bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring the effectiveness of the Career Guidance and Counseling Program on the perceived readiness for the job market: a lived experience among nursing students
Authors: Alnajjar Hend Abdu , Abou Hashish Ebtsam Aly 
Published: October 2024

BackgroundThe current workforce demands that nursing graduates possess the necessary skills and knowledge to perform in complex clinical and professional environments. Career guidance can potentially improve students’ job readiness by increasing their confidence in career pursuits, simplifying career decisions, and helping them address decision-making challenges.MethodsThis phenomenological study aimed to explore nursing students and interns’ perspectives on the effectiveness of the Career Guidance and Counseling Program (CGCP) and its impact on their readiness for the job market through their lived experiences while participating in the program. Data were collected through in-depth semi-structured interviews with a purposive sample of 28 Saudi university students and continued until data saturation was reached. Thematic analysis was used for the data analysis.ResultsSeven themes emerged: personal experiences with the CGCP, the program’s importance, effectiveness, benefits, strengths, and weaknesses, and recommendations for improvement. Overall, participants expressed gratitude for the CGCP and believed that it would positively impact their future career success. They also felt that the program provided them opportunities to share ideas, information, and concerns, thereby improving their career decision-making and adaptability.ConclusionThe results show that CGCP positively affected participants’ lives by providing support, guidance, and resources for informed career decision-making, developing essential career-related skills, and navigating career transitions. These findings have practical implications for nursing colleges implementing similar programs for better integration into the curriculum and for the continuity of such vital programs to help students. Future studies should explore this topic in different colleges and specialties.
Enhancing infection prevention and control through hand hygiene compliance in six Ugandan hospitals using quality improvement approaches
Authors: Kasujja Hassan , Waswa J. P. , Kiggundu Reuben , Murungi Marion , Kwikiriza Grace , Bahatungire Rony , Kajumbula Henry , Alombah Fozo , Joshi Mohan P. , Konduri Niranjan 
Published: October 2024

IntroductionHand hygiene (HH) plays a crucial role in mitigating healthcare-associated infections. Improving HH compliance in healthcare facilities in resource-limited settings is urgently needed.MethodsWe implemented the World Health Organization (WHO) HH improvement strategy using a continuous quality improvement (CQI) approach targeting improvement in HH compliance by healthcare workers (HCWs). An intervention was implemented in six hospitals using a longitudinal study design between May 2019 and April 2023. We set up and monitored infection prevention and control (IPC) and HH programs using WHO’s infection prevention and control assessment framework at the facility level (IPCAF) and hand hygiene self-assessment framework (HHSAF) tools. We implemented HH interventions using CQI techniques while targeting HCW HH knowledge and compliance with the WHO’s Five Moments of HH.Results and discussionBy the end of the intervention, IPC and HH capacity improved in all six hospitals, from a median score of 547.0 and 252.5 on IPCAF and HHSAF tools at baseline to an advanced score of 635.0 and 350.0 at endline assessment, respectively. Similarly, HCWs’ HH knowledge improved in all hospitals, from a mean score of 45.0% at baseline to 76.0% at endline assessment, most notably among nurses. HH compliance, as assessed using WHO’s HH observation tool, at least doubled in all hospitals, rising from 19.9% to 53.8%, with before touching a patient registering the highest (22-fold) improvement. On linear regression analysis, no significant association was observed between HH compliance and IPCAF b = -0.0004 (95% CI -0.093, 0.93) p = 0.990, HHSAF b = 0.009 (95% CI -.0127, 0.145) p = 0.842 and HCW knowledge on HH/IPC b = -0.165 (95% CI 0.815, 0.485) p = 0.519. This is the first documented comprehensive utilization of CQI approaches to implement HH as an entry point for the development of hospital IPC programs, and evaluation of WHO tools and approaches for IPC and HH improvement in Uganda.ConclusionImplementation of the WHO HH improvement strategy using a CQI approach can lead to remarkable improvement in HH capacity, and HCW compliance and knowledge in hospitals within resource-limited settings.
Permanent pastures identification in Portugal using remote sensing and multi-level machine learning
Authors: Morais Tiago G. , Domingos Tiago , Falcão João , Camacho Manuel , Marques Ana , Neves Inês , Lopes Hugo , Teixeira Ricardo F. M. 
Published: October 2024

