bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tes Critical Flicker Frequency pada Sirosis Hati di RSUD Koja
Authors: Ndraha Suzanna , Tendean Marshell , Wician Fendra , Sujana Surjadi , Santoso Mardi 
Published: February 2025

AbstrakLatar belakang. Ensefalopati Â hepatikum minimal (EHM) adalah keadaan dimana secara klinis tidak terdapat tanda gangguan mental namun pada tes psikometrik sudah ditemukan kelainan . EHM sulitDidiagnosis karena tes psikometrik tida mudah di lakukan, hasilnya di pengaruhi usia dan tingkatPendidikan, serta memakan banyak waktu. Belakangan ini tes critical flicker frenquency Â (CFF) telahDikembangkan untuk diagnosis EHM. Tujuan penelitianÂ ini adalah mengevaluasi hasil tes critical flickerFrequency pada pasien sirosis hati di RSUD koja.Metoda. Semua pasien sirosis hati yang datang ke RSUD koja selama juni â€“agustus Â 2009 di evaluasiÂ tesCFF dilakukan dengan mengunakan alat HEP Atonorm TM analyzer. Pasien sirosis dengan ferkuensi kritis<39 Hz di golongkan kedalam ensefalopati .Hasil. Didapatkan 38 penderita sirosis hati yang datang berkunjung. Tigapuluh empat subjek (89,5%)Tergolong ensefalopati berdasarkan tes CFF.Kesimpulan :dari pemeriksaan CFF, didapatkan 89,5%dari penderita sirosishati tergolong EHMÂ Kata kunci:sirosis hati , ensefalopati hepatikum minimal (EHM), critical flicker frequency (CFF)
Pengetahuan, Sikap dan Perilaku Ibu Hamil Mengenai Penggunaan Obat Penambah Darah serta Faktor-faktor yang Berhubungan di Kelurahan Grogol, Jakarta Barat Agustus-September 2009
Authors: Santoso Djap Hadi , Susanto A. Aris , Witre Ketut , . Yenny , Parman Henry D. , Novianty Ike 
Published: February 2025

abstrakanemia merupakan salah satuÂ penyulit dalam pengobatan penyakit keronik. Dalam terapinya harusdiketahui penyebab dari animia agar dapat diatasi dengan cepat. Tujuan penelitian ini adalah untuk mengetahuiÂ gambar penyakit keronik pada pasien rawat inap, peropisi dan perofil dari anemia pada penyakit keroniksemua pasienÂ yang dirawat diruang perawatan lantai VI dan IW DI RSUD koja sejak 9 november -Â 27desember 2009 didata. Kriteria inklusi adalah pasien dengan penyakit keronik apapun juga. Di ambil darahnya. Dicatat umur, jenis kelamin, penyakit keronik yang di derita ,IMT, kadar hb, dan serum iron bila kadar hb <12g /dl. Di dapatkan 55 pasien dengan penyakit keronik. Lima terbanyak yaitu gagal ginjal keronik, DM tipe 2 tuberkulosis (paru dan tulang), gagal jantung kongestif, dan sirosis ,hepatis. Dua puluh tuju orang (49,1%)dengan kadar hb di bawah normal.dua pluh orang(74,1%) dengan kadar serum iron dibawah normal. Dari 20 subjekdengan nilai SI di bawah normal, 19 subjek (95%)dengan riwayat pendarahan dan 1 subjek (5%) tanpa riwayat pendarahan. Dari 7 subjek (25,9%)dengan SI normal, 6(85,7%)dengan diagonas gagal ginjal keronik dan 1 (14,3%)proposi anemia pada penyakit keronik sebanyak 27 subjek.dari 55 subjek. Perofil anemia adalah karena kekurangan besi akibat riwayat pendarahan keronik (95%)pada anemia dengan SI normal 85,7% disebabkan oleh gagal ginjal keronok.Â Â Kata kunci .penyakit keronik, anemia ,serum ironÂ
The Current Conflict in Sudan and the Quest for a Final Solution for the People of Nuba Mountains
Authors: Aluou Ayuel Monyluak 
Published: February 2025

