bluuebunny/crossref_metadata_2025_split huggingface dataset:
Use of C-reactive protein for prediction of sinus rhythm maintenance after pharmacologic cardioversion in patients with Metabolic Syndrome
Authors: Jani Ylber , Neziri Entela , Paparisto Sokol , Bara Petrit , Haxhirexha Kastriot , Pocesta Bekim , Rexhepi Atila , Xhunga Sotiraq , Serani Artur , Ferati Fatmir , Zeqiri Agim , Kamberi Ahmet 
Published: April 2024

Abstract

Background
Approximately 50% of patients undergoing cardioversion present with a recurrence of Atrial Fibrillation ( AF) within 3–6 months of cardioversion despite ongoing antiarrhythmic treatment (AAD). Inflammation has been involved in the pathogenesis of both metabolic syndrome (MS) and atrial fibrillation. Evidence has indicated that inflammatory changes is essential for recurrence of AF. Therefore, identifying patients at high risk of AF recurrence remains challenging.

Objective
We tested the hypothesis: increased C-reactive protein (CRP) levels are associated with a greater risk of AF recurrence after pharmacologic cardioversion (PCV)

Methods
We conducted a multicenter observational cross-sectional study. 215 consecutive adult participants (≥18 and <65years of age) were recruited with MS and symptomatic AF (paroxysmal and persistent). They were admitted at six general cardiology Health Care Clinics, underwent PCV, and during a one calendar year follow-up period, were stratified into two groups according to CRP levels (105 participants (50 females and 55 males) with level of CRP ≥3mg/L and 110 (58 females and 52 males) with level of CRP <3mg/L). Recurrence of AF during follow-up period was defined as the study end-point.

Results
After the follow-up of one year, only (31.8%) of patients with MS and CRP levels above the cut-off of 3 mg/L remain in sinus rhythm, compared to (64. 7%) of patients with MS and CRP levels below the cut-off of 3 mg/L (p=0. 002).

Conclusions
CRP, an easily determined marker in everyday clinical practice, may provide significant prognostic information regarding sinus rhythm maintenance and could be useful for predicting the recurrence of AF after successful pharmacologic cardioversion in clinical practice.
Ventricular tachycardia ablation after myocardial infarction guided by cardiac magnetic resonance/multidetector computed tomography image integration
Authors: Burcin Alexandru – Paul , Câlmâc Lucian , Lǎcǎu Smǎrǎndiţa loana , Șarpe Tudor , Gondoș Viviana , Sotto-Iglesias David , Berruezo Antonio , Vătășescu Radu-Gabriel 
Published: April 2024

Abstract

INTRODUCTION
The persistent challenge of ventricular tachycardia (VT) ablation lies in the elevated morbidity and mortality due to the underlying disease progression and the complexity of the arrhythmogenic substrate. As imaging methods are evolving, substrate-based VT ablation is moving closer to the realm of precision medicine.

CASE PRESENTATION
A 52-year-old patient with a history of hypertension, type II diabetes mellitus, hyperlipidemia, and stage IIIB chronic kidney disease was referred to our hospital for sustained monomorphic VT. Upon admission, the patient was hemodynamically stable. Laboratory results indicated mild anemia, moderate renal dysfunction, and normal myocardial enzymes. ECG during sinus rhythm showed widespread repolarization abnormalities in the apical and postero-lateral leads. Echocardiography revealed mild left ventricular dysfunction and coronary angiography confirmed significant lesions in multiple coronary arteries that were treated with drug-eluting stents (DES). Cardiac MRI showed relatively limited areas of old myocardial infarctions in the left circumflex artery and left anterior descending artery territories, therefore we decided to perform VT ablation. We used a Carto 3 Biosense Webster electro-anatomical mapping system (EAM) guided by fusion imaging (cardiac MRI and multidetector computed tomography - MDCT) with the aid of ADAS 3D software. The voltage map created during sinus rhythm, was concordant with the lesions identified on LGE-CMR. Radiofrequency (RF) catheter ablation targeted abnormal signals from the EAM, which were identified based on conduction channels (CCs) from the fusion imaging. There was complete VT non-inducibility at programmed ventricular stimulation (PVS). At the 3-month follow-up, echocardiography showed a slight improvement in LVEF and repeated PVS proved persistent ventricular arrhythmia non-inducibility.

