bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of implementation of integrated disease surveillance and response in Akwa Ibom State Nigeria
Authors: Motilewa OO  , Ekanem AM  , Akwaowo CD  
Published: December 2023

IntroductionResulting from the problems associated with previous disease surveillance in Nigeria and by extension Africa, Integrated Disease Surveillance and Response (IDSR) was adopted in 1998 for the purpose of strengthening the surveillance system and for efficient use of resources. Since its commencement, the implementation of the strategy has not been assessed in the State. The purpose of the study was to assess the implementation of IDSR in selected local governments of AkwaIbom State
Materials and MethodsA cross sectional descriptive study was carried out in six Midwife Service Scheme sites in 3 selected LGAs of the State, using interviewer administered questionnaires adapted from the IDSR guideline from January to March 2014. Data was analysed using Microsoft excel.
ResultsAll the facilities had no laboratory to confirm any of the priority diseases, they all lack reporting tools and the skilled to use them. There was no form of data analysis in all the facilities, only 50% of the facilities had calculator, none has a computer. No standard case definition in all the facilities except for measles and poliomyelitis. All the LGAs had designated officers for IDSR and nonfunctional preparedness committees. Two out of the three LGAs had trend analysis of the facilities in the 12 months preceding the study. Feedback from the State to LGA is verbal
ConclusionImplementation of IDSR in the State is suboptimal. Health workers need to be specifically trained on IDSR and resources committed for the implementation and monitoring of the strategy, to ensure effective disease control in the State. It is equally paramount that states; capacity on IDSR is strengthened to enable them monitor and evaluate their performance using established indicators
“Ameloblastoma” – A survey on the need for a multidisciplinary research approach to this biological enigma
Authors: Madukwe IU  
Published: December 2023

Background: Ameloblastoma is a strange clinic-histologic contradiction, with an aggressive clinical behavior and benign histological feature. Enamel organ responsible for the physiological tooth formation is equally responsible for extensive contributions to Oral pathologies. These pathological processes and conditions range from simple periodontal cyst to odontogenictumoursMethodology: This is a survey in multidisciplinary research approach to the study of ameloblastoma in the College of Medical Sciences, University of Benin. This survey was interactive through telephone calls and direct interview. Interaction was with 39 doctors, made up of 13 maxillofacial surgeons, 21 doctors in physiology and 5 doctors in medical biochemistry.Result: Out of 39 doctors interviewed, 5 (12.8%) maxillofacial surgeons, 8 (20.5%) physiologists and 3 (7.7%) medical biochemists indicated their interest to participate in the in vitro studies 16 (41%).Conclusion: We conclude that multidisciplinary approach to ameloblastoma research is over due.Recommendation: We therefore recommend a joint investigation of this enigma.
Dynamic changes in teaching and learning methods in the fild of study of medicine – evolution, not revolution
Authors: Januszko-Giergielewicz Beata , Wójcik-Kula Agata , Perliński Jacek 
Published: December 2023

WprowadzenieW ostatnich latach nastąpił dynamiczny rozwój nowych metod kształcenia na kierunkach lekarskich. Poza tradycyjnymi formami przekazu wiedzy, tj. wykłady <i>ex cathedra</i> oraz nauczanie anatomii w prosektorium, równolegle rozwijają się metody online z wykorzystaniem różnorodnych form przekazu informacji w wersji cyfrowej. Konieczność dostosowania metod nauczania do nowych warunków otoczenia wynika m.in. z rozwoju digitalizacji, przyspieszonego w trakcie pandemii COVID-19.CelCelem pracy był przegląd dostępnych cyfrowych narzędzi edukacyjnych, metod kształcenia na odległość, potencjału centrów symulacji medycznej oraz innych nowoczesnych metod przydatnych w edukacji medycznej.Materiał i metodyDokonano przeglądu wiodących pozycji dostępnego piśmiennictwa, najczęściej używanych platform edukacyjnych, produktów wirtualnej rzeczywistości, a wszystko to w odniesieniu do aktualnych wymagań jakości kształcenia.Wyniki i ich omówienieDynamiczny rozwój nowych technologii umożliwia obniżanie kosztów nauczania na kierunkach medycznych poprzez stwarzanie alternatywnych metod nauczania. Możliwe staje się zastąpienie ludzkich preparatów anatomicznych poprzez drukowanie ich modeli w technologii druku 3D czy nauka anatomii z wykorzystaniem wirtualnej rzeczywistości (WR). Rozwój symulacji medycznej poprzez symulacje wysokiej wierności czy WR umożliwia nauczanie różnych umiejętności klinicznych, w tym praktycznych (kompetencje miękkie), w bezpiecznych, kontrolowanych, wystandaryzowanych warunkach. W ostatnich latach zmienił się również model bezpośredniej relacji mentora ze studentami – z tradycyjnego (pytania i odpowiedzi) na niestandardowe, tj. <i>problem based learning</i>, którego istotą jest umiejętność prowadzenia dyskusji w grupie, zawiązywania zespołów i samokształcenia.Wnioski1. Szeroka oferta nowoczesnych i innowacyjnych metod kształcenia na kierunkach lekarskich może zwiększyć efektywność i uatrakcyjnić proces kształcenia na kierunkach lekarskich. 2. Nadal główną osią kształcenia kolejnych pokoleń lekarzy pozostają zajęcia przy łóżku chorego z aktywnym nauczaniem umiejętności praktycznych przez doświadczonych nauczycieli edukatorów.
Communicative competence in healthcare and linguistic theories: Insights and applications.
Authors: Kowalczyk Oliwia , Rypel Agnieszka 
Published: December 2023