The current conflict in the Nuba Mountains, which started immediately after the secession of South Sudan in 2011, is a result of the cumulative grievances shared by the people of African descent, generally referred to as people of the marginalized areas in Sudan. The policies pursued by the political elite in Sudan after the country attained its independence from Britain in 1956 were the main causes of the first and second civil wars. The people of the Nuba Mountains joined the Movement (SPLA/M) because of its national agenda, as crafted by the late John Garang in 1983, with the legitimate expectation that through armed struggle they would achieve their freedom. However, the peace processes that resulted in the signing of the Comprehensive Peace Agreement (CPA) did not address such a desire. This led to the resumption of armed struggle based on the same principles as enshrined in the SPLM’s Manifesto of 1983. But in as much as creating New Sudan as the basis for a final solution would be in conflict with the prevailing system of beliefs in the country there will be a need for an alternative option that would satisfy the desire for freedom of the people of Nuba Mountains. Generally, the purpose of this article is to provide a better understanding of the nature of the current conflict in the Nuba Mountains and how it should be resolved
Nurses’ Knowledge and Practice Regarding Patient Care Post Cardiac Catheterization at Selected Hospitals in Khartoum State 2023
Authors: Mohammed Khalid Hussein Khalid  
Published: February 2025

Background: Cardiac catheterization is diagnostic and therapeutic therapy for cardiac diseases but has potential complications that could affect the life of the concerned patient. These complications need early identification and to prevent issues of inequality with regard to standardized care policies, qualified staff is required.
Objective: The purpose of this study was to evaluate the present knowledge and practice of the nurses in the selected hospitals of Khartoum State regarding the post-cardiac catheterization care in the year 2023. It also aims to establish what affects their knowledge and practice in Cardiac wards and ICUs.
Method: Cross-sectional quantitative study was carried out in Omdurman, Elshab and Ahmed Gasim Hospitals from October 2022 to March 2023. Quantitative data was obtained from a structured questionnaire while the data analysis was made using the Statistical Package for Social Sciences version 26.0.
Results: 17(37.8%) participants had unsatisfactory knowledge and practice, and about 30 (66.7%) were satisfied regarding patient care after cardiac catheterization. About 35% of participants had low awareness and experience.
Conclusion: Nurses’ knowledge needs frequent replenishment, and, thus, it is suggested to implement training more often to address the topic of the post-cardiac catheterization care.
Nurse’s Experience of Using Digital Support to Manage Work Related Stress at Pravara Rural Hospital: A Phenomenology Study
Authors: Heera Jayasheela  , Rajendra Lamkhede  , Kalpana Kale  , Sangita Vikhe  , Sanjeev Kulkarni  , Helena Rosen  
Published: February 2025

Background: The World Health Organization (WHO) in 2020 has estimated the nursing shortage in India.1 The objective of the study was to assess the nurse’sperceptions towards digital support to manage work related stress. A qualitative descriptive is undertaken as a pilot project to explore nurses experience of using digital support to manage work related stress at Dr Vitthalrao Vikhe Patil, Pravara Rural Hospital, Loni (Bk), large tertiary care facility in Western India. It is part of a larger project “Nurses life world”, a research cooperation with Lund University, Dalarna University and Skovde University Sweden.
Methods: Thirty nurses were selected via purposive sampling. ATLAS. it7 software tool for organization and analysis of qualitative data was used to analyze the verbatim transcript. Data was collected through open-ended interview guide questions and face-to-face individual interviews. Ethical considerations were applied to all stages of the study. The collected data was analyzed according to the content analysis method suggested by Graneheim and Lundman.
Results: The study resulted in six themes, six main categories and thirty five sub-categories. The themes includes:positive experience to digital support, implication features of digital stress apps, emerging innovative technology opportunities, difficulties and challenges of digit apps, future perspectives and seeking facilitators.
Conclusion: The present study shows the digital support is useful for the nurses to cope with work related stress. The study provides insight to develop appropriate stress management digital apps for nurses in the working environment to cope with occupational stress.
The Prevalence of Smoking and Associated Risk Factors among Students at Secondary School in Hodeidah Governorate
Authors: Mohammed Ahmed Suhail  , Khaled Al-Selwi  , Sadeq Abdo Mohammed Alwesabi  , Khaled Mohammed Al-Sayaghi  , Mogeeb saeed Taha  , Elwaleed Idris Ali Sagiron  
Published: February 2025