CONCLUSION
Substrate-based VT ablation in structural heart disease has greatly improved by high-resolution substrate imaging with detailed anatomy, allowing successful personalized treatment. There is room for further improvement in the near future with the contribution of artificial intelligence, possibly with a more targeted and automated VT ablation.
Continuidad de vínculos y significado del duelo por suicidio tras el paso del tiempo: a propósito de un caso
Authors: González Báez Anastasio Pablo , García Hernández Alfonso Miguel ,   Universidad de La Laguna (España)
Published: April 2024

According to WHO estimates, 703 000 people die by suicide every year. In Spain, the last data from INE, 4003 deaths by suicide were registered in 2021. Shneidman in 1969 established that for every death by suicide there were 6 people affected. These people are known as survivors. It is intended to identify manifestations or mournining, as well as the presence of continuing bonds with the deceased person observe how the meaning of death changes in the survivor narrative. Through a case study, after the transcription of a semi-structured interview, three categories were generated: grief process, continuing bonds, and search of meaning. It was posible to verify how a discourse is elaborated that points toard the continuing bonds with the deceased and trasnforms the felt story.
REFUGIADOS NO BRASIL
Authors: Otto Barrientos Janine , Keiko Kataoka Lima Ísis , Dos Santos Siqueira Thiago 
Published: April 2024

Este artigo aborda a situação dos refugiados sírios no Brasil em meio ao aumento dos movimentos migratórios globais. Com foco na legislação e nas políticas de integração, investiga os desafios enfrentados por esses refugiados, como acesso a serviços básicos, inclusão no mercado de trabalho, adaptação cultural e participação na comunidade local. A crise humanitária na Síria é destacada como um exemplo marcante de deslocamento em massa. A pesquisa busca identificar lacunas e obstáculos no processo de integração dos refugiados sírios no Brasil, fazendo uso da metodologia qualitativa e oferecendo insights para o desenvolvimento de políticas mais eficazes e sensíveis às suas necessidades. Os resultados encontrados com a presente pesquisa foram de comparações e ensinamentos referente ao padrão encontrado no acolhimento dos refugiados sírios.
Palavras-chaves: Refugiados sírios; Acolhimento; Direitos dos refugiados; Migração forçada; Crise humanitária.
Job satisfaction among physical education teachers: A systematic literature review
Authors: Gazali Novri , Saad Norazlinda , Setiawan Edi , Lobo Joseph 
Published: April 2024

Background Problems: In recent decades, physical education teacher job satisfaction has become a topic of interest in academic literature. The important role of physical education teachers' job satisfaction in the quality of teaching and its potential to influence student achievement have attracted attention. Research Objectives: This study aims to comprehensively analyse the level of job satisfaction among physical education teachers through a systematic review of the existing literature. Methods: We selected articles containing information on this topic from two databases (Scopus and Web of Science). We conducted the search according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. After the exclusion criteria, only 26 articles were categorized, all published between 2014 and 2023. Findings/Results: This research reveals that physical education teachers’ job satisfaction has been investigated in 13 countries, with Turkey, the United States, and Greece being the main focus. Although the majority of physical education teachers expressed high levels of satisfaction, significant differences in satisfaction levels emerged between them. For example, in Slovakia and Poland, satisfaction levels were relatively low. The findings underline that administrative support, work-life balance, and economic considerations are key factors that influence physical education teachers’ job satisfaction. However, in this context, money and rewards, working conditions, and the availability of resources also play an important role in determining teacher satisfaction. Conclusion: The findings from this study highlight the need for a deeper understanding of the diverse factors impacting job satisfaction among physical education instructors. We can develop more effective policies and practices to improve teachers’ well-being and performance at both local and global levels by understanding these nuances. We suggest further investigations into job satisfaction among physical education teachers in the Asian region, particularly focusing on Southeast Asia. Additionally, exploring variables such as leadership, self-efficacy, school climate, and culture in future research can offer deeper insights into the determinants of job satisfaction.
réclamations d’actionnaires pour pertes par ricochet en arbitrage investisseur-État sous les traités d’investissement canadiens
Authors: Vanhonnaeker Lukas 
Published: April 2024

