bluuebunny/crossref_metadata_2025_split huggingface dataset:
HUBUNGAN PENGETAHUAN MENGGOSOK GIGI DENGAN PLAK INDEKS PADA SMP SEJAHTERA JAKARTA
Authors: Prabowo Mega ningsih , Setyawati Baby Prabowo , Putri Rifa Fauziah Syaifia , Setyowati Julia Dance 
Published: July 2024

Latar Belakang : Pengetahuan kesehatan gigi adalah menjaga pola makan yang baik, menyikat gigi di waktu yang tepat dan kunjungan rutin kedokter gigi. Kesehatan gigi dalam meningkatkan kebersihan gigi yang mempengaruhi masalah kesehatan gigi yang terdapat sisa makanan, penumpukan plak dan karang gigi. Plak indeks adalah lapisan tipis tak berwarna yang terdiri dari sekelompok bakteri yang menempel di permukaan gigi, tingkat plak indeks dalam melakukan menyikat gigi secara efektif, akumulasi plak berkaitan dengan kebersihan yang buruk dapat diukur melalui pengetahuan menggosok gigi dengan plak indeks. Tujuan penelitian : untuk mengetahui hubungan pengetahuan pre test dan post test menggosok gigi dengan pemeriksaan plak indeks sebelum dan sesudah menggosok gigi pada SMP Sejahtera Jakarta. Metode Penelitian : desain penelitian ini menggunakan metode quasi eksperimen yaitu 44 responden. Hasil Penelitian : Terdapat pengetahuan pada pre test dengan kriteria sedang sebesar 41% untuk kriteria baik sebesar 27% dan untuk buruk sebesar 32%, mengalami peningkatan pada post test dengan kriteria sedang sebesar 23%, untuk kriteria baik sebesar 75% dan untuk buruk sebesar 2% dari sampel pada tingkat pengetahuan pos test memenuhi standar kriteria yang baik. Terdapat hasil pemeriksaan plak indeks sebelum menggosok gigi kriteria sedang sebesar 20%, kriteria baik sebesar 21%, kriteria buruk sebesar 59%, terdapat peningkatan hasil pemeriksaan plak indeks sesudah menggosok gigi kriteria sedang sebesar 2%, kriteria baik sebesar 95% dan kriteria buruk sebesar 3% adanya peningkatan. Kesimpulan : Hasil uji penelitian terdapat hubungan signifikansi antara hubungan pengetahuan menggosok gigi dengan plak indeks pada SMP Sejahtera Jakarta dengan hasil statistik diperoleh signifikan p= 0,000 (p value < 0,005) adanya hubungan pengetahuan menggosok gigi dengan plak indeks pada SMP Sejahtera Jakarta.
HUBUNGAN PERAN PERAWAT SEBAGAI CAREGIVER DENGAN LEVEL OF PATIENT SATISFACTION DI RUANG RAWAT INAP RS BALADHIKA HUSADA JEMBER
Authors: Agustina Ratna , Dwi Yunita Haryanti  , Asmuji  
Published: July 2024

One of the most important roles of nurses is as a provider of nursing care that focuses on the patient's healing process and fulfilling health needs holistically. To determine the relationship between the role of nurses as caregivers and the level of patient satisfaction in the inpatient room at Baladhika Husada Hospital, Jember. Quantitative descriptive research design with cross-sectional method. The population in this study were inpatients at Baladhika Husada Hospital Jember during September – November 2023 with a population of 327 patients. The sample used in this study was 85 inpatients. The sampling technique uses Quota Sampling. The results of research on the level of patient satisfaction showed that 91.8% were very satisfied, 3.5% satisfied, 4.7% dissatisfied. The results of research using the Spearman Rho Rank test (α = 0.05) show that there is a significant relationship between the role of nurses as caregivers and the level of patient satisfaction. The conclusion of this research is that there is a significant relationship between the role of nurses as caregivers and the level of patient satisfaction.
হাসান আজিজুল হকের ছোটগল্প : নারী-জীবনের রূপায়ণ
Authors: শিরিন আক্তার সরকার শিরিন আক্তার সরকার 
Published: July 2024