Background: Smoking is a significant public health concern, particularly in developing countries, with over one billion individuals engaging in tobacco use globally. This study aimed to investigate the prevalence of smoking and associated risk factors among secondary school students in Hodeidah governorate, Yemen, in 2022.
Methodology: A descriptive cross-sectional design was employed, involving a sample of 1,000 students from urban and rural areas, selected through a simple random sampling technique. Data was collected using a self-administered structured questionnaire covering demographic details, smoking habits, risk factors, and perceptions. The data was analyzed using IBM SPSS (version 28), employing descriptive and inferential statistics, with Chi-square tests to evaluate relationships between variables.
Results: 21.8% of students were smokers, with smoking prevalence higher among rural residents (22.3%) and females (26.8%). Socio-demographic factors such as gender and marital status significantly influenced smoking behavior, with divorced students exhibiting the highest smoking rates (75%). The study also revealed significant associations between smoking and having relatives or friends who smoke.
Conclusion: These findings highlight the need for targeted smoking prevention strategies that consider demographic variations, focusing on early interventions in schools, community engagement, and culturally sensitive approaches to reduce smoking rates among adolescents in Yemen
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA HEMOROID DI RUMAH SAKIT BUDI KEMULIAAN KOTA BATAM TAHUN 2023
Authors: Muhammad Rifki  , Andi Asda Astiah  , Aghnia Hernawati  
Published: February 2025

ABSTRACT
Background: Symptoms of hemorrhoid can happen because of many risk factors such as age, history of hemorrhoid in family, lack of fiber foods consumption, lack of water, history of constipation, wrong habits of defecation and physical activity. The purpose of this research is to know the correlation between many risk factor that can effect the incident of hemorrhoid.
Methods: This research was observational analytic study with case control design. Total samples included 72 people. Samples were obtained by purpossive sampling. The primary data obtained by recording the interviews based on questionairre and analyzed using univariate, bivariate with chi-square.
Results: The results showed that hemorrhoid more common in person above 45 years old (55,2%), no family history 80.6%, heavy physical activity 58.3%, no history of constipation 63.9%, squatting defecation position 52.8% , and low fiber consumption of 61.1%. The results of this study was that there was a significant relationship between physical activity (p=<0.000), history of constipation (p=<0.000), fiber consumption (p=<0.000), defecation position (p=<0.001), age (p=0.031) against hemorrhoids. And there is no relationship between family history (p=<0.183) and the incidence of hemorrhoids.
Conclusion: There is a significant realtionship between fiber consumption, physical activity, defecation position, age, history of constipation with hemorrhoids. There is no relationship between a family history of hemorrhoids and the incidence of hemorrhoids.
Keywords: hemorrhoid, constipation, activity
Impacto de las Remesas en la Economía Ecuatoriana
Authors: Fernández Ramírez Joyce Micaela , Loor Saldarriaga Angel Oswaldo , Vargas Moreno Mercedes Elizabeth , Guevara Herrera Carlos Roberto , Sáenz Martinez Lenin Gonzalo 
Published: February 2025

El presente artículo pretende informar sobre el impacto significativo que tienen las remesas en la economía ecuatoriana ya que son de vital importancia en el contexto socioeconómico del país. Las remesas, enviadas principalmente por migrantes ecuatorianos en el extranjero, han emergido como una de las principales fuentes de divisas. Estos dineros o remesas han reactivado el consumo en los hogares, aumentando las compras ya sea de bienes o servicios, contribuyendo a mejorar la calidad de vida de las familias que las reciben. Considerando que las remesas desempeñan un papel fundamental en la liquidez de los hogares ecuatorianos, especialmente en un contexto de deterioro laboral, y han contribuido a equilibrar la balanza de pagos, se convierten en un elemento esencial para un país sin moneda propia como Ecuador, que opera con el dólar, ofreciendo un alivio en periodos de desajuste macroeconómico. Asimismo, las remesas impulsan la inclusión financiera, dado que numerosas personas han optado por abrir cuentas de ahorro con el fin de recibir fondos desde el extranjero. Sin embargo, la pandemia de COVID-19 tuvo un impacto considerable en el flujo de remesas a Ecuador. A pesar de la incertidumbre económica mundial y las restricciones de movilidad, las remesas demostraron ser resilientes y, en algunos casos, aumentaron durante la crisis sanitaria. Para el año 2023, Ecuador experimentó una afluencia significativa de remesas, con un monto superior al registrado en años anteriores, lo que tiene un impacto notable en el PIB del país, siendo estas remesas donde se originan principalmente en Estados Unidos, España e Italia. Se pudo determinar la investigación cuantitativa y explicativa, la cual se centró en analizar de manera objetiva y rigurosa el impacto que las remesas enviadas por los migrantes ecuatorianos tienen sobre la economía nacional. Este tipo de investigación permite no solo medir el volumen de las remesas que ingresan al país, sino también identificar cómo estos flujos de dinero influyen en diversos indicadores económicos como el Producto Interno Bruto (PIB), la tasa de consumo en los hogares, el ahorro, la inversión y la desigualdad económica.
Dimensiones Psicosociales Afectadas por Dolor Crónico en Pacientes de una Unidad de Primer Nivel de Atención
Authors: Rodriguez Garcia Israel , Martínez Arellanes Patricia del Carmen , Reyes Pintor Arlette Juliette , Martínez Cerón Angel , Hurtado Luna Claudia Angel 
Published: February 2025