L’arbitrage investisseur-État, mode de résolution des différends aussi emblématique que controversé dans le domaine du droit international des investissements, soulève de nombreuses questions, dont celle relative à la possibilité reconnue aux actionnaires de présenter des réclamations pour pertes par ricochet. De telles réclamations permettent aux actionnaires qui répondent à la définition applicable d’investisseurs étrangers de demander en arbitrage investisseur-État une réparation pour un dommage qui prend la forme d’une réduction de la valeur de leurs actions. Une telle possibilité, bien qu’importante et cohérente au regard de l’objectif du droit international des investissements de protéger les investisseurs étrangers et leurs investissements, génère une série de risques qui, s’ils ne sont pas pris en compte, peuvent résulter en une atteinte aux droits des États, défendeurs dans les procédures d’arbitrage investisseur-État et, in fine, mettre à mal la légitimité de ce mécanisme de résolution des différends. Le modèle canadien d’Accord sur la promotion et la protection des investissements étrangers (APIE) de 2021 semble permettre de telles plaintes tout en tentant de les encadrer et de limiter les risques de procédures multiples ainsi que les dangers de double indemnisation et d’incohérence par le recours à deux mécanismes en particulier : celui des renonciations et celui de la jonction de plaintes.
Penerapan Budaya K3 Terhadap Kinerja Karyawan Pada Department of Mining PT Semen Baturaja
Authors: Yulistia Eriyana , Sari Enda Kartika , Risa Oka 
Published: April 2024

Tujuan perusahaan akan dapat dipenuhi bila perusahaan tersebut dapat menangani Sumber Daya Manusia (SDM) yang dimilikinya secara baik. Salah satunya adalah dengan memperhatikan keselamatan dan kesehatan kerja pegawainya, merupakan gambaran tata kelola SDM yang baik. Perusahaan melalui program Keselamatan dan Kesehatan Kerja (K3) berusaha melindungi pegawainya, di segala bentuk kegiatan pekerjaan sebagai usaha dalam menjaga pekerjanya agar terjaga dari kecelakaan atau cidera ketika bekerja juga sebagai upaya menghindar dari penyakit yang terjadi baik jangka pendek atau jangka panjang akibat dari pekerjaan yang sudah dilakukan karyawan di perusahaan tersebut. Departement of Mining PT Semen Baturaja Tbk merupakan satu unit kerja yang proses kegiatannya memiliki potensi resiko dan bahaya yang sedikit tinggi. Penelitian yang dilakukan ini bertujuan melihat telah sejauh mana penerapan budaya K3 di unit kerja Department of Mining serta seberapa efektif penerapan budaya K3 yang sudah dilaksanakan pihak perusahaan. Metode penelitian yang dilakukan adalah metode survey atau pengamatan langsung dilapangan. Pengolahan data dengan memakai Uji Regresi Linier Berganda pada program SPSS 18 dan data yang didapat berasal dari kuisioner yang disebar dan wawancara pada responden. Dari analisis yang dilakukan didapatkan koefisien regresi X1 yaitu 0,281, dan koefisien regresi X2 yaitu 0,577. Dari Uji F yang telah dikerjakan didapat bahwasannya t hitung lebih besar dari t tabel, maknanya faktor penerapan budaya K3 memiliki dampak signifikan pada kinerja karyawan dengan koefisien determinasi yaitu 16,5%. Dengan demikian dapat ditarik satu kesimpulan bahwasanya faktor penerapan budaya K3 memiliki dampak nyata pada kinerja karyawan di lingkungan Departemen of Mining di PT Semen Baturaja tbk.
Evaluation of morphological parameters, PLR and NLR inflammation indicators in patients with long-term COVID-19 of mild and severe complexity
Authors: Stróż Samuel , Kosiorek Piotr , Zbroch Edyta , Mikołuć Bożena , Stasiak-Barmuta Anna 
Published: April 2024

IntroductionCOVID-19 can have long-lasting effects, but the effects on blood parameters and inflammation are poorly understood. The aim of this study was to evaluate morphological and inflammatory markers in long-term COVID-19 patients.AimTo evaluate complete blood count, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and morphology in mild versus severe long COVID-19.Material and methodsIn total, 39 long COVID-19 patients were stratified into mild (<i>n</i> = 25) and severe (<i>n</i> = 14) groups. Blood counts, NLR, PLR were measured. Cell morphology was analysed. ROC curves were used to determine biomarker thresholds. Survival was assessed using Kaplan–Meier curves.Results and discussionSevere patients had lower leukocytes but higher neutrophils, indicating greater inflammation. NLR and PLR were significantly increased in severe patients compared to mild patients (NLR 12 vs 8; PLR 140 vs 100). NLR and PLR were higher than in controls, confirming their utility as inflammatory markers. NLR and PLR effectively discriminated between mild and severe disease. High NLR and PLR predicted poorer prognosis. Altered leukocyte morphology such as cytoplasmic vacuolization correlated with severity.ConclusionsNLR and PLR are promising biomarkers for assessing severity of long COVID-19, while morphological changes in blood cells provide additional evidence of inflammation. Further studies in larger populations are warranted.
Peranan Guru Terhadap Pembentukan Nilai Kesopanan Peserta Didik Sekolah Dasar Kelas V
Authors: Putri Chindy Amarta , Ananda Rizki , Surya Yenni Fitra , Amalia Rizki , Rizal M. Syahrul 
Published: April 2024

