bluuebunny/crossref_metadata_2025_split huggingface dataset:
Syphilis in pregnancy at Public Health Centre III North Denpasar
Authors: Odilia Dea Novena  , Gusti Ayu Vina Mery Giovani  
Published: March 2024

Introduction: Syphilis is a sexually transmitted infection (STI) caused by the bacterium Treponema pallidum. Syphilis in pregnancy is often asymptomatic, so early detection of syphilis is needed to prevent a poor pregnancy outcome and transmission of infection to the baby.
Case: A 25-year-old woman, pregnant with her second child at 24 weeks of gestation, came without any health complaint for a routine prenatal check-up. On syphilis screening, reactive TPHA and RPR titer of 1:2 were found. The patient was diagnosed with syphilis infection in pregnancy. The patient has been treated with Benzathine Benzylpenicillin 2.4 million IU intramuscular injection once a week for 3 consecutive weeks.
Conclusion: Syphilis is a sexually transmitted infection that infects pregnant women. Treponemal transmission in pregnant women was detected early in the ninth week of pregnancy. The diagnosis of syphilis was made by dark-field microscopy, treponemal antibody tests (TPHA, FTA-ABS), and non-treponemal antibody tests (VDRL, RPR). Penicillin is the gold standard therapy for syphilis in pregnant women.
Bullous pemphigoid in 65 years old female: a case report
Authors: I Dewa Made Rendy Sanjaya  , Putu Artana  , Embun Dini Hari  
Published: March 2024

Introduction: Bullous pemphigoid is an autoimmune disorder. The incidence of bullous pemphigoid has increased over time, current understanding regarding treatment and complication is an important issue considering the disease often occur in elderly resulting in high rates of morbidity to the patients.
Objective: Aim of the current case report is to describe the clinical relevance regarding symptom and treatment of bullous pemphigoid.
Case report: A 65 years old female patient, came with chief complaints of bullae in the abdominal region with itching and burning sensation in the ruptured bullae. Over time bullae spread in the lower and upper extremity. The patient was admitted for four days with therapy intravenous steroids, an oral antihistamine, and potent topical steroids. The patient was discharged from hospital in good condition.
Conclusion: Bullous pemphigoid is an inflammatory autoimmune skin disease and usually result in good prognosis with adequate management.
Generalized pustular psoriasis with nail psoriasis in children: a case report
Authors: Dewi Gotama  , Prima Sanjiwani Saraswati Sudarsa  , Herman Saputra  
Published: March 2024

Background: Pustular psoriasis in children is one of the clinical variants of psoriasis. It is classified into generalized pustular psoriasis (GPP) and localized pustular psoriasis. The aetiology of psoriasis in children has not been known but is believed to be multifactorial. Nail psoriasis rarely occurs in children who suffer from skin psoriasis, with an incidence lower than that reported in adults. The diagnosis is generally made from the clinical and histological examination. The choice of therapy depends on the severity of the disease. Until now, there have been no specific guidelines for the management of psoriasis in children.
Case report: A-15-years-old Balinese girl presenting with erythema, confluent scaly plaques over the trunk and extremities with pustules localized on the lower extremity. She had a history of fever before the lesions appear. Right third digital nails examination showed subungual hyperkeratosis and onycholysis. Positive auspitz sign and karsvlek phenomena were found. Biopsy result suitable for psoriasis. The patient got improvement after treated with methotrexate tablet orally and desoximetasone cream topically within four weeks without any side effect.
Conclusion: Combination therapy with methotrexate tablet and desoximetasone cream give an effective result. However, the safety and side effects of methotrexate in children still need further monitoring.
Necrotic lower extremities ulcers caused by calciphylaxis in chronic renal failure patient
Authors: Nyoman Suryawati  , Herman Saputra  
Published: March 2024

