bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neurocognitive Stimulation to Improve the Degree of Independence in The Elderly
Authors: Cobo Pedro Fernando Caicedo , Arregui Jennyfer Gabriela Rivadeneira , Vela Flavia Moserrath Chango , Quispe Andrea Elizabeth Villarroel , Morales Gabriela Estefanía Robalino , Chacón Lisbeth Josefina Reales 
Published: September 2024

Background: research in the field of neurocognitive therapy to improve visual-motor coordination in the elderly is scarce, so in this study an intervention protocol was implemented through playful exercises that sought to improve coordination between sight and movement execution of this age group, the exercises were worked seeking to integrate the executive functions to them having as; Objective: to improve the visual-motor coordination of elderly residents of the nursing home Sacred Heart of Jesus; Methods: This research was descriptive based on the quantitative approach with a transversal cut, an initial evaluation was made during the first week through the Barthel index, after this the program was executed for 10 weeks to finally in the last week reapply the Barthel index and thus obtain the results that were obtained with this age group; Results: an improvement was evidenced in the final score compared to the initial where it went from a score of 70. Conclusions: in this work a 12-week neurocognitive training program was established, which showed effectiveness in the improvement of visual-motor coordination and quality of life in general in this age group.
Salmonella Enterica Diarozoniae Strain's Pattern of Increased Antibiotic Resistance
Authors: Askar Esraa Fadhil , Al-karawi Kawthar Kadhim , Salman Khawlah Abdallah , Hussein Hussein Ali 
Published: September 2024

Salmonella enterica subsp. diarizonae is a bacterial strain that has been of amassed alarm due to its influence on community health. This bacteria is frequently isolated from cold-blooded reptiles, sheep and monkeys. Lately, it has been identified from birds migrating transversely the continent of Asia and Europe. This study is the first of its kind in Iraq to diagnose this serotype of Salmonella from chicken meat and study the level of its resistance to antibiotics. Ten types of antibiotics were used, and this bacteria was extremely unaffected to seven antibiotics out of a total of ten antibiotics and sensitive to only three, with an average diameter of inhibition of Tetracycline 10 mm and Chloramphenicol 7mm. Salmonella were used as a comparison sample, and this bacteria was sensitive to a large number of antibiotics notwithstanding its high resistance to antibiotics, according to a large number of research. The occurrence of antibiotic resistance in Salmonella enterica diarizonae additional confuses the controlling of infections and increases distresses about the efficiency of antibiotic treatment.
The Levels and Factors Associated with Access to Primary Care Services among Hypertensive Patients in Muang District, Phetchabun Province, Thailand: A Cross-Sectional Study
Authors: Thammaros Tassana , Taneepanichskul Nutta 
Published: September 2024

Objectives: The objectives of this study were to assess the levels of access to primary care services and to identify factors associated with access to primary care services among hypertensive patients in Muang district, Phetchabun province, Thailand.
Methods: The cross-sectional study was conducted in the primary care unit of Phetchabun Hospital from 1 May 2023 to 31 July 2023. Purposive sampling was used to select hypertensive patients to be participants. Data were collected using the questionnaire. Access to primary care services was divided into 4 dimensions (availability, accessibility, accommodation, and acceptability). The mean accessibility score was calculated and interpreted into 3 levels (low-high). Sociodemographic data were analysed as factors associated with access to primary care services using multiple logistic regression.
Results: A total of 120 participants were interviewed. Male-to-female ratio was 1:2.2. The mean age (±SD) was 61.9 (±6.2) years. Overall, access to primary care was high (3.74±0.62), with accommodation receiving the highest mean accessibility score (4.06±0.66) and accessibility the lowest (3.08±1.12). We found that age ≥ 60 years (P-value 0.039, 95% confidence interval (95% CI) 1.077 – 16.383), living family (P-value 0.018, 95% CI 0.019 – 0.692), living in urban area (P-value <0.001, 95% CI 10.468 - 337.271), employed status (P-value 0.001, 95% CI 2.336 - 30.388) and income >10,000 Baht per month (P-value 0.037, 95% CI 1.102 – 24.642) were associated with access to primary care.
Conclusions: Overall, the level of primary care access was high. Age, living status, living area, employed status, and income were significantly associated factors. Expanding primary care services to local levels such as telemedicine might help improve the level of access. The effectiveness of expanding the service should be further study.
The Effect of Parental Support on the Quality of Life of Children with Thalassemia
Authors: Utami Wuri , Nazri Mohd , Mokti Khalid 
Published: September 2024

