bluuebunny/crossref_metadata_2025_split huggingface dataset:
Role Of Low Dose Aspirin In Preventing Preterm Birth In Patients With Previous History Of Preterm Delivery
Authors: Sadaf Maliha , Saleem Aasia , Farkhanda Tallat , Iqbal Khansa , Ashraf Sabeen , Iftikhar Amna 
Published: November 2023

Objective: Preterm birth (PTB) occurs between 24-37 weeks of gestation. The important risk factor for PTB is a previous PTB and currently progesterone is used for the management of recurrent spontaneous PTB. Some studies have shown good outcomes but recent studies revealed that the use of vaginal progesterone was not related to a decreased likelihood of PTB or neonatal adverse effects. Thus, the controversy in the literature suggests multiple underlying pathological mechanisms involved in the progression of PTB. This study aims to determine the role of low-dose aspirin in the prevention of preterm birth in patients with a previous history of preterm delivery.
Methodology: In this randomized controlled trial, a total of 172 patients fulfilling the inclusion criteria were selected from the inpatient and outpatient departments. Patients were divided randomly into two groups (group A and group B), using random number tables. In Group A, low-dose aspirin (75mg) was given while group B was taken as a control group. Patients were called every 8 weeks in the outpatient department for the assessment of compliance and side effects of the drug. The data were entered and analyzed by using SPSS v25.0. Chi-square was used to compare the two groups for incidence of preterm birth. Relative risk (along with a 95% confidence interval) for the decrease in the incidence of preterm birth with the use of aspirin was calculated.
Results: The age of participants included in the study was 18 to 40 years. The mean age of patients in group A was 33.85±5.210 years and in group B was 32.86±4.139 years. The mean fetal birth weight in group A was 2281.1962±363.125 grams and in group B was 2271.4344±374.797 grams. In the low-dose aspirin group, 10(11.6%) had preterm birth and 31(36.0%) in the control group with a p-value of 0.001, which is statistically significant. The risk of having preterm birth with low-dose aspirin was 1.801 times less than controls.
Conclusion: aspirin in low dose given before 14 weeks of gestation decrease spontaneous preterm birth as compared to the control group in a woman with a history of previous preterm birth which was spontaneous
Diagnostic Accuracy Of Barium Swallow For Dysphagia, Keeping Rigid Esophagoscopy As The Gold Standard
Authors: Akram Ansa Umara , Chaudhry Sadia , Masood Sundas , Kausar Amna , Naveed Seema , Manzoor Areesha 
Published: November 2023

Objective: To determine the diagnostic accuracy of Barium Swallow in detection of patients presenting with dysphagia.
Study Design: Cross-sectional validation study.
Study Setting & Duration: Department of Otorhinolaryngology, Head & Neck Surgery, District Headquarter Hospital Rawalpindi from 01-09- 2022 to 01-03-2023.
Materials and Methods: Approval of the study was obtained from the Hospital Ethical Committee. A total of 111 patients both male and female patients were selected. The patients suffering from dysphagia as per operational definitions and who have reported for work-up to the Department of ENT, District Headquarters Hospital, Rawalpindi, and fulfill the complete inclusion and exclusion criteria, were selected. Informed consent was obtained from all the patients. Patients were selected by consecutive non-probability sampling technique. The data was analyzed using SPSS 24.
Results: A total of 111 patients were included in this study. The mean age of these patients was 50.79 ± 13.01 years, ranging from 28 to 70 years. The frequency distribution of females 70.27 % was found to be more than that of males 29.73 %. Majority of patients' barium swallow (74.77%) revealed pathologies, while only a small percentage of patients (25.23%) had normal barium swallow. Most of patients (87.39%) had pathologies found during rigid esophagoscopy, while just a small number (12.61%) had normal rigid esophagoscopy. Comparing both investigating tools, esophagoscopy discovered 87.39% of pathologies while Barium swallow detected 74.77%, indicating that esophagoscopy was a more accurate procedure. Patients had esophageal web 55 (25.2%) on barium swallow and 69 (62.2%) on the Rigid esophagoscopy. Barium Swallow had esophageal stricture 28 (52.2) and no Pathology was detected in 28 (25.2 %) patients. As well as Rigid esophagoscopy had esophageal growth13 (11.7), esophageal stricture 15 (13.5), and no Pathology was detected in 14 (12.6 %). Rigid esophagoscopy is more efficient in detecting esophageal pathology than Barium Swallow. In Barium swallows most patients had esophageal web 55 (25.2%) than the esophageal stricture 28 (52.2) and no pathology was detected 28 (25.2). In rigid esophagoscopy most patients had esophageal web 69 (62.2%) than the esophageal growth13 (11.7), esophageal stricture 15 (13.5) and no pathology detected 14 (12.6).
Conclusion: A range of diseases are associated with dysphagia can be found in patients. Two often used diagnostic methods are barium swallow and rigid esophagoscopy. Both Barium swallow and Rigid esophagoscopy are successful in the diagnosis of esophageal cancer. The use of a Rigid esophagoscopy is still a gold standard diagnostic and therapeutic tool for upper aerodigestive tract pathologies.
USO E CONHECIMENTO DE FABACEAE NATIVAS POR MORADORES DE UMA COMUNIDADE LOCALIZADA NA CAATINGA
Authors: Feitosa José Paulo , Menezes Sousa Paulo Regis , De Brito Selma Freire 
Published: November 2023