Introduction: Lower extremity ulcers often create diagnostic challenges and influence patient morbidity and mortality. The most common causes are venous insufficiency, arterial insufficiency, and neuropathic. Ulcers associated with systemic condition often face diagnostic and therapeutic challenge. We report a necrotic lower extremity ulcer caused by calciphylaxis in a patient with chronic renal failure.
Case: We reported a 48-year-old Javanese woman, complained of painful lower extremities ulcers since 1.5 months ago. The patient had a history of renal failure and hypertension, undergone routine hemodialysis since 13 years ago, and used Continuous Ambulatory Peritoneal Dialysis (CAPD) since one year ago. Dermatology status on dorsum pedis sinister as well as cruris dexter and sinister showed multiple ulcers on livid skin covered by black eschar, accompanied by tenderness. Laboratory results showed anemia (Hb 7.6), hypoalbuminemia (2.7), increased serum urea level (170.4 mg/dl), increased serum creatinine (11.23 mg/dl), increased calcium (10.4 mg/dl), high inorganic phosphorus (8.5 mg/dl) and high parathyroid hormone (2,164). BOF examination showed abdominal calcification, while radiographic examination on cruris dexter et sinister showed soft tissue calcification and osteoporosis. Histopathology result supported the presence of calciphylaxis. The patient was diagnosed with stage V chronic renal failure, hypertension, and calciphylaxis caused by secondary hyperparathyroidism. She was managed by low calcium and phosphate diet, lanthanum, paracetamol, folic acid, adalat oros, captopril and wound debridement.
Conclusion: Calciphylaxis is rare phenomenon of cutaneous necrosis associated with end-stage renal disease. Control of end-stage renal disease may be an important factor for treatment of calciphylaxis and patient with calciphylaxis usually had a poor prognosis.
DIAGNÓSTICO PRECOCE DAS CARDIOPATIAS CONGÊNITAS: UMA REVISÃO DA LITERATURA
Authors: Lafetá Michelle Stefanny Fonseca , Silva Louise Mirante , Duarte Pablo Dias , Antônio Bernardo Henriques , Breder Pablo Nunes 
Published: March 2024

Introdução: As cardiopatias congênitas são anomalias no funcionamento do coração e dos vasos sanguíneos, com grande importância funcional em recém-nascidos. A detecção precoce dessas anomalias durante a gestação é fundamental para um tratamento adequado e melhores prognósticos. O presente estudo visa revisar a literatura sobre o diagnóstico precoce das cardiopatias congênitas, destacando sua importância e as estratégias utilizadas. Objetivo: Este estudo tem como objetivo destacar a relevância da identificação precoce das cardiopatias congênitas, visando determinar o tratamento mais adequado e aumentar as chances de sucesso no cuidado neonatal. Metodologia: Foi realizada uma revisão integrativa da literatura, utilizando a estratégia PIC o para orientar a busca e seleção dos artigos. Foram incluídos artigos publicados nos últimos dez anos e escritos em inglês, português ou espanhol. A análise crítica dos artigos selecionados permitiu identificar lacunas de conhecimento e fornecer informações para uma abordagem mais eficiente no diagnóstico precoce das cardiopatias congênitas. Resultados e Discussão: Os resultados destacam a importância da ultrassonografia fetal na detecção precoce das cardiopatias congênitas, com alta precisão e acurácia. Além disso, são discutidas as intervenções necessárias, desde o acompanhamento clínico até procedimentos cirúrgicos, dependendo da complexidade da doença. Também são abordados os desafios relacionados ao diagnóstico precoce e ao tratamento dessas condições, incluindo a susceptibilidade a infecções hospitalares. Conclusão: A revisão da literatura evidencia a importância do diagnóstico precoce das cardiopatias congênitas, especialmente através da ultrassonografia fetal. A precisão desses exames permite intervenções oportunas e adequadas, melhorando os resultados clínicos e aumentando as chances de sobrevida dos pacientes afetados. Portanto, a incorporação desses exames no cuidado pré-natal representa um avanço significativo na medicina fetal e no manejo dessas condições médicas.
PENGARUH STORE ATMOSPHERE TERHADAP CUSTOMER EMOTION PADA UNITY MART TANJUNGPINANG
Authors: Maryanti Desi 
Published: March 2024

