myocardial injury, it is rather difficult to assess the true incidence of acute myocardial infarction in patients with COVID-19. In the pandemic setting, the waiting time for medical care increases, the population, trying to reduce social contacts, is less likely to seek medical help. In this regard, in order to provide effective medical care to patients with acute myocardial infarction, it is necessary to develop algorithms for providing care adapted to the current epidemiological situation.Conclusion. The treatment of patients with probable development of acute myocardial damage against the background of new coronavirus infection should be performed in accordance with the current clinical guidelines. Anticoagulant therapy should be administered in a prophylactic dose under control of hemostasis parameters and a wide range of biochemical parameters.
Giá trị hiện thực đường lối quân sự của Đảng trong Đại thắng mùa Xuân 1975 với nhiệm vụ bảo vệ tổ quốc hiện nay
Authors: Nguyễn Mạnh Chủng 
Published: December 2021

Đường lối quân sự của Đảng ta trong Đại thắng mùa Xuân 1975, là đường lối chiến tranh nhân dân trên cả hai miền Nam - Bắc, tiến công địch trên cả ba vùng chiến lược và kết hợp chặt chẽ chiến tranh chính quy của bộ đội chủ lực với chiến tranh nhân dân địa phương. Bằng đường lối sáng tạo, Đảng đã lãnh đạo toàn quân và toàn dân làm nên đại thắng mùa Xuân 1975 vĩ đại. Ngày nay, đường lối ấy vẫn còn nguyên giá trị, xong đứng trước bối cảnh mới của thế giới, khu vực và trong nước như hiện nay, hơn bao giờ hết cần phải luôn kiên định mục tiêu độc lập dân tộc gắn liền với xã hội chủ nghĩa, tăng cường tiềm lực quốc phòng - an ninh của đất nước, đồng thời đẩy mạnh xây dựng quân đội nhân dân theo hướng cách mạng, chính quy, tinh nhuệ, từng bước hiện đại là lực lường nòng cốt trong bảo vệ vững chắc Tổ quốc Việt Nam xã hội chủ nghĩa.
Bli venn med maten: evaluering av et lavterskel kurstilbud for personer med overspisingsproblematikk
Authors: Nitter Cathrine , Vrabel Kari Anne , Binder Per-Einar , Kingswick Irene 
Published: December 2021

This study evaluates a mindful eating-based program for people with self-reported binge eating problems. The study was initiated by a non-governmental eating disorder interest organization. Participants met once a week over eight weeks. The Eating Disorder Questionnaire (EDE-Q) and three subscales of the Self-Compassion Scale (SCS) were used to measure eating pathology, self-compassion and mindfulness before, after, and six-months after the program.
Results: Significant improvements in EDE-Q and SCS scores were found, and results remained stable at the six-month follow-up. The number of binge eating days decreased significantly during the study, both from before to after program participation, and from post-program participation to six-month follow-up.
Conclusion: Future studies investigating the current program are clearly needed. These preliminary results are nonetheless encouraging and illustrate that mindful eating-based interventions as an interesting treatment avenue for individuals with binge eating pathology, a group which currently has few treatment options available to them.
Keywords: binge eating disorder, binge eating, mindfulness, mindful eating, low-threshold services, obesity.
Perimetry as a technique from the standpoint of practicing ophthalmologists
Authors: Grigoryan L. A. , Simakova I. L. , Kuroyedov A. V. 
Published: December 2021

