bluuebunny/crossref_metadata_2025_split huggingface dataset:
Knowledge, Practices, and Barriers of Communication Skills among a Group of Primary Health-care Physicians in Baghdad 2023
Authors: Mohammed Zahra’a Ahmed , Mohammed Ghaith Sabri 
Published: August 2024

Abstract

Background:
Communication skills are essential for health professionals to achieve a positive relationship with patients, improving their health and quality of life. Communication is the foundation for obtaining medical history and conveying a diagnosis and treatment plan.

Objectives:
To assess the knowledge, practice of communication skills among primary care physicians, to find out any barriers related to the communication skills, and the association between the studied variables with knowledge and practice of communication skills.

Methodology:
A cross-sectional study with analytic component conducted in 40 Primary Health Care Centers in Baghdad, with data collection during a period of 4 months from March 1, 2023 to June 30, 2023. Data had been collected in a questionnaire by direct interview with the participants done by the researcher and including three parts: (participants’ sociodemographic characteristics, knowledge, practice toward communication skills, and the barriers to successful communication).

Results:
The total number of the participants was 126. The level of knowledge of the participants about physician-patient communication skills was fair in 74 (58.7%) of them, poor in 35 (27.8%). The highest prevalence of poor level of knowledge was seen in participants with specialties other than family medicine and in those with more than 20 years of experience. Level of practice of the participants toward physician-patient communication skills was good in 63 (50%) of them and 63 (50%) had moderate level of practice. The highest prevalence of moderate level of practice was seen in elderly age participants. The most common barrier as mentioned by the participants was time limitation.

Conclusion:
The majority of primary health-care physicians in this study have fair levels of knowledge, with moderate to good level of practice about communication skills. Family physicians and those who had experience between 10 and 19 years had better knowledge about communication skills. Time limitations are perceived as the biggest hindrance to communication followed by the presentation with multiple complains.
Unmet Needs and Barriers to Assistive Technology in the Coastal Districts of Karnataka, India
Authors: Kamath Ramachandra , Fernandes Edmond , Dsouza Neevan , Ghai Glory , Kamath Surekha R. 
Published: August 2024

Background:
Assistive Technologies (AT), such as hearing aids, walking aids, prostheses, spectacles, can improve the quality of life and enable many to lead dignified lives. The rapid Assistive Technology Assessment (rATA) tool developed by World Health Organization (WHO) can measure the needs of AT and the barriers to accessing them.

Objective:
This study aimed to measure the unmet needs and the usage of AT via the rATA tool in the coastal state of Karnataka in India.

Methodology:
A population-based survey was conducted among a total of 500 households - 250 from Mangalore and 250 from Udupi of Coastal Karnataka. The need for AT was assessed under six domains of activities, including mobility, seeing, hearing, communication, remembering, and self-care.

Result:
The mean age of study participants was 34.3 years with standard deviation of 21.2 years. 30.6% of the study participants reported the use of assistive products out of which 27.3% used one product and 2% used two products. 89.5% of assistive products were procured from private sector and only 4.1% was obtained from public sector. The level of difficulty in doing any activity increased with age. 301 participants reported out of pocket expenditure for assistive products with mean expenditure of Rs 2226.05 (S. D. 2204) per year. Spectacles, orthoses (spinal) and therapeutic footwear were most common assistive products with unmet need.

Conclusion:
Our findings highlight the urgent need to mainstream geriatric care policies which address functional difficulties among older people, resolve out-of-pocket spending through public private partnership for assistive technologies.
Tuberculosis detection bars on VGG19 transfer learning and Zebra Optimization Algorithm
Authors: Le Tianzhi , Shi Fanfeng , Ge Meng , Dong Ran , Shan Dan 
Published: August 2024

Tuberculosis (TB) remains a significant global health challenge, necessitating accurate and efficient diagnostic tools. This study introduces a novel approach combining VGG19, a deep convolutional neural network model, with a newly developed Zebra Optimization Algorithm (ZOA) to enhance the accuracy of TB detection from chest X-ray images. The Zebra Optimization Algorithm, inspired by the social behavior of zebras, was applied to optimize the hyperparameters of the VGG19 model, aiming to improve the model's generalizability and detection performance. Our method was evaluated using a well-defined metric system that included accuracy, sensitivity, and specificity. Results indicate that the combination of VGG19 and ZOA significantly outperforms traditional methods, achieving a high accuracy rate, which underscores the potential of hybrid approaches in TB image analysis.
Tissue inhibitor of metalloproteinase-3 expression affects clinicopathological features and prognosis of aflatoxin B1-related hepatocellular carcinoma
Authors: Liang Qiu-Ju , Long Qin-Qin , Tian Feng-Qin , Su Qun-Ying , Zhu Xiao-Ying , Long Xi-Dai 
Published: August 2024

