bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efektivitas Tinnitus Retraining Therapy (TRT) sebagai Upaya Meningkatkan Kualitas Hidup Pasien Tinitus: Laporan Kasus Berbasis Bukti
Authors: Setiawan Ramadhany Fikri , Suryoadji Kemal Akbar , Bramantyo Brastho , Alviandi Widayat 
Published: April 2023

Latar Belakang: Tinnitus retraining therapy (TRT), yang terdiri dari counseling therapy dan acoustic therapy, menjadi salah satu alternatif terapi tinitus. Namun, efektivitas TRT belum diketahui pasti. Tujuan: Mengetahui efektivitas TRT dalam meningkatkan kualitas hidup pasien tinitus. Metode: Laporan kasus berbasis bukti dengan mencari literatur dari pertanyaan klinis pada database Cochrane Library, Embase, ProQuest, PubMed, ScienceDirect, dan Scopus, dengan kata kunci sesuai pertanyaan klinis. Seleksi berdasarkan kriteria eligibilitas dan kesesuaian PICO, menghasilkan satu artikel kajian sistematik dan meta-analisis. Studi telah lolos telaah kritis sesuai pedoman Centre for Evidence-Based Medicine (CEBM) University of Oxford. Hasil: TRT memiliki overall response rate lebih tinggi dibandingkan terapi standar pada pasien tinitus (OR=7,01; IK 95%=5.16,9.53; p<0,00001; I2=0%; p=0,82). TRT memiliki skor tinnitus handicap inventory (THI) lebih rendah dibandingkan dengan terapi standar pada pasien tinitus (MD=-14.50; IK 95%=-16.65,-12.36; p<0,00001; I2= 8%; p=0,30). Simpulan: TRT efektif memperbaiki response rate terhadap tinitus dan menurunkan skor THI.

Background: Tinnitus greatly affects daily activities, which can interfere with the quality of life. Tinnitus retraining therapy (TRT) which consists of counseling therapy and acoustic therapy, is an alternative therapy for tinnitus. However, its effectiveness is not yet known. Objective: To determine the effectivity of TRT in improving the quality of life of tinnitus patients. Methods: This study is an evidence-based case report that searches the literature from clinical questions in databases from Cochrane Library, Embase, ProQuest, PubMed, ScienceDirect, and Scopus, using keywords that matched the clinical question. Studies were selected based on the PICO and eligibility criteria. The result is one systematic review and meta-analysis article. The study has been critically appraised using the Center for Evidence-Based Medicine (CEBM) University of Oxford instruments. Result: TRT has a higher overall response rate than standard therapy in tinnitus patients (OR=7.01; CI 95%=5.16, 9.53; p<0.00001; I2=0%, p=0.82). TRT has a lower tinnitus handicap inventory (THI) scale than standard therapy in tinnitus patients (MD=-14.50; CI 95%=-16.65,-12.36; p<0.00001; I2= 8%; p=0.30). Conclusion: TRT effectively improves response rate to tinnitus and lowers THI score.
Dampak Penggunaan Dot pada Proses Menyusui dan ASI Eksklusif
Authors: Celine  
Published: April 2023

Penggunaan dot pada bayi menjadi salah satu kebiasaan yang diterapkan orang tua untuk menenangkan dan membuat bayi tidak rewel. Penggunaannya juga direkomendasikan untuk mencegah kematian mendadak pada bayi. Usia pengenalan dot dan intensitas penggunaannya bervariasi dan dapat memengaruhi proses ASI eksklusif serta risiko maloklusi gigi. WHO dan studi meta-analisis menjelaskan bahwa penggunaan dot berisiko menurunkan durasi menyusui dan mengganggu pemberian ASI eksklusif, sehingga nutrisi bayi tidak terpenuhi secara optimal. Namun, studi analisis uji acak klinis menunjukkan tidak ada hubungan bermakna antara penggunaan dot terhadap proses dalam pemberian ASI eksklusif; selain itu, penggunaan dot dapat sebagai penanda adanya masalah pada proses menyusui, sehingga belum terbukti jelas hubungan kausalitas antara penggunaan dot dan hambatan proses menyusui serta pemberian ASI eksklusif. Rekomendasi penggunaan dot masih bervariasi di berbagai negara.

