bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluación de las competencias docentes en ambientes virtuales de aprendizaje
Authors: Castillo Cuevas Minerva I. , Marín Uribe Rigoberto 
Published: January 2024

Este artículo presenta una investigación realizada al interior de las aulas virtuales, cuya finalidad fue evaluar las competencias que implementa el tutor al desarrollar su curso en línea, forma parte de una investigación mayor de la cual se derivan los instrumentos de evaluación de las competencias docentes, se evaluaron 7 universidades virtuales con la misma rúbrica considerando como factor de inclusión la interacción activa del docente con el alumno, se utilizaron 2 plataformas Blackboard y Moodle. La presente es una investigación exploratoria, descriptiva, cualitativa basada en la comunicación entre profesor y alumnos en los diferentes espacios del curso. Los resultados permitieron validar y evaluar las competencias empleadas por el docente virtual. Se constituye un medio de verificación de las competencias necesarias para el docente en línea.
Tendencias en habilidades informativas manifestadas por estudiantes de bachillerato
Authors: Barbosa Marabel Angélica , López Oseguera Elizabeth , Neri Montes Lara 
Published: January 2024

La intención del presente trabajo, es compartir los resultados de una investigación realizada en la Universidad de Guadalajara, para identificar tendencias de los estudiantes de bachillerato en la búsqueda, selección, recuperación, uso y transmisión de la información, tomando como muestra 462 alumnos, de un total de 698 estudiantes próximos a egresar durante el calendario 2015/B, cifra correspondiente al 66.18% y cuya distribución es la siguiente: 248 estudiantes de la preparatoria de Jalisco, de un total de 356, equivalente a un 69.66% y 214 de la Preparatoria No. 11, de un total de 342, equivalente a 62.57%. Asimismo, se expone la metodología y el instrumento de evaluación utilizado, estableciendo como principales puntos de interés, evidenciar el uso de internet como principal fuente de información entre el alumnado, así como las preferencias de buscadores utilizados, predominio de los sitios web que consultan, percepción sobre la confiabilidad de las páginas que seleccionan, criterios utilizados para evaluar la información, estrategias de búsqueda de información en la web, plagio académico, hábitos para transmitir la información, entre otros ítems. Destacando que los resultados obtenidos se han considerado como áreas de oportunidad, que servirán para reorientar las estrategias de enseñanza aprendizaje, para incrementar el desarrollo de habilidades para gestionar y manejar la información de nuestros bachilleres en aras de alcanzar un perfil de egreso ideal.
Wspomnienie Szymona Kobeckiego (1857-1933)
Authors: Firkowicz Szymon , Kobecki Szymon , Abkowicz Mariola , Pilecka Hanna , Čaprockij Romuald 
Published: January 2024

Szymon Kobecki był pierwszym, być może jednym z najważniejszych obok Zachariasza Abrahamowicza (1878–1903) i Szełumiela Łopatto (1904–1923) twórców karaimskiej poezji świeckiej. Zbiór dwudziestu czterech wierszy Kobeckiego zatytułowany Irłar (Pieśni) wydany został w1904 roku w Kijowie w drukarni Stefana Kulżenko mieszczącej się przy ulicy Nowoelizawetinskiej 4 (obecnie ul. Puszkińska), nieopodal nowo wybudowanej kijowskiej kienesy karaimskiej do dziś stojącej przy ulicy Jarosławski Wał 7. Tom ten uznany został później za pierwsze wydanie drukiem świeckiej literatury karaimskiej.
Umiłowanie przyrody: Szełumiel Łopatto 1923
Authors: Pilecka Hanna 
Published: January 2024

Dziś jezioro twarz ufną ku tobie unosi,Falą szemrze o morzach, namawia na rejsy –Ty, co po karaimsku piękno świata głosisz,Wsiądź na statek, niech nowe spłyną ku nam wersy.
Ptaki pieśń twoją nucą, kwiat wyciąga liścieW nadziei na kojący dotyk twoich dłoni,Białe loki obłoków iskrzą się srebrzyście –Wzbij się lotnią do nieba, ono cię uchroni.
Tylko dzisiaj do lasu nie wchodź, Szełumielu –Odpycha cię konarami, marszczy igieł brwi,Piętrzy ci pod nogami głazy, mchy i ziele,
Bo bywał świadkiem wielu już aktów zbrodniczych,Dostrzegł mordercze ślepia ludzi w leśnej dziczyI nie chce patrzeć, jak tracisz ostatni wers krwi.
Hanna Pilecka
Empowering special students: Attitudes towards English for communication using "I-Pick" methods
Authors: Ahmad Norizan Saed , Husin Norshidah Abu , Mustaffa Fatimah binti 
Published: January 2024

