bluuebunny/crossref_metadata_2025_split huggingface dataset:
Caring behaviour and quality of life patients with hemodialysis at Baiturrahim Hospital Jambi
Authors: Sari Mila Triana , Putri Miko Eka , Fajri Jufri Al , Daryanto Daryanto , Listautin Listautin , Fahkrunisa Lulu 
Published: December 2023

Background: Hemodialysis is one of therapy in chronic renal failure. Itâ€™s changed aspects of vitality, physical functional, and psychological and so that affected to quality of life. How caring behaviour were correlated to quality of life was unclear. This reasearch to analyse correlation between caring behaviour to quality of life of patients with chronich renal failure.
Method: This research was a quantitative design with Cross Sectional approached. As sums 93 of 122 of subjects has recruited as sampling purpossive. Its conducts on November 2022 to July 2023 at Baiturrahim Hospital, Jambi. Data collected by means Caring Dimension Inventory-25 and KDQOL. Data were analysed and presented as univariate and bivariate with Sperman Rho test at significance level < 0,05.
Results: As much of 62,4% subjects reports were good caring bahaviour, and 59,1% subjects were good quality of life. Nurse caring behaviour were correlated with quality of life of patients with hemodialysis. This study implicated that caring behaviour were important attitudes in nusing care for patients undertook hemodialysis.
Conclusion: Caring behaviour Nurse were needed to improve the patients quality of life. Nurse who taking care of patients supposed to show how to practice Caring behaviour.
Relationship between Environmental Quality, Hygiene, Food Sanitation, and Food Handling Factors with Escherichia coli Germ Rates at Snack Food Centers in Jambi City
Authors: Hadiyati Titi , Suryono Suryono , Guspianto Guspianto 
Published: December 2023

Background : Food safety is a public need, safe food will protect and prevent disease and health problems. Environment and food need attention if you want to live healthy and get enough nutrition. Hygiene sanitation is an effort to control the factors of people, places, equipment and food. In producing ready-to-eat food that is safe and healthy, the principles of sanitation hygiene must be implemented. Food handlers are people who have direct contact with food. The purpose of this study was to analyze the relationship between environmental quality, sanitation hygiene, handler behavior and knowledge of food handlers with the number of Escherichia coli bacteria.
Method : The research design is a quantitative method using laboratory analysis with a cross sectional research design.
Results : Research shows that there is a significant relationship between environmental quality, food sanitation hygiene, food handling behavior and knowledge of food handlers with the number of Escherichia coli germs in the Jajanan Food Center, Jambi City.
Conclusion : There is a significant relationship between environmental quality, food sanitation hygiene, food handling behavior and knowledge of food handlers with the number of Escherichia coli bacteria.
A Healthy Dental Nutrition Card as A Parenting Pattern to Prevent Stunting in Toddlers
Authors: Junaidi Junaidi , Nurmawi Yesi , Surayah Surayah , Estuti Wiwit 
Published: December 2023

Background: The healthy teeth nutrition card (Kartu Nutrisi Gigi Sehat) is a development model for parenting patterns to prevent stunting in toddlers. These cards were developed for young children and are efficient for children and health practitioners to carry and play with. It is hoped that parenting patterns in the form of healthy dental nutrition can prevent caries which affects food intake and nutritional status. The aim of the research is to develop a healthy dental nutrition card as a parenting pattern to prevent stunting in toddlers.
Method: This research is Research and Development (R&D), carried out at Posyandu Widuri VI, Paal Lima Village, Jambi City. Media and material validation involved 6 experts. The research subjects were 16 toddlers, 4 cadres, 4 community health center staff, 2 PKK people, and 16 mothers of toddlers. The data collected using questionnaires.
Results: Healthy dental nutrition cards are very eligible for use to promote dental health as a parenting pattern to prevent stunting in toddlers.
Conclusion: It is recommended that future research test the effectiveness of healthy dental nutrition cards
A Clinical Case of Out-of-Hospital Cardiac Arrest and Post-Resuscitation Disease in a Patient with Acute Myocardial Infarction
Authors: Mazur Andriy P. , Novikova Elina I. , Kuzminova Natalia O. 
Published: December 2023