Pacifier use is considered a method to soothe and calm infants. Pacifier use was also recommended to prevent sudden infant death syndrome (SIDS). The age at introduction and intensity of pacifier use may vary and affect exclusive breastfeeding (EBF) and the risk of dental malocclusion. WHO and meta-analyses studies suggest that the use of pacifier carries risks of reducing breastfeeding duration and would interfere with the exclusive breastfeeding process, resulting in non-optimal child nutrition. Analytical studies on randomized controlled trials (RCT) showed no association between pacifier use and EBF, and pacifier use may serve as a marker to identify breastfeeding problems. The causal relationship between pacifier use and interruption in breastfeeding and EBF has not been clearly proven; recommendations for pacifier use in different countries may vary.
Elevating Factors Obedience Nurse in Application Principle Six Correct Giving Drug: Literature Reviews
Authors: Ayu Sri Wahyuni  , Suradi Efendi  , Nour Sriyanah  
Published: April 2023

Nurse as direct officer give service to patient, expected capable develop and maintain procedure gift safe drug to use give service and protection best for patient. Objective studies literature This that is identify enhancing factor obedience nurse in application principle six Correct gift medicine. Method writing used namely Systematic Literature Review for browse various enhancing factor obedience nurse in gift medicine. Data retrieved is article around six correct principle gift drugs and enhancing factors obedience nurse. Literature from source Trusted in English and Indonesian with range publication 2004-2019. Collected data appropriate critical appraisal tool is carried out with desired goal achieved to 9. The results of the review show there is a number of factor related obedience nurse in gift drug that is good knowledge and attitude, existence of SOP and policies, burden no work too excessive as well as working nurse it's been a while. Study conclusion literature This that is possible factor increase obedience nurse in application principle six Correct gift drug is level knowledge, attitude, availability of SOP, load work and length of work nurse.
Positionspapier für einen integrierten Herkunftssprachenunterricht:
Authors: Zingg Irène 
Published: April 2023

Wer gewinnt am meisten, wenn Lehrpersonen der Herkunftssprache bzw. der Regelstruktur zusammenarbeiten? Wie sehen solche Kooperationsmodelle einer integrativen Sprachbildung aus? Wann anerkennt die Bildungslandschaft die lebensweltliche Mehrsprachigkeit als Ressource? Warum spielt nur die Unterrichtssprache für die sprachliche Bildung eine Rolle?
Sprache gehört zur Souveränität des Menschen – Kenntnisse in Herkunfts- und Migrationssprachen zu haben, ist gelebte Transkulturalität. Trotz der beschworenen Sprachenvielfalt im Gemeinsamen europäischen Referenzrahmen für Sprachen sind die Herkunftssprachen – also die Familien- und/oder Erstsprachen – immer noch nicht Bestandteil der sprachregionalen Lehrpläne der Schweiz.
Patient-Specific Pre-Treatment VMAT Plan Verification Using Gamma Passing Rates
Authors: Arsalan M. Z. , Kakakhel M. B. , Shamshad M. , Afridi T. A. 
Published: April 2023