IntroductionPhysician–patient relationship has evolved from paternalistic model to cooperative one, known as patient-centered, where patients are experts on themselves in the socio-psychological, cultural, and material contexts. This transformed role has led physicians to adapt their highly specialized knowledge to effective communication pattern which is now a focal point in achieving therapeutic relationships in clinical context. Communicative competencies are of particular importance in medical practice and teaching medicine. Educational background derives from theories and foundations of linguistics and psycholinguistics.AimThe article presents main linguistic communicative theories that highly influence communicative competencies in medicine. It provides pragmatic guide to what is achieved from the principles of linguistic communicative competence in the current patient-centered model of communication in healthcare.Material and methodsMost important linguistic theories that have their applicative use in teaching medical communication are presented. It is a part of a larger project aimed at bridging the gap between linguistic principles and clinical practice.Results and discussionIn medical discourse, several types of message content funtions are distinguished: informative, emotive, directive, motivational, and therapeutic to influence patients’ emotional state. These discourse skills and associated motivational, volitional, and social abilities to use problem-solving successfully and responsibly, impact compliance, adherence, and concordance process.ConclusionsEfficient communication in medicine consists of several important competencies, but in order to be properly developed, mastering linguistic communicative competence is neccessary. Mastering them jointly with medical expertise is essential for helathcare professionals.
Physical Therapy Interventions for Post-Operative a Giant Femoral Tumor: A Case Report
Authors: Ihsan Muammar , Yanti Ni Komang Artini , Rahayu Ni Luh Veni , Sagita Ni Made Indri , Puriyanti Ni Made Rika , Putri Thania Dwitia , Adhitya I Putu Gde Surya , Jeviana Ariezta 
Published: December 2023

Background: Giant cell tumor (GCT) is a relatively rare type of primary benign bone tumor, characterized by multinucleated giant cells resembling osteoclasts. Treatment of GCT with intralesional resection and bone cement filling, especially in tumors that develop around the knee joint. After GCT surgery around the knee joint, in general, patients will experience several symptoms such as pain in the operating area and surrounding structures, limited range of motion, then symptoms that are quite worrying, namely related to the ability of knee function in the future. The role of physiotherapy after GCT surgery around the knee joint, especially the distal anterolateral part of the femur, was stated to be able to restore the functional ability of the knee without limitations.
Case Description: A 24-year-old male employee of the laboratory analysis division of Udayana University Hospital was diagnosed with GCT in the distal right femur. The diagnosis was made on September 30, 2021, using a biopsy with bone, joint, and articular cartilage specimens of the distal right femur. The patient underwent intralesional resection surgery, bone cement filling, and internal fixation of the distal femur in November 2021. Postoperatively the patient complained of pain in the posterior and medial distal right thigh, as well as limitations when bending the right knee. In addition, the patient also admitted to having difficulty doing squat movements.
Conclusion: Patients experienced an improvement in their symptoms after carrying out 7 physiotherapy sessions for 3 weeks. However, the patient still needs further exercise so that the walking pattern can show better development.
Effectiveness of Physiotherapy Interventions on Achilles Tendinopathy
Authors: Paramita Dewa Ayu Made Dhyana Pradnyan , M. Widnyana  
Published: December 2023

Background: Achilles tendinopathy is a clinical condition characterized by local pain, swelling in and around the Achilles tendon, and impaired function due to overuse or intrinsic factors such as being overweight. This disorder is often found in individuals who participate in physical activities such as running and jumping. Pain is felt during activity and subsides after rest, but if this continues, the pain may persist even at rest resulting in further decreased performance. Physiotherapy interventions for managing Achilles tendinopathy are quite varied, starting from the application of modalities and exercise and manual therapy.