Background. Prediction of survival in adult patients after out-of-hospital cardiopulmonary resuscitation remains a difficult issue. This clinical case describes our experience of managing a patient after an out-of-hospital cardiac arrest due to an acute coronary syndrome with the development of postanoxic coma, with subsequent successful restoration of neurological function.
Case description. Patient K., a 48-year-old man, was delivered unconscious (Glasgow Coma Scale score 7) without spontaneous breathing. During transportation to the hospital, ventricular fibrillation occurred, cardiopulmonary resuscitation lasting 1 hour was performed with restoration of sinus rhythm. Diagnosis: acute coronary syndrome with ST segment elevation; cardiogenic shock; condition after cardiopulmonary resuscitation. Stenting of the occluded circumflex artery was performed. During the patient’s stay in the intensive care unit (ICU), hemodynamics and laboratory tests were carefully monitored and no significant systemic disorders were detected. The patient stayed in the ICU for 19 days. At the time of discharge, the general condition was relatively satisfactory, Glasgow Coma Scale score was 14-15, with minimal neurological deficit. The patient was transferred to a neurological department for further rehabilitation.
Results. Determining the probability of either good or bad outcome in comatose patients after cardiac arrest is one of the most important steps in treatment after stabilization of the heart activity. Recent data confirm the utility of electroencephalography (EEG) monitoring for prognosis. The pattern of response to sedative drugs may provide prognostic information. In this clinical case, when EEG was recorded during sedation, preservation of the response to stimuli was registered, and 48 hours after disconnection, patterns corresponding to awakening were registered, which was considered as a positive prognostic sign.
Conclusions. In adult patients after cardiopulmonary resuscitation with postanoxic coma, clinical, neurophysiological and radiological tests predict poor neurologic outcome within the first week after cardiac arrest with a certain percentage of false positive rate. However, most predictors have low sensitivity and specificity. Accurate prognosing requires a comprehensive approach. Neurological examination remains the gold standard, but its result is affected by the effect of sedative drugs used in critical patients in the ICU. The use of EEG increases the accuracy of the prognosing.
Algorithm for Diagnosis of Patients with Ischemic Heart Disease Depending on the Presence of Significant Coronary Artery Lesions
Authors: Marushko Yevhen Yu. , Rudenko Nadiya M. , Dzhun Yana Yu. 
Published: December 2023

The aim. To analyze the structure of ischemic heart disease and the prevalence of myocardial ischemia with no ob-structive coronary arteries among patients who underwent elective coronary angiography.
Materials and methods. We examined 1,200 patients with a clinical diagnosis of ischemic heart disease. After coro-nary angiography all the patients with non-stenotic coronary arteries underwent hyperventilation challenge test to ex-clude vasospastic angina and echocardiographic study with intravenous administration of dipyridamole to assess the index of coronary reserve and longitudinal strain.
Results. The mean age of the study participants was 59.1 ± 4.2 years. The number of male and female subjects was comparable, amounting to 493 (48.8%) and 517 (51.2%), respectively. Stenotic coronary arteries were detected in 699 patients (74.1%). The number of women without hemodynamically significant lesions was twice as large than that of men (210 [67.5%] vs. 101 [32.5%]). Among the examined patients with non-stenotic atherosclerosis of the coronary arteries, 241 patients (77.4%) were diagnosed with coronary microvascular dysfunction, 19 (6.1%) with vasospasm of the coronary arteries, and 2 patients (0.6%) were diagnosed with a combination of vasospastic and microvascular angina. In 36 (73.5%) of 49 patients, a segmental decrease in longitudinal strain of the apex/individual apical segments of the left ventricle was found. In patients without obvious micro- and macrovascular pathology, the interventricular septum was significant enlarged. In 9 (18.4%) of 49 patients, a diagnosis of hypertrophic cardiomyopathy was established.
Conclusion. Patients with ischemia with no obstructive coronary arteries require careful examination and compari-son of clinical signs with the results of objective tests. Understanding the prevalence and mechanisms of the problem is a key to improving the diagnosis and treatment of cardiovascular complications in this group.
Catheter Ablation of Paroxysmal and Persistent Atrial Fibrillation in Patients with Secondary Atrial Septal Defect. Evaluation of the Results and Impact on the Quality of Life
Authors: Petkanych Myroslav M. 
Published: December 2023