Introduction: Thalassaemia is a blood disorder that is passed down from parents to their children. Patients should receive blood transfusions regularly. Children with thalassaemia will undergo treatment for a long time. These extreme impacts cause various physical, emotional, social, and environmental disorders that can reduce the quality of life of people with persistent thalassaemia major. Objectives: This study aims to determine the effect of family support on the quality of life in children with thalassaemia major. Methods: This research is a type of quantitative correlation with the cross-sectional approach. The sample of all thalassemia patients in April-August 2022 until 2024 Agustus, was 120 pediatric patients selected using the total sampling technique. Bivariate analysis using chi square. Results: The age characteristics of children with thalassaemia were 83 (69.2%), the majority of females were 65 (54.2%). Family support was mostly positive for 63 (52.5%) and the quality of life of children with thalassaemia was mostly for 64 respondents (65.8%) in the normal category. There is a relationship of family support for the quality of life of children with thalassaemia at the Dr. Soedirman Regional General Hospital, Kebumen. Conclusions: Support family and friends, as well as providing a adequate for parents is very important in improving the quality of life of children Thalassaemia.
Assessing Covi-19’s Effects on Mental Health in Nursing Students During E-Learning in Pandemic
Authors: Gjonej Risida , Gjonej Arben , Poloska Albana , Mataj Elida 
Published: September 2024

Introduction: Covid-19 declared by WHO as a pandemic, from the time of experiencing it for the first time until now has caused many deaths all over the world. As a consequence of this pandemic, all public and private institutions tried to adapt life and work. Academic institutions in this period choose to continue with online platforms. This sudden switch from face to face to online learning has caused not only problems during lessons but also in mental and physical health of the students.
Objectives: The study aims to evaluate the level of anxiety among nursing students who study at public nursing faculty in Tirana, Albania.
Methods: A cross-sectional and descriptive study was performed in April- May 2023 at Faculty of Technical Medical Science Tirana, Albania. The study involved nursing students in their third year of Bachelor and first year of Professional Master and Master of Science because only these students have taken online lessons. They were 278 in total.
Results: The students responded (n = 278) to a questionnaire following GAD7 and HAM-A with some other basic information. Our findings showed that the level of moderate, severe and very severe anxiety range 30.53%, 3.38% and 1. 53% respectively. A significant relationship was found between gender, age and psychological impact (p=.057; p=.001). The most dominant symptoms were headache (192, 69.10%) and eye irritation (191, 68.70%). 137,49.30% of the respondents think that the lockdown had moderate impact on study.
Conclusions: By applying different methods of assessing the level of anxiety, we found that our nursing students experienced anxiety caused on by the COVID-19 pandemic and isolation just like other nursing students around the world. Designing and consolidating strategies (mental health services or psychological counseling) by faculty members to face similar pandemic situations in the future, would help reduce anxiety among students because they will be professionals tomorrow, thus it is important to take care for their mental health.
Benefits of SGLT2 inhibitors on renal and cardiovascular protection, in diabetic patients
Authors: Nelaj Ergita , Kecaj Irida , Feracaku Julinda , Xhixhabesi Kei , Tase Mihal 
Published: September 2024

Introduction: Type 2 Diabetes Mellitus is major risk factors for both cardiovascular and renal diseases. Managing cardiovascular risk and the progression of renal disease is therefore essential in treating diabetic patient. Sodium-glucose cotransporter-2 inhibitors have been linked to a substantial decrease in cardiovascular and renal mortality, reduced hospitalizations for heart failure and slower progression of renal damage and albuminuria.
Objectives: Our study aimed to evaluate the impact of SGLT2i on cardiovascular and renal protection in diabetic patients.
Methods: Our study involved elderly patients, with type 2 diabetes, who were divided in two groups, one group received SGLT2i, while the other did not. Data were collected at the start of treatment, as well as at 3, 6, 9 and 12 months thereafter. During each evaluation, we assessed HbA1C, BMI, GFR and renal parameters, uric acid, NTproBNP, echocardiography, and both PAS and PAD values, in both groups.
Results: Out of 300 elderly diabetic patients included in the study, 200 were started on dapagliflozin 10 mg. At 12 months, HbA1c, weight, systolic blood pressure, NTproBNP, uric acid, albuminuria, were decreases in group with dapagliflozin versus the other group without it, and estimated glomerular filtration rate was higher (75.3 – 87.19mL/min/1.73m2; p<0.005). Follow up in patients with SGLT2i showed a significant decrease in left ventricular end-diastolic dimension (LV-EDD) (62.86 mm to 54.85 mm; P< 0.001) and improvement in LV-EF.
Conclusions: The use of Dapagliflozin demonstrated metabolic benefits in patients with T2DM, including notable decreases in HbA1c, blood pressure, weight, uric acid, and NTproBNP. Additionally, cardiovascular and renal benefits were observed. Therefore, SGLT2i have a significant impact on both cardiovascular and renal protection in diabetic patients.
Exploring Innovative Approaches to Self-Management in Colorectal Cancer for Enhancing Quality of Life and Patient Outcomes - A Scoping Review
Authors: Aryani Ratna , Lalisang Toar JM , Dahlia Debie , Martha Evi , Yulia  , Ibrahim Kusman , Wicaturatmashudi Sukma , Sukarmin  , Hernowo Bingar 
Published: September 2024