Penelitian ini dilatarbelakangi oleh rendahnya nilai kesopanan yang dimiliki oleh siswa keas V UPT SDN 010 Langgini. Penelitian ini bertujuan untuk mengetahui peran guru dalam menanamkan nilai kesopanan kepada siswa. Metode penelitian yang digunakan dalam penelitian ini adalah pendekatan deskriptif dengan jenis kualitatif. Pengumpulan data dilakukan dengan menggunakan observasi, wawancara, dokumentasi, dan pencatatan lapangan. Hasil penelitian menunjukkan bahwa peserta didik kelas V di UPT SDN 010 Langgini sudah bisa menerapkan nilai kesopanan pada saat proses pembelajaran, tetapi belum bisa menerapkannya di luar kelas, terutama pada saat jam istirahat. Faktor-faktor yang mempengaruhi nilai kesopanan peserta didik ialah lingkungan keluarga atau pengawasan orang tua dan penggunaan handphone secara berlebihan atau bebas terhadap anak. Peranan guru terhadap pembentukan nilai kesopanan peserta didik ialah dengan memberikannya teguran lisan terhadap peserta didik yang kurang sopan. Berdasarkan hasil penelitian dapat disimpulkan bahwa guru memiliki peranan penting dalam menamkan nilai kesopanan kepada siswa. Selain itu, lingkungan juga berperan dalam menanamkan nilai kesopanan kepada siswa.
Efecto de un curso sobre medicina basada en la evidencia: análisis exploratorio
Authors: Mesa-Melgarejo Lorena , Zarate-Ardila Carol 
Published: April 2024

Introducción. Tomar decisiones clínicas basadas en la mejor evidencia disponible es una buena práctica que favorece los resultados en salud. Su uso ha sido promovido por diferentes organismos; sin embargo, aún existen algunas barreras entre profesionales de la salud para su apropiación. El objetivo fue el análisis exploratorio del efecto de un curso sobre los conocimientos, habilidades y actitudes frente a la Medicina Basada en la Evidencia (MBE) en profesionales de la salud que ejercen en Bogotá, Colombia. Metodología. Estudio exploratorio que incluyó un componente cuantitativo y uno cualitativo de carácter descriptivo. El estudio se desarrolló entre agosto de 2022 y abril de 2023. Para el componente cuantitativo se construyó un cuestionario tipo test, compuesto por 38 preguntas, aplicado antes y después del curso. Respecto de lo cualitativo, se realizaron en total 6 entrevistas semiestructuradas a docentes, estudiantes y uno de los gestores del proyecto. Resultados. Los resultados cuantitativos permitieron identificar cambios relacionados con la toma de decisiones clínicas, una mejora en el conocimiento y aplicación de herramientas para la evaluación de la calidad de estudios para resolver preguntas clínicas. El componente cualitativo permitió identificar dos temáticas centrales: pedagogía de la toma de decisiones y los aspectos que posibilitan o no la implementación de estas herramientas para tomar decisiones clínicas. Discusión. Los resultados sobre los efectos del curso son similares a los reportados por otros estudios en contextos diferentes al colombiano. Se requiere investigación que a mediano y largo plazo mida el impacto de la formación en el cambio de práctica. Conclusión. El curso sugiere tener efectos en los conocimientos y habilidades para mejorar la búsqueda y evaluación de la evidencia, así como para la formulación de preguntas clínicas, la comprensión de la certeza de la evidencia y mejorar la actitud hacia el uso de la evidencia para fundamentar la toma de decisiones en la clínica.
Influence of Quality of Services and Infrastructures on Inpatient Satisfaction
Authors: Sibuea Nunti , Indra Prayoga Bobby , Kartiko Ari , Arsyawina Arsyawina 
Published: April 2024

