bluuebunny/crossref_metadata_2025_split huggingface dataset:
‘Consociatio vita minabatur procursus’: Citrobacter freundii outbreak causing periculosus neonatal septicaemia in neonatal intensive care unit of tertiary care hospital
Authors: Jindal Sonal , Agarwal Karvi 
Published: April 2024

Abstract

Background:

Citrobacter freundii is a common cause of neonatal intensive care unit (NICU) outbreaks, causing high morbidity and mortality as a hospital-acquired pathogen. This is the first study from our geographic region, which makes it of utmost importance for spreading awareness about this unusual pathogen amongst healthcare settings.

Aim:
Investigating an outbreak caused by C. freundii in the NICU of a tertiary care hospital.

Settings and Design:
During the month of May 2023, an outbreak of C. freundii causing neonatal septicaemia was suspected in the NICU of a tertiary care hospital in Western Uttar Pradesh. The outbreak was investigated and surveillance conducted by the hospital infection control (HIC) team, to find a source of the infection by root cause analysis (RCA), to study clinical profiles and outcomes, to determine their antimicrobial susceptibility pattern, to take corrective action preventive action (CAPA).

Materials and Methods:
A total of 132 blood samples were tested for blood culture and sensitivity using the BD FX40 system. Positive flagged bottles were processed for Gram stain and sub-cultured on 5% sheep blood agar and MacConkey’s agar media plates. Final bacterial identification and antibiotic susceptibility were done with an automated BD-Phoenix M-50 system.

Results:

C. freundii with similar antimicrobial susceptibility was identified in seven neonates, contributing to a major percentage of neonatal blood culture positivity of 13.7%, out of a total positivity rate of 38.63%. The mortality rate of this outbreak was 28.57%. The HIC team investigates this outbreak for CAPA and RCA. On environmental surveillance, C. freundii was isolated from infant incubators, dressing trolleys, and laryngoscope blades of the NICU.

Discussion:

C. freundii association in Blood culture from critical areas patients is life-threatening ‘Consociatio Vita Minabatur Procursus’. Direct access to the bloodstream causing neonatal septicaemia in a short time is a concern for its potential severity, making it as ‘Periculosus Pathogen’. Laboratory automation and implementation of strict infection control strategies in critical areas can improve clinical outcomes and prevent future outbreaks.
The role of intraoperative neuromonitoring of facial nerve in microsurgical excision of vestibular schwannomas
Authors: Mahallawy Magdy A , Farid Ashraf M , Balaha Ahmed M , Nomeir Ahmed M 
Published: April 2024

Abstract

Background
Preserving the function of facial nerve (FN) is an important objective of cerebellopontine angle tumor excision. FN paresis and paralysis possibly happen postoperatively, in particular for vestibular schwannoma (VS) excision, despite efforts to prevent injury and preserve anatomic integrity of the FN during dissection.

Aim
Evaluation of the role of neuromonitoring of FN in microsurgical resection of VSs and its impact on FN function preservation and quality of life.

Patients and methods
This trial was conducted on 22 patients with VS in the period from February 2018 to February 2020. All patients had undergone VS microsurgical excision in the Neurosurgery Department, Tanta University Hospitals.

Results
According to House-Brackmann grading scale, the functions of FN postoperatively were grade I in 16 patients (72.6%), grade III in three patients (13.6%), grade IV in two patients (9%), and grade V in one patient (4.7%). So, House-Brackmann grading scale II to VI means preservation less than 100%, which was achieved in six patients (27.3%).

Conclusion
Intraoperative neurophysiologic monitoring plays an essential step in modern skull base surgery generally and in VS surgery specifically. FN electromyography does not only help localize and identify the anatomy of FN but as well keep FN integrity of function and can be helpful in the prediction of its postoperative functional outcome.
MRI with diffusion-weighted imaging in staging and restaging of cancer rectum
Authors: Baioumy Aya M S , Ismael Mohamed A Y , Alm El-Din Mohamed A E , Dawoud Mohammed M 
Published: April 2024

Abstract

Background
Magnetic Resonance Imaging (MRI) has emerged as one of the most reliable noninvasive methods for staging rectal carcinoma, due to its ability to precisely delineate rectal tumors.