Introduction. The presence of atrial fibrillation (AF) in patients with secondary atrial septal defect (ASD) has significant impact on their quality of life (QoL) and reduces life expectancy. Current guidelines recommend catheter ablation (CA) for patients with AF in case of medical treatment failure, however, its use in patients with AF and ASD is still poorly studied.
The aim. To study the efficacy and safety of CA and its impact on the QoL in patients with AF and secondary ASD.
Materials and methods. In 2003-2023, 1408 patients with secondary ASD were treated at the National Amosov Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine. Of these, 54 patients who had AF and underwent the CA procedure were included in group 1 of our study. There were 36 (66.7%) men and 18 (33.3%) women aged 24-76 years (mean age 61.4 ± 9.8 years). Four (9.3%) patients had persistent AF and 50 (90.7%) patients had paroxysmal AF. Fifty-six patients with paroxysmal or persistent AF and with the comparable age, duration of symptoms and associated pathology but without ASD were examined as group 2. The type and results of surgical interventions were analyzed according to surgical reports. The results of the treatment and QoL were assessed using the Atrial Fibrillation Effect on Quality-of-Life (AFEQT) questionnaire during the follow-up period 1, 2 and 3 months after the procedure.
Results. Pulmonary vein isolation was performed in all 54 (100%) patients of the group 1, as well as cavotricuspid isthmus ablation in 26 (48.2%) cases, cavotricuspid isthmus ablation and left atrial linear ablation in 2 (3.6%) cases. Type, length and complication of the procedure were comparable to those in the group 2. Fourty-four (81.5%) patients with ASD were free from AF 3 months after procedure, and their results did not differ from those obtained in the group 2 (p > 0.05). Average QoL indicators according to AFEQT significantly improved in both groups of patients who underwent CA. The differences in post-treatment QoL between patients of both groups were insignificant (p > 0.05).
Conclusions. CA was found to be safe and beneficial in patients with AF and secondary ASD. The rate of procedural complications and cure rate in patients with AF and secondary ASD (81.5%) were compatible to those in patients without ASD (80.5%). AF has negative effect on the main indicators of the patient’s life. In patients with secondary AF with ASD who underwent CA, a significant improvement in AF symptoms and QoL according to the AFEQT questionnaire (total score 56.1 ± 2.7 before the procedure vs. 78.7 ± 4.0 at follow-up) was noted.
Impact of Acute Myocardial Ischemia Duration on Reperfusion Outcomes in STEMI Patients
Authors: Salo Sergii V. , Shpak Serhii S. , Shumakov Valentyn O. 
Published: December 2023