This research was conducted at the Mother and Child Hospital “Fatimah” Lamongan with a scope of marketing which consists of service quality variables (X1), Infrastructure (X2) and patient satisfaction (Y). The study uses quantitative method. The population is the inpatients of the Mother and Child Hospital “Fatimah” Lamongan which will then be selected as the research sample. The data collection technique used a questionnaire and the sampling technique used probability sampling, with a random sampling technique and 98 patients were selected as samples. It uses primary data obtained directly from the respondents. The data obtained have tested the validity and reliability using SPSS software. The analysis of hypothesis testing used multiple linear regression analysis techniques and the results obtained that the quality of services and infrastructure have a significant effect on patient satisfaction inpatient care at the “Fatimah” Lamongan Mother and Child Hospital, while the variable infrastructure has a dominant influence on inpatient satisfaction.
โรคพาเจทที่ปากช่องคลอด
Authors: Dankamak Pakhanan , Nanthamongkolkul Kulisara , Jiamset Ingporn , Atjimakul Thiti , Rattanaburi Athithan 
Published: April 2024

โรคพาเจทที่ปากช่องคลอดเป็นโรคที่พบได้น้อยและวินิจฉัยได้ยาก อีกทั้งอาจเกี่ยวข้องกับมะเร็งชนิดอื่นๆ ได้ เช่น มะเร็งระบบทางเดินปัสสาวะ, มะเร็งระบบทางเดินอาหาร เป็นต้น จำเป็นต้องใช้การวินิจฉัยอย่างละเอียดรอบคอบ โดยการรักษาหลักของโรคพาเจทคือการผ่าตัด และมีการรักษาทางเลือกในกรณีที่ไม่สามารถผ่าตัดได้ เช่น การฉายแสง การใช้ยาทา และการให้เคมีบำบัดในโรคระยะแพร่กระจาย เนื่องจากโรคพาเจทนั้นมีการกลับเป็นซ้ำได้บ่อย
ดังนั้นจึงต้องอาศัยการติดตามอย่างต่อเนื่อง ซึ่งบทความนี้ได้มีการรวบรวมและค้นคว้าข้อมูลเกี่ยวกับโรคพาเจทของปากช่องคลอด โดยมีเนื้อหาประกอบด้วย ที่มาของโรค ลักษณะโรคทางคลินิก ลักษณะรอยโรค การสืบค้นต่างๆ รวมไปถึงแนวทางการรักษาโรคพาเจทที่มีข้อมูลอยู่ในปัจจุบัน
РОЛЬ І ЗНАЧЕННЯ СКЛАДОВИХ СИЛ ОБОРОНИ УКРАЇНИ У ЗАХИСТІ ЕКОНОМІЧНОЇ ДІЯЛЬНОСТІ НА МОРІ
Authors: КУПРІЄНКО Дмитро , ТІХОНОВ Григорій , БЕЗУГЛИЙ Віталій 
Published: April 2024

У статті висвітлено роль і значення складових сил оборони України у захисті економічної діяльності на морі в умовах повномасштабної збройної агресії та гібридних дій російської федерації. Зазначається, що основними складовими, на які покладається захист економічної діяльності на морі, є Військово-Морські Сили Збройних Сил України та Морська охорона Державної прикордонної служби України. Саме вони виконують основні завдання щодо оборони України та захисту її національних інтересів на морі. Зокрема це стосується і захисту економічної діяльності України на морі. Зважаючи на те, що економіка Українизаз нала суттєвих втрат після початку збройної агресії російської федерації проти України у 2014 році та її повномасштабного вторгнення у 2022 році, відповідні складові сил оборони України мають скеровувати свій потенціал на набуття необхідних спроможностей щодо захисту економічної діяльності нашої держави на морі. Для досягнення цієї мети доцільно здійснювати стратегічне планування відповідних спроможностей як за рахунок національних ресурсів, так і залученням міжнародної допомоги (підтримки). Крім цього, навіть після припинення росією збройної агресії прогнозується високий рівень ймовірності продовження нею гібридної агресії проти України. Перш за все для досягнення низки взаємопов’язаних цілей: виснаження української економіки; гальмування внутрішньодержавних реформ; перешкоджання доступу до інноваційних західних технологій, зокрема й пов’язаних з військово-морською сферою; зниження рівня підтримки України з боку іноземних партнерів; спотворення позитивного та формування негативного іміджу України для його поширення серед сусідніх держав та іноземних партнерів; затягування нормативно-правового врегулювання (делімітації та демаркації) морських кордонів та утвердження передумов для подальших маніпуляцій з боку росії міжнародно правовим статусом Азовського моря і Керченської протоки. Отже, ефективний захист морських кордонів та морської акваторії є вкрай необхідним як для обороноздатності, так і для провадження економічної діяльності України на морі.