bluuebunny/crossref_metadata_2025_split huggingface dataset:
Healthcare providers' perceptions and experiences of kangaroo mother care for preterm infants in four neonatal intensive care units in China: a qualitative descriptive study
Authors: Cai Qian , Zhou Yunxian , Hong Mengxia , Chen Danqi , Xu Xinfen 
Published: July 2024

BackgroundKangaroo mother care (KMC) is an evidence-based intervention that can effectively reduce morbidity and mortality in preterm infants, but it has yet to be widely implemented in health systems in China. Most qualitative studies on KMC for preterm infants focused on the experiences and influencing factors from the perspective of preterm infant parents, while neglecting the perspective of healthcare providers, who played a critical role in guiding KMC practice. Therefore, this study aimed to explore the perceptions and experiences of healthcare providers regarding their involvement in KMC implementation for preterm infants to promote the contextualized implementation of KMC.MethodsA descriptive qualitative approach was adopted. A purposive sampling was used to select healthcare providers involved in KMC implementation in the neonatal intensive care units (NICUs) as participants from four tertiary hospitals across four cities in Zhejiang Province, China. Face-to-face semi-structured interviews were conducted to collect information. Thematic analysis was employed to analyze the data.ResultsSeventeen healthcare professionals were recruited, including thirteen nurses and four doctors in the NICUs. Four themes and twelve subthemes emerged: different cognitions based on different perspectives (acknowledged effects and benefits, not profitable economically), ambivalent emotions regarding KMC implementation (gaining understanding, gratitude and trust from parents, not used to working under parental presence, and concerning nursing safety issues), barriers to KMC implementation (lack of unified norms and standards, lack of systematic training and communication platform, insufficient human resources, and inadequate parental compliance) and suggestions for KMC implementation (improving equipment and environment, strengthening collaboration between nurses and doctors, and support from hospital managers).ConclusionsDespite acknowledging the clinical benefits of KMC, the lack of economic incentives, concerns about potential risks, and various barriers hindered healthcare providers' intrinsic motivation to implement KMC in NICUs in China. To facilitate the effective implementation of KMC, hospital managers should provide bonuses and training programs for healthcare providers, while giving them recognition and encouragement to enhance their motivation to implement KMC.
Delay in healthcare seeking and associated factors among patients presenting with sexually transmitted infection symptoms in the Horo Guduru Wollega Zone, Oromia, Western Ethiopia, 2022
Authors: Guddu Getachew Abebe , Getahun Ayantu , Yadesa Girma , Tolossa Tadesse 
Published: July 2024

BackgroundSexually transmitted infections (STIs) are the most prevalent communicable diseases that impact people's health and wellbeing. One of the main obstacles to successful prevention and control of STIs is the delay in seeking healthcare, which can result in significant personal and economic losses. However, there are limited studies on the delay in healthcare seeking among STI patients in resource-limited countries such as Ethiopia.ObjectiveThis study aims to assess delays in seeking healthcare and associated factors among patients presenting with STIs at public health facilities in the Horo Guduru Wollega Zone, Oromia, Western Ethiopia, 2022.MethodsA cross-sectional study was conducted at public health facilities in the Horo Guduru Wollega Zone from 15 March to 15 May 2022. The study included 507 participants and used a consecutive sampling method. The outcome variable of the study was the delay in seeking healthcare among STI patients. A binary logistic regression model was used to identify candidate variables with a p-value of less than 0.25 after analyzing each variable separately. Finally, a multivariable analysis was performed to determine statistically significant variables at a p-value of less than 0.05, and an adjusted odds ratio (AOR) was reported.ResultsThe proportion of individuals with STIs who delayed seeking healthcare in the Horo Guduru Wollega Zone was 61.3% [95% confidence interval (CI): 57%–65.5%]. Factors such as age &gt;35 years (AOR = 2.23, 95% CI: 1.26–3.95), higher educational level (AOR = 2.72, 95% CI: 1.55–4.74), lack of condom use (AOR = 1.63, 95% CI: 1.05–2.55), and travel time to health facilities of &gt;1 h (AOR = 4.30, 95% CI: 1.70–10.89) were found to be significantly associated with delayed healthcare seeking.Conclusion and recommendationsThis study found that the magnitude of delay in seeking healthcare was higher than the national average and identified several contributing factors. Interventions such as developing educational programs and improving access to healthcare services are crucial for supporting patients with STIs. Enhancing healthcare accessibility in rural areas and promoting the use of condoms through targeted community outreach can reduce travel time and prevent delays in seeking healthcare for STIs.
Efficacy and safety of alfaxalone compared to propofol in canine refractory status epilepticus: a pilot study
Authors: Al Kafaji Tania , Corda Andrea , Charalambous Marios , Murgia Elsa , Tartari Ilaria , Puci Mariangela , Debidda Pasquale , Gallucci Antonella 
Published: July 2024

