bluuebunny/crossref_metadata_2025_split huggingface dataset:
Criminological characteristics of the procedures for determining the supplier in state and municipal procurement
Authors: Перов В.А. , Шибанова А.А. 
Published: October 2024

В статье рассматриваются особенности различных процедур выбора поставщика для осуществления государственных и муниципальных закупок в Российской Федерации. Акцентируется внимание на отсутствии отличительных особенностей конкурентных процедур – аукциона, запроса котировок и конкурса, а также подчеркиваются преимущества и недостатки каждой. Представлены и проанализированы показатели осуществления государственных закупок различными способами, а также подходы к оценке их экономической эффективности. В статье также представлены результаты анализа отчетных данных применительно к теме исследования. Особое внимание уделяется нормативно-правовому регулированию процедур осуществления выбора поставщика. Анализируются меры, обсуждаемые и уже реализовавшиеся, служащие гарантом экономической эффективности контрактной системы Российской Федерации.
The article discusses the features of various procedures for selecting a supplier for state and municipal procurement in the Russian Federation. The authors focus on the absence of distinctive features of competitive procedures – auction, request for quotations and competition, and emphasize the advantages and disadvantages of each. The article presents and analyzes the indicators of public procurement in various ways, and approaches to assessing their economic efficiency, as well as the results of the analysis of reporting data in relation to the research topic. Special attention is paid to the regulatory and legal regulation of the procedures for selecting a supplier. The article analyzes the measures discussed and already implemented, which serve as a guarantor of the economic efficiency of the contract system of the Russian Federation.
Pre-Hospital Care and Effect of Cardiopulmonary Resuscitation (CPR) On Survival Rate of Out-Of-Hospital Cardiac Arrest (OHCA) Victims, Telangana (India)
Authors: Husain Amreen Aijaz , Rai Uddipak , Sarkar Amlan Kanti , V Chandrasekhar  
Published: October 2024

Introduction: OHCA is among the leading causes of mortality worldwide. India lacks a comprehensive database of cardiac arrests and an efficient emergency medical system. The treatment of cardiac disease has improved, yet the outcomes of OHCA remain poor.
Methods: This is an observational 1-year prospective, single center, cohort study conducted on cohorts of OHCA victims. “Utstein Resuscitation Template” was followed for gathering the information starting location of arrest till the final resuscitation outcome. The information on OHCA patient treatment and current knowledge gaps is the aim of this study.
Results: The study was conducted in the Warangal region of Telangana, India. The research comprised 1167 OHCA patients with a suspected cardiac etiology who were taken to the Mahatma Gandhi Memorial Hospital between June 1, 2022, and June 30, 2023. CPR attempts were recorded. Findings suggested if an individual was aware of the risk factors for CVD, they were more likely to report symptoms before OHCA.
Conclusion: OHCA survival rate can be increased if the chain of survival is maintained by offering awareness and CPR training programs to the general public or bystanders, as well as efficient emergency ambulance services with qualified emergency medical staff.
Prevalence of Depression, Anxiety, Stress and Suicide Ideation Among Undergraduate Medical Students in India: A Systematic Review and Meta-Analysis
Authors: Kaur Harpreet , Gupta Varsha , Garg Aseem , Sangeeta  , Padhi Bijaya Kumar 
Published: October 2024

Background: Studies reported significant levels of psychological morbidity from across the globe among undergraduate medical students. Present meta-analysis aimed to provide a most up to date comprehensive insight into the prevalence of depression, stress, anxiety and suicidal ideation among undergraduate medical students in India.
Material and Methods: A systematic search was conducted in three databases PubMed, Scopus and Google Scholar from July 2023 to August 2023. Quality of included studies (43 studies, N=15557) was assessed using modified Newcastle-Ottawa scale and data was analyzed using MetaXL version 5.3. Pooled estimates with 95% confidence intervals were determined using the random-effects model.
Results: The pooled prevalence of depression, anxiety, stress and suicide ideation was 48% (95% CI: 41-55%) (P 0.000, I2 = 98%), 54% (95% CI 42-58%) (P =0.00, I2 = 98%), 50% (95% CI 45-63%) (P =0.001, I2 = 99%) and 21% (95% CI: 9-35%) (P =0.000, I2 = 98%) respectively. Subgroup analysis showed more females than males students were affected from depression, anxiety, stress and suicide ideation.
Conclusion: High prevalence of psychological disorders in medical students in India emphasize the need for the counselling services to control this morbidity and implement long term policies and programs at institutional level.
Over de excessieve vertrekvergoeding, de 30%-regeling en ja, de transitievergoeding
Authors: Chaoui Chaima 
Published: October 2024