Tujuan dari penelitian ini adalah untuk mengetahui pengaruh store atmosphere yang dilaksanakan terhadap customer emotion pada Unity Mart Tanjunpinang. Penelitian ini menggunakan sampel sembanyak 100 orang responden dengan menggunakan teknik sampel probability sampling yaitu Simpel random sampling. Metode yang digunakan dalam penelitian ini adalah metode kuantitatif. Objek penelitian ini berupa pelanggan Unity Mart Tanjungpinang. Pengumpulan data dilakukan dengan dua cara, yaitu penelitian kepustakaan dan penelitian lapangan. Dimana responden mengisi kuisioner sebanyak 21 butir pernyataan yang berkaitan dengan variabel yang diukur. Hasil penelitian ini menunjukkan bahwa terdapat pengaruh store atmosphere terhadap customer emotion sebesar 36% di Unity Mart Tanjungpinang. Hal ini dibuktikan melalui nilai t Hitung sebesar 7.420> t Tabel 1,984 dan nilai Sig. 0,000< 0,05. Nilai koefisien regresi variabel Store Atmosphere sebesar 4.064 Koefisien bernilai positif artinya terjadi hubungan positif antara Store Atmosphere dengan Customer Emotion, semakin naik Store Atmosphere maka semakin naik Customer Emotion. Dapat disimpulkan bahwa store atmosphere berpengaruh terhadap customer emotion. Elemen-elemen dari store atmosphere yang ditata dengan unik dan menarik mampu menciptakan suatu suasana toko yang dapat mempengaruhi emosi pengunjung seperti perasaan nyaman, perasaan senang, membangkitkan gairah untuk membeli atau sekedar berlama-lama didalam toko
ANALISIS BIAYA TRANSPORTASI DALAM PENETAPAN TARIF PENGIRIMAN BARANG PADA J&T EXPRESS DP R. H. FISABILILLAH TANJUNGPINANG
Authors: Saputra Novi Chandra , Bailey Alya Ningsih 
Published: March 2024

The purpose of this study is to determine the components of transportation costs in determining the delivery rates for J&T Express DP R. H. Fisabilillah Tanjungpinang. The research method in this study uses a type of qualitative research. The type of data used is qualitative data with the data sources used are primary data and secondary data. Data collection techniques using interviews, observation, documentation, and literature studies. Data processing techniques use data collection, data reduction, data display, conclusion drawing and verification. Data analysis techniques use qualitative descriptive analysis methods. Based on the results of the study, it is known that the J&T Express DP R. H. Fisabilillah Tanjungpinang company sets a freight rate for the type of Regular/Air EZ services subject to a shipping rate of Rp. 36.000 per kg with an estimate delivery time of 3-4 days by plane and the Alternative/Sea ECO services is subject to a shipping rate of Rp. 31.000 per kg with an estimated delivery time of 5-7 days by cargo ship. The conclusion obtained from this study is that the transportation costs at J&T Express DP R. H. Fisabilillah Tanjungpinang company, especially for Regular/Air EZ services and Alternative/Sea ECO services are formed from cost components in the form of plastic packing costs with a unit price of Rp. 2,000 where this fee is not charged to the customer and in determining the delivery rate of goods is determined based on several components of the calculation, namely the use of the type of service, the weight of the goods, the volume of goods and the distance to the destination city.
Perceived work stressors and the transition to burnout among nurses in response to the pandemic: implications for healthcare organizations
Authors: Giusti Emanuele Maria , Ferrario Marco Mario , Veronesi Giovanni , D’Amato Alessia , Gianfagna Francesco , Iacoviello Licia 
Published: March 2024

OBJECTIVES: This study aimed to assess the associations of pre-pandemic perceived work stressors and work satisfaction among nurses, including nurse assistants, with burnout profiles and their transitions in response to the pandemic.
METHODS: Three hundred and thirty-seven nurses working in an Italian University hospital participated in a longitudinal study including a survey in August 2019 investigating perceived work stressors (assessed using the HSE Indicator Tool), work satisfaction (Work Satisfaction Scale), and burnout (Maslach Burnout Inventory), and a second survey in December 2020 assessing burnout. Using latent transition analysis, we identified burnout profiles and then estimated the associations between work stressors and satisfaction on profiles and transitions.
RESULTS: We identified three pre-pandemic profiles, namely engaged (67%), ineffective (15%), and burnout (18%); and three pandemic profiles, namely engaged (37%), exhausted (51%), and severe burnout (12%). The severe burnout profile consisted of 70% nurses classified in the burnout profile before the pandemic. Overall, work stressors and satisfaction were associated with both pre-pandemic and pandemic burnout profiles. Among nurses not in the burnout profile prior to COVID-19, pre-pandemic hostile relationships increased [odds ratio (OR) 1.19, 95% confidence interval (CI) 1.05–1.34] and work satisfaction decreased (OR 0.82, 95% CI 0.68–0.98) the probability to transition to exhausted. Moreover, work satisfaction (OR 0.54, 95% CI 0.32–0.91) and participation in work organization (OR 0.69, 95% CI 0.51–0.93) protected from transitioning to severe burnout. The association between peer support and the transition to exhausted needs further investigation.
CONCLUSIONS: Pre-pandemic work stressors and satisfaction were associated with pandemic burnout and burnout transitions. To enhance preparedness for future crises, healthcare managers should carefully assess and tackle work-related constraints affecting nurses.
Empathic competence of psychology students at different stages of professional training
Authors: Решетникова З.Д. 
Published: March 2024

