bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analysis of Medicaid and Medicare Reimbursement Variations for Common Orthopaedic Trauma Procedures
Authors: Transtrum M. Bryant , Jones Jeffrey , Eckhoff Michael , Adler Adam , Rajani Rajiv 
Published: January 2024

OBJECTIVES: Medicaid (MCD) reimbursement for surgery is determined by state governments and is subject to substantial variation in comparison to Medicare (MCR), which is determined by the federal government and invariable across the United States. This mismatch in reimbursement has previously been described as a component of the disparity in access to care in orthopaedics. While this variation has been previously quantified for general orthopaedics and orthopaedic hand surgery, no such analysis has been performed for orthopaedic trauma. This study aims to quantify the variation in MCD and MCR reimbursement for common orthopaedic trauma procedures.
DESIGN: Billing data obtained from a Level I trauma center were retrospectively reviewed and the ten most commonly billed Current Procedural Terminology (CPT) codes were extracted. State and federal physician fee schedules were collected and assessed to determine MCD- and MCR-specific reimbursement rates, or relative value units (RVUs), for these ten procedures. An economic analysis was then conducted to evaluate the disparities between MCD and MCR reimbursement.
MAIN OUTCOME MEASURES: MCD and MCR RVUs for each procedure were compared using dollar difference and coefficient of variation (CV).
RESULTS: Our analysis showed considerable variance in MCD reimbursement rates between states. Additionally, we found that the majority of RVUs for MCD were higher than MCR for the evaluated trauma procedures.
CONCLUSION: The variance in MCD reimbursement values may be driven by differences in the underlying characteristics of each systems’ patient population. This variance, particularly in bordering states, could represent a barrier to healthcare access for some populations.
Effect of different polishing methods applied to denture base materials on microbial adhesion and surface roughness
Authors: Yarar Sadi , Değer Yalçın , Tekin Samet 
Published: January 2024

Aim: The aim of our study was to investigate the effect of various polishing processes applied to different types of PMMA (polymethyl methacrylate) denture base materials on the surface roughness and microbial adhesion of the base material.
Methods: Sixty specimens each were prepared from heat-polymerized conventional PMMA (G), heat-polymerized injectable PMMA (E), and prepolymerized CAD/CAM PMMA (C) denture base materials. All sample surfaces were sanded with 800, 1000, 1200, and 2500 grit silicone carbide abrasives. The specimens of each denture base material were divided into three subgroups (n=20) in which different polishing methods were applied. The first group was mechanically polished (M), and the other two groups were chemically polished with light polymerized glaze liquids [Palaseal (Ps), Optiglaze Color (Og)]. A profilometer device was used to evaluate the surface roughness. Colony counting was performed to evaluate bacterial colonization after one day. The data obtained from all these measurements were evaluated using an analysis of variance, and Bonferroni corrected test was used for multiple comparisons of means (p=0.05). The interaction between surface roughness and bacterial colonization was examined by the Pearson correlation test. Regression analysis was performed to determine the relationship between them.
Results: When PMMA base materials were compared, the lowest average surface roughness (Ra) values and bacterial colonization values were obtained in Group C. When polishing methods were compared, the lowest average surface roughness values were obtained in Group M. As a result of bacterial colonization measurement, lower colonization values were obtained with standardized mechanical polishing compared to other groups.
Conclusion: There was no difference between the different PMMA base materials in terms of surface roughness, but there were statistical differences in bacterial colonization. The results of our study showed that mechanical polishing gave better results than light-activated glazing agents.

How to cite this article:
Yarar S, Değer Y, Tekin S. Effect of different polishing methods applied to denture base materials on microbial adhesion and surface roughness. J Med Dent Invest 2023; 4: e230351. https://doi.org/10.5577/jomdi.e230351
Evaluation of the nutritional status of patients hospitalized in a university hospital
Authors: Bardak Selçuk , Beyazal Polat Hatice 
Published: January 2024

