bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hubungan penerapan Teknik Brand Daroff Pada Pasien dengan Vertigo di Ruang Sulaiman 4 Rumah Sakit Roemani Muhammadiyah Semarang
Authors: Natasya Tesa , Kartikasari Dian , Faizah Noor 
Published: November 2023

ABSTRACT Vertigo is a symptom or feeling in which the environment around seems to be moving or spinning and usually accompanied by nausea and loss of balance. The Brandt-Daroff's non-pharmacological management is a form of physical therapy to treat vestibular disorders such as vertigo. The purpose of this therapy is to help vertigo sufferers adapt to the balance disorder. It has the effect of increasing blood to the brain so that it can improve the function of the body's balance organs and maximize the work of the sensory system. This study aims to determine the influence of the Brand Daroff technique on pain in vertigo with patients. This research was a case study in a patient with vertigo at Sulaiman Ward at Roemani Muhammadiyah Hospital, Semarang. The intervention given in this study was the Brandt-Daroff exercise to reduce pain. In this study, the results showed that there was a positive effect of Brandt Daroff exercise in reducing pain in a vertigo patient. The pain scale on the first day was 7, 6 on the second day, 5 on the third day, and 3 on the fourth day. There was a positive effect of Bandt-Daroff exercise to reduce pain in vertigo patients. It is expected the hospital can implement this non-pharmacological therapy as a nursing care for vertigo patients. Keywords: Brand Daroff, Vertigo, Pain ABSTRAK Vertigo adalah suatu gejala atau perasaan dimana seseorang atau benda disekitar seolah-olah bergerak atau berputar, biasanya disertai dengan mual dan kehilangan keseimbangan. Penatalaksanaan non farmakologi Brand Daroff salah satu bentuk terapi fisik untuk mengatasi gangguan vestibular seperti vertigo. Tujuan latihan Brand Daroff untuk mengadaptasikan pasien terhadap gangguan keseimbangan pada penderita vertigo. Latihan brand daroff memberikan efek peningkatan darah ke otak sehingga dapat memperbaiki fungsi alat keseimbangan tubuh dan memaksimalkan kerja dari sistem sensori. Penelitian ini bertujuan untuk mengetahui adanya pengaruh pemberian teknik Brand Daroff terhadap nyeri pada pasien vertigo. Desain penelitian ini menggunakan studi kasus pada pasien dengan vertigo di ruang Sulaiman 4 RS Roemani Muhammadiyah Semarang. Intervensi yang digunakan pada penelitian ini teknik brand daroff untuk menurunkan nyeri. Pada penelitian ini dapatkan hasil bahwa terdapat pengaruh pada terapi brand daroff dalam menurukan nyeri pada pasien vertigo. Dimana skala nyeri pada hari pertama 7, hari kedua 6, pada hari ketiga 5 dan pada hari keempat menjadi 3. Terdapat pengaruh pemberian brand daroff untuk menurunkan nyeri pada pasien vertigo. Diharapkan pihak lahan praktik atau rumah sakit dapat mengimplementasikan terapi non-farmakologis teknik brand daroff dalam memberikan asuhan keperawatan pada pasien vertigo Kata Kunci: Brand Daroff, Vertigo, Nyeri
ПСИХОЛОГІЧНІ БАР’ЄРИ У ПРОЦЕСІ ВИВЧЕННЯ АНГЛІЙСЬКОЇ МОВИ КУРСАНТАМИ ВВНЗ
Authors: Жукович І. 
Published: November 2023

Статтю присвячено вивченню психологічних бар’єрів у процесі вивчення англійської мови курсантами ВВНЗ. У статті аналізуються підходи до розуміння понять «психологічний бар’єр».
Проаналізовані показники респондентів дали змогу визначити дві категорії психологічних бар’єрів з якими найчастіше зіштовхуються курсанти в Україні. Це – психологічні (психолого-емоційне виснаження курсанта, психологічний тиск, розсіяна концентрація уваги, страх, проблеми адаптації, зневіра, різний рівень мотивації (залежно від курсу), невдалий попередній досвід вивчення мови на курсах чи з репетитором); лінгвістичний (низький лексичний запас, необізнаність в граматичній структурі іноземної мови, складність аудіювання.
Встановлено було також, що психологічними бар’єрами виступають такі чинники, як: низький рівень самопідготовки, більша кількість стресових ситуацій для всіх учасників освітнього процесу, вищий рівень зацікавленості у спеціальних військових предметах, неможливість відвідувати додаткові мовні курси через їх високу вартість або розпорядок дня. Подальші наші дослідження вбачаємо у вивченні психологічних бар’єрів на кожному курсі нарізно й глибше, розробленні алгоритму дій викладача у разі виникнення повторних чи нових бар’єрів, опрацюванні спеціальних заходів, які зосереджені на підвищенні мотиваційної складової навчання курсантів
Expanded Dengue Syndrome with Multiorgan Involvement in a Woman with Twin Intrauterine Fetal Death - A Case Report
Authors: Khanom Taimoon Nahar 
Published: November 2023