The aim of this study was to identify the attitude of students with special educational needs (MBPK) towards learning based on the I-pick method in English for Communication. Pictorial Illustration (I-pick) is an innovative teaching method used in this study to improve English vocabulary proficiency among students with special educational needs (MBPK). This study uses the quantitative form of the survey method using questionnaires as an instrument of study. The data was analyzed on a descriptive basis, and the t-test test was used to strengthen the study data. Samples are intended to be used in this study. A total of six MBPK slow learner categories who attended the KSSMPK Form 1 class at SMK Jalan Paya Besar were selected as respondents. The findings showed that MBPK's attitude in the implementation of I-pick-based learning is positive (mean=4). 02, S.D.= 0. 909). This proves that the I-pick method has successfully increased MBPK's interest in learning English for Communication better. Finally, it can be concluded that a positive attitude towards English for Communication learning based on I-pick increased interest and improved English language ability among MBPK.
Uso indiscriminado de morfina no cuidado paliativo de pacientes com câncer: uma revisão integrativa
Authors: Melo Nayanne Arero Pereira , Melo Rayanne Arero Pereira , Sousa Beatriz Gomes de , Sousa Karen Mariane Santos , Portilho Keila Miranda , Neves Matheus Vieira das , De Mendonça Viana Davi , Diniz Isabela Guerreiro , Guimarães Márcia Cristina Monteiro 
Published: January 2024

Objetivo: Avaliar como o uso indiscriminado de morfina afeta os pacientes em estágio terminal de câncer. Métodos: Estudo de revisão integrativa, de abordagem descritiva e qualitativa, sobre os efeitos no uso indiscriminado de morfina entre pacientes com câncer em estágio terminal, entre 2013 e 2023. Resultados: Inicialmente, aplicando critério de idioma, ano de publicação e disponibilidade na íntegra, foram considerando 1.879 artigos onde, 1.521 foram excluídos por se tratar de revisão, documentos e livros, resultando em 358 artigos lidos na íntegra, no qual 14 contemplaram todos os critérios de inclusão. Em suma, dois estudos trazem aspectos positivos da morfina prolongada quanto aos efeitos analgésicos e mínimos eventos adversos, contudo, 12 estudos trazem abordagens diferenciadas quanto ao uso indiscriminado da morfina, de forma a demonstrar divergências quanto aspectos de controle da dor, entretanto, uma melhor descrição quanto a ocorrência de eventos adversos (sobretudo náuseas, constipação e sonolência), vicio/tolerância medicamentosa e riscos de óbitos associados a Acidente Vascular Cerebral, Fibrilação Arterial e sepse. Conclusão: Ainda há divergência literária quanto a contribuição da morfina prolongada na redução da dor, embora alguns autores pontuem seu aporte, contudo, é bem relatado que o uso indiscriminado pode refletir em problemas de nível de EAs, tolerância e riscos ao óbito, logo, é necessário discutir a sua prescrição de forma a promulgar um acompanhamento médico efetivo e controle na administração.

Palavras-chave: Morfina; Câncer; Uso abusivo; Eventos Adversos.
Changes In Serum Creatine Kinase In Patient After Total Hip Arthroplasty
Authors: Dewabratha Bhisma 
Published: January 2024

Background : Some studies reported that measuring serum creatine kinase (CK) level is an objective method with which to determine the relative invasiveness of surgery. The purpose of this study was to evaluate the change in postoperative serum CK levels as a measure of whether the direct anterior approach (DAA) is less invasive than the posterior approach (PA) regarding postoperative rehabilitation.
Objective : This article presents a literature review regarding changes in serum creatine kinase in patients after total hip arthroplasty.
Method : Descriptive research with a qualitative approach, systematic literature review study. Researchgate, Google Scholar and ScienceDirect searches reviewed changes in serum creatine kinase in patients after total hip arthroplasty. A total of 5 studies conducted between 2019-2023 were included in this review.
Results : A total of 42,890 titles were identified and found 5 studies that met the requirements/criteria which discussed changes in serum creatine kinase in patients after total hip arthroplasty.
Conclusions : We analyzed biochemical markers of muscle damage in patients treated with total hip arthroplasty with minimally invasive and standard posterolateral approach to providing objective evidence of the local soft-tissue injury at the time of arthroplasty. The objective measurement of muscle damage marker provides an unbiased way of determining the immediate effects of surgical intervention in patients treated with total hip arthroplasty.
Pelatihan Pembuatan Milk Replacer di Kelompok Tani Ternak Ngudi Dadi Sebagai Upaya Pelestarian Kambing Kejobong
Authors: Afduha Nurus Syamsi  , Dewi Puspita Candrasari  , Merryafinola Ifani  , Chomsiatun Nurul Hidayah  , Lis Safitri  
Published: January 2024

