bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comprehensive approach to the treatment of infectious endocarditis, complicated by acute heart failure, with the use of intraoperative hemoadsorption
Authors: Koltunova H.B. 
Published: April 2024

Background. Hemoadsorption plays a pivotal role in the treatment of infectious endocarditis. The incidence of infectious endocarditis is reported at 3–7 cases per 100,000 individuals annually, with an in-hospital mortality rate ranging from 14 to 22 %. This is mainly attributed to acute heart failure, observed in 19 to 73 % of patients with infectious endocarditis, necessitating urgent surgical intervention. Hemoadsorption presents a promising strategy with a potential to improve overall treatment and outcomes in infectious endocarditis complicated by acute heart failure. The purpose was to assess the efficacy of intraoperative hemoadsorption in patients with infectious endocarditis complicated by acute heart failure. Materials and methods. The research included clinical data from 100 patients who underwent surgery for active infectious endocarditis using cardiopulmonary bypass between January 1, 2020, and December 31, 2020. In 25 cases from the general cohort, intraope-rative hemoadsorption was performed with the use of hemoperfusion cartridges. Analysis of clinical characteristics and biochemical data was conducted in patients with infectious endocarditis based on the intraoperative application of hemoadsorption. Results. Significant differences were observed between groups in the duration of inotropic and vasopressor support. The duration of dobutamine infusion in the group without hemoadsorption was significantly longer — 59.4 ± 6.2 hours compared to 38.2 ± 2.7 hours in patients with infectious endocarditis who were operated using intraoperative hemoadsorption (p = 0.047). Norepinephrine in the perioperative period was also used longer in the group without hemoadsorption — 39.4 ± 8.2 hours (p = 0.053). The duration of mechanical ventilation in patients with infectious endocarditis was reduced — 16.1 ± 0.9 hours compared to 19.3 ± 1.2 hours in the group without hemoadsorption (p = 0.091). With the application of hemoadsorption, there was a radical decrease in the levels of C-reactive protein and procalcitonin at all stages of the study. Conclusions. Our study suggests that hemoadsorption can be an effective strategy in the treatment of infectious endocarditis, improving the course of the early postoperative period and the dynamics of inflammatory markers.
Comparative characteristics of the effectiveness of spinal anesthesia with intrathecal administration of bupivacaine and its combination with adjuvants
Authors: Shchegolkov Ye.E. 
Published: April 2024

Background. Currently, there is active discussion regarding the effectiveness of different adjuvants in spinal anesthesia. Objective: to compare the effectiveness of dexmedetomidine and fentanyl as adjuvants in combination with intrathecal bupivacaine administration during biportal endoscopic discectomy. Materials and methods. The study included 150 patients. Using block randomization based on a sample size, patients were divided intro the following groups: 1) group 1 — intrathecal hyperbaric bupivacaine 2.5 ml in 0.5 ml of normal saline; 2) group 2 — intrathecal hyperbaric bupivacaine 2.5 ml with fentanyl 25 µg; 3) group 3 — intrathecal hyperbaric bupivacaine with dexmedetomidine 5 µg. Results. A faster onset of a sensory block up to T8 was observed in group 3 (4.39 ± 0.90 minutes), which was 20.9 ± 1.4 % earlier compared to group 1, where this parameter was 5.55 ± 1.37 minutes (p = 0.00124). When comparing similar data between groups 2 and 3, no statistically significant difference was observed (p = 0.68135). The time to two-segment regression from the highest sensory level was highest during the administration of bupivacaine with dexmedetomidine (group 3), 147.39 ± 24.95 minutes. A similar trend was maintained in the time indicators of sensory regression to S1 from the highest sensory level. The time to Bromage 0 regression in the bupivacaine with dexmedetomidine group (group 3) was on average 90.52 ± 3.25 % higher compared to the bupivacaine and fentanyl group and exceeded similar values in the bupivacaine with normal saline group (group 1) by 133.55 ± 4.18 %. The overall duration of analgesia was highest in group 3 — 482.63 ± 66.85 minutes. This was on average 67.39 ± 2.75 % longer compared to group 2 and 119.55 ± ± 4.14 % longer compared to group 1 (p < 0.001). The pain severity 6 hours after surgery was the lowest in the group of bupivacaine and dexmedetomidine (group 3) — 2.05 ± 0.79 that was 67.04 ± 2.51 % lower than the corresponding value in the bupivacaine and fentanyl group (group 2) and 68.27 ± 2.35 % lower than in the bupivacaine with normal saline group (group 1). Conclusions. Intrathecal administration of hyperbaric bupivacaine with dexmedetomidine 5 µg during spinal anesthesia has the maximum effect in terms of deve-loping motor and sensory blocks, prolongs postoperative analgesia, and reduces the need for postoperative use of narcotic analgesics.
MODELAMIENTO DE NICHO ECOLÓGICO DE DOS ESPECIES DE SALAMANDRAS NEOTROPICALES (PLETHODONTIDAE): Oedipina parvipes (PETERS, 1879) Y Oedipina complex (DUNN, 1924)
Authors: Lopez-Preciado Andres Ricardo , Ramírez-Galeano Cristian Camilo , Garzón-Matamoros Laura Nathaly 
Published: April 2024