BACKGROUND
The dysregulation of tissue inhibitor of metalloproteinase-3 (TIMP3) was positively correlated with the progression of hepatocellular carcinoma (HCC). However, it is not clear whether TIMP3 expression is associated with the clinicopathological features and prognosis of aflatoxin B1 (AFB1)-related HCC (AHCC).
AIM
To assess the effects of TIMP3 expression on the clinicopathological features and prognosis of AHCC.
METHODS
A retrospective study, including 182 patients with AHCC, was conducted to explore the link between TIMP3 expression in cancerous tissues and the clinicopathological characteristics and prognosis of AHCC. TIMP3 expression was detected by immunohistochemistry and its effects on the clinicopathological features and prognosis of AHCC were evaluated by Kaplan-Meier survival analysis and Cox regression survival analysis. Odds ratio, hazard ratio (HR), median overall survival time (MST), median tumor recurrence-free survival time (MRT), and corresponding 95% confidential interval (CI) was calculated to evaluate the potential of TIMP3 expression in predicting AHCC prognosis.
RESULTS
Kaplan-Meier survival analysis showed that compared with high TIMP3 expression, low TIMP3 expression in tumor tissues significantly decreased the MST (36.00 mo vs 18.00 mo) and MRT (32.00 mo vs 16 mo) of patients with AHCC. Multivariate Cox regression survival analysis further proved that decreased expression of TIMP3 increased the risk of death (HR = 2.85, 95%CI: 2.04-4.00) and tumor recurrence (HR = 2.26, 95%CI: 1.57-3.26). Furthermore, decreased expression of TIMP3 protein in tissues with AHCC was significantly correlated with tumor clinicopathological features, such as tumor size, tumor grade and stage, tumor microvessel density, and tumor blood invasion. Additionally, TIMP3 protein expression was also negatively associated with amount of AFB1-DNA adducts in tumor tissues.
CONCLUSION
These findings indicate that the dysregulation of TIMP3 expression is related to AHCC biological behaviors and affects tumor outcome, suggesting that TIMP3 may act as a prognostic biomarker for AHCC.
TINJAUAN MAQASHID AL-SYARI’AH TERHADAP IHDAD PEREMPUAN PEKERJA PABRIK DI PT. SELALU CINTA INDONESIA (SCI)
Authors: Maskuri Erkham , Siti Umi Khoiroh  
Published: August 2024

ABSTRACT
Iddah is a waiting period experienced by women after divorce or the death of their husbands. During the iddah period, women are obligated to undergo ihdad. However, there is a phenomenon where women working at PT. Selalu Cinta Indonesia (SCI) factory do not comply with the ihdad obligation. The purpose of this research is to investigate the Maqashid Al-Syariah perspective on this phenomenon. The research employs a field research approach with a qualitative method that has a juridical-sociological nature. Data collection techniques involve interviews and document reviews, including books, articles, journals, and mass media. The research concludes that female factory workers at PT. Selalu Cinta Indonesia (SCI) in Randuacir Village, Argomulyo District, Salatiga City, have not fully observed ihdad during the waiting period. They continue to work during iddah to meet personal needs, support their children, and adapt to the social conditions of their residential area. In the context of Maqashid Al-Syariah, women are allowed to work during iddah if it is related to the protection of well-being or benefit, including aspects such as hifdh al-nafs (protection of the soul), hifdh al-aql (protection of reason), and hifdh al-mal (protection of wealth).
Keywords: ihdad, working women, Maqashid Al-Syari'ah