Aim: Malnutrition is a common condition in hospitalized patients. This study aimed to evaluate the nutritional status of patients hospitalized in the Recep Tayyip Erdoğan University Medical Faculty Training and Research Hospital and to determine physicians' awareness of this issue.
Methods: In this study, patients hospitalized in different wards were evaluated prospectively. The 485 patients over the age of 18 who were hospitalized in different wards were included in the study. The chronic disease history of the patients was evaluated. The patients were evaluated twice, at admission and on the 7th day of hospitalization. Height, weight, body mass index, and upper arm circumference were measured with the NRS 2002 (Nutritional Risk Scoring) screening test to determine the nutritional status of the patients. Descriptive statistical methods were used in the evaluation of the data, and the chi-square test was used in the comparison of qualitative data (p<0.05).
Results: Of the patients included in the study, 42% were female and 58% were male. There was no statistical difference in the comparison of the presence of malnutrition by gender. According to the first NRS 2002 measurements of the patients, malnutrition was not found in 78.1% of all patients, while the presence of malnutrition was found in 21.9% of the patients. 100 of the 105 patients with malnutrition were found to be over 65 years old. According to the second NRS 2002 measurements, while 31.2% of patients over 65 years of age had malnutrition, 3.1% of patients under 65 years of age had malnutrition.
Conclusion: The rate of malnutrition increased as the presence of chronic disease and age increased. It was seen that most of the patients who were found to have malnutrition in the first evaluation were not provided with nutritional support, and the rate of noticing and treating malnutrition by physicians was not sufficient.

How to cite this article:
Bardak S, Beyazal Polat H. Evaluation of the nutritional status of patients hospitalized in a university hospital. J Med Dent Invest 2023; 4: e230357. https://doi.org/10.5577/jomdi.e230357
Genetic variability and diversity studies in snapdragon (Antirrhinum majus) under tarai conditions of Uttarakhand
Authors: KUMAR RAKESH , KUMAR SANTOSH , SINGH AWANI KUMAR 
Published: January 2024

Field experiment was conducted for two consecutive years to evaluate snapdragon genotypes for genetic variability, heritability and genetic advance. Analysis of results revealed highest range of variation for number of leaves/plant. General mean was highest for number of leaves/plant and lowest for petiole length. Phenotypic and genotypic coefficient of variation was recorded maximum for number of secondary branches/plant and minimum for days taken to flowering. Genetic advance was observed maximum for number of leaves/plant and minimum for petiole length. High heritability with high genetic advance as per cent of mean was noticed for floret diameter. On the basis of D2 values, thirtyfive genotypes were grouped into five clusters. Maximum inter- cluster distance was observed between cluster III and IV, followed by II and III.
HUBUNGAN GAYA BELAJAR DAN INTELEGENSI DENGAN HASIL BELAJAR KIMIA SISWA KELAS XI IPA MAN 1 SAMARINDA
Authors: Prihartini Dyah 
Published: January 2024

This study is aimed to determine the relationship between learning styles and intelligences with learning outcomes chemistry class XI IPA at MAN 1 Samarinda. This research is quantitative research. The research methodology used in this study is a quantitative survey research method with correlation approach.
This research, which acts as the sample is whole class XI IPA MAN 1 Samarinda Academic Year 2020/2021, total number is 107 students. The research instrument used to collect data for the learning styles questionnaire in the form of sheet, the data intelligence was required from IQ test results of students (IQ test instrument: progressive matrices) while learning outcome data of value semester exam results of academic year 2019. Data analysis was conducted to determine how strong the relationship between learning styles and intelligences with learning outcomes chemistry class XI IPA.
Based on the research results, it is showing a positive relationship between learning style with chemistry student learning outcomes, the partial correlation coefficient of 0.102 (do very low), the coefficient of determination (p Y12) = 0.017, meaning that 1.7% of variance results of studying chemistry (Y ) can be explained by chemistry learning styles (X1) via regression y = 65.880 + 0.062 X1. Sedaang 98.3% variation in chemistry learning outcomes (Y) caused by other factors. There is a positive relationship between intelligence with chemistry student learning outcomes, the partial correlation coefficient of 0.301 (low relationship), the coefficient of determination (p Y12) = 0.096, meaning that 9.6% of variance results of studying chemistry (Y) can be explained by the learning styles chemistry (X1) via regression Y = 51.877 + 0.188 X2. While 90.4% of the variation of chemical learning outcomes (Y) caused by other factors.
There is a positive relationship between learning styles and intelligence together with chemistry student learning outcomes, the partial correlation coefficient (R) of 0.325 (low relationship), (R2) coefficient of determination (p Y12) = 0.106 (10.6% ). This means that 10.6% of the studied chemistry class XI Science MAN 1 Samarinda influenced by the styles of learning and intelligence while the remaining 89.4% is influenced by other factors. This relationship is expressed by multiple linear regression Y = 46.654 + 0,047 X1 + 0,182 X2.
Key words : Learning Styles, Intelligence, Learning Outcomes
AKTUALISASI NILAI-NILAI SUNAH DALAM KONSEP PROPHETIC PARENTING MENURUT AISAH DAHLAN
Authors: Hanafi  , Fitriah Raisa 
Published: January 2024

