bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative analysis of hemodynamic monitoring with pulmonary artery catheter and transthoracic echocardiography in patients with cardiogenic shock
Authors: Ryabov V. V. , Syrkina A. G. , Kercheva M. A. , Yolgin I. I. , Panteleev O. O. 
Published: August 2024

Aim. To compare main central hemodynamic parameters obtained by pulmonary artery catheterization and transthoracic echocardiography (TTE).Material and methods. This prospective study included 20 patients with acute myocardial infarction complicated by true cardiogenic shock. In all patients, number of central hemodynamic parameters was measured using a Swan-Ganz catheter and TTE. Comparison of both methods was carried out by Spearman correlation analysis and Bland-Altman plots using the STATISTICA 8.0 program.Results. We found quite a lot of agreement between the parameters measured by the two methods in the same patient at approximately the same time. Thus, the cardiac index (CI) is well measured by both methods. At the same time, the correlation coefficient was significantly higher when measuring CI using VTI (r=0,81 vs r=0,81) compared to LV volumes. Therefore, we consider the first method to be preferable. The values of total peripheral vascular resistance (TPVR), estimated by right atrial pressure, did not reveal agreement between methods. At the same time, there was agreement in case of central venous pressure. Measurement of pulmonary wedge pressure did not show agreement in me thods. We believe that this is due to the fact that diastolic function assessment in intensive care patients in the focal TTE mode may be difficult and not sufficiently correct.Conclusion. TTE can be used to monitor central hemodynamics in cases of satisfactory and moderately reduced cardiac imaging. Both the results of CI measurement using the Bernoulli formula and left ventricular volumes, as well as measuring TPVR using central venous pressure, are statistically consistent. Measurement of TPVR using right atrial pressure and measurement of pulmonary wedge pressure did not demonstrate agreement between the different techniques. We believe that TTE can be used to monitor CI and TPVR in patients with myocardial infarction complicated by true cardiogenic shock.
Clinical effectiveness of amlodipine/indapamide/perindopril fixed-dose combination in patients with metabolic disorders: results of post hoc analyzes of the TRICOLOR study
Authors: Karpov Yu. A. , Logunova N. A. , Kvasnikov B. B. , Khomitskaya Yu. V. 
Published: August 2024

Aim. To describe antihypertensive effectiveness of triple fixed-dose combination of am lo dipine/indapamide/perindopril and assess predictors of its clinical effectiveness in pati ents depending on body mass index (BMI) and presence of type 2 diabetes (T2D).Material and methods. This observational prospective study TRICOLOR (NCT03722524) (n=1247) demonstrated high antihypertensive effectiveness and good tolerability of amlodipine/indapamide/perindopril fixed-dose combination. Subgroup analyzes based on BMI included data from 1144 patients. In a second subgroup analysis, 1128 patients were stratified according to concomitant T2D.Results. In patients with overweight/obesity and diabetes, good antihypertensive effectiveness of amlodipine/indapamide/perindopril was observed, comparable in blood pressure (BP) reduction with the comparison groups (patients with normal BMI and patients without diabetes). At the same time, patients with normal BMI, compared with patients with overweight and obesity, had significantly lower systolic BP (SBP) (after 4 and 12 weeks) and diastolic BP (DBP) (after 2 and 12 weeks). In the subgroups, depending on the diabetes status, there were no significant differences in the decrease in SBP and DBP levels at all follow-up points. By the 12th week, BP decrease in the group of patients with normal BMI was 32,9 (10,5)/15,3 (8,6) mm Hg, in the group with overweight — 33,2 (11,3)/14,2 (8,5) mm Hg, in the obesity group — 33,9 (12,3)/14,1 (8,8) mm Hg (p>0,05 for intergroup comparison). Target BP <140/90 mm Hg already after 2 weeks of therapy achieved a higher number of patients with a normal BMI compared to overweight group (50,8% vs 37,2%, p=0,009). By the 12th week, the vast majority of patients, regardless of BMI and diabetes status, achieved a target BP <140/90 mm Hg, which demonstrates a good and rapid response to triple fixed-dose therapy.Conclusion. Thus, additional analyzes of the TRICOLOR study demonstrate the high antihypertensive effectiveness of amlodipine/indapamide/perindopril in hypertensive patients, regardless of the presence of diabetes, overweight or obesity.
Predictors of left ventricular dilation and left ventricular aneurysm development in patients with ST-segment elevation myocardial infarction
Authors: Tishkina I. E. , Pereverzeva K. G. , Nikiforov A. A. , Nikiforova L. V. , Laut M. V. 
Published: August 2024