Continuous gantry motion, continuous beam modulation, and variable dose rate are used in volumetric modulated arc therapy (VMAT) to obtain highly conformal radiation therapy dose distributions. Several errors during daily radiation therapy treatment can be sources of uncertainties in dose delivery. These errors include monitor unit calculation errors and other human mistakes. Due to the uncertainties in the excessively modulated VMAT plan, the intended dose distribution is not delivered perfectly, leading to a mismatch between the measured and planned dose distributions. This necessitates an extensive and effective quality assurance (QA) program for both machine and patient. In this study, VMAT QA plan verification of 62 head and neck (HN) and 19 prostate cases was done using Octavius 4D setup with its associating VeriSoft gamma analysis software. The plans showed a maximum 3D gamma passing rate with 4 mm/3 % gamma acceptance criteria, i.e., 99.7 % for the HN cancer cases and 99.5 % for the prostate cancer cases. Local gamma analysis was also performed for both regions. Furthermore, 2D and volumetric gamma analyses were also carried out. Gamma analysis with respect to different axis was also carried out. It was known that the transversal axis showed the highest gamma passing rate in both HN and prostate cases, i.e., 99.17 % and 98.3 %, respectively. The transverse axis came to be a better fit for the planned dose distribution.
Initial values of skeletal muscle parameters in patients presenting with acute pancreatitis
Authors: IŞIKLAR Aysun , KUZAN Taha Yusuf 
Published: April 2023

Objective: Predicting the clinical course of acute pancreatitis has been discussed previously on the basis of visceral adipose tissue. This study was conducted to determine the relationship between clinical outcomes of acute pancreatitis and changes in skeletal muscle parameters.
Method: This is a single-center, cross-sectional, retrospective study. Patients who were diagnosed with acute pancreatitis between 01-28 February 2019 and had abdominal computed tomography (CT) taken in the first week of their hospitalization were included in the study. L3 level of abdominal CT images were used to evaluate skeletal muscle parameters.
Results: During the hospital database scanning, 127 patients newly diagnosed with acute pancreatitis were included in the study. The median age was 50 (18-88) years, 47% were male, and 53% were female. The median body mass index (BMI) was 26,42 (19.4-46.8) kg/m2. Fifty-one % of patients were diagnosed with biliary acute pancreatitis, and 48.8% were diagnosed with non-biliary acute pancreatitis. At the same time, acute pancreatitis severity was classified according to revised Atlanta criteria, 67.7% were mild (n = 86), 28.3% were moderate (n = 36) and 5 (3.9%) patients were severe. Skeletal muscle mass was evaluated using the total psoas index (TPI) and, skeletal muscle density calculated by HU. Median TPI was 6.3 (2.5-13.7). The median of Hounsfield Unit (HU) average calculation was 18.9 (3.8-28.5) (Table 1). There were no statistically significant differences on sex, age, BMI, skeletal muscle parameters, and acute pancreatitis clinical outcome (Table 2).
Conclusion: Skeletal muscle parameters determined by TPI and HU were not a predictor of the clinical course, and viewing them always cannot effectively investigate their effect on acute pathologies. So, this way couldn't be proposed as a perfect method for predicting the clinical outcome of acute pancreatitis.
The impact of the COVID-19 pandemic on children with disabilities and their parents or caregivers
Authors: Capan Nalan , Özyemişçi Taşkıran Özden , Karadağ Saygı Evrim , Yılmaz Yalçınkaya Ebru , Hüner Berrin , Aydın Resa 
Published: April 2023

Objectives: The study aimed to determine the impact of the pandemic on parents/caregivers and children with neurologic disabilities.
Patients and methods: This multi-center cross-sectional study was conducted with 309 parents/caregivers (57 males, 252 females) and their 309 children (198 males, 111 females) with disabilities between July 5, 2020, and August 30, 2020. The parents/caregivers were able to answer the questions and had internet access. The survey included questions on the utilization of educational and health care services (whether they could obtain medicine, orthosis, botulinum toxin injection, or rehabilitation) during the pandemic. A Likert scale was used to evaluate the effect of the specific health domains, including mobility, spasticity, contractures, speech, communication, eating, academic, and emotional status. The Fear of COVID-19 Scale was used to assess fear of COVID-19.
Results: Among the children, 247 needed to visit their physician during the pandemic; however, 94% (n=233) of them could not attend their physician appointment or therapy sessions. The restricted life during the first wave of the pandemic in Türkiye had negatively affected 75% of the children with disabilities and 62% of their parents. From the perspective of the parents/caregivers, mobility, spasticity, and joint range of motion of the children were affected. Forty-four children required repeated injections of botulinum toxin; however, 91% could not be administered. The Fear of COVID-19 Scale scores were significantly higher in the parents who could not bring their children to the routine physician visit (p=0.041).
Conclusion: During the pandemic, access to physical therapy sessions was disrupted in children with neurological disabilities, and this may have harmful consequences on the functional status of children.
Can isokinetic test be a supportive tool for unilateral knee arthroplasty decision?
Authors: Saral İlknur , Sürücü Serkan , Tekeci Esra , Ağırman Mehmet , Mahiroğulları Mahir , Çakar Engin 
Published: April 2023