Las salamandras tropicales de la familia Plethodontidae son organismos de los que no se tiene información clara sobre su distribución geográfica, aspectos ecológicos y las condiciones ambientales en las que pueden habitar. Los modelamientos de nicho ecológico son considerados una herramienta útil para predecir las áreas de idoneidad ambiental, así como las distribuciones geográficas de especies poco estudiadas. En este trabajo se efectuó una búsqueda de registros históricos confiables, en redes de datos de acceso abierto, así como en artículos científicos de las presencias de Oedipina parvipes y Oedipina complex, que junto con la implementación de variables climáticas, permitieron la realización de modelamientos de nicho ecológico de estas especies bajo el principio de máxima entropía de MaxEnt mediante el paquete Kuenm. Nuestros resultados predicen zonas de alta idoneidad ambiental para diferentes regiones de Centroamérica y Suramérica, destacando el canal de Panamá y el Pacífico colombiano como los lugares más óptimos para la presencia de estas especies de salamandras. Este trabajo muestra la necesidad de aumentar investigaciones de diferentes campos en las regiones poco estudiadas donde se predice la presencia de estas especies que no cuentan con registros o sus registros no son del todo confiables. Identificar las áreas potenciales de distribución de estas especies es de suma importancia para que se puedan tomar decisiones informadas para la conservación de especies vulnerables y que pueden verse afectadas por las actividades humanas.
Funciones ejecutivas y gestión del aprendizaje autorregulado en estudiantes de carreras de medicina y salud
Authors: Lepe-Martínez Nancy , Pinochet-Quiroz Palmenia , Gálvez-Gamboa Francisco , Moreno-Cerda María , Tapia-Castro Yanina , Durán-González Esperanza 
Published: April 2024

Introducción: Las funciones ejecutivas (FE) son uno de los componentes más relevantes para el éxito académico de niños(as) y jóvenes, porque permite la regulación eficaz de procesos cognitivos, el ajuste social y el buen desempeño académico. La gestión del aprendizaje autorregulado (GAAR) permite que los estudiantes puedan buscar de manera consciente estrategias para aprender y se motiven a sí mismos, lo que facilita la búsqueda activa de solución a los problemas, generando alternativas y que puedan anticipar respuestas.
Objetivo: El propósito de esta investigación fue analizar la relación existente entre funciones ejecutivas, gestión del aprendizaje autorregulado y rendimiento académico (RA) en universitarios de primer año del área de ciencias de la salud y medicina.
Método: Se utilizó un enfoque cuantitativo, descriptivo y corte transversal, a partir de una muestra de 101 estudiantes de edades entre 17 y 27 años (M = 18.71, DE = 1.18), donde 64 eran mujeres (63.4%) y eran 37 eran hombres (36.6%). Del total, 51 corresponden a estudiantes de la carrera de Medicina y 50 de Química y Farmacia. Se utiliza como variable dependiente el rendimiento académico y como independientes las FE y GAAR, se analiza el objetivo mediante correlaciones de Spearman y la prueba Kruskall-Wallis.
Resultados: Los resultados muestran que existe relación significativa entre las FE y GAAR y las FE de monitorización, flexibilidad cognitiva y planificación con el rendimiento académico.
Conclusiones: Se demuestra un buen desarrollo de habilidades relacionadas con las variables estudiadas. En el caso de GAAR y el RA, se evidenció una relación significativa en las dimensiones de autogestión del aprendizaje y percepción del desempeño académico. Se cree relevante seguir profundizando la relación entre FE y GAAR y de estas variables con el RA, y considerar estos resultados en los planes de apoyo que se generen para estudiantes de primer año universitario.
Simulación clínica de alta fidelidad con enfoque de género para estudiantes de nutrición
Authors: Trunce-Morales Silvana Trinidad , San Martín Santibáñez Rocío Paulina , García Alvarado Katherine Isabel , Vera Reyes Pablo Andrés , Riquelme Inostroza Lorena Edit 
Published: April 2024