The aim. To analyze the influence of the duration of acute myocardial ischemia, specifically in ST-elevation myocardial infarction (STEMI) electrocardiographic patterns, on the outcomes of reperfusion interventions. We focused on the assessment of immediate angiographic data in the catheterization laboratory after stenting and investigated whether the frequency of the no-reflow phenomenon is dependent on the time since the onset of anginal pain. Our hypothesis of inferior immediate treatment outcomes is based on the pathophysiological course of ischemic-reperfusion injury in patients with late myocardial infarction. Primarily, this is due to the development of myocardial edema, leading to extravascular compression of the vessel, thereby influencing Thrombolysis in Myocardial Infarction grade 0 blood flow.
Materials and methods. We conducted an analysis of 107 angiograms of STEMI patients, who underwent percutaneous coronary intervention at the Amosov National Institute of Cardiovascular Surgery between 2021 and 2023. The patients were categorized into four groups based on the duration of acute myocardial ischemia. The first group included patients with ischemia duration up to two hours, aligning with the golden window for revascularization recommended by the European guidelines. The second, third, and fourth groups consisted of patients with ischemia durations of 3-12 hours, 12-24 hours, and over 48 hours, respectively.
Results. Of 104 patients, complete restoration of coronary circulation was achieved in 88 cases, while, unfortunately, 16 patients had TIMI 0/1 blood flow. Such a probability of complication is 15.3% in the studied cohort. According to the clinical profile, the patients were divided into those who had no-reflow (main group) and patients with complete restoration of blood flow (control group). In the group of unrestored blood flow, cardiogenic shock occurred more often, and the infarct-dependent artery was more often occluded than suboccluded. The technique of percutaneous intervention was similar in both groups.
Conclusion. The frequency of the no-reflow phenomenon increases with the duration of acute myocardial ischemia. Patients presenting later than 48 hours since the onset of ischemia are more prone to no-reflow (62.5% vs 37.5% if less than 48 hours). Cardiogenic shock is associated with a higher likelihood of the no-reflow phenomenon. The most significant reason for the delay in delivering a STEMI patient to catheterization laboratory anamnestically is the patient’s untimely medical care seeking. In our opinion, this delay can be avoided by increasing awareness about the initial signs of myocardial infarction and the necessity of seeking immediate medical care.
Investigation of The Effectiveness of Positive Psychotherapy Based 0-6 Age Family Education Program
Authors: ZENGİNAL Eda , ÜNSAL ÖZBERK Elif Bengi 
Published: December 2023

In this study, the effect of the 0-6 Age Family Education Program based on Positive Psychotherapy, which was developed for parents with children between the ages of 0-6, on knowledge and awareness levels, parent competencies, parental stress and parental attitudes was examined.
The sample of the study consisted of 34 parents with children between the ages of 0-6 who participated from various provinces of Turkey. Data collection was carried out in the spring semester of the 2020-2021 academic year. Positive Psychotherapy Based 0-6 Age Family Education Program consisting of 4 sessions was applied online to the participants. Before the training, the Parental Competence Scale, The Mother-Father Stress Scale, the Parental Attitude Scale, the Personal Information Form created by the researcher to collect the demographic information of the participants, and the Program Evaluation Questionnaire created by the researcher to determine the knowledge and awareness levels of the participants has been applied. After the training, in addition to the forms and scales applied before the training, the End of Program Evaluation Form created by the researcher was applied in order to get the subjective opinions of the participants about the training and the research data were obtained.
In data analysis studies, t test for the analysis of quantitative data, frequency and percentage analysis, content analysis for qualitative data were used.
As a result of all these analyzes, it was determined that the Positive Psychotherapy Based 0-6 Age Family Education Program applied to the participants positively increased the knowledge and awareness levels and parental competencies of the participants, and reduced parental stress, authoritarian and protective parental attitudes. It was observed that there was no significant difference on democratic and permissive parental attitudes.
Analysis of Family Support and Knowledge of Hypertension Patients with Drug Compliance in Posbindu Sentralsari Village and East Central Village Toili District, Banggai District
Authors: Priyanto Kurniawan Edi , Siti Naisah  
Published: December 2023

Hypertension is a chronic disease and is a major risk factor for Hypertensive patients must have compliance in order to avoid various risks of other diseases. The purpose of this study is to analyze the relationshipfamily support and knowledge of hypertension sufferers with medication adherence in Posbindu Sentralsari Village and East Sentral Village, Toili District, Banggai Regency. In this study using a correlational analytic design with a cross sectional approach.The sample is some of the pre-elderly and elderly hypertension sufferers in Posbindu, Sentralsari Villageand East Central VillageToili District, Banggai Regency in January 2022 as many as 80 respondents, sampling method using simple random sampling technique. Data collection by using a questionnaire. Bivariate analysis using the Spearman Rank statistical test with a significant level of = 0.05. The results of the study showed that from 80 respondents. Many as 35 respondents (43.8%), most of the respondents had less knowledge as many as 47 respondents (58.8%) and almost half of the respondents were obedient to taking hypertension medication as many as 38 respondents (47, 5%).The results of data analysis using the Spearman Rank statistical test obtained P value < 0.05 (0.000 < 0.05) which meansthere isconnectionfamily support and knowledge of hypertension sufferers with medication adherence in Posbindu Sentralsari Village and East Sentral Village, Toili District, Banggai Regency. Lack of family support and the level of knowledge of hypertension sufferers who are less will affect non-compliance in taking hypertension medication, while good family support and good knowledge of hypertension sufferers will affect compliance in taking hypertension medication.
A survey on Rijndael based LSB Audio Steganography techniques
Authors: G.mohammed Sajaa 
Published: December 2023