Dengue is the most rapid mosquito-borne disease in the world. As per the WHO guidelines for dengue fever, a list of atypical or unusual manifestations, also termed ‘Expanded Dengue Syndrome’ (EDS), is mentioned. Pregnancy increases the risk of expanded dengue syndrome. A 32-year-old woman with IUFD (twin) at 36 weeks gestation with H/O 1 C/S was reported with expanded dengue syndrome with multiorgan involvement. She was referred to a tertiary centre with H/O high fever, loose emotion, less fetal movement, and dengue NS 1 antigen positive. She was eventually diagnosed as having expanded dengue syndrome with multiorgan involvement with IUFD (twin) at 36 weeks. The decision of LSCS was taken by a multidisciplinary approach. She was managed with FFP, platelet apheresis, therapeutic plasma exchange, and I/V antibiotics, in addition to liver & neurological support in the ICU unit. This case emphasised the hazards of dengue infection in pregnant women, which needs special consideration. Early recognition with careful monitoring and multidisciplinary management are the key factors in a favourable outcome for a dengue patient.
J Bangladesh Coll Phys Surg 2023; 41: 105-108
STRATEGI PEMASARAN SATE KARAK DI WISATA RELIGI MAKAM SUNAN AMPEL SURABAYA
Authors: Maghfirotunnisa Maghfirotunnisa , Al Baihaqi Ariya Rifqi , Hikmah Milta Fadzilatul 
Published: November 2023

Kuliner tradisional tidak hanya menjadi cenderamata yang menghiasai destinasi wisata, tetapi juga berpengaruh pada citra dan daya tarik wisatawan terhadap suatu lokasi wisata. Dalam konteks ini, salah satunya warung sate karak yang berada di kawasan Makam Sunan Ampel Surabaya mampu bertahan dan tetap eksis dengan rasa autentiknya di tengah persaingan usaha yang semakin ketat. Artikel ini ditulis untuk menguraikan alternatif strategi pemasaran dalam menghadapi persaingan yang ketat di industri kuliner dengan mengambil contoh warung sate karak di wisata religi Makam Sunan Ampel Surabaya. Peneliti mencoba menganalisis melalui metode pendekatan kualitatif dengan menggunakan Studi Kepustakan yang didapat dari berbagai buku, artikel, jurnal, maupun pemberitaan online. Sehingga menghasilkan bahwa strategi pemasaran Sate Karak yang tepat melibatkan beberapa aspek penting seperti bauran pemasaran, indentifikasi target pasar, kerjasama dengan pelaku usaha, hingga keikutsertaan kuliner dalam acara khusus.
The relationship between gut microbiota and insomnia: a bi-directional two-sample Mendelian randomization research
Authors: Li Yan , Deng Qingqing , Liu Zhanli 
Published: November 2023

IntroductionInsomnia is the second most common mental health issue, also is a social and financial burden. Insomnia affects the balance between sleep, the immune system, and the central nervous system, which may raise the risk of different systemic disorders. The gut microbiota, referred to as the “second genome,” has the ability to control host homeostasis. It has been discovered that disruption of the gut-brain axis is linked to insomnia.MethodsIn this study, we conducted MR analysis between large-scale GWAS data of GMs and insomnia to uncover potential associations.ResultsTen GM taxa were detected to have causal associations with insomnia. Among them, class Negativicutes, genus Clostridiuminnocuumgroup, genus Dorea, genus Lachnoclostridium, genus Prevotella7, and order Selenomonadalesare were linked to a higher risk of insomnia. In reverse MR analysis, we discovered a causal link between insomnia and six other GM taxa.ConclusionIt suggested that the relationship between insomnia and intestinal flora was convoluted. Our findings may offer beneficial biomarkers for disease development and prospective candidate treatment targets for insomnia.
Case Report: Pericardial patch repair of mitral annulus and mitral valve for a left atrial dissection caused by parasitic infective endocarditis
Authors: Chu PeiShan , Tang Yi , Liu XinPei , Miao Qi 
Published: November 2023