Objectives: This study analyzed whether the isokinetic muscle strength of bilateral knee osteoarthritis patients undergoing unilateral total knee arthroplasty (TKA) is a predictor for prior surgery side.
Patients and methods: In the prospective study conducted between April 2021 and December 2021, 58 knees of 29 unilateral TKA candidates (6 males, 23 females; mean age: 66.7±7.4 years; range, 53 to 81 years) were enrolled. The patients were divided into surgical (n=29)and nonsurgical (n=29) groups. The knees of patients with bilateral knee osteoarthritis (Stage III or IV) according to the Kellgren-Lawrence (KL) scale were scheduled for unilateral TKA. An isokinetic testing system was used to assess knee flexor and extensor muscle strength (peak torque) at angular velocities of 60°/sec and 180°/sec (five cycles per velocity). The radiological (X-ray-based KL scale and magnetic resonance imaging-based quadriceps angle) and clinical findings (isokinetic test and Visual Analog Scale pain scores) in both groups were compared.
Results: The mean symptom duration was 10±5.4 years. The KL score and quadriceps angle showed no significant differences (p=0.056 and p=0.663, respectively). Isokinetic test results were in accordance with the clinical results of the surgery group. In the isokinetic evaluation, both the 60°/sec concentric extension (35.00 vs. 46.00, p=0.002) and flexion peak torque (18.00 vs. 26.00, p=0.001) values were significantly lower in the surgical group than in the nonsurgical group.
Conclusion: Isokinetic testing can be a supportive tool for assessing the prior side of TKA in patients with bilateral knee osteoarthritis. Further studies are required to support these findings.
Aplicación del Artículo 143 del COIP, determinando el Delito del Sicariato en adolescentes infractores a partir de 16 Años
Authors: Murgueytio-Estupiñán Gabriela Andrea , Montaño-Hurtado Juan Eliecer 
Published: April 2023

El objetivo de este estudio se focalizó en analizar la aplicación del artículo 143 del Código Orgánico Integral Penal (COIP), determinando el delito del sicariato en adolescentes infractores a partir de 16 años. La metodología asumida en el estudio fue bajo el diseño no experimental, de campo, de nivel descriptivo, fundamentada en una investigación documental y bibliográfica. Se utilizó el método analítico sintético con respecto a diferentes artículos y tesis donde se daban a conocer diferentes puntos de vista sobre la temática. La población estuvo conformada por un grupo heterogéneo de 38 personas entre jueces, abogados y operadores de justicia de la ciudad de Guayaquil. A los efectos de recabar datos se aplicó la técnica de la encuesta y como instrumento un cuestionario. Los resultados indican que un 87% consideró que el delito del sicariato en el Guayaquil cometido por adolescentes ha sufrido un incremento importante; un 82% se inclinó a contestar que la responsabilidad penal atenuada es un factor del aumento de este delito en la ciudad de Guayaquil: el 84% de los participantes consideró que las medidas socio educativas de internamiento para el menor infractor en caso del sicariato, no son acordes al grado de gravedad del hecho cometido y 76% opinó que se debe procesar en la jurisdicción común el delito del sicariato en adolescentes a partir de 16 años de edad. Se concluye que; se requiere de un trabajo en conjunto de las autoridades y responsables en esta materia para por un lado garantizar el derecho a la vida de los ciudadanos contemplados en la Carta Magna, velar por el derecho de la niñez y adolescencia y establecer la sanción acorde al delito para evitar la impunidad.
Diseño de un controlador inteligente para un sistema de calefacción residencial
Authors: Erazo-Velasco Ismael Elías , Macas-Mendoza David Ricardo , Mina-González Nayzer Frank , Estupiñan-Estupiñan Yilmar Jonathan , Barre-Cedeño Katherin Nicolle 
Published: April 2023