Introducción: La simulación clínica de alta fidelidad se caracteriza por el uso de tecnología y/o pacientes estandarizados en un escenario realista. Al ser incorporada en la formación de estudiantes de salud, fortalece la confianza y seguridad para enfrentar sus prácticas en el área clínica. Incorporar temáticas de enfoque de género es relevante en el pregrado y se debe orientar la atención de pacientes con esta perspectiva.
Objetivo: Determinar la calidad y satisfacción de los estudiantes de la carrera de nutrición y dietética al implementar un escenario de simulación clínica de alta fidelidad con enfoque de género en la asignatura de dietoterapia del adulto II.
Método: Enfoque mixto, exploratorio, descriptivo y de corte transversal, muestreo no probabilístico intencional. La muestra consistió en 36 estudiantes que aceptaron participar a través del consentimiento informado.
Resultados: La encuesta de calidad y satisfacción de la simulación clínica y autoevaluación, destacó un alto grado de satisfacción alcanzando un 93.54%. En cuanto a su propio desempeño, el 92.67% de los estudiantes manifestó estar de “acuerdo” o “muy de acuerdo” con este. Respecto al análisis del discurso, el aprendizaje fue relacionado con las habilidades desarrolladas, la confianza y el ambiente seguro, asociado a la experiencia práctica, favoreciendo la comunicación efectiva. El enfoque de género fue relacionado con los conceptos de: experiencia positiva, nueva experiencia y espacio de cercanía con el paciente.
Conclusiones: La simulación clínica contribuyó significativamente a la mejora de habilidades como el razonamiento clínico y competencias esenciales como la atención con enfoque de género y comunicación efectiva, fortaleciendo la autoconfianza en las capacidades y desempeño de los estudiantes. Se sugiere profundizar en futuras investigaciones la incorporación del enfoque de género en la formación de profesionales del área de la salud.
PERBANDINGAN HUKUM PERKAWINAN SUDAN DAN HUKUM PERKAWINAN INDONESIA
Authors: Aini Sarina , Hasan Maisyarah Rahmi 
Published: April 2024

Abstract: Sudan is a power that enforces Islamic Law as a statutory principle of unity. Sudan also a country consisting of various ethnicities and religions. Likewise, Indonesia consists of various tribes, cultures and nations and their religious diversity. Sudan and Indonesia are countries that have renewed Islamic law In the field of marriage, both Sudan and Indonesia have their own legal stipulations in this field. In this study, the author will describe the differences between Sudanese marriage law and Indonesian marriage law.
Keywords : Comparison, Islamic Family Law, Marriage Law.
Abstrak: Sudan adalah negara kekuasaan yang memberlakukan Hukum Islam sebagai asas perundang-undangan dalam persatuan dan kesatuan. Di sisi lain Sudan juga merupakan negara yang terdiri dari bermacam-macam etnis dan agama. Demikian juga halnya dengan Indonesia yang terdiri dari berbagai suku, budaya dan bangsa dan keragaman agamanya. Sudan dan Indonesia adalah negara yang melakukan pembaharuan hukum Islam Di bidang perkawinan, baik Sudan maupun Indonesia memiliki penetapan hukum tersendiri di bidang tersebut. Dalam penelitian ini penulis akan menguraikan perbedaan hukum perkawinan Sudan dan hukum perkawinan Indonesia.
Kata Kunci: Perbandingan, Hukum Keluarga Islam, Hukum Perkawinan.
THE LEUKOCYTE PROFILE OF ETAWA BREED GOATS SUFFERING FROM SUBCLINICAL MASTITIS IN SUKAWATI DISTRICT, GIANYAR BALI
Authors: Wulandari Chitra Dwi , Kendran Anak Agung Sagung , Mufa Romy Muhammad Dary 
Published: April 2024