Aim. To establish predictors of left ventricular (LV) dilatation and post-infarction left ventricular aneurysm (LVA) development in patients with ST-segment elevation myocardial infarction (STEMI) and/or with Q wave.Material and methods. This registry study included patients admitted with STEMI and/or with Q wave in the first 24 hours from the disease onset in the period from November 1, 2022 to March 31, 2023. The study included 138 patients. The mean age of the patients was 62±11 years. Treatment and examination were carried out in accordance with the current Russian clinical guidelines (2020) on STEMI. The levels of stimulating growth factor expressed by genome 2 (sST2), proprotein convertase subtilisin-kexin type 9, N-terminal pro-brain natriuretic peptide and high-sensitivity C-reactive protein were determined in patients by enzyme immunoassay on the first day of the disease. The patients were divided into two following groups: group 1 — patients with LV dilatation/LVA, n=25 (18,1%), group 2 — patients without LV geometry disorders, n=113 (81,9%). Univariate and multivariate regression analyzes were performed to determine independent predictors of LV dilation/postinfarction LVA.Results. This study showed that with an increase in sST2 levels by 1 ng/L, the probability of LV dilation/LVA formation increase by 1,53 times. Anterior location of myocardial infarction increases the probability of LV dilation/LVA formation by 63,55 times. An increase in eGFR on day 2 of hospitalization by 1 ml/min/1,73 m2 reduces the probability of LV dilatation/LVA formation by 1,07 times.Conclusion. The study showed that anterior location of myocardial infarction and increased sST2 levels increase the probability of LV dilation/LVA formation.
Prediction of fatal cardiovascular events in patients with newly diagnosed non-small cell lung cancer
Authors: Filippov A. A. , Lozhkina N. G. , Shefer E. I. , Ruzankin P. S. , Voevoda M. I. 
Published: August 2024

Aim. To study risk factors for fatal cardiovascular events in patients with non-small cell lung cancer over two years of standard treatment.Material and methods. This pilot retrospective non-randomized cohort study included 179 patients who were consecutively admitted to the chemotherapy department of City Clinical Hospital 1 from January to December 2020 with a confirmed diagnosis of non-small cell lung cancer based on the comprehensive examination and morphological verification according to the 2018 clinical guidelines on bronchial and lung cancer. Diagnosis and treatment of cardiovascular diseases were carried out according to national clinical guidelines. The follow-up period for non-small cell lung cancer and cardiovascular disease was 2 years. Logistic regression models were considered to assess the risk of cardiovascular death. The model accuracy was assessed by a cross-validation.Results. The best model in terms of the sensitivity and specificity sum according to a cross-validation was the model with the following explanatory variables: sex, cancer stage, platinum-based chemotherapy, etoposide, immunotherapy, surgical treatment. This model showed a sensitivity of 70,1% and a specificity of 82,1%.Conclusion. This approach is easy to implement and may optimize treatment for patients with non-small cell lung cancer.
Physical Education in the Restoration of Damaged Functions in Students After Blast Tbi Complicated By Acuborotrauma
Authors: Blavt Oksana , Gurtova Tetyana 
Published: August 2024