As Fabaceae são um dos grupos de plantas mais abundantes na Caatinga, sendo utilizada pela população local para diversos fins. O objetivo deste estudo foi realizar um levantamento sobre Fabaceae utilizadas pela população da comunidade Sitio Cajarana, em Arneiroz-CE. A pesquisa realizada trata-se de um estudo qualitativo/ quantitativos e os dados foram obtidos através de entrevistas realizadas junto à população do sítio Cajarana. Após a coleta os dados foram apresentados em gráficos, tabela e quadro, e comparados com a literatura. Os resultados mostraram que a idade da população variou de 18 a mais de 57 anos de idade. Enquanto, o nível de escolaridade, dos participantes foi desde pessoas analfabetas, até com nível superior completo. Todos os entrevistados aprenderam sobre as espécies da família Fabaceae com alguém da família; as espécies mais citadas foram o sabiá e a catingueira. As espécies da família Fabaceae são utilizadas principalmente como lenha, medicinal, madeira para cercas e forragem. Algumas espécies reduziram sua abundância e uma parcela muito pequena da população já atuou na regeneração dessas espécies. Por fim, conclui-se que diferentes espécies da família Fabaceae são utilizadas pelos moradores do sítio Cajarana, para fins medicinais, como combustível e para a construção, sendo necessário atenção na conservação das espécies mais usadas.
EFEITOS MULTISSISTÊMICOS DO USO DO CIGARRO ELETRÔNICO: REVISÃO NARRATIVA DA LITERATURA
Authors: Dos S. França Maria Eduarda , Dos Santos Amorim Élida , Do Prado Ferreira Letica Salete 
Published: November 2023

RESUMO: Objetivou-se verificar os efeitos multissistêmicos do uso do cigarro eletrônico (CE). Trata-se de uma revisão narrativa da literatura, sendo a PubMed a base de dados consultada, mediante descritores “e-cigarrette”; “effects”, incluindo ensaios clínicos randomizados publicados em 2018 a 2023, língua inglesa e disponíveis na íntegra. Foram encontrados 15 artigos, dos quais 13 estavam disponíveis na íntegra e foram incluídos para análise. Os efeitos multissistêmicos causam prejuízos cardiovasculares e pulmonares imediatos, bem como efeitos séricos, psicossociais e educacionais. Utilizar CE provoca efeitos multissistêmicos agudos macro e microestruturais.
Palavras-chave: Cigarro eletrônico. Tabagismo. Efeitos.
Social Responsiveness: The Key Ingredient to Achieve Social Accountability in Education and Health Care
Authors: Chhabra Shakuntala , Strasser Roger , Cheu Hoi F. 
Published: November 2023