Introducción: El proceso de diseño de un sistema de control incluye una serie de pasos que permiten determinar las especificaciones deseadas del sistema controlado, los elementos apropiados requeridos para construir el sistema de control y finalmente diseñar el controlador apropiado. Objetivo: Desarrollar un controlador inteligente para el sistema de calefacción, que tomará decisiones para regular la temperatura automáticamente, manteniendo una temperatura agradable en la oficina, edificios, hogar, etc., a través de la medición de la temperatura externa y por cambiar el valor de la temperatura a la que debe funcionar la caldera. Metodología: La metodología aplicada es tipo experimental donde se utilizó la herramienta informático MATLAB/Simulink junto que el Toolbox Fuzzy Logic, el mismo que se encargó de realizar el análisis y modelado del control intligente, la cual se desarrolló de dos formas, usando la teoría de control clásica para y para el segundo usando lógica difusa. Resultados: Mirando los dos métodos, podemos usar un controlador PID, pero necesitamos conocer el modelo matemático para configurar lo correctamente, que en la mayoría de los casos es imposible encontrarlo, esto es una desventaja, mientras que con el segundo método no necesitas conocer el modelo matemático, pero su mayor desventaja es que necesitas conocer las reglas semánticas que rigen el sistema, y la desventaja es que la acción de control es un poco más lenta que usar un PID y conocer un modelo matemático. Conclusión: Siempre es mejor usar un controlador PID cuando se conoce un modelo matemático, en caso de que no se sepa nada sobre las ecuaciones que rigen nuestro sistema, es mucho mejor usar un controlador difuso.
ĐẶC ĐIỂM VÔI HOÁ VÀ HẸP MẠCH VÀNH TRÊN HÌNH ẢNH CẮT LỚP VI TÍNH 256 DÃY Ở BỆNH NHÂN TĂNG HUYẾT ÁP
Authors: Nguyễn Đình Minh , Nguyễn Thanh Vân 
Published: April 2023