IntroductionLeft atrial dissection is a rare event, typically associated with cardiac manipulation. We report the first case of a left atrial dissection caused by parasitic infectious endocarditis, which required the use of patch repair for the damaged mitral annulus and valve.Case PresentationTo treat heart failure in a 43-year-old man with left atrial dissection, we performed a patch repair of the mitral annulus and valve using autologous pericardium.ConclusionWe encourage novel surgery for complicated infectious endocarditis.
Prevalence and adverse outcomes of pre-operative frailty in patients undergoing carotid artery revascularization: a meta-analysis
Authors: Liu Zeyu , Yao Ying , Zhang Meiwan , Ling Yan , Yao Xiaoyan , Hu Min 
Published: November 2023

IntroductionFrailty can lead to a decrease in the patient's resistance to interference such as injury and disease, and cause a series of complications. An increasing number of studies have found that pre-operative frailty exacerbates the occurrence of adverse events after carotid artery revascularization, but an integrated quantitative analysis is currently lacking. Therefore, we conducted a meta-analysis to evaluate the impact of pre-operative frailty on patients undergoing carotid artery revascularization.MethodAccording to the PRISMA guidelines, we systematically searched for relevant studies on Medline, Embase, Ovid, CINAHL, Web Of Science, and Cochrane Library from establishment until June 2023. Summarize the risk of adverse outcome events through OR and 95% CI.ResultsA total of 16 cohort studies were included, including 1692338 patients. Among patients who underwent carotid artery revascularization surgery, the prevalence of pre-operative frailty was 36% (95% CI = 0.18–0.53, P &lt; 0.001). Compared with non frail individuals, frail individuals have an increased risk of mortality (OR = 2.35, 95% CI = 1.40–3.92, P = 0.001, I2 = 94%), stroke (OR = 1.33, 95% CI = 1.10–1.61, P = 0.003, I2 = 71%), myocardial infarction (OR = 1.86, 95% CI = 1.51–2.30, P &lt; 0.001, I2 = 61%), and non-home discharge (OR = 2.39, 95% CI = 1.85–3.09, P &lt; 0.001, I2 = 63%).ConclusionThe results of this article show that patients undergoing carotid artery revascularization have a higher prevalence of pre-operative frailty, which can lead to an increased risk of postoperative death, stroke, myocardial infarction, and non-home discharge. Strengthening the assessment and management of frailty is of great significance for patient prognosis.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=416234, identifier: CRD42023416234.
Association of triglyceride-glucose index with the prevalence of cardiovascular disease in malnourished/non-malnourished patients: a large cross-sectional study
Authors: Jiang Xiaobo , Tu Jiabin , Chen Sicong , Zhang Yanbin , Qiu Weilong , Chen Kaihong , Chen Liling , Wu Bo 
Published: November 2023

BackgroundNumerous investigations have demonstrated a strong association between the TyG (triglyceride-glucose) index, which is derived from lipid and glucose levels in the bloodstream, and the onset and progression of cardiovascular diseases (CVD). Blood glucose and blood lipids are affected by nutritional status, and few studies have explored whether the correlation between TyG index and the risk of CVD is affected by nutritional status.AimsTo investigate the connection between TyG index and the risk of CVD among individuals with varying nutritional statuses.MethodA total of 19,847 were included in the analysis, of which 15,955 participants were non-malnourished and 3,892 patients were malnourished. According to the TyG index quartile, the patients were categorized into four groups. Logistic regression analysis and restricted cubic spline was used to study the relationship between TyG index and the risk of CVD in normal and malnourished populations.ResultsThe results of the restricted cubic spline showed that the TyG index was positively associated with the risk of CVD in the non-malnourished population. The TyG index showed a U-shaped association with the risk of CVD in malnourished people. The result is consistent with that of logistic regression (Malnutrition: Group 2: OR: 1.14; 95% CI: 0.85–1.53; Group 3: OR: 1.36; 95% CI: 1.03–1.79; Group 4: OR: 1.72; 95% CI:1.31–2.25, P for trend &lt;0.001; Non-malnutrition: Group 2: OR: 0.82; 95% CI: 0.46–1.48; Group 3: OR: 0.88; 95% CI: 0.49–1.57; Group 4: OR: 1.45; 95% CI:0.83–2.52, P for trend =0.067).ConclusionsThe association between the TyG index and the risk of CVD varied depending on the nutritional states. When using TyG index to assess the risk of CVD, stratification combined with nutritional status helps to more accurately screen patients at high risk of CVD.
Assessing the use of stable isotope values from deer antlers as proxies for seasonal environmental variation
Authors: Royer Julien , Somerville Andrew D. 
Published: November 2023