ABSTRAK
Iddah merupakan periode menunggu yang dijalani oleh perempuan setelah bercerai atau suaminya meninggal. Selama masa iddah, perempuan diwajibkan untuk menjalani ihdad. Namun, terdapat fenomena di mana perempuan yang bekerja di pabrik PT. Selalu Cinta Indonesia (SCI) tidak mematuhi kewajiban ihdad. Tujuan dari penelitian ini adalah untuk menyelidiki Tinjauan Maqashid Al-Syariah terhadap fenomena tersebut. Penelitian ini menggunakan pendekatan penelitian lapangan dengan metode kualitatif yang bersifat yuridis sosiologis. Teknik pengumpulan data melibatkan wawancara dan telaah dokumen seperti buku, artikel, jurnal, dan media massa. Hasil penelitian menyimpulkan bahwa perempuan pekerja di PT. Selalu Cinta Indonesia (SCI) Desa Randuacir, Kecamatan Argomulyo, Kota Salatiga, masih belum melaksanakan ihdad dengan semestinya. Mereka tetap bekerja selama masa iddah dengan alasan memenuhi kebutuhan pribadi, anak-anak, dan menyesuaikan diri dengan tuntutan kondisi sosial di daerah tempat tinggal mereka. Dalam konteks Maqashid Al-Syariah, perempuan diizinkan bekerja selama masa iddah jika hal tersebut berkaitan dengan perlindungan kesejahteraan atau kemaslahatan, termasuk aspek-aspek seperti hifdh al-nafs (perlindungan jiwa), hifdh al-aql (perlindungan akal), dan hifdh al-mal (perlindungan harta).
Kata Kunci: ihdad, perempuan pekerja, Maqashid Al-Syari’ah
How does Levine's conservation model address the specific needs of postpartum women in relation to physical activity? : systematic review
Authors: Toyibah Afnani , Solikhah Fitriana Kurniasari , Hamarno Rudi , Utami Ngesti w  , AlMutairi Reem Iafi , Aditya Ronal Surya 
Published: August 2024

Introduction. Levine's Conservation Model is a theory that focuses on energy conservation, structural integrity, personal and social integrity, and a holistic approach to care. This study aims to provide a framework for healthcare providers to support postpartum women in maintaining their health and well-being through physical activity. Methods. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. The data sources for this systematic review will include a comprehensive search of electronic databases such as PubMed, Scopus, and CINAHL, covering literature from their inception to the present date. Results. The PICO framework was used to define eligibility criteria for the systematic review. The results of the study indicate that the Levine Conservation Model effectively addresses the multifaceted needs of post-childbirth women by emphasizing energy conservation and structural integrity. The model's focus on structural integrity aids in the healing process and physical recovery after childbirth, addressing the unique physical challenges faced by post-natal women. Conclusion: The findings from the research highlight the significant benefits of using an integrative approach in post-partum care as encapsulated by the model.
Keywords: Female, Pregnancy, Postpartum Period, Exercise, Health Personnel
Les bibliothèques des professeurs du Collège de Guyenne au temps de Montaigne écolier
Authors: Demonet Marie-Luce 
Published: August 2024

Les admirateurs des Essais ont toujours été curieux de connaître sa formation et ses premières lectures, avant et pendant ses études au Collège de Guyenne. Les premiers achats de Montaigne dont témoignent ses livres annotés, les différents ouvrages (publiés ou non) des pédagogues présents à Bordeaux, les livres suspects ou censurés et le catalogue manuscrit du Collège de Guyenne (1784) qui reste à exploiter, la bibliothèque d’Élie Vinet et celle du Collège des jésuites, complètent ce l’on sait des réseaux de précepteurs et de régents, qu’ils viennent des collèges parisiens ou des écoles du Nord comme le collège trilingue de Louvain. Qu’ils soient portugais, espagnols, gascons ou poitevins, ou encore « allemands », comme cet Albertus Horstanus, souvent écarté faute de documents, dont la carrière mérite pourtant d’être réexaminée pour son rôle dans l’enseignement du latin et du grec.
THE RELATIONSHIP BETWEEN KNOWLEDGE AND PERSONAL HYGIENE GENITALIA DURING MENSTRUATION IN ADOLESCENT GIRLS
Authors: Bahuwa Septi Anggun Rukmana , Laleno Nofita 
Published: August 2024

Background: During puberty, adolescent girls will experience menstruation, where they do not fully understand the importance of maintaining personal hygiene during menstruation. So health education is very important for adolescents. Health education can increase the knowledge of adolescent girls about maintaining personal hygiene during menstruation. Objective: This study is to determine the effect of knowledge on personal hygiene of genitalia during menstruation in adolescent girls. Methods: This study uses a type of literature review research, namely a study in the form of a literature review using the results of previous research and textbooks or research journals. To obtain data that is in accordance with the research topic, we conducted a search for national and international based journals in three data bases, namely Science Direct and GAoogle Scholar using. Results: the results of 5 journals found that there was an effect of knowledge on personal hygiene of genitalia during menstruation in adolescent girls. Conclusion: From the results of literature review searches from a total of 5 journals, it was found that there was an influence of knowledge on personal hygiene of genitalia during menstruation in adolescent girls.