বাংলাদেশের ছোটগল্পের অঙ্গনে হাসান আজিজুল হক অনন্য ব্যক্তিত্ব। ষাটের দশকের বাংলা কথাসাহিত্যের যে নবযাত্রা ঘটেছিল তার অন্যতম প্রাণপুরুষ ছিলেন হাসান আজিজুল হক। উত্তাল চল্লিশের দশকের প্রবেশমুখে রাঢ়বঙ্গে জন্ম নেওয়া এই খ্যাতিমান কিংবদন্তিতুল্য কথাশিল্পী দেশে-বিদেশে ঈর্ষণীয় আকর্ষণ কেড়েছেন পাঠক- সমালোচকের, অতিক্রম করেছেন একের পর এক সাফল্যের সিঁড়ি । তাঁর হাতে বাংলা ছোটগল্পের বাঁকবদল ঘটেছে। জীবন ও পরিবেশের অভিজ্ঞ রূপভাষ্যকার তিনি জীবনকে তিনি দেখেছেন সৃষ্টির নানা অনুষঙ্গের সঙ্গে একসূত্রে গেঁথে ।
THE STATE POLICY OF THE USSR IN THE FIELD OF DEVELOPMENT OF THE OIL REFINING AND PETROCHEMICAL INDUSTRY IN THE 1960S: ACHIEVEMENTS AND REASONS FOR LAGGING BEHIND
Authors: БОДРОВА Е.В. , КАЛИНОВ В.В. 
Published: July 2024

На основе к настоящему времени рассекреченных архивных документов исследуется актуальная проблема реализации государственной политики в сфере развития нефтепе- рерабатывающей и нефтехимической промышленности в СССР в 1960‑е гг. Осуществле- ние анализа сравнительных данных, заключений экспертов позволило сформулировать выводы о наличии факторов, определивших отставание в этой сфере от ведущих капиталистических стран и стран-союзников. В качестве причин торможения названы: дефицит современного оборудования; недостаточность выделяемых средств и просчеты планирования; отставание в развитии транспортных средств для вывоза нефтепродуктов; слабый уровень подготовки сырья на промыслах и др. Произведенная продукция не отличалась качеством, не была достаточно конкурентоспособной. Низкие цены на нефть и нефтепродукты сдерживали разработку и при- менение ресурсосберегающих технологий. Фактором торможения являлись и политические мотивы, форсированный экспорт нефти в социалистические страны.
Based on the currently declassified archival documents, the current problem of implementing state policy in the field of development of the oil refining and petrochemical industry in the USSR in the 1960s is being investigated. The analysis of comparative data and expert opinions made it possible to formulate conclusions about the presence of factors that determined the lag in this area from the leading capitalist countries and allied countries. The reasons for the slowdown are: a shortage of modern equipment; insufficient funds allocated and planning miscalculations; lagging in the development of vehicles for the export of petroleum products; a weak level of preparation of raw materials in the fields, etc. The products produced were not of high quality and were not competitive enough. Low prices for oil and petroleum products hindered the development and application of resource-saving technologies. Political motives and forced oil exports to socialist countries were also a factor in the slowdown.
THE FIRST OPTION FOR THE CONSTRUCTION OF A TRANSPOLAR RAILWAY (1943–1944)
Authors: КОЛЕВА Г.Ю. , КОЛЕВ Ж.М. 
Published: July 2024

В истории Тюменской области, которой в этом году исполняется 80 лет, есть ряд нереализованных проектов. К их числу относится и строительство Трансполярной магистрали. Цель данной статьи — рассмотреть, что представлял начальный, первый из трех, вариант дороги, называемой «Трансполярная магистраль». Источниковая база про- блемы очень скудна, в силу засекреченности документов в период строительства, и скорей всего, сохраняющихся грифов секретности на значительную часть документов по сей день. В статье использованы общенаучные методы анализа, синтеза, обобщения, гипотез, аналогии, а также исторические методы исследования, среди них — историко-генетический метод, направленный на выявление происхождения изучаемого процесса, его причин; историко-диахронный метод, связанный с изучением динамики процесса в рамках более сложной системы, а также историко-сравнительный метод. Основной вывод авторов сводится к тому, что в условиях обострения военного противостояния в Арктике в 1943–1944 гг. на повестку был поставлен вопрос строительства дороги от Воркуты до Салехарда, а затем с ее продол- жением, как минимум, до Пуровского района, где находилась «бухта Находка». Проект отвечал военно-стратегическим целям, а также предусматривал обеспечение топливом, как территории ЯННО, так и объектов военного значения в заливах Карского моря. Снятие проекта с повестки в 1944 г. объяснялось установлением безопасности Арктики в результате проведенных советскими войсками операций.
In the history of the Tyumen region, which turns 80 this year, there are anumber of unrealized projects. These include the construction of a TranspolarRailway. The purpose of this article is to consider what the initial, first of threevariants of the road, called the &quot; Transpolar Railway&quot;, represented. The source baseof the problem is very scarce, due to the secrecy of documents during the construction period, and most likely, the remaining secrecy stamps for a significantpart of the documents to this day. The article uses general scientific methods ofanalysis, synthesis, generalization, hypotheses, analogies, as well as historicalresearch methods, among them — the historical-genetic method aimed at identifyingthe origin of the process under study, its causes; the historical-diachronic methodassociated with the study of the dynamics of the process within a more complexsystem, as well as the historical-comparative method. The main conclusion of theauthors is that in the conditions of the aggravation of the military confrontation inthe Arctic in 1943–1944 the issue of building a road from Vorkuta to Salekhard, and then with its continuation, at least to the Purovsky district, where theNakhodka Bay was located, was put on the agenda. The project met militarystrategic goals, and also provided for the provision of fuel for both the territory of YANND and military facilities in the bays of the Kara Sea. The removal of theproject from the agenda in 1944 was explained by the establishment of Arctic security as a result of operations conducted by Soviet troops.
THE PLACE OF DISTILLING IN THE ECONOMIC DEVELOPMENT OF WESTERN SIBERIA IN THE SECOND HALF OF THE NINETEENTH CENTURY
Authors: СКУБНЕВСКИЙ В.А. , МАРИУПОЛЬСКИЙ А.М. 
Published: July 2024