IntroductionWe assess the feasibility of white-tailed deer (Odocoileus virginianus) antlers to serve as archives of information on paleoseasonality by analyzing stable isotope values from four modern white-tailed deer collected in central Iowa, USA. Because antlers develop from early spring to early fall, they may serve as an archive for intra-annual seasonal variations and provide snapshots of past climatic and environmental conditions.MethodsIntra-antler samples were collected from the proximal end to distal end along the main beam of each antler and analyzed for carbon and nitrogen stable isotope values from collagen (δ13Ccol, δ15Ncol) and carbon and oxygen stable isotope values in bioapatite (δ13Capa, δ18Oapa). Stable isotope data were then correlated with local climate data (precipitation and temperature) from the months leading up to the date of death of each deer and with the 50-year averages of the region.ResultsNo consistent seasonal patterning was observed between local climate data and isotopic variables across the antlers. δ13Capa values from each antler, however, do show a trend of being negatively correlated with precipitation variables and mean temperature.DiscussionThe results of this exploratory study suggest that individual deer feeding behaviors, mobility, and habitat preferences make it difficult to infer seasonal environmental conditions from antler stable isotope values. We suggest, however, that intra-antler stable isotope data may be useful for wildlife management and conservation studies.
Prediction of papillary thyroid metastases to the central compartment: proposal of a model taking into consideration other thyroid conditions
Authors: Chen Qiong , Ye Xiaofen , Wang Kangjian , Shen Haolin 
Published: November 2023

ObjectiveTo construct risk prediction models for cervical lymph node metastasis (CLNM) of papillary thyroid carcinoma (PTC) under different thyroid disease backgrounds and to analyze and compare risk factors among different groups.MethodsThis retrospective study included 518 patients with PTC that was pathologically confirmed post-operatively from January 2021 to November 2021. Demographic, ultrasound and pathological data were recorded. Univariate and multivariate logistic regression analyses were performed to identify factors associated with CLNM in the whole patient cohort and in patients grouped according to diagnoses of Hashimoto’s thyroiditis (HT), nodular goiter (NG), and no background disease. Prediction models were constructed for each group, and their performances were compared.ResultsAnalysis of the whole PTC patient cohort identified NG as independently associated with CLNM. The independent risk factors for patients with no background disease were the maximum thyroid nodule diameter and American College of Radiology Thyroid Imaging Reporting &amp; Data System score; those for patients with HT were the maximum thyroid nodule diameter, ACR TI-RADS score, and multifocality; and those for patients with NG were the maximum thyroid nodule diameter, ACR TI-RADS score, multifocality and gender.ConclusionBackground thyroid disease impacts CLNM in PTC patients, and risk factors for CLNM vary among PTC patients with different background diseases. Ultrasound is useful for diagnosing background thyroid disease, which can inform treatment planning. Different prediction models are recommended for PTC cases with different thyroid diseases.
Gut microbiota and immune mediation: a Mendelian randomization study on granulomatosis with polyangiitis
Authors: Chen Yizhen , Tang Shilin 
Published: November 2023