PURPOSE. To study the needs of practical ophthalmologists concerning the functionality and performance of automatic perimeters, and offer a possible solution to meet these needs.METHODS. An online survey of Russian ophthalmologists was organized and conducted. The survey was attended by specialists representing various medical institutions and medical research centers. As a result of the survey, 132 filled questionnaire forms were received and analyzed using the Kano and 4C models.RESULTS. According to experts, it is necessary for ophthalmologists to have an accessible automatic perimeter equipped with the screening (for the initial examination of patients) and threshold (to clarify the depth of photosensitivity disturbance of detected visual field defects) strategies. The general requirements for the functional characteristics of the screening and threshold tests of the automatic perimeter have been determined: small variability of repeated results, the speed and simplicity of the study — particularly, by employing the Frequency Doubling Technology (FDT), a non-standard perimetry technique. The requirements of users for the operational method of the automatic perimeter have been determined: absence of the need for a specially prepared room and place, mobility, portability, maximum ease of use to ensure the possibility of performing screening and primary diagnostics outside medical institutions, including by mobile medical teams, and also to allows examinations of individuals with disabilities, including bedridden patients, both in the hospital and at home.CONCLUSION. Based on the study data, the needs of ophthalmologists in the functional and operational characteristics of modern automatic perimeters were identified showing that the automatic perimeters presently used by modern medical institutions are far from optimal in terms of their properties/characteristics. These devices do not allow perimetry to be performed on patients with disabilities, including bedridden patients, neither at home nor in the hospitals. In addition, these devices require a darkened room, they are difficult to use, while their licensing documentation states that only ophthalmologists can conduct the examinations. Manufacturers do not offer solutions tailored to the individual needs of specific user groups — outpatient ophthalmologists who in particular work with disabled patients.
Analysis of changes in structural and hemodynamic parameters of the retina and foveolar avascular zone in patients with primary open-angle glaucoma and diabetes mellitus observed in long-term follow-up
Authors: Fursova A. Zh. , Gamza Y. A. , Gusarevich O. G. , Derbeneva A. S. , Vasilyeva M. V. , Chubar N. V. , Tarasov M. S. 
Published: December 2021

PURPOSE. To study the changes in structural and hemodynamic parameters of the retina and foveolar avascular zone (FAZ) over time in patients with primary open-angle glaucoma (POAG) and diabetes mellitus (DM) observed in long-term follow-up.MATERIALS AND METHODS. The study included 258 patients (258 eyes) divided into five groups: group 1 — 58 patients (58 eyes) with stage I POAG and DM; group 2 — 50 patients (50 eyes) with stage I POAG; group 3 — 50 patients (50 eyes) with stage III POAG and DM; group 4 — 50 patients (50 eyes) with stage III POAG; group 5 — 50 patients (50 eyes) with DM. Patients underwent comprehensive ophthalmological examination, spectral domain optical coherence tomography (SD-OCT), optical coherence tomo-graphy angiography (OCT-A) of the macular region. The follow-up lasted 24 months.RESULTS. Analysis of the initial parameters in groups of patients with comorbidities showed the lowest values compared to controls, which were progressively worsening. MD in the group with DM + stage I POAG had reliably decreased after 12 months (by 5.05%), after 24 months by 12.12% (p≤0.05). The speed of GCL+IPL loss in groups 1 and 3 during the first year of observation was almost equal for initial and advanced glaucoma — 1.35 (-2.03%) and 1.32 (-2.36%) µm/year, but in group 3 the loss had doubled after two years (2.48 (-4.44%) and 1.41 (2.12%) µm/year). Deterioration of hymodynamic parameters in the macular region in groups 1 and 3 was noted primarily in the inner sectors (whole image vessel density in parafovea (PF wiVD) -0.79% during the first, and -2.57% during the second year in initial glaucoma, -0.6% and -1.24% in advanced, whole image vessel density in parafovea (PF wiVD) -0.2% and -1.22%, -0.66% and -1.56%, respectively). Parameters of FAZ had changed significantly after 2 years in patients with stage I POAG and DM: its area size had increased by 10.2%, perimeter by 4.49%, circularity index had decreased by 3.17%.CONCLUSION. Comorbidity of POAG and DM is accompanied by development and quick progression of significant changes in structural and hemodynamic parameters of the retina as observed by this long-term follow-up.
ANALISIS KESULITAN PEMBELAJARAN MATEMATIKA DENGAN SISTEM DARING MASA PANDEMI COVID-19 PADA SISWA KELAS VII DAN KELAS VIII SMP TAHFIZH AL-ITTIBA’ KLATEN TAHUN AJARAN 2020/2021
Authors: Angga putra Alfian , Susanto Herry Agus , Hidajat Djatmiko 
Published: December 2021