Background. In the conditions of a long armed conflict, and, therefore, a permanent increase in the number of students affected by the war, there is a need to reorganize the content of physical education in higher schools, in accordance with modern requests and needs.
Objectives. The purpose of the article is to reveal the effectiveness of the implementation of a differentiated PE program in restoring gait and balance functions in students after blast TBI, complicated by acuborotrauma.
Materials and methods. The “10 Meter Walk Test” was used for the implementation of the experiment, the results of which were processed using the methods of mathematical statistics. The studied sample consisted of 20 students after blast TBI, complicated by acuborotrauma, in the first year of study at a higher education institution.
Results. In conclusion, according to the results of the final test cut, there is every reason to consider the implemented differential program effective in achieving the effectiveness of the correction of vestibular dysfunctions. This was reflected in the improvement of the results of the “10 Meter Walk Test” both in integral results and in intermediate sections, as well as in the results of tests used to control the level of balance development. The recorded positive dynamics within 9-19% of all students of the studied sample is evidence in favor of the implemented program.
Conclusions. Research-experimental verification of the effectiveness of the implementation of the developed differentiated physical education course program for students after blast TBI, complicated by acuborotrauma, proved the effectiveness of the proposed innovations. The established dynamics of the studied indicators and their analysis made it possible to answer questions about the effectiveness of the implemented differentiated program aimed at eliminating functional disorders in the body of students as a result of blast TBI, complicated by acuborotrauma. The effectiveness of the implementation of the program is proven on the basis of the established improvement of the test results of the students of the studied sample.
Improving the Learning Outcomes of Volleyball Passing Through the Wall-Bounced
Authors: Shellen Sherial , Usra Meirizal , Destriani Destriani , Bayu Wahyu Indra , Nanda Fitri Agung 
Published: August 2024

Objectives. The purpose of this research was to find out the improvement in learning to pass under volleyball through reflections on the wall in SMA Arinda Palembang students.
Materials and methods. This research method uses class action research methods. The sample used in this study amounted to 35 people. The research instrument is 1) passing skills test, 2) knowledge test, and 3) observation of learning activities.
Results. From the results and analysis of research data, it can be concluded that the learning outcomes of class XI students of SMA Arinda Palembang always increase in each cycle. The results of this study show that learning bottom pass-through reflections on the wall in volleyball games can improve the learning outcomes of bottom pass volleyball in class XI SMA Arinda Palembang.
Conclusions. The implication of this research is that passing exercises through reflections on the wall can be used as learning to improve learning to pass in volleyball games.
Readiness of malaria elimination in community and health facility of Mannaung Township, Rakhine State, Myanmar in 2022: a mixed-methods study
Authors: Than Wint Phyo , Mon Aye Sandar , Mon Khaing Lay , Soe Than Naing , Win Hla Hla 
Published: August 2024

Background: Myanmar aims to eliminate Plasmodium falciparum malaria by 2025 and all human strains by 2030. In 2018, three townships including Mannaung township in Rakhine State were chosen for elimination pilot projects. The readiness assessment of community health-seeking behaviour and healthcare services of a malaria surveillance system for malaria elimination was conducted in Mannaung township.
Methods: In December 2022, a mixed-methods survey interviewed 400 villagers regarding health-seeking behaviour and in-depth interviews (IDI) with Healthcare Providers (HCPs) from eight Health Centers and three hospitals for healthcare services of surveillance systems for malaria elimination.
Results: Of 400 households, 154 (38.5%) had at least one family member contracting fever in the last 3 months. Among the 686 members contacted, 220 (32.1%) had a fever within the 3 months. Of these reported fever, 70 respondents (31.8%) were tested with RDT of which 51 (72.9%) were tested within 24 hours. Three main themes emerged from qualitative data analysis: experience of malaria prevention and control activities, malaria case-based response activities and suggestions to improve malaria surveillance. Although most of the HCPs expressed their understanding of testing criteria for malaria elimination, some had a knowledge gap in malaria elimination response activities. The HCPs received malaria elimination training in 2019, but they suggested providing malaria elimination-related training annually.
Conclusions: The readiness assessment revealed delayed health-seeking behaviour in malaria thus awareness raising within the community should be provided. The HCPs need to enhance their ability to conduct surveillance activities for malaria elimination.
Teoria sócio–histórica: uma reflexão a partir dos jogos digitais aplicados ao ensino de química
Authors: Fróes Júnia Dariane , Araújo Wanderson Pereira , Fernandes Alyson Trindade , Alves Janainne Nunes 
Published: August 2024