Subclinical mastitis is a condition of mammary gland inflammation that often occurs in dairy goats without obvious symptoms. White blood cell examination is an important indicator in assessing the body's immune response and can help establish a diagnosis or animal health status. This study aims to determine changes in total and differential leukocytes in goats suffering from subclinical mastitis. Blood samples were taken from the jugular vein, then white blood cells were counted using a Hematology Analyzer and identified using the blood smear method. The data obtained were then analyzed descriptively including the total number of leukocytes and the number of leukocyte types. The results showed varying changes in the number and type of white blood cells, especially an increase in neutrophils and monocytes in peranakan etawa goats suffering from subclinical mastitis. For the total leukocytes of the five samples were 6.9 - 13.3 x 103/µL and for leukocyte differential, the total lymphocytes were 2.96 - 5.54 x 103/µL, Monocytes 0.20 - 0.66 x 103 /µL, Neutrophils 3.17 - 7.71 x 103/µL, Eosinophils 0 - 0.66 x 103/µL, and Basophils 0.
Farmer Perspectives on Sustainable Urban Farming Tourism: A Case Study of Bali's Subak Lestari Program
Authors: Rusadi Ni Wayan Purnami , Pitana I Gde , Sunarta I Nyoman , Sukma Arida I Nyoman 
Published: April 2024

Bali's economic landscape, intricately interwoven with tourism, integrates cultural-urban agriculture via the Subak system. Subak is an organization owned by the farmers in Bali that specifically regulates water management. The government has selected several Subak in urban area to become dynamic agricultural centers named Subak Lestari. The research explores farmer perspectives on urban agriculture tourism and offering insights for future sustainable urban agriculture and cultural tourism. This qualitative study is involving 23 farmers of Subak Lestari management and reflecting scores in technical (4.01), socio-cultural (3.87), economic (4.29), and environmental (4.32) aspects. These assessments underscore confidence in Subak Lestari's potential to catalyze a development in tourism-centric urban agriculture. Farmers seriously support positions of Subak Lestari as a potent force in reshaping urban agriculture. The study advocates for stakeholders to foster a sustainable fusion of traditional agriculture and tourism to safeguard agricultural spaces and ensuring urban farmers existence.
Priority of Criteria for Agritourism Development in Bali
Authors: Wiranatha Agung Suryawan , Suryawardani I Gusti Ayu Oka , PETR Christine , Kencana I Putu Eka Nila 
Published: April 2024

Agritourism in Bali has not been developed optimally yet. As a basis for development of agritourism, the criteria should be determined and priorities among criteria need to be set. The objectives of this research were: (i) to identify criteria for agritourism development; and (ii) to analyze the priorities for selected criteria according to the agritourism stakeholders in Bali. This research implemented Analytic Hierarchy Process (AHP) method which involved 20 key informants representing agritourism stakeholders. The finding was the priority criteria for agritourism development in Bali, namely: (1) Attractions, followed by (2) Local Community Involvement, (3) Ancillary Services, (4) Marketing, (5) Amenities, and (6) Accessibility. This kind of research has not been undertaken previously in Bali. It contributes to academic and practical implications, particularly in agritourism development planning in Bali, in which development of agritourism should be focused on the diversification of agritourism attractions supported by professional management and community participation.
Psychological support in the formation of adherence to the treatment of patients with tuberculosis
Authors: Maier P. A. , Isaeva E. R. , Brazhenko O. N. , Solodilina K. A. , Loshchakova A. I. 
Published: April 2024