Over de excessieve vertrekvergoeding, de 30%-regeling en ja, de transitievergoeding
In deze bijdrage behandelt de auteur de eerder dit jaar verschenen uitspraak van Hof Den Bosch over de berekening van de excessieve vertrekvergoeding bij een werknemer met een 30%-regeling (Hof Den Bosch 21 februari 2024, ECLI:NL:GHSHE:2024:521). De auteur staat stil bij de vraag of de belastingvrije 30%-regeling vergoeding onderdeel is (of zou moeten zijn) van het loonbegrip van artikel 32bb Wet LB 1964. Ook wordt aandacht gevraagd voor de onduidelijkheid rondom de berekening van de transitievergoeding bij werknemers met een 30%-regeling. Naar mening van de auteur is het, op basis van huidige regelgeving, verdedigbaar dat de belastingvrije 30%-regeling vergoeding zou moeten worden meegenomen in de berekeningsgrondslag van de transitievergoeding.
Análise de prontuários com farmacoterapia de analgésicos opióides no ambiente hospitalar`
Authors: Alberton Alana Carolina , Rampim Isabela Tavares , Cordeiro Júnior Joel , Sabec-Pereira Dayane Kelly 
Published: September 2024

A dor é uma experiência comum que afeta a vida das pessoas de formas variadas, estando presente nos hospitais de forma extensa. Os opioides são recorrentemente utilizados para tratamento de dores intensas constantes, em especial na dor nociceptiva, que está associada a danos teciduais, como em pós-cirúrgicos e traumas severos. Embora o uso dos opioides demonstrem eficácia no alívio da dor intensa, o uso prolongado pode acarretar danos à saúde, como depressão respiratória e redução da motilidade gástrica. Porém, os efeitos mais preocupantes quando se trata de opioides são a tolerância, a dependência e a hiperalgesia. Portanto, a prescrição desses medicamentos deve ser monitorada e adaptada para minimizar os potenciais riscos e otimizar o tratamento. Dessa forma, o objetivo da pesquisa consiste em identificar e conhecer o perfil terapêutico dos prontuários médicos sobre o uso de analgésicos opioides em um hospital localizado na região oeste do Paraná. A metodologia desta pesquisa trata-se de uma pesquisa exploratória de abordagem qualitativa e quantitativa, caracterizada pela natureza descritiva, por meio da análise de prontuários médicos. Durante a pesquisa foram analisados 198 prontuários, dos quais 100 constavam o registro do uso de opioides. Observou-se que os opioides prescritos com maior frequência foram: tramadol, fentanil e morfina. Um outro dado relevante identificado está relacionado com a prevalência de 61% de pacientes do gênero feminino com idade de 29-39 anos. Observou-se também que a principal associação entre opioides está relacionado com a administração dos medicamentos fentanil e tramadol. Os resultados ressaltam a necessidade de estratégias visando uma prescrição mais consciente, considerando alternativas não opioides sempre que possível. Destaca-se a importância da vigilância continua dos profissionais da saúde para garantir a eficácia do tratamento e minimizar potenciais riscos devido ao uso de opioides.
Comparative Histological Analysis of Tongue Structure in adult Local and Shirazi Cats
Authors: Alhasso Adnan , Ibrahim Abdel Wahab Ahmed  
Published: September 2024