Данная статья посвящена собственно не самому винокурению как весьма успешно раз- вивавшейся отрасли обрабатывающей промышленности Западной Сибири во второй половине ХIХ в., а той роли, которую играло производство спирта в плане стимулиро- вания процесса развития экономики региона в целом. Винокурение наряду с виноторговлей создавало благоприятные условия для формирования и укрепления товарно-денежных отношений, ускоряло процесс первоначального накопления капиталов и способствовало социально-экономическому развитию Западной Сибири. Хронологические рамки статьи охватывают вторую половину ХIХ в. При работе над данной статьей авторы использовали как архивные данные, так и сведения, содержащиеся в опубликованных источниках, а также работах других исследователей.
This article is devoted not to distilling itself, as a very successfully developing branch of the manufacturing industry in Western Siberia in the second half of the nineteenth century, but to the role played by alcohol production in terms of the development of the region’s economy as a whole. Distillery production, along with wine trade, created favorable conditions for the formation and strengthening of commodity-money relations, accelerated the process of initial capital accumulation and contributed to the socio-economic development of Western Siberia. The chronological framework of the article covers the second half of the XIX century. When working on this article, the author used both archival data and information contained in published sources, as well as the works of other researchers.
«SOBREFEMINIZACIÓN» DE LOS CUIDADOS: EL TRABAJO CON ESCASOS DERECHOS
Authors: Rodríguez Escanciano Susana 
Published: July 2024

Pese al tiempo transcurrido desde la consagración constitucional del derecho a la igualdad y no discriminación entre mujeres y hombres y sin dejar de reconocer los avances derivados de la regulación normativa, la realidad de las relaciones laborales está todavía lejos de ofrecer un panorama de verdadero equilibrio y de efectiva igualdad para las mujeres. Al tiempo, la reconversión productiva asociada a las ineludibles exigencias de lucha contra el cambio climático puede provocar nuevas brechas de género. Ante este panorama, es necesario buscar las explicaciones concretas de esta preterición laboral en aras a corregir este abrupto devenir, adoptando una perspectiva propositiva capaz de introducir mejoras ad futurum. A tal efecto, se ha llevado a cabo un análisis multifactorial de las circunstancias que inciden en las altas tasas de pobreza femenina y de precariedad laboral, el rostro femenino de los cuidados, la segregación ocupacional, el trabajo informal, el emprendimiento sin red, fórmulas de economía social, la parcialidad y la temporalidad, la siniestralidad laboral, la ordenación sexista de la clasificación profesional, la inexistente promoción vertical, las exigencias de constante disponibilidad, la mera formalidad en la corresponsabilidad, la particular problemática de los territorios rurales, el ecofeminismo o, entre otros, los dobles o triples estigmas que padecen las mujeres que acarrean una discriminación interseccional. Asimismo, se han propuesto vías de avance y buenas prácticas para la erradicación de las discriminaciones múltiples obrantes por razón de sexo y género en el contexto productivo actual apostando por el fomento del empleo de las mujeres en unas condiciones de trabajo dignas.
Noonan Syndrome in a 14-year-old Female with Heart Failure
Authors: Nugraheni Dian Aristi , Widjaja Sri Lilijanti , Nursidiq Alfa Alfin 
Published: July 2024