В статье предпринята попытка исследовать эмпатическую компетентность студентов-психологов на разных этапах освоения профессии. Проведенный констатирующий эксперимент с применением психологического тестирования позволил установить, что студенты последнего года обучения имеют более сформированные эмпатические способности. При этом показатели студентов первого года обучения нельзя назвать низкими, так как они обладают важными структурными компонентами эмпатии (достаточно высокая развитость каналов эмпатии), что говорит об осознанном профессиональном выборе.
The article attempts to explain and explore the empathic competence of psychology students at different stages of professional development. A descriptive experiment employing psychological testing was conducted with first and fourth-year students at Nizhnevartovsk State University, specializing in Psychology under the profile “Educational and Developmental Psychology.” The results revealed that students in their final year of study exhibited more developed empathic abilities. However, first-year students’ scores should not be considered low, as they demonstrated important structural components of empathy, including a sufficiently high development of empathic channels, indicating a conscious professional choice.
Assessment of All-in-One Fertilizers and Foliar Spray for Nutrient Management of GCTCV-218 Cavendish Banana Seedlings
Authors: Bestes Jonathan , Olguera Dernie 
Published: March 2024

With the proliferation of GCTCV-218 in the banana industry due to its promising performance against Fusarium wilt, there is a need to explore and establish an optimum and practical nutrient management, particularly in nursery management. As such, this study was conducted aiming to compare the growth performance of GCTCV-218 seedlings using conventional and all-in-one fertilization programs, evaluate the effect of a foliar spray in combination with fertilizer materials, and assess the profitability of using conventional and all-in-one fertilization programs. A 3 x 2 factorial experiment in completely randomized design (CRD) was used with four (4) replications with a total of 32 GCTCV-218 seedlings. Results show that GCTCV-218 seedlings had higher plant height grown under the combination of all-in-one fertilizer and foliar spray. Leaf surface area and root length were significantly high in the same treatment, implying a synergistic effect on the growth performance of GCTCV-218 seedlings. Cost analysis also revealed a positive return when using all-in-one and foliar spray since the desired height for planting is attained earlier (15-20 cm) than the recommended eight (8 weeks after planting (WAP). Savings of 31 cents per seedling or equivalent to PHP 580.23 on a hectare basis can be made if seedlings are released at 6 WAP using Haracoat all-in-one and foliar spray than at 8 WAP using the conventional and foliar spray. Therefore, optimal and economical nutrient management can be attained when Haracoat all-in-one fertilizer and foliar spray are applied in GCTCV-218 seedlings under nursery conditions.
Risk Factors for Revision of External Fixation of Unstable Ankle Injuries
Authors: Schlauch Adam M. , Shah Ishan , Crawford Benjamin , Piple Amit , Krosin Michael 
Published: March 2024

Introduction:
External fixation of unstable ankle injuries is commonly done by orthopaedic surgeons. An improper technique can negate the benefits of the procedure and necessitate revision. This study sought to determine the risk factors for revision of external fixation of unstable ankle injuries.

Methods:
Retrospective cohort at a level I academic trauma center of 120 consecutive patients underwent external fixation of an unstable ankle injury. Exclusion criteria included external fixation for reason other than fracture, inadequate intraoperative imaging, skeletal immaturity, and follow-up less than 30 days. Primary outcome measurement was revision of external fixation within 30 days.