Antecedentes: El dolor es una experiencia sensorial y emocional desagradable, asociada a una lesión real o potencial. El deterioro progresivo del sistema musculo esquelético en la vida puede afectar las actividades psicosociales y el uso de terceras personas. La artrosis es la enfermedad con más prevalencia a nivel mundial en adultos mayores de 65 años, más del 80 % en países industrializados. La fibromialgia afecta a 2,40% en la población mundial, 2,31% de la europea y 2,40% en la población americana. La artritis reumática es una enfermedad autoinmune inflamatoria crónica frecuente y afecta alrededor del 0.8 por ciento de la población adulta. Objetivo: El objetivo en la presente investigación fue evaluar con el instrumento WYMPHI 365 adultos de 30 a 65 años, con diagnóstico de dolor crónico asociado a enfermedades osteomusculares que afectan sus actividades psicosociales de la vida. Resultados: se obtuvo una prevalencia estimada de las enfermedades osteomusculares del 14.67%. La intensidad del dolor y la dimensión apoyo social no mostró afectación, y la dimensión apoyo social tiene mayor afectación con Artritis reumatoide en contraste con fibromialgia.
Overlap Syndrome Presents Distinct Clinical Features in a Large Cohort of Brazilian Patients with Systemic Sclerosis: A Retrospective Analysis.
Authors: Gama Cipriano R. , Franco Andre S. , Bortoluzzo Adriana B. , Miossi Renata , Medeiros-Ribeiro Ana Cristina , Assad Ana Paula Luppino , Sampaio-Barros Percival D. 
Published: February 2025

ObjectiveSystemic sclerosis (SSc) often presents alongside other connective tissue disorders, termed "overlap syndrome." This study aimed to characterize SSc patients with overlap syndrome compared to those without it in a tertiary university hospital in Brazil.MethodsA retrospective analysis of demographic, clinical, and laboratory data from 787 SSc patients was performed using electronic medical records. Patients were classified based on the 2013 ACR/EULAR criteria for SSc and additional criteria for systemic lupus erythematosus (SLE), idiopathic inflammatory myopathy (IIM), Sjogren syndrome (SjD), and rheumatoid arthritis (RA). Statistical analysis, including univariate and multivariate methods, identified factors associated with overlap syndrome.ResultsNinety-one patients (11.6%) had overlap syndrome, mainly with SLE (29.7%), SjD (26.4%), RA (24.2%), or IIM (19.8%). Patients with overlap syndrome were younger, with an earlier age at onset (P=0.004) and at diagnosis (P=0.003). They presented a higher prevalence of limited SSc (trend;P=0.056), musculoskeletal symptoms (P<0.001), neoplasias (P=0.027), and sicca symptoms (P<0.001), associated with a lower frequency of pulmonary hypertension (P=0.048) and comorbidities such as diabetes mellitus (P=0.016) and dyslipidemia (P=0.019). A higher prevalence of anti-Ro (P=0.007) and a lower prevalence of anti-Scl70 antibodies (P=0.007) were also observed. Regarding medications, patients with overlap were more frequently prescribed prednisone (P<0.001), methotrexate (P=0.001) and leflunomide (P=0.012). Multivariate analysis identified limited SSc(OR=3.1), neoplasia(OR=3.4), and use of prednisone(OR=8.2) and leflunomide(OR=5.5) with overlap syndrome. No worse prognosis was observed.ConclusionOverall, Brazilian SSc patients with overlap syndrome have distinct clinical characteristics, but do not have a worse prognosis when compared to those without overlap syndrome.
Improving Systemic Sclerosis Quality of Care
Authors: Aboabat Aos , Aboulenain Samar , Jazayeri Hila , Ahmad Zareen , Soowamber Medha , Morris Dalage , Johnson Sindhu R. 
Published: February 2025