Noonan syndrome is a genetic disorder leading to multiple congenital abnormalities and other health complications, with an incidence of one in 1,000 to 2,500 live births. It is difficult to identify because of its various clinical manifestations. This is the case of a 14-year old female admitted for cardiac failure. The patient was born with normal birth weight but had stunted growth and started walking at the age of five years old. She had speech as well as learning difficulties. She had curly hair, deeply grooved philtrum, ptosis, hypertelorism, micrognathia, low set ears, webbed neck, pectus carinatum, mild thoracic scoliosis and short stature. Her bone age was in line with that of an 8–10 months old infant. Her luteinizing hormone level was below normal. Echocardiography showed severe infundibular pulmonary stenosis, secundum atrial septal defect (ASD), bidirectional shunt with a diameter of 2.1 cm, an anterior rim of 3.71 cm and a posterior rim of 1.17 cm. She also had severe tricuspid regurgitation due to severe infundibular pulmonary stenosis, and moderate mitral regurgitation due to posterior mitral leaflet prolapse. She received hormonal therapy, an angiotensin-converting enzyme inhibitor, a beta-blocker, spironolactone and furosemide. Resection of the infundibular muscle, ASD closure and repair mitral valve was planned.

KEYWORDS: diagnosis, management, Noonan syndrome
Clinical Outcome and Predictors of In-Hospital Mortality Among Patients With Infective Endocarditis at the Philippine Heart Center
Authors: Yap Emily Mae L , Medrano Ana Beatriz D , Ecarma Raquel Victoria M 
Published: July 2024

BACKGROUND: Infective endocarditis (IE) continues to be a fatal disease if inappropriately diagnosed or managed. This study aims to determine the clinical features, outcomes, and predictors of mortality among those with IE in our institution.

METHODOLOGY: We retrospectively reviewed 283 patients in our institutional database for all cases of IE admitted and diagnosed as having definite and possible IE based on the modified Duke’s criteria between 2007 and 2016. Incidence, clinical course, and predictors of outcomes were analyzed.

RESULTS: The 10-year prevalence rate of IE was 0.21%, with 21 cases of IE for every 10,000 person-days. The mean age was 40 ± 16.5 years, with a male predominance (59%). Fever (47%) and dyspnea (36%) were the most common clinical presentation. One-half of the patients received empiric antibiotics prior to admission. Blood cultures were negative in 62% of cases. Streptococcus species was the most common isolated organism. β-Lactams as monotherapy or in combination with aminoglycosides were the most common antibiotics given. Acute kidney injury (18%), septic shock (15%), and acute heart failure (12%) were the most common major adverse events during hospitalization. The in-hospital mortality rate was 30%. On multivariate analysis, positive blood culture (odds ratio [OR], 8.7; 95% confidence interval [CI], 1.68–45.26; p = 0.010), acute kidney injury (OR, 5.0; 95% CI, 1.04–24.15; p = 0.045), septic shock (OR, 2.58; 95% CI, 1.33–5.01; p = 0.005), and surgical management for an emergent or urgent indication (OR, 0.22; 95% CI, 0.05–0.90) were independent predictors of mortality.

CONCLUSION: Infective endocarditis continues to be associated with significant morbidity and mortality. The results of this study underscore the need to identify patients who are at high risk of complications as well as more aggressive medical and surgical management to improve outcomes.

KEYWORDS: infective endocarditis, native valve endocarditis, prosthetic valve endocarditis valves
Trimetazidine as Adjunctive Therapy for Decreasing Major Adverse Cardiac Events in Coronary Artery Disease Patients Undergoing Reperfusion Strategy: A Meta-analysis of Randomized Controlled Trials
Authors: Saroca Christdianzen Grace P , Tan John David S , Bailon Douglas P , Te-Rosano Abigail  Louise D , Tiongco Richard Henry P 
Published: July 2024

Trimetazidine as adjunctive therapy in cardioischemic patients has shown improvement in angina and left ventricular ejection fraction, but with conflicting evidence on hard clinical outcomes. This meta-analysis aims to compare the efficacy of trimetazidine versus placebo in reducing cardiac mortality and major adverse cardiac events (MACEs) in coronary artery disease patients after reperfusion strategies, whether percutaneous coronary intervention or thrombolysis. The primary outcomes examined were cardiac mortality and combined MACEs; secondary outcomes were repeat revascularization, heart failure after reperfusion, stent restenosis, recurrence of angina, and reinfarction. Trimetazidine in comparison to placebo was associated with lower cardiac mortality and combined MACEs, but results were not significant. Among secondary outcomes, only stent restenosis was significantly reduced (risk ratio, 0.53; 95% confidence interval, 0.34–0.83; P = 0.006). Further trials should be conducted with more standard dosing regimens, duration of therapy, and similar severities of ischemic disease.
Dual Antiplatelet Versus Single Antiplatelet in Post– Transcatheter Aortic Valve Implantation/Transcatheter Aortic Valve Replacement for Stroke Prevention: A Systematic Review and Meta-analysis
Authors: Yap Ralph , Bailon Douglas , Te-Rosano Abigail Louise 
Published: July 2024

