bluuebunny/crossref_metadata_2025_split huggingface dataset:
A posztoperatív pancreasfistula csökkentésére bevezetett innovációink
Authors: Kelemen Dezső , Varga Ádám , Palkovics András , Ferencz Sándor , Vereczkei András 
Published: June 2024

Bevezetés: A posztoperatív pancreasfistula mind proximalis, mind distalis pancreatectomia után a legjelentősebb sebészi szövődménynek számít. A szakirodalomban nincs egyértelműen ajánlott, megbízható módszer ezen probléma kiküszöbölésére, emiatt történnek újítások szerte a világon. Jelen közleményünkben a technikai innovációinkról számolunk be. Anyag és módszerek: 2013. január 1-jétől 2023. november 30-ig terjedő időszakban 205 Whipple-műtétet végeztünk nyitottan, mely során a pancreatojejunalis anastomosist az általunk módosított dohányzacskó-öltéses módszerrel készítettük el. 2019. január 1. és 2023. november 30. között pedig 30 betegnél történt nyitott distalis pancreatectomia, amikor a pancreascsonkot az általunk kifejlesztett technikával, szabad rectus fascia-peritoneum grafttal fedtük, majd azt cirkuláris öltéssel rögzítettük. Közleményünkben ezen két módszerrel elért eredményeket ismertetjük. Eredmények: a demográfiai adatok megfeleltek a betegségnél szokásosnak. A posztoperatív ápolási idő és a transzfúzió igény terén észlelt különbségek tükrözték a kétféle beavatkozás eltérő invazivitását. A releváns pancreasfistula kialakulási rátája kedvező képet mutatott, Whipple-műtét után 7,3% volt, míg distalis pancreatectomát követően nem fejlődött ki. A reoperációs és a halálozási arányok megfeleltek az elvártaknak és korreláltak a műtétek kiterjedtségével. Következtetés: pancreas resectiók utáni komplikációk csökkentésére tett törekvéseink során a módosított dohányzacskó-öltéses pancreatojejunostomia és a pancreascsonk fedésére kidolgozott módszerünk egyaránt kedvező eredményekkel járt.
The Multi-Level Governance Dilemma in Mandalika Special Economic Zone: A Bargaining and Cooperation Approach
Authors: Affandi Roseno Aji , Putri Salsa Nabila , Mursitama Tirta Nugraha , Yani Yanyan Mochamad , Bainus Arry 
Published: June 2024

This study’s background is based on the social and political tension in developing the SEZ in Indonesia. The research concluded that the main problems in SEZ development stemmed from three main factors: (1) lack of comprehension of multi-level governance, both from the central and local governments; (2) too-centralized government imposing top-down regulation; (3) lack of skills from the local government and local community to negotiate and collaborate with the multi-stakeholders. This study disclosed that Mandalika SEZ has encountered the same problem, specifically the lack of the role of local government and local communities in participating in Mandalaika SEZ sports tourism development. This study is crucial in terms of its contribution to theory and fieldwork investigation. This study investigated the political economy impacts of Mandalika SEZ by employing the integration of Multi-Level Governance (MLG) and Bargaining and Cooperation (BNC) theories. The integration of these theories is novel and differentiates them from previous research. This study employed a qualitative research approach, utilizing stakeholder interviews as the primary data source, complemented by secondary data obtained from prior research.
Unsafe abortion: journey from unmet needs to denial for contraception
Authors: Singh Reeta , Shukla Pankhuri , Aditya Vani , Sarkar Ruma 
Published: June 2024