The need to protect multimedia data security—including audio, video, and text—and the data it contains has persisted, whether in physical or digital form. This is due to the fact that the fabrication and fake of Multimedia data is widespread throughout the world, causing serious costs to people, societies, and the industrial sectors in addition to compromising national security. People are therefore concerned about safeguarding their employment and avoiding these illegal behaviors. To safeguard sensitive data, a variety of strategies including steganography, cryptography, and coding have been used. Steganography is a suitable technique that allows the user to hide a message inside of another message (cover media). The majority of steganography research makes use of cover material, like videos, images, and sounds. Notably, because to the challenges involved in locating embedded bits in an audio recording, audio steganography is typically not prioritized. By altering the least significant bits (LSBs) of audio samples, a technique known as audio steganography (LSB) can be used to conceal information in an audio stream. The least significant bits (LSBs) in a number's binary representation are the least weighted bits and are typically undetectable to the human ear. The audio signal can have a hidden message inserted in it without significantly affecting its perceptual quality by changing or manipulating the LSBs of the audio samples. To incorporate information into an audio, However, because to the slight audio difference, an assailant or other outsider might be able to hear this. To solve this problem, it is important to alter the audio in a way that it cannot be heard by the human ear but may still be understood by other means. This document is a summary of the available research in the field. We start by outlining the fundamentals of audio steganography and how it works. Then, three categories of audio steganography—statistical and random generation; and linguistics—are described. Each class's tactics are examined, with a focus on how a special method is offered for concealing sensitive information. In addition, we survey the existing works in the advancement of strategies and algorithms relevant to audio steganography; our survey, which covers work published from 2016 to 2023, is not exhaustive. This study gathers the present approaches, difficulties, and future directions in this topic with the goal of assisting other researchers .In addition, we survey the existing works in the advancement of strategies and algorithms relevant to audio steganography.
Stability of nonlinear impulsive higher order differential – fractional integral delay equations with nonlocal initial conditions
Authors: Aljumaili Ahmed Adnan Hashem , Alasadi Sameer Qasim Hasan 
Published: December 2023

The aim of this paper is to investigate some types of stability such as generalized Hyers-Ulam- Rassias stability(G-H-U-R-stabile) and the relation with Hyers-Ulam(H-U-stabile) stable and Hyers-Ulam-Rassias stable (H-U-R-stabile) and generalized Hyers-Ulam stable (G-H-U- stable) to obtain which one guarantee to satisfy stability of equations included a nonlinear function some of them contains a delay time of solution and the other contain a vector of different order of derivatives for the solution to n-time and vector of fractional order of integrals with different fractional orders and that was the for using a claculse of fractional calculus to satisfies the issue of this techniques. Moreover, the nonlocal initial values for the proposal equation of nonlinear impulsive higher order differential – fractional integral delay time equations which are adding more interesting for nonlinear analytic object of nonlinear higher order integro – fractional order impulsive classes, and the impulsive difference of the equation has some necessary conditions to prove the results of solution to be stable with certain type has related with other types. The necessary and sufficient conditions which assumed on this nonlinear higher order integro-differential impulsive equation have been achieved the stability with interesting certain estimates obtain through the proving technique. Also the uniqueness of solution has been studied with same conditions was presented for stability and used for that issue a contraction fixed point theorem.