Objective: To determine the effectiveness of physiotherapy intervention in Achilles tendinopathy.

Methods: The method in this study is a literature review or literature review using secondary data in the form of a review of research articles related to the effectiveness of physiotherapy interventions in Achilles tendinopathy through the search engines google scholar, PubMed, and Science Direct.

Results: Several studies have shown that physiotherapy interventions, except for low-level laser therapy (LLLT), effectively reduce symptoms of Achilles tendinopathy.

Conclusion: Physiotherapy interventions such as eccentric exercise and a combination of eccentric exercise with soft tissue treatment, pressure massage, and ESWT are effective in reducing symptoms in patients with Achilles tendinopathy.
Relationship between lower limb muscle strength and knee function with quality of life after anterior cruciate ligament reconstruction patients: a literature review
Authors: Ni Putu Aprilia Chintya Dewi  , I Putu Gde Surya Adhitya  , Anak Agung Gede Angga Puspa Negara  
Published: December 2023

Background: Anterior Cruciate Ligament Reconstruction (ACLR) is an orthopedic surgical procedure used to restore a functional knee. Surgical treatment in the form of ACL reconstruction can be performed to optimize quality of life after ACL injury. Decreased knee function after ACLR is closely related to a person's quality of life in the long term considering that the knee and other lower limbs have a crucial role in mobilizing and controlling the human body.
Objective: To determine if there is a relationship between lower limb strength after ACL reconstruction and knee function also quality of life.
Methods: The research method used is a literature review method using secondary data sources through a database of various scientific treatises accessible from internet sites. Scientific papers were searched using keywords such as ACL reconstruction, lower limb strength, knee function, and quality of life to facilitate proper literature retrieval.
Result: Based on the results of the journal study, it was found that there was a decrease in lower extremity muscle strength and a decrease in knee function compared to participants who did not experience ACL injury-ACLR which caused a decrease in the quality of life of a person so that the preference of physical activity carried out in daily activities also changed with a low level of satisfaction from the expectations and expectations of individuals with ACLR.
Conclusion: Based on some literature that has been discussed, there may be a correlation between the strength of the lower extremities and knee function with the quality of life of a person after anterior cruciate ligament reconstruction with the main predictor of decreased performance in daily physical activity which is closely related to the main function of the lower extremities, especially the knee.
Physiotherapy rehabilitation management on phase III of post-operative anterior cruciate ligament reconstruction with partial lateral meniscectomy: a case report
Authors: Morato Amaze Grace Davidz , Paramartha I Made Egie Arianto , Wahyuni Ni Wayan Sri 
Published: December 2023

BACKGROUND/LATAR BELAKANG:
Angka kejadian cedera pada lower esxtremity saat aktivitas olahraga menacapai 40-60% diseluruh dunia dan 16%nya menyebabkan cedera pada ligament ACL, dimana ligament ACL mengalami peregangan hingga rupture, cedera ACL dapat terjadi karena adanya mekanisme trauma, dimana posisi lutut rotasi, dan hiperekstensi atau disebabkan adanya kontraksi tiba-tiba dari otot quadricep femoris1. Cedera pada ACL dan juga disertai dengan meniscus tear dapat menimbulkan gangguan fungsi gerak tubuh sehingga dapat menganggu aktivitas sehari-hari 2.
Rekonstruksi ACL adalah prosedur bedah untuk mencangkok ACL dengan menggunakan jaringan tendon untuk mengembalikan fungsi fiksasi dan stabilisasi sendi. Tendon yang diambil untuk cangkok ACL berasal dari tendon hamstring, quadriceps, pattelar, maupun tendon otot ekstremitas bawah lainnya yang dinilai kuat dan panjang, Pada kondisi meniskus yang mengalami kerobekan dapat dilakukan Tindakan menisektomi. Menisektomi parsial melibatkan mengeluarkan bagian yang robek dari meniscus dan biasanya dilakukan untuk robekan yang memiliki kemungkinan penyembuhan sangat rendah setelah perbaikan. Prosedur ini akan mengangkat sepotong meniskus yang robek sehingga lutut dapat berfungsi secara normal kembali 3.
Penatalaksanaan rehabilitasi yang dilakukan oleh fisioterapi pada pasien ACL-R fase III untuk meningkatkan strength, balance dan kontrol gerak fungsional pasien dengan intervensi adaptasi rehabilitasi dan latihan dengan tujuan untuk mencegah cedera, mengembalikan fungsi optimal serta berkontribusi dalam meningkatkan performa olahraga atlet atau pemain dari segala usia dan kemampuan dengan menjamin standar profesionalitas yang tinggi.