Background: Easy over the counter availability of abortion pills leads to unsupervised rampant use of the pills which further results in physical and mental health complications and social and financial burdens for women, communities and health systems. Aims and objectives were to study the sociodemographic, obstetric and clinical profile of the women presenting with unsupervised intake of abortifacient, and to study the acceptance of post abortal contraception and also the method of contraception accepted.
Methods: This present study was carried out in women with history of unsupervised self-intake of abortifacient and presenting with complain of bleeding per vaginum and various other complications in the emergency or outpatient department of obstetrics and gynaecology between October 2022 to September 2023 at Nehru Hospital, BRD Medical college, Gorakhpur. Complete personal, sociodemographic and obstetric history was obtained. Complete general and systemic examination was done and all routine investigations were sent.
Results: A total of 197 women were enrolled in this study. In our study majority 39.48% (n=77) of women were between 25-30 years age. 56.34% (n=111) belonged to low socioeconomic strata and 69.54% (n=137) resided in urban area. 42.63% (n=84) were gravida 3 or more. 22.8% cases took abortifacient pills beyond 9 weeks of gestation. All patients procured the contraceptive from local practitioner, quacks, medical stores and chemists without any consultation from gynecologist. Most frequent complain was Chronic bleeding per vaginum with RPOC (n=112, 56.85%). Majority patients had moderate to severe anemia and 53.8% (n=106) required blood transfusion. 2.03% (n=4) presented with features of sepsis and 2.03% (n=4) presented with ruptured ectopic. Majority (n=160, 81.21%) didn’t opt for post abortion contraception.
Conclusions: One major contributor to unsafe abortions is the easy availability of abortion pills. These pills should be restricted from over-the-counter sales and made available to the public only through authorized MTP centres with a proper prescription.
A study to estimate the knowledge and practice regarding safe sex among teenage girls attending a rural hospital
Authors: Haldar Sanjana , Akhtar Selim , Chowdhury Srijoni , Chatterjee Shiv S. , Dan Utpal 
Published: June 2024

Background: This work was planned to assess knowledge about sexually transmitted diseases (STDs), contraceptive methods available and the practice of use of contraceptives and personal hygiene among teenage girls attending the outpatient department (OPD) of a rural medical college.
Methods: Consenting, non-pregnant teenage girls (14-19 years) attending the gynaecology and obstetrics OPD with minor ailments were asked to respond to a questionnaire and blinded data collection was done by two lady counsellors. Statistical analysis was performed.
Results: Knowledge of STI, unwanted pregnancy and family planning was significantly higher in teenage girls with sexual exposure, and in those who had completed standard 12 education (p<0.001).
Conclusions: Our work suggests that in this particular rural setting knowledge level of STD, HIV and unwanted pregnancy is high but practice of safe sex and contraceptives are low. We suggest implementation of age-appropriate gender based, culturally sensitive sex education curriculum in schools to cope up the increasing vulnerability of young girls. Additionally, community participation, health care institutions and media can raise awareness in teenage girls and their families and remove the taboo regarding family planning practices.
Expert perspectives on the clinical use of high-dose amoxicillin with clavulanic acid in pediatric practice in Indian settings
Authors: S. Manjula , Kumar M. Krishna 
Published: June 2024

Background: This study was conducted to gather expert opinion regarding the clinical use of a high dose of amoxicillin 600 mg + clavulanic acid 42.9 mg in pediatric practice in Indian settings.
Methods: This cross-sectional study comprised 19 questions and gathered perspectives from pediatricians across India regarding the prescription practices of amoxicillin (600 mg) and clavulanic acid (42.9 mg) for various bacterial infections in pediatric patients. Data were analyzed using descriptive statistics.
Results: Majority (85.65%) of clinicians opined that the high dose of amoxicillin (600 mg) and clavulanic acid (42.9 mg) was very effective in treating bacterial infections in pediatric patients. About 54% of the respondents reported prescribing 600 mg amoxicillin + 42.9 mg clavulanic acid as the high dose for pediatric patients, while 41% of them prescribed 400 mg amoxicillin + 57 mg clavulanic acid as the high dose for pediatric patients. According to 51% of clinicians, the benefits of prescribing the higher-strength formulation of amoxicillin (600 mg) + clavulanic acid (42.9 mg) compared to the standard-strength formulation of amoxicillin (500 mg) + clavulanic acid (125 mg) include increased effectiveness against resistant bacteria, reduced risk of adverse effects, and reduced frequency of dosing.
Conclusions: This study highlighted the clinicians' preference for the high dose of amoxicillin (600 mg) and clavulanic acid (42.9 mg) as an effective treatment for bacterial infections in pediatric patients. The respondents preferred the high dose over other doses of amoxicillin and clavulanic acid due to the lower percentage of adverse effects.
O zachowaniu własnej duszy. Na podstawie Emancypantek Bolesława Prusa
Authors: Głąb Anna 
Published: June 2024