ObjectiveSystemic sclerosis (SSc) is a multi-systemic autoimmune disease with high morbidity and healthcare costs. Inconsistent quality care delivery, including inadequate screening and monitoring, necessitates improvement. This study aimed to enhance the uptake of validated quality indicators (QIs) for SSc.MethodsAn interrupted time series study was conducted at 4 scleroderma clinics across 2 hospitals using the Model for Improvement methodology, employing Plan-Do-Study-Act (PDSA) cycles. A retrospective chart review assessed baseline frequencies of selected QIs. The primary aim was to increase rates of seven baseline and five follow-up QIs to 80%. Root-cause analysis identified barriers to QI uptake, leading to interventions including provider education, equipment procurement, and care standardization with reminder systems. Real-time data tracking was facilitated via run charts.ResultsThe average completion rate of baseline QIs increased from 48% to 83% over eight months, with sustained improvements post-PDSA cycle 3. Monitoring and treatment QI completion improved from 41% to 77%. Process measures saw increases: baseline spirometry and DLCO rates improved from 63.5% to 92%, documented weekly BP self-measurement counseling increased from 18.8% to 86.6%, referrals to hand motion exercise programs rose from 53.6% to 92%, baseline CK measurement rates increased from 52.1% to 88%, and oxygen saturation documentation rose from 31.1% to 65%. Stakeholders reported high satisfaction (median rating of 4) with minimal additional time per patient (median 2.5 minutes).ConclusionThis QI study significantly improved SSc care through low-cost, applicable interventions, setting a precedent for future work on long-term sustainability and broader application in chronic disease management.
Degenerative Disc Disease In Young Adults With Psoriatic Arthritis
Authors: Kharouf Fadi , Gao Shangyi , Pereira Daniel , Cook Richard J. , Chandran Vinod , Gladman Dafna D. 
Published: February 2025

ObjectiveWe aimed to explore the prevalence of degenerative disc disease (DDD) in psoriatic arthritis (PsA) patients younger than 50 and describe the factors associated with its development. We also examined the association between radiographic axial imaging findings and inflammatory back pain (IBP) and mechanical back pain (MBP).MethodsWe included patients with PsA under age 50 who were followed at our prospective observational cohort. We defined DDD as intervertebral disc space narrowing, spur formation, facet joint arthrosis, and spondylolisthesis on anteroposterior and lateral plain radiographs of the cervical and thoracolumbar spine. To identify factors associated with the development of DDD, we used multivariate Cox regression analysis. We used generalized estimating equations (GEE) to test the association between imaging findings (isolated DDD, isolated axial disease, and mixed features) and the type of back pain.ResultsOf 814 patients included in the study, 316 (38.8%) were observed to have DDD on plain radiographs of the spine. Factors associated with the development of DDD included older age (HR 1.08, p<0.01), male sex (HR 1.52, p=0.03), diabetes mellitus (HR 2.35, p=0.045), and IBP (HR 2.03, p<0.01). Being employed (vs. unemployed), higher BMI, calcaneal spurs, and targeted DMARD use showed a trending association with DDD. In the GEE analysis, none of the abnormal imaging findings were significantly associated with back pain or IBP.ConclusionDDD is common in young PsA patients, and its development may be associated with demographic features, comorbidities, and disease-related factors. IBP does not reliably distinguish between axial PsA and DDD.
Reasons for First Dental Visit in Pre-teen Children in Qazvin, Iran
Authors: Emrani Reza , Jabbarian Razieh 
Published: February 2025

Abstract

Introduction:
Early dental visits in childhood, in addition to preventing dental problems, can also be effective in promoting the quality of life. The age of the first visit and the reasons for it vary in different countries depending on the level of education in the community, economic conditions, availability of health facilities and pattern of health services in the country. This study was conducted to understand the reasons for Iranian parents’ attitude to dental visits and its relationship with social and economic indicators.

Method:
The checklist was used to record the data. It consisted of 18 questions based on the reason for dental visit. Then the reasons were categorized as pain, trauma, tooth discolouration, teacher’s recommendation and referral from other dental centres, using insurance coverage, bad dental habits and periodic care. Finally, the doctor’s diagnosis was recorded. Statistical methods included Pearson correlation, t-test, ANOVA, and data description was used at the level of 0.05 (P value = 0.05).

Result:
Pain was the most common reason for the first dental visit (49.7%) followed by discolouration and detecting and carried assessment. Occupation level of education and having an insurance package had a significant relationship with the reason for dental visits in parents.

Conclusion:
The level of education and job having supplementary insurance were related to the reason for dental visits. Pain is the most common reason, and it shows that the importance of regular dental visits is not well known by parents. The reason for dental visits is under the control of socioeconomical factors.