IntroductionThe Common Agricultural Policy (CAP) is a vital policy framework implemented by the European Union to regulate and support agricultural production within member states. The Land Parcel Identification System (LPIS) is a key component that provides reliable land identification for administrative control procedures. On-the-spot checks (OTSC) are carried out to verify compliance with CAP requirements, typically relying on visual interpretation or field visits. However, the CAP is embracing advanced technologies to enhance its efficiency.MethodsThis study focuses on using Sentinel-2 time series data and a two-level approach involving recurrent neural networks (RNN) and convolutional neural networks (CNN) to accurately identify permanent pastures.ResultsIn the first step, using RNN, the model achieved an accuracy of 68%, a precision of 36%, a recall of 97% and a F1-score of 52%, which indicates the model’s ability to identify all the true positive parcels (correctly identified permanent pasture parcels) and minimize the false negative parcels (non-identified permanent pasture parcels). This occurs due to the difficulty in distinguishing between permanent pastures and other similar land covers (such as temporary pastures and shrublands). In the second step, it was possible to distinguish the permanent pasture parcels from the others. The obtained results improved significantly from the first to the second step. Using CNN, an accuracy of 93%, a precision of 89%, and a recall of 98% were achieved for the “Permanent pasture” class. The F1-score was 94%, indicating a balanced measure of the model’s performance.DiscussionThe integration of advanced technologies in the CAP’s control mechanisms, as demonstrated, has the potential to automate the verification of farmers’ declarations and subsequent subsidy payments.
Integrative prognostic modeling for stage III lung adenosquamous carcinoma post-tumor resection: machine learning insights and web-based implementation
Authors: Liang Min , Li Peimiao , Xie Shangyu , Huang Xiaoying , Li Xiaocai , Tan Shifan 
Published: October 2024

IntroductionThe prognostic landscape of stage III Lung Adenosquamous Carcinoma (ASC) following primary tumor resection remains underexplored. A thoughtfully developed prognostic model has the potential to guide clinicians in patient counseling and the formulation of effective therapeutic strategies.MethodsUtilizing data from the Surveillance, Epidemiology, and End Results database spanning 2000 to 2018, this study identified independent prognostic factors influencing Overall Survival (OS) in ASC using Boruta analysis. Employing Gradient Boosting, Random Forest, and Neural Network algorithms, predictive models were constructed. Model performance was assessed through key metrics, including Area Under the Receiver Operating Characteristic Curve (AUC), calibration plot, Brier score, and Decision Curve Analysis (DCA).ResultsAmong 241 eligible patients, seven clinical parameters—age, sex, primary tumor size, N stage, primary tumor site, chemotherapy, and systemic therapy—were identified as significant predictors of OS. Advanced age, male gender, larger tumor size, absence of chemotherapy, and lack of systemic therapy were associated with poorer survival. The Random Forest model outperformed others, achieving 3- and 5-year AUCs of 0.80/0.79 (training) and 0.74/0.65 (validation). It also demonstrated better calibration, lower Brier scores (training: 0.189/0.171; validation: 0.207/0.199), and more favorable DCA. SHAP values enhanced model interpretability by highlighting the impact of each parameter on survival predictions. To facilitate clinical application, the Random Forest model was deployed on a web-based server for accessible prognostic assessments.ConclusionsThis study presents a robust machine learning model and a web-based tool that assist healthcare practitioners in personalized clinical decision-making and treatment optimization for ASC patients following primary tumor resection.
Нулевая степень игрушки: отечественные традиции осмысления
Authors: Марков А.В. , Штайн О.А. 
Published: October 2024

В статье исследуется соотношение отдельной игрушки и мира детства в отечественной детской книге первой трети ХХ века. Близкое чтение текстов и реконструкция контекстов тогдашней психологии и социологии (Вундт, Бехтерев, Павлов) показывает, что в игрушке выделялась нулевая степень, ее минималистическая функциональность (палка — лошадь), менявшая телесные привычки ребенка. Такое изменение телесных привычек позволяет не противопоставлять дореволюционную буржуазную детскую и послереволюционный мир индустрии, но видеть их сродство в непосредственном освоении ребенком многообразия мира. Рассмотрены ключевые детские книги с изображение игрушек, от Бориса Дикса до Агнии Барто, и показано, как в них постепенно происходит индустриализация уже тела самих игрушек.
The article investigates the correlation of the individual toy and the world of childhood in the Russian and Soviet children's book of the 1st third of the 20th century. Close reading of the texts and reconstruction of the contexts of the then psychology and sociology (Wundt, Bekhterev, Pavlov) shows that the zero degree, its minimalistic functionality (stick - horse), which changed the child's bodily habits, was emphasized in the toy. This change in bodily habits allows us not to oppose the pre-revolutionary bourgeois children's world and the post-revolutionary world of industry, but to see their affinity in the child's direct exploration of the diversity of the world. The key children's books with the image of toys, from Boris Dicks to Agniya Barto, are considered and it is demonstrated how they gradually industrialize the bodies of toys themselves.
Особенности течения COVID-19 у детей с коморбидной патологией
Authors: Рахматуллаева Ш.Б. , Муминова М.Т. , Нурматов А.Х. , Саъдуллаев С.Э. 
Published: October 2024

Цель. Выявление особенностей течения COVID-19 у детей с коморбидной патологией на основе анализа клинико-эпидемиологических, лабораторных и инструментальных особенностей болезни. Материалы и методы. В исследование вошли 249 детей с лабораторно подтвержденным методом ПЦР COVID-19. Пациенты были госпитализированы в Республиканскую специализированную больницу «Зангиата-1». Результаты. Чаще встречались пациенты с заболеваниями сердечно-сосудистой системы – 49,7%, с заболеваниями органов дыхания – 1,7%, эндокринными заболеваниями – 7,6%, другими заболеваниями – 26,5%. Наиболее частыми симптомами у имеющих коморбидную патологию госпитализированных пациентов с COVID-19 были: лихорадка – 95,1%, тахипноэ – 41,3%, кашель – 60,2% (p<0,001), потеря вкуса – 24,0%, заложенность носа – 67,4%, потеря обоняния – 26,9% (p<0,001). Заключение. Определяющая роль в повышении риска неблагоприятного исхода отводится наличию коморбидной патологии (анемия, хронические болезни дыхательных путей, ожирение II степени и выше, сахарный диабет I и II типа).
Purpose. To identify the features of the course of COVID-19 in children with comorbid pathology based on an analysis of the clinical, epidemiological, laboratory and instrumental features of the disease. Materials and methods. The study included 249 children with laboratory-confirmed PCR COVID-19. The patients were hospitalized at the Republican Specialized Hospital "Zangiata-1". Results. More often there were patients with diseases of the cardiovascular system – 49.7%, with diseases of the respiratory system – 1.7%, endocrine diseases – 7.6%, other diseases – 26.5%. The most common symptoms in hospitalized COVID-19 patients with comorbid pathology were: fever – 95.1%, tachypnea – 41.3%, cough – 60.2% (p<0.001), loss of taste – 24.0%, nasal congestion – 67.4%, loss of smell – 26.9% (p<0.001). Conclusion. The determining role in increasing the risk of an unfavorable outcome is given to the presence of comorbid pathology (anemia, chronic respiratory diseases, obesity of degree II and higher, diabetes mellitus type I and II).
Сочетание Х-сцепленного доминантного гипофосфатемического рахита и синдрома Нунан I типа у мальчика: клинический случай
Authors: Курамагомедова Р.Г. , Ряхимова А.В. , Николаева Е.А. , Воинова В.Ю. , Березина М.Ю. , Боченков С.В. 
Published: October 2024

Цель. Представить редкий клинический случай сочетания 2 генетических заболеваний – Х-сцепленного доминантного гипофосфатемического рахита и синдрома Нунан I типа у четырехлетнего мальчика. Материалы и методы. Генеалогический анализ, клиническое обследование с включением биохимических и рентгенорадиологических методов, а также молекулярно-генетическая диагностика с использованием полноэкзомного секвенирования ДНК. Результаты. Рассмотрен клинический случай пациента, у которого выявлено сочетание Х-сцепленного доминантного гипофосфатемического рахита и синдрома Нунан I типа. Молекулярно-генетическое исследование выявило патогенные варианты в генах PHEX и PTPN11, подтверждающие наличие обоих заболеваний. Представлены актуальные сведения литературы об этиологии, патогенезе, клинических особенностях и современных подходах к лечению гипофосфатемического рахита и синдрома Нунан I типа. Заключение. Описанный клинический случай подчеркивает важность использования современных молекулярно-генетических методов исследования для выявления редких сочетаний наследственных заболеваний. Это необходимо для прогнозирования возможных осложнений, определения мультидисциплинарного подхода к диагностике, ведению пациента и назначению патогенетической терапии.
Purpose. To present a rare clinical case of a combination of two genetic diseases – X-linked dominant hypophosphatemic rickets and Noonan syndrome type I in a four-year-old boy. Materials and methods. Genealogical analysis, clinical examination including biochemical and X-ray radiological methods, as well as molecular genetic diagnostics using whole exome DNA sequencing. Results. The clinical case of a patient with a combination of X-linked dominant hypophosphatemic rickets and Noonan syndrome type I is considered. Molecular genetic testing revealed pathogenic variants in the PHEX and PTPN11 genes, confirming the presence of both diseases. The current literature data on the etiology, pathogenesis, clinical features and modern approaches to the treatment of hypophosphatemic rickets and Noonan syndrome type I are presented. Conclusion. The described clinical case emphasizes the importance of using modern molecular genetic research methods to identify rare combinations of hereditary diseases. This is necessary to predict possible complications, determine a multidisciplinary approach to diagnostics, patient management and prescribing pathogenetic therapy.
Респираторно-синцитиальная вирусная инфекция у детей первого года жизни: обзор литературы
Authors: Крастелёва И.М. , Артёмчик Т.А. , Гончарова М.А. 
Published: October 2024

Респираторно-синцитиальный вирус занимает доминирующую позицию в структуре инфекционной патологии у детей до 3 лет, госпитализированных с острыми респираторными инфекциями с развитием обструкции дыхательных путей. Респираторно-синцитиальная инфекция, перенесенная у детей до года, ассоциирована с повышенным риском бронхообструкции при последующих острых респираторных инфекциях и развитием бронхиальной астмы. Недоношенные дети, в том числе пациенты с бронхолегочной дисплазией, дети с гемодинамически значимыми врожденными пороками сердца, относятся к группе высокого риска тяжелого течения респираторно-синцитиальной инфекции с необходимостью госпитализации, включая лечение в условиях отделения реанимации и интенсивной терапии, назначения кислородотерапии, проведения искусственной вентиляции легких. В настоящее время не разработано эффективных лекарственных препаратов для этиотропного лечения респираторно-синцитиальной вирусной инфекции. В данном литературном обзоре рассмотрены иммунопатологические механизмы при респираторно-синцитиальной инфекции, а также обсуждаются вопросы своевременной профилактики этого заболевания.
Respiratory syncytial virus occupies a dominant position in the structure of infectious pathology in children under 3 years of age hospitalized with acute respiratory infections with the development of airway obstruction. Respiratory syncytial infection suffered by children under one year of age is associated with an increased risk of broncho-obstruction in subsequent acute respiratory infections and the development of bronchial asthma. Premature infants, including patients with bronchopulmonary dysplasia, children with hemodynamically significant congenital heart defects, belong to the high-risk group for severe respiratory syncytial infection with the need for hospitalization, including treatment in the intensive care unit, oxygen therapy, and artificial ventilation. Currently, no effective drugs have been developed for the etiotropic treatment of respiratory syncytial virus infection. This literature review examines the immunopathological mechanisms of respiratory syncytial infection and discusses issues of timely prevention of this disease.
Sustainability of the real sector of the Russian economy: Economic security and sanctions realities
Authors: Kondratiev L. N. 
Published: October 2024

Aim. To investigate the essence of the real sector of the Russian economy and identify the features of its impact on achieving economic security under sanctions.Objectives. To determine the essence of the real sector of the economy and assess its contribution to the stability of the national economy under sanctions; to identify the stages of development of the real sector of the Russian economy; to form an approach to regulating the real sector in the context of achieving economic security.Methodology. The research uses methods of comparative, structural, functional, and historical (retrospective) analysis, as well as tools of systemic and institutional approaches.Results. The real sector of the economy includes the production of goods and services, its functioning is associated with the creation of new value. This distinguishes it from the virtual and financial sectors where real, tangible goods are not created and where, in fact, the product formed in the real sector is redistributed. In crisis conditions, the developed real sector serves as the basis for the functioning of the economy and the satisfaction of basic economic needs, its stability determines national economic security.Conclusions. In modern conditions, characterized by sanctions pressure on Russia from unfriendly countries, the real sector of the economy plays an important role in ensuring the stability of the country’s economy as a whole. Its dynamics largely determines protection against traditional and new (sanctions-related) threats and risks to economic security. At the same time, there is a need for government support and regulation of the development of the real sector, which is associated with many different difficulties. To increase the effectiveness of this regulation, a permanent search for a balance between the use of planned and market instruments is required, the development of a mixed system of economic regulation that combines the tools of market and planned approaches. This will make it possible for the state to flexibly and adaptively manage the process of ensuring national economic security.
Pengaruh Kinerja Aparatur Pemerintah Desa, dan Integritas Terhadap Pencegahan Fraud Pengelolaan Dana Desa di Kecamatan Jayaloka, Kabupaten Musi Rawas
Authors: Yunita Sari Lisa , Nelly Masnila  , Desi Indriasari  
Published: October 2024

Penelitian ini dilakukan untuk mengetahui pengaruh Kinerja Aparatur Pemerintah Desa, Pengendalian Internal, dan Integritas terhadap Pencegahan Fraud Pengelolaan Dana Desa. Populasi penelitian sebanyak 13 Desa di Kecamatan Jayaloka Kabupaten Musi Rawas dan sampel dipilih menggunakan teknik sampling jenuh. Data diperoleh melalui penyebaran kuesioner dengan responden berjumlah 52 orang terdiri dari Kepala Desa, Sekdes, Bendahara dan Operator Siskeudes dari setiap desa. Analisis dilakukan menggunakan regresi linear berganda dengan bantuan software Statistical Product And Service Solutions (SPSS). Hasil pengujian hipotesis variabel Kinerja Aparatur Pemerintah Desa, Pengendalian Internal dan Integritas secara parsial maupun simultan berpengaruh positif dan signifikan terhadap Pencegahan Fraud Pengelolaan Dana Desa. Koefisien Determinasi menunjukkan bahwa tiga variabel independent mampu menjelaskan Pencegahan Fraud Pengelolaan Dana Desa di Kecamatan Jayaloka Kabupaten Musi Rawas sebesar 42,7%.
The Influence of Online Promotion and Consumer Lifestyle on the Decision to Buy Used Cars at Yusuf Mobilindo's Showroom in East Oku
Authors: Kurniawan Refi , Siti Komariah Hildayanti  , Tri Wulandari  
Published: October 2024

This study aims to analyze the influence of online promotions and consumer lifestyles on the decision to buy used cars at the Yusuf Mobilindo Showroom in East Oku. This type of research is quantitative descriptive. The technique of determining the number of samples uses the Hair et at formula, which is 10 times the number of all indicators, so that the number of research samples is 110 respondents. Data analysis uses data quality test, classical assumption test, and multiple linear regression analysis with t test (partial), F test (simultaneous), and R test. The results of the study show that Online Promotion has a positive and significant effect on the Decision of Buyers of used cars at the Yusuf Mobilindo Showroom as seen from the results obtained with a calculation value of 3,772 > a table of 1,981 with a significance level of 0.000 < probability of 0.05. Lifestyle has a positive and significant effect on the Decision of Buyers of used cars at the Yusuf Mobilindo Showroom, the results obtained with a calculation value of 2,908 > 1,981 with a significance level of 0.000 < probability of 0.05. Online promotions and lifestyle simultaneously have a positive and significant effect on consumer buyer decisions at the Yusuf Mobilindo Showroom. This can be seen from the results of the F test obtained a value of Fcal 19.627 > Ftable 3.08 with a value and significance level of 0.000 < 005. The result of the correlation value for the online promotion variable (X1) and lifestyle (X2) in relation to buyer decision (Y) is 0.518, so the relationship is positive. In the calculation of R Square, 0.268 was obtained, meaning that the combined influence of variables X1 and X2 on Y was 26.8%. The remaining 73.2% was influenced by other variables that were not studied.