Este estudo tem suporte na teoria sócio-histórica e apresenta reflexões sobre as tecnologias educacionais aplicadas como instrumentos de interação e mediação, e, portanto, capazes de ativar processos mentais por meio de diferentes estímulos e linguagens. Para tal, são reportadas experiências provenientes da instrumentalização do jogo Quizz Química desenvolvidas com o auxílio de um Guia Pedagógico. O guia aborda os conteúdos curriculares, ao mesmo tempo em que suporta a compreensão dos processos cognitivos relacionados. A presente investigação ocorreu na Escola Estadual XXXXX (XXXXX-MG) com estudantes do Ensino Médio Integrado do Curso de Administração. Utilizou-se como metodologia a pesquisa-ação, a qual envolveu a observação da prática pedagógica no ensino de Química e a aplicação de questionários a estudantes e professores. Os estudantes foram unânimes em considerar que a compreensão do conteúdo foi simplificada e afirmaram desejar mais aulas com jogos digitais. Os resultados sugerem elevado potencial mediático e estímulo ao desenvolvimento de habilidades cognitivas, possibilitando melhor apreensão do conteúdo. Entretanto, é importante compreender que esta experiência positiva não significa que o uso de tecnologias digitais por si só modifica o processo de aprendizagem, sendo imprescindível a atuação e mediação do professor para que o objetivo pedagógico seja alcançado.
Does the 2030 agenda generate happiness? A longitudinal approach to the SDGs vs. the well-being of the world
Authors: Jose Arana-Barbier Pablo 
Published: August 2024

This research aims to determine the relationship between the SDGs and the happiness of people in 40 developed and 114 developing countries since the 2030 Agenda initiative was implemented back in 2015. No literature measures such an impact and it is essential to start the debate on the matter. This study determined that the relationship between the SDGs and the world’s happiness among the time horizons analyzed (2015-2021) is negligible through a set of panel data and multiple linear regressions. There is much greater structural happiness that comes from sources other than the 2030 agenda. However, although most of these relationships are negative, the classification of the statistically significant SDGs into Maslow’s pyramid offers a novel view that allows prioritizing taking actions first on those SDGs associated with the most basic needs of people. This study offers opportunities for future research into why an initiative such as the 2030 Agenda which seeks to generate well-being has the opposite effect and proposes that the initiatives associated with the 2030 Agenda be first linked to the SDGs at the bottom of Maslow's pyramid and that they progressively ascend as positive correlations are achieved between the SDGs and people's well-being.
The Impact of Transportation on The Avocado Market in Tanzania
Authors: Tumaini Steven , Ghahula Raphael , Macha Salvio 
Published: August 2024

