bluuebunny/crossref_metadata_2025_split huggingface dataset:
Regional disparities in health literacy for chronic diseases: focusing on healthcare resources and local extinction index
Authors: Ji Seokmin , Kwon Young Gyu , Lee Hyunseo , Shin Chaehwan , Sohn Minsung , Choi Mankyu 
Published: September 2024

ObjectiveThis study compared disparities between community health characteristics and health literacy levels for hypertension and diabetes by combining community-level characteristics, such as the local extinction index and healthcare resources, with individual-level characteristics based on the Andersen healthcare utilization model.MethodData obtained from the 2017, 2019, and 2021 Community Health Surveys, Korean Statistical Information Service, and National Health Insurance Service were analyzed. The analyses included spatial analysis, propensity score matching, and cross-analysis.ResultsTwenty-five extinction-risk regions (ERRs) were identified in 2017, 26 in 2019, and 29 in 2021, indicating a high risk of extinction and insufficient healthcare resources in non-metropolitan regions. Based on analyses of demographic changes and unmet medical needs at the individual level, we observed increased age and economic activity, decreased healthcare access, and lower education levels in ERRs compared to non-extinction-risk regions (NERRs). No significant differences were found between the regions regarding diagnosis or medication use concerning the health literacy gap for hypertension and diabetes. However, individuals in ERRs were significantly less likely than those in NERRs to be aware of such diseases or educated about their management.DiscussionGiven that healthcare services in ERRs focus on chronic disease management rather than prevention, we propose two directions to reduce health disparities in ERRs. First, the government should encourage cooperation with private healthcare organizations to ensure the provision of health education programs in vulnerable areas. Second, improvements in awareness and education regarding chronic disease management can be achieved through digital healthcare and telemedicine. This study identifies regional disparities in chronic disease prevention and management, providing a basis for policies to ensure healthier communities with health equity.
The effect of different traditional Chinese exercises on bone mineral density in menopausal women: a systematic review and network meta-analysis
Authors: Hou Jun , Mao Haiping , Xie Peiyao , Cui Yuemei , Rong Ming 
Published: September 2024

ObjectiveTo evaluate the optimal choice of traditional Chinese exercise (TCE) for improving bone mineral density in postmenopausal women through a network meta-analysis.MethodsThe Chinese and English databases were searched, including China National Knowledge Infrastructure, Chongqing VIP, PubMed, Web of Science and Cochrane Library. The outcomes included BMD of lumbar L2-L4, femoral neck, ward triangle, and greater trochanter. Standardized mean differences (SMD) and 95% confidence intervals (CI) were used to assess the correlation between each group of interventions, and surface under the cumulative ranking (SUCRA) was used to rank the best interventions.ResultsA total of 20 randomized controlled trials (RCTs) including 1933 subjects and six interventions: [Tai Chi (TC), Baduanjin (BDJ), Wuqinxi (WQX), Yijinjing (YJJ), TA (Tai chi plus calcium supplementation), BA (Baduanjin plus calcium supplementation)] and three control measures: [Calcium supplementation (CA), Aerobic exercise (AE), Not exercise intervention (NEI)] were analyzed. Regarding BMD of lumbar L2-L4: TC [SMD = 0.99 (0.62, 1.37)], BDJ [SMD = 2.12 (1.39, 2.85)], TA [SMD = 1.12(0.17, 2.07)], BA [SMD = 2.24 (1.16, 3.31)] were superior in increasing BMD of lumbar L2-L4 relative to NEI. Regarding BMD of femoral neck: TC [SMD = 1.24 (0.70, 1.78)], BA [SMD = 3.77 (1.98, 5.56)] were superior in increasing BMD of femoral neck relative to NEI. Regarding BMD of ward’s triangle: TC [SMD = 1.63 (1.09, 2.17)] was superior in increasing BMD of ward’s triangle relative to NEI. Regarding BMD of greater trochanter: TC [SMD = 0.98 (0.28, 1.68)] were superior in increasing BMD of greater trochanter relative to NEI. TC topped the SUCRA with BMD of lumbar L2-L4: 53.8, femoral neck: 74.9, ward’s triangle: 86.9 and greater trochanter: 77.7.ConclusionFour TCE (TC, BDJ, TA and BA) are all effective in partially improving BMD indicators in postmenopausal women, while TC was effective on all four BMD indicators, which seems to be recommended as the most suitable exercise modality for postmenopausal women.Systematic review registrationThis research follows the PRISMA Network statement. The protocol for this study has been registered in the International Prospective Registry of Systematic Reviews (PROSPERO). CRD42023414944.
Extrahepatic Bile Duct Organoids as a Model to Study Ischemia/Reperfusion Injury During Liver Transplantation
Authors: Kreiner P. , Eggenhofer E. , Schneider L. , Rejas C. , Goetz M. , Bogovic N. , Brunner S. M. , Evert K. , Schlitt H. J. , Geissler E. K. , Junger H. 
Published: September 2024