Aim
The aim of this study is to assess role of diffusion-weighted (DW) imaging in primary staging and restaging of locally advanced rectal cancers.

Patients and methods
40 cases with rectal cancer were included in the research referred to the Radio diagnosis department throughout the period from December 2018 to March 2022. Pelvic MRI with DW imaging was done for all cases.

Results
According to this studies adding DW imaging to conventional MRI among group I (patients with resectable rectal cancer) increased the diagnostic accuracy to 93.6%, sensitivity to 91%, and specificity to 100%. In group II (patients with locally advanced rectal carcinoma) there was significant increase in the diagnostic accuracy to 83.6%, giving also high negative predictive value as we were able to differentiate between complete responder and nonresponder. Furthermore, the diagnostic accuracy in the evaluation of the mesorectal fascia involvement was much improved after the addition of DW imaging.

Conclusion
DW imaging yields better diagnostic accuracy than using conventional MR imaging alone in initial staging and restaging of cases with locally advanced rectal cancer.
Ultrasonic evaluation of transverse cerebellar diameter and vermian anteroposterior diameter in detecting fetal age among pregnant Egyptian women
Authors: Abdelrahman Hala K M , Elsaidy Mohamed A , Aboelgoud Morsy A , Emam Mostafa H H , Ibrahim Sara 
Published: April 2024

Abstract

Background
Accurate dating of pregnancy is critically important for pregnancy follow-up from the first trimester to delivery and is particularly necessary for determining viability in premature and postdate deliveries.

Aim
The aim of the present study was to determine the accuracy of fetal transverse cerebellar diameter (TCD) and vermian anteroposterior diameter as ultrasonographic parameters for the prediction of fetal age.

Patients and methods
Five hundred and twenty normal pregnant women were examined for the TCD depending on the fetal age of their fetuses from 14 to 38 weeks. Four hundred and sixty normal pregnant women out of the previous were examined for vermian anteroposterior diameter from 18 to 38 weeks. The data analyzed by SPSS were used to calculate mean±SD for quantitative variables. Percentiles 5th, 50th and 95th, Pearson correlation and polynomial regression were also used.

Results
The mean TCD increased from 13.63 mm at 14th week to 53.68 mm at 38th week of gestation. There was high degree of correlation between TCD and fetal age. The mean vermian anteroposterior diameter increased from 8.78 mm at 18th week to 26.68 mm at 38th week of gestation. There was a linear correlation between vermian anteroposterior diameter and fetal age. There was linear correlation between TCD and vermian anteroposterior diameter.

Conclusion
It could be concluded that the TCD and vermian anteroposterior diameter are reliable parameters for the determination of fetal age in the second and third trimesters of pregnancy.
The effect of type 2 diabetes mellitus on spontaneous bacterial peritonitis among patients with decompensated liver cirrhosis
Authors: Shaira Marwa M , El-Bedewy Mohamed M , Hazzaa Sahar M El-Din , Shalaby Khaled H 
Published: April 2024

Abstract

Background
Type 2 diabetes mellitus (T2DM) is a common comorbidity among liver cirrhosis cases. However, there are few data indicating the effect of DM on spontaneous bacterial peritonitis (SBP).

Aim
To evaluate the effect of DM and glycosylated hemoglobin A1c (HbA1c) values on the prevalence of SBP in cases with liver cirrhosis and ascites.

Patients and methods
A total of 120 cases with liver cirrhosis and ascites were evaluated. The presence of DM and HbA1c was measured at the time of the first paracentesis. Cases were followed for 1 year. SBP development was the primary outcome.

Results
During follow-up, DM cases had an elevated chance of developing SBP [hazard ratio (HR): 1.767; P=0.026]. Cases with HbA1c values more than or equal to 8.5% had a greater risk for development SBP within 90 days than DM cases with values less than 8.5% (HR: 1.478; P=0.271). Cases with HbA1c values more than or equal to 8.5% had a greater chance of getting SBP within 90 days than non-DM cases (HR: 1.738; P=0.119). DM cases with HbA1c values less than 8.5% had an increased chance of having SBP within 90 days than non-DM cases (HR: 1.188; P=0.687).