Avocado (Persea americana) is grown in many nations throughout Africa, Asia, Europe, and South America. The climate of Tanzania offers a perfect habitat for growing avocados. This paper investigates how transportation affects the Tanzanian avocado industry. Data were gathered from 505 farmers and 37 categories/groups using a cross-sectional design. Data analysis was done using SPSS where descriptive statistics and the chi-square test. A one-way analysis of variance (ANOVA) with Tukey's Honest Significant Difference (HSD) test at p < 0.05 was also done. According to the results, local avocado output is dominated by men (79% male vs. 21% female). The result of the binary logit model revealed that the participation of avocado producers in a high-value market was influenced by age, educational status, the number of avocados sold, the price of avocado, and market information. With sorting (12%), grading (7%), and packaging (9%), quality during production was judged most important (25%), followed by harvesting (16%), storage (16%), and transportation (15%) with less relevance were factors impacting quality. Improving the avocado market for growers depends on addressing these problems at the national, regional, and district levels. Hence, transportation has a big influence on the avocado industry since smallholder growers have great difficulties influencing market access and produce quality. Improvement of transport infrastructure and support systems at the national, regional, and district levels will help to boost the avocado market.
Évaluer et accompagner les enseignants : des articulations pour un modèle à référence humaine d’autoévaluation de l’établissement scolaire
Authors: Elomari Kaoutara , Boukdir Abdelaziz , Zaytouni Anas 
Published: August 2024

Cet article présente un modèle d’autoévaluation et d’accompagnement des acteurs dans les établissements scolaires en mettant l’accent sur les indices de sa référence humaine. L’objectif de ce travail est de présenter un dispositif intégré d’évaluation/accompagnement et d’expliquer une partie de sa mise en œuvre relative au suivi de la pratique enseignante. Notre hypothèse est qu’un ensemble de synergies au sein de chaque processus à part, celui de l’évaluation et celui de l’accompagnement et surtout des articulations centrales entre ces deux processus forment la source qui nourrit la visée humaine de la gouvernance interne de l’établissement. En se basant sur un dispositif qui se compose d’une matrice évaluative et d’un ensemble d’instruments d’observation et de mesure des performances, l’expérience mené au sein d’un groupe scolaire d’ enseignement privé consistait à intégrer les enseignants, acteurs principaux de notre recherche-action, dans la mise en œuvre de l’évaluation et à les accompagner en même temps pour développer leur pratiques. A mi-parcours de ce projet, nous avons conclu que les enseignants ont pu jouer le rôle d’évaluateur-acteur et ont réussi à travers leurs participation réflexive et active à développer leurs projets professionnels et à concrétiser les actions du projet de l’établissement.

This article presents a model for self-evaluation and support of actors in schools, focusing on the indicators of its human reference. The aim of this work is to present an integrated assessment/support system and to explain part of its implementation relating to the monitoring of teaching practice. Our hypothesis is that a set of synergies within each separate process, that of assessment and that of support, and above all the central links between these two processes, form the source that feeds the human dimension of the school's internal governance. Based on a system consisting of an evaluation matrix and a set of instruments for observing and measuring performance, the experiment conducted within a private school group involved integrating the teachers, the main actors in our action research, into the implementation of the evaluation and at the same time supporting them in developing their practices. Halfway through the project, we concluded that the teachers had been able to play the role of evaluator-actor and had succeeded, through their reflective and active participation, in developing their professional projects and putting into practice the actions in the school's project.
Impact of Nurse Residency Programs on Retention and Job Satisfaction: An Integrative Review
Authors: McGregor Heather M. , Scott Morgan , Gorham Robyn , Hunt Elena 
Published: August 2024

Objects: Retention of new nurses is vital within the context of the nursing shortage Canada is currently facing. Nurse residency programs (NRP) need to be explored to better understand their role in combating the nursing shortage. The aim of this study is to explore current nurse residency programs and their impacts on retention and job satisfaction with the aim to inform development of similar programs in Canada. Methods: The study utilized Whittemore and Knafl’s integrative review methodology to review current literature on nurse residency programs in The United States of America with focuses on retention rates, job satisfaction and intent to leave. Overall, this article drew on seven distinct research studies. Findings: The literature review found that Nurse Residency Programs (NRP) can improve retention rates however, this may be due to contracts signed upon beginning of NRP. Job satisfaction for newly licensed registered nurses (NLRNs) participating in NRP also showed improvements but their impact on reducing turnover intention is unclear and needs further study. Conclusion: The impact of nurse residency programs on retention and job satisfaction has some positive effects, but the strength of this relationship remains unclear and would benefit from further research.