ABSTRACT
While social accountability (SA) is regarded as an obligation or mandate for medical school administration, it runs the danger of becoming a bureaucratic checkbox. Compassion which leads to social responsiveness (SR), in contrast, is often recognized as an individual characteristic, detached from the public domain. The two, however, complement each other in practice. Institutions must be truly socially accountable, which is possible if there is spontaneous SR to the needs, and is fueled by compassion. Compassion in this article is defined as a “feeling for other people’s sufferings, and the desire to act to relieve the suffering.” Compassion has a long history, whereas SA is more recently described concept that follows the historical development of social justice. SR is the moral or ethical duty of an individual to behave in a way that benefits society. Not everyone feels the need to do something for others. Even if the need is felt, there may be a lack of will to act for the needs or to act effectively to fulfill the needs of society. The reasons are many, some visible and others not. SR provides the basis for being compassionate; hence, medical schools need to include SR as a criterion in their admissions process for student recruitment and inculcate compassion in health professions education and health care. By fostering SR and engaging compassion and self-compassion to achieve SA, we can humanize medical education systems and health care.
СРАВНИТЕЛЬНЫЙ АНАЛИЗ УПРАВЛЕНИЯ СИСТЕМАМИ ВЫСШЕГО ОБРАЗОВАНИЯ РЕСПУБЛИКИ АРМЕНИЯ И ДАНИИ
Authors: Аветисян Мери 
Published: November 2023

В данной статье подробно рассматриваются системы высшего образования Республики Армения (РА) и Дании с выявлением их сходств и отличий в сферах управления, финансирования, структуры. Здесь также представлены способы поступления в университет и действующие виды оценивания.
Цель данной статьи заключается в подробном рассмотрении, изучении систем высшего образования РА и Дании и в проведении сравнительного анализа для выявления характерных особенностей в сфере управления высшим образованием в этих двух странах. Результаты данного исследования представлены нами в статье в виде ряда таблиц, где полученные данные показывают сходства и различия между системами управления и финансирования, оценивания и поступления в вузы РА и Дании, указывая отличительные особенности структур систем высшего образования этих стран. В результате проведения сравнительного анализа управления системами высшего образования РА и Дании мы пришли к выводу, что управление высшим образованием осуществляется как государственными так и внутривузовскими органами, организация которых проводится в виде центрального и местного самоуправления. Однако эти органы управления отличаются своими названиями. Как в РА так и в вузах Дании действует «академическая свобода», которая наиболее развита в Дании. В отличие от РА система высшего образования Дании финансируется полностью засчет государства. Отличаются также формы поступления и системы оценивания студентов в вузах этих двух стран.
Таким образом, выявленные нами в результате проведения сравнительного анализа управления системами высшего образования РА и Дании сходства и отличия, преимущества и недостатки предоставят нам возможность в дальнейшем применять положительные стороны системы высшего образования Дании для повышения уровня качества системы высшего образования в нашей стране.
ИССЛЕДОВАНИЕ ИНКЛЮЗИВНОЙ КОМПЕТЕНТНОСТИ СТУДЕНТОВ ПЕДАГОГИЧЕСКОГО ВУЗА
Authors: Груздова Ольга , Щербакова Наталья 
Published: November 2023