Introduction: Colorectal cancer is a leading global malignancy, and its diagnosis can significantly impact patients' quality of life. Therefore, exploring innovative approaches to self-management is crucial to empower patients and improve their outcomes. Objectives: This study aims to conduct a scoping review of innovative approaches to self-management in colorectal cancer for enhancing quality of life and patient outcomes. Methods: Literature was selected using the PC (Population, Concept) approach. The literature search was conducted following the PRISMA method. Databases such as PubMed, ProQuest, Cochrane Library, Science Direct, and Google Scholar were used to find relevant articles. Full-text articles published in English in the last ten years were evaluated. Eleven articles met the inclusion criteria. Results: 11 articles met the inclusion criteria. Innovative approaches to colorectal cancer self-management, such as personalized psycho-educational programs, the use of technology, and structured counseling, show the potential to improve patient's quality of life. Conclusions: Innovative approaches to self-management of colorectal cancer have great potential to improve patient quality of life and treatment outcomes. However, further research is needed to understand the effectiveness of this intervention in the long term. Considering the patient's specific context and needs, these interventions must be integrated into clinical practice.
Desafios e Estratégias Multidisciplinares na assistência ao Pré-Natal de Alto Risco: Uma Revisão de Literatura
Authors: De Fátima Simões de Oliveira Maria , Oliveira da Silva Flor Isabela , Laura Ferreira Tavares Anna , Amorim Rodrigues Viviane , Dantas Rangel Cirilo , Borges Silva Larissa , Ilarisse de Carvalho Veneranda , Correia Santa Cruz Lorena , Naraiane Oliveira de Souza Lopes Silvia , Moraes Arcoverde de Macêdo Fabrícia , Parnaíba Maciel Aline , Kethely Batista Dilson Nycole , Gomes da Silva Daniel , Henrique da Silva Neiva Souto Leandro , Israel Fortaleza Santos Allan , Pereira da Silva Anderson Matheus 
Published: September 2024

RESUMO: A gestação de alto risco representa um período crítico que exige atenção e cuidados intensivos, devido às complicações que podem ameaçar tanto a vida da mãe quanto a do feto. Globalmente, estima-se que cerca de 10% a 20% das gestações são consideradas de alto risco. Objetivo: O objetivo deste estudo é revisar sistematicamente a literatura sobre os desafios e estratégias na assistência pré-natal de alto risco, com ênfase na importância da colaboração multidisciplinar. Metodologia: A revisão foi conduzida seguindo as diretrizes do protocolo PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), garantindo a transparência e a reprodutibilidade do processo. Foram definidos critérios rigorosos de inclusão para garantir a qualidade e relevância dos artigos. A busca bibliográfica foi realizada em múltiplas bases de dados, incluindo BVS, LILACS, PubMed, Scopus e Web of Science. Resultados e discussão: A revisão da literatura revelou desafios críticos na assistência pré-natal de alto risco, sublinhando a necessidade de intervenções oportunas e uma abordagem colaborativa. Um dos principais desafios é a identificação precoce de complicações, como hipertensão, diabetes mellitus gestacional e hemorragias obstétricas, que exigem vigilância constante e intervenções rápidas para prevenir desfechos adversos. Conclusão: Os desafios e estratégias na assistência pré-natal de alto risco, ficou claro que a colaboração entre enfermeiros, médicos, psicólogos e assistentes sociais é vital. Esta sinergia entre diferentes profissionais de saúde é essencial para oferecer um cuidado completo e eficaz às gestantes que enfrentam riscos elevados durante a gravidez.
Palavras-chave: Intercorrências Obstétricas; Emulti; Complicações materno-Fetais.
The Impact of the New Student Orientation Program on the Adaptation Process and Academic Performance
Authors: Mohzana Mohzana 
Published: September 2024