Autorka próbuje dokonać interpretacji powieści Bolesława Prusa Emancypantki, odwołując się do historii głównej bohaterki, Madzi Brzeskiej, oraz wykładu metafizycznego prof. Dębickiego. Uważa, że istnieje związek między tezami metafizycznymi a etyką bohaterki powieści. Jej zdaniem, Prus próbuje w powieści przedstawić swoistą filozofię życia, opartą na osiągnięciach ówczesnych nauk przyrodniczych, ale także na włączeniu do niej komponentu religijnego. Tym jednak, co jest w powieści najbardziej kluczowe, jest przydanie w tej filozofii życia miejsca człowiekowi, przy jednoczesnym wyznaczeniu mu zadania moralnego. Najpierw autorka krótko (1) przedstawia kontekst historyczny powstania powieści Prusa, by następnie (2) przejść do wątku egzystencjalnego, a zatem perypetii Madzi, by później (3) skupić się na confession de foi Dębickiego-Prusa, w którym uznaje on istnienie nieśmiertelnej duszy oraz życia wiecznego. Na koniec (4) zastanawia się nad trwałością metafizyki zawartej w wykładzie Dębickiego.
Czy phrónēsis jest jedną z wielu praktycznych umiejętności?
Authors: Szutta Natasza 
Published: June 2024

Niniejszy artykuł wpisuje się w ożywioną obecnie dyskusję na temat tego, czy istnieje coś, co nazywamy mądrością praktyczną. Od początków etyki phrónesis była pojmowana jaka jedna z najważniejszych cnót. We współczesnej etyce, za sprawą sytuacjonistów – etyków silnie inspirowanych wynikami badań w obszarze psychologii społecznej – zakwestionowano istnienie cnót, a pośród nich phrónesis. Strategią przezwyciężenia sytuacjonistycznej krytyki było ujęcie cnót jako praktycznych umiejętności na poziomie eksperckim (takich jak np. wirtuozerskich umiejętności gry na instrumencie), których istnienia nikt nie kwestionuje.
Autorka wykazuje podobieństwa i różnice między umiejętnościami praktycznymi a cnotami. Odnosi się do ujęcia phrónesis jako specyficznej cnoty, która spełnia wiele różnych funkcji. Zastanawia się, czy strategia obrony tradycyjnie ujmowanej cnoty jako umiejętności praktycznej na poziomie eksperckim jest słuszna; czy nie jest ona jednak pewnym rodzajem trudnego do zaakceptowania redukcjonizmu.
La representación desproporcionada de una población “minoritaria” en la “educación especial” en la escuela: el caso de España
Authors: García Castaño Francisco Javier , Zornoza Madrid Marta , Martínez Chicón Raquel 
Published: June 2024

Desde la literatura internacional se han realizado investigaciones sobre la representación desproporcionada en la “educación especial”. En España los estudios sobre esta temática son escasos. En este caso, nos centramos en el estudio de esta desproporción, pero en el marco de la gestión de la diversidad en el contexto escolar. Para ello se ha realizado una comparación de los datos de población de nacionalidad extranjera con la población de nacionalidad española a partir de las estadísticas oficiales. En ambos casos se trata de población matriculada en las escuelas en España. Los datos estadísticos que presentamos en nuestro trabajo evidencian porcentajes muy diferentes de presencia en educación especial de determinadas nacionalidades frente a la población de nacionalidad española. Las diferencias que se evidencian nos anuncian la existencia de desigualdades en la escuela que se matizan según los territorios y la titularidad de los centros educativos.
Recibido: 29 junio 2023 Aceptado: 28 septiembre 2023
Lanskap terapeutik pada perpustakaan: redefinisi peran perpustakaan pascapandemi covid-19
Authors: Andini Yokke , Fuady Najmi 
Published: June 2024

Gagasan lanskap terapeutik telah digunakan secara luas untuk menggambarkan hubungan antara tempat dan peningkatan kesehatan mental. Tulisan ini menggunakan data dari penelitian kualitatif yang dilakukan dengan pemustaka dengan latar belakang yang beragam untuk menguraikan peran perpustakaan umum sebagai lanskap terapeutik. Data dikumpulkan dengan metode purposive dan convenience sampling dengan mewawancara dua orang pustakawan dan sepuluh pengunjung Perpustakaan Umum Daerah DKI Jakarta. Data yang didapat kemudian dianalisis menggunakan 3 tahapan yaitu pengumpulan dan reduksi data, interpretasi data, dan penulisan atau penyusunan laporan penelitian. Tulisan ini menempatkan perpustakaan umum sebagai ruang yang secara bersamaan akrab dan ramah, nyaman dan menenangkan, serta memberdayakan. Lebih lanjut, tulisan ini difokuskan untuk menggambarkan konsep lanskap terapeutik yang diterapkan pada perpustakaan umum dan bagaimana pemustaka mempersepsikan lanskap terapeutik yang diterapkan pada perpustakaan.
TRANSFORMATION: LIBRARY SERVICES TRADITIONAL AND MODERN
Authors: Jamil Awalludin 
Published: June 2024