IntroductionRefractory status epilepticus (RSE) is defined as seizure activity that is minimally responsive to first- or second-line antiseizure medications. Constant rate infusion (CRI) intravenous propofol (PPF) is commonly used to treat RSE in dogs and cats. The antiseizure activity of alfaxalone (ALF) in RSE has been demonstrated in various experimental studies. This study compared the clinical efficacy and safety of intramuscular administration followed by CRI infusion of ALF with intravenous administration followed by CRI infusion of PPF to treat canine RSE.Materials and methodsThis was a multicenter, prospective, randomized clinical trial of client-owned dogs referred for status epilepticus that did not respond to first- and second-line drugs. Animals with suspected or confirmed idiopathic or structural epilepsy were included. The dogs were randomly assigned to either the PPF or ALF treatment groups and each group received drug CRI infusions for 6 h. Drug dosages were progressively reduced by 25% every hour from the third hour until suspension after 6 h. Patients were classified as responders or non-responders based on the relapse of epileptic seizures during the 24 h therapy infusion or within 24 h of drug suspension. Univariate statistical analyses were performed.ResultsTwenty dogs were enrolled in the study. Ten (10/20) dogs were randomly allocated to the PPF group and 10 (10/20) to the ALF group. Successful outcomes were obtained in six (6/10) patients in the PPF group and five (5/10) patients in the ALF group. Adverse effects were recorded in six (6/10) and three (3/10) animals in the PPF and ALF groups, respectively. No statistically significant differences in outcomes or the presence of adverse effects were observed between the groups.DiscussionThe results of this preliminary study suggest that ALF can be considered a valid and safe alternative to PPF for the treatment of RSE in dogs, with the additional advantage of intramuscular administration. However, caution should be exercised when using these drugs to provide airway and hemodynamic support.
Stratigraphic Reassessment of the Mexican Chasmosaurine Coahuilaceratops magnacuerna as the First Diagnostic Dinosaur Remains from the Cerro Huerta Formation (Lower Maastrichtian) Supporting the Southern Origin of the Triceratopsini
Authors: Barrera Guevara Daniela , Espinosa Chávez Belinda , Serrano Brañas Claudia Inés , de León Dávila Claudio , Posada Martinez Daniel , Freedman Fowler Elizabeth , Fowler Denver 
Published: July 2024

Very few remains of ceratopsid dinosaurs have been recovered so far from the Difunta Group of Coahuila, Mexico. The enigmatic chasmosaurine Coahuilaceratops magnacuerna was previously described on the basis of two partial skulls purportedly derived from the Cerro del Pueblo Formation (~73–72.5 Ma?). On the basis of a new measured section and lithological identification of the host rock, we reassign Coahuilaceratops to the overlying Cerro Huerta Formation (~71.5–70.5 Ma?). Thus, we formally assign the first dinosaur taxon to the Cerro Huerta Formation. This reassignment is more consistent with the relatively derived phylogenetic position of Coahuilaceratops, with implications for the southern Laramidia hypothesis concerning the origin of the Triceratopsini.
Digital component in logistics: Theory and practice
Authors: Брынцев А.Н. 
Published: July 2024