Tujuan pengabdian pada masyarakat (PPM) ini adalah untuk menjaga kelestarian Kambing Kejobong melalui pelatihan pembuatan milk replacer (MR). Metode yang dilakukan dalam berupa sosialisasi, pembuatan demplot, aplikasi program, dan evaluasi. Demplot kegiatan berupa pembuatan MR komersil merek Profat dan dipercobakan pada 4 ekor cempe. Data dibahas secara deskriptif. Hasil pre-test menunjukkan nilai rata-rata peserta sebesar 3,17, kemudian mengalami peningkatan pada nilai post-test menjadi 6,6. Hasil aplikasi MR pada cempe memberi pertambahan bobot badan harian (PBBH) yang lebih tinggi dibandingkan dengan yang tidak diberi MR, yaitu 0,075 kg/hari > 0,066 kg/hari. Sebanyak 33% peternak sangat mau dan 37% mau untuk menerapkan MR untuk cempe, sedangkan 30% menyatakan ragu-ragu. Kesimpulan kegiatan bahwa PPM mampu meningkatkan pengetahuan, meningkatkan performa produksi cempe dan motivasi peternak dalam menerapkan MR pada cempe, sehingga dapat mendukung pelestarian Kambing Kejobong.
Pelatihan dan Pendampingan Manajemen dan Penyusunan Laporan Keuangan bagi Unit Usaha Pondok Pesantren Miftahul Ulum Pagendingan
Authors: Hidayat Moh. Helmi 
Published: January 2024

Pengabdian kepada masyarakat ini mencoba memberikan pemahaman bahwa bisnis dalam skala apa pun perlu memiliki proses perencanaan, dan pengelolaan yang baik. Kemudian, bahwa setelah bisnis terencana dan terkelola dengan baik, maka bisnis harus terlapor secara akuntabel sehingga semua pemangku kepentingan dapat mendapatkan manfaat dan informasi yang dapat dipertanggungjawabkan. Pengabdian kepada masyarakat ini diadakan pada Pondok Pesantren Miftahul Ulum Pagendingan yang mana diatasi oleh Kopontren Al-Asy’ariah sebagai lembaga yang mengelola unit-unit usaha pada tanggal 5-9 Desember 2023. Metode yang digunakan antara lain adalah survey, sosialisasi dan dan diskusi tentang dasar-dasar manajemen, dan penggunaan aplikasi akuntansi berbasis MS Excel. Dari hasil kegiatan ini, didapati bahwa pengelola unit usaha kini telah memiliki pemahaman tentang perencanaan unit usaha dan penyusunan laporan keuangan.
EFFECT OF EXTRACTION METHOD ON ANTIOXIDANT ACTIVITY OF PALM PALM LEAVES (Elaeis guineensis Jacq.)
Authors: Faramayuda Fahrauk , Windyaswari Ari Sri , Karlina Yeni , Maulana Muhamad Raihan , Guntina Rizka Khoirunnisa 
Published: January 2024

Oil palm (Elaeis guineensis Jacq.) is a plant that is native to Africa and South America. This plant can grow well in tropical areas, such as Indonesia. Indonesia is currently one of the largest producers of palm oil worldwide. As the area of palm oil plantations increases, the potential for waste from this plant continues to increase. The potential for palm oil leaf waste production in Indonesia is 658 kg dry matter/hectare/year. Palm oil leaf waste has been widely processed into organic fertilizers and animal feeds. This plant has the potential to be developed into a source of traditional medicinal ingredients. Based on the abundant sources of palm oil leaves and their pharmacological potential, palm oil leaves can be used as a source of raw materials for traditional medicine. This study aimed to compare the antioxidant activities of oil palm leaf extracts obtained by maceration and reflux to determine which extraction method produces the best antioxidant activity. Extraction was carried out using 70% ethanol solvent by maceration and reflux. The results of the phytochemical screening showed that oil palm leaves contain flavonoids, polyphenols, saponins, quinones, steroid-triterpenoids, and monoterpene-sesquiterpenes. Antioxidant activity using a UV-Visible spectrophotometer with DPPH free radicals showed that the extract obtained by maceration and reflux methods had IC50 values of 46.61 ± 1.76 ug/mL and 55.21 ± 2.91 ug/mL respectively. Therefore, extraction by maceration produces a better antioxidant activity.
Keywords: Palm leaves; Traditional medicine; Extraction; Active compound stability; Antioxidant
Systematic literature review of treatments used for refractory or unexplained chronic cough in adults
Authors: Bali Vishal , Kardos Peter , Page Clive , Rogliani Paola , Calzetta Luigino , Adriano Ada , Byrne Aidan , Adeyemi Adekemi , Frederickson Andrew , Schelfhout Jonathan 
Published: January 2024

Abstract:

BACKGROUND:
Refractory or unexplained chronic cough (RCC or UCC) is difficult to manage and is usually treated by the off-label use of drugs approved for other indications.