Background. The process of adapting new students to an academic environment can be a serious challenge. The new student orientation program is one effort to facilitate their adaptation.
Purpose. The New Student Orientation Program (POMB) is a critical initiative in helping students cope with significant environmental changes.
Methods. This research aims to evaluate the effectiveness of the new student orientation program in facilitating their adaptation process and its impact on academic performance. Apart from that, to find out the factors that influence the level of successful adaptation of new students will also be analyzed. This research method uses quantitative and qualitative approaches. A survey will be conducted to collect data regarding student perceptions of the orientation program. In addition, in-depth interviews with students and program organizing staff will be conducted to gain a deeper understanding.
Results The research results show that the new student orientation program has a positive impact on their adaptation process. Students who take part in this program tend to have a better level of academic performance compared to those who do not take part in the orientation program. Factors such as social integration, academic knowledge, and psychological support have been shown to play an important role in successful adaptation. Students who take part in the New Student Orientation Program (POMB) experience significant improvements in adapting to the academic environment, create strong social networks, and demonstrate higher motivation.
Conclusion The conclusion of this research is that the new student orientation program has an important role in improving their adaptation process and academic performance. Recommendations for improvements to the orientation program may also be identified, such as increased interactive content and increased post-program support to ensure sustainability of positive effects in the long term.
Orthoses Effect on Radiographic Measurements of Hallux Abducto Valgus: A Systematic Review
Authors: DeHeer Patrick A. , Patel Niral A. , Wolfe William , Badell Bethany , Kirkland Mallory , Wallace Blake 
Published: September 2024

Background: Hallux abducto valgus (HAV), commonly referred to as a bunion, is a prevalent foot deformity with multifactorial etiology, including genetic predisposition, biomechanical abnormalities, and footwear choices. HAV is often managed conservatively with orthotic devices aimed at reducing deformity progression and alleviating associated pain. However, the effectiveness of orthotics in altering radiographic measurements of HAV remains debated. This systematic review aims to evaluate the impact of orthotic interventions on radiographic parameters.
Methods: A comprehensive search of five electronic databases—PubMed, Cochrane Library, CINAHL, Medline, and EMBASE—was conducted, covering the period from inception to March 2021. The search included terms related to HAV and orthotic interventions. Studies were included if they provided pre- and post-treatment radiographic measurements of halux abductus angle (HAA), hallux valgus angle (HVA), or intermetatarsal angle (IMA) and involved the use of orthotics. A total of 523 references were initially identified, with five studies meeting the inclusion criteria for review. Data extraction focused on study characteristics, orthotic type, radiographic measurements, and follow-up duration.
Results: The systematic review found insufficient high-quality evidence to support the effectiveness of orthotics in slowing the progression of HAV deformity. Of the five studies included, results were mixed: two studies reported changes in radiographic measurements following orthotic use, though one of these involved toe spacers rather than traditional orthotics. The remaining studies found no significant impact of orthotics on HAA, HVA, or IMA. The heterogeneity in study design, population, and orthotic types limited the ability to draw robust conclusions.
Conclusions: Current evidence does not conclusively support the use of orthotics for altering the radiographic progression of HAV. The reviewed studies highlight significant variability in outcomes and suggest that while orthotics may provide symptomatic relief, their role in deformity correction remains unclear. Whether and to what extent orthotics affect common radiographic measures of HAV deformity should be proven with further studies and investigation.
Constraints of Custom Hiring Services Utilization & Suggestions for Advancing Farm Mechanization in Vijayapur District of Karnataka, India
Authors: Das Chitra , Patil S. B. 
Published: September 2024