В статье особое внимание уделено вопросам развития цифровой экономики и влияния ее на функционирование бизнес-структур в условиях санкций. Автор обосновывает вывод, что экономические санкции оказали негативное влияние на экспортно-импортные операции России и партнеров, нарушили цепочки поставок целого ряда товаров, оборудования. Это в свою очередь привело к необходимости разработки новых логистических схем, реализации политики импортозамещения ускоренными темпами. Применение высоких технологий, цифровых платформ, отечественного софта позволит не только сократить логистические затраты, но и выведет на новый уровень коммуникации субъектов рынка, их стейкхолдеров. В качестве примера рассмотрена хозяйственная деятельность ОАО «РЖД».
The article pays special attention to the development of the digital economy and its impact on the functioning of business structures under sanctions. The author substantiates the conclusion that economic sanctions had a negative impact on the export-import operations of Russia and its partners and disrupted the supply chains of a number of goods and equipment. This, in turn, led to the need to develop new logistics schemes and implement the import substitution policy at an accelerated pace. The use of high technologies, digital platforms, and domestic software will not only reduce logistics costs, but will also bring communication between market entities and their stakeholders to a new level. As an example, the economic activities of JSC Russian Railways are considered.
Assessment of the interrelationships of monetary, budgetary and prudential indicators using VAR models and their use in GDP forecasting
Authors: Яковлев Н.Д. 
Published: July 2024

Текущие условия функционирования и развития экономики требуют формирования адекватных оценок дальнейшей траектории важнейших макроэкономических показателей, таких как ВВП, с учетом имеющихся взаимосвязей всех видов политик друг с другом, чтобы принимать решения, способствующие преодолению кризисных ситуаций и обеспечению устойчивого роста российской экономики. С этой целью в данной работе рассматривается один из возможных методов оценки таких взаимосвязей, основанный на построении VAR-моделей, и применения этих методов для построения прогнозов производственно-институциональной модели. В работе оценены VAR-модели взаимосвязи монетарного и бюджетного показателей, а также монетарного и макропруденциального показателей. Указанные взаимосвязи учтены в прогнозной производственно-институциональной модели. На основе прогноза и имеющихся связей предложено использование данного класса моделей при прогнозировании макроэкономических показателей, относящихся к различным типам политик.
The current conditions for the functioning and development of the economy require the formation of adequate assessments of the further trajectory of key macroeconomic indicators, such as GDP, taking into account the existing interrelationships of all types of policies with each other, in order to make decisions that will help overcome crisis situations and ensure sustainable growth of the Russian economy. To this end, this paper considers one of the possible methods for assessing such relationships, based on the construction of VAR models, and the application of these methods for constructing forecasts of the production-institutional model. The paper estimates VAR models of the relationship between monetary and fiscal indicators, as well as monetary and macroprudential indicators. These relationships are taken into account in the forecast production and institutional model. Based on the forecast and existing relationships, the use of this class of models is proposed for forecasting macroeconomic indicators related to different types of policies.
Rational consumer behavior of young people in the field of nutrition: Socio-technological aspect
Authors: Левина Е.В. , Голикова Д.А. 
Published: July 2024

Предметом настоящей статьи являются социальные технологии формирования рационального потребительского поведения молодежи в сфере питания. Целью стало изучение теоретических аспектов социальных технологий формирования рационального потребительского поведения молодежи в сфере питания. Методология. В рамках проводимого авторами статьи анализа были использованы следующие теории, методы, технологии и подходы: качественный анализ трудов отечественных и зарубежных ученых, посвященных проблеме исследования; методы анализа и синтеза, классификации и обобщения в выделении общего и частного в определении проблемы потребительского поведения и места социальных технологий, способствующих формированию рационального потребительского поведения в сфере питания в жизни молодежи. Результаты. В представленной статье авторами проанализированы направления изучения социальных технологий, потребительского поведения, рациональности, питания и молодежи, как социальной группы.
The subject of this article is social technologies for the formation of rational consumer behavior of young people in the field of nutrition. The aim was to study the theoretical aspects of social technologies for the formation of rational consumer behavior of young people in the field of nutrition. Methodology. As part of the analysis conducted by the authors of the article, the following theories, methods, technologies and approaches were used: a qualitative analysis of the works of domestic and foreign scientists devoted to the study of social technologies, consumer behavior, the sociology of nutrition, the concept of rationality, theories of rational choice, as well as the sociology of youth; methods of analysis and synthesis, classification and generalization in the allocation of general and particular in determining the problem of consumer behavior and the place of social technologies that contribute to the formation of rational consumer behavior in the field of nutrition in the lives of young people. Results. In the presented article, the authors analyzed the directions of studying social technologies, consumer behavior, rationality, nutrition and youth as a social group.
Content formation and research process management of economic systems
Authors: Герасимов Б.Н. 
Published: July 2024