В данной статье рассматривается проблема формирования инклюзивной компетентности студентов педагогического вуза. Анализ научной литературы по проблеме позволил раскрыть сущность инклюзивной компетентности студентов – будущих педагогов, выявил ее актуальность и показал, что недостаточно внимания уделяется ее формированию.
Целью исследования является определение уровня сформированности инклюзивной компетентности студентов педагогического вуза в процессе их профессиональной подготовки.
Исходя из цели, в ходе организации и проведения исследования был решен спектр определенных задач.
Первой задачей являлось изучение современной психолого-педагогической литературы по вопросам инклюзивного образования и подготовки педагогов для его реализации. Решение первой задачи предполагало также анализ существующих теоретических подходов к раскрытию сущности понятия «инклюзивная компетентность». Были рассмотрены взгляды современных ученых на ее трактовку, выделены структурные компоненты. В данном исследовании инклюзивная компетентность определялась как компонент профессиональной компетентности педагога и рассматривалась как интегративное личностное образование, позволяющее ему реализовывать профессионально-педагогические функции с учетом особенностей инклюзивной практики. Компонентами инклюзивной компетентности студентов педагогического вуза являются мотивационно-личностный, когнитивный и деятельностный.
Для определения актуального уровня инклюзивной компетентности студентов были определены уровни и критерии этого профессионального качества будущих педагогов (мотивационно-личностный, когнитивный и деятельностный).
В процессе исследования было установлено, что у большинства студентов инклюзивная компетентность сформирована недостаточно. Будущие педагоги испытывают серьезные затруднения при организации совместного обучения детей с нормотипичным развитием и детей с ОВЗ. Отсюда возникает необходимость разработки и внедрения модели процесса формирования инклюзивной компетентности в практику вузовской подготовки педагогических кадров.
Zertifizierte Fortbildung: Follikuläres Lymphom – Pathogenese, Diagnostik und Therapie
Authors: Adolph Louisa , Weigert Oliver 
Published: November 2023

Das follikuläre Lymphom (FL) ist das zweithäufigste Non-Hodgkin-Lymphom (NHL) in Westeuropa und den USA und eine klinisch und biologisch ausgesprochen heterogene Erkrankung. Bisher erfolgen Therapieempfehlungen stadien­abhängig, ohne Berücksichtigung individueller Risikofaktoren oder der Biologie der Erkrankung. Patient:innen mit lokalisierter Erkrankung können mit strahlentherapiebasierten Protokollen geheilt werden. In den meisten Fällen wird die Diagnose jedoch erst in fortgeschrittenen Krankheitsstadien gestellt, die weiterhin als nicht heilbar gelten, bei denen aber nur bei symptomatischer Erkrankung oder hoher Tumorlast eine Therapie empfohlen wird. Die Standardtherapie besteht aus einer Kombination von CD20-Antikörpern und zytostatischer Chemotherapie, die meist mit gutem Therapieansprechen, einem indolenten, jedoch rezidivierenden Verlauf und einem langen Gesamtüberleben von mehr als zwei Jahrzehnten assoziiert ist. Allerdings erleidet bis zu einem Viertel der Patient:innen ein frühes Therapieversagen mit deutlich verkürztem Gesamtüberleben. Die Therapie rezidivierter und refraktärer Erkrankungen (r/r FL) sowie des histologisch transformierten FL (tFL) stellt weiterhin eine große klinische Herausforderung dar. Innovative, molekular und immunologisch zielgerichtete Therapien, insbesondere bispezifische Antikörper und CAR-T-Zellen, die in den vergangenen Jahren entwickelt wurden, zeigen jedoch vielversprechende Ergebnisse und wurden teilweise bereits für das r/r FL zugelassen. Aufgrund der Vielzahl neuer Therapieoptionen sowie der individuellen Krankheitsverläufe sind ein tiefes Verständnis der zugrundeliegenden Biologie sowie eine präzise Risikostratifikation wichtig, um Therapien weiter zu optimieren und die jeweils beste Therapie für den/die individuellen Patienten/in auszuwählen.
Analisis Penerapan Manajemen Pengendalian Vektor Demam Berdarah Dengue (DBD) di Lingkungan 19 Kelurahan Belawan Bahagia
Authors: Nanda Meutia , Berutu Azijah Nur Ismail , Ash-shiddiq M. Daffa , Berutu Winta Oktavia 
Published: November 2023