Conclusions
Cases with both liver cirrhosis and T2DM have an increased chance of developing SBP. HbA1c readings may be beneficial for stratifying the risk of SBP among DM cases, hence identifying individuals who might benefit from antibiotic prophylaxis.
Antropologia e Educação Patrimonial em comunidade ribeirinha atingida por barragem
Authors: Givanilton de Araújo Barbosa  
Published: April 2024

O presente estudo analisa a proposta de Educação Patrimonial em comunidade atingida por barragem. Revisa seus objetivos geral e específicos como o reaver o patrimônio cultural material e imaterial, do estudo dos fundamentos e princípios da Educação Patrimonial em sala de aula e como se deu o levantamento de fotografias antigas. Já a metodologia se amparou na revisão bibliográfica e da sistematização dos resultados da proposta, de observação da relação escola e comunidade e de oficinas em sala de aula. Como resultados levantaram-se um conjunto de imagens e de seu estudo minucioso, de identificação do Patrimônio Cultural com apoio da comunidade escolar, apresentação da Educação Patrimonial e suas contribuições por meio de oficinas consecutivas. Por fim, a experiência de Educação Patrimonial em sala de aula se revelou enriquecedora, pois aproximou a Universidade e Comunidade no fortalecimento de vínculos e da identidade local, vindo a contribuir para o exercício do Patrimônio-Cidadania.
Pemberdayaan Ibu-Ibu Pkk Melalui Penyuluhan Dan Pelatihan Pembuatan Hand Sanitizer Di Kelurahan Bumi Kecamatan Laweyan Kota Surakarta
Authors: Hutapea Henny Parida , Sembiring Yulia Shara br 
Published: April 2024

Menurut Organisasi Kesehatan Dunia (WHO), mencuci tangan dengan sabun dan air akan membunuh virus yang mungkin ada di tangan Anda. Selain mencuci tangan, WHO juga menyarankan untuk membersihkan tangan dengan hand sanitizer apabila kita dalam perjalanan atau dalam kondisi tertentu dimana susah mendapatkan air bersih yang mengalir. Hand Sanitizer merupakan pembersih tangan yang memiliki kemampuan antibakteri dalam menghambat hingga membunuh bakteri. Saat musim new normal di masa pandemi COVID-19 ini banyak aspek kehidupan masyarakat mengalami perubahan, salah satunya adalah aspek perekonomian Indonesia mengalami penurunan yang sangat tinggi. Masyarakat dibatasi dalam beraktivitas dikarenakan adanya pandemic Covid-19, dan tingkat penggangguran juga meningkat karena sebagian besar perusahaan melakukan pengurangan karyawan. Oleh karena itu dengan pemberdayaan program- program pelatihan dan praktik suatu produk yang dapat dilakukan dalam skala rumah tangga diharapkan dapat mengembangkan skill masyarakat kelurahan BUMI Kecamatan Laweyan Surakarta mengembangkan UKM. Dengan pengetahuan pembuatan salah satu produk ini mendapat inovasi dan kreatifitas bai ibu- ibu PKK sehingga dapat menjadi usaha,. Untuk merealisasikan tujuan tersebut, akan dilakukan pelatihan dan praktik pembuatan hand sanitizer bagi ibu- ibu PKK. Sasaran ini adalah ibu-ibu PKK yang berada di kelurahan Bumi kecamatan Laweyan Surakarta.
Pemberdayaan Ibu Rumah Tangga Desa Ngadirejo Dengan Budidaya Jamur Tiram Di Masa Pandemi Covid 19
Authors: Rachmawatie Srie Juli , Dughita Putri Awaliya , Kusuma Andri Haryono Awalokta , Respati Adib Norma , Hakim Abdul 
Published: April 2024