Keywords: knowledge, personal hygiene, hygiene, menstruation
The Role of Family Support in Improving the Quality of Life of Diabetes Mellitus Patients at The Internal Medicine Clinic of Poso General District Hospital
Authors: Langitan Rosamey Elleka , Ndama Metrys , Manggasa Dafrosia Darmi 
Published: August 2024

Latar Belakang. Diabetes adalah merupakan penyakit kronis yang memerlukan perawatan jangka panjang dan berdampak signifikan pada kualitas hidup penderitanya dan merupakan masalah kesehatan global yang terus meningkat, terhadap dampak signifikan pada kualitas hidup penderitanya. Dukungan keluarga memiliki peran penting dalam pengelolaan diabetes dan dapat memengaruhi kualitas hidup pasien. Tujuan. Penelitian ini adalah untuk mengidentifikasi hubungan peran dukungan keluarga terhadap kualitas hidup pasien diabetes. Metode. Penelitian ini adalah metode kuantitatif terhadap pendekatan cross sectional yaitu untuk mengetahui peran dukungan keluarga terhadap kualitas hidup pasien diabetes melalui tahapan observasi dan wawancara langsung kepada subjek penelitian untuk pengumpulan data sekaligus pada suatu saat. Pengumpulan data dilakukan melalui kuesioner yang mencakup skala dukungan keluarga dan skala kualitas hidup yang valid dan reliabel. Hasil. Penelitian pada analisa data menunjukkan bahwa terdapat hubungan yang signifikan pada dukungan keluarga terhadap kualitas hidup pasien diabetes dimana nilai p value (p < 0,05). Faktor lain seperti karakteristik subjek usia, jenis kelamin, lama menderita diabetes, memiliki dampak pada kualitas hidup disebabkan karena dukungan keluarga yang kurang baik sebaliknya dukungan keluarga yang kuat dapat meningkatkan kualitas hidup pasien diabetes menjadi lebih baik Kesimpulan. Dukungan keluarga memiliki peran yang penting dalam meningkatkan kualitas hidup pasien diabetes. Oleh karena itu, perlu dilakukan upaya untuk meningkatkan dukungan keluarga bagi pasien diabetes sebagai bagian dari manajemen pengelolaan penyakit diabetes pada tatanan pelayanan kesehatan baik di Rumah sakit maupun Puskesmas.

Kata Kunci: Dukungan Keluarga, Kualitas Hidup, DM
Authors: Mardani Mardani , Rizal Anis Syamsu 
Published: August 2024

Abstract: Tax is one of the main sources of state revenue and expenditure (APBN) for the Indonesian people. Taxes are used to support the Indonesian economy because almost 85% of the Indonesian Government's APBN comes from the tax sector. Taxes are used to fund the welfare and prosperity of people's lives. Most of Indonesia's state income comes from tax revenues. The government must form a State Revenue and Expenditure Budget (APBN) to control the national economy, the government in carrying out its duties uses one method, namely by imposing levies in the form of taxes on the public. This study aims to determine the effect of Accuracy of Tax Allocation and Tax Morale on Tax Evasion. This type of research is quantitative research. The population of this study is individual taxpayers who are registered at the Depok Cimanggis primary tax service office. Sampling using the Slovin formula. The number of samples distributed was 115. The data collection method in this study was a questionnaire. Data analysis techniques used are descriptive statistics, data quality testing, classic assumption testing, hypothesis testing. The partial results of the study show that (1) there is a significant influence between the accuracy of allocating taxes on tax evasion, (2) there is a significant influence between tax morale and tax evasion. While simultaneously the Accuracy of Tax Allocation and Tax Morale have a significant influence on Tax evasion

Keywords: Accuracy of Tax Allocation, Tax Morale, Tax Evasion
Luminescence dating approaches to reconstruct the formation of plaggic anthrosols
Authors: Choi Jungyu , van Beek Roy , Chamberlain Elizabeth L. , Reimann Tony , Smeenge Harm , van Oorschot Annika , Wallinga Jakob 
Published: August 2024