The development of information and communication technology has changed library services from traditional to modern. In the current era, digital libraries have utilized technologies such as barcoding to improve operational efficiency, speed up the process of borrowing, returning and collection data collection. Objective: to understand the differences between traditional and modern library services and the skills librarians need to manage these changes. Methods: Analysis, synthesis and comparison methods were used to understand library development services from various aspects. This involves historical, social, cultural and technological analysis. Results: that digital libraries are not just about collecting materials online, but also providing services, maintaining traditions, and providing access to accurate information. Comparison of traditional and modern library services shows significant changes in terms of functions, technologies used, and service efficiency. Recommendation: Librarians should develop new skills and utilize technology to improve library services. Keywords: Transformation, Library Services, Information and Communication Technology.
A systematic review on the effect of immediate autologous microsurgical breast reconstruction on the timely initiation of adjuvant therapy
Authors: Dengsoe Ida Bjoernsted , Sabitovic Ajla , Damsgaard Tine Engberg 
Published: June 2024

Aim: Postoperative administration of adjuvant therapy is associated with reduced breast cancer recurrence and mortality. Concerns have been raised that immediate reconstruction may lead to a delay in the administration of adjuvant therapy with the risk of compromising survival. This systematic review seeks to evaluate and discuss whether post-mastectomy immediate autologous microsurgical breast reconstruction affects the timely initiation of adjuvant chemotherapy and radiotherapy.
Methods: PubMed and EMBASE were searched to identify studies assessing the impact of immediate autologous microsurgical breast reconstruction on the timely initiation of adjuvant therapy.
Results: Seven studies comprising 267 patients treated with immediate autologous microsurgical reconstruction followed by adjuvant therapy and 2,622 patients treated with mastectomy-only followed by adjuvant therapy were included in this study. Reconstructed patients started adjuvant therapy later, with a mean difference ranging from 2 to 14 days. Adjuvant therapy was initiated after 4-10 weeks in most cases - regardless of reconstruction or not - and only few examples of delays of more than 12 weeks were recorded. Major postoperative complications were found to be associated with delay in the initiation of adjuvant therapy.
Conclusion: The literature generally agrees that delays in adjuvant therapy beyond 12 weeks after surgery are associated with increased breast cancer recurrence and mortality, but uniform data on the clinical effects of delays within this interval are lacking. The association between postoperative complications and delays in adjuvant therapy underlines the importance of careful patient selection, a multidisciplinary treatment approach, and other measures known to reduce the risk of complications.
Dukungan Teman Sebaya untuk Memahami Materi Pelajaran pada Anak Tunarungu di Sekolah Luar Biasa
Authors: Anggraini Mirna , Laeli Shifa Nur Fauziah  , Muhammad Irgie Fahmi Aulia  , Suparmi  
Published: June 2024

Pendidikan inklusif menjadi sangat penting karena bersifat keberagaman tanpa membedakan satu sama lain. Anak tunarungu yang secara fisik memiliki keterbatasan dalam hal pendengaran tentunya memiliki perbedaan kondisi fisik dengan anak normal lainnya. Adapun dalam setiap pendidikan tentunya ada interaksi yang dilakukan antar sesama untuk saling menerima informasi. Interaksi dengan teman sebaya dapat menciptakan interaksi sosial yang memberikan efek dukungan. Tujuan penelitian ini adalah untuk mengetahui peran dan dukungan teman sebaya dalam bekerja sama untuk memahami materi pelajaran pada anak tunarungu di Sekolah Luar Biasa (SLB). Metode penelitian yang digunakan adalah metode penelitian kualitatif pendekatan deskriptif. Hasil penelitian di SLB Negeri Surakarta menunjukkan adanya dukungan teman sebaya pada anak tunarungu sangat berperan penting dalam memahami materi pelajaran di kelas. Dengan adanya dukungan teman sebaya dapat tercipta interaksi positif yang dapat membantu dalam memahami materi sehingga kerjasama antar siswa tunarungu dapat terjalin dengan baik.
Implementation of nano-urea and nano-DAP for increasing crop growth, yield and soil fertility in cauliflower and tomato
Authors: Sharma Shagun , Kumar Anil , Singh Kapur , Suman Suman , Pathak Shakti Om 
Published: June 2024