Results:
Ninety-seven patients met inclusion criteria. Eighteen (18.6%) underwent revision within 30 days of whom 5 (28%, P < 0.001) had a poor reduction intraoperatively. No patients with a good reduction required revision. Revised patients had a significantly higher talar tilt (P < 0.001) and were more likely to lack a first metatarsal pin (P = 0.018). Multivariate analysis revealed talar tilt >0.5° (odds ratio, 22.62; 95% confidence interval, 6.52 to 50.63) as an independent risk factor for revision.

Discussion:
For external fixation of unstable ankle injuries, poor reduction quality is a risk factor for need for revision surgery. Orthopaedic surgeons should be critical of their final intraoperative assessment to prevent revision.
&lsquo;Ik ben niet iemand die dat zou vragen, nee&rsquo;&nbsp; Aandacht voor de religie of spiritualiteit van adolescenten in mentorgesprekken binnen de residenti&euml;le jeugdhulp
&nbsp;
Authors: Vierwind Gert 
Published: March 2024

In Nederland verblijven ruim 18000 jongeren in voorzieningen voor vrijwillige residentiële jeugdhulp. Uit eerder onderzoek blijkt dat meerdere van deze jongeren bij tegenslag en verdriet een hulpbron vinden in een religieuze of spirituele overtuiging, maar dat hiervoor in mentorgesprekken nauwelijks aandacht is. In deze bijdrage wordt verslag gedaan van een onderzoek naar de wijze waarop pedagogisch medewerkers met adolescenten binnen de residentiële jeugdhulp afstemmen op de mogelijkheid dat religie of spiritualiteit in hun leven een rol speelt.
Het betreft een kwalitatief onderzoek op grond van half open interviews in vier instellingen voor residentiële jeugdhulp in verschillende delen van het land. Er zijn in totaal eenentwintig pedagogisch medewerkers en dertien jongeren geïnterviewd.
De conclusie van dit onderzoek is dat de levensbeschouwing van de pedagogisch medewerker (diens persoonlijke visie op de betekenis en waarde van het leven) bepalend is voor de vraag of en hoe de religie of spiritualiteit van de jongere ter sprake komt. Er is sprake is van beperkte levensbeschouwelijke sensitiviteit bij pedagogisch medewerkers. Daarnaast hebben pedagogisch medewerkers én jongeren geen eenduidig beeld van de aard en het doel van mentorgesprekken.
De aanbevelingen richten zich op bezinning op de aard van mentorschap en het bevorderen van levensbeschouwelijke sensitiviteit bij pedagogisch medewerkers.
Major clinical outcomes of the alveolar ridge preservation post-extraction sockets: a systematic review
Authors: Rocha Isabelly Lima , Amorim Monaliza de Souza , Tigre Nathalia Martinez , Scriboni Andreia Borges 
Published: March 2024

Introduction: After tooth extraction, the alveolar ridge will commonly decrease in volume and change morphologically. These changes can be difficult or even impede the placement of dental implants and prosthetic rehabilitation. Minimizing bone remodeling means optimizing the esthetics and functional aspects, and mainly, the success of implant treatment. To avoid residual ridge resorption different techniques and bone graft materials have been proposed. Objective: It was to evaluate the efficiency of the many techniques of extraction socket treatment in the alveolar ridge dimension preservation. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from November 2023 to February 2024 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 158 articles were found, 62 articles were evaluated in full and 34 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 28 studies with a high risk of bias and 22 studies that did not meet GRADE and AMSTAR-2. Most studies did not show homogeneity in their results, with X2=63.6%>50%. It was concluded that the application of autologous growth factor concentrate after surgical extraction offers an easy, low-cost, and efficient option for preserving the alveolar ridge. Therefore, the use of autologous growth factor concentrate by dentists during tooth extractions can be encouraged, especially when preservation of the alveolar ridge is necessary. The present study suggests that the alveolar graft technique may increase the risk of disease transmission, cost, and time of treatment. Several studies have stated that the graft material is not fully incorporated into the newly formed bone, indicating less vital bone tissue. Spontaneous scarring is still the most used feature since, in intact alveoli and small defects, it is a procedure that does not present significant losses that justify the use of edge preservation techniques. In larger defects, techniques after spontaneous healing, such as a block graft, can be used without the drawbacks of alveolar grafting, such as delayed healing and poor bone qualit.