Основные атрибуты процессного управления используются в процедурах исследования, построения и реформирования структур и содержания экономических систем. Проведено рассмотрение назначения и содержания основных пространств общества и жизнедеятельности человека в экономической и социальной среде. Разработаны информационно-логическая модель взаимодействия атрибутов и модель взаимодействия атрибутов подпроцесса управления в рамках экономических систем. Рассмотрено нормативное содержание основных атрибутов подпроцессов управления. Представлена технология взаимодействия и формирования содержания основных атрибутов нормативного состояния подпроцесса управления в экономических системах. Использование методологии процессного управления структурирует объекты управления в экономических и социальных средах для улучшения функционирования современных организаций и корпораций в рыночных условиях.
The main attributes of process management are used in the procedures of research, construction and reform of the structures and content of economic systems. The purpose and content of the main spaces of society and human activity in the economic and social environment are considered. An information and logical model of the interaction of attributes and a model of the interaction of attributes of the management subprocess within economic systems have been developed. The normative content of the main attributes of management subprocesses is considered. The technology of interaction and formation of the content of the main attributes of the normative state of the management subprocess in economic systems has been developed. The use of process management methodology structures management objects in economic and social contexts to improve the functioning of modern organizations and corporations in market conditions.
Bronchial Asthma in Children: Urgent Questions Requiring Answers
Authors: Мизерницкий Ю.Л. 
Published: July 2024

В полемической статье, опирающейся на опыт одной из старейших российских детских пульмонологических клиник, поднимаются наболевшие для медицинского сообщества проблемы бронхиальной астмы, которые требуют пристального внимания в плане подтверждения устоявшихся истин либо нуждаются в их обсуждении и переоценке. Это касается как самого определения заболевания и его фенотипов, уяснения патогенеза, обусловливающего многоликость бронхиальной астмы, так и обсуждения социального бремени, которое она несет. Приходится признать, что социальное и медицинское наполнение диагноза бронхиальной астмы в нашей жизни неодинаково. Одновременно обсуждаются перспективные пути терапии этого высоко социально значимого заболевания.
The polemical article, based on the experience of one of the oldest Russian pediatric pulmonology clinics, raises painful for medical community issues of bronchial asthma requiring close attention in terms of established truths validation or needing to be discussed and reevaluated. This concerns both the very definition of the disease and its phenotypes and understanding of the pathogenesis that determines the diversity of bronchial asthma, and discussions of the social burden it carries. We have to admit that the social and medical content of bronchial asthma diagnosis in our life is not the same. Along with this, promising ways of managing this highly socially significant disease are discussed.
Pharyngoscopic Changes of the Palatine Tonsils in Children with Various Diseases
Authors: Бойко Н.В. , Летифов Г.М. , Стагниева И.В. , Киселев В.В. , Быкова В.В. , Алексеев В.В. 
Published: July 2024

Заболевания глотки – распространенная патология, с которой встречаются врачи различных специальностей в повседневной практике. Многие из этих заболеваний вызывают диагностические трудности, хотя глотка хорошо доступна для осмотра. В статье описаны наиболее часто выявляемые фарингоскопические симптомы заболеваний небных миндалин: налеты, скопления детрита в лакунах, кератиновые кисты, асимметрия небных миндалин, а также важнейшие дифференциально диагностические признаки, облегчающие трактовку этих симптомов в диагностическом процессе. Кроме того, приведены данные морфологических исследований патологически измененных элементов миндалин.
Diseases of the pharynx are common pathologies encountered by physicians of various specialties in everyday practice. Many of these conditions present diagnostic difficulties, although the pharynx is easily accessible for examination. The article describes the most frequently detected pharyngoscopic symptoms of palatine tonsils disease: plaque, tonsillar detritus accumulation in the lacunae, tonsillar keratin cysts, asymmetry of the palatine tonsils, as well as the most important differential diagnostic signs facilitating these symptoms interpretation in the diagnostic process. In addition, data from morphologic studies of pathological tonsils elements are presented.
Epidermolysis Bullosa in the Republic of North Ossetia-Alania: Population Genetic Features, Challenges and Prospects on the Example of Two Clinical Cases
Authors: Касохов Т.Б. , Тебиева И.С. , Цораева З.А. , Габисова Ю.В. , Пелиева Н.Д. , Зинченко Р.А. 
Published: July 2024