ABSTRAK
Pemahaman terhadap hadis-hadis Nabi saw telah melahirkan beragam konsep ilmu pengetahuan, salah salah satunya adalah konsep prophetic parenting. Konsep ini menjadi pondasi utama bagi orang tua dalam mendidik anak. Namun seiring dengan pergeseran realitas antara zaman Nabi saw dan sekarang, menuntut perlunya sebuah usaha untuk mengkontekstualisasikan nilai-nilai sunah dalam proses pengasuhan anak. Aisah Dahlan salah satu tokoh dan praktisi pengasuhan yang mendialogkan nilai-nilai sunah dengan realitas sekarang dalam pendidikan anak. Dalam artikel ini, masalah utama yang didisuksikan adalah bagaimana aktulisasi nilai sunah dalam konsep prophetic parenting yang dikembangkan oleh Aisah Dahlan? Penelitian kepustakaan ini bertumpu kepada sumber primer dari karya Aisah Dahlan yang berjudul Maukah Jadi Orang Tua Bahagia. Data ini kemudian dianalisis dengan metode analisis wacana dengan pendekatan living hadis. Penelitian menunjukkan bahwa dalam mengembangkan Propohetic Parenting dalam keluarga dibagi menjadi 2 tahapan besar; Rekonstruksi mindset sebagai orang tua dengan berbasis mindset kenabian, dan Berorientasi sunah dalam mendidik anak.
Basic Histological Techniques (MicroTechniques) for Staining of Animal Tissue
Authors: Chaudhuri Priyasankar 
Published: January 2024

Background: Animal tissues when removed from the body must be well preserved in life-like manner as possible. Tissues must be further processed in graded alcohol and other essential chemicals to make them ready for studies under microscope.
Aim/Objectives: To highlight the processes of handling animal tissues from the time they were removed from the body to the point they were processed, stained and made ready for microscopically diagnosis.
Methodology: Standard and academic search engines were utilized and histological text consulted to review essential protocols for histological handling and processing of animal tissues and how they are stained. Basic staining techniques were included while advanced techniques were excluded.
Results and Recommendation: Staining techniques such as Haematoxylin and Eosin, Weigert stain, Trichrome stain, Silver stain, Periodic acid Schiff and Wright stains were highlighted as with their staining appearance on animal tissues. Reaction of tissue components following application of dyes is given in Table 1.
It is recommended that standard protocols be followed during staining of animal tissues for histological studies.
ANALISIS LAPORAN KEUANGAN DENGAN MENGGUNAKAN METODE TREND UNTUK MENGUKUR KINERJA KEUANGAN PADA PT NETKROM SOLUSINDO PERIODE 2017 - 2021
Authors: Euis Hernawati  , Jessy Suharyanti  , Ai Nunung  
Published: January 2024

ABSTRACT
This study aims to determine the analysis of financial statements in measuring financial performance at PT Netkrom Solusindo for the period 2017 – 2021 using trend analysis, at PT Netkrom Solusindo. The analysis technique in this study uses observation techniques where data collection comes from ratio data which includes balance sheet statements and income statements. The method used in this study is quantitative method with descriptive statistical data analysis. Based on the results of the research obtained, it is stated that the financial performance of PT Netkrom Solusindo in 2020 still experienced an increase in the company's revenue and net profit, but there was a very significant increase in operational costs caused by immature planning so that in 2021 there was a decrease in revenue and in the company's net profit. To overcome these problems, PT Netkrom Solusindo has efforts to reduce operational costs which include setting targets that must be achieved by the sales team, punishment for sales that are not achive targets, increasing the variety of retail products, training carried out online and approaches with SIMRS clients via zoom.