The histological analysis of both the local and Sherazi cat was conducted to comprehend their distinct differences. These felines, classified under the scientific name (Felis catus), are members of the Felidae family . Thirty tongue samples were gathered from cats that frequented veterinary clinics, with each type of cat comprising fifteen samples. The results of our histological study of the parts of tongue in the local and adult Sherazi cat showed that it consists of three main layers: the mucosal layer, submucosa layer, and muscular layer in all its regions. The mucosal layer in the dorsal surface of the tongue is composed of keratinized stratified squamous epithelium, the tunica submucosa consisted of loose Connective tissue containing lingual glands in root region only, which are of two types: mucous and serous glands. The tunica muscularis appears as a bundles of muscle fibers in three directions, longitudinal, transverse and perpendicular. The study also found the presence of four types of lingual papillae on the dorsal surface of the tongue (filiform, fungiform, foliate, and circumvallate papillae).
Hemorrhagic stroke associated with Prasugrel treatment: a review of the literature
Authors: Piesciorovsky María Eugenia , Sabattini Analía Claudia 
Published: October 2024

Introduction: patients receiving treatment with Prasugrel for the prevention of acute coronary artery disease may suffer a hemorrhagic stroke as a complication, this being one of the most serious complications and with the highest mortality associated with the use of antiplatelet agents. Objective: to analyze the relationship between antiplatelet therapy with Prasugrel and the occurrence of hemorrhagic stroke.Methods: search of information in the Scopus, Web of Science and SciELO databases on hemorrhagic encephalic vascular accidents during the use of Prasugrel. Results: a total of 50 articles were found that met the inclusion and exclusion criteria, 3 of which were used for this study. Conclusion: risk factors such as arterial hypertension, diabetes, advanced age predisposes patients to hemorrhagic stroke during treatment with Prasugrel
Cardiac tamponade in a patient with chagas disease and pericardiocentesis. Case report
Authors: Auza-Santivañez Jhossmar Cristians , Márquez-Molina Jorge , Apaza-Huanca Blas , Lino-Padilla Tania , Vallejos-Rejas Daniel Ramiro Elías , Antezana-Muñoz Jose Bernardo , Mamani Huarachi Victor Hugo 
Published: October 2024

Introduction: Cardiac tamponade is considered a medical emergency, which is characterized by the accumulation of fluid, pus, blood or clots in the pericardial space. Chagas disease is considered one of the potential causes of cardiac tamponade due to the myocarditis and pericarditis it can produce.Clinical case: 58-year-old male patient who went to the emergency department, with a condition characterized by: dizziness, fatigue, productive cough with whitish expectoration, moderate dyspnea, general and mild chest discomfort. With a history of Chronic Chagas, smoker. A P-A chest x-ray, electrocardiogram and transthoracic echocardiogram were performed, confirming the diagnosis of cardiac tamponade. Discussion: Although Beck's triad can guide the diagnosis, it occurs in a small percentage of cases. In our case, after diagnosis, ultrasound-guided pericardiocentesis was performed and allowed the evacuation of blood content, improving the hemodynamic condition after performing the procedure and stable vital parameters. Conclusions: Chronic Chagas and some associated risk factors triggered the development of plugging. The pericardiocentesis was successful, allowing the evacuation of blood content, improving the hemodynamic condition and avoiding complications. Atypical presentation requires multidisciplinary management, early diagnosis related to clinical and ultrasound findings are essential for management, these will be determining factors in the evolution and prognosis of our patients
Effect of external and internal cues on core muscle activation during the Sahrmann five-level core stability test
Authors: Stifter Skyla , McCaffrey Jessie , Nichols Tyler , Ozcan Edeer Ayse , Ward Justine 
Published: September 2024

BACKGROUND
Pain in the back or pelvis or fear of back pain may affect the timing or co-contraction of the core muscles. In both static and dynamic movements, the Sahrmann core stability test provides an assessment of core muscle activation and a person's ability to stabilize the lumbopelvic complex. Preparatory cues and images can be used to increase the activation of these muscles. To attain optimal movement patterns, it will be necessary to determine what cueing will give the most effective results for core stability.
AIM
To investigate the effects of external and internal cues on core muscle activation during the Sahrmann five-level core stability test.
METHODS
Total 68 participants (21.83 ± 3.47 years) were randomly allocated to an external (n = 35) or internal cue group (n = 33). Participants performed the Sahrmann five-level core stability test without a cue as baseline and the five-level stability exercises with an internal or external cue. External cue group received a pressure biofeedback unit (PBU), and the internal cue group received an audio cue. A Delsys TrignoTM surface electromyography unit was used for muscle activation from the rectus abdominis, external oblique, and transverse abdominis/internal oblique muscles.
RESULTS
Linear mixed effects model analysis showed that cueing had a significant effect on core muscle activation (P = 0.001); however, there was no significant difference between cue types (internal or external) (P = 0.130).
CONCLUSION
Both external and internal cueing have significant effects on core muscle activation during the Sahrmann five-level core stability test and the PBU does not create higher muscle activation than internal cueing.
Restless head syndrome: A retrospective study
Authors: Prakash Sanjay , Vadodaria Varoon , Chawda Niraj , Shah Chetsi S , Prakash Anurag 
Published: September 2024