There are 5 dengue cases in 19 neighborhoods with 1 death rate in 2022. This study aims to determine the application of DBD vector control management in Environment 19 of Belawan Bahagia Village.This is qualitative research using the Descriptive Analytics method, with 3 informants with criteria that have been set by the researcher. The result of this study is that there is no program yet This is qualitative research using the Descriptive Analytics method, with 3 informants with criteria that have been set by the researcher. The result of this study is that there is no vector control program that causes Dengue Hemorrhagic Fever (DHF) biologically, physically, and chemically in Environment 19 of Belawan Bahagia Village.The conclusion of this study is that the management of vector control that causes Dengue Hemorrhagic Fever (DHF) has not been carried out properly. It is necessary to carry out maximum vector control of the causes of dengue fever in the environmental area 19 Belawan Bahagia Village to prevent dengue health problems.
Keywords: Dengue Hemorrhagic Fever, Ward 19, Belawan Bahagia
Tingkat Toleransi Antar Agama Dalam Ruang Lingkup Kampus
Authors: Arifin Finaya Nurul Putri , B Irnadila Arisyanti , Awaru A. Octamaya Tenri 
Published: November 2023

Religious tolerance on campus needs to be studied to address conflicts between religious groups that can disrupt a harmonious academic climate. The aim of this research is to explore the level of religious tolerance on campus and the factors that influence it. Survey and interview methods are used to analyze the views, attitudes, and experiences of students regarding religious tolerance on campus. This study indicates that the level of religious tolerance on campus is not yet optimal. Factors such as a lack of understanding of other religions and negative stereotypes are obstacles. A multicultural education approach through dialogue and cooperation between religions is effective in enhancing tolerance.
Keywords : Multicultural, tolerance, Campus.
Upaya Guru Meningkatkan Prestasi Dalam Pembelajaran PAI Pasca Masa Pandemi Covid-19 di SDN Pasir Tengah 02
Authors: Munawar Muhamad Rifki 
Published: November 2023

The impact of the Covid-19 outbreak caused students to experience learning boredom, thereby reducing student achievement during the learning process. Therefore teachers must strive to improve learning achievement, especially PAI learning at Pasir Tengah 02 State Elementary School during post-Covid-19 learning. The purpose of this research is to analyze the teacher's efforts and supporting factors in improving learning achievement in PAI learning after Covid-19. The method in this study uses a qualitative approach, namely a method for investigating objects that cannot be measured by words or other measures that do not use numbers. Qualitative research can also be interpreted as research that is descriptive in nature and tends to use analysis with an inductive approach. The results of this research are to improve learning achievement in PAI learning after Covid-19 including: providing examples of good behavior to students, managing classes well, repeating learning, fun learning methods, and conducting learning evaluations. And there are several supporting factors that help improve learning achievement in PAI learning after Covid-19 including: providing examples of good behavior to students, managing classes well, repeating learning. fun learning methods. and conduct learning evaluations.
Keyword: Master's Efforts; Learning achievement; PAI learning
Peran Media Sosial dalam Berdakwah untuk Generasi Milenial
Authors: Efendi Erwan , Primadani Rizky , Dinda  , Ul Hanifah Rita 
Published: November 2023

This research aims to find out how the current millennial generation uses social media, technological developments have given rise to interesting phenomena in today's society, namely the emergence of instantaneous lifestyle and global culture. This article uses a specific type of library research, consisting of a number of tasks related to library data collection techniques. Data collection methods include collecting information from libraries or primary sources of da'wah literature through blogs, books, articles, scientific journals and social media. Content analysis is one way of analyzing data. Technological developments have produced results in Islamic da'wah. There are many places where it is, there are many people who are in the middle of the year, and there are many different types of people, there are many other places in the country, they are very old and there are many more. people. Technological developments cannot be denied, such as social media, sometimes we are not aware of the content that can change us so we fall into it. If you have a good idea of ​​the time you want, you have to live with the new generation, mileage, easy, which will be your content. There is no generative mileage that emerges from the background, but rather a man's business in the middle, so the content of generative mileage is different from previous generations.
Strategi Komunikasi Pariwisata pada Pengembangan Promosi Desa Wisata Glebek Dalam Kabupaten Banyuasin Sumatera Selatan
Authors: Oktarina Elly , Zinaida Rahma Santhi 
Published: November 2023