CASE DESCRIPTION/DESKRIPSI KASUS :
Pada tanggal 09 Juni 2022 pasien bermain basket, lalu pasien mendengar kakinya berbunyi “pop” akibat gerakan berhenti dan berputar secara mendadak pada saat bermain basket. Pasien berinisiatif pergi kerumah sakit karena kakinya terasa nyeri dan disarankan untuk melakukan MRI, hasil pemeriksaan MRI menyatakan pasien mengalami rupture ACL dan Meniscus. Pasien telah menjalani operasi rekonstruksi ACL dan partial lateral menisectomy pada 20 Juli 2022, pasien telah melakukan fisioterapi sejak hari pertama pasca operasi hingaa saat ini memasuki minggu ke 10, pasien masih merasa ada yang mengganjal di bagian lutut, dan merasa kaki kirinya kaku dan lemah pada saat digerakkan.
CONCLUSION/KESIMPULAN :
Pemberian asuhan fisioterapi pada kasus ini bertujuan untuk mengurangi nyeri pada knee sinistra, rasa menganjal pada lutut, meningkatkan ROM khususnya pada flexi knee, meningkatkan kekuatan, endurance dan massa otot quadriceps & hamstring agar kemampuan fungsional knee sinistra pasien bisa kembali ke kondisi optinal sehingga pasien bisa menjalani kehidupan sehari-harinya tanpa gangguan kemudian return to sport.
Pengabdian Kepada Masyarakat kepada Pemecahan dan Penyelesaian Konflik terhadap Kekerasan dalam Rumah Tangga Di Desa Sisundung Kecamatan Angkola Barat Kabupaten Tapanuli Selatan
Authors: Saifuddin Bandaharo 
Published: January 2024

Kekerasan Dalam Rumah Tangga adalah setiap perbuatan terhadap seseorang terutama perempuan, yang berakibat timbulnya kesengsaraan atau penderitaan secara fisik, seksual, psikologis, dan/atau penelantaran rumah tangga termasuk ancaman untuk melakukan perbuatan, pemaksaan, atau perampasan kemerdekaan secara melawan hukum dalam lingkup rumah tangga. Tindak kekerasan itu terus terjadi karena keluarga dianggap sebagai wilayah privat (hak pribadi) dan korban tidak berdaya karena status dalam adat/sosial atau usia yang bisa mandiri. Sifat pribadi ini menyebabkan banyak korban merasa malu karena kekerasan itu dianggap aib keluarga yang tabu untuk diketahui orang diluar rumah tangga tersebut. Ketegangan atau konflik antara suami istri, orang tua dan anak, banyak terjadi kekerasan dalam rumah tangga terutama di daerah terpencil dan pedesaan, sehingga perlu sosialisasi dan pemahaman, pencegahan dan penyelesaian konflik tentang KDRT. Untuk itu, beberapa dosen Fakultas Hukum Universitas Muhammdiyah Tapanuli Selatan melalui Program Pengabdian Kepada Masyarakat telah melakukan penyuluhan hukum mengenai pencegahan dan penyelesaian konflik terhadap kekerasan dalam rumah tangga di Desa Sisundung Kecamatan Angkola Barat Kabupten Tapanuli Selatan.
The role and importance of parliamentary associations of the subjects of the Russian Federation in the formation of a system of managed interregional integration in 2000-2005.
Authors: Shirko Tatiana Ivanovna 
Published: December 2023