Abstract. Plaggic anthrosols demonstrate the significant and widespread influence of agriculture on the landscape of northern Europe and testify to increased land-use intensity over the last millennium. However, a lack of established chronologic methods to interrogate these soils has hindered research on their formation history, so the timing and process of plaggic anthrosol development remain poorly quantified. Recently, luminescence dating methods have emerged as a tool for tracing the past movement of grains, including within the soil column. This study combines two primary luminescence methods – single-grain feldspar infrared stimulated luminescence (IRSL) along with post-infrared infrared stimulated luminescence (pIRIR) measurements and small-aliquot (or multi-grain) quartz optically stimulated luminescence (OSL) – to reconstruct the formation of a plaggic anthrosol at Braakmankamp (eastern Netherlands). Toward this aim, we present a new method to identify well-bleached single grains of feldspar using the ratio of the grain's IRSL and pIRIR signals as a filter. The results provide both methodological and applied archaeological insights. Both small-aliquot quartz OSL and single-grain feldspar pIRIR ages yield reliable ages for plaggen deposits when the new filtering approach is used to remove poorly bleached feldspar grains from the analysis. Single-grain pIRIR feldspar has the added benefit of revealing complex soil formation histories for naturally bioturbated deposits, including those at the base of the plaggen layer. Augmenting this information with conventional quartz OSL dating builds confidence in the geo-chronologic record and allows us to reconstruct the timing and processes of plaggic anthrosol formation in Braakmankamp. According to the luminescence dating results, land clearance occurred around 900–1000 years ago, and accumulation of plaggen material began around 700–800 years ago. The average accumulation rate of plaggen material is estimated at ∼ 1.1 mm yr−1.
Prognostic Significance of Diffusion-Weighted Imaging and ASL-Perfusion in Evaluation the Progression of Chronic Kidney Disease
Authors: Shkuratova Yu. Yu. , Morozova T. G. , Gel’t T. D. 
Published: August 2024

Objective. To determinate the significance of diffusion-weighted imaging and ASL-perfusion in evaluation the progression of chronic kidney disease.Materials and methods. The study included 77 patients with chronic kidney disease: 34 (44.2 %) men and 43 (55.8 %) women. All subjects underwent Magnetic Resonance Imaging of the kidneys, with the inclusion of diffusion-weighted imaging (DWI) and ASL (arterial spinal label) perfusion in the research protocol. These results helped divide the patients into three groups. The comparison group included 61 healthy people.Results. There is statistically significant difference data in DWI and ASL perfusion between patients with CKD and the comparison group. The comparison group has the next counts: no diffusion restriction, ADC is 4.8 ± 0.1 × 10-3 mm2 /s, ASL-perfusion is 482–496 ml/100 g/min. The first group has no diffusion restriction, ADC is 1–4 × 10-3 mm2 /s, ASL-perfusion is 390–436 ml/100 g/min, the second group has no diffusion restriction, ADC is more than 4 × 10-3 mm2 /s and ASL-perfusion 294–402 ml/100 g/min. The third group has diffusion restriction with different ADC and ASL-perfusion.Conclusion. Absence of diffusion restriction, ADC is 1–4 × 10-3 mm2 /s, ASL-perfusion is 390–436 ml/100 g/min is indication of the beginning of injury to intact nephrons, the stage of hyperfiltration (r = 0,973). Absence of diffusion restriction, ADC is more than 4 × 10-³ mm2 /s and ASL-perfusion 294–402 ml/100 g /min is risk of metabolic disorders in CKD (r = 0,981). If it has diffusion restriction with different ADC and ASL-perfusion, there is high correlation with CKD stage 3b (r = 0.923) and hypokalemia (r = 0.988). DWI and ASL perfusion must be included in the examination algorithm for patients with CKD to create a personalized diagnostic and treatment algorithm.
Selected Aspects of Radiation Diagnostics of Complications of Breast Plastic Surgery (Literature Review with Own Observations)
Authors: Klimova N. V. , Kuznetsov A. A. 
Published: August 2024

Aim. To demonstrate the possibilities of radiation examination of late complications of some types of cosmetic breast surgery.Materials and methods. A few clinical examples demonstrate certain types of late complications of aesthetic breast surgery.Conclusion. It is advisable to carry out a preoperative examination in a specialized medical and diagnostic institution in compliance with all the canons of early diagnosis of breast cancer. Cases of breast cancer omissions at the pre- and postoperative stages of aesthetic surgery require further investigation.