Keywords: financial statement, finanacial performance, trend indeks
ГИПОХОЛЕСТЕРОЛЕМИИ ПРИ СЕПТИЧЕСКИХ СОСТОЯНИЯХ. МЕХАНИЗМЫ РАЗВИТИЯ И ПУТИ КОРРЕКЦИИ
Authors:   Vitebsk State Order of Peoples' Friendship Medical University Belarus, Grigor’eva K. , Osochuk S. ,   Vitebsk State Order of Peoples' Friendship Medical University Belarus, Osochuk V. ,   Pinsk Central Hospital Belarus
Published: January 2024

Sepsis is one of the significant problems in medicine for many decades. It is characterized by high levels of morbidity, mortality and high financial costs. The review is devoted to the cellular and molecular biological mechanisms of sepsis, including immune, biochemical changes, mitochondrial transformations, coagulopathy, neuroendocrine disorders, damage to the endoplasmic reticulum and a number of other processes that ultimately lead to multiple organ fail-ure. The article presents two directions of development of cellular and molecular biological changes in generalized inflammation, ending with a favorable or unfavorable outcome. Information on changes in the transport of cholesterol and polyunsaturated fatty acids in tissues against the background of septic processes is summarized. The mechanisms of reducing the concentration of cholesterol in tissues, the influence of hypocholesterolemia on the course of a gen-eralized inflammatory process and the development of such complications as Waterhouse – Friderichsen syndrome are discussed in detail. A concept of a chain of pathogenetic changes causing lethal outcome has been formed, and on its basis, methods for correcting metabolism in sepsis described in the literature (intravenous administration of reduced high-density lipoproteins, inhibition of proprotein convertase subtilisin kexin 9) are considered. For the first time, the concept of treating septic conditions with cholesterol in the composition of liposomes was proposed.
ПАТОФИЗИОЛОГИЧЕСКИЕ АСПЕКТЫ АБИЛИТАЦИИ И РЕАБИЛИТАЦИИ ДЕТЕЙ ИЗ ДОМОВ РЕБЕНКА С ЗАДЕРЖКОЙ НЕРВНО-ПСИХИЧЕСКОГО РАЗВИТИЯ ПСИХОСОЦИАЛЬНОГО ГЕНЕЗА
Authors:   Federal State Budgetary Educational Institution of Higher Education ", Dubovaya A. ,   Donetsk State Medical University named after M. Gorky",   of the Ministry of Health of the Russian Federation, Donetsk People's Republic, Donetsk Russia, Iaroshenko S. ,   Federal State Budgetary Educational Institution of Higher Education "Donetsk State Medical University named after M. Gorky" of the Ministry of Health of the Russian Federation, Donetsk People's Republic, Donetsk Russia
Published: January 2024

Background. Psycho-emotional stress in institutionalized children leads to significant tension in regulatory systems. Justification for using a complex of habilitation and rehabilitation measures aimed at reducing the stress factor and cre-ating conditions for “catch-up” development is an urgent problem. The aim of the study. To create and to test the effectiveness of a complex of habilitation and rehabilitation measures aimed at reducing deprivation pressure and environmental stress. Material and methods. The study included 114 children from children’s homes of Donetsk and Makeevka and 44 chil-dren from families aged 3 to 7 years. The complex of habilitation and rehabilitation measures included optimization of the daily routine, conditioning exercises, music, toy and fairy tale therapy, sessions of individual play and play in small groups of 2–3 people in a separate playroom, phototherapy with bright solar spectrum lamps, enriched sensory envi-ronment, increased physical activity, differentiated drug support with L-carnitine, glycine, hopantenic acid, magnesium and pyridoxine complex. Neuropsychic development was studied using the Denver Screening Test and the Formalized Card for the Study of Psychoneurological Functions according to I.A. Skvortsov and N.A. Ermolenko. The functions of regulatory systems were assessed by the level of cortisol and melatonin in saliva, and brain-derived neurotrophic factor in blood serum. Conclusion. A comparison of the results of assessing the parameters of neuropsychic development confirmed the effec-tiveness of the proposed complex of habilitation and rehabilitation measures. Restoration of the function of regulatory systems was confirmed by normalization of the rhythms of cortisol and melatonin synthesis, as well as by a significant (3-fold) increase in the content of brain-derived neurotrophic factor in the blood serum in children of the main group.
ПИЩЕВОЙ МЕТАБОЛИЗМ И ОЖИРЕНИЕ. ЛЕКЦИЯ 1 (ПОТРЕБЛЕНИЕ И ДЕПОНИРОВАНИЕ)
Authors:   Irkutsk State Medical University, Mayboroda A.A. 
Published: January 2024