BackgroundThe gut microbiota plays a pivotal role in influencing various health outcomes, including immune-mediated conditions. Granulomatosis with Polyangiitis (GPA) is one such condition, and its potential associations with gut microbiota remain underexplored.MethodUsing a two-sample Mendelian randomization approach, we investigated the causal links between gut microbiota and GPA. We sourced our data from multiple cohorts and consortiums, including the MiBioGen consortium. Our study design incorporated both direct associations and mediation effects of immune traits on the relationship between gut microbiota and GPA.ResultsOur analysis revealed significant associations between 1 phylum, 1 family 9 genus microbiota taxa and GPA. Furthermore, we identified several immune cell traits that mediated the effects of gut microbiota on GPA. For instance, the family Defluviitaleaceae and genus Defluviitaleaceae UCG011 influenced GPA through CD11c in granulocytes. The mediation effect proportions further elucidated the complex dynamics between gut microbiota exposures, immune markers, and their combined influence on GPA.ConclusionOur findings underscore the intricate relationship between gut microbiota, immune markers, and GPA. The identified associations and mediation effects provide valuable insights into the potential therapeutic avenues targeting gut microbiota to manage GPA.
Bibliometric visual analysis of the poly(vinylidene fluoride–trifluoroethylene) piezoelectric nanomaterial: research history, hotspots, and developmental trend
Authors: Chen Zhiguang , He Wen , Zhang Wei 
Published: November 2023

Introduction: Poly(vinylidene fluoride-trifluoroethylene) [P(VDF-TrFE)] stands out as an organic polymer with remarkable piezoelectric properties, coupled with high chemically stability and biocompatibility, rendering it the most promising organic piezoelectric nanomaterial. Therefore, we aim to explore its developmental history, find current research hotspots, and identify emerging trends.Methods: To comprehensively review the pertinent literature on poly(vinylidene fluoride-trifluoroethylene) or P(VDF-TrFE) in English from 1992 to 2022, we utilized the Web of Science Core Collection. Additionally, bibliometric tools such as CiteSpace, VOSviewer, Bibliometrics online analysis platforms (https://bibliometric.com), along with SCImage graphics, were employed to delineate historical features, track the evolution of active topics, and identify emerging trends on the P(VDF-TrFE) field.Results: The annual publication and citation counts for articles on P(VDF-TrFE) have exhibited consistent growth since 1992, with Asia, notably China, contributing the highest number of publications on P(VDF-TrFE) materials. Interestingly, researchers in the United States demonstrated the most robust international collaborations across various countries. Keywords were categorized into nine clusters: 0# vinylidene fluoride, 1# thin-film transient, 2# energy harvesting, 3# dielectric property, 4# thin film, 5# film, 6# mobile modeling, 7# growth, and 8# pyroelectric sensor. The performance of constituent materials in electronic energy-storage applications and current and future research in nanofields, including nanofilms, nanofibers, and nanogenerator, are considered hotspots and developmental trends, respectively. Among the most cited articles, these articles are commonly related to PVDF and P(VDF-TrFE) ferroelectricity.Conclusion: Therefore, we believe that the electromechanical coupling performance of P(VDF-TrFE) and the research in nano fields is research hotspot that will trend into the future.
Effect of astigmatism on visual outcomes after multifocal intraocular lens implantation: a systematic review and meta-analysis
Authors: Shen Wenqian , Zhuo Baoxian , Zhang Limei , Shen Jiying , Ma Dongmei , Yang Jin 
Published: November 2023

PurposeTo investigate the effects of postoperative astigmatism on the visual outcomes following presbyopia-correcting surgery with multifocal intraocular lens implantation.MethodsA comprehensive literature search was conducted using PubMed, Embase, and Web of Science for articles published until January 2023. Additionally, we included retrospective case series and prospective comparative studies. The combined mean difference (MD) with 95% confidence intervals (CI) and odds ratio (OR) with 95% CI were used to express continuous and categorical outcomes, respectively. All statistical analyses were performed using Review Manager (version 5.4.1).ResultsWe included nine eligible studies that analyzed 3,088 eyes. The proportion of eyes with useful postoperative visual acuity (logMAR ≤ 0.20) and residual astigmatism significantly differed with respect to the magnitude of astigmatism and presence/absence of blurred vision (p &lt; 0.001 for both). Additionally, the mean uncorrected distance visual acuity (MD, 0.14; 95% CI, 0.06 to 0.21; p = 0.0003) and uncorrected intermediate visual acuity (MD, 0.07; 95% CI, 0.00 to 0.13; p = 0.04), but not the uncorrected near visual acuity (MD, 0.02; 95%CI-0.01 to 0.05; p = 0.17), significantly differed according to the magnitude of astigmatism.ConclusionAstigmatism, even at low levels (≥ 0.5D), has a significant effect on visual outcomes, especially on UDVA and UIVA, following multifocal intraocular lens implantation. Accurate preoperative and postoperative evaluation of astigmatism is important.