OBJECTIVE:
The objectives of this systematic literature review (SLR) were to identify and characterize the current published body of evidence for the efficacy and safety of treatments for RCC or UCC.

METHODS:
The SLR was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The SLRs pre-defined population included patients ≥18 years of age who were diagnosed with chronic cough. The review was not restricted to any intervention type or study comparator, nor by timeframe.

RESULTS:
A total of 20 eligible publications from 19 unique trials were included. Seventeen of these trials were randomized controlled trials and most (14/17) were placebo-controlled. There was considerable variability between trials in the definition of RCC or UCC, participant exclusion and inclusion criteria, outcome measurement timepoints, and the safety and efficacy outcomes assessed. Several trials identified significant improvements in cough frequency, severity, or health-related quality of life measures while participants were on treatment, although these improvements did not persist in any of the studies that included a post-treatment follow-up timepoint.

CONCLUSIONS:
In the absence of an approved therapy, placebo remains the most common comparator in trials of potential RCC or UCC treatments. The between-study comparability of the published evidence is limited by heterogeneity of study design, study populations, and outcomes measures, as well as by concerns regarding study size and risk of bias.
Quality-of-life impact of diaphragm plication in patients with diaphragmatic paralysis: A retrospective study
Authors: Valenti Jasmin , Tan Khea , Rubino Kelly , Hanhan Ziad , Vega Dennis , Kaufman Matthew , Bauer Thomas 
Published: January 2024

Abstract:

OBJECTIVES:
While the overall incidence and prevalence of diaphragmatic paralysis are unknown due to a wide variety of underlying causes, symptomatic patients experience a marked decline in their quality of life. The goal of this study was to measure the impact of diaphragm plication surgery on the quality of life in patients who were diagnosed with diaphragmatic paralysis.

METHODS:
A retrospective review of the medical records of 46 patients who underwent diaphragmatic plication surgery was performed. The review included patients who experienced unilateral and bilateral diaphragmatic paralysis. Patients who underwent repeat diaphragm plication surgery were also included in the study. Patients from the retrospective cohort were then contacted by telephone to answer the Dyspnea-12 (D-12) questionnaire. Patients were asked to recall the severity of their symptoms and quality of life preplication, 1-month postplication, and 6-month postplication. Severity of symptoms was ranked as either none, mild, moderate, or severe. Values were then assigned to each rank as follows: none = 0, mild = 1, moderate = 2, and severe = 3. Relative change and statistical significance were calculated with preplication measurements used as the baseline. Scores between preplication versus 1-month postplication and 6-month postplication were then compared by Student’s paired t-test. All tests were two-sided and statistical significance was set at P < 0.05.

RESULTS:
Forty-six patients were included in the study, from which 21 answered the D-12 questionnaire. Average scores from each component of the D-12 questionnaire showed improvement in the severity of symptoms from preplication to 1-month postplication. The latter period was then followed by continued improvement in all areas when symptoms 6-month postplication were assessed.

CONCLUSION:
In patients with diaphragmatic paralysis, diaphragm plication was effective in reducing patients’ symptoms while improving overall quality of life.
Risk factors for discontinuing intravenous patient-controlled analgesia after thoracic surgery
Authors: Kim Saeyeon , Shih Beatrice Chia-Hui , Song In-Ae , Oh Tak Kyu 
Published: January 2024

Abstract:

PURPOSE:
This study examined the risk factors of experiencing side effects from using intravenous patient-controlled analgesia (IV PCA) following lung and esophageal surgery.

METHODS:
Our study included adult patients who underwent lung or esophageal surgery and received IV PCA for postoperative acute pain control between 2020 and 2022. We collected information on side effects from IV PCA use, the decision to discontinue PCA, and the PCA regimen from the daily reports of the acute pain management team and verified the accuracy using electronic records from ward nurses. The primary outcome was the risk factor associated with discontinuing IV PCA due to its side effects.