Буллезный эпидермолиз (БЭ) относится к группе редко встречающихся заболеваний кожи, которые характеризуются образованием пузырей, эрозий на кожных покровах и слизистых оболочках. Данная патология относится к орфанным заболеваниям, является генетически обусловленной, с разным типом наследования. Базальный слой эпидермиса, зона базальной мембраны и внеклеточный матрикс занимают центральное место в патофизиологии заболевания, а генетические нарушения изменяют структуру или функцию их белков. Мутации затрагивают 20 генов, что объясняет генетическую и клиническую гетерогенность БЭ с формированием четырех основных типов БЭ, включающих более 30 клинических подтипов. Важным диагностическим критерием при буллезном эпидермолизе является ДНК-диагностика. Количество новорожденных детей в Республике Северная Осетия – Алания с 2010 по 2022 г. составило 124 730 человек, при этом диагноз БЭ был подтвержден на молекулярногенетическом уровне в 2 случаях. Таким образом, за исследуемый период распространенность заболевания составила 1 на 62 365, или 1,6 на 100 000 новорожденных, или 16 случаев на 1 млн, что свидетельствует о достаточно высокой распространенности данной патологии в регионе.
Epidermolysis bullosa (EB) belongs to the group of rare skin diseases that are characterized by the formation of blisters and erosions on the skin and mucous membranes. This pathology is an orphan disease and is genetically determined, with different types of inheritance. The basal layer of the epidermis, the basement membrane zone, and the extracellular matrix are central to the pathophysiology of the disease, and genetic changes determine the structure or function of their proteins. Mutations affect 20 genes, and this explains the genetic and clinical heterogeneity of EB with the formation of four main types of EB, including more than 30 clinical subtypes. An important diagnostic criterion for epidermolysis bullosa is DNA diagnostic. The number of newborn children in North Ossetia-Alania from 2010 to 2022 was 124,730 people, while the diagnosis of EB was confirmed at the molecular genetic level in 2 cases. Thus, during the study period, the prevalence of the disease was 1 per 62,365 or 1.6 per 100,000 newborns or 16 cases per 1 million, which indicates a fairly high prevalence of this pathology in the region.
Identification Of Escherichia coli Bacteria In The Herbal Medicine Saffron-Colored Rice In Pekalongan City
Authors: Deby Aninta  , Nila Oktaviani  
Published: July 2024

Kualitas jamu dipengaruhi oleh beberapa faktor salah satunya yaitu air untuk melarutkan bahan baku jamu serta bahan lain telah tercemar oleh bakteri seperti bakteri Escherichia coli. Bakteri ini adalah bakteri indikator dari sanitasi dan lingkungan yang kotor atau kurang bersih pada peoses pembuatan jamu. Escherichia coli masuk kedalam family Enterobacteriaceae yang apabila terdapat pada saluran pencernaan dalam jumlah yang besar mengakibatkan terjadinya infeksi dan berbagai penyakit. Tujuan dilakukannya penelitian ini untuk meneliti ada tidaknya bakteri Escherichia coli dalam jamu gendong beras kencur pada empat Kecamatan Pekalongan. Sampel jamu diambil dengan metode simple random sampling dengan total 4 sampel. Lokasi pengambilan sampel pada wilayah Pekalongan Barat, Pekalongan timur, Pekalongan Utara, dan Pekalongan Selatan. Teknik yang digunakan dalam penelitian ini adalah Most Probable Number (MPN) yang terdiri dari dua pengujian yaitu uji penduga dan uji pelengkap. Hasil penelitian menunjukkan bahwa terdapat satu sampel dengan hasil positif bakteri Escherichia coli yaitu jamu gendong beras kencur yang diambil di daerah Pekalongan Utara dengan nilai MPN sebesar 0,2 MPN/ml, hasil tersebut masih memenuhi persyaratan batas maksimum cemaran mikroba dalam makanan menurut BPOM yaitu <3 MPN/ml, sehingga jamu masih tergolong aman apabila dikonsumsi. sedangkan hasil penelitian tiga sampel lainnya negatif bakteri escherichia coli.