Pengabdian kepada masyarakat ini bertujuan untuk mengenalkan budidaya jamur tiram dan memberdayakan ibu rumah tangga melalui kegiatan budidaya jamur tiram. Metode yang digunakan pada kegiatan pengabdian kepada masyarakat ini adalah survey dan analisis lokasi, sharing knowledge tentang budidaya jamur tiram, pemberian baglog, dan pendampingan budidaya jamur tiram, pengolahan hasil jamur tiram serta praktek pengemasan. Kegiatan pengabdian dilakukan pada bulan September sampai Desember 2020 di Desa Ngadirejo Kecamatan Kartosuro Kabupaten Sukoharjo. Hasil pengabdian menunjukkan bahwa ibu rumah tangga di Desa Ngadirejo memiliki kemampuan dalam melakukan budidaya jamur tiram. Ibu rumah tangga ini juga dapat melakukan proses pengolahan jamur tiram menjadi jamur crispi. Pengabdian kepada masyarakat ini menghasilkan luaran yaitu ibu rumah tangga di Desa Nagdirejo mampu melakukan budidaya jamur tiram dan mengilah jamur tiram menjadi jamur crispi.
PEMELIHARAAN KESEHATAN PADA KASUS HIPERTENSI DENGAN PEMANFAATAN DAUN KELOR DAN DUKUNGAN KOMUNIKASI KELUARGA
Authors: Trikusumaadi Stefanus Khrismasagung , Widhiyastuti Endang 
Published: April 2024

Abstrak: Hipertensi menjadi salah satu penyakit tidak menular yang menjadi prioritas dalam dunia kesehatan secara global. Kasus di Indonesia, ditemukan bahwa adalah 59,8% penderita hipertensi merasa sudah sehat. Dari angka tersebut, hanya 54,4% yang minum obat secara rutin, dan 14,5% minum obat tradisional. Untuk itu pengabdian ini bertujuan meningkatkan pengetahuan peserta tentang hipertensi, penanganan hipertensi secara non farmakologis dengan memanfaatkan daun kelor, dan fungsi keluarga dalam mendukung pemeliharaan kesehatan pada kasus hipertensi. Dengan metode pendidikan kesehatan, penyuluhan dilakukan terhadap 26 warga Dusun Tembolan, Mancasan, Baki Sukoharjo. Setelah memperoleh pemaparan materi, terjadi peningkatan pengetahuan pada 75% peserta terkait dengan hipertensi, manfaat daun kelor untuk menurunkan tekanan darah, serta dukungan komunikasi keluarga terhadap pemeliharan kesehatan pada kasus hipertensi, Nilai- nilai penting yang didapatkan adalah bahwa terapi terhadap hipertensi bukan hanya dengan pendekatan farmakologis, namun juga non farmakologis, Pemanfaatan daun kelor dapat mendukung terapi obat bagi pasien hipertensi. Lebih dari itu Dukungan keluarga, dalam suatu iklim komunikasi yang kondusif sangat deperlukan untuk efektivitas perawatan.

Kata Kunci : Daun Kelor, Hipertensi, Komunikasi Keluarga

Abstract: Hypertension is one of the non-communicable diseases that is a priority in the world of global health. In Indonesia, it was found that 59.8% of hypertensive patients felt they were healthy. Of this figure, only 54.4% take medicine regularly, and 14.5% take traditional medicine. For this reason, this Community service aims to increase participants' knowledge about hypertension, non-pharmacological hypertension management by utilizing Moringa leaves, and family functions in supporting health care in cases of hypertension. Using the health education method, counseling was carried out to 26 residents of Dusun Tembolan, Mancasan, Baki Sukoharjo. After receiving the material exposure, there was an increase in knowledge in 75% of participants related to hypertension, the benefits of Moringa leaves for lowering blood pressure, as well as family communication support for health maintenance in cases of hypertension. pharmacological, but also non-pharmacological, the use of Moringa leaves can support drug therapy for hypertensive patients. More than that, family support, in a conducive communication climate, is very necessary for the effectiveness of treatment.
Keywords: Moringa leaves, hypertension, Family Communication
ENHANCING ACADEMIC EXCELLENCE: THE IMPACT OF ACADEMIC SUCCESS SKILLS ON STUDENTS AT THE INSTITUTE OF PUBLIC ADMINISTRATION AND MANAGEMENT (IPAM), UNIVERSITY OF SIERRA LEONE
Authors: Kamara Santigie Abu , Nuni Shekou Ansumana , Conteh Patricia Yandi , Kellie Aiah John 
Published: April 2024