The high prevalence of overweight and obesity has become an international social problem. In Russia, every fourth woman and every fifth man is overweight. Obesity is a consequence of an imbalance between intake and consumption of organic food. There are two distin-guishable causes of overeating - hereditary metabolic disorders and everyday hyperphagia. The main cause of obesity in modern humanity is everyday hyperphagia. Obesity is an increase in the number and size of fat cells – adipocytes – in the human body. An increase in the number of cells is accompanied by an increase in the number of capillaries and cholesterol. To contain 1 kg of adipocytes, 100 km of capillaries are required, and 10 kg of adipocytes contain 25 g of cholesterol. In people with a high body mass index, each kilogram of fat requires 5.4 kcal/day. Obesity is a cause of hypertension, atherosclerosis, myocardial infarction, abnormal lipid levels, and type 2 diabetes. Attention is paid to the role of acetyl-CoA, which in the catabolic cycle of proteins, triglycerols and glucose is a common intermediate that can participate in energy and plastic metabolism. The heterogeneity of liver cells has been shown in terms of their ability to store glycogen and participate in gluconeogenesis. In the process of intake and consumption, food organics are first deposited in the form of glycogen, triglycerols and proteins. The consumption of deposited substances is controlled by the basal metabolism, thermogenesis and psy-chophysical activity of the individual. The share of basal metabolism accounts for 50–70 % of the total consumption of matter and energy. In this case, the expenditure of matter and energy on the basal metabolism occurs automati-cally. The primary task is the supply of oxygen, the work of the heart, the work of the kidneys and tens of hundreds of metabolic reactions are carried out without our conscious participation. Under conditions of regular and frequent nutrition, the needs of basal metabolism are provided by glycogenolysis and glycolysis. Under conditions of fasting and physical activity, triglycerols become in demand, which, through hydrolysis and subsequent oxidation of fatty acids, are converted into acetyl-CoA and used in the tricarboxylic acid cycle. Under conditions of regular, excess nutrition and low physical activity, adipocyte triglycerols are in demand by the body only for basal metabolism.
PEMBERDAYAAN MASYARAKAT MUARA BELITI BARU MELALUI BUDIDAYA TANAMAN CABAI RAWIT SEBAGAI PEMANFAATAN PEKARANGAN RUMAH
Authors: Novianto Novianto , Renaldo Renaldo 
Published: January 2024

Community empowerment of yard land is an effort made to increase the ability to utilise land resources to build the welfare of the community itself. The problem faced by the Muara Beliti Baru Village government is that many people have not made optimal use of yard land in supporting their own household food security, so one of the efforts in the community service programme, the service team prepared an innovation package for growing cayenne pepper on yard land in supporting horticultural food needs and increasing the knowledge, skills and welfare of the village community. This community service activity uses survey, observation, interview, training, discussion and demonstration methods, taking several samples of local residents, namely PKK mothers. The results of this service activity in Muara Beliti Baru Village received a positive response from the PKK mothers in following a series of stages that had been arranged by the service team to change the mindset of the participants to have better knowledge and skills than before, almost the overall average of PKK mothers was enthusiastic, participatory and gave positive responses to carry out activities to utilise home yard land in a sustainable manner.
GAMBARAN PENGETAHUAN DENGAN PERILAKU KESEHATAN REPRODUKSI PADA SISWA-SISWI SMK DI KABUPATEN BULELENG
Authors: Ariantini Nyoman Sri , Purnamasari Ayu 
Published: January 2024

Remaja merupakan kelompok usia yang produktif dan memiliki potensi yang besar dalam pengembangan wilayah dan daerah. Potensi dalam pertumbuhan ini perlu diberikannya upaya maksimal dalam mendorong kemajuan bangsa yang akan datang. Tujuan dalam penelitian ini adalah untuk mengetahui tingkat pengetahuan dengan perilaku kesehatan reproduksi remaja. Sampel yang digunakan dalam penelitian ini adalah Siswa remaja SMK DI Kabupaten Buleleng pada usia 15-19 tahun. Pendekatan yang digunakan yaitu secara cross sectional study design. Jumlah sampel yang berkontribusi dalam penelitian ini sebanyak 175 sampel dengan tingkat pendidikanpada kelas X dan XI. Berdasarkan hasil dari penelitian yang telah dilakukan dapat diketahuai bahwa pengetahuan remaja yang berkaitan dengan kesehatan reproduksi tergolong dalam kateogeri cukup baik dengan jumlah persentase sebanyak 47,4%, sedangkan untuk perilaku positif dengan nilai sebesar 90,9%. Hasil analisis dengan menggunakan chi-square dapat dilihat bahwa adanya hubungan antara pengetahuan dengan kesehatan reproduksi dengan perilaku kesehatan reproduksi. Peningkatan pengetahuan ini dibutuhkan agar tidak ada kesalahan dalam perilaku dan siswa menjadi lebih memahami kondisi kesehatan reproduksinya.