Tujuan penelitian ini adalah Ingin mendeskripsikan kesulitan pembelajaran matematika dengan sistem daring masa pandemi covid-19. Hasil penelitian ini diharapkan dapat dijadikan sebagai bahan masukan dan pertimbangan untuk pengambilan keputusan dalam rangka penanganan kesulitan belajar yang dialami siswa. Penelitian ini menggunakan metode deskripstif dengan pendekatan kualitatif. Subjek pada penelitian ini adalah Siswa Kelas VII dan Kelas VIII SMP TAHFIZH AL-ITTIBA’ Klaten yang melaksanakan pembelajaran matematik dengan sistem daring pada semester genap tahun akademik 2020/2021. Teknik pengumpulan data yang digunakan pada penelitian ini berupa angket dan wawancara. Angket terdiri dari pernyataan positif dan negatif dengan jumlah 16 butir pernyataan yang sesuai dengan indikator. Sedangkan wawancara terdiri dari 16 pertanyaan yang sesuai dengan indikator. Teknik analisis data yang digunakan adalah reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa kesulitan pembelajaran matematika dengan sistem daring dipengaruhi oleh faktor internal dan faktor eksternal. Faktor internar penyebab kesulitan belajar meliputi aspek minat dengan persentase 60,60% dalam kategori menghambat, aspek kesiapan belajar dengan presentasi 70,38 dalam kategori cukup menghambat, aspek motivasi dengan persentase 60,33% dalam kategori menghambat, aspek kesehatan dengan persentase 82,88% dalam kategori tidak menghambat. Faktor eksternal penyebab kesulitan belajar meliputi aspek keluarga dengan persentase 86,14% dalam kategori tidak menghambat, aspek sekolah dengan persentase 62,93% dalam kategori cukup menghambat, dan aspek lingkungan atau masyarakat dengan persentase 66,30% dalam kategori cukup menghambat.
Kata Kunci: Kesulitan Belajar, Pembelajaran Daring, Covid-19
SOSIALISASI PENGENALAN INVESTASI PASAR UANG & MODAL DIKALANGAN GENERASI Z (KHUSUS MAHASISWA DAN UMUM) DI PEKANBARU
Authors: Windreis Christ , Hartono Wira Jaya , Yanti Yanti 
Published: December 2021

Dengan Perkembangan teknologi yang begitu cepat sangat memperngaruhi masyarakat diseluruh dunia menjadi sensitif pada semua informasi termasuk pasar saham dan uang. Di Indonesia, jumlah ketertarikan pada dunia saham dan pasar uang sangat meningkat dengan signifikan untuk menjadi investor, tanpa mereka ketahui dengan benar. Dengan kecepatan informasi dimedia sosial, masyarakat langsung bergabung tanpa mempelajari atau diedukasi tentang resiko yang dihadapi. Ketika pasar tidak begitu baik. Ada beberapa hasil yang tidak bisa terima dan mereka tidak mengetahui cara mengatur atau menghadapi resiko tersebut. Sehingga hasilnya, banyak uang diinvestasikan menjadi berkurang bahkan hilang. Dengan adanya kejadian seperti ini, sosialisasi ini berfokus pada generasi Z yang ada di kota Pekanbaru. Kegiatan ini memaparkan bagaimana pengenalan pada pasar saham dan uang dan bagaimana cara mengatur resiko. Metode dalam sosialisasi ini menggunakan daring atau zoom meeting yang dikuti oleh 27 peserta. Dari hasil kusioner masih terdapat 74% belum mengetahui atau bergabung dalam investasi saham atau forex. Dari analisis t-test terdapat perbedaan hasil pemahaman antara pre test dan postest. Dan juga minat berinvestasi dipasar saham masih tinggi secara keinginan sendiri, dikuti oleh adanya iklan dan influencer saham yang memperngaruhi orang-orang untuk menjadi investor, lalu ajakan atau ikut-ikutan teman. Sehingga seluruh peserta juga menginginkan pelatihan atau workshop secara mendalam mengenai pasar uang dan saham
PEMBERDAYAAN MASYARAKAT MELALUI “PROGRAM JAMBAN SEHAT” UNTUK PENINGKATAN KESEHATAN LINGKUNGAN
Authors: Arfan Iskandar , Diono Lukas , Sumarto Tri Eko , Yuniarsih Lilik , Idris Muhammad , Subardi  , Zakaria  
Published: December 2021