Indian agriculture has been evolving significantly, with one notable transformation being the shift from muscle power to mechanical power. Thus farm mechanization has a direct impact on crop productivity. However, small and marginal farmers often face financial constraints that prevent them from acquiring the necessary machinery. Custom Hiring Centers (CHCs) offer a viable solution by providing access to farm machinery at affordable rates. Custom hiring represents a farm machinery sharing practice, enabling farmers to utilize essential equipment without the burden of ownership costs. But there are some prominent lingering concerns associated with the functioning of custom hiring service centres. The present study aimed to identify the major issues encountered by farmers and custom hiring service providers when hiring machinery, indicating few major ones like lack of timely availability of required machinery during peak season (81.42%), non-availability of well-trained technical manpower (57.14%), inadequate & cumbersome service provision (56.42%), unaffordable charge for hiring machinery (40.71%) alongside their suggestive measures to unlock the full potential of custom hiring services, resulting in significant advantages for both farmers and the agricultural sector. Later a synoptic study in 2022 (post-pandemic scenario), showcases few significant constraints associated with CH services like reduced adoption, rigid rules, lower profit margins, disruptive operations, rising dissatisfaction which can be addressed if the suggestive measures are to be followed with proper modifications and adjustments to improve upon the functioning of CHCs.
ChemInform Abstract: DERIVATE VON DELTA(2)‐TETRAZABOROLIN 7. MITT. UNSYMMETRISCH N‐SUBSTITUIERTE DELTA(2)‐TETRAZABOROLINE
Authors: LEACH J. B. , MORRIS J. H. , PERKINS P. G. 
Published: February 2016

AbstractDie Reaktion der Borane (I) mit den Aziden (II) führt zu einem Gemisch der Tetrazaboroline (III), (IV) und (V).
ChemInform Abstract: DARST. UND EIGENSCHAFTEN VON AMINODISILANEN
Authors: HENGGE E. , PLETKA H. D. , HOEFLER F. 
Published: February 2016

AbstractAus den nach bekannten Methoden dargestellten Methyl‐chlorsilanen (I) werden durch Umsetzung mit Dimethylamin (II) erstmals die Dimethylaminomethyldisilane (III) synthetisiert (22‐4l% Ausbeute).
ChemInform Abstract: BILDUNG EINES TRINATRIUM‐ADDUKTES VON 1,3,5‐TRIS‐(P‐DIPHENYLYL)‐BENZOL
Authors: LUEHDER KONRAD 
Published: February 2016

AbstractDas Na‐Addukt (III) bildet sich bei der Umsetzung des Polyphenyls (I) mit Na in dem Äther (II).
ChemInform Abstract: NATUR VON DIALKYL‐ UND DIARYLHYDRIDZINK‐KOMPLEXEN
Authors: KUBAS GREGORY J. , SHRIVER D. F. 
Published: February 2016

AbstractDurch Reaktion der Organozinkverbindungen (I) mit Metallhydriden in Di‐ äthyläther, Dimethoxyäthan oder THF wurden die anionischen Komplexe (II) bzw. (III) dargestellt und z.T. als Lösungsmitteladdukte isoliert.
ChemInform Abstract: UMSETZUNGEN VON METHYLISONITRIL MIT ALUMINIUMVERBINDUNGEN
Authors: MELLER A. , BATKA H. 
Published: February 2016

AbstractDurch Umsetzung von Methylisonitril (I) mit Trimethyl‐Al in Pentan entsteht Methylisonitril‐trimethylalan (II), eine äußerst sauerstoffempfindliche Verbindung, die sich beim Zutritt von Luft und bei der Reaktion mit Wasser entzündet.
ChemInform Abstract: NITROALKENYLFERROCENE 5. MITT. RK. VON ALPHA‐HALOGEN‐NITROOLEFINEN IN GEGENWART VON NATRIUMALKOXIDEN
Authors: SHIGA MIKIO , TSUNASHIMA MASAAKI , KONO HIROMICHI , MOTOYAMA IZUMI , HATA KAZUO 
Published: February 2016

AbstractDie Ferrocenylverbindung (I) reagierte mit einem Überschuß der Na‐alkoxide (II) in THF zu Nitroacetylferrocen (III) (Ausbeute 54‐55%) und den Acetalen (IV) (8‐l4%).
ChemInform Abstract: PIPERSCHES MODELL DER OPTISCHEN AKTIVITAET, STRUKTUR UND ABSOLUTE KONFIG. VON (+)(5461)‐BIS‐(TRIBENZO(B,F,J)(1,5,9)TRIAZACYCLODODECIN)‐KOBALT(III)‐JODID
Authors: CUMMINGS SUE C. , BUSCH DARYLE H. , WING RICHARD M. , EISS ROGER 
Published: February 2016

AbstractDie Selbstkondensation des Aldehyds (I) in Gegenwart von Co‐Ionen führt zur Bildung des Co‐Komplexes (IIa) (Ausbeute 50%), von dem zwei geometrische Isomere isoliert werden, die durch fraktionierte Kristallisation getrennt werden können.