Abstract

Nanotechnology-derived nutrient availability and sustainable agriculture are a dire need to facilitate crop productivity. This study highlights and determines the effectiveness of an integrated approach using nano-fertilizers (nano-urea and nano-DAP), organic manure, Sagarika and biofertilizers on Cauliflower and Tomato. Standard field experiments with randomized block design (RBD) encompassing distinct treatments with nano-fertilizer foliar application on eighty on-farm trials were employed in village Khatawali (28.23° N, 76.76° E), Haryana during 2020-21 and 2021-22. The average yield of cauliflower was 12.2% higher in 2021 and 15.4% higher in 2022. For tomato, the average yield was 12.6% higher in 2021 and 14.9% higher in 2022 as statistically analysed using ANOVA. Extensive analysis was made on the soil nutrient availability besides the forecast of the beneficially affected economy (profitability). Therefore, the crop-productivity and other yield attributes from combined formulations of nano-fertilizers and conventional non-toxic agri-inputs fully unlock the potential benefits to proceed eco-friendly and cost-efficient agriculture.
Identifying for some Immune and Hematological Indicators in Crohn,s Patients Infested through Entamoeba histolytica Infection
Authors: Sayal Raad Ajam , Hashim Fatima 
Published: June 2024

Abstract

Objective: The current study aimed to diagnose the Entamoeba histolytica parasite in crohn,s disease patients . addition to measure immunological indicators (interleukin-34 and interleukin-38) and some hematological indicators.
Methods: 150 samples of blood and stool were collected from the people participating in the study, which included 75 patients with crohn,s disease and 75 controls attended to Al-sader teaching hospital and Al-hakeem hospital in Province of Najaf from September 2020 to December 2020, and microscopic examination was performed for all stool samples and ABO blood group test also performed for all blood samples in addition to measure concentration levels of IL-34 and IL-38 by ELISA system from blood.
Results: the results of microscopic examination revealed of 14 of total 75 patients with crohn,s disease were infected with Entamoeba histolytica while there were 5 participatants infected with Entamoeba histolytica from total 75 control group.
Whereas the ABO blood group test revealed that highest rate of the patients suffering from crohn,s disease were from blood group B (40%), while the ABO blood group test for control group revealed that most of the people who participated were from blood group A (42.6%).
The results of ELISA test revealed that the IL-34 and IL-38 is highest in patients group (627.0± 117.147) , (522.9 ± 99.922) mor than control group (203.6 ± 157.351) , (153.0 ± 109.553) respectively with significant p value (<0.001).
Extreme Optical Nonlinearity (&gt; 500) at Room Temperature through Sublattice Reconstruction
Authors: Liu Xiaogang , Chen Jiaye , Liu Chang , Xi Shibo , Tan Shengdong Tan , He Qian , Liang Liangliang 
Published: June 2024

Abstract

The ability of materials to respond to optical stimuli with significant nonlinearity is crucial for technological progress and innovation. Although photon avalanche upconversion nanomaterials with optical nonlinearities over 40 are known, surpassing this level for practical use has remained a challenge. Here, we demonstrate that it is possible to significantly enhance optical nonlinearity in photon avalanches to values beyond 500 by reconstructing the sublattice within an expanded avalanche network. Experimental investigations reveal that this substantial boost in nonlinearity is mainly due to an amplified disparity between electric dipole and magnetic dipole transitions, caused by local crystal field distortions upon lanthanide doping. These distortions preferentially support excited-state absorption governed by electric dipole transitions, which sharply contrasts with ground-state absorption strongly contributed by magnetic dipole transitions, thereby drastically enhancing photon avalanching efficiency. This improvement in optical nonlinearity enhances lateral and axial resolutions to 33 nm and 80 nm, respectively. Our research also reveals that nanocrystals exhibit regional differentiation, showing significant variations in optical performance across different regions of the nanocrystals. This finding enables the visualization of nanoemitters at a resolution and level of detail exceeding their actual size, thereby overcoming the constraints of conventional imaging methods. These developments should pave the way for significant improvements in super-resolution imaging, ultra-sensitive sensing, on-chip optical switching, and infrared quantum counting.