The goal of this study is to improve academic excellence by examining how students at the University of Sierra Leone's, Institute of Public Administration and Management (IPAM) use successful academic strategies. Data was collected from a sample of IPAM students using a mixed-method research strategy that included surveys and interviews. Based on the findings, academic performance and overall excellence are significantly impacted by the acquisition and use of academic success skills. Time management, goal-setting, organization, research and note-taking, critical thinking, exam preparation, and leisure reading are just a few of the many aspects of these abilities. Higher levels of academic accomplishment are regularly demonstrated by students who possess and use these talents effectively. The report also stresses how critical it is to incorporate academic success skills into curricula and give students the tools and assistance they need to develop and improve these abilities. According to the results, academic performance significantly improves for students who receive focused instruction and direction in academic success strategies. Educational establishments, especially those looking to improve student academic performance, should take note of these facts. Institutions can increase overall academic performance and success by implementing initiatives to facilitate the development of academic success skills among students, given the recognition of their critical importance. This work adds to the body of knowledge on academic success abilities and provides insightful information for modern higher education administrators, educators, and politicians.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0787/a.php" alt="Hit counter" /></p>
MICROFINANCE LOAN ACCESSIBILITY ON MAIZE PRODUCTION PROJECT PERFORMANCE IN FARMERS’ COOPERATIVE IN RWANDA
Authors: Uzabakiriho Emmanuel 
Published: April 2024

<p>This study examined the effect of microfinance loan accessibility on maize production project performance in farmers’ cooperatives. A case of COOPAMA in Nyagatare district, Rwanda. The study used descriptive statistics and inferential statistics, both qualitative and quantitative were used to analyze the data with the assistance of SPSS software program version 25.0 descriptive statistics and inferential statistics were used to present frequencies tables, percentages, mean and standard deviation, and inferential analysis was used to use Pearson correlation and multiple regression model to test the relationship between the independent variables and dependent variable. The study used Production Theory, Game Theory of Microfinance, Adverse Selection, and Moral Hazard Theory. The effect of loan contracts for credit demand, the perceptions of loan borrowing, and the effect of the credit administration process of farmers on maize production project performance in farmers were 3.91; 4.04; and 4.07 respectively. The data of project performance was analyzed; the overall means of results was 4.14. The relationship between microfinance loan accessibility on maize production project performance in farmers’ cooperatives between loan contract, loan borrowing, and credit administration and project performance was 0.618, 0.6430, and 0.745 respectively, and the results presented that the variables were statistically significant with p value=0.000b. The results presented the variables of microfinance loan accessibility, the results credit administration process and loan contract were statistically significant with p value=0.000b, and p value=0.283b respectively and the loan borrowing was not statistically significant with p value=0.957b. It concluded that there was a significant relationship between microfinance loan accessibility and project performance.</p><p><strong>JEL:</strong> O16, Q12, Q14, C12, G21</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0758/a.php" alt="Hit counter" /></p>
THE MEDIATING ROLE OF COGNITIVE FLEXIBILITY ON THE RELATIONSHIP BETWEEN EMOTIONAL INTELLIGENCE AND ACADEMIC SELF-REGULATED LEARNING OF SENIOR HIGH SCHOOL STUDENTS
Authors: Florivic Linda Marial , Apostol Raymunda L. 
Published: April 2024

The purpose of this study was to determine the mediating role of cognitive flexibility in the relationship between emotional intelligence and academic self-regulated learning. Utilizing quantitative, non-experimental design via correlational technique, data were obtained from 267 respondents of the study who are learners among public elementary schools in Cateel 1 and 2, Davao Oriental. The researcher utilized a stratified random sampling technique and an online survey mode of data collection. The researcher also utilized the statistical tools mean, Pearson r, and Medgraph using the Sobel z-test. From the results of the study, it was found that there is a very high level of cognitive flexibility, emotional intelligence, and academic self-regulated learning. Also, results revealed that there is a significant relationship between emotional intelligence and academic self-regulated learning, a significant relationship between emotional intelligence and cognitive flexibility, and a significant relationship between cognitive flexibility and academic self-regulated learning. Further, it was revealed that there is a partial mediating effect of cognitive flexibility on the relationship between emotional intelligence and academic self-regulated learning.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/lit/0758/a.php" alt="Hit counter" /></p>