Mục tiêu: Nghiên cứu hình ảnh cắt lớp vi tính 256 dãy (CLVT-256) về đặc điểm vôi hóa và hẹp mạch vành trên các bệnh nhân (BN) tăng huyết áp (THA). Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang đặc điểm hình ảnh mạch vành trên CLVT-256 ở các BN THA tại Bệnh viện Hữu nghị Việt Đức từ tháng 02 - 7/2021. Kết quả: 269 BN (129 nam và 140 nữ), tuổi trung bình là 72,6 ± 10,5 (từ 41 - 90 tuổi). Vôi hóa mạch vành (VHMV) gặp ở 97 nam (75,2%) và 90 nữ (64,3%) (p = 0,05). Tỷ lệ VHMV ở BN > 60 tuổi là cao hơn các BN £ 60 tuổi (72,2% so với 51,4%; p = 0,01). Về đặc điểm hẹp mạch vành (HMV), tuổi trung vị của các BN có HMV < 50% có tuổi trung vị thấp hơn các BN có HMV ³ 50% (72 so với 76 tuổi; p < 0,01). Mặt khác, BN > 60 tuổi có nguy cơ mắc HMV ³ 50% cao hơn nhóm £ 60 (OR: 5,9; 95%CI: 1,4 - 25,6; p < 0,01). Điểm vôi hóa Agatston là thấp hơn ở các BN có HMV < 50% so với các trường hợp HMV ³ 50% (23 so với 391; p < 0,01). Các BN có VHMV có nguy cơ mắc HMV ³ 50% cao hơn so với nhóm không có VHMV (OR: 6,6; 95%CI: 2,5 - 17,1; p < 0,01), và các BN có VHMV nặng (Agatston > 400 điểm) có nguy cơ mắc HMV ³50% cao hơn các BN có vôi hóa ít hơn hoặc không vôi hóa (OR: 17,3; 95%CI: 8,4 - 51,9; p < 0,01). Đường cong ROC dự báo điểm vôi hóa Agatston với HMV ³ 50% có AUC = 0,824 và điểm cut-off là 104 điểm với Sn = 77% và Sp = 76%. Kết luận: Điểm vôi hóa Agatston cao và tuổi cao là những yếu tố có liên đến HMV nặng ở các người bệnh THA.
MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG LIÊN QUAN ĐẾN MỨC ĐỘ NẶNG CỦA BỆNH NHÂN NHI TỪ 1 THÁNG ĐẾN 15 TUỔI MẮC SỐT XUẤT HUYẾT DENGUE
Authors: Nguyễn Trần Ngọc Hiếu , Nguyễn Mạnh Cường , Lê Thị Bích Liên , Đỗ Thiện Hải , Trịnh Minh Đức 
Published: April 2023

Mục tiêu: Nghiên cứu một số đặc điểm lâm sàng, cận lâm sàng liên quan đến mức độ nặng của bệnh nhân (BN) nhi từ 1 tháng đến 15 tuổi mắc sốt xuất huyết Dengue (SXHD). Đối tượng và phương pháp: Nghiên cứu hồi cứu mô tả cắt ngang 81 BN SXHD được điều trị tại Bộ môn - Khoa Nhi - Bệnh viện Quân y 103 - Học viện Quân y từ tháng 01/2022 - 01/2023. Kết quả: Có 31/80 BN (38,27%) bị sốc SXHD, tỷ lệ trẻ thừa cân béo phì trong nhóm sốc 11/31 (35,48%, p < 0,05) và tiền sử đã từng mắc SXHD 29/31 (93,5%, p < 0,05). Triệu chứng lâm sàng hay gặp ở nhóm sốc: Đau bụng (93,55%, p < 0,05), buồn nôn, nôn (90,32%, p < 0,05), xuất huyết tiêu hóa và đi ngoài phân đen (9,68%, p < 0,05), gan to (67,74%, p < 0,05), tiểu ít (83,87%, p < 0,05). Cận lâm sàng ở nhóm sốc HCT > 0,45 L/L (19/31 (61,29%), p < 0,05), số lượng BC > 4 G/L (21/31 (67,74%), p < 0,05) và tỷ lệ bạch cầu trung tính (34,6 ± 11,5%), số lượng TC < 20 G/L (19/31 (61,29%), p < 0,05), men gan AST (405 ± 408 U/L, p < 0,01), giảm albumin máu (27,2 ± 4,64 g/L, p < 0,01), protein máu (52,77 ± 8,62 g/L, p < 0,05) và tràn dịch màng phổi và ổ bụng (28/31 (93,32%), p < 0,05). Kết luận: Trẻ thừa cân, béo phì, tiền sử đã từng mắc SXHD biểu hiện các triệu chứng đau bụng, buồn nôn và nôn, xuất huyết dạ dày, đi ngoài phân đen, gan to, tiểu ít liên quan đến mức độ nặng của bệnh. Các triệu chứng cận lâm sàng: Hct > 0,45 L/L, số lượng tiểu cầu < 20 G/L, tăng men ASL, giảm albumin, protein máu và tràn dịch màng phổi, ổ bụng là yếu tố liên quan đến mức độ nặng của BN mắc SXHD.