Desa Sukabangun Dalam merupakan salah satu Desa yang ada di Kecamatan Delta Pawan Kabupaten Ketapang, Provinsi Kalimantan Barat. Secara geografis, Desa Sukabangun Dalam memiliki luas wilayah 2.310,5 ha/ dengan topografi berupa dataran rendah seluas 10 ha/ dan aliran sungai seluas 8 ha/ . Masalah kesehatan masyarakat di Desa Sukabangun Dalam yang teridentifikasi meliputi tingginya kejadian Rumah tidak memiliki tempat Pembuangan akhir tinja (Septik Tank) dan jamban sehat (37%). Hal ini dapat meningkatkan risiko penyakit berbasis lingkungan. Target kegiatan adalah penerapan IPTKES melaui kegiatan program jamban percontohan sehingga dapat dipergunakan sebagai sarana pembuangan tinja keluarga. Pelaksanaan kegiatan dilakukan bertahap, dimulai dari pendataan jamban sehat keluarga, penyuluhan mengenai jamban sehat, melalui Praktek Belajar lapangan berbasis Kuliah Kerja Usaha, pelaksanaan tabungan jamban (tanjan) dan komitmen bersama melakukan renovasi jamban umum desa menjadi jamban percontohan
Membangun Generasi Berkualitas dari Keluarga melalui Pencegahan dari Pelecehan Seksual Anak Sejak Dini
Authors: Fitriana Fitriana , Yulianti Yulianti , Mudjiran Mudjiran , Nirwana Herman , Puspita Yenda 
Published: December 2021

Di era global saat ini, teknologi tidak lepas dari kehidupan manusia. Melalui teknologi mempermudah generasi dalam mengakutalisasikan diri sehingga mampu berkembang secara optimal menjadi generasi berkualitas, namun di sisi lain juga menjadi tantangan terutama bagi generasi, salah satunya pornografi. Anak sebagai generasi yang diharapkan menjadi Indonesia emas tahun 2045 sebagai aset dalam implementasi tersebut, sehingga diperlukan upaya preventif dari pelecehan seksual tersebut, sehingga diperlukan upaya implementasi keluarga dalam membentuk generasi berkualitas tercegah dari pelecehan seksual sejak dini, dengan menggunakan metode studi kepustakaan (library reseach), Metode pengumpulan data yakni dokumentasi. Selanjutnya dengan teknik analisis data. Artikel ini bertujuan mengulas terkait implementasi keluarga dalam membentuk generasi berkualitas tercegah dari pelecehan seksual sejak dini, Adapun implementasi keluarga dalam membentuk generasi berkualitas yakni pendidikan keluarga yang penuh perhatian, teladan, memperhatikan bihifzi anwalihim (menjaga harta, makanan mereka dari yang halal), bihusni tarbiyatihim (membentuk pendidikan yang baik) dan wa taf adza adhum (menolak penyakit dari mereka, anak sehat sexcara fisik dan psikis). Selain itu, dari segi fisik, psikis, spiritual, dan sosial dan budaya kulturla, pola asuh, pengetahuan reproduksi, mendapat sex education, nilai karakter, agama, mengontrol anak dari keseharian, tontonan, pola akomunikasi, keterbukaan, keakraban, interaksi sehat, dan lainnya.
Tổ chức dạy học theo nhóm trong giờ lên lớp môn Lịch sử ở trường trung học phổ thông
Authors: Tuấn Trần Quốc 
Published: December 2021

Trong xu thế đổi mới phương pháp dạy học hiện nay, tư tưởng “dạy học tập trung vào người học” trở thành hướng chủ đạo. Để nâng cao chất lượng dạy học Lịch sử ở trường trung học phổ thông (THPT), giáo viên (GV) phải biết phát huy tối đa tính tích cực, độc lập sáng tạo của học sinh (HS). Trên cơ sở trình bày về khái niệm, ưu, nhược điểm… của việc dạy học theo nhóm, bài báo đưa ra một số hình thức, biện pháp tổ chức dạy học theo nhóm trong giờ lên lớp môn Lịch sử ở trường THPT với những ví dụ minh họa cụ thể.