RESULTS:
Out of the 1796 patients in our study, 1795 used PCA containing opioids; 196 patients stopped IV PCA due to unbearable side effects. Being female (adjusted odds ratio [aOR]: 2.65, 95% confidence interval [CI]: 1.70, 4.13) was linked to a higher chance of stopping PCA use. Having hypertension (aOR: 0.46, 95% CI: 0.26, 0.81) and being classified as the American Society of Anesthesiologists class 3 or higher (aOR: 0.48, 95% CI: 0.23, 0.86) were associated with a lower chance of discontinuing PCA use.

CONCLUSION:
Our study determined the risk factors to stop using IV PCA due to side effects following lung or esophageal surgery. These results emphasize the need for personalized pain management plans that take into account the patient’s characteristics and the type of surgery performed.
Relationship of right ventricular functions with in-hospital and 1 year later mortality in patients hospitalized for COVID-19 pneumonia
Authors: Askar Muntecep , Karaduman Medeni , Coldur Rabia , Askar Selvi 
Published: January 2024

Abstract:

BACKGROUND:
The aim of this study was to determine the association of right ventricular function with in-hospital mortality and mortality 1 year after discharge in patients hospitalized for COVID-19 pneumonia.

METHODS:
The study was conducted in Van Yuzuncu Yil University Faculty of Medicine hospital between February 10, 2021 and August 10, 2022. A total of 156 patients hospitalized in intensive care and wards due to COVID-19 pneumonia were included in this study. Echocardiography was performed in all patients.

RESULTS:
Among the demographic findings of the patients included in the study, male gender, patients hospitalized in the intensive care unit (ICU), patients receiving O2 support, and smokers were found to have higher mortality rates during hospitalization. At the end of 1 year, the mortality rate was higher in patients who were hospitalized in the ICU received O2 support and had diabetes mellitus. Among echocardiographic findings, those with a low left ventricular ejection fraction had higher early and 1-year mortality rates. Of the right ventricular functions, low fractional area change, high systolic pulmonary artery pressure (SPAP), shortened pulmonary acceleration time, low right ventricle systolic wave S’ velocity, increased right atrium area, and inferior vena cava diameter were found to be associated with high mortality. Increased right atrial area and inferior vena cava diameter, increased SPAP, and shortened pulmonary acceleration time were found to be significant in 1-year mortality. The presence of pericardial effusion was associated with mortality during hospitalization but not with 1-year mortality. B-type natriuretic peptide, D-dimer, and hemoglobin levels were significantly correlated with both hospital mortality and 1-year mortality.

CONCLUSIONS:
In the follow-up of COVID-19 pneumonia, right ventricular function is considered to be an important factor in early and late mortality. It could be helpful to establish a follow-up program for discharged patients from the parameters involved in mortality.
Incidence and inhospital outcomes of coronavirus disease 2019-associated pulmonary aspergillosis in the United States
Authors: Sharma Aditya , Sharma Aditi , Soubani Ayman O. 
Published: January 2024

Abstract:

OBJECTIVE:
The aim of this study was to estimate the predictors, associations, and outcomes of COVID-19-associated pulmonary disease (CAPA) in the United States.

STUDY DESIGN AND METHODS:
This retrospective cohort study was performed by using the National Inpatient Sample Database 2020 to identify coronavirus disease 2019 (COVID-19) and CAPA hospitalizations. Baseline variables and outcomes were compared between COVID-19 hospitalizations without aspergillosis and those with aspergillosis. These variables were then used to perform an adjusted analysis for obtaining predictors and factors associated with CAPA and its inhospital mortality.

RESULTS:
Of the 1,020,880 hospitalizations identified with the principal diagnosis of COVID-19, CAPA was identified in 1510 (0.1%) hospitalizations. The CAPA cohort consisted of a higher proportion of males (58%) as well as racial and ethnic minorities (Hispanics, Blacks, and others [including Asian or Pacific islanders, native Americans]). Inhospital mortality was significantly higher (47.35% vs. 10.87%, P < 0.001), the average length of stay was longer (27.61 vs. 7.29 days, P < 0.001), and the mean cost per hospitalization was higher ($121,560 vs. $18,423, P < 0.001) in the CAPA group compared to COVID-19 without aspergillosis. History of solid organ transplant, chronic obstructive pulmonary disease, and venous thromboembolism were associated with higher odds of CAPA among other factors. The use of invasive mechanical ventilation (adjusted odds ratio [aOR] 6.24, P < 0.001), acute kidney injury (aOR 2.02, P = 0.028), and septic shock (aOR 2.07, P = 0.018) were associated with higher inhospital mortality in the CAPA cohort.

CONCLUSION:
While CAPA is an infrequent complication during hospitalizations for COVID-19, it significantly increases all-cause mortality, prolongs hospital stays, and leads to higher hospital expenses compared to COVID-19 cases without aspergillosis.