Glebek Dalam village Agrowisata is one of the tourist attractions that has very good potential to be developed, through good development. This study aims to explain the tourism communication strategy in developing the promotion of the Glebek Dalam tourism village in Banyuasin district, tourism village in Banyuasin district, south Sumatera. The study of swot analysis theory is the basis for this research. This research is a qualitative research with a descriptive approach that takes ecotourism agrotourism in Glebek Dalam village. Data collection in this research wa carried out through observation, documentation and interviews. The research results show that there are two tourism communications and tourism online communications tourism is social media in the form of Instagram and print media as well as websites that are used to convey information messages to the public. A communication strategy was formed in the Glebek Dalam village Agrotourism is two-way communication, due to cooperation between management groups tourism involing related agnecies and village communities in developing Agrotourism in Glebek Dalam village.
Keywords: Glebek Dalam village Agrotourism, communication strategy, tourist.
KẾT QUẢ PHẪU THUẬT NỘI SOI LỒNG NGỰC MỘT LỖ ĐIỀU TRỊ UNG THƯ PHỔI KHÔNG TẾ BÀO NHỎ BỆNH NHÂN CAO TUỔI TẠI BỆNH VIỆN K
Authors: Nguyễn Khắc Kiểm , Nguyễn Xuân Hậu , Đỗ Xuân Tùng 
Published: November 2023

Đặt vấn đề: Ung thư phổi nguyên phát (UTPNP) là một trong những bệnh ung thư thường gặp nhất và là nguyên nhân gây tử vong hàng đầu. Phẫu thuật là phương pháp điều trị được lựa chọn đầu tiên đối với những trường hợp giai đoạn sớm, tuy nhiên phẫu thuật mở ngực kinh điển với vết mổ dài khiến bệnh nhân rất đau sau phẫu thuật và mất rất nhiều thời gian mới có thể hồi phục, đặc biệt đối với bệnh nhân cao tuổi. Do đó sự ra đời của phẫu thuật nội soi lồng ngực một lỗ với đường mổ nhỏ được kỳ vọng sẽ cải thiện vấn đề đó. Tại Bệnh viện K đã bắt đầu triển khai phẫu thuật này từ năm 2019 và báo cáo này sẽ đánh giá, tổng kết lại kết quả của phương pháp trên đối tượng bệnh nhân cao tuổi. Phương pháp: Nghiên cứu mô tả, tiến cứu 68 bệnh nhân cao tuổi mắc ung thư phổi không tế bào nhỏ được điều trị bằng phẫu thuật nội soi lồng ngực một lỗ từ tháng 06/2022 tới 06/2023 về các thông số trước, trong và sau mổ cùng kết quả giải phẫu bệnh. Kết quả: Bao gồm 48 nam và 20 nữ. Tuổi trung bình 66.94 ± 4.45. Kích thước khối u trung bình 2.80 ± 0.96 cm. Vị trí u phổ biến nhất là ở thuỳ trên phổi phải (41.2%). Triệu chứng phổ biến nhất là ho khan chiếm 45.4%. Thời gian phẫu thuật 151.6 ± 25.6 phút (110 – 270). Số lượng hạch vét được trung bình là 11.0 ± 6.1 hạch. Thời gian rút dẫn lưu màng phổi trung bình 5.13 ± 1.69 ngày (3-12). Số ngày nằm viện trung bình 11.69 ± 1.94 ngày (9-18). Trong số 68 bệnh nhân, có 1 bệnh nhân bị tai biến chảy máu trong mổ,1 bệnh nhân bị viêm phổi sau mổ và 3 bệnh nhân bị xì khí kéo dài sau mổ phải mổ lại. Kết luận: Điều trị ung thư phổi không tế bào nhỏ giai đoạn sớm bằng phẫu thuật nội soi lồng ngực một lỗ là một phương pháp an toàn, khả thi và có nhiều ưu điểm, đặc biệt trên đối tượng bệnh nhân cao tuổi.