BACKGROUND
Restless legs syndrome (RLS) is characterized by an urge to move with an unpleasant sensation in the lower limbs. RLS typically affects the legs. However, it can also affect several other body regions, such as the arms, abdomen, face, neck, head, and genital area. There are only a few reports of the RLS variant affecting the head.
AIM
To assess the epidemiological, clinical, and other aspects of the RLS variant affecting the head.
METHODS
We conducted a retrospective study of 17 adult patients (> 18 years) who met the RLS criteria and simultaneously experienced RLS-like symptoms in the head.
RESULTS
The median age at which symptoms appeared was 41.6 years. Males and females were equally affected (1.1:1). All 17 patients had uncomfortable sensations in the lower legs. Insomnia or disturbed sleep was the most common comorbidity (n = 16, 88.2%). However, headache was the most common presenting or primary symptom (n = 10, 70.5%). Dizziness or an abnormal sensation in the head was the second most common presenting symptom (5 patients, 29.4%). Other presenting features were leg pain, backache, and generalized body pain. All patients responded favorably to dopaminergic medications.
CONCLUSION
If RLS-related unpleasant sensations and pain are felt in the head, they may be misinterpreted as headache, dizziness, or psychosomatic symptoms. RLS and headaches in a subset of patients may be two phenotypic manifestations of the same disorder.
Effect of gamification applications on success of dentistry students
Authors: Deniz Hatice Ahsen , Polat Balkan Elif , İncebeyaz Burak , Kamburoğlu Kıvanç 
Published: September 2024

BACKGROUND
Gamification, the use of game materials in education, has been used in several scientific fields, and studies have demonstrated its effectiveness in student comprehension.
AIM
To evaluate whether the success of 4th- and 5th-grade dentistry students increases when using the gamification applications Kahoot! and Mentimeter.
METHODS
An experimental design was used to measure the effect of gamification applications on students who were taught using the traditional method. For this purpose, Mentimeter and Kahoot! applications were used in this experimental study. Three groups of 4th- and 5th-grade students were formed: Mentimeter, Kahoot!, and control groups. The effect of gamification applications on achievement was evaluated by administering a post-test to these groups after the instructional process. One-way analysis of variance and t -tests were used for statistical analyses.
RESULTS
A total of 35.5% of the students were in the Mentimeter group, 29.8% in the Kahoot! group, and 34.6% in the control group. Of the total number of students, 54.8% were female and 45.2% were male, while 52.2% were 5th-grade students and 47.8% were 4th-grade students. The overall grade point average was found to be 66.65 (range, 24-100). There was a statistically significant difference in average success scores between students of different groups (P = 0.003 < 0.05) and grades (P = 0.036 < 0.05). The average success score was the highest in the Mentimeter group (71.64) and the lowest in the Kahoot! group (62.15). In the control group, this score was 65.41. The average success score was higher for students in the 5th-grade (68.16) and for female students (68.84).
CONCLUSION
Gamification has a great potential in the education of dentomaxillofacial radiology students. Mentimeter outperformed both the Kahoot! and the traditional method in terms of average student success rates.
Macular microvascular and structural changes on optical coherence tomography angiography in atypical optic neuritis
Authors: Mahatme Chinmay , Kaushik Madhurima , Saravanan Veerappan Rathinasabapathy , Kumar Karthik , Shah Virna M 
Published: September 2024