BACKGROUND: There is ambiguity on antiplatelet therapy for post–transcatheter aortic valve replacement (TAVR) patients for stroke prevention, but dual antiplatelet therapy (DAPT) is routinely started despite lack of data on effectiveness and bleeding safety of DAPT versus single antiplatelet therapy (SAPT). This study aims to determine the effectiveness of DAPT versus SAPT in stroke prevention and assess bleeding safety.

METHODS: A systematic search was done for randomized clinical trials involving DAPT and SAPT in patients who underwent TAVR. The primary outcome was stroke after 1 year of either DAPT and SAPT and life-threatening bleeding. Secondary end points included all-cause mortality. Trials were identified through systematic searches on the following databases (November 2019): Cochrane, MEDLINE, and Google Scholar and ClinicalTrials.gov and World Health Organization International Clinical Trials Registry Platform. Risk ratio was used for dichotomous outcomes. Heterogeneity among the studies for the meta-analysis was detected using a χ2 test (0.01 level of significance). Risk-of-bias assessment was done.

RESULTS: There is a lower incidence of stroke in patients on DAPT, but with a higher incidence of life-threatening bleeding and major bleeding. There is also a lower incidence of all-cause mortality in SAPT. The statistical power of this meta-analysis is low due to small population size.

CONCLUSION: Single antiplatelet therapy is comparable to DAPT in preventing stroke with the added benefit of a lower incidence of life-threatening and major bleeding and a lower incidence of all-cause mortality.

KEYWORDS: antiplatelet therapy, bleeding, dual antiplatelet therapy, single antiplatelet therapy, mortality, myocardial infarction, stroke, transcatheter aortic valve replacement, transcatheter aortic valve implantation
Prevalence, Awareness, and Treatment Profile of Adult Filipino Hypertensive Individuals: Philippine Heart Association–Council on Hypertension Report on Survey of Hypertension (PRESYON-4)
Authors: Sison Jorge A , Cawed-Mende Roberta Maria , Oliva Raymond V 
Published: July 2024

BACKGROUND: Hypertension is one of the leading causes of cardiovascular morbidity and mortality in the Philippines. The prevalence rate of hypertension has been increasing, and this was associated with increasing comorbidities and poor control rates. The Philippine Heart Association–Council on Hypertension has been conducting the PRESYON studies since 1992 to determine the present hypertension rates. This updated PRESYON-4 aimed to know the latest numbers of hypertension cases in the country and to determine the awareness, treatment profile, and control rates of individuals afflicted with hypertension.

METHODS: PRESYON-4 is a randomized, prospective, multistage, stratified, nationwide survey conducted last January to April 2021. It included 3,437 participants; 2,796 subjects were adults aged 19 years or older, and the rest of the participants were 12 to 18 years old. The prevalence of hypertension was analyzed from the survey. Anthropometric measurements, risk factors, and comorbidity assessment were also determined.

RESULTS: The prevalence rate of hypertension in the latest survey is 37%, with more than half of the respondents aware of their disease. Utilizing the classification of the European guidelines for hypertension, 34% had grade 1 hypertension, with 26% of participants having isolated systolic hypertension. Individuals older than 50 years are aware of their elevated blood pressure (BP), but more females are aware of their disease compared with men. Current smoking and obesity are high in the hypertensive population, whereas diabetes mellitus and angina are the more common comorbidities. Most subjects utilize the oscillometric arm BP apparatus to monitor their BP. Angiotensin receptor blockers are the most used antihypertensive medication with a high compliance rate. However, there is poor control among treated patients with hypertension, as the control rate is only 39%. The prescription of a single drug is still prevalent among Filipino hypertensive individuals.

CONCLUSION: The point prevalence of hypertension in the country is at 37% based on the analysis. The need to manage risk factors such as obesity and smoking should be part of management. A multisectoral approach in the management of hypertension should be part of the strategy to lower hypertension in the country.

KEYWORDS: hypertension, prevalence, awareness, compliance, BP control