The article is devoted to the study of the place and role of parliamentary associations of the subjects of the Russian Federation in the formation of a unified system of interregional integration at the initial stage of the federal reform in 2000-2005. The object of the study is the parliamentary associations of the subjects of the Russian Federation, the subject is the process of including parliamentary associations in the emerging system of interregional integration and cooperation. The following aspects of the problem are considered: the formation of state policy regarding interregional cooperation of the subjects of the Federation and the participation of parliamentary associations in this process; the organization of interaction between the Federation Council, presidential plenipotentiaries in federal districts and parliamentary associations; the conditions and main directions of activity of interparliamentary associations in the context of the redistribution of powers on subjects of joint jurisdiction of the center and regions. General scientific and special historical research methods were used as the methodological basis of the work: methods of analysis and synthesis, historical-genetic, problem-analytical and historical-comparative methods, as well as the method of structural and functional analysis. The author concludes that the potential of parliamentary associations operating in Russia since the early 1990s has been used to form a system of managed interregional integration. They were included in the joint legislative process on the subjects of joint jurisdiction of the center and the subjects of the Federation by establishing cooperation with the Federation Council and exercising general control over their activities by the presidential Plenipotentiary representative in the federal districts. The study showed that in response to the centralizing policy of the federal center, the parliamentary associations operating in 2000-2005, in order to promptly respond to the requests of the federal center, centralize their organizational foundations and transfer the main levers of management of associations to the heads of legislative authorities of the regions. It is noted that under the conditions of legislative restrictions, the activities of associations are mainly concentrated around issues that are jointly managed by the center and the regions. At the same time, their ability to influence the legislative process is significantly reduced, as well as to defend the consolidated position of the legislative bodies of state power of the subjects of the Federation before the federal authorities.
Atomic‐Layer Controlled Transition from Inverse Rashba–Edelstein Effect to Inverse Spin Hall Effect in 2D PtSe2 Probed by THz Spintronic Emission
Authors: Abdukayumov Khasan , Mičica Martin , Ibrahim Fatima , Vojáček Libor , Vergnaud Céline , Marty Alain , Veuillen Jean‐Yves , Mallet Pierre , de Moraes Isabelle Gomes , Dosenovic Djordje , Gambarelli Serge , Maurel Vincent , Wright Adrien , Tignon Jérôme , Mangeney Juliette , Ouerghi Abdelkarim , Renard Vincent , Mesple Florie , Li Jing , Bonell Frédéric , Okuno Hanako , Chshiev Mairbek , George Jean‐Marie , Jaffrès Henri , Dhillon Sukhdeep , Jamet Matthieu 
Published: December 2023

Abstract2D materials, such as transition metal dichalcogenides, are ideal platforms for spin‐to‐charge conversion (SCC) as they possess strong spin–orbit coupling (SOC), reduced dimensionality and crystal symmetries as well as tuneable band structure, compared to metallic structures. Moreover, SCC can be tuned with the number of layers, electric field, or strain. Here, SCC in epitaxially grown 2D PtSe2 by THz spintronic emission is studied since its 1T crystal symmetry and strong SOC favor SCC. High quality of as‐grown PtSe2 layers is demonstrated, followed by in situ ferromagnet deposition by sputtering that leaves the PtSe2 unaffected, resulting in well‐defined clean interfaces as evidenced with extensive characterization. Through this atomic growth control and using THz spintronic emission, the unique thickness‐dependent electronic structure of PtSe2 allows the control of SCC. Indeed, the transition from the inverse Rashba–Edelstein effect (IREE) in 1–3 monolayers (ML) to the inverse spin Hall effect (ISHE) in multilayers (>3 ML) of PtSe2 enabling the extraction of the perpendicular spin diffusion length and relative strength of IREE and ISHE is demonstrated. This band structure flexibility makes PtSe2 an ideal candidate to explore the underlying mechanisms and engineering of the SCC as well as for the development of tuneable THz spintronic emitters.
Dual‐Proton Conductor for Fuel Cells with Flexible Operational Temperature
Authors: Li Wen , Liu Wen , Jia Wendi , Zhang Jin , Zhang Qi , Zhang Zhenguo , Zhang Jialin , Li Yunqi , Liu Yiyang , Wang Haining , Xiang, Yan , Lu Shanfu 
Published: December 2023

AbstractThe properties of proton conductors determine the operating temperature range of fuel cells. Typically, phosphoric acid (PA) proton conductors exhibit excellent proton conductivity owing to their high proton dissociation and self‐diffusion abilities. However, at low temperatures or high current densities, water‐induced PA loss causes rapid degradation of cell performance. Maintaining efficient and stable proton conductivity within a flexible temperature range can significantly reduce the start‐up temperature of PA‐doped proton exchange membrane fuel cells. In this study, a dual‐proton conductor composed of an organic phosphonic acid (ethylenediamine tetramethylene phosphonic acid, EDTMPA) and an inorganic PA is developed for proton exchange membranes. The proposed dual‐proton conductor can operate within a flexible temperature range of 80–160 °C, benefiting from the strong interaction between EDTMPA and PA, and the enhanced proton dissociation. Fuel cells with the EDTMPA‐PA dual‐proton conductor showed excellent cell stability at 80 °C. In particular, under the high current density of 1.5 A cm−2 at 160 °C, the voltage decay rate of the fuel cell with the dual‐proton conductor is one‐thousandth of that of the fuel cell with PA‐only proton conductor, indicating excellent stability.