BACKGROUND
Atypical optic neuritis, consisting of neuromyelitis optica spectrum disorders (NMOSD) or myelin oligodendrocyte glycoprotein antibody disease (MOGAD), has a very similar presentation but different prognostic implications and long-term management strategies. Vascular and metabolic factors are being thought to play a role in such autoimmune neuro-inflammatory disorders, apart from the obvious immune mediated damage. With the advent of optical coherence tomography angiography (OCTA), it is easy to pick up on these subclinical macular microvascular and structural changes.
AIM
To study the macular microvascular and structural changes on OCTA in atypical optic neuritis.
METHODS
This observational cross-sectional study involved 8 NMOSD and 17 MOGAD patients, diagnosed serologically, as well as 10 healthy controls. Macular vascular density (MVD) and ganglion cell + inner plexiform layer thickness (GCIPL) were studied using OCTA.
RESULTS
There was a significant reduction in MVD in NMOSD and MOGAD affected as well as unaffected eyes when compared with healthy controls. NMOSD and MOGAD affected eyes had significant GCIPL thinning compared with healthy controls. NMOSD unaffected eyes did not show significant GCIPL thinning compared to healthy controls in contrast to MOGAD unaffected eyes. On comparing NMOSD with MOGAD, there was no significant difference in terms of MVD or GCIPL in the affected or unaffected eyes.
CONCLUSION
Although significant microvascular and structural changes are present on OCTA between atypical optic neuritis and normal patients, they could not help in differentiating between NMOSD and MOGAD cases.
Independent-Nursing Activities: Aromatherapy, Hand Massage, and Music Therapy for Insomnia Elderly.
Authors: Mutia Annisa  , Dwi Nurviyandari Kusuma Wati  
Published: October 2024

The elderly are an age group presenting a substantial risk of experiencing sleep problems. About 81.6% of the elderly from the author’s previous research showed poor sleep quality contributed to various diseases. The current approaches regarding sleep hygiene in society are keen to start mostly with an alternative or complementary therapy rather than consuming sleeping pills. Previous studies showed the possibility of strengthening productivity by combining three-intervention of nursing to relax the body and stimulate the brain’s waves for sleeping. This case study aimed to analyze the application of evidence-based practice as the primary intervention in dealing with Insomnia elderly at one of the social institutions in 2019. The procedure was a combination of aromatherapy, hand massage, and music therapy for 30-minute each repetition five times a week for five weeks at the same time for three women with sleep disorders: a Chinese senior (Mrs. S, 79 y/o), a wheelchair user (Mrs. N, 76 y/o), and well-spoken elderly (Mrs. A, 60 y/o). The therapy was measured subjectively and objectively amid participants’ opinions, achievement of nursing outcomes, and the Pittsburgh Sleep Quality Index (PSQI) instrument within three periods. The assessment in PSQI showed a significant-decreasing score for each participant: (1) 19-9-6, (2) 13-9-5, and (3) 18-10-5, respectively, during the pre-mid-post assessment. This modified intervention was provided to enhance the effectiveness of therapy from the previous study such as the lengthy duration, frequency, and scheduling. Social institutions as a form of service for the elderly can encourage nurses or nursing students to apply this combined intervention to overcome the problem of Insomnia. The recommendation is to continue playing passive music at night as a bedtime ritual regularly performed each day. The benefits are reducing pre-bedtime (sleep onset latency), improving sleep quality, and allowing older people to be better and more productive during the day.
Secure equitable subdivision number of graphs
Authors: Alex Annie , Sangeetha V  
Published: September 2024

A dominating set S of a graph G(V, E) is called a secure dominating set, if for each vertex x belongs to V(G) \ S there exists at least one vertex y in S such that y belongs to the neighbourhood of x and a vertex y can be replaced by a vertex x without losing domination property. A secure dominating set S is a secure equitable dominating set if for each x in V(G) \ S and the vertex y in S, which replaces x, we have |deg(x)-deg(y)| is less than or equal to 1. In this paper, we initiate the study of a new domination parameter, the secure equitable subdivision number of graphs. Also, we introduce the definitions of the secure equitable subdivision critical graphs and the secure equitable subdivision stable graphs. Further, we study the construction of a secure equitable subdivision critical graph.