The objective of the study was to review the current measures of psychological support in the formation of adherence to the treatment in patients with tuberculosis. When writing the article, a descriptive method was used. The relevance of the study was due to the increasing number of patients with multiple and broad drug resistance, as well as the low level of adherence to the treatment of a large number of patients.Methods and materials. The article discussed measures of psychological support and psychological follow-up for patients diagnosed with tuberculosis in the territory of the Russian Federation and in the CIS countries. The main attention was paid to the identification of common and specific elements in the structure of adherence to the treatment, such as the personal characteristics of the patient, features of the emotional-volitional sphere, and attentive-mnestic abilities. Examples of measures taken to increase the level of adherence to the treatment of in patients with tuberculosis were given. The possibility of using information about the internal picture of the patient’s illness to correct the level of adherence to the treatment was considered.Conclusions. To date, methods of psychological support in the formation and psychological correction of the level of adherence to the treatment are not given sufficient attention, and the psychological characteristics of a patient are not taken into account when determining the level of adherence to the treatment. The internal picture of the patient’s disease is not considered as a substrate of adherence to the treatment, information about the relationship between the internal picture of the disease and adherence to the treatment is not enough to form a unified, generalized approach to the realization of diagnostic and corrective measures aimed at increasing the level of adherence to the treatment.
Experience in endoscopic treatment of cystic formations of the esophagus and mediastinum
Authors: Ruchkina Ya. V. , Smirnov A. A. , Saadulaeva M. M. , Blinov E. V. , Korolkov A. Yu. , Bagnenko S. F. 
Published: April 2024

The objective was to evaluate the safety and effectiveness of endoscopic methods for removing cystic formations of the esophagus and mediastinum.Methods and materials. The study included 17 patients with esophageal and mediastinal cysts. All patients underwent gastroscopy, endoscopic ultrasonography and computed tomography at the diagnostic stage to determine the localization, sizes and topography of the formation.Results. In all cases, the formations were successfully removed. Submucosal tunnel endoscopic resection (STER) was successfully performed in 14 patients, the average operation time was 126 minutes. In 3 patients, the formations were removed by endoscopic submucosal dissection (ESD), the average operation time was 55 minutes. Two patients in the postoperative period had esophageal diverticulum in the area of previously removed formations.Conclusion. Submucosal tunnel endoscopic resection is safe and effective in the treatment of cystic formations of the esophagus and mediastinum. Long-term results of STER require further study.
Current issues of national healthcare assessment for biological threats preparedness (literature review)
Authors: Orlov S. A. , Aleksandrova O. Yu. 
Published: April 2024

Introduction. Biological threats regularly challenge national healthcare, thus becoming a most critical problem that impedes successful performance. New biological agents with high infectivity and potency have promoted a review of approaches to medical care management, as well as changes in the fundaments of medical infrastructure in order to ensure healthcare readiness to provide a timely and adequate response to emerging challenges. Meanwhile, a clear definition, as well as understanding of specific prerequisites to such biological threats readiness in healthcare is still missing in either international or domestic publications in research journals.The objective is to provide a systemic overview of the problems and approaches to national health assessment for biological threats preparedness.Methods. The analytical review of international and Russian publications was performed using the PRISMA checklist, content analysis, and expert review of the most informative publications on the dedicated research. VOSviewer 1.6.20 – the software tool for bibliometric networks construction and visualization – allowed to highlight the most frequent key terms and concepts used by fellow investigators to characterize the impact of biological threats on public health and healthcare overall, as well as healthcare planning and other activities performed by medical organizations.Results and discussion. The paper presents the results of the content analysis and expert review of 29 most meaningful international and Russian publications with a focus on key parameters determining the healthcare readiness to respond to biological threats. The 7 key areas that determine healthcare readiness for biological threats include planning, hospital activities design and organization, reserves potential, effective communication, medical personnel training, timely and accurate medical care, sanitary and epidemiological surveillance, and compliance with standard operating procedures.Conclusions. Classification of challenges in healthcare readiness usually considers a limited number of specific activities within medical organizations and available resources. Currently, there are no integral common methods for comprehensive verification of activities to counter biological threats in healthcare, especially in medical organizations providing medical care in inpatient settings. Healthcare preparedness assessment to respond effectively to biological threats requires further study, considering the ongoing development of various functional frameworks.