Biliary complications are still a major cause for morbidity and mortality after liver transplantation (LT). Ischemia/reperfusion injury (IRI) leads to disruption of the biliary epithelium. We introduce a novel model to study the effect of IRI on human cholangiocytes using extrahepatic cholangiocyte organoids (ECOs). Extrahepatic bile duct tissue was collected during LT at static cold storage and after reperfusion (n = 15); gallbladder tissue was used for controls (n = 5). ECOs (n = 9) were cultured from extrahepatic biliary tissue, with IRI induced in an atmosphere of 95% air (nitrogen), 1% O2 and 5% CO2for 48 h, followed by 24 h of reoxygenation. Qualitative and quantitative histology and qRT-PCR were performed to discern phenotype, markers of hypoxia, programmed cell death and proliferation. ECOs self-organized into circular structures resembling biliary architecture containing cholangiocytes that expressed EpCAM, CK19, LGR5 and SOX-9. After hypoxia, ECOs showed increased expression of VEGF A (p &lt; 0.0001), SLC2A1 (p &lt; 0.0001) and ACSL4 (p &lt; 0.0001) to indicate response to hypoxic damage and subsequent programmed cell death. Increase in cyclin D1 (p &lt; 0.0001) after reoxygenation indicated proliferative activity in ECOs. Therefore, ECO structure and response to IRI are comparable to that found in-vivo, providing a suitable model to study IRI of the bile duct in-vitro.
THE EFFECTIVENESS OF THE MEDICAL PRODUCT «MASTIBLOCK DC 30» IN THE TREATMENT AND PREVENTION OF COW MASTITIS
Authors: ЕНГАШЕВ С.В. , ЕНГАШЕВА Е.С. , САДОВ К.М. , САВИНКОВ А.В. , КОМАРОВ А.А. , НОВИКОВ Д.Д. 
Published: September 2024

Изучена эффективность лекарственного препарата «МАСТИБЛОК® DC 30» при лечении и профилактике мастита у коров. «МАСТИБЛОК® DC 30» — новый отечественный препарат, разработанный ООО «НВЦ Агроветзащита», который содержит в качестве действующего вещества клоксациллин — антибиотик широкого спектра действия, и выпускается в виде суспензии для интрацистернального применения. Для исследования эффективности его действия были сформированы 2 группы коров черно-пестрой породы по 20 животных в каждой в период запуска. В I группу вошли животные с клиническими признаками подострого катарального мастита, во II — клинически здоровые особи. Препарат применяли животным интрацистернально однократно. «МАСТИБЛОК®DC 30» эффективно проявил себя как антибактериальное средство в терапии подострого катарального мастита у больных коров и при профилактике мастита у здоровых особей в сухостойном периоде. Он хорошо переносится животными, побочных явлений и нежелательных реакций не выявлено.
The study of the efficacy of the medicinal preparation "MASTIBLOCK DC 30" in the treatment and prevention of mastitis in cows was carried out "MASTIBLOCK DC 30" is a new domestic preparation developed by AVZ Ltd, which contains as an active ingredient cloxacillin - a broad-spectrum antibiotic, and is available as a suspension for intracisternal use. To study the effectiveness of its action, 2 groups of black and sow cows were formed with 20 animals in each group during the start-up period. Group I included animals with clinical signs of subacute catarrhal mastitis, group II - clinically healthy animals. The drug was administered to animals intracisternally once. "MASTIBLOCK DC 30" effectively proved to be an antibacterial agent in the treatment of subacute catarrhal mastitis in sick cows and in the prevention of mastitis in healthy cows during the dry period. It is well tolerated by animals, no side effects and adverse reactions were detected.
Analisa Respon Mekanis Bahan Dashboard Mobil dengan Metode Pengujian Tarik (Tensile Test)
Authors: Siregar Doli Tryono , Irwan Ade , Ritonga Din Aswan Amran 
Published: September 2024

Dashboard is a panel on the front of the car interior, here usually there are several facilities, such as instrumentation panels, drawers, radio / tape, and air conditioning. The dashboard also has many functions as a place for instrument panels and warning signal gauges and also has an audio system, ventilation air-conditioning head and many others. And here the researcher wants to know the strength on the car dashboard by using the tensile test method. Tensile testing is one such test. The method used in this research is a tensile test method using a UTM machine. Material testing machine with a length of 100 mm using ASTM E8. The results of the study have 5 specimens for the first specimen on the car dashboard having a tensile stress with a value of 33,95 Mpa strain with a value of 0,02 And the modulus of elasticity with a value of 1.697,5 Mpa the second specimen on the car dashboard has a tensile stress with a value of 35,98 Mpa strain with a value of 0,03 And the modulus of elasticity with a value of 1.199,33 Mpa The third specimen on the dashboard of the car has a tensile stress with a value of 43,55 Mpa strain with a value of 0,01 And the modulus of elasticity with a value of 4.345 Mpa the fourth specimen on the car dashboard has a tensile stress with a value of 33,95 Mpa strain with a value of 0,01 And the modulus of elasticity with a value of 3.395 Mpa the fifth specimen on the car dashboard has a tensile stress with a value of 42,77 Mpa strain with a value of 0,02 and modulus of elasticity with a value of 2.138,5 Mpa
Utilization of Instagram as a Digital-Based Communication Media in Reading Japanese Stories
Authors: Hasibuan Annalisa Sonaria , Nasution Laraiba 
Published: September 2024

In the era of growing social media, Instagram is one of the platforms that can be utilized to facilitate interactive foreign language learning. The purpose of this study is to utilize Instagram as a digital-based social media in reading stories using Japanese so that it is expected that students can be more active, brave and expressive in reading so that the content of the story can be conveyed properly, students can also be more creative in making interesting videos by utilizing the many features contained in Instagram. This research method adopted a descriptive qualitative approach involving 22 students. Students were given texts in Japanese writing, chose one of the texts to study which then had to be read out in the form of a video that was uploaded to each student's Instagram account according to the conditions that had been given. Research data were collected through participant observation, questionnaires, and analysis of the results of the tasks uploaded to Instagram. The results showed that learning to read Japanese stories on Instagram provides benefits in the development of reading skills. Students demonstrated comprehension of the text in their target language. There was also high motivation and satisfaction with the Instagram learning experience. This study provides insight into the potential of Instagram as one of the learning media in reading Japanese stories.
Availability, Biomass Yield, and Nutritional Values of Fodder Tree Leaves in Mirab Abaya District in Southern Ethiopia
Authors: Kodo Wogaso , Tadele Yilkal 
Published: September 2024

The study was carried out to assess the availability; fodder yield and nutritional values of selected fodder tree leaves. Household surveys, field measurements, and laboratory analyses were used to generate the data. Survey data was collected from randomly selected 138 respondents using a pre-tested structured questionnaire. Eleven, 18, and 13 fodder trees respectively in highland, midland, and lowland were identified and ranked. A total of 12 top-ranked fodder tree species were considered for leaf yield estimation and laboratory analysis. The average leaf yields (kg DM) per tree of the selected fodder species ranged from 15.96 for Rhus natalensis in the lowland to 128.43for Erythrinabrucei in the highland and varied significantly (P < 0.05) among the species. The crude protein /CP/ content (g/kg DM) was highest for Erythrinabrucei (198.3) and was least in Psydrax schimperiana (151). The highest Ether Extract /EE/ was observed in Mystroxylon aethiopicum (18.66 g/kg DM) and the lowest was noted in Nuxiacongesta (13.36 g/kg DM). The neutral detergent fiber/ NDF/ was highest for Arundinaria alpine (602g/kg DM) and least in Psydrax schimperiana (297.4g/kg DM). There were no significant differences in condensed tannin content among the fodder trees studied. Oxalate values ranged from 18.4g/kg DM in Terminalia brownii to 36.5 g/kg DM in Balanites aegyptiaca. Generally, the differences in leaf yield and nutrient contents between different fodder species were significant (p<0.05). From the results of this study, it can be concluded that the fodder tree species can be considered a potential source of CP to supplement poor-quality roughages to fill the gap.
O TRABALHO COM A LITERATURA NA ALFABETIZAÇÃO: IMPLICAÇÕES PARA A FORMAÇÃO DO LEITOR CRÍTICO
Authors: Ottoni Pinheiro Gilciane , Rubia Couto dos Reis Mara 
Published: September 2024

Reading practices have been the subject of many discussions in academia. In this text we present a reflection on these practices in the use of children's literature in literacy classes, in the city of Viana-ES. This work is configured as an exploratory study based on the literary works of the project Minha Biblioteca: Ler, Contar, Encantar, sent to 2nd grade students and on the observations of the activities developed by the teachers in school routine and continuing education meetings, developed during 2022. The theoretical bases are founded on the assumptions of the cultural-historical perspective and the Bakhtinian conception of language, insofar as it proposes a dialogical approach to the enunciation, in which the interlocutor participates in the formation of meaning. The analyses indicate that the way work with genres was conducted, that is, the teachers' mediation, allowed some moments of author-reader interaction. We noticed that the construction of meaning by the children could have been better explored, since, in most of the events observed, the practices were centered on the search for information in the texts, followed by the completion of tasks. We know that it is not enough for reading to be understood only in its linguistic materiality, since it is not a ready-made product that has a single possible meaning previously defined by the author at the moment of writing.
A INFLUÊNCIA DA PRIVAÇÃO DO SONO NA REGULAÇÃO HORMONAL E METABÓLICA
Authors: Nobre Ane Valéria Cardoso , Lima Eduarda Casado , Monteiro Daniel Galvão Araujo , Miranda Carla Emanuele de Freitas Silva , Ribeiro Juliana Silva , Batista Bruna Lima Farias , Trindade Marcela Cavalcante da , Almeida Walter Borges de , Júnior Fredson Silva Mendes , Filho Luis Cedson Silva , Badin Larissa Milena Nogarolli , Dias Lucas Gabriel Santos , Júnior Marcos da Silva Gomes , Rebouças Natalia Quiroga , Persiano Sônia Wanderley Silva , Vieira Gabryella Alzira Brito , Monteiro Marina Lins Tavares Pedroza , Mello Allycia Jamylle Nogueira de , Pinheiro Bruna Michelly de Barros Canuto , Lima Natália do Nascimento , Araújo Beatriz Moreira de 
Published: September 2024

Introdução: O sono é uma necessidade fisiológica básica de todo ser vivo, sendo vital para manter boas condições de desenvolvimento biológico e psicológico. Durante o sono ocorrem diversas reações importantes para o organismo. Especificamente, durante o sono de ondas lentas ocorre redução da pressão arterial, frequência cardíaca, redução da atividade simpática do sistema nervoso central e aumento da atividade parassimpática, bem como redução do metabolismo de glicose.Objetivo: Descrever o impacto do sono na regulação hormonal e metabólica.Método: Revisão integrativa realizada na Biblioteca Virtual em Saúde (BVS) e no PubMed. Utilizou-se uma combinação dos termos “tecnologia de neuroimagem” and doenças neurológicas. Foram incluídos artigos originais publicados entre 2014 e 2024, disponíveis na íntegra e gratuitamente em português e inglês. A exclusão dos artigos foi feita a partir da leitura do título e do resumo, selecionando aqueles que se relacionavam ao objetivo. Resultados: Evidenciou-se que várias são as alterações no metabolismo decorrentes da privação de sono culminam no desenvolvimento de patologias Conclusão: A ausência ou má qualidade do sono pode provocar males à saúde, resultando em apnéia e afetando o rendimento do indivíduo, desequilibrando os hormônios.
Rethinking the structure of the system of ecological and economic security of united territorial communities in the conditions of war
Authors: Hutnyk A. Yu. 
Published: September 2024

The article considers the economic and ecological problems which united territorial communities face in Ukraine during wartime – specifically, these are communities located close to the frontline. Systems method is applied as the core paradigm in research. The methodological basis of the study is a set of principles of systematicity, a dialectical approach, a combination of the general, the specific and the individual. It is noted, in particular, that unlike European countries, intersectoral cooperation in territorial communities of Ukraine is mostly based on an informal basis, is carried out periodically and arises as needed, when this or that problem has become critical or one of the parties (usually local self-government bodies) does not can solve it independently. Territorial methods acknowledge the frequently intricate processes of economic, ecological, and social transformation in a particular geographic area while offering a framework for study and operations involving numerous sectors and stakeholders. At the same time, viewpoints and methodologies that prioritize territories in development have resurfaced as significant in global discourse and policy concerning the implementation of the 2030 Agenda for Sustainable Development. The study highlights some good practices on how to manage the total communities' environment during the warfare. In particular, the experience of Syrian communities affected by war is analyzed, as well as Shabwa in Yemen. Bearing in mind evident common features with the situation on close to frontline territorial communities in Ukraine, refracting this experience on the Ukrainian 'plane' seems highly expedient. Evidently, communities must share best lessons to remain in a sustainable peace, restore the war-damaged environment, and enhance sustainable economic development, and the very essence of united territorial communities give good potential for it.
Association of Return of Spontaneous Circulation with the Duration of Cardiopulmonary Resuscitation in Patients Presenting to the Emergency Department of a Tertiary Care Hospital in Karachi Pakistan – A Quasi-Experimental Study
Authors: Mufti Arsalan , Khan Inayat Ali , Mustehsan Zille Huma , Khaliq Nida , Mufti Maria , Ali Iftikhar 
Published: September 2024

Objective: To determine the association between the duration of Cardio-pulmonary resuscitation and the return of spontaneous circulation in cardiac arrest patients.Study Design: A retrospective quasi-experimental study.Place and Duration of Study: It was carried out over a 6-month period on cardiac arrest patients presenting to the Emergency Department from June till December 2020 at Ziauddin University Hospital, Karachi, Pakistan.Methods: A sample of 178 patients was selected through consecutive sampling. The patients were divided into two groups each consisting of 89 participants. The conventional group received cardio-pulmonary resuscitation for 20 minutes, while the interventional group had it for more than 20 minutes.Results: The mean age was 59.49 years (SD ± 17.2), predominantly males. In the conventional group, 64 patients (36%) experienced recovery with a Return of Spontaneous Circulation, while in the interventional group, this was achieved in 37 patients (20.8%). Overall, among the 176 patients who received Cardio-pulmonary resuscitation, 56.7% (n = 101) achieved a Return of Spontaneous Circulation. Among these 101 patients with a Return of Spontaneous Circulation, the documented average duration of their Cardio-pulmonary resuscitation was approximately 12.17 ± 4.77 minutes, compared to 34.47 ± 7.22 minutes for patients who did not achieve a Return of Spontaneous Circulation (P < 0.0001). Similarly, the mean time of Cardio-pulmonary resuscitation initiation was statistically significantly different between the two groups (P < 0.001) using the Pearson chi-Square test.Conclusion: Increasing the duration of Cardio-pulmonary resuscitation does not benefit patients in terms of resuscitation, recovery, or survival. Cardio-pulmonary resuscitation lasting less than 20 minutes had a higher likelihood of achieving spontaneous circulation recovery compared to that lasting for more than 20 minutes. Initiation of Cardio-pulmonary resuscitation as early as possible had better chances of recovery and survival especially when initiated immediately after cardiac arrest.
Atención de Enfermería en un Embarazo Ectópico Basado en el Modelo de Hildegard Peplau: A Propósito de un Caso
Authors: Chamba Tandazo Marlene Johana , Arévalo Mite Lía Francheska , Cedeño Fajardo Kristel del Cisne , Alonso Blacio Antonella Jareth , Miranda Beltran Ruth Salome 
Published: September 2024

Introducción: El embarazo ectópico se define como la implantación del blastocisto en cualquier lugar distinto de la cavidad endometrial. Estas complicaciones obstétricas se estiman entre el 1% y 2% de todos los embarazos. En Ecuador se ha reportado que el 4% de las pacientes han experimentado esta complicación dejando como resultando 9 muertes maternas y en el hospital general de Machala en el 2024 se registraron 120 casos. Objetivo: Desarrollar un caso clínico para estudiar la patología y mediante la aplicación del proceso de atención de enfermería basado en el Modelo de Hildegard Peplau se logra mejorar la salud de la paciente y disminuir las complicaciones maternas. Materiales y métodos: Se realizó una investigación de tipo descriptiva y analítica, además se solicitó firma del consentimiento informado para la recolección de datos, entrevista directa, revisión de la historia clínica. Resultado: Paciente de 37 años con diagnóstico de embarazo ectópico, residente del sector urbano, soltera, con nivel de instrucción básica, mestiza, grupo sanguíneo ORH+, ha recibido vacuna contra el covid, 4 gestas, 3 partos por cesáreas, en el último parto tuvo trillizos, la cual se sometió a una esterilización quirúrgica. Conclusión: Los profesionales de enfermería tienen la responsabilidad de proporcionar un acompañamiento continuo y asegurar la calidad de los cuidados durante el Pre Quirúrgico, Quirúrgico y Postquirúrgica, esto es crucial para reducir la incidencia de complicaciones